
Lo mhlahlandlela ophelele uhlola isimo sezwe Ukwelashwa kwesimila sebele saseChina, ukuhlinzeka ngolwazi olubalulekile ukuze kuthathwe izinqumo unolwazi. Sicubungula izindlela zokwelashwa ezahlukahlukene, izindlela zokuxilonga, nezinsiza ezitholakala e-China, sibheka izinto ezibalulekile ezigulini nemindeni yazo. Ulwazi olwethulwa luhloselwe izinjongo zokufundisa futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezokwelapha abaqeqeshiwe ukuze uthole isiqondiso somuntu siqu.
Ukutholwa kusenesikhathi kuthuthukisa kakhulu ukubikezelwa kwe ukwelashwa kwesimila sebele. I-China inikeza izindlela ezihlukahlukene zokuhlola, kuhlanganise ne-mammography, i-ultrasound, ne-MRI. Ukuvama nohlobo lokuhlolwa okunconyiwe kuncike ezintweni ezinobungozi kanye neminyaka. Ukuqonda ubungozi bakho bomuntu siqu kubalulekile. Ukuzihlola njalo kuyakhuthazwa.
Uma kutholakala okungavamile ngesikhathi sokuhlolwa, kuzokwenziwa i-biopsy ukuze kutholwe isampula yethishu ukuze kuhlolwe ukugula. Le nqubo inquma uhlobo lwesimila, ibanga laso, kanye nokuba khona kwama-hormone receptors nezinye izimpawu zamangqamuzana, okubalulekile ekunqumeni okuphumelelayo kakhulu. Ukwelashwa kwesimila sebele saseChina isu. Umbiko we-pathology unikeza ulwazi olubalulekile lokuhlela ukwelashwa.
Lapho ukuxilongwa sekuqinisekisiwe, isimila siyahlelwa ukuze kutholwe izinga laso nokusabalala kwalo. Ukuhlela kuhilela ukuhlola okuhlukahlukene, okuhlanganisa ukuhlola kwezithombe (CT scans, PET scans), ukukala ubukhulu besimila, ukubandakanyeka kwaso kwama-lymph node, nokuba khona kwama-metastases akude. Isiteji siqondisa izinqumo zokwelashwa.
Ukuhlinzwa kuyingxenye evamile ye Ukwelashwa kwesimila sebele saseChina. Uhlobo lokuhlinzwa luncike ezicini eziningana, okuhlanganisa ubukhulu besimila, indawo, kanye nesiteji. Izinketho zisukela ku-lumpectomy (ukususwa kwesimila kanye nezicubu ezizungezile) kuya ku-mastectomy (ukususwa kwebele lonke). Ukuhlinza kabusha ngokuvamile kuyinketho ngemva kwe-mastectomy.
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukucekela phansi amangqamuzana omdlavuza. Ingase isetshenziswe ngaphambi, ngemva, noma ngokuhlanganyela nokuhlinzwa ukuze kuthuthukiswe imiphumela yokwelashwa nokunciphisa ingozi yokuphinda. E-China, izindlela ezithuthukisiwe zemisebe zitholakala kabanzi.
I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ivamise ukusetshenziswa ngokuhambisana nokuhlinzwa noma ukwelashwa ngemisebe, ikakhulukazi ezigabeni ezithuthuke kakhulu zomdlavuza webele. Izinhlobo ezahlukene zemithi yokwelapha ngamakhemikhali ziyatholakala, ziklanyelwe izidingo zomuntu nezici zesimila sakhe.
Ukwelashwa okuhlosiwe kuhilela izidakamizwa eziqondise ngokuqondile amangqamuzana omdlavuza, ukunciphisa ukulimala kwamangqamuzana anempilo. Lokhu kwelashwa kuvame ukusetshenziselwa izimila ezinezici ezithile zamangqamuzana, njenge-hormone receptor-positive noma i-HER2-positive breast cancers.
Ukwelashwa ngama-hormone kusetshenziselwa umdlavuza webele we-hormone receptor-positive. Isebenza ngokuvimbela imiphumela yamahomoni akhuthaza ukukhula kwesimila. Izinhlobo eziningana zokwelashwa ngama-hormone ziyatholakala, futhi ukukhetha kuncike ezicini ezifana neminyaka yesiguli kanye nempilo iyonke.
Ukukhetha elilungile Ukwelashwa kwesimila sebele saseChina uhlelo ludinga ukucatshangelwa ngokucophelela kwezinto eziningi, okuhlanganisa izici zesimila, impilo yesiguli iyonke, izinto esizithandayo, kanye nokufinyelela ezinsizeni. Izingxoxo nethimba lezinhlaka eziningi zochwepheshe - odokotela be-oncologists, odokotela abahlinzayo, izazi ze-radiologist, izazi zezifo - zibalulekile ekwakheni isu lokwelapha elihambisanayo. Ukuxhumana okuvulekile phakathi kwesiguli nethimba laso lezokwelapha kubalulekile ukuze kuqinisekiswe imiphumela engcono kakhulu engenzeka.
Ukuze uthole ulwazi olwengeziwe nokwesekwa, ungase ufise ukuhlola izinsiza ezinikezwa izinhlangano ezihlonishwayo ezigxile ekunakekelweni komdlavuza eShayina. Khumbula, ukwenza izinqumo ezinolwazi mayelana nokunakekelwa kwezempilo kwakho kuyingxenye ebalulekile yokuphatha ukwelashwa kwakho.
Umshwana wokuzihlangula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezokwelapha abaqeqeshiwe ukuze uthole isiqondiso somuntu siqu.
| Uhlobo Lokwelapha | Izinzuzo | Ukubi |
|---|---|---|
| Ukuhlinzwa | Ukususwa kwesimila okuqondile, ukwelashwa okungenzeka | Imiphumela emibi engaba khona, izibazi |
| Ukwelapha Ngemisebe | Isebenza kahle ekubulaleni amangqamuzana omdlavuza | Imiphumela emibi efana nokucasuka kwesikhumba, ukukhathala |
| I-Chemotherapy | Ukwelashwa kwesistimu, kungafinyelela ama-metastases akude | Imiphumela emibi ebalulekile, isicanucanu, ukulahlekelwa izinwele |
| Ukwelapha Okuhlosiwe | Imiphumela emibi embalwa uma iqhathaniswa nokwelashwa ngamakhemikhali | Ingase ingasebenzi kuzo zonke izinhlobo zomdlavuza webele |
| Ukwelashwa Kwamahomoni | Isebenza ngempumelelo kumdlavuza webele we-hormone-receptor positive | Imiphumela emibi yesikhathi eside ingenzeka |
Ukuze uthole ulwazi olwengeziwe mayelana nokwelashwa komdlavuza e-China, vakashela I-Shandong Baofa Cancer Research Institute.
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