Dcis

Isifuba ngasinye sinamagxathu okuqala phakathi kwama-15 kuya kwangama-20, ahlelwe njengephethuli le-daisy. La magxathu ahlukaniswe kakhulu abe yizigaba ezincane ezakha ubisi lokuncelisa. Izithebe ezincane, ezibizwa ngokuthi ama-ducts, ziqondisa ubisi ebhangeli elihleli phansi nje kwesihle.

Ukuqala kwe-ductal carcinoma kuyindlela yokuqala kakhulu yomdlavuza wesifuba. Ekuqaleni kwe-ductal carcinoma, amangqamuzana omdlavuza aboshwe ngaphakathi kwethebe lebisi esifubeni. Amangqamuzana omdlavuza awazange asakazeke esicutshwini sesifuba. Ukuqala kwe-ductal carcinoma kuvame ukufingqiwe ku-DCIS. Ngezinye izikhathi kubizwa ngokuthi umdlavuza wesifuba ongahambisi, ongaqali noma isigaba 0.

I-DCIS ivame ukutholakala ngesikhathi se-mammogram eyenziwa njengengxenye yokuhlola umdlavuza wesifuba noma ukuhlola i-lump yesifuba. I-DCIS inenkinga encane yokusakazeka nokuba yingozi eyingozi. Noma kunjalo, idinga ukuhlolwa nokucabangela izinketho zokwelashwa.

Ukuphathwa kwe-DCIS kuvame ukubandakanya ukuhlinzwa. Ezinye izindlela zokwelapha zingase zihlanganise ukuhlinzwa nokwelashwa ngomgogodla noma ukwelashwa ngamahomoni.

Ukuqina komthambo okungaphakathi akuvambi ngokuvamile izimpawu. Lolu hlobo lokuqala lomdlavuza webele lubizwa nangokuthi yi-DCIS. I-DCIS ngezinye izikhathi ingabangela izimpawu ezinjengalezi: Isibopho sebele. Ukuphuma kwebele okunegazi. I-DCIS ivame ukutholakala ku-mammogram. Ibonakala njengezicucu ezincane zekhalsiyam ethuneni lebele. Lezi yizimpondo zekhalsiyam, ezivame ukubizwa ngokuthi yi-calcifications. Yenza i-aphoyintimenti nodokotela wakho noma omunye ochwepheshe wezempilo uma ubona ushintsho ezibeleni zakho. Izinguquko okufanele uzibheke zingafaka isibopho, indawo yokuqina noma okunye okungajwayelekile kwesikhumba, indawo ehlanganisiwe ngaphansi kwesikhumba, kanye nokuphuma kwebele. Buza ochwepheshe bakho bezempilo ukuthi nini kufanele ucabangele ukuhlolwa komdlavuza webele nokuthi kufanele kuphindwe kangaki. Abachwepheshe bezempilo abaningi bancoma ukuthi uqale ukuhlolwa okujwayelekile komdlavuza webele uma useneminyaka engama-40.

Yenza i-aphoyintimenti nodokotela wakho noma omunye ochwepheshe wezokunakekelwa kwezempilo uma ubona ushintsho ezifubeni zakho. Izinguquko okufanele uzibheke zingafaka isibopho, indawo yokuqina noma olunye ulusu olungavamile, indawo ehlanganisiwe phansi kolusu, kanye nokukhishwa kwesifuba. Buza ochwepheshe bakho bezempilo ukuthi nini kufanele ucabangele ukuhlolwa kwemikhakha yomdlavuza kanye nokuthi kufanele kuphindwe kangaki. Abachwepheshe abaningi bezempilo bancoma ukuthi uqale ukuhlolwa okujwayelekile komdlavuza wamabele eminyakeni yakho engama-40. Bhalisa mahhala bese uthola olunye ulwazi lwakamuva mayelana nokuphathwa, ukunakekelwa nokuphathwa komdlavuza wamabele. Ikheli Uzokwaziswa ngolwazi lwakamuva lwezempilo oluceliwe ebhokisini lakho.

Akuqondile ukuthi yini ebangela i-ductal carcinoma in situ, ebizwa nangokuthi yi-DCIS.

Lolu hlobo lokuqala lomdlavuza wamabele lwenzeka uma amaseli angaphakathi komthambo wamabele ehlanganisa ukuguqulwa kwe-DNA yawo. I-DNA yeselula igcina imiyalo eyalela iseli ukuthi yenze ini. Kumaseli aphilile, i-DNA inikeza imiyalo yokukhula nokukhulisa ngesivinini esibekiwe. Imiyalo iyalela amaseli ukuthi afe ngesikhathi esibekiwe. Kumaseli omdlavuza, ukuguqulwa kwe-DNA kunikeza imiyalo ehlukile. Ukuguqulwa kutshela amaseli omdlavuza ukuba enze amaseli amaningi ngokushesha. Amaseli omdlavuza angaqhubeka ephila lapho amaseli aphilile efa. Lokhu kubangela amaseli amaningi kakhulu.

Ku-DCIS, amaseli omdlavuza awakaqondi ukukwazi ukuphuma emthambeni wamabele nokubhebhetheka emathinini amabele.

Abezempilo abazi kahle ukuthi yini ebangela ukuguqulwa kwamaseli okuholela ku-DCIS. Izici ezingase zidlale indima zihlanganisa indlela yokuphila, imvelo nokuguqulwa kwe-DNA okuqhubeka emindenini.

Izici eziningi zingandisa ingozi ye-ductal carcinoma in situ, ebizwa nangokuthi yi-DCIS. I-DCIS iwuhlobo lokuqala lomdlavuza webele. Izici ezingozi zomdlavuza webele zingafaka:

• Umlando womndeni womdlavuza webele. Uma umzali, umfowabo noma ingane babe nomdlavuza webele, ingozi yakho yomdlavuza webele iyanda. Ingozi iphakeme uma umndeni wakho unomlando wokuthola umdlavuza webele ebuntwaneni. Ingozi iphinde iphakeme uma unamalungu amaningi omndeni anomdlavuza webele. Noma kunjalo, abantu abaningi abaxilongwe ngomdlavuza webele abanalo umlando womndeni wesifo.
• Umlando siqu womdlavuza webele. Uma uke waba nomdlavuza ebeleni elilodwa, unezingozi ezikhulayo zokuthola umdlavuza kwenye ibele.
• Umlando siqu wezimo zebele. Izimo ezithile zebele yisibonakaliso sobungozi obukhulu bomdlavuza webele. Lezi zimo zihlanganisa i-lobular carcinoma in situ, ebizwa nangokuthi yi-LCIS, ne-atypical hyperplasia yebele. Uma uke waba nokuhlolwa kwebele okwathola enye yalezi zimo, unezingozi ezikhulayo zomdlavuza webele.
• Ukuqala kwesikhathi sakho esincane. Ukuqala kwesikhathi sakho ngaphambi kweminyaka engu-12 kukhuphula ingozi yomdlavuza webele.
• Ukuqala kwe-menopause eneminyaka eminingi. Ukuqala kwe-menopause ngemva kweminyaka engu-55 kukhuphula ingozi yomdlavuza webele.
• Ukuba owesifazane. Abesifazane banamathuba amaningi kakhulu kunamadoda okuthola umdlavuza webele. Wonke umuntu uzelwe enenyama yebhubu, ngakho-ke noma ubani angathola umdlavuza webele.
• Inyama yebhubu eqinile. Inyama yebhubu yenziwe ngenyama ecebile nenyama eqinile. Inyama eqinile yenziwe ngezigxobo zobisi, imigodi yobisi nenyama efiphalaza. Uma unebele eliqinile, unethishu eqinile kunethishu ecebile ebeleni lakho. Ukuba nebele eliqinile kungenza kube nzima ukuthola umdlavuza webele kwi-mammogram. Uma i-mammogram ibonise ukuthi unebele eliqinile, ingozi yakho yomdlavuza webele iyanda. Xoxa neqembu lakho lokunakekelwa kwezempilo ngezinye izivivinyo ongazihlola ngaphezu kwe-mammograms ukuze ubone umdlavuza webele.
• Ukuphuza utshwala. Ukuphuza utshwala kukhuphula ingozi yomdlavuza webele.
• Ukuba nengane yakho yokuqala eneminyaka eminingi. Ukuba nengane yakho yokuqala ngemva kweminyaka engu-30 kungakhuphula ingozi yomdlavuza webele.
• Ukuba awukaze ukhulelwe. Ukuba ukhulelwe kanye noma ngaphezulu kuncipha ingozi yomdlavuza webele. Ukuba awukaze ukhulelwe kukhuphula ingozi.
• Ukuthuthuka kweminyaka. Ingozi yomdlavuza webele iyanda njengoba ukhula.
• Ukushintsha kwe-DNA okuzuzwe okuyandisa ingozi yomdlavuza. Ukushintsha kwe-DNA okuyandisa ingozi yomdlavuza webele kungadluliselwa kubazali kubantwana. Ukushintsha okudume kakhulu kubizwa ngokuthi yi-BRCA1 ne-BRCA2. Lezi zinguquko zingakhuphula kakhulu ingozi yakho yomdlavuza webele nezinye izifo zomdlavuza, kodwa akuwona wonke umuntu onalezi zinguquko ze-DNA othola umdlavuza.
• Ukwelashwa kwamahomoni e-menopause. Ukuthatha imithi ethile yokwelashwa kwamahomoni ukulawula izimpawu ze-menopause kungakhuphula ingozi yomdlavuza webele. Ingozi ihlobene nemithi yokwelashwa kwamahomoni ehlanganisa i-estrogen ne-progesterone. Ingozi iyancipha uma uyeka ukuthatha le miithi.
• Ukukhuluphala. Abantu abakhuluphala banengozi ephakeme yomdlavuza webele.
• Ukuvezwa kuringaniso. Uma uthole ukwelashwa ngeringaniso ebeleni lakho njengengane noma osemusha, ingozi yakho yomdlavuza webele iphakeme.

Ukuzenzela izinguquko ekuphileni kwakho kwansuku zonke kungasiza ekuphuculeni ingozi yakho ye-ductal carcinoma in situ. Lolu hlobo lokuqala lomdlavuza wamabele lubizwa nangokuthi yi-DCIS. Ukuze uphucule ingozi yomdlavuza wamabele, zama ukwenza lokhu okulandelayo: Xoxa nodokotela wakho noma omunye ochwepheshe wezempilo mayelana nokuthi nini kufanele uqale ukuhlolwa komdlavuza wamabele. Buza ngezinzuzo nezingozi zokuhlolwa. Ndingakusiza ukuba unqume ukuthi yiziphi izivivinyo zokuhlolwa komdlavuza wamabele ezifanele kuwe. Ungakhetha ukujwayelana namazimba akho ngokuzihlola njalo ngesikhathi sokuhlola amabele ngokwakho ukuze uqaphele impilo yawo. Uma uthola ushintsho olusha, izicubu noma ezinye izimpawu ezingavamile emazimbeni akho, tshela ochwepheshe wezempilo ngokushesha. Ukuqapha amabele akwukuvimbeli umdlavuza wamabele. Kodwa kungakusiza ukuqonda kangcono ukubukeka nokubamba kwamazimba akho. Lokhu kungenza kube lula ukuthi uqaphele uma kukhona okuthile okushintshayo. Uma ukhetha ukuphuza utshwala, khombisa inani oliphuzayo lingaphezu kwesinye isiphuzo ngosuku. Ukuvimbela umdlavuza wamabele, ayikho inani elivikelekile lotshwala. Ngakho-ke uma ukhathazekile kakhulu ngengozi yakho yomdlavuza wamabele, ungakhetha ukungaphuzi utshwala. Hlose okungenani imizuzu engama-30 yokuzivocavoca ezinsukwini eziningi zeviki. Uma awukaqali ukusebenza muva nje, buza ochwepheshe wakho wezempilo ukuthi ukuzivocavoca kulungile yini bese uqala kancane. I-hormone therapy ehlanganisiwe ingandisa ingozi yomdlavuza wamabele. Xoxa nochwepheshe wezempilo ngezinzuzo nezingozi ze-hormone therapy. abantu abanye banezimpawu ngesikhathi se-menopause ezibangela ukungakhululeki. Laba bantu bangase banqume ukuthi izingozi ze-hormone therapy zivunyelwe ukuze bathole impumuzo. Ukuze unciphise ingozi yomdlavuza wamabele, sebenzisa umthamo omncane we-hormone therapy okungenzeka isikhathi esifushane kunokwenzeka. Uma isisindo sakho siphilile, sebenza ukuze ugcine leso sisindo. Uma udinga ukulahlekelwa isisindo, buza ochwepheshe wezempilo ngezindlela ezempilo zokunciphisa isisindo sakho. Dla amakhalori ambalwa bese wandise kancane inani olisebenzisayo.

Ama-calcification ezifihliweyo Khulisa isithombe Valela Ama-calcification ezifihliweyo Ama-calcification ezifihliweyo Ama-calcification ayingxubeko encane yekhalsiyam ebele ebonakala njengezindawo ezimhlophe ku-mammogram. Ama-calcification amakhulu, ashelela noma achaziwe kahle (abonisiwe ngakwesobunxele) anethuba elikhulu lokuba angabi yomdlavuza (benign). Amaqembu ahlanganisiwe e-calcification encane, engaqondakali (abonisiwe ngakwesokudla) angabonisa umdlavuza. I-biopsy yebele ye-stereotactic Khulisa isithombe Valela I-biopsy yebele ye-stereotactic I-biopsy yebele ye-stereotactic Ngesikhathi se-biopsy yebele ye-stereotactic, ibele licindezelwe ngokuqinile phakathi kwezitsha ezimbili. Ama-X-ray ebele, abizwa ngokuthi ama-mammogram, asebenziswa ukukhiqiza izithombe ze-stereo. Izithombe ze-stereo yizithombe zesifunda esifanayo ezivela ezingxenyeni ezahlukene. Zisiza ekutholeni indawo eqondile ye-biopsy. Isibonelo sethishu yebele endaweni enenkinga sikhishwa ngenhlanzi. I-biopsy yeneedle yekhokhisi Khulisa isithombe Valela I-biopsy yeneedle yekhokhisi I-biopsy yeneedle yekhokhisi I-biopsy yeneedle yekhokhisi isebenzisa ithubi elide, elingenalutho ukuthola isibonelo sethishu. Lapha, kwenziwa i-biopsy ye-lump yebele eyingozi. Isibonelo sithunyelwa elabhoratri ukuhlolwa ngabachwepheshe bezokwelapha ababizwa ngokuthi yi-pathologists. Bakhethekile ekuhlolweni kwegazi nethishu lomzimba. I-carcinoma ye-ductal in situ, ebizwa nangokuthi yi-DCIS, ivame kakhulu ukutholakala ngesikhathi se-mammogram esetshenziswa ukucinga umdlavuza webele. I-mammogram yi-X-ray yethishu yebele. Uma i-mammogram yakho ibonisa into ephazamisayo, cishe uzoba nezinye izithombe zebele ne-biopsy. I-mammogram Uma kwatholwa indawo enenkinga ngesikhathi se-mammogram yokuhlola, ungaba ne-mammogram yokuxilonga. I-mammogram yokuxilonga ithatha imibono ngokukhuluka okuphezulu ezivela ezingxenyeni eziningi kunamammogram asebenziswa ekucingeni. Lolu hlolo luhlola amabele womabili. I-mammogram yokuxilonga inika iqembu lakho lokukhathalela impilo ukubuka okuqonde kakhulu kunoma iyiphi ingxubeko yekhalsiyam etholakele ethishwini lebele. Ingxubeko yekhalsiyam, ebizwa nangokuthi ama-calcification, ngezinye izikhathi ingaba yomdlavuza. Uma indawo enenkinga idinga ukuhlolwa okuqhubekayo, isinyathelo esilandelayo singaba yi-ultrasound ne-biopsy yebele. I-ultrasound yebele I-ultrasound isebenzisa amaza omsindo ukwenza izithombe zezakhiwo ezingaphakathi komzimba. I-ultrasound yebele inganika iqembu lakho lokukhathalela impilo ulwazi oluthe xaxa ngendawo enenkinga. Iqembu lokukhathalela impilo lisebenzisa lolu lwazi ukuze linqume ukuthi yiziphi izivivinyo ongazenza ngokulandelayo. Ukususa amasampula ethishu yebele ukuze kuhlolwe I-biopsy inqubo yokususa isibonelo sethishu ukuze kuhlolwe elabhoratri. Ngokuqondene ne-DCIS, ochwepheshe bezempilo ususa isibonelo sethishu yebele usebenzisa inhlanzi ekhethekile. Ineedle esetshenziswayo yithubi elingenalutho. Ochwepheshe bezempilo ubeka inhlanzi ngesikhumba sebele bese uya endaweni enenkinga. Ochwepheshe bezempilo ukhumula ethunini lebele. Le nqubo ibizwa ngokuthi i-biopsy yeneedle yekhokhisi. Ngokuvamile ochwepheshe bezempilo basebenzisa ukuhlolwa kwezithombe ukuze basize ukuqondisa inhlanzi endaweni efanele. I-biopsy esebenzisa i-ultrasound ibizwa ngokuthi i-ultrasound-guided breast biopsy. Uma isebenzisa ama-X-ray, ibizwa ngokuthi i-stereotactic breast biopsy. Amasampula ethishu athunyelwa elabhoratri ukuze kuhlolwe. Elabhoratri, udokotela oqeqeshwe ekucwaningweni kwegazi nethishu lomzimba ubheka amasampula ethishu. Lo dokotela ubizwa ngokuthi yi-pathologist. I-pathologist ingatshela ukuthi ngabe izicubu zomdlavuza zikhona, futhi uma kunjalo, ukuthi lezo zicubu zibonakala zingakanani.

Ukukhipha izingcezu zebele kubandakanya ukususa umdlavuza kanye nezinye izicubu eziphilile ezizungezile. Lesi siboniso sibonisa ukunqunywa okukodwa okungenzeka okusetshenziswa kule nqubo, yize udokotela wakho uzokunquma indlela efanele isimo sakho.Ukushaya imigqa yombuso ngaphandle kusebenzisa imigqa enamandla yomsebenzi ukubulala amakhemikhali omdlavuza. Imigqa yokushaya imigqa iqondiswe ngokuqondile emdlavuzini usebenzisa umshini ohambayo emzimbeni wakho.I-carcinoma yedukti in situ ingavame ukwelashwa. Ukwelashwa kwaleli fomu lokuqala kakhulu lomdlavuza webele kuvame ukubandakanya ukuhlinzwa ukususa umdlavuza. I-carcinoma yedukti in situ, ebizwa nangokuthi i-DCIS, ingase iwelashwe ngokwelashwa ngomgqomo kanye nezinye izidakamizwa.Ukuphathwa kwe-DCIS kunamathuba aphezulu okuphumelela. Ezimweni eziningi, umdlavuza ususiwe futhi unethuba eliphansi lokubuya ngemuva kokwelashwa.Kubantu abaningi, izinketho zokwelapha i-DCIS zihlanganisa:- Ukuhlinzwa okuvikelayo ibele, okuthiwa ukukhipha izingcezu zebele, kanye nokuphathwa ngomgqomo.- Ukuhlinzwa kokususa ibele, okuthiwa ukukhipha ibele.Kwabanye abantu, izinketho zokwelapha zingabandakanya:- Ukukhipha izingcezu zebele kuphela.- Ukukhipha izingcezu zebele kanye nokuphathwa kwamahomoni.Uma uthola ukuthi une-DCIS, omunye wezinqumo zokuqala okuzodingeka uzithathe yilokho kokwelapha isimo ngokukhipha izingcezu zebele noma ukukhipha ibele.- Ukukhipha izingcezu zebele. Ukukhipha izingcezu zebele yisiguli sokususa umdlavuza webele kanye nezinye izicubu eziphilile ezizungezile. Izicubu zebele ezisele azisuswa. Amanye amagama alolu hlinzwe yisiguli sokulondoloza ibele kanye nokukhipha okubanzi kwendawo. Abantu abaningi abakhipha izingcezu zebele nabo bayatholwa ngokwelashwa ngomgqomo.Ucwaningo lubonisa ukuthi kunengozi encane yokuthi umdlavuza ubuye ngemuva kokukhipha izingcezu zebele uma kuqhathaniswa nokukhipha ibele. Noma kunjalo, amazinga okusinda phakathi kwezindlela zokwelapha ezimbili afana kakhulu.Uma unezinye izimo zempilo ezinzima, ungacabangela ezinye izinketho, njengokukhipha izingcezu zebele kanye nokuphathwa kwamahomoni, ukukhipha izingcezu zebele kuphela noma ukungaphathwa nhlobo.Ukukhipha izingcezu zebele. Ukukhipha izingcezu zebele yisiguli sokususa umdlavuza webele kanye nezinye izicubu eziphilile ezizungezile. Izicubu zebele ezisele azisuswa. Amanye amagama alolu hlinzwe yisiguli sokulondoloza ibele kanye nokukhipha okubanzi kwendawo. Abantu abaningi abakhipha izingcezu zebele nabo bayatholwa ngokwelashwa ngomgqomo.Ucwaningo lubonisa ukuthi kunengozi encane yokuthi umdlavuza ubuye ngemuva kokukhipha izingcezu zebele uma kuqhathaniswa nokukhipha ibele. Noma kunjalo, amazinga okusinda phakathi kwezindlela zokwelapha ezimbili afana kakhulu.Uma unezinye izimo zempilo ezinzima, ungacabangela ezinye izinketho, njengokukhipha izingcezu zebele kanye nokuphathwa kwamahomoni, ukukhipha izingcezu zebele kuphela noma ukungaphathwa nhlobo.Ukukhipha izingcezu zebele kuyindlela enhle kubantu abaningi abane-DCIS. Kepha ukukhipha ibele kungase kunconywe uma:- Une-DCIS enkulu. Uma indawo inkulu uma iqhathaniswa nobukhulu bebele lakho, ukukhipha izingcezu zebele kungase kungavezi imiphumela enhle. - Kune-DCIS engaphezu kwendawo eyodwa. Uma kune-DCIS eminingi, kubizwa ngokuthi isifo esiningi noma esiningi. Kunzima ukususa i-DCIS eminingi ngokukhipha izingcezu zebele. Lokhu ikakhulu uma i-DCIS itholakala ezingxenyeni ezahlukene zebele.- Imiphumela yokuhlola ibonisa amakhemikhali omdlavuza emaphethelweni noma eduze kwesampula yesicubu. Kungase kube ne-DCIS engaphezu kwalokho okwakucatshangelwa. Lokhu kusho ukuthi ukukhipha izingcezu zebele kungase kungabi ngokwanele ukususa zonke izindawo ze-DCIS. Ukukhipha ibele kungase kudingeke ukususa zonke izicubu zebele.- Awuyena umuntu ofanele ukwelashwa ngomgqomo. Umgqomo uvamise ukunikwa ngemuva kokukhipha izingcezu zebele. Umgqomo ungase ungabi yindlela uma ukulethrimesi lokuqala lokukhulelwa noma uma uthole umgqomo esifubeni sakho noma ebeleni ngaphambili. Kungase kungakunconywa uma unesimo esikwenza ube nomuzwa omningi wemiphumela emibi yomgqomo, njenge-systemic lupus erythematosus.- Uthanda ukukhipha ibele. Ngokwesibonelo, ungase ungafuni ukukhipha izingcezu zebele uma ungafuni ukwelashwa ngomgqomo.Ngenxa yokuthi i-DCIS ayinawo umdlavuza, ukuhlinzwa ngokuvamile akubandakanyi ukususa ama-lymph nodes ngaphansi kwenduku yakho. Amathuba okuthola umdlavuza kuma-lymph nodes amancane kakhulu.Uma iqembu lakho lokuphatha impilo licabanga ukuthi amakhemikhali omdlavuza angase asakazeke ngaphandle kwedukti yebele noma uma ukhishwa ibele, khona-ke amanye ama-lymph nodes angase asuswe njengengxenye yokuhlinzwa.Ukuphathwa ngomgqomo kuphatha umdlavuza ngemigqa yamandla enamandla. Amandla angase avela kuma-X-rays, amaprotoni noma ezinye imithombo.Ekwelapheni i-DCIS, umgqomo uvamise ukuba umgqomo wangaphandle. Phakathi nalesi hlobo lokwelashwa ngomgqomo, ulele etafuleni ngenkathi umshini uhamba ngawe. Umshini uqondisa umgqomo ezintweni ezithile emzimbeni wakho. Ngokuncane, umgqomo ungafakwa ngaphakathi komzimba. Lolu hlobo lokwelashwa ngomgqomo lubizwa ngokuthi i-brachytherapy.Ukuphathwa ngomgqomo kuvame ukusetshenziswa ngemuva kokukhipha izingcezu zebele ukunciphisa amathuba okuthi i-DCIS ibuye noma ithuthuke ibe yimdlavuza oqine. Kepha kungase kungadingeki uma une-DCIS encane kuphela ecatshelwa ukukhula kancane futhi yasuswa ngokuphelele ngesikhathi sokuhlinzwa.Ukuphathwa kwamahomoni, okuthiwa nokuphathwa kwe-endocrine, kusebenzisa imithi ukuvimba ama-hormones athile emzimbeni. Kuyindlela yokwelapha imidlavuza yebele ehlangene nama-hormones estrogen neprogesterone. Ochwepheshe bezempilo babiza le midlavuza ngokuthi i-estrogen receptor positive neprogesterone receptor positive. Imidlavuza ehlangene nama-hormones isebenzisa ama-hormones njengokudla kokukhula kwayo. Ukubamba ama-hormones kungabangela amakhemikhali omdlavuza ukunciphisa noma ukufa.Nge-DCIS, ukuphathwa kwamahomoni kuvame ukusetshenziswa ngemuva kokuhlinzwa noma umgqomo. Kunciphise ingozi yokuthi umdlavuza ubuye. Kunciphisa futhi ingozi yokuthuthukisa omunye umdlavuza webele.Izindlela zokwelapha ezingasetshenziswa ekwelapheni kwamahomoni zihlanganisa:- Imithi evikela ama-hormones ukubopha kumakhemikhali omdlavuza. Le mithi ibizwa ngokuthi i-selective estrogen receptor modulators. Izibonelo zihlanganisa i-tamoxifen ne-raloxifene (Evista).- Imithi emisa umzimba ukwenza i-estrogen ngemuva kwe-menopause. Le mithi ibizwa ngokuthi i-aromatase inhibitors. Izibonelo zihlanganisa i-anastrozole (Arimidex), i-exemestane (Aromasin) ne-letrozole (Femara).Xoxa ngezinzuzo nezingozi zokwelashwa kwamahomoni neqembu lakho lokuphatha impilo.Bhalisa mahhala bese uthola okusha mayelana nokuphathwa komdlavuza webele, ukunakekelwa nokuphathwa.ikheli.ixhumanisi lokubhalisa nge-imeyili.Uzoba ngokushesha uqale ukuthola ulwazi lwempilo olusha olucelile ebhokisini lakho.Ayikho imithi yokwelapha ehlukile etholwe ukwelapha i-carcinoma yedukti in situ, ebizwa nangokuthi i-DCIS. Kepha izindlela zokwelapha ezingezona ezokwelapha zingakusiza ukubhekana nemiphumela emibi yokwelashwa.Ngokuhlanganyela nezincomo zeqembu lakho lokuphatha impilo, izindlela zokwelapha ezingezona ezokwelapha zingase zinikeze induduzo ethile. Izibonelo zihlanganisa:- Ukwelashwa nge-Art.- Ukuzivocavoca.- Ukucamngca.- Ukwelashwa ngomculo.- Ukuzivocavoca kokupumula.- Ubukhulu bomoya.Ukutholakala kwe-carcinoma yedukti in situ, ebizwa nangokuthi i-DCIS, kungase kuzwakale kukucindezela. Ukuze ubhekane nokuxilongwa kwakho, kungase kube usizo ukuba:- Buza iqembu lakho lokuphatha impilo imibuzo mayelana nokuxilongwa kwakho kanye nemiphumela yakho yokuhlola. Sebenzisa lolu lwazi ukuze ucwaninge izinketho zakho zokwelapha.Ukubona okwengeziwe ngomdlavuza wakho kanye nezinketho zakho kungase kukusize uzizwe uqinile uma wenza izinqumo zokwelapha. Noma kunjalo, abanye abantu abafuni ukwazi imininingwane yomdlavuza wabo. Uma kunjalo indlela ozizwa ngayo, xelela iqembu lakho lokunakekela lokho futhi.Thola umngani noma ilungu lomndeni oyiphini elihle. Noma khuluma nomuntu wenkolo noma umxhumanisi. Cela iqembu lakho lokuphatha impilo ukuba likunikeze isiqondiso kumxhumanisi noma omunye ochwepheshe oqeqeshwe ukusebenza nabantu abane-cancer.Njengoba uqala ukutshela abantu ngokuxilongwa komdlavuza webele, cishe uzothola izincomo eziningi zokusiza. Cabanga kusengaphambili ngezinto ongafuna usizo ngazo. Izibonelo zihlanganisa ukulalela uma ufuna ukukhuluma noma ukukusiza ekulungiseni ukudla.

Ukuxilongwa kwe-ductal carcinoma in situ, okubizwa nangokuthi yi-DCIS, kungaholela ekuzweleni ukucindezeleka. Ukuze ubhekane nokuxilongwa kwakho, kungaba usizo ukuba: Ufunde okwanele mayelana ne-DCIS ukuze wenze izinqumo mayelana nokukhathalelwa kwakho Buza iqembu lakho lokukhathalela impilo imibuzo mayelana nokuxilongwa kwakho kanye nemiphumela yokuhlolwa kwakho kwe-pathology. Sebenzisa lolu lwazi ukuze ucwaninge izinketho zakho zokwelashwa. Ukwazi okwengeziwe mayelana nomdlavuza wakho kanye nezinketho zakho kungakusiza uzizwe uqinisekile uma wenza izinqumo zokwelashwa. Noma kunjalo, abanye abantu abafuni ukwazi imininingwane yomdlavuza wabo. Uma kunjalo indlela ozizwa ngayo, tshela iqembu lakho lokukhathalela lokho futhi. Thola umuntu okhuluma naye ngezimpendulo zakho Thola umngane noma ilungu lomndeni oyiphulukusi elihle. Noma khuluma nompristi noma umeluleki. Cela iqembu lakho lokukhathalela impilo ukuba likunikeze isiqondiso kumeluleki noma omunye ochwepheshe oqeqeshwe ukusebenza nabantu abane-kansa. Gcina abangani bakho nomndeni wakho eduze Abangani bakho nomndeni wakho bangakunikeza inethiwekhi ebalulekile yokusekela ngesikhathi sokwelashwa komdlavuza wakho. Njengoba uqala ukutshela abantu ngokuxilongwa komdlavuza wesisu, cishe uzothola izincomo eziningi zokusiza. Cabanga kusengaphambili ngezinto ongafuna usizo kuzo. Izibonelo zihlanganisa ukulalela uma ufuna ukukhuluma noma ukukusiza ekulungiseni ukudla.