Kunentuthuko eminingi eye yaba nayo isayensi yezilwane futhi kuyinqubo eyenzeka kaningi kakhulu namuhla, yingakho kunethuba lokuqonda isikhathi ngasinye nangendlela eqonde ngqo, ngasinye sezifo ezingadala umonakalo omkhulu enjeni yethu ; el kuboniswe ukwelashwa, ukuxilongwa, kanye nezindlela ezingasetshenziswa ukuzivikela.
Izikhathi eziningi sizwile ngomdlavuza ezinjeni, yingakho namuhla siletha i- Imininingwane edingekayo yokwazi kabanzi ngalezi zicubu ze-hormonal.
Yini izicubu ze-hormonal
Into yokuqala okufanele siyiqonde ukuphendula lo mbuzo igama elithi isimila. Lokhu kubhekiswa ku- ukukhula okungajwayelekile kwamaseli aqala ngohlobo lobuningi, okuyi-physiological ekuqaleni, futhi etholakala ngaphakathi kwesilwane sethu.
Kufanele sigweme ukucabanga ukuthi ukuba khona kwawo wonke amathumba kungasho umdlavuza. Ezinye zalezi zicubu zingaba yingozi, ngakho-ke abanabungozi bokuthi imastastasis yenzeke.
Inkinga ebucayi kakhulu enganikezwa yilolu hlobo lwesimila lokho kungcindezelo ku izitho noma izicubu eziseduze, kufaka phakathi ukungaphatheki kahle kanye nokuphazamiseka okungabangelwa yilesi silwane.
Ngakolunye uhlangothi, kukhona izicubu ezimele okungaphezulu kakhulu kokuthuthuka okungajwayelekile kwesisindo esishiwo ngenhla, ngakho-ke, sikhuluma ngamathumba amabi aziwa kakhulu ngokuthi izimila ezinomdlavuza.
Lapho kukhona khona lolu hlobo lwesimila, ubungozi be-metastasis obukhona bukhuluNjengoba la maseli engenawo amandla okufa, ngakho-ke, ayazala aze afinyelele kunoma yisiphi esinye isicubu emzimbeni.
Ngokusho kwegama lomuthi, lezi izicubu ezithola amanye amagama, achazwa ngale ndlela elandelayo:
- I-Adenoma: Lesi isimila esihle noma esaziwa nangokuthi isimila esingewona umdlavuza sezicubu eziyindlala.
- I-Carcinoma: Lokhu yilokhu esikwaziyo njengesimila esibi noma esinomdlavuza, esakheke ngaso kusukela ezicutshini ezibhekele ukumboza isitho ngasinye.
Ngale ndlela, isimila se-hormonal sinethuba lokuba nesibindi futhi sibe sibi, kepha okubenza bahluke ukuthi bahlobene ngqo namahomoni, okusho ukuthi ngamanye amagama kusho ukuthi lolu uhlobo lwesimila esinezingxenye zalo ama-hormone receptors, futhi uma likwazi ukuthatha ama-hormone amaningi, isimila siyoba sikhulu, noma ngabe sinjani.
Ukuhlukaniswa kwezicubu ze-hormonal
Izicubu zeHormonal ezivame ukulimaza izinja yilezi:
- Adenoma, okuyi-paceanal sebaceous.
- I-Adenocarcinoma, okuyi-paceanal sebaceous.
- Sdenocarcinoma, okuyizindlala ze-perianal sebaceous eziyi-apocrine.
Uma sibheka igama lesibizo esichaze ngenhla, singaqonda ukuthi izicubu ezimbili esizibalulile zimbi. Lokhu kubangela ukungakhululeki uma besezindaweni eziseduze ne-anus, okwenza inja ikhiphe indle kanzima futhi ibone ukutholakala kwegazi.
Lolu hlobo lwesimila ngokuvamile kuthinta izinja ezindala zesilisa nokuthi kabathenwanga. Njengoba lokhu kungancika ezingeni lamahomoni, indlela engcono yokuvimbela izicubu zehomoni ezinjeni kungathathi hlangothi.
Nokho, abesifazane nabo bakhululekile kulolu hlobo lwenkinga, ngaphandle kokuthi labo abanethuba lokuba ne-perianal adenomas yilawo ahlanzwe nge-ovariohysterectomy; Lokhu kusho ukususwa kwamaqanda kanye nesibeletho ngokuhlinzwa.
Ungaziphatha kanjani izicubu ze-hormonal ezinjeni
Into yokuqala okumele yenziwe udokotela wezilwane i-biopsy, okusho ukuthi kuyadingeka ukuthatha ucezu oluncane lwesicubu esithintekile.
Lesi sampula sizocwaningwa, futhi ngale ndlela kuzokwazi ukunqunywa ukuthi ngabe amaseli ngamunye akulesi sampuli ashiwo njenge-carcinogenic noma cha. Ngakho-ke, Kuyinqubo ezosivumela ukuthi sazi ukuthi yini uhlobo lwesimila.
Uma nje kungenzeka ukuthi kukhona, kuzodingeka ukuthi ucabangele inketho yokwenza umsebenzi. Kuwukuhlinzwa okunolaka, ngoba kuyadingeka ukuthi ushiye imiphetho ngayinye ihlanzekile ngokuphelele ukuze isimila singabi nethuba elisha lokuvela emzimbeni.
Kwezinye izimo, lokhu kungukucazululwa kwamadigri angamakhulu amathathu namashumi ayisithupha, nge ngemuva kokuhlinzwa Kunzima impela, ngenxa yomzamo owenziwa yisilwane lapho sizikhulula, iqiniso lokuthi kuza ukudonsa isibazi emhlabathini ukuzama ukudambisa ukungaphatheki kahle, kanye nezinkinga ezingabonakala lapho isibazi sisendaweni ehlala njalo kumanzi futhi kugcwele ukungcola.
Ukuhlanza kufanele kwenziwe kaningi kakhulu futhi ukubuyekezwa nochwepheshe kuzoba njalo izinsuku ezintathu, ngoba le mikhuba izosiza kakhulu ukuqinisekisa ukwelashwa okuhle.
Lolu hlobo lwesimila ngokuvamile lune- isilinganiso sokusinda cishe esiyisihlanu iminyaka noma ngaphezulu, Futhi ukusetshenziswa kwemithi elwa nokuvuvukala kwe-cytostatic kuyanconywa, kanye nomkhiqizo othile wokuphulukisa.
Uma isimila sihlukaniswa njenge-carcinogenic, kubaluleke kakhulu ukuthi ukuncika kwaso kumazinga we-hormonal kunqunywe ngqo, ngoba ngaphandle kokungenelela kokuhlinzwa, kukhona ithuba lokusebenzisa olunye uhlobo lokwelashwa okufana chemotherapy.
Inhloso enkulu yokwelashwa ngamakhemikhali ukuvimbela umdlavuza ukuthi ungaphinde uvele umzimba wenja. Kungaba ngqo kangakanani lokhu kwelashwa, isikhathi esingasithatha, kanye nokubikezela kwaso, kuyinto eza ngokuya ngesimo esithile esingavela esilwaneni ngasinye.
Ngakolunye uhlangothi, kukhona futhi kungenzeka ukusebenzisa ukwelashwa ngemisebe ezinjeni abanesifo somdlavuza.
Ukwelashwa ngemisebe kuhlose ukuhlasela izifo ngokusebenzisa imishayo yamagagasi ezinamandla amakhulu, noma imifudlana yezinhlayiya ebizwa ngemisebe, engena endaweni ethintekile. Kufana ncamashi nalokho okwenzekayo ngama-X-ray, kodwa isilinganiso lapho kunikezwa khona siphakeme kakhulu.
Lapho imisebe ifakwa ngale ndlela, inamandla okubulala amaseli noma ingavimbela namaseli ukuthi angakhuli bese zihlukana, ngoba lawa maseli ayakhula bese ehlukana ngejubane elikhulu uma kuqhathaniswa namanye amaseli atholakala emzimbeni.
Lapho usebenzisa ukwelashwa ngemisebe, inani elikhulu lomdlavuza wezinhlobo ezahlukene lingelashwa ngempumelelo. Lawo maseli aphindaphindeka kakhulu yiwo azoba nokuzwela okukhulu emisebeni.