Uyini Isigaba 0 Somdlavuza Webele?

-Delile

• Ukubuka konke
• Isigaba 0 umdlavuza webele vs. lobular carcinoma in situ
• Isigaba 0 vs. isigaba 1 somdlavuza webele
• Kuvame kangakanani?
• Ingabe zikhona izimpawu?
• Ingabe abantu abathile basengozini enkulu?
• Utholakala kanjani umdlavuza webele wesigaba 0?
• Uphathwa kanjani umdlavuza webele wesigaba 0?
• Ngabe ngizodinga i-chemo?
• Ukukhathazeka ngempilo yengqondo
• Uyini umbono?

Ukubuka konke

Umdlavuza webele wesigaba 0, noma i-ductal carcinoma in situ (DCIS), kulapho kunamaseli angajwayelekile kulwelwesi lwamapayipi obisi. Kepha lawo maseli awasakazekanga ngaphesheya kodonga lomsele ukuze kufinyelele izicubu ezizungezile, ukugeleza kwegazi, noma ama-lymph node.

I-DCIS ayifuni futhi kwesinye isikhathi ibizwa nge- “precancer.” Kodwa-ke, iDCIS inamandla okuba ihlasele.

Isigaba 0 umdlavuza webele vs. lobular carcinoma in situ

Umdlavuza webele wesigaba 0 usetshenziselwa ukufaka i-lobular carcinoma in situ (LCIS). Noma leli gama liqukethe igama elithi carcinoma, i-LCIS ayisabhekwa njengomdlavuza. I-LCIS ibandakanya amaseli angajwayelekile kuma-lobules, kepha awasabalali ngaphezu kwama-lobules.

I-LCIS kwesinye isikhathi ibizwa nge- “lobular neoplasia.” Akudingi ukwelashwa. Kodwa-ke, i-LCIS ingakhuphula ubungozi bokuthola umdlavuza ongenayo ngokuzayo, ngakho-ke ukulandelwa kubalulekile.

Isigaba 0 vs. isigaba 1 somdlavuza webele

Esigabeni 1 umdlavuza webele, umdlavuza uyahlasela, noma ngabe mncane futhi uqukethe izicubu zamabele (isigaba 1A), noma inani elincane lamangqamuzana omdlavuza atholakala kuma-lymph node aseduzane (isigaba 1B).

Njengoba sihlola umdlavuza webele wesigaba 0, sikhuluma ngeDCIS, hhayi isigaba 1 somdlavuza webele noma i-LCIS.

Kuvame kangakanani?

Ngo-2019, kuzoba namacala amasha angama-271,270 omdlavuza webele e-United States.

I-DCIS imele mayelana nakho konke ukuxilongwa okusha.

Ingabe zikhona izimpawu?

Ngokuvamile azikho izimpawu zomdlavuza webele wesigaba 0, yize kwesinye isikhathi kungadala isigaxa sebele noma ukuphuma kwegazi engonweni.

Ingabe abantu abathile basengozini enkulu?

Imbangela ngqo yomdlavuza webele we-Stage 0 ayicaci, kepha kunezici ezingakhuphula ubungozi bakho, njenge:

• ukukhula kweminyaka
• umlando womuntu we-atypical hyperplasia noma esinye isifo sebele esibi
• umlando womndeni womdlavuza webele noma ukuguqulwa kwezakhi zofuzo okungakhuphula ingozi yomdlavuza webele, njenge-BRCA1 noma i-BRCA2
• ukuba nengane yakho yokuqala ngemuva kweminyaka yobudala engama-30 noma ungakaze ukhulelwe
• ukuba nesikhathi sakho sokuqala ngaphambi kweminyaka yobudala eyi-12 noma ukuqala ukuya esikhathini ngemuva kweminyaka yobudala engama-55

Kukhona nezici ezithile zobungozi bokuphila, ezingashintshwa ukunciphisa ubungozi bakho, kufaka phakathi:

• ukungasebenzi
• ukukhuluphala ngokweqile ngemuva kokunqamuka kokuya esikhathini
• ukuthatha i-hormone replacement therapy noma izindlela ezithile zokuvimbela inzalo zomlomo ze-hormonal
• ukuphuza utshwala
• ukubhema

Utholakala kanjani umdlavuza webele wesigaba 0?

Bona udokotela wakho uma unesigaxa noma olunye ushintsho emabeleni akho. Xoxa ngomlando wakho womdlavuza bese ubuza ukuthi kufanele uhlolwe kangaki.

Umdlavuza webele wesigaba 0 uvame ukutholakala ngesikhathi sokuhlolwa kwe-mammogram. Ukulandela i-mammogram esolisayo, udokotela wakho angalawula i-mammogram yokuxilonga noma okunye ukuhlolwa kwe-imaging, njenge-ultrasound.

Uma kusenombuzo othile mayelana nendawo esolisayo, uzodinga i-biopsy. Ngalokhu, udokotela uzosebenzisa inaliti ukususa isampula lezicubu. Isazi sezifo sizohlola izicubu ngaphansi kwesibonakhulu bese sinikeza umbiko kudokotela wakho.

Umbiko we-pathology uzosho ukuthi ngabe kukhona amangqamuzana angajwayelekile akhona nokuthi, uma kunjalo, angaba nolaka kangakanani.

Uphathwa kanjani umdlavuza webele wesigaba 0?

I-Mastectomy, noma ukukhishwa kwesifuba sakho, kwake kwaba ukwelashwa komdlavuza webele wesigaba 0, kodwa akudingekile ngaso sonke isikhathi namuhla.

Ezinye zezizathu zokucabangela i-mastectomy yilezi:

• une-DCIS engxenyeni engaphezu kweyodwa yebele
• indawo inkulu maqondana nosayizi webele lakho
• awukwazi ukuthola ukwelashwa ngemisebe
• uncamela i-mastectomy kune-lumpectomy nge-radiation therapy

Ngenkathi i-mastectomy isusa lonke ibele, i-lumpectomy isusa kuphela indawo ye-DCIS kanye neceke elincane elizungezile. I-Lumpectomy ibizwa nangokuthi ukuhlinzwa okugcina amabele noma ukusikeka kwendawo okubanzi. Lokhu kugcina isifuba esiningi futhi ungahle ungadingi ukuhlinzekwa kabusha.

Ukwelashwa ngemisebe kusebenzisa imishayo yamandla aphezulu ukubhubhisa noma yimaphi amangqamuzana angajwayelekile okungenzeka asele ngemuva kokuhlinzwa. Ukwelashwa ngemisebe yomdlavuza webele wesigaba 0 kungalandela i-lumpectomy noma i-mastectomy. Ukwelashwa kunikezwa izinsuku ezinhlanu ngesonto amasonto ambalwa.

Uma i-DCIS iyi-receptor receptor-positive (HR +), ukwelashwa ngama-hormone kungasetshenziswa ukwehlisa amathuba okuba nomdlavuza webele ohlaselayo kamuva.

Icala ngalinye lihlukile, ngakho-ke khuluma nodokotela wakho ngezinzuzo nobungozi bohlobo ngalunye lwezokwelapha.

Ngabe ngizodinga i-chemo?

I-Chemotherapy isetshenziselwa ukunciphisa izicubu nokucekela phansi amangqamuzana omdlavuza emzimbeni wonke. Njengoba umdlavuza webele wesigaba 0 ungavumi, lokhu kwelashwa okuhlelekile ngokuvamile akudingekile.

Ukukhathazeka ngempilo yengqondo

Lapho ufunda ukuthi unomdlavuza webele wesigaba 0, unezinqumo ezinkulu okufanele uzenze. Kubalulekile ukukhuluma nodokotela wakho mayelana nokuxilongwa kwakho ngokujulile. Cela ukucaciselwa uma ungakuqondi kahle ukuxilongwa noma izinketho zokwelashwa. Ungathatha futhi isikhathi ukuthola umbono wesibili.

Kuningi okufanele ucabange ngakho. Uma ukhathazekile, ucindezelekile, noma unenkinga yokubhekana nokuxilongwa nokwelashwa, khuluma nodokotela wakho. Bangakudlulisela kumasevisi osizo endaweni yangakini.

Nazi ezinye izinto okufanele uzicabangele:

• Finyelela kubangani nomndeni ukuze uthole ukusekelwa.
• Khuluma nomelaphi noma omunye uchwepheshe wezempilo yengqondo.
• Joyina iqembu elisekela online noma langaphakathi. Ikhasi le-American Cancer Society Support Programs and Services linikeza imininingwane ngezinsizakusebenza, ku-inthanethi noma endaweni yangakini. Futhi ungaxoxa bukhoma nommeleli noma, uma use-United States, shayela inombolo yosizo ku-1-800-227-2345.

Amasu wokunciphisa ukucindezeleka nokukhathazeka afaka:

• ukuzivocavoca umzimba
• i-yoga noma ukuzindla
• izivivinyo zokuphefumula okujulile
• ukubhucungwa (buza udokotela wakho kuqala)
• ukulala ngokwanele njalo ebusuku
• ukugcina ukudla okunomsoco

Uyini umbono?

Umdlavuza webele wesigaba 0 ungakhula kancane kakhulu futhi ungaze uthuthuke ube ngumdlavuza ongenayo. Ingelashwa ngempumelelo.

Abesifazane abake baba neDCIS banamathuba acishe aphindwe kashumi okuba nomdlavuza webele ongahlaseli kunabesifazane abangakaze babe neDCIS.

Ngo-2015, kubhekwe abesifazane abangaphezu kuka-100 000 ababetholwe benomdlavuza webele wesigaba 0. Abaphenyi balinganisela ukuthi inani lokufa kwabantu abanomdlavuza webele eliyi-10 iminyaka eli-1.1 kanye nele-20 leminyaka libe ngu-3.3%.

Kwabesifazane ababene-DCIS, ingozi yokufa ngomdlavuza webele yanyuswa ngamahlandla ayi-1.8 ngaphezu kwabesifazane emphakathini jikelele. Amanani okufa ayephakeme kwabesifazane abatholakala ngaphambi kweminyaka engama-35 kunabesifazane asebekhulile, kanye nabase-Afrika-baseMelika ngaphezulu kwamaCaucasus.

Ngenxa yalezi zizathu, udokotela wakho angancoma ukuhlolwa kaningi kunokungakaze ube neDCIS.