I-Lobular Cancer Cancer: Yiziphi Izilinganiso Zokuqagela Nokusinda?

-Delile

• Siyini isibikezelo?
• Ayini amazinga okusinda?
• Uhlelo lokwelashwa
• Ukuhlinzwa
• Ezinye izindlela zokwelapha
• Ukuphila kahle

Uyini umdlavuza webele we-lobular?

Umdlavuza webele we-Lobular, obizwa nangokuthi i-invasive lobular carcinoma (ILC), uvela kuma-lobes webele noma kuma-lobules. AmaLobules yizindawo zesifuba ezikhiqiza ubisi. I-ILC uhlobo lwesibili lomdlavuza webele ovame kakhulu.

I-ILC ithinta cishe amaphesenti ayishumi abantu abanomdlavuza webele ongahlaseli. Iningi labantu abanomdlavuza webele banesifo emapayipini abo, okuyizinhlaka ezithwala ubisi. Lolu hlobo lomdlavuza lubizwa nge-invasive ductal carcinoma (IDC).

Igama elithi "invasive" lisho ukuthi umdlavuza ususabalele nakwezinye izindawo kusukela lapho usuka khona. Endabeni ye-ILC, isisabalalele kwi-lobule ethile yebele.

Kwabanye abantu, lokhu kusho ukuthi amangqamuzana anomdlavuza akhona kwezinye izingxenye zezicubu zamabele. Kwabanye, kusho ukuthi lesi sifo sesisakazeke (sasisasazwa) kwezinye izingxenye zomzimba.

Yize abantu betholakala benomdlavuza webele we-lobular nganoma yisiphi isikhathi, kuvame kakhulu kwabesifazane abaneminyaka engama-60 nangaphezulu. Ucwaningo luphakamisa ukuthi ukwelashwa ngokushintshwa kwehomoni ngemuva kokunqamuka kokuya esikhathini kungakhuphula ubungozi balolu hlobo lomdlavuza.

Siyini isibikezelo?

Njengamanye umdlavuza, i-ILC ihlelwe esikalini esingu-0 kuye ku-4. Isiteji sihlobene nosayizi wamathumba, ukubandakanyeka kwe-lymph node, nokuthi ngabe izicubu zisabalalele kwezinye izindawo zomzimba. Izinombolo eziphakeme zimelela izigaba ezithuthuke kakhulu.

Lapho uthola ukuthi une-ILC phambilini bese uqala ukwelashwa, kuba ngcono umbono wakho. Njengezinye izinhlobo zomdlavuza, izigaba zokuqala ze-ILC kungenzeka ziphathwe kalula ngezinkinga ezimbalwa. Lokhu uqobo - kepha hhayi njalo - kuholela ekutholeni okuphelele namazinga wokuphindeka okuphansi.

Kodwa-ke, ukuxilongwa kusenesikhathi kuyinselelo enkulu nge-ILC uma kuqhathaniswa ne-IDC ejwayelekile kakhulu. Lokho kungenxa yokuthi ukukhula nokusabalalisa amaphethini we-ILC kunzima kakhulu ukuwathola kuma-mammograms ajwayelekile kanye nezivivinyo zamabele.

I-ILC imvamisa ayakhi isigaxa, kepha isakazeka kolayini befayela elilodwa ngezicubu ezinamafutha zesifuba. Bangase babe namathuba amaningi okuba nemvelaphi eminingi kunamanye umdlavuza futhi babe nokuthambekela ekuthambekeni kwamathambo.

Omunye ukhombisa ukuthi umphumela wesikhathi eside jikelele wabantu abatholakala ukuthi bane-ILC ungafana noma ube mubi kakhulu kunalabo abatholakala benenye inhlobo yomdlavuza webele ongafuneki.

Kunamaphuzu amahle okufanele awacabangele. Iningi lalezi zinhlobo zomdlavuza ziyi-hormone receptor positive, imvamisa i-estrogen (ER) iyakhombisa, okusho ukuthi ikhula ngokuphendula i-hormone. Imithi yokuvimba imiphumela ye-estrogen ingasiza ekuvimbeleni ukubuya kwesifo futhi ithuthukise ukubikezela.

Umbono wakho awuxhomekile esigabeni somdlavuza kuphela, kodwa nasezinhlelweni zakho zokunakekelwa zesikhathi eside. Ukuqokwa nokuhlolwa okulandelwayo kungasiza udokotela wakho ukuthola ukuphindeka komdlavuza noma ezinye izinkinga ezingavela ngemuva kokwelashwa komdlavuza webele.

Hlela ukuhlolwa komzimba kanye ne-mammogram njalo ngonyaka. Eyokuqala kufanele yenzeke ezinyangeni eziyisithupha ngemuva kokuhlinzwa noma ukwelashwa ngemisebe.

Ayini amazinga okusinda?

Amanani okusinda komdlavuza ngokuvamile abalwa ngokwabantu abangaki abaphila okungenani iminyaka emihlanu ngemuva kokutholakala kwabo. Isilinganiso seminyaka emihlanu sokusinda komdlavuza webele singamaphesenti angama-90 kanti isilinganiso seminyaka eyishumi sokusinda singamaphesenti angama-83.

Isigaba somdlavuza sibalulekile uma ucubungula amazinga okusinda. Isibonelo, uma umdlavuza usemabele kuphela, isilinganiso seminyaka emihlanu sokusinda singamaphesenti angama-99. Uma isisabalalele kuma-lymph node, isilinganiso siyehla sibe ngamaphesenti angama-85.

Ngoba kunezinto eziningi eziguquguqukayo ezisuselwa ohlotsheni nasekusakazekeni komdlavuza, kungcono ukukhuluma nodokotela wakho mayelana nokuthi yini ongayilindela esimweni sakho esithile.

Uhlelo lokwelashwa

I-ILC ingaba nzima kakhulu ukuxilonga kunezinye izinhlobo zomdlavuza webele ngoba isakazeka ngephethini eyingqayizivele yegatsha. Izindaba ezinhle ukuthi ngumdlavuza okhula kancane, okunikeza isikhathi sokwenza uhlelo lokwelashwa nethimba lakho lomdlavuza.

Kunezindlela eziningi zokwelashwa ezingasiza ekwandiseni amathuba akho okululama ngokugcwele.

Ukuhlinzwa

Ukwelashwa kuyehluka kuya ngesigaba somdlavuza wakho. Izicubu ezincane esifubeni ezingakasakazeki zingasuswa ku-lumpectomy. Le nqubo inguhlobo olwehlisiwe lwe-mastectomy ephelele. Ku-lumpectomy, kususwa ingxenye kuphela yesicubu sebele.

Ku-mastectomy, lonke ibele liyasuswa noma ngaphandle kwemisipha kanye nezicubu ezixhunyiwe.

Ezinye izindlela zokwelapha

Ukwelashwa kwe-Hormonal, okubizwa nangokuthi i-anti-estrogen therapy, noma i-chemotherapy kungasetshenziselwa ukunciphisa izicubu ngaphambi kokuhlinzwa. Ungadinga imisebe ngemuva kwe-lumpectomy ukuze uqiniseke ukuthi wonke amangqamuzana omdlavuza abhujisiwe.

Udokotela wakho uzokusiza wakhe uhlelo lokunakekela olwenziwe ngezifiso ngokuya ngempilo yakho, usebenzisa ubuchwepheshe obukhona kakhulu.

Ukuphila kahle

Ukuxilongwa kwe-ILC kungaba yinselele, ikakhulukazi ngoba kunzima ukuxilonga ekuqaleni, kanye nokungafundelwa kahle njenge-IDC. Kodwa-ke, abantu abaningi baphila isikhathi eside ngemuva kokutholakala kwabo.

Ucwaningo lwezokwelapha nobuchwepheshe obabutholakala eminyakeni emihlanu eyedlule kungahle kungahambeki njalo njengezindlela zokwelashwa zamanje. Ukuxilongwa kwe-ILC namuhla kungaba nombono omuhle kunalokho obekuzoba nakho eminyakeni emihlanu noma ngaphezulu edlule.

Thola ukwesekwa kwabanye abaphila nomdlavuza webele. Landa uhlelo lokusebenza lwamahhala lweHealthline lapha.