Uyini i-Fibroadenoma? Izimpawu, Izimbangela, Nokwelapha

I-fibroadenoma iwumqondo oluhle (ongesiye umdlavuza) ebele oluzwakala luqine futhi luhamba kalula ngaphansi kwesikhumba sakho uma ulithinta. Lezi zicucu ezibukhali, ezizungezile zenziwe yibele kanye nethishu ehlanganisa, kungakho zizwakala zihlukile kunethishu yebhele elizungezile.

I-Fibroadenomas ivame kakhulu, ikakhulukazi kwabesifazane abaneminyaka ephakathi kuka-15 no-35. Nakuba ukufumana noma iyiphi inqwaba yebhele kungazwakala kuyesabekayo, lezi zikhulu azinawo ubungozi futhi azikhuphuli ubungozi bomdlavuza webele. Cabanga ngazo njengendlela yethishu yakho yebhele yokukhula kancane ezindaweni ezithile.

Ziyini izimpawu ze-fibroadenoma?

I-Fibroadenomas eziningi zizwakala njenge-marble noma i-grape ngaphansi kwesikhumba sakho. Iqhude livame ukuhamba khululekile uma ucindezela kuso, cishe njengokungathi liphaphama nje ngaphansi komphetho.

Nanku engase ukubone uma uthola i-fibroadenoma:

• Iqhude eliqinile, elibukhali, eliyindilinga elizwakala liyigum
• Iqhude elihamba kalula ngaphansi kwesikhumba uma lithintiwe
• Ngokuvamile alibuhlungu, nakuba abanye abesifazane bezwa ubuhlungu obumncane
• Ubukhulu obungase bube bukhulu noma bube ngama-intshi amaningana
• Ngezinye izikhathi izicucu eziningi ebeleni elilodwa noma womabili

Izindaba ezinhle ukuthi i-fibroadenomas ayivami ukubangela ubuhlungu noma ukungakhululeki. Abanye abesifazane bayazithola kuphela ngesikhathi sokuhlola okwenziwayo noma i-mammograms. Uma uzwa ubuhlungu, ngokuvamile bube mncane futhi bungashintsha ngesikhathi sakho sokuya esikhathini.

Ziyini izinhlobo ze-fibroadenoma?

Kunezinhlobo eziningana ze-fibroadenomas, ngayinye inezici ezihlukile kancane. Eziningi ziwela ekilasini le-fibroadenoma elula, eliziphatha ngendlela ebingalindelekile futhi lihlale lincane.

I-Fibroadenomas elula yilona uhlobo oluvamile. Ngokuvamile ihlala ngaphansi kwama-sentimitha angu-3 futhi ayishintshi kakhulu ngokuhamba kwesikhathi. Lezi zicucu zivame ukunciphisa noma ziyaphela zodwa, ikakhulukazi ngemuva kokuphela kwesikhathi sokuya esikhathini lapho amazinga e-hormone ewa.

I-Fibroadenomas ehlangene iqukethe izinhlobo zethishu ezengeziwe njenge-cysts noma ama-calcium deposits. Nakuba isalungile, ingadinga ukulandelelwa eduze ngoba inenkinga encane yokuthuthukisa amangqamuzana angavamile. Udokotela wakho cishe uzokuncoma ukuhlola okuvamile uma unalolu hlobo.

I-Fibroadenomas enkulu ikhula ibe ngaphezu kwama-sentimitha angu-5. Naphezu kwegama layo eliyesabeka, isalungile. Noma kunjalo, ubukhulu bayo bungabangela ukungakhululeki noma bushintshe isakhiwo sebele lakho, ngakho odokotela bavame ukuncoma ukususwa.

I-Fibroadenomas yentsha ivela kubasakhulayo nabesifazane abancane abaneminyaka engaphansi kuka-20. Lezi zingakhula ngokushesha futhi zingaba khulu, kodwa zisaluqinisile. Zivame ukunciphisa ngokwemvelo njengoba amazinga e-hormone eqina ngokuya ngeminyaka.

Yini ebangela i-fibroadenoma?

I-Fibroadenomas ithuthukiswa lapho ithishu yebhele ikhula ngokuqhubekayo ezindaweni ezithile kunokunye. Ama-hormone akho, ikakhulukazi i-estrogen, adlala indima ebalulekile kule nqubo.

Phakathi neminyaka yakho yokuzala, i-estrogen ikhuthaza ukukhula kwethishu yebhele inyanga zonke njengengxenye yesikhathi sakho sokuya esikhathini. Ngezinye izikhathi, izindawo ezithile zethishu yebhele ziyaba nomuzwa kakhulu kulezi zibonakaliso ze-hormonal. Uma lokhu kwenzeka, leyo thishu ikhula ngokushesha futhi yakha iqhude elihlukile.

Lokhu kuchaza ukuthi kungani i-fibroadenomas ivame kakhulu phakathi neminyaka yakho yobusha, amashumi amabili, namashumi amathathu lapho amazinga e-estrogen aphezulu. Kuchaza futhi ukuthi kungani ngokuvamile ecindezelwa ngemuva kokuphela kwesikhathi sokuya esikhathini lapho ukukhiqizwa kwe-estrogen kunciphisa kakhulu.

Ukukhulelwa nokubhebhetheka kungathinta futhi i-fibroadenomas njengoba lezi zikhathi zokuphila zihilela ukushintsha okukhulu kwe-hormonal. Ezinye izicucu zingakhula ngesikhathi sokukhulelwa noma zinciphisa ngesikhathi sokubhebhetheka. Lezi zinguquko ziyajwayelekile futhi zilindelekile.

Nini okufanele ubheke udokotela nge-fibroadenoma?

Kufanele ubheke udokotela wakho noma nini lapho uthola iqhude elisha lebele, ngisho noma ucabanga ukuthi kungaba yi-fibroadenoma engenangozi. Uchwepheshe wezempilo kuphela ongakwazi ukulinganisa nokuxilonga ngokufanele izicucu zebele.

Hlela i-aphoyintimenti ngokushesha uma ubona noma yiziphi lezi zinguquko:

• Iqhude elisha elizwakala lihlukile kunethishu yakho ejwayelekile yebhele
• Iqhude elikhona elikhula ngokushesha
• Ukushintsha kokwakheka kweqhude noma indlela eliza ngayo
• Ubuhlungu obungavamile bebele obungalandeli ishejuli yakho yokuya esikhathini
• Ukushintsha kwesikhumba phezu kweqhude njengokudima noma ukuphakama

Ungalindi uma ubona ukukhishwa kusuka enipple yakho, ikakhulukazi uma kukhulu igazi noma kwenzeka ngaphandle kokucindezela. Nakuba lezi zimpawu azivami ukukhombisa umdlavuza, zihlale zidinga ukulinganiswa ochwepheshe. Khumbula, ukutholakala kwangaphambi kwesikhathi kwanoma yiliphi isimo sebele kuholela emiphumeleni emihle.

Ziyini izici ezingozi ze-fibroadenoma?

Ubudala bakho yiyona nto ebaluleke kakhulu ekuthuthukiseni i-fibroadenomas. Lezi zicucu zivame ukuvela lapho uneminyaka ephakathi kuka-15 no-35, phakathi neminyaka yakho ephakeme yokuzala.

Izici eziningana zingandisa amathuba akho okuthuthukisa i-fibroadenomas:

• Ukuba osemashumini akho, amashumi amabili, noma ekuqaleni kwamashumi amathathu
• Ukuba nomlando womndeni we-fibroadenomas noma izimo zebele
• Ukuqala kwesikhathi sakho sokuya esikhathini ebusheni (ngaphambi kweminyaka engu-12)
• Ukuthatha amaphilisi okuvimbela ukukhulelwa, ikakhulukazi ebusheni
• Ukuba umAfrika Mnyama, njengoba i-fibroadenomas ivela kakhulu kuleli qembu labantu

Ukuba nenye noma ngaphezulu yezici ezingozi akusho ukuthi uzokuthuthukisa i-fibroadenomas. Abesifazane abaningi abanazo izici eziningi ezingozi abazitholi, kanti abanye abangenazo izici ezingabonakali bayazithola. Lezi zici zisiza odokotela ukuqonda izibonelo zabantu abavamile ukuthuthukisa lezi zicucu ezingalutho.

Ziyini izinhlanganisela ezingaba khona nge-fibroadenoma?

Iningi le-fibroadenomas alibangi lutho. Zihlala ziqine, izicucu ezingalutho ezihlala ngokuthula nethishu yakho ejwayelekile yebhele phakathi nokuphila kwakho.

Ezimeni ezingavamile, ungase ube nalezi zinhlanganisela:

• Ukukhula okusheshayo okushintsha isakhiwo sebele lakho noma kubangele ukungakhululeki
• Ukuthuthukiswa kwezici ezihlangene ezidinga ukulandelelwa eduze
• Ukuqina kwengqondo okuvela ekukhathazekeni ngeqhude
• Ukuhlupheka kokufunda kwe-mammogram ngenxa yobuningi beqhude
• Kakhulu kakhulu, amangqamuzana angavamile athuthukiswa ngaphakathi kwe-fibroadenomas ehlangene

Ngisho nalapho izinhlanganisela zenzeka, ngokuvamile ziphathwa ngokufanele ngokunakekelwa komuntu siqu. Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-fibroadenomas ayishintshi ibe yimdlavuza, futhi ukuyiba nayo akukhuphuli ubungozi bakho bomdlavuza webele.

I-fibroadenoma ixilongwa kanjani?

Udokotela wakho uzoqala ngokuhlola amabele akho nokubamba iqhude ngesikhathi sokuhlolwa kwebele. Uzolinganisa ubukhulu beqhude, ukwakheka, nendlela eliza ngayo ngaphansi kwesikhumba sakho.

Ukuqinisekisa ukuxilongwa, udokotela wakho cishe uzokuncoma ukuhlolwa kwezithombe. I-ultrasound ngokuvamile iyisinqumo sokuqala, ikakhulukazi kwabesifazane abasebancane, ngoba ingabonisa ngokucacile izici zeqhude ngaphandle kokubekwa kwemisebe. I-ultrasound izobonisa imingcele ebushelelezi nethishu efanayo evamile kwi-fibroadenomas.

Uma uneminyaka engaphezu kuka-40 noma uma imiphumela ye-ultrasound ayicaci, udokotela wakho angase akuncome i-mammogram. Le X-ray ingabonisa imininingwane eyengeziwe mayelana neqhude futhi ihlole noma yiziphi ezinye izindawo ezikhathazayo kuwo womabili amabele.

Ngezinye izikhathi, udokotela wakho uzokuncoma i-core needle biopsy ukuthola isampula encane yethishu. Ngalesi senzo, unhlangothi oluthambile luthatha izingcezu ezincane zeqhude ukuze kuhlalwe. Lolu hlolo lunikeza ukuqinisekiswa okuqinile ukuthi iqhude liyi-fibroadenoma futhi alukho okunye.

Yonke inqubo yokuxilonga ngokuvamile ithatha amasonto ambalwa. Nakuba ukulinda imiphumela kungazwakala kuyacindezela, khumbula ukuthi iningi lezinqwaba zebele kwabesifazane abasebancane liphuma libe yi-fibroadenomas engenangozi noma ezinye izimo ezingalutho.

Yiluphi ukwelapha kwe-fibroadenoma?

I-Fibroadenomas eminingi ayidingi ukwelashwa nhlobo. Uma iqhude lakho lincane, libonakala ngokucacile njenge-fibroadenoma, futhi alikuhluphi, udokotela wakho cishe uzokuncoma indlela "yokubuka nokulinda" ngokulandelela okuvamile.

Udokotela wakho angase akuncome ukususwa uma i-fibroadenoma yakho ikhula ngokushesha, ibangela ukungakhululeki, noma ithinta ukubonakala kwebele lakho. Isinqumo sokuhlinzwa esivamile yi-lumpectomy, lapho udokotela esusa kuphela i-fibroadenoma ngenkathi egcina yonke ithishu enempilo elizungezile.

Kwi-fibroadenomas encane, abanye odokotela banikeza izinqubo ezincane. I-Cryoablation isebenzisa amazinga okupholisa ukuqeda ithishu ye-fibroadenoma, ngenkathi ukususwa okusizwa yi-vacuum kususa iqhude ngokusika okuncane usebenzisa ukucindezela. Lezi zinqubo ngokuvamile ziyeka amabala amancane kunokuhlinzwa okuvamile.

Isinqumo sokwelapha noma ukulandelela siyancika ezintweni eziningana kufaka phakathi ubukhulu beqhude, ubudala bakho, izintandokazi zakho, nendlela i-fibroadenoma ethinta ngayo ikhwalithi yokuphila kwakho. Akukho ukuphikelela ekwenzeni lesi sinqumo, ngakho thatha isikhathi sokuxoxa zonke izinketho ngokuphelele neqembu lakho lezokunakekelwa kwezempilo.

Ungayiphatha kanjani i-fibroadenoma ekhaya?

Nakuba ungakwazi ukwelapha i-fibroadenomas ekhaya, ungathatha izinyathelo zokuzilandelela nokugcina impilo yakho ejwayelekile yebhele. Ukuhlola okuvamile kwebele kuzokusiza uhlale uqaphele ukuthi i-fibroadenoma yakho izwakala kanjani.

Yenza ukuhlolwa kwebele okwenziwayo njalo ngenyanga, ngokukhethekile ezinsukwini ezimbalwa ngemuva kokuphela kwesikhathi sakho sokuya esikhathini lapho ithishu yebhele ingakhululeki. Yazi ukuthi i-fibroadenoma yakho izwakala kanjani ukuze ubone noma yikuphi ukushintsha. Lokhu kuqonda kuzokunika ukuzethemba futhi kuzokusiza uxhumane kahle nodokotela wakho.

Abanye abesifazane bathola ukuthi ukunciphisa i-caffeine kusiza ngokungakhululeki kwebele, nakuba lokhu akukuthinti i-fibroadenoma ngokwayo. Ukugqoka i-bra efanelekile, esekelayo kungasiza futhi uma uzwa noma yiluphi ukungakhululeki, ikakhulukazi ngesikhathi somsebenzi womzimba.

Gcina irekhodi elula lanoma yikuphi ukushintsha oqaphela ubukhulu, ukwakheka, noma ubuhlungu. Lolu lwazi lungaba lubalulekile ngesikhathi sezibhedlela zakho. Khumbula, i-fibroadenomas eminingi ihlala iqine ngokuhamba kwesikhathi, ngakho ukushintsha okukhulu akukho okuvamile.

Kufanele uzilungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ngaphambi kwe-aphoyintimenti yakho, bhala phansi ukuthi uqale nini ukubona iqhude nanoma yikuphi ukushintsha oqaphele kusukela ngaleso sikhathi. Faka imininingwane mayelana nobukhulu, ubuhlungu, nokuthi kubonakala kuthinta kanjani ishejuli yakho yokuya esikhathini.

Letha uhlu lwawo wonke amaphilisi owa thathayo, kufaka phakathi amaphilisi okuvimbela ukukhulelwa, ama-hormone supplements, namaphilisi angaphezu kokuthengwa. Phawula futhi noma yimuphi umlando womndeni wezimo zebele noma ze-ovarian, njengoba lolu lwazi lusisiza udokotela wakho ukulinganisa iphrofayili yakho yonke yezingozi.

Lungisa imibuzo ofuna ukuyibuza udokotela wakho. Cabanga ukuthi ubuze ngezikhathi zokulandelela, lapho kufanele ukhathazeke ngokushintsha, nendlela i-fibroadenoma engase ithinte ngayo i-mammograms noma ukuhlolwa kwebele kwesikhathi esizayo. Unganqikazi ukubuza noma yini ekukhathazayo.

Hlela i-aphoyintimenti yakho ngesonto ngemuva kwesikhathi sakho sokuya esikhathini uma kungenzeka, lapho amabele akho engakhululeki futhi kulula ukuwahlola. Gqoka izingubo ezimbili noma ihembe elivulwa phambi ukuze wenze ukuhlolwa komzimba kube lula futhi kube lula.

Yini eyisifinyezo esiyinhloko mayelana ne-fibroadenoma?

I-Fibroadenomas ivame kakhulu, izicucu zebele ezingalutho ezingathinti impilo yakho noma zikhulise ubungozi bakho bomdlavuza. Nakuba ukufumana noma yiliphi iqhude lebele kungazwakala kuyesabekayo, lezi zicucu ezibukhali, ezihamba kalula yizindawo lapho ithishu yebhele ikhule khona ngokuqhubekayo kunokujwayelekile.

I-Fibroadenomas eminingi ayidingi lutho ngaphandle kokulandelela okuvamile ukuqinisekisa ukuthi ihlala iqine ngokuhamba kwesikhathi. Eziningi ziyancipha zodwa, ikakhulukazi ngemuva kokuphela kwesikhathi sokuya esikhathini lapho amazinga e-hormone ewa. Ngisho nalabo abahlala bebangela ubuhlungu futhi bangaphila ngokuthula nethishu yakho ejwayelekile yebhele iminyaka eminingi.

Isinyathelo esibaluleke kakhulu ukuthola noma yiliphi iqhude elisha lebele elilinganiswe ngochwepheshe wezempilo. Uma usuvele uthole ukuxilongwa okuqinisekisiwe kwe-fibroadenoma, ungazethemba ukuthi ubhekene nesimo esingenangozi esiphatheka kalula ngokunakekelwa komuntu siqu okufanele.

Imibuzo evamile ebuzwa mayelana ne-fibroadenoma

Ingabe i-fibroadenomas ingashintsha ibe yimdlavuza?

Cha, i-fibroadenomas ayikwazi ukushintsha ibe yimdlavuza webele. Ziyi-tumors eziphelele ezingalutho ezihlala zingalutho phakathi nokuphila kwazo. Ukuba ne-fibroadenoma futhi akukhuphuli ubungozi bakho jikelele bokuthuthukisa umdlavuza webele esikhathini esizayo. Lena enye yezinto ezithokozisayo mayelana ne-fibroadenomas esiza abesifazane abaningi ukuthi bazizwe bekhululekile ngokuxilongwa kwabo.

Ingabe i-fibroadenomas iyahamba yodwa?

Yebo, i-fibroadenomas eminingi iyancipha noma iyaphela ngaphandle kokwelashwa, ikakhulukazi ngemuva kokuphela kwesikhathi sokuya esikhathini lapho amazinga e-estrogen ewa kakhulu. Ezinye zingase ziyancipha ngesikhathi sokubhebhetheka noma nje zibe ngezincane ngokuhamba kwesikhathi. Noma kunjalo, ezinye zihlala ziqine iminyaka eminingi ngaphandle kokushintsha okuningi, okubuye kube okujwayelekile futhi akuyona into okufanele ukhathazeke ngayo.

Ngingasabhebhetheka yini nge-fibroadenoma?

Ngokuqinisekile, i-fibroadenomas ayikuphazamisi ukukwazi kwakho ukubhebhetheka ngempumelelo. Iqhude aliyikuthinta ukukhiqizwa noma ukugeleza kobisi, futhi ukubhebhetheka ngeke kulimize i-fibroadenoma. Abanye abesifazane bayaphawula ukuthi i-fibroadenomas yabo iyahleka noma incintisa ngesikhathi sokubhebhetheka ngenxa yokushintsha kwe-hormonal, okuyinto evamile futhi enhle.

Kufanele ngihlole kangakanani i-fibroadenoma yami?

Udokotela wakho cishe uzokuncoma i-aphoyintimenti yokulandelela njalo ngenyanga engu-6 kuya kwengu-12 ekuqaleni ukuqinisekisa ukuthi iqhude lihlala liqine. Uma i-fibroadenoma ingabonisi ukushintsha unyaka noma emibili, ungase ukwazi ukwandisa izikhathi zokulandelela. Qhubeka ne-mammograms yakho evamile nokuhlolwa kwebele njengoba kunconywe iqembu lakho leminyaka, futhi uhlale ubika noma yikuphi ukushintsha oqaphelayo ochwepheshe wezempilo ngokushesha.

Kufanele ngigweme i-caffeine noma ngishintshe ukudla kwami uma ngine-fibroadenoma?

Alukho ubufakazi bokuthi i-caffeine noma ukudla okuthile kuthinta i-fibroadenomas ngokuqondile, ngakho awudingi ukwenza ukushintsha okukhulu kokudla. Abanye abesifazane bathola ukuthi ukunciphisa i-caffeine kusiza ngokungakhululeki kwebele, kodwa lokhu ngeke kuguqule i-fibroadenoma ngokwayo. Gxila ekugcineni ukudla okunempilo, okulinganiselayo okusekela impilo yakho yonke kunokuzimisela ukuthinta i-fibroadenoma ngokukhetha ukudla.