Unyango lwenqanaba lesi-4 loMhlaza wamabele: Isikhokelo esiBanziUkuqonda ubunzima benqanaba lesi-4 lomhlaza wamabele kufuna indlela eneenkalo ezininzi equka iindlela zonyango, ukhathalelo oluxhasayo, kunye nophando oluqhubekayo. Esi sikhokelo sinika inkcazo eneenkcukacha zonyango olukhoyo, sigxininisa ukubaluleka kokhathalelo lomntu kunye nokukhangela imingeni yeemvakalelo ezinxulumene nesifo senqanaba eliphezulu.
Ukuqonda iNqanaba lesi-4 loMhlaza wamabele
Inqanaba lesi-4
umhlaza wamabele, eyaziwa ngokuba ngumhlaza webele we-metastatic, ibonisa ukuba umhlaza usasazeke ngaphaya kwebele kunye ne-lymph nodes ezikufutshane kwiindawo ezikude zomzimba. Oku kusasazeka, okanye i-metastasis, iyenzeka emathanjeni, emiphungeni, esibindini, okanye ebuchotsheni. Iprognosis yenqanaba lesi-4
umhlaza wamabele iyahluka kakhulu ngokuxhomekeke kwizinto eziliqela, kuquka uhlobo lomhlaza webele, indawo ye metastases, kunye nempilo jikelele yomguli. Kubalulekile ukukhumbula ukuba nangona ukuxilongwa kwenqanaba lesi-4
umhlaza wamabele, kukho iindlela zonyango ezikhoyo ukulawula isifo kunye nokuphucula umgangatho wobomi.
Iintlobo zoNyango lweSigaba 4 soMhlaza wamabele
Unyango lwenqanaba lesi-4
umhlaza wamabele ngokuyintloko ijolise ekulawuleni isifo nokuphucula umgangatho wobomi besigulana. Ukupheliswa ngokupheleleyo komhlaza akusoloko kufikeleleka, kodwa unyango lunokucothisa kakhulu ukuqhubeka kwawo kwaye luthomalalise iimpawu. Iinketho zonyango eziqhelekileyo ziquka:
Unyango Lwenkqubo
Olu nyango lujolise kwiiseli zomhlaza kuwo wonke umzimba. Ziquka: Unyango ngamachiza: Usebenzisa iziyobisi ukubulala iiseli zomhlaza. Iirejimeni ezahlukeneyo zechemotherapy ziyafumaneka, kwaye ukhetho luxhomekeke kwizinto ezifana nohlobo
umhlaza wamabele, impilo yesigulane ngokubanzi, kunye nendawo ye-metastases. Unyango lweHormone: Iibhlokha iziphumo zeehomoni ezikhuthaza ukukhula kwamanye amabele omhlaza. Olu nyango lusebenza ngokukodwa kwi-hormone-receptor-positive Breast cancers. Unyango ekujoliswe kulo: Ijolise kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni kweeseli zomhlaza kunye nokuphila. Olu nyango lwenzelwe ukuchaneka ngakumbi kwaye lube neziphumo ebezingalindelekanga ezimbalwa kunechemotherapy yesintu. Immunotherapy: Inceda amajoni omzimba ukulwa iiseli zomhlaza. I-Immunotherapy yindlela yonyango entsha ebonise isithembiso kwezinye iimeko ze-metastatic
umhlaza wamabele.
Unyango lwasekuhlaleni
Olu nyango lujolise kwiiseli zomhlaza kwiindawo ezithile zomzimba: Unyango lweRadiation: Isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. Ihlala isetyenziselwa ukukhulula intlungu okanye ezinye iimpawu ezibangelwa yi-metastases kwiindawo ezithile, njengamathambo okanye ingqondo. Uqhaqho: Ngelixa ingaxhaphakanga kwinqanaba lesi-4
umhlaza wamabele, utyando lunokusetyenziselwa ukususa amathumba abangela iimpawu ezibalulekileyo okanye iingxaki.
Ukhathalelo lweNkxaso
Ukuhlala nenqanaba lesi-4
umhlaza wamabele iveza imingeni eyodwa. Ukunyamekela kwenkxaso kugxile ekulawuleni iimpawu kunye nokuphucula umgangatho wobomi. Oku kunokubandakanya: Ukulawulwa kweentlungu: Izicwangciso ezahlukeneyo ziyafumaneka ukulawula intlungu, kubandakanywa amayeza, unyango lomzimba, kunye nolunye uncedo. Ukulawula ukukhathala: Iindlela zokulawula ukudinwa zinokubandakanya ukuguqulwa kwendlela yokuphila, amayeza, kunye nenkxaso yengqondo. Inkxaso yeemvakalelo: Iingcebiso, amaqela enkxaso, kunye nezinye izixhobo zinokubonelela ngenkxaso yeemvakalelo nezengqondo kwizigulane kunye neentsapho zabo. Cinga ngokufikelela kwimibutho ejongene nenkxaso yomhlaza.
Ukukhangela iZigqibo zoNyango
Ukukhetha isicwangciso sonyango esilungileyo senqanaba lesi-4
umhlaza wamabele sisigqibo esintsonkothileyo esifuna ukuqwalaselwa ngenyameko kwizinto ezininzi. Ukusebenza ngokusondeleyo ne-oncologist kubalulekile ukuphuhlisa isicwangciso sonyango lomntu ngokusekelwe kwimeko yakho kunye nezinto ozikhethayo. Kubalulekile ukubuza imibuzo, ukuvakalisa iinkxalabo, kunye nokuthatha inxaxheba ngokubonakalayo kwinkqubo yokwenziwa kwezigqibo. Khumbula ukuba injongo kukufumana isicwangciso sonyango esonyusa umgangatho wobomi bakho kwaye sifezekise iimfuno zakho zomntu ngamnye.
Uphando oluqhubekayo kunye novavanyo lweklinikhi
Imbonakalo yomhlaba ye
umhlaza wamabele unyango luhlala luvela ngophando oluqhubekayo kunye nokuphuhliswa konyango olutsha. Ulingo lwezonyango lubonelela ngofikelelo kunyango olukwinqanaba eliphezulu olungekafumaneki ngokubanzi. Ugqirha wakho we-oncologist unokuxoxa ukuba ukuthatha inxaxheba kulingo lwezonyango kunokuba lukhetho olufanelekileyo kuwe. Ngolwazi oluthe kratya malunga nolingo lwezonyango, ungandwendwela iwebhusayithi yeZiko leSizwe loMhlaza (NCI) [
https://www.cancer.gov/].
Izibonelelo kunye neNkxaso
Imibutho emininzi inikezela ngezibonelelo kunye nenkxaso kubantu abaphila nenqanaba lesi-4
umhlaza wamabele neentsapho zabo. Le mibutho inikela ngolwazi oluxabisekileyo, izixhobo zemfundo nenkxaso yeemvakalelo.
| Uhlobo loNyango | Inkcazo | IiNzuzo ezinokubakho | Iimpembelelo ezinokuba khona |
| Unyango ngamachiza | Usebenzisa iziyobisi ukubulala iiseli zomhlaza. | Ukunciphisa amathumba, ukuphucula iimpawu. | Isicaphucaphu, ukudinwa, ukulahleka kweenwele. |
| Unyango lweHormone | Iibhloko iihomoni ezikhuthaza ukukhula komhlaza. | Icothisa ukukhula kwethumba, iphucula ubomi. | Ukuvutha okutshisayo, ukufumana ubunzima. |
| Unyango ekujoliswe kulo | Ijolise kwiimolekyuli ezithile kwiiseli zomhlaza. | Unyango oluchanekileyo, iziphumo ebezingalindelekanga ezimbalwa. | Irhashalala, ukudinwa, urhudo. |
Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nomboneleli wakho wezempilo ukuze ufumane ukuxilongwa kunye nonyango lwazo naziphi na iimeko zonyango. Ngolwazi oluthe vetshe okanye ukufumana unyango olukhethekileyo, unganqwenela ukuqhagamshelana ne-Shandong Baofa Cancer Research Institute ku- [
https://www.baofahospital.com/].