Umhla ziyi-18 kuMfumfu "Usuku Lokuvimbela Umdlavuza Webele" minyaka yonke.
Okwaziwa nangokuthi-Pink Ribbon Care Day.
01 Yazi umdlavuza webele
Umdlavuza wamabele yisifo lapho amangqamuzana e-breast ductal epithelial elahlekelwa khona izici zawo ezivamile futhi anda ngendlela engavamile ngaphansi kwesenzo sezici ezihlukahlukene zangaphakathi nangaphandle ze-carcinogenic, ukuze zeqe umkhawulo wokuzilungisa futhi zibe nomdlavuza.
02 Isimo samanje somdlavuza webele
Izehlakalo zomdlavuza webele zibalelwa ku-7~10% wazo zonke izinhlobo zezimila eziyingozi kuwo wonke umzimba, zibalwa kuqala phakathi kwezimila eziyingozi zabesifazane.
Izici zeminyaka yomdlavuza webele eChina;
* Izinga eliphansi eminyakeni yobudala engu-0 ~ 24.
* Ikhula kancane kancane ngemva kweminyaka engu-25.
*Iqembu leminyaka engu-50 ~ 54 ubudala lifinyelele inani eliphakeme.
* Yehla kancane kancane ngemva kweminyaka engu-55.
03 I-Etiology yomdlavuza webele
Imbangela yomdlavuza webele ayiqondwa ngokugcwele, futhi abesifazane abasengozini enkulu yomdlavuza webele bathambekele ekubeni nomdlavuza webele.
Izici zobungozi:
* Umlando womndeni womdlavuza webele
* Ukuya esikhathini ngaphambi kwesikhathi (< iminyaka engu-12 ubudala) kanye nokunqamuka kokuya esikhathini (> iminyaka engu-55 ubudala)
* Ongashadile, ongenangane, ozala sekwephuzile, ongancelisi.
* Ukuhlupheka ngezifo zebele ngaphandle kokuxilongwa nokwelashwa okufika ngesikhathi, abaphethwe yi-hyperplasia ye-atypical yebele.
* Ukuchayeka esifubeni kumithamo eyeqile yemisebe.
* Ukusetshenziswa isikhathi eside kwe-estrogen yangaphandle
* ephethe izakhi zofuzo ezisengozini yomdlavuza webele
* Ukukhuluphala kwe-Postmenopausal
* Ukuphuza ngokweqile isikhathi eside, njll.
04 Izimpawu zomdlavuza webele
Umdlavuza webele wakuqala uvame ukungabi nazimpawu noma izimpawu ezisobala, okungelula ukudonsa ukunaka kwabesifazane, futhi kulula ukulibazisa ithuba lokuxilonga nokwelashwa kusenesikhathi.
Izimpawu ezijwayelekile zomdlavuza webele yilezi:
* Isigaxa esingenabuhlungu, uphawu oluvame kakhulu lomdlavuza webele, ngokuvamile sisodwa, siqinile, sinemiphetho engavamile kanye nendawo engasheleli.
* ukukhishwa kwezingono, ukuphuma kwegazi okunembobo eyodwa okuhlangene kuvame ukuhambisana nobuningi bebele.
* Ukushintsha kwesikhumba, isibonakaliso esilufifi sokucindezeleka kwesikhumba sendawo "kuyisibonakaliso sakuqala, futhi ukubukeka" kwekhasi lewolintshi "kanye nezinye izinguquko kuwuphawu sekwephuzile.
* izinguquko zengono ye-areola.Izinguquko ze-eczematous ku-areola ziyizibonakaliso "zomdlavuza webele ofana ne-eczema", okuvame ukuba uphawu lwakuqala, kuyilapho ukucindezeleka kwengono kuwuphawu lwesigaba esimaphakathi nesemuva.
* Okunye, njengokukhuliswa kwama-axillary lymph node.
05 ukuhlolwa komdlavuza webele
Ukuhlolelwa umdlavuza webele okuvamile kuyisinyathelo esiyinhloko sokutholwa kusenesikhathi komdlavuza webele ongenazimpawu.
Ngokweziqondiso zokuhlolwa, ukuhlonzwa kusenesikhathi kanye nokwelashwa kusenesikhathi komdlavuza webele:
* Ukuzihlola amabele: kanye ngenyanga ngemva kweminyaka yobudala engama-20.
* Ukuhlolwa ngokomzimba komtholampilo: kanye njalo eminyakeni emithathu iminyaka engu-20-29 futhi kanye ngonyaka ngemva kweminyaka engama-30 ubudala.
* Ukuhlolwa kwe-Ultrasound: kanye ngonyaka ngemuva kweminyaka engama-35, kanye njalo eminyakeni emibili ngemuva kweminyaka engama-40.
*Ukuhlolwa kwe-X-ray: ama-mammogram ayisisekelo athathwa lapho eneminyaka engu-35 ubudala, kanti ama-mammograms ayethathwa njalo ngemva kweminyaka emibili kubantu bonke;Uma uneminyaka engaphezu kuka-40 ubudala, kufanele wenze i-mammogram njalo ngemva kweminyaka engu-1-2, futhi ungathola i-mammogram njalo eminyakeni engu-2-3 ngemva kweminyaka engu-60 ubudala.
06 Ukuvimbela umdlavuza webele
* Yakha indlela enhle yokuphila: hlakulela imikhuba emihle yokudla, naka ukudla okunomsoco, qhubeka uvivinya umzimba, gwema futhi unciphise izici zokucindezeleka kwengqondo nengqondo, futhi ugcine isimo sengqondo esihle;
* Phatha ngenkuthalo i-hyperplasia ye-atypical nezinye izifo zebele;
* Ungasebenzisi i-estrogen yangaphandle ngaphandle kokugunyazwa;
* Ungaphuzi ngokweqile isikhathi eside;
* Ukukhuthaza ukuncelisa ibele, njll.
Isixazululo somdlavuza webele
Ngenxa yalokhu, ikhithi yokuhlonza ye-carcinoembryonic antigen (CEA) eyakhiwe yi-Hongwei TES inikeza izixazululo zokuxilonga, ukuqapha ukwelashwa kanye nokubikezelwa komdlavuza webele:
Ikhithi yokuhlola ye-Carcinoembryonic antigen (CEA) (i-fluorescence immunochromatography)
Njengomaka obanzi wesimila, i-carcinoembryonic antigen (CEA) inenani elibalulekile lomtholampilo ekuhlonzweni okuhlukile, ukuqapha izifo kanye nokuhlolwa komphumela wokwelapha wamathumba ayingozi.
Ukuzimisela kwe-CEA kungasetshenziswa ukubuka umphumela wokwelapha, ukwahlulela ukubikezelwa nokuqapha ukuvela kabusha kwesimila esiyingozi ngemva kokuhlinzwa, futhi kungandiswa ku-benign breast adenoma nezinye izifo.
Uhlobo lwesampula: i-serum, i-plasma kanye namasampula egazi lonke.
I-LoD: ≤2ng/mL
Isikhathi sokuthumela: Oct-23-2023