"Okuthiwa" kwinkulungwane xxi - carcinoma webele

Amabele carcinoma - yinto ithumba yethishyu epithelial esifubeni, oluthi luqokelelane evela imibhobho okanye lobules ndlala. Le carcinoma yeyona ixhaphakileyo zonke zomhlaza. Iinkcukacha-manani zibonisa ukuba wonke umfazi yesithoba kwi planethi umhlaza webele. Ukufunyaniswa kwangoko unika nesimo sengqondo esihle ukuze achache. Uninzi abafazi ufumana utshintsho buhlungu ngaphezu kweminyaka engamashumi amahlanu. Ngokuqhelekileyo, izigulane nisinga abanezakhono xa nethumba sele ndlongo nqanaba. Into yokuba isigulane wayengazi de kube sekupheleni imfuneko kuxilongwa ngokuthe rhoqo.

Hlobo lomhlaza

Carcinoma kwezi ndidi zilandelayo:

- papillary carcinoma - ithumba njengokuntshula esifubeni Strait, unezinga elisezantsi yobubi;

- yamathumba medullary - enkulu ubungakanani carcinoma ezinokungena kwi esikule ejikelezileyo;

- abangena carcinoma wobisi - i ziqhelekileyo kwaye luphawulwa nokusasazwa zivamvo ezingabamelwane encediswa nezintya;

- Paget Ithumba - ezichaphazelekayo le ingono kunye areola, ngaphandle efana nerhashalala.

Uxilongo carcinoma incum iquka iindlela ezihlanganisiweyo uhlolo kwaye iqulathe amanyathelo ezimbini:

1. diagnosis Primary (nokuxilongwa) - yenza kube lula ukubona utshintsho zokuqala emabeleni ngaphandle ukuqinisekisa isimo sabo. Oku kuquka: uviwo ayingaphandle komfazi webele yakhe, uhlaziyo kunye thethwano leengcali ezahlukeneyo (somdlavuza, endocrinologist, ugqirha). Kwakhona kuquka ukuhlolwa ngenxa mammogram;

2. Ukucacisa sokuhlola - kuvumela enonjongo ukubhaqa utshintsho nencum, ukuba baqonde uhlobo kunye nesimo nasisihlo.

Ngoko ke, lo uxilongo zomhlaza ibele ziquka:

- self-eluviweni;

- mammography;

- tomosynthesis;

- uxilongo computer;

- biopsy;

- test igazi;

- wobisi lavage;

- iimviwo X-reyi yesifuba;

- intlokoma magnetic imaging;

- ultrasound.

Inqanaba carcinoma lwebele:

Inyathelo I - carcinoma lwebele, hayi cm ezinkulu kuno ezimbini kuphela ingaba mammary. Xa ithuba elingcono ukubuyisa kweli nqanaba.

Isigaba II - ithumba inokuba akukho iisentimitha ngaphezu kwezihlandlo ezibini, kodwa ke oku iyakhula kwiindawo nkovu axillary. Okanye isixa yamathumba besukelana iisentimitha ezintlanu, kodwa ngaphandle kokutshatyalaliswa kwenkqubo emithanjeni.

Inyathelo III A - ubungakanani Ithumba iisentimitha ezintlanu okanye ngaphezulu kunye Ukudlulela ukuya ezalathelwe uphuhliso nkovu axillary.

Isigaba III - efakwa kwimeko inkqubo zityalwe kwi engqongileyo esiqwini ibele (eluswini, ezinemiphetho kwezihlunu).

Inyathelo III C - carcinoma isifuba unokuba nayiphi na ubukhulu, na zasasazwa ukuba ezingqonge inyama kunye Ukudlulela ibe ezalathelwe ngaphezulu nkovu.

Isigaba IV - Umhlaza luphawulwa ukusasazeka yenkqubo kwamanye amalungu omzimba.

Izinto yomngcipheko:

- Ukungabikho Women ngayo abantwana;

- Ukukhulelwa emva kweminyaka 32;

- eqala sexesheni;

- koku- emva kwexesha;

- amatyala umhlaza webele entsatsheni;

- Long-term therapy hormone.

unyango ngotyando

Ngokuqhelekileyo, umhlaza webele kufuneka uqhaqho. Ithumba iye excised evela esifubeni kunye engqongileyo ephilile. Ukuba kukho metastases kwi kwiindawo nkovu, ke nabo isusiwe.

Treatment carcinoma ngaphandle utyando

Ngokuqhelekileyo, emva kokuba ungenelelo zoqhaqho olwenziwa radiation kunye nechemotherapy. unyango olunjalo kuthintela imbonakalo yamathumba. Zokukhanya ivumela ukuba atshabalalise thumba nokuthintela lokwanda iiseli zomhlaza. Chemotherapy itshabalalisa indlela yokwahlukana kweeseli ezingaqhelekanga, nisingise ekufeni kwabo. Umsebenzi zokukhanya asebenza kwingingqi ichemotherapy sele ngokubanzi isiphumo. Kuba isigulane ngasinye, ingcali ukhetha i unyango entsonkothileyo ngamnye.