Unyango kunye noKhetho loMhlaza wamabeleUkuqonda ubunzima bonyango lomhlaza wamabele kufuna indlela ebanzi. Eli nqaku linika inkcazo eneenkcukacha ezahlukeneyo unyango unyango umhlaza webele iinketho, ukuqaqambisa ukusebenza kwabo, iziphumo ebezingalindelekanga ezinokubakho, kunye nokufaneleka izigaba ezahlukeneyo sifo. Singena kwinkqubela phambili yamva nje, sigxininisa ukubaluleka kokhathalelo lomntu ngamnye kunye nokwenziwa kwezigqibo ezijolise kwisigulana. Ingcaciso enikelwe apha yeyokufundisa kuphela kwaye ayifanelanga kuthathwa njengengcebiso yezonyango. Soloko udibana nomboneleli wakho wezempilo ukuze ufumane ukuxilongwa kunye nocwangciso lonyango.
Ukuqonda uMhlaza wamabele kunye nezigaba zawo
Umhlaza wamabele, isifo esintsonkothileyo, sivela ekukhuleni kweeseli ezingaqhelekanga kwithishu yebele. Ukuphuhliswa kwayo kunye nokuqhubela phambili kuhlelwe ngokwezigaba, nganye ibonisa ubungakanani bokusasazeka komhlaza. Ukufunyaniswa kwangethuba kubalulekile ukuze uphumelele
unyango unyango umhlaza webele. Inkqubo yokubonisa ibandakanya iimvavanyo ezahlukeneyo, kuquka i-imaging scans (i-mammograms, i-ultrasounds, i-MRIs), i-biopsies kunye novavanyo lwegazi. Oku kunceda ukufumanisa ubungakanani kunye nendawo ye-tumor, ubukho bokubandakanyeka kwe-lymph node, kunye ne-metastasis (isasazeka kwizitho ezikude). Izicwangciso zonyango zilungelelaniswe kwinqanaba elithile lomhlaza.
Inqanaba 0: IDuctal Carcinoma eSitu (DCIS)
I-DCIS luhlobo lokuqala lomhlaza wamabele apho iiseli ezingaqhelekanga zivaleleke kwimibhobho yobisi.
Unyango unyango umhlaza webele ukhetho lwe-DCIS luhlala lubandakanya ukususwa ngotyando lwezicubu ezichaphazelekayo (i-lumpectomy okanye i-mastectomy), ngamanye amaxesha ilandelwa lunyango lwe-radiation.
Inqanaba I-III: Umhlaza wengingqi okanye weNgingqi
Ezi zigaba zibonisa ukuba umhlaza usasazeke kwizicubu ezikufutshane okanye ii-lymph nodes. Unyango lunokubandakanya utyando (lumpectomy okanye mastectomy), unyango lweradiation, ichemotherapy, unyango lwehomoni, okanye unyango olujoliswe kuyo, kuxhomekeke kwizinto ngamnye.
Inqanaba IV: Umhlaza wamabele weMetastatic
Kwinqanaba IV, umhlaza uye wanwenwela kwiindawo ezikude zomzimba.
Unyango unyango umhlaza webele igxile ekulawulweni kwesi sifo kunye nokuphucula umgangatho wobomi besigulana, isebenzisa indibanisela yonyango olufana nechemotherapy, unyango lwehomoni, unyango olujoliswe kuyo, kunye nonyango lwamajoni omzimba. Injongo kukulawula ukuqhubeka komhlaza kunye nokunciphisa iimpawu.
IiNdlela eziFumaneka zoNyango loMhlaza wamabele
Kukho iindlela ezininzi zonyango zomhlaza webele, ezihlala zisetyenziswa ngokudityaniswayo ngokusekelwe kwiimfuno zomntu.
Utyando
Ukususwa ngotyando lwethumba kudla ngokuba linyathelo lokuqala
unyango unyango umhlaza webele. Oku kunokususela kwi-lumpectomy (ukususwa kwethumba kunye nenani elincinci lezicubu ezijikelezileyo) ukuya kwi-mastectomy (ukususwa kwebele lonke).
Unyango ngemitha
Unyango ngemitha lusebenzisa imiqadi enamandla kakhulu ukubulala iiseli zomhlaza. Ihlala isetyenziswa emva kotyando ukutshabalalisa naziphi na iiseli zomhlaza eziseleyo kunye nokunciphisa umngcipheko wokuphindaphinda.
Unyango ngamachiza
I-Chemotherapy isebenzisa amachiza anamandla ukutshabalalisa iiseli zomhlaza kuwo wonke umzimba. Ingasetyenziswa phambi kotyando ukuncipha amathumba, emva kotyando ukuphelisa iiseli zomhlaza eziseleyo, okanye ukunyanga umhlaza webele we-metastatic.
Unyango lweHormone
Unyango lweHormone luthintela okanye lunciphisa imiphumo yeehomoni ezikhuthaza ukukhula kwamanye amabele omhlaza. Isetyenziswa ikakhulu kwi-hormone receptor-positive Breast cancers.
Unyango ekujoliswe kulo
Unyango olujoliswe kuyo lusebenzisa iziyobisi ukuhlasela iimolekyuli ezithile ezibandakanyekayo ekukhuleni komhlaza. Olu nyango lwenzelwe ukunciphisa umonakalo kwiiseli eziphilileyo.
Immunotherapy
I-Immunotherapy inceda amajoni omzimba ukuba aqaphele kwaye ahlasele iiseli zomhlaza. Yindlela yonyango entsha noko ebonisa isithembiso kwiintlobo ezithile zomhlaza wamabele.
Ukukhetha iSicwangciso soNyango esiLungileyo
Eyona ilungileyo
unyango unyango umhlaza webele Isicwangciso sixhomekeke kakhulu kumntu ngamnye kwaye sixhomekeke kwizinto ezininzi, kubandakanywa inqanaba kunye nohlobo lomhlaza webele, impilo yesigulana ngokubanzi, kunye nokukhethwa komntu. Iqela leengcali ezininzi zonyango, kubandakanywa i-oncologists, oogqirha botyando, i-radiologists, kunye nabongikazi, baya kusebenza kunye ukuphuhlisa isicwangciso sonyango esibanzi kunye nesomntu. Unxibelelwano oluvulekileyo neqela lakho lezempilo lubalulekile kuyo yonke le nkqubo.
| Uhlobo loNyango | Inkcazo | Iimpembelelo ezinokuba khona |
| Utyando | Ukususwa kwethumba kunye / okanye izicubu zebele. | Iintlungu, amanxeba, usulelo. |
| Unyango ngemitha | Imiqadi ephezulu yamandla okubulala iiseli zomhlaza. | Ukucaphuka kwesikhumba, ukudinwa, isicaphucaphu. |
| Unyango ngamachiza | Amachiza okutshabalalisa iiseli zomhlaza. | Isicaphucaphu, ukuhlanza, ukulahleka kweenwele, ukudinwa. |
Inkxaso kunye nezibonelelo
Ukujongana nokuxilongwa komhlaza webele kunokuba nzima. Imibutho emininzi ibonelela ngenkxaso kunye nezibonelelo kwizigulane kunye neentsapho zabo. Ukudibanisa namaqela enkxaso kunye nokufuna inkxaso yeemvakalelo kunokuba luncedo ngexesha lonyango kunye nokubuyisela. I
Umbutho womhlaza waseMelika kunye ne
Isiseko somhlaza webele weSizwe ukunika ulwazi olubanzi kunye nothungelwano lwenkxaso. Ngolwazi oluthe vetshe okanye ukufumana ingcaphephe, usenokucinga ngokuqhagamshelana neShandong Baofa Cancer Research Institute ku- [https://www.baofahospital.com/](https://www.baofahospital.com/).Idisclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye ayiquki iingcebiso zonyango. Soloko udibana nomboneleli wakho wezempilo ngazo naziphi na iinkxalabo zempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho.