Isifo se-Paget sesifuba

Isifo se-Paget luhlobo lwe-neoplasm eyingozi yebele. Ngalesi sifo, i-ingono ishintshwe ngokushintshela ku-areola. Phakathi kweziguli ezinezifo, labo abaneminyaka engaphezu kwengu-50 ubudala.

Izimbangela

Izimbangela eziqondile eziholela ekubukeni kwalesi sifo azange zenziwe. Kulesi simo, kunezinkolelo ezimbili eziyisisekelo: Amagciwane e-Paget, enza i-tumor esifubeni, abuyele embongeni, okubangela ukuthuthukiswa kancane kancane komdlavuza webele. Amaseli ahlala esifundeni sezinsipho, ahlaselwe abe amangqamuzana anomdlavuza, ngaphansi kwethonya lezinto eziphilayo.

Izimpawu

Esikhathini sokuqala, izimpawu zesifo sePaget, okubangela ukulimala kwebele, kungaba ngesimo esincane sokucasula endaweni yengono. Khona-ke ebusweni be-flakes isikhumba sakhiwa, ukushisa, ukushaywa, ukuhlunga kwenezelwa. Izinsipho ziba nobucayi kakhulu. Uma ezigabeni zokuqala inqubo yendawo yakhiwe ikakhulukazi esifundeni sezinsipho, khona-ke ingadlulela esifubeni.

Ukubonakaliswa kwangaphandle komdlavuza kaPaget kufana ne-eczema, okwakhiwe endaweni yesifuba. Ezimweni ezingavamile, lesi sifo sithinta kokubili amabele. Cishe isigamu seziguli, izimbozo ze-palpation zingatholakala.

Ukuhlonza

Ukutholakala okuyinhloko kwalesi sifo yi- ultrasound yebele . Ukucacisa ukuxilongwa, ukuhlolwa kwe-cytological kwenziwa. Iqukethe ukuhlaziywa kwamangqamuzana athathwa emkhatsini wengxenye ethintekile yebele. Kanti futhi odokotela bavame ukusebenzisa izici ze-tissue fragment kanye ne-imagination magnetic resonance, evumela ukuthi kutholakale indawo eqondile ye-tumor.

Ukwelapha

Indlela ephumelela kakhulu yokwelapha isifo sikaPaget, kanye nomdlavuza wesifuba jikelele, kuyinto ukungenelela kokuhlinzwa. Ezikhathini zokuqala zalesi sifo, ukuvuselelwa kwebele kweqanda ngokususwa kwesinye isikhathi, ingxenye yesifuba noma ingono nje yenziwa.

Uma kungekho ukukhula okungavamile, i-mastectomy elula ivame ukushiwo udokotela. Endabeni yezifo ezingenasifo zalesi sifo, kunconywa ukunciphisa imastectomy enkulu. Kulesi simo, ukususwa okuphelele kwesifuba kwenziwa kanye nomswakama we-pectoral ohlotshisiwe kanye nama-lymph nodes azungezile. Kanye nokusebenza, i-radiotherapy, i-hormone therapy kanye ne-chemotherapy eyenziwa. Inendima ebalulekile emiphumeleni enhle yalesi sifo idlalwa ukwelashwa kokuqala komfazi nodokotela.