Sisifo somhlaza webele: oonobangela, uxilongo, unyango. Igazi zabamakishi ithumba

umhlaza webele sinxulumana ubudala, udidi lwentlalo okanye isini. Pathology uvele ngomntu wonke. Nangona kunjalo, ipesenti yabantu phakathi amatyala ayinamsebenzi. Kukho iintlobo ezahlukeneyo somhlaza webele. Kweli nqaku sisebenzisa sihlolisise uguqulelo sifo wesibeleko esigqibeleleyo.

Ubume ibele nemazi

Ukuze ngcono ukuqonda Pathogenesis esi sifo, kuyimfuneko ukuqonda kwendlela ezakhiwe ngayo webele. Kubume bayo, oko wagqiba ukwaba la macandelo alandelayo:

• fat;
• kwizicwili;
• amabele;
• yobisi;
• lobules kwamadlala mammary.

Enye inxalenye ebalulekileyo nowamabele zezona lymphadenitis. Abambe iiseli umhlaza neentsholongwane eziyingozi, enza umsebenzi olukhuselayo.

Pregnancy kunegalelo ekwandeni kwemveliso yobisi amadlala. Emva koko ke aqukuqela imibhobho le kwingono. Iintlobo ezithile yamathumba prostate elinobuhlungu uqala uphuhliso yayo, echaphazela eziliqela duct thoracic. Ezi ziquka somhlaza wesibeleko esigqibeleleyo.

Inkcazelo sifo

umhlaza webele invasive - oku nomhlaza kakhulu. Lubonakala yi kunyebeleziso yamathumba okunamafutha okanye kwizicwili. Phantsi lokuhlasela zibhekiselela kukukwazi iiseli amabi, ukuma ngaphandle nethumba zamabanga aphantsi kunye ngokukhawuleza wabetha amalungu ezingqongileyo. Le yenye iimeko ithumba Ukudlulela. Kuyinto yamathumba ezonakalisayo okanye non-invasive ixhomekeke qhinga unyango.

Kulo sifo iiseli umhlaza hit ngokukhawuleza kwindawo nkovu ekufuphi. Xa sesihambe womsebenzi wabo kudlulela umnqonqo, kwesibindi, nezintso. Ukuba izinto amabi, ezifumaneka ngaphandle nencum, olu hlobo leengxaki kuthiwa sisifo somhlaza webele kuwenza.

Izizathu

umhlaza webele invasive luqhuba kancinci. Ukubonakala kwaso ngaphambi kokuba isifo premalignant, ezifana webele. Makhe sihlolisise ngokweenkcukacha unobangela sifo.

1. Ibele. Isifo ukuvela imvelaphi hormone ukungalingani emzimbeni. Amaninzi sifo e abafazi ngaphantsi kweminyaka engama-40. Kuba semibele luphawulwa iintlungu eziqatha, osenyameni evela ingono. Webele maqhuqhuva ithumba esiyiyo, nto leyo ekhokelela kutshintsho izihlunu zomzimba kunye nomhlaza.
2. Fibroadenoma. Le leengxaki senzeka kakhulu amantombazana. Amabele kuvela ukubunjwa knotty ezikumila elihle. Ngenxa yokwenzakala, yokunqongophala konyango okanye ukusilela kwamadlala, iqala ukukhula ubukhulu, echaphazela ephilile.
3. Isisu. izakhi kuhlinzwa kuyinto nje ukuphazamisa ukukhulelwa, kodwa kungabangela ukuhlehla ngayo inyama glandular. Ngenxa yoko, itywina wabumba apho umhlaza kuphuhliswa.
4. Zisanyisa. Ukuphepha ibele - oku esinye isizathu sokuba somhlaza wesibeleko esigqibeleleyo.
5. Unqongophalo lobuhlobo. ubomi ngokwesondo mgaqweni kukwaphulwa ukulingana hormone emzimbeni, nto leyo iba nefuthe elibi ngobume kwamadlala mammary.

ezibonisa kwezonyango sifo

akukho bani unako kukhuseleka ngumhlaza webele. Ngokutsho manani, zonke ngolwesithoba besini fair ubunzima ekubonakalisweni kwesi sifo. Ngokutsho oogqirha, izigulane zinokuba izihlandlo ezininzi ngakumbi. abasetyhini ngaphezu kwesigidi Aniyiva phambi ithumba. Kumanqanaba okuqala ngezifo kwenzeka phantse nazimpawu, kodwa ukuba unesifo kuphela uphando olubanzi. Ngelishwa, imbonakalo imiqondiso yokuqala rhoqo kuthetha ukuba isifo singene kwisigaba entsha yophuhliso. Ziziphi iimpawu zibonisa umhlaza webele wesibeleko?

• Ukutshintsha umbala ulusu kwingono.
• Inkangeleko itywina elincinane okanye amaqhuma kummandla lwebele.
• Utshintsho kwi ubukhulu kunye nokumila ibele.
• Bloody osenyameni evela ingono, ebangela yakhawuleza otshisayo kuhlolwe.

Ukuba ezi mpawu abakhoyo, kufuneka ngoko nangoko udibane nogqirha ukukhangela unobangela woko.

Isifo

Uncwadi lonyango ichaza embodiments ezininzi ezimbi zenza nomhlaza webele wesibeleko esigqibeleleyo. izifo ezifana ziquka:

• Predinvazivny umhlaza. Neoplasm alibandakanyi amalungu ezikufutshane, kodwa ihleli kwi yobisi.
• umhlaza Lobular. Isifo unesifo kunqabile kakhulu (ngo-15% amatyala). Neoplasm senzeka kule lobules kunye imibhobho kwamadlala, unako iyakhula ukuya kwizihlunu ezikufutshane. Eyona uphawu izifo - iintlungu esifubeni on Ngokucofa.
• wobisi carcinoma wesibeleko esigqibeleleyo. Neoplasm senziwa yobisi. iiseli amabi, zanda kancinci xa izihlunu adipose, kodwa ngokukhawuleza iyakhula kwamanye amalungu. Wobisi carcinoma lolona hlobo luqhelekileyo izitshanguba ibele invasive (80% amatyala phakathi kwabo bonke ngumhlaza).

iindlela isifo

Lokufunyaniswa kwesifo kudla iqala self-iimviwo. Ubume nencum ababhinqileyo ityhila wokutywina Ngokucofa. Ukutshintsha eluswini, nokumila ingono kunye nezinye iimpawu ezibonisa zonke ezimbi kakhulu, nazo zifumaneka ngokwabo. Ukuba urhanela isifo kufuneka udibane nogqirha. Yingcali kufuneka ukuqhuba uviwo emzimbeni kwaye zibeka iimvavanyo ezongezelelweyo. kusetyenziswa Ngokuqhelekileyo ngenxa lokufunyaniswa mammography, ultrasound ibele kunye MRI. Xa efumanise biopsy neoplastic eyenziwa. Ezi sampuli ngenxa ke ithunyelwe elebhu ukuba uhlalutyo. Iziphumo sikwazi ukubona ubume hormone ye ithumba, awohluke yayo.

Kwakhona sifanele sithethe ngayo, xa kutheni ukuba unikele ngegazi zabamakishi ithumba. Olu hlalutyo isetyenziselwa lokufunyaniswa kwesifo, koko - ukuba esweni unyango. abamakishi Ithumba zizinto macromolecules ukuba kuhlelwe emzimbeni yomfazi ukuphendula umsebenzi iiseli zomhlaza. Xa inqanaba labo eliphezulu norm, sinako ukuthetha yenkqubo lwezidumbu, kodwa akubi njalo. Kwezinye iimeko, ukwandisa inani macromolecules egazini ibonisa allergies, nangezilonda ingozi okanye ukudumba. Ukuba somhlaza wesibeleko esigqibeleleyo kuyimfuneko ukukhangela yoxinaniso zabamakishi ithumba ilandelayo: CA 15-3, CA 27-29, HER2. Ukuze ufumane iziphumo ethembekileyo imini phambi kokuba unikezelo wohlalutyo kuphumla, musa ukusela utywala. Igazi zabamakishi ithumba ukususela Kwangale. Ukutolikwa iziphumo bekusoloko ugqirha elabhoratri.

ongakhetha therapy

Kukho iindlela ezininzi ukuze kuliwe i sisifo somhlaza wesibeleko esigqibeleleyo: utyando, ichemotherapy kunye imitha, eziphilayo, unyango hormone. Ngokuqhelekileyo unyango ezintsonkothileyo ezisetyenzisiweyo. Okokuqala, ugqirha lususa thumba. Emva koko, lo isigulane eyabelwe radiotherapy. Oku kuphucula ukusebenza konyango nge-70%. Zokukhanya izigulane ngokuyimfuneko eboniswe ubungakanani-5 cm. Chemotherapy, enama-unyango kunye nenkqubo eziphilayo kabani ithumba ngaphezulu kusetyenziswa iindlela zokulwa umhlaza. Ukuba nezihlunu endlaleni kutyhilwa receptors dlala okanye ukusetyenziswa estrogen therapy hormone. Xa engekho izinto data emiselweyo ichemotherapy.

Sase- sokubuyisela

I-ALS kwesi sifo kuxhomekeke kwiziphumo unyango. sisilonda esidumbileyoesingaphakathi ibele invasive iphawulwa ipesenti ephezulu yokufa. Ngoko ke, kumazwe amaninzi aqalile ukuphumeza iinkqubo zokuhlola ukuba lifumanisa nisaqala Oncology. Xa iyonke kukho ezine. umhlaza webele invasive, grade 2 okanye 1 nemizuzu, ngokukhawuleza ngoxilongo, 90% ye kwakhona iphela. dynamics HIV kunokwenzeka kuphela xa unyango olufanelekileyo. Survival okukwiqondo 3rd Oncology yi 47%, yaye imizuzu-4 - malunga ne-16%. Kumanqanaba kamva ukuba nzima ukunyanga somhlaza webele wesibeleko esigqibeleleyo. Ipredikshini lehla ngokuphawulekayo imbonakalo metastases.