Ibanga 3 umdlavuza webele: esaphila. Ukwelashwa umdlavuza webele

Umdlavuza webele - isimila esibulalayo esikhula okusongelayo hhayi kuphela empilweni nobuhle kwabesifazane, kodwa futhi ukuphila kwakhe konke. Inombolo iziguli lukhula eRussia ngokukhulu ukushesha. Uma ngisho engu-30 edlule 6000 amacala emabangeni lokugcina odokotela bhalisiwe phakathi nonyaka, kodwa manje leli nani lase linyuke izikhathi ezimbili nesigamu. Kulesi sihloko sizobe ukuchaza ngokuningiliziwe lokho okusongelayo grade 3 umdlavuza webele. Isikhathi sokuphila abesifazane, nokwelashwa kwayo, izimpawu zazo ezizwa, yini nokuvinjelwa kwezifo esiyingozi - konke lokhu, funda ku.

Yeka indlela okuyingozi ebangeni umdlavuza 3?

Okokuqala sizobe bayaqonda ukuthi isifo. Odokotela bathi abantu ababulawa umdlavuza wamabele kwabesifazane 3 esiteji - lena ngempela isimila esikhulu. I ububanzi isifinyelele ngamasentimitha amahlanu, ngaleyo ndlela kungenziwa nokwanda esikhumbeni: i epidermis mnyama, aba maningi aze ahlanganise, kuthatha ifomu lemon ikhasi. -Lymph e emakhwapheni babe Ukudlulela: bona ashiselwe futhi obukhulu, nokwanda okuphawulekayo ngosayizi. Ukuvuvukala phezu izigaba ezimbili zokuqala ngokuvamile uhlala kungaqashelwa, ngakho uphendukela kudokotela uma isifo ngenkuthalo ethuthuka.

Cancer 3 degrees - isifo letindzala. Lokhu kusho ukuthi akwanele nje ukusika umdlavuza yokuphatha kulo. Cishe, isimila uye ake kakade metastases ezincane kule izitho zangaphakathi. Ngakho, inkambo enjalo izenzakalo okusongelayo ekuphindeni, ukuthuthukiswa zomdlavuza kwezinye izindawo, mastectomy, ezimweni ezinzima kakhulu lesi sifo kungaba yingozi. Uma ngemuva kokuhlinzwa ukwelapha umdlavuza kungaqali yokwelapha, Ukuphinda kwenzeka e-100% amacala.

engcupheni

Njengoba singabona, ukuba nemiphumela awushintsheki kungaholela degree 3 umdlavuza webele. Isilinganiso sobude bokuphila isiguli kuncike ukuqaphela kwakhe: kulapho amaziyo eziphathelene nokugula, kunamathuba amaningi okuthi ukuqaphela izinqubo emibi emzimbeni wakho. Ngesikhathi esifanayo, odokotela baye igxile izici angaholela isimila kumiswa. Okokuqala, isithombe ekuphileni sowesifazane. Ill engozini emakhosazaneni amadala engenabantwana noma labo ukhulelwe okokuqala ngemva kweminyaka engu-30, abesifazane abasebasha ukuba babe contact njalo nge umthombo imisebe bathambekele udle ukudla okunamafutha. Esisongela isimila iziguli abaneminyaka engama-40, zofuzo beyizidlova isifo, kanye abaqale osesikhathini ekuseni (ngaphambi engu-12) kwabadala ngasekupheleni ukuza.

Okwesibili, ukwakheka lwesimila kuthinta impilo esezingeni. Abanomdlavuza singangena amazinga estrogen igazi zakhe eziphakeme, kukhona iziyaluyalu umzimba, ukukhuluphala, izinkinga endocrine, abanale nkinga. Ngaphansi kokuqondisa kukadokotela kufanele kube abagada kwavele umdlavuza zobulili webele, kanye nalabo ukuthatha zokuvimbela inzalo ngomlomo lapho kukhona izinguquko emabeleni.

Zikhona ezinye izizatho

Izifo, umdlavuza webele kwenzeka ngesizathu esithile. Angase kwandulelwe ezihlukahlukene izinqubo sokugembula ezicutshini. Ngokwesibonelo, kumiswa foci of mastopathy fibrocystic ngenxa yokuhlukumeza okuphindiwe hyperplasias dishormonal. izizathu zabo zimi kanje: zonke okufanayo endocrine iziyaluyalu ukuthi ukuthuthukisa ngemva othola isisu, usayizi webele nokwengezwa, ezihlobene izifo, yokudla engafanele nosana.

Ngeshwa, ingozi ukuze "bathole" isifo ngokuqondile ezilinganiselwe usayizi ebeleni. I ngokudayisa emikhulu, kulapho ngokucophelela udinga ukuqapha isimo sakhe. ukuthuthukiswa umdlavuza nanesandla kwezinso yokwakheka, iziyaluyalu, kwakheka ngaphezulu lapho owesifazane khona umbungu, bese kwaba esibelethweni. Sikhuluma phambi iyizingxenye ezengeziwe kwezicubu yezindlala, nezici ezithile azalwa naso noma ufuzo izimila benign - fibroadenoma. Zonke lezi zidalwa kufanele zisuswe surgically ngoba kunzima ukuhlukanisa kusukela ekuqaleni umdlavuza.

izimpawu

Kuyadabukisa, kodwa ngokuvamile ezigabeni kamuva ladies uqaphela umdlavuza webele. Izimpawu kanye izimpawu kulokhu ziboniswa ngendlela ehlukile. Main - kophawu ukuthi okungase kuthintwe esifubeni ngesikhathi ephenya. It akuwona umdlavuza, kodwa ukuvakashela umtholampilo ngeke engadingekile. isimila kwasendaweni kungaba ezahlukene: e kwesokunxele bese ebeleni elingakwesokudla. 2.5%, izimo kuphela waphawula zomdlavuza zamazwe amabili: webele engeyokuqala wesibili kungaba ukwakheka ehlukile futhi Ukudlulela. Isigamu umdlavuza iziguli "ukuthandwa" posted on the ngaphandle kakhudlwana ikhwapha.

Umdlavuza webele, izimpawu kanye izibonakaliso amafomu omnene lesi sifo ayibonakali uhlupho owesifazane zokwakheka liqinile esigabeni sesithathu. Abanaso ubuhlungu, kodwa ukudala ukungakhululeki: germinating ogangeni esifubeni, kukhona uZikalala, kanye ngokudayisa ngokuvamile ishintsha ibe ebaziwe umile. Uma isikhumba ethintekile, lesi sifo singumbulali lubonakale ngokubona okubonakala ngeso lenyama: i epidermis ukumboza deforms, edonsa ingono. Kusukela ke ungaya zokubona nobe kukhishwa olumhlophe. Lapho abathintekayo lymph node kukhona lakhulisiwe futhi ngokuphazamiseka endaweni underarm.

amafomu atypical yomdlavuza

Ngokuvamile grade 3 yomdlavuza webele, ubude bempilo ngesikhathi lapho umuntfu kweyeme etinyatselweni letitsatfwa afanele nowesifazane udokotela has izinhlobo eziningana. Ngaphandle indinganiso ngenhla isithombe yomtholampilo, isimila lungeza ngezindlela okungavamile atypical:

1. umdlavuza Mastitopodobny. It libhekene wamanje okusheshayo, webele isisa izithelo zalo. Isikhumba obomvu, lishise uma touch, welulela futhi ukhandlekile. Ukugula kakhulu efana mastitis, ngakho amaphutha adabukisayo e uphethwe zivamile.
2. ifomu Rozhistopodobnaya. Ububomvu kwesikhumba we ngokudayisa, okudlulela ngalé kwemingcele yayo, has a emaphethelweni toothed jagged. Owesifazane kungayandisa kakhulu avuke izinga lokushisa. Ithumba udidekile kalula Erysipelas abavamile.
3. umdlavuza Armored. Ifomu kuyingozi kakhulu. Kwenzeka ngenxa kokuziphatha imifantu zesikhumba kanye lymph node, kuphumele zokwakheka lumpy obukhulu. Kubonakaliswa ngesimo igobolondo ukuthi ihlanganisa ingxenye enkulu kwesifuba.
4. Umdlavuza Paget. Ibamba ingono yena shelled, bukhipha uketshezi. Kuyinto ngokuvamile iphutha for eczema. Uma iyekwa ingelashwa, umdlavuza lingena izicubu ezijulile, ukwakha khona engeyokuqala ebulalayo.

Konke lokhu amafomu kabanjalo umdlavuza abavamile. Kodwa i-professional abanolwazi ukuxilonga uhlobo oluthile lokugula ngeke kube nzima.

Kwenzekani emzimbeni?

nomdlavuza wamabele kwabesifazane isakhiwo histological libhekisela adenocarcinomas noma okuthiwa ifomu okuqinile lesi sifo nge sebuningini amafomu zesikhashana. Izimila kukhona lobular futhi ductal, kuye wabuka kanye ukusabalala. Kuwufanele ukwazi ukuthi ngaphezu izimila ezivamile abulalayo ebeleni kungenzeka umdlavuza ze-non-EPITHELIAL, ezifana Sarcoma. Kwenzeka ngempela akuvamile -% 1 kuphela amacala. Imiphumela yaloku kuhlola okungenhla yabo kanye nokwelashwa iyefana isimila ezivamile.

Umdlavuza webele zingahlukaniswa zibe izinhlobo ezimbili kuncike khona noma ukungabi khona esimweni esithile estrogen yokwamukela (ERZ). Kungaba kakhulu ukushintsha inkambo isifo, ngokuvamile kuba kuncike isu yokwelapha kusuka kuye ukuthi udokotela ekhetha. Labo izimila ukuthi babe ERZ ngaphezulu nobuntu nambili kuya kwabadala. Kuyefana nasendleleni inombolo enkulu zomdlavuza eyinhloko - 70%. komdlavuza ERZ-negative kuvamile kubantu besifazane ngaphambi nambili kuya kwabadala.

metastases

Kuyingozi kakhulu ekuphileni futhi impilo imfundo, okuvame ukwenzeka izigaba ngasekupheleni lesi sifo lapho owesifazane kutholakala ukuthi unomdlavuza webele. Ukudlulela - okufanayo isimila cells, usebenzisa ukugeleza lymph (futhi kakhulu ithuthukiswe izigaxa ebeleni) chithi ukuba-lymph. komdlavuza kokuqala ngokuyinhloko kuthinta axillary, subscapular futhi subclavian izindawo emzimbeni. Khona-ke ukukhasa Ukudlulela endaweni intamo, isifuba wesibili kanye endaweni ezungeze ke. Ngezinye izikhathi metastases avele ngaphambi watholakala umdlavuza. Kulokhu, kufanele ngokushesha enze zonke luhlolo ukubekela eceleni yomdlavuza webele lesion.

indlela Hematogenous - ngokusebenzisa isimiso sokujikeleza kwegazi - uthole metastases kwezinye izitho, lapho baqala parasitize. Ngokuvamile, ukuthi akuphi emisipheni kwengqondo, isibindi, lung, pleura, ithambo. Uma imfundo exhunyiwe skeleton, ngaphezu kwakho konke, bona "silungise 'e ukhalo, ugebhezi, emgogodleni, izimbambo, kunawo wonke futhi humerus. Kulokhu, lo wesifazane usuke ezwa ubuhlungu ezidabukile, okuyinto kalula kudidaniswe iziyaluyalu of the system zemisipha. Ngokuzayo ngeke kube buhlungu, abukhali futhi babulawa uma singelashwa impande yabo imbangela - umdlavuza.

ukuhlola

Wokwelapha isifo somdlavuza webele kungaba yimpumelelo ngempela, uma lesi sifo kuphela ekuqaleni ukuthuthukisa. Kwezinye izimo, ngokuvamile ezindleleni zokwelapha nolaka. Kodwa ngaphambi kokuba athathe isinqumo ngalokho izindlela ezifanele, udokotela buthakathaka ubophekile ukuba enze ithole ukuxilongwa okufanele. Iyoba ukuqinisekisa noma debunk nokucabanga okuba nomdlavuza ngokuphawulekayo, kanye ukucacisa uhlobo isimila, okuyinto ekubhekaneni. Ngaphezu kwalokho, udokotela inquma indawo nasesigabeni sokukhula isifo kumiswa. Ukuze izindlela zokuxilonga zihlanganisa: ultrasound, i-MRI (magnetic resonance yokwelapha) kanye mammography - webele x-ray.

Futhi, owesifazane ahlinzekwa ukwenza biopsy - histological ukuhlaziywa ethintekile izicubu ndawo. okuyinto ebuhlungu, ngakho-ke, wenziwa usebenzisa izinzwa wendawo esigulini esingalalisiwe esibhedlela. Ngaphezu kwalokho, isiguli siqondiswe ultrasound esiswini, radioisotope cwaningo yomgogodla X-ray kwamaphaphu. Ngaphezu kwalokho, isidingo ukuba kudlule bonke ukuhlolwa kanye jikelele pass umunwe Ukuhlola-lymph.

ukwelashwa

It incike ubukhulu nohlobo isimila, khona metastases. Uma owesifazane sekwephuze kakhulu ukuthola abantu ababulawa umdlavuza wamabele, ukuhlinzwa is ngenakugwemeka. Lokhu kusebenza izigaba sesithathu nesesine sifo. Ukuqala ukuvuvukala zama "ukubulala" nokwelashwa ngamakhemikhali noma ukwelashwa i-hormone. Ngokuphelele balahle umdlavuza akukwazi, kodwa ungenza operable futhi sifinyelele ukudiliza. Kepha kokuhlinzwa, odokotela bazama ngokuphelele usika unesimila onesifo zamanzi. Umthamo umsebenzi ziyahlukahluka: kuye ngobukhulu besikhumba saleso kumiswa. Ngezinye izikhathi kufanele usike wonke webele.

Ngemva kokuhlinzwa umdlavuza webele radiotherapy iqondiswa. Umgomo - ugweme kokwehluleka. Eminyakeni yokuqala 5 emva kokungenela kudingeka uvakashele oncologist - nsuku ngekwata. It ihlola ukuphumelela ukwelashwa, futhi uqaphe isimo isiguli. Abesifazane ingaqoka yokwelapha wezokwelapha ukuthi kuhilela ukusetshenziswa course kwemithi.

Isibikezelo sezulu sezinsuku

Ithumba hhayi njalo siyabulala. Uma ezitholakele isikhathi grade 3 yomdlavuza webele, ubude bempilo bakwazi ukwandisa kakhulu. Kube nomphumela omuhle yenkinga futhi banomthelela ekwati udokotela kanye ukungabikho metastases. Ngeshwa, uma ukugula uqalise, isiguli bayophila iminyaka emithathu kuphela. Njengoba for the izigaba zokuqala, oneminyaka emihlanu izinga lokusinda 90%.

Ngo ukuze ngingachithi lesi sifo isimo esisongela ezinjalo, kwanele ukuba athobele izinyathelo. Okokuqala, ngisho esemncane intombazane kufanele uqaphele impilo yabo hhayi ukuba akhiphe isisu, uzale izingane ngesikhathi, ilungelo bancelise futhi ngidla ngendlela efanele, ukugcina umsebenzi olinganiselayo nsuku zonke isimiso kanye. Okwesibili, ngemva kweminyaka engu-30, udinga njalo ukuhlola amabele abo: i- wakhe, ekufuneni uphawu osolisayo. Okwesithathu, udinga babonisana esihleliwe uchwepheshe futhi ukudlula mammography: ngemva kweminyaka engu-40 - kanye ngonyaka. Prevention kuhlale kulula. Hlale ukhumbula lokhu futhi uphile.