
Lo mhlahlandlela ophelele usiza ukuthi uhlole izinto eziyinkimbinkimbi zokuthola umdlavuza webele ongemuhle kathathu izinketho zokwelapha endaweni yangakini. Sizofaka ukuxilongwa, izindlela zokwelapha, nezinsiza zokukusekela ohambweni lwakho. Ukuqonda izinketho zakho kanye nokufinyelela ukunakekelwa kwekhwalithi kubalulekile, futhi sihlose ukukunikeza ulwazi oludingayo ukuze wenze izinqumo ezinolwazi.
Umdlavuza webele ongemuhle kathathu (TNBC) iwuhlobo oluncane lomdlavuza webele ongenawo ama-receptors e-estrogen, progesterone, noma i-HER2. Lokhu kusho ukuthi ayiphenduli ekwelashweni kwamahomoni noma emithini eqondiwe esebenza kulawa ma-receptors. Ngenxa yalokhu, izindlela zokwelapha ngokuvamile zilinganiselwe ku-chemotherapy, ukuhlinzwa, nokwelashwa ngemisebe. Ukuxilongwa kusenesikhathi kubalulekile ekuphatheni ngempumelelo.
Ukuxilongwa ngokuvamile kuhilela i-biopsy ukuze kuhlolwe amaseli wesimila. Isiteji sinquma izinga lokusabalala komdlavuza, okunomthelela ezinqumweni zokwelashwa. Lokhu kuvame ukufaka ukuhlolwa kwesithombe njengama-mammograms, ama-ultrasounds, nama-CT scan. Isiteji esinembile sibalulekile ekuhleleni ukwelashwa komuntu siqu. Uma usola kungenzeka ukuthi unayo umdlavuza webele ongemuhle kathathu, ukufuna usizo lwezokwelapha ngokushesha kubalulekile.
I-Chemotherapy iwukwelashwa okuvamile komugqa wokuqala umdlavuza webele ongemuhle kathathu, evame ukusetshenziswa ngaphambi kokuhlinzwa (ukwelashwa ngamakhemikhali kwe-neoadjuvant) ukuze kuncishiswe isimila noma ngemva kokuhlinzwa (i-adjuvant chemotherapy) ukuze kuncishiswe ingozi yokuphindeka. Izinhlobo ezahlukene ze-chemotherapy zikhona, futhi i-oncologist yakho izonquma indlela engcono kakhulu ngokusekelwe ezimweni zakho ngazinye. Izidakamizwa ezivamile ze-chemotherapy zihlanganisa kodwa azikhawulelwe ku-: paclitaxel, doxorubicin, ne-carboplatin. Imininingwane yohlelo lwakho lokwelashwa izonqunywa ngokubonisana nethimba lakho lezokwelapha.
Ukuhlinzwa kudlala indima ebalulekile ekwelashweni kwe-TNBC, ngokuvamile okubandakanya i-lumpectomy (ukususwa kwesimila) noma i-mastectomy (ukususwa kwebele). Ukukhetha kuncike ezicini ezahlukahlukene, kufaka phakathi ubukhulu besimila, indawo, kanye nempilo yakho iyonke. Kwezinye izimo, ukususwa kwama-lymph node kungase kudingeke. Ukunakekelwa kwangemva kokuhlinzwa kubalulekile ukuze umuntu alulame futhi kunciphisa ingozi yezinkinga.
Ukwelashwa ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ivamise ukusetshenziswa ngemva kokuhlinzwa ukuze kuqedwe noma yimaphi amangqamuzana omdlavuza asele futhi kuncishiswe ingozi yokuphinda futhi. Uhlelo oluthile lwemisebe kanye nomthamo kuzonqunywa udokotela wakho we-oncologist. Imiphumela engemihle iyehluka, kodwa ithimba lakho lokunakekelwa kwezempilo lizokusiza ukuyilawula ngempumelelo.
Ukuthola i-oncologist enolwazi ekwelapheni umdlavuza webele ongemuhle kathathu kubalulekile. Ungasebenzisa izinjini zokusesha eziku-inthanethi, noma uthintane nodokotela wakho oyinhloko ukuze uthole ukudluliselwa. Bheka ochwepheshe abaxhumene nezikhungo zomdlavuza noma izibhedlela ezihlonishwayo. Izibhedlela eziningi zinikezele ngezikhungo zomdlavuza webele ezinamathimba ahlukahlukene asebenza kuzo zonke izici zokunakekelwa komdlavuza webele, okuhlanganisa umdlavuza webele ongemuhle kathathu. Qinisekisa ukuthi ucwaninga kahle ngeziqu kanye nolwazi lwalabo abangase babe yi-oncologist ngaphambi kokwenza isinqumo.
Ukubhekana nokuxilongwa kwe umdlavuza webele ongemuhle kathathu kungaba yinselele ngokomzwelo. Ukuxhumana namaqembu okusekela kanye nezinsiza kunganikeza usizo olubalulekile lomzwelo nolungokoqobo. Izinhlangano ezifana ne-American Cancer Society kanye ne-National Breast Cancer Foundation zinikeza ingcebo yolwazi nezinkonzo zokusekela. Ukubamba iqhaza emaqenjini okusekela kukuvumela ukuthi uxhumane nabanye ababhekene nezinselele ezifanayo, ukhuthaze umuzwa womphakathi nolwazi olwabiwe.
Ucwaningo oluqhubekayo luyaqhubeka nokuthuthukisa ukwelashwa kwe umdlavuza webele ongemuhle kathathu. Ukuhlala unolwazi mayelana nezivivinyo zakamuva zemitholampilo kanye nentuthuko yocwaningo kubalulekile. Ungathola ulwazi kumawebhusayithi ezokwelapha ahloniphekile, njenge-National Institutes of Health (NIH) kanye ne-National Cancer Institute (NCI). Ukubamba iqhaza ocwaningweni lomtholampilo kungase kunikeze ukufinyelela ezinkethweni zokwelashwa ezintsha. Hlala uthintana nodokotela wakho ngaphambi kokwenza noma yiziphi izinqumo mayelana nokuhlolwa komtholampilo.
| Insiza | Incazelo | Isixhumanisi |
|---|---|---|
| I-American Cancer Society | Ulwazi oluphelele nokwesekwa kweziguli ezinomdlavuza kanye nemindeni yazo. | https://www.cancer.org/ |
| I-National Breast Cancer Foundation | Ihlinzeka ngemfundo, ukwesekwa, kanye nezinsiza kulabo abathintwe umdlavuza webele. | https://www.nationalbreastcancer.org/ |
Khumbula, ukutholakala kusenesikhathi kanye nokwelashwa ngokushesha kuyisihluthulelo semiphumela eyimpumelelo nge umdlavuza webele ongemuhle kathathu. Hlala uthintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole iseluleko esiqondene nawe nezinhlelo zokwelapha. Ukuze uthole ulwazi olwengeziwe ngokwelashwa komdlavuza kanye nocwaningo, ungacabangela ukuvakashela I-Shandong Baofa Cancer Research Institute.
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