Umgogodla Wamabele Ungubani? Izimpawu, Izimbangela, & Ukwelashwa

Umgogodla wamabele uqala lapho amaseli ezihlanganweni zakho zamabele eqala ukukhula ngokungavamile futhi akhe isibopho. Ingenye yezifo zomdlavuza ezivame kakhulu, kodwa nansi into engase ikukhuthaze: ukwelashwa kuye kwaqhubeka kakhulu, futhi abantu abaningi baqhubeka bephila impilo egcwele, enempilo ngemuva kokuxilongwa.

Nakuba igama elithi "umgogodla" lingase lizwakale liqalekile, ukuqonda ukuthi yini oyilwa nayo kungakusiza uzizwe ulawula kakhulu. Umgogodla wamabele awusiye isifo esisodwa - empeleni yiqembu lemikhakha ehlukene yemizimba eyaqala ezihlanganweni zamabele, futhi uhlobo ngalunye luphawula ngokuhlukile ekwelapheni.

Umgogodla wamabele ungubani?

Umgogodla wamabele ukhula lapho amaseli amabele ajwayelekile eqala ukuhlukaniswa ngokungenakulawuleka esikhundleni sokulandela iphethini yabo yokukhula evamile. La maseli angavamile angakha amaqhubu noma izibopho ongaziqaphela ngesikhathi sokuhlola ngokwakho noma azivele ekuhlolweni kwezokwelapha.

Izihlanganisi zakho zamabele zihlanganisa imigodi yobisi, ama-lobules (amagciwane akhiqiza ubisi), inyama enamafutha, nama-lymph nodes. Umgogodla ungaqala kunoma yiziphi lezi zindawo, kungakho kukhona izinhlobo ezahlukene ezinamakharekthara ahlukene nezindlela zokwelapha.

Izindaba ezimnandi ukuthi umgogodla wamabele obanjwe ngokushesha uhlala unemiphumela emihle yokwelashwa. Abantu abaningi bathola ukwelashwa futhi baqhubeka bephila impilo esebenzayo, egcwele iminyaka eminingi ngemuva kwalokho.

Ziyini izimpawu zomgogodla wamabele?

Ukuqaphela izimpawu ezingaba khona kusenesikhathi kungenza umehluko omkhulu ekukhetheni kwakho ukwelashwa nasemiphumeleni. Umzimba wakho uhlala uukunika izibonakaliso lapho kukhona okuthile okudinga ukunakekelwa, futhi ukuqaphela lezi zinguquko kukusiza ukuthi uvikele impilo yakho.

Nansi izimpawu ezivame kakhulu okufanele uzibheke:

• Isibopho esisha noma ukukhuluphala ebeleni lakho noma ngaphansi kwesikhumba
• Ukushintsha ubukhulu, isisindo, noma ukubonakala kwesifuba
• Ukwenza ama-dimples noma ukubopha isikhumba sebele
• Ukuphuma komthambo (ngaphandle kokubili ubisi lwebele)
• I-nipple eguqula ngaphakathi lapho ingazange ikwenze ngaphambili
• Ubomvu, ukulingana, noma ukukhuluphala kwesikhumba sebele noma i-nipple
• Ubuhlungu obuhlala njalo bebele noma i-nipple

Khumbula ukuthi izinguquko eziningi zebele azilona i-cancer - izinto ezifana nokuhlukahluka kwe-hormonal, ama-cysts, noma ukutheleleka kungaholela ezimpawu ezifanayo. Okubalulekile ukuhlola noma yiziphi izinguquko ezihlala njalo ngumhlinzeki wakho wezempilo ukuze wazi ukuthi yini oyiphatha.

Imiphi imikhakha ye-cancer yebele?

I-cancer yebele iza ngezindlela eziningana ezahlukene, futhi ukuqonda uhlobo lwakho oluthile kusiza iqembu lakho lezokwelapha ukwakha uhlelo lokwelapha oluphumelela kakhulu kuwe. Izinhlobo eziyinhloko ziyahluka kuye ngokuthi i-cancer iqala kuphi nokuthi iziphatha kanjani.

Izinhlobo ezimbili eziyinhloko yi:

• I-carcinoma ye-ductal: Iqala emathubeni obisi futhi imele cishe u-80% we-cancer yebele
• I-carcinoma ye-lobular: Iqala e-lobules ezikhiqiza ubisi futhi yenza cishe u-10-15% yezimangalo

Udokotela wakho uzobona futhi ukuthi i-cancer yakho iyingxenye (isakaze ngaphandle kokuthi yaqala kuphi) noma ayikho (iqinile endaweni yayo yokuqala). I-cancer engakaze isakaze, ebizwa nangokuthi "in situ," ivame ukwelashwa kakhulu ngoba ayikaze isakaze ezihlangeni ezizungezile.

Ezinye izinhlobo ezingavamile zihlanganisa i-cancer yebele e-inflammatory, i-cancer yebele engathandeki, ne-cancer yebele ye-HER2-positive. Uhlobo ngalunye lunezici ezithile eziqondisa izinqumo zokwelapha, kodwa iqembu lakho le-oncology lizokuqondisa ekuqondeni ukuthi ukuxilongwa kwakho kusho ukuthini ngempela.

Yini ebangela i-cancer yebele?

Impendulo eqotho yilokhu ukuthi umdlavuza webele uvela ekuhlanganiseni okuyinkimbinkimbi kwezinto eziningi, futhi ezimweni eziningi, ayikho into eyodwa ebonakalayo ebangela. Lokhu kungazizwa kukhungathekisa uma ufuna izimpendulo, kodwa ukuqonda izinto ezifaka isandla kungakusiza wenze izinqumo ezinolwazi mayelana nempilo yakho.

Izinto eziyinhloko ezingandisa ingozi zihlanganisa:

• Ubudala: Ingozi iyanda njengoba ukhula, ngezimo eziningi ezenzeka ngemva kweminyaka engama-50
• Umbukiso womndeni: Ukuba nohlobo oluseduze olune-kansa yebhele noma ye-ovari
• Ukuguqulwa kwe-genetic: Ukushintsha okudluliselwe nge-jeni njenge-BRCA1 ne-BRCA2
• Ukukhishwa kwe-hormone: Ukukhishwa isikhathi eside kwe-estrogen ngezikhathi zokuqala, ukuqeda i-menopause, noma ukwelashwa kwe-hormone
• Umbukiso wokuzala: Ukungabi nabantwana noma ukuba nomntwana wakho wokuqala ngemva kweminyaka engama-30
• Izinto zokuphila: Ukusebenzisa utshwala, ukuba sisindayo ngemva kwe-menopause, nokuntuleka kokuzivocavoca

Nanku okubalulekile ukukhumbula: ukuba nezinto ezingozi akusho ukuthi uzoba nomdlavuza webele, futhi abantu abaningi abanazo izinto eziningi ezingozi abawutholi umdlavuza. Ngakolunye uhlangothi, abanye abantu abangenazo izinto ezingozi ezaziwayo bayawuthola umdlavuza webele.

Ezinye izimbangela ezingavamile zihlanganisa ukukhishwa kweradieysheni endaweni yesifuba ngesikhathi sobuntwana noma ubusha, kanye ne-syndromes ethile ye-genetic ngaphezu kwe-BRCA mutations, njenge-Li-Fraumeni syndrome noma i-Cowden syndrome.

Nini kufanele ubheke udokotela ngezinkinga zomdlavuza webele?

Kufanele uxhumane nodokotela wakho uma uqaphela noma yikuphi ukushintsha okuqhubekayo ezifubeni zakho okuphela isikhathi eside kunesikhathi esisodwa sokuya esikhathini. Themba izinzwa zakho - uyazi umzimba wakho ngaphezu kwanoma ubani omunye.

Funani ukunakekelwa kwezokwelapha ngokushesha ngalezi zibonakaliso:

• Ukuqhuma noma indawo ethambile entsha ezihluke kakhulu kunye nezinye izicubu zebele lakho
• Ukushintsha kwebele okungapheli ngemva kwesikhathi sakho sokuya esikhathini
• Ukuphuma komhlanga webele okwenzeka ngaphandle kokucindezela, ikakhulu uma kukhona igazi
• Ukushintsha okungazelelwe ngobukhulu noma ukuma kwebele
• Ukushintsha kwesikhumba njengokuhlobana, ukuqina, noma ukubukeka okufana ne-orange-peel
• Ubuhlungu obuhlala njalo endaweni ethile yebhele lakho

Ungalindi noma ube nomgomo wokuthi izinguquko ziyohamba zodwa. Ukutholakala kwangaphambi kwesikhathi kukunika izinketho eziningi zokwelashwa kanye nethuba elihle kakhulu lokuba uphumelele. Udokotela wakho angathanda kakhulu ukuhlola into engalimaza kunokushiya into ebalulekile.

Iyini imikhakha yokusongela umdlavuza webele?

Ukuqonda imikhakha yakho siqu yokusongela kungakusiza wena neqembu lakho lokunakekelwa kwezempilo ukwenza izinqumo ezinolwazi mayelana nezinhlelo zokuhlola nokuvimbela. Ezinye izinto awukwazi ukuzilawula, kanti ezinye ungazithonya ngokukhetha indlela yokuphila.

Izinto ongenakuzishintsha:

• Ukuba owesifazane: Abafazi banethuba elingaphezu kwamakhulu ayikhulu lokuba bathuthukise umdlavuza webele kunamadoda
• Ukuthuthuka kweminyaka: Cishe u-80% womdlavuza webele kwenzeka kubantu besifazane abangaphezu kweminyaka engama-50
• Ukuguqulwa kwe-genetic: I-BRCA1, i-BRCA2, nezinye izinguquko ze-gene ezidluliselwa
• Umbukiso womndeni: Ukuba unema, udade, noma indodakazi enomdlavuza webele kuphinda kabili ingozi yakho
• Umbukiso siqu: Umdlavuza webele wangaphambili noma izimo ezithile zebele ezinhle
• Umbukiso wokuya esikhathini: Ukuqala kwesikhathi sokuya esikhathini ngaphambi kweminyaka engu-12 noma i-menopause ngemva kweminyaka engama-55
• Izicubu zebele ezinzima: Kwenza kube nzima ukuthola umdlavuza futhi kancane kancane kukhuphula ingozi

Izinto ongazithonya:

• Ukusebenzisa utshwala: Ngisho namanani amancane angandisa ingozi
• Isisindo: Ukuba ngumkhulu noma unesisindo esiningi ngemva kokuphela kwesikhathi sokuba nengqondo
• Ukuzivocavoca komzimba: Ukuzivocavoca njalo kunganciphisa ingozi
• Ukwelashwa ngamahomoni: Ukusetshenziswa isikhathi eside kokufakwa kwamahomoni okuhlanganisiwe
• Izinqumo zokuzala: Ukungazali nhlobo noma ukuzala ingane yakho yokuqala ngemva kweminyaka engama-30

Izimbangela ezingavamile zengozi zihlanganisa ukukhishwa kweradieysheni yesifuba ebuntwaneni, ukukhishwa kwe-DES (diethylstilbestrol) ngaphambi kokuzalwa, kanye nezinhlobo ezithile ze-genetic njenge-Li-Fraumeni noma i-Peutz-Jeghers syndrome.

Ziyini izinhlanganisela ezingase zenzeke zomdlavuza webele?

Nakuba ukucabanga ngezinhlanganisela kungase kuzwakale kuyesabekayo, ukuqonda izinselele ezingase zenzeke kusiza ukuba ulungiselele futhi usebenze neqembu lakho lezokwelapha ukuvimbela noma ukuziphatha ngempumelelo. Izinkinga eziningi zingavikelwa noma ziphathwe ngempumelelo uma zitholakala ngokushesha.

Izinhlanganisela ezivamile zingafaka:

• I-Lymphedema: Ukukhula kwenduku yakho noma isandla uma ama-lymph nodes asuswa noma onakele
• Imiphumela emibi yokwelashwa: Ukukhathala, isicanucanu, noma ukuguquka kokubonakala okuvela e-chemotherapy noma e-radiation
• Izinselele zomzwelo: Ukukhathazeka, ukucindezeleka, noma ukwesaba ngekusasa
• Ukukhathazeka ngokuzala: Amanye ukwelashwa kungathinta ikhono lakho lokuba nezingane
• Izinkinga zempilo yamathambo: Amanye ukwelashwa kungonakalisa amathambo ngokuhamba kwesikhathi
• Izinkinga zenhliziyo: Amanye ama-chemotherapy drugs angathinta umsebenzi wenhliziyo

Izinhlanganisela ezinkulu kakhulu zingafaka ukusabalala komdlavuza kwezinye izingxenye zomzimba wakho (ukusabalala), kodwa lokhu akunakwenzeka uma umdlavuza utholakala futhi uphathwa ngokushesha. Iqembu lakho lezokunakekelwa kwezempilo likuqapha eduze ukuze lithole futhi liqonde noma yiziphi izinkinga ngokushesha.

Izinkinga ezingavamile zingafaka ukusabela okukhulu emithi, iziqubu zegazi, noma umdlavuza wesibili ngenxa yokwelashwa. Iqembu lakho lezokwelapha lizokuxoxela ngesimo sakho sobungozi futhi lithathe izinyathelo zokunciphisa lezi zinto.

Ungawuvimba kanjani umdlavuza wamabele?

Nakuba ungawuvimbi ngokuphelele umdlavuza wamabele, ungathatha izinyathelo zokunciphisa ingozi yakho nokuthola noma yikuphi ukuguquka ngokushesha lapho ukwelashwa kuphumelela kakhulu. Izenzo ezincane, eziqhubekayo zingenza umehluko obalulekile ngokuhamba kwesikhathi.

Izindlela zokuphila ezingasiza:

• Hlala usebenza ngokomzimba: Zama okungenani imizuzu engu-150 yokuzivocavoca okulinganiselwe masonto onke
• Gcina isisindo esinempilo: Kubaluleke kakhulu ngemuva kokuphela kwesikhathi sokuya esikhathini
• Khawukhawulelise utshwala: Ngisho namanani amancane angandisa ingozi, ngakho cabanga ngokulinganisela noma ukugwema utshwala
• Hamba ubele uma kungenzeka: Ukuncelisa unyaka noma ngaphezulu kunganciphisa ingozi
• Gwema ukwelashwa kwe-hormone okungadingeki: Xoxa ngezinye izinketho nodokotela wakho uma udinga ukukhululeka ezimpahleni zokuphela kwesikhathi sokuya esikhathini
• Dla ukudla okulinganiselayo: Gxila ezithelo, imifino, namanye amazambane

Kubantu besifazane abasezingozini eziphezulu kakhulu ngenxa yezizukulwane ezihlukahlukene noma umlando omkhulu womndeni, izinyathelo zokuvikela zingafaka ukuhlolwa okuvamile, imithi efana ne-tamoxifen, noma ezimweni ezingavamile, ukuhlinzwa okuvimbelayo. Lezi zinqumo ziyimfihlo kakhulu futhi zidinga ukuxoxisana ngokucophelela neqembu lakho lezokunakekelwa kwezempilo.

Ukuhlolwa okuvamile nge-mammograms kanye nokuhlolwa kwamabele kwesikhathi esifanele kuhlala kuyindlela ephumelela kakhulu yokuthola umdlavuza wamabele ngokushesha lapho imiphumela yokwelashwa ilungile.

Utholakala kanjani umdlavuza wamabele?

Ukuthola ukuxilongwa komdlavuza wamabele kuvame ukubandakanya izinyathelo eziningi, futhi iqembu lakho lezokunakekelwa kwezempilo lizokukhokhela ngasinye ngokucophelela. Inqubo yenzelwe ukukunika wena nodokotela bakho isithombe esiphelele ngangokunokwenzeka.

Inqubo yokuxilonga ivame ukulandela leli zinga:

1. Ukuhlolwa kwebele ngokwelashwa: Udokotela wakho uthinta ukubona izicubu noma ukushintsha ebeleni lakho nasezinqanqathi ze-lymph
2. Izivivinyo ze-Imaging: I-Mammography, i-ultrasound, noma i-MRI ukuthola izithombe ezinemininingwane
3. I-Biopsy: Ukususa isampula encane yethishu ukuyihlola ngaphansi komkhiqizo
4. Ukuhlolwa okuengeziwe: Uma kutholakala umdlavuza, ukuhlolwa okuqhubekayo kunquma uhlobo nokuqala

I-biopsy kuphela indlela eqinisekisa ukuxilonga umdlavuza webele. Ngesikhathi ulinde imiphumela kungaba ukukhathazeka, khumbula ukuthi i-biopsies eminingi ibuya ibonisa izimo ezingalimi (ezingeyona umdlavuza).

Uma umdlavuza uqinisekiswe, iqembu lakho lizoqhuba ukuhlolwa okuqhubekayo ukuqonda uhlobo lwakho oluthile lomdlavuza, kufaka phakathi ukuhlolwa kwe-hormone receptor, ukuhlolwa kwe-HER2, kanye nokuhlolwa kwe-genetic yomdlavuza. Lolu lwazi lusiza ukwakha uhlelo lwakho lokwelashwa oluqondene nawe.

Iyini ukwelashwa komdlavuza webele?

Ukwelashwa komdlavuza webele kuye kwathuthuka kakhulu, futhi izindlela zanamuhla ziqondiswe ngokwengeziwe futhi zisebenza kakhulu kunanini ngaphambili. Uhlelo lwakho lokwelashwa luzokwenziwa ngokukhethekile ngohlobo lwakho lomdlavuza, isigaba salo, nesimo sakho sempilo.

Izindlela zokwelapha eziyinhloko zihlanganisa:

• Ukuhlinzwa: I-Lumpectomy (ukususa umdlavuza) noma i-mastectomy (ukususa ibele)
• I-Chemotherapy: Imithi ehlose amaseli omdlavuza emzimbeni wakho wonke
• I-Radiation therapy: Izimbonini zamandla aphezulu ezibhubhisa amaseli omdlavuza asaleyo
• I-Hormone therapy: Ivimbela ama-hormone aqhuba izinhlobo ezithile zomdlavuza webele
• I-Targeted therapy: Imithi ehlasela izici ezithile zamaseli omdlavuza
• I-Immunotherapy: Isizwa isimiso sakho sokugcina ukulwa namaseli omdlavuza

Abantu abaningi bathola ukwelashwa okuhlanganisiwe. Ngokwesibonelo, ungase ube nokuhlinzwa okulandelelwa yi-chemotherapy kanye nokuqothulwa. Ukuhleleka kanye nokuhlanganiswa kuncike esimweni sakho esithile.

Izindlela zokwelapha ezintsha ziyaqhubeka zivele, kufaka phakathi izindlela zokwelapha eziqondene nomuntu ngamunye eziqondene nokwakheka kwe-genetic yomdlavuza wakho. Izivivinyo zeklinikhi zingase futhi zinikeze ukufinyelela ekwelapheni okuphambili okungakabi kuvulekele bonke.

Ungayiphatha kanjani ukwelashwa komdlavuza wamabele ekhaya?

Ukukhathalela wena ngesikhathi sokwelashwa kubaluleke kakhulu njengokwelashwa kwezokwelapha ngokwawo. Izenzo ezincane zansuku zonke zingakusiza uzizwe kangcono futhi usekele inqubo yokululama yomzimba wakho.

Amasu okunakekelwa ekhaya asebenzayo:

• Phumula uma udinga: Lalela umzimba wakho ungaphuli umkhuhlane omkhulu
• Dla ukudla okunomsoco: Gxila eprotheni, ezithelo, nasezimila ukuze usekele ukululama
• Hlala uthambile: Phuza amanzi amaningi, ikakhulukazi ngesikhathi se-chemotherapy
• Ukuzivocavoca okulula: Ukuhamba okufushane noma ukwelula okulula kungakhuthaza amandla nengqondo
• Phatha imiphumela emibi: Sebenza neqembu lakho ukuze uqonde isicanucanu, ubuhlungu, noma ezinye izimpawu
• Gcina indawo yakho ihlanzekile: Nciphisa ingozi yokutheleleka uma isimiso sakho sokuvikela simiwe

Ukukhathalela kwakho ngokomzwelo kubalulekile. Cabanga ngokujoyina amaqembu wokusekela, ukuqeqesha amasu okuphumula, noma ukusebenza nomeluleki oqeqeshwe ekunakekelweni komdlavuza. Abantu abaningi bathola ukuthi ukuhlala uxhumene nabangane nomndeni kusiza ekuqondeni okuvamile.

Unganqikazi ukucela usizo emisebenzini yansuku zonke efana nokuthenga izitolo, ukulungiselela ukudla, noma imisebenzi yasekhaya. Ukwamukela ukusekelwa kwabanye akuyona uphawu lobuthakathaka - kuyindlela ehlakaniphile yokugcina amandla akho ukuze ululame.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kungakusiza ukuthi uthole okuningi ngesikhathi sakho nomhlinzeki wakho wezinsizakalo zezempilo futhi kuqinisekise ukuthi zonke izinkinga zakho zixazululwe. Ukulungiselela kancane kungakwenza uzizwe ukhulu kunanini ngaphambili futhi ulawule.

Ngaphambi kokuvakashela kwakho, buza lolu lwazi:

• Umbiko ophelele wezokwelapha: Faka izinkinga zangaphambili zebele, ukuhlinzwa, nomlando womdlavuza womndeni
• Imithi yamanje: Bala zonke izinhlobo zezidakamizwa, izithasiselo, nezinye izidakamizwa
• Isikhathi sesimptomu: Qaphela ukuthi uqale nini ukubona izinguquko nokuthi ziye zathuthuka kanjani
• Imiphumela yokuhlola yangaphambili: Letha ama-mammograms, ama-ultrasounds, noma ezinye izincwadi ezifanele
• Ulwazi lwe-inshorensi: Qinisekisa ukumbozwa kokuhlolwa noma izinqubo ezinconyiwe

Bhala imibuzo yakho ngaphambili. Izihloko ezibalulekile zingafaka ukuqonda ukuxilongwa kwakho, izinketho zokwelashwa, imiphumela emibi okulindeleke, nokuthi ukwelashwa kungathinta kanjani impilo yakho yansuku zonke. Ungakhathazeki ngokubuza imibuzo eminingi kakhulu - iqembu lakho lezempilo lifuna uzizwe ulwazi.

Cabanga ukuthi ulethe umngane othembekile noma ilungu lomndeni e-aphoyintimenti yakho. Bangakusiza ukuba ukhumbule ulwazi futhi banikeze ukwesekwa ngokomzwelo ngesikhathi esingase sizizwe sengxoxo ebiwe.

Iyini into ebaluleke kakhulu mayelana nomdlavuza webele?

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa komdlavuza webele kuye kwaqina kakhulu, futhi abantu abaningi bayaqhubeka bephila impilo egcwele, enempilo ngemuva kokuxilongwa. Ukutholakala kwangaphambi kwesikhathi nokuthuthuka ekwelapheni okuqondene nomuntu kukunika imiphumela emihle kakhulu.

Nakuba ukuxilongwa komdlavuza webele kungase kuzwakale kukhulu, awuwedwa kule ndlela. Iqembu lakho lezempilo, isisekelo sakho, namandla akho angaphakathi azokukhokhela ekwelapheni nasekuphileni kabusha.

Hlala uqaphile ngempilo yebele lakho ngokuhlolwa okuvamile kwangaphakathi, i-mammograms, nokugcina indlela yokuphila enempilo. Themba izinzwa zakho mayelana nezinguquko emzimbeni wakho, futhi ungangabazi ukufuna ukunakekelwa kwezokwelapha uma kukhona okungalungile.

Khumbula ukuthi isipiliyoni sabo bonke abantu ngomdlavuza webele sihlukile. Gxila ekuhambeni kwakho, sisebenzisana eduze neqembu lakho lezokwelapha, bese uthatha izinto isinyathelo ngesinyathelo. Ngokwelashwa namuhla nezinhlelo zokusekela, kunesizathu sokuzizwa unethemba ngekusasa lakho.

Imibuzo evame ukubuzwa ngomdlavuza webele

Q1: Ingabe amadoda angathola umdlavuza webele?

Yebo, amadoda angathola umdlavuza webele, nakuba kungavamile kakhulu kunabesifazane. Amadoda anamatishu ebele, futhi nakuba akhiqizi i-estrogen eningi, angathola umdlavuza webele. Umdlavuza webele wamadoda uvamise ukubonakala njengobumba eduze ne-nipple futhi kufanele uhlolwe ngokushesha yisikhungo sezokunakekelwa kwezempilo.

Q2: Mangikuthole kangaki i-mammograms?

Iziqondiso eziningi zincoma i-mammograms yonyaka uqale eminyakeni engu-40, nakuba ezinye ziqondisa ukuqala eminyakeni engu-50. Uma unezingozi eziphezulu njengomlando womndeni noma ukuguqulwa kwe-genetic, udokotela wakho angase akukhuthaze ukuqala ngokushesha noma ukuthola izithombe ezengeziwe njenge-MRI. Xoxa ngeprofayili yakho yezingozi siqu nodokotela wakho ukuze unqume uhlelo oluhle kakhulu lokukhetha olufanele wena.

Q3: Ingabe ukugqoka i-bra noma ukusebenzisa i-deodorant kubangela umdlavuza webele?

Cha, awekho ubufakazi besayensi bokuthi ukugqoka ama-bras noma ukusebenzisa ama-antiperspirants nama-deodorants kukhuphula ingozi yomdlavuza webele. Lezi yizinkolelo-ze eziqhelile ezifundwe ngokuphelele futhi zaphikwa. Gxila kwamandla akho ezindleleni ezivunyiwe zokunciphisa ingozi njengokugcina isisindo esinempilo, ukuzivocavoca njalo, nokulinganisela ukusetshenziswa kotshwala.

Q4: Uma ngina-BRCA gene mutation, ngiyokuthola yini umdlavuza webele ngokuqinisekile?

Ukuba ne-mutation ye-BRCA1 noma ye-BRCA2 kukwandisa kakhulu ingozi yakho, kodwa akuqinisekisi ukuthi uzoba nomdlavuza wamabele. Abafazi abane-mutations ze-BRCA1 banengozi yokuphila yonke engaba ngu-55-72%, kanti abaqapheli be-BRCA2 banengozi engaba ngu-45-69%. Abantu abaningi abanezi-mutations abazuzwa umdlavuza, futhi kunezindlela zokuvimbela nokuthola kwangaphambi kwesikhathi eziphumelelayo ezitholakalayo.

U-Q5: Ingabe umdlavuza wamabele ungabuya emuva kokwelashwa?

Umdlavuza wamabele ungabuya, kodwa ingozi iyahluka kakhulu kuye ngohlobo lwakho oluthile lomdlavuza, isigaba sokutholakala, nokuphendula ekwelapheni. Iqembu lakho le-oncology lizokugcina uqaphele ngemihlangano yokulandelela njalo nezivivinyo. Abantu abaningi bahlala bengenawo umdlavuza amashumi eminyaka ngemuva kokwelashwa, futhi ngisho noma umdlavuza ubuyela, ngokuvamile kunezindlela zokwelapha eziphumelelayo ezitholakalayo.