Zizindikiro, Kuzindikira, ndi Chithandizo
Ngati mwauzidwa kuti muli ndi "hyperplasia" yeniyeni? Kodi imayambitsa chiopsezo cha khansa ya m'mawere kapena ingakhale kale ndi khansa ya m'mawere? Kodi ndondomeko zotsatirazi ndi ziti, ndipo zimachitiridwa bwanji?
Mwachidule
Atypical ductal hyperplasia (ADH) si khansa ya m'mawere koma imaonedwa kuti ndi yangwiro . Mankhwala amtundu wotchedwa ductal hyperplasia amasonyeza kuti pali maselo ochulukirapo m'ngalawa kusiyana ndi momwe amachitira, ndipo ena mwa maselowo sali ovomerezeka kapena "ozolowereka" -wawo ali osasinthasintha komanso kukula.
Kawirikawiri, mkaka wa mkaka uli ndi mbali imodzi yokhala ndi maselo ofanana, koma mu ductal hyperplasia, pangakhale magulu ambiri a maselo.
Izi zimakhala zofanana ndi zoopsa za lobular hyperplasia , koma zoopsa za lobular hyperplasia zimaphatikizapo maselo ozungulira omwe amayendetsa makululu a m'mawere m'malo mwa mazira a mkaka.
Mankhwala amtundu wotchedwa ductal hyperplasia angathenso kutchedwa mammary atypical ductal hyperplasia, epithelial atypical hyperplasia, intraductal hyperplasia ndi atypia, kapena khansa yowonjezera ya m'mawere.
Kuopsa kwa khansa ya m'mawere
Ngati mwapezeka kuti muli ndi ductal hyperplasia yapamwamba, chiopsezo chanu chokhala ndi khansa ya m'mawere chimachitika kawiri kapena kasanu pafupipafupi. Maselo achilendo ndi osalimba ndipo amakhala ndi mwayi waukulu wokhala khansa ya m'mawere, yomwe ndi ductal carcinoma in situ (DCIS).
Zingakhale zoopsa kwambiri kumva kuti muli ndi vuto lomwe limayambitsa chiopsezo cha khansa ya m'mawere.
Zingakuthandizeni kukumbukira kuti kusintha kwa m'mawere anu kumasintha kwambiri, komanso ngakhale kusintha kumeneku kwakula kupita ku carcinoma, chiwerengero cha moyo chiyenera kukhala pafupi ndi 100 peresenti. Ductal carcinoma in situ (kapena siteji 0 khansa ya m'mawere) siinayambe kufalikira kupitirira chinachake chomwe chimatchedwa "pansi pamimba" ndipo chifukwa chake sichinayambe kuganiziridwa kuti ndi khansa yowonongeka.
Izi ndi zophweka kunena kusiyana ndi kupirira ndi kofunika kuti mukambirane mosamala ndi dokotala wanu za ubwino ndi chiopsezo chochotserapo mbali iliyonse ya hyperplasia ya atypical pachifuwa chanu.
Zizindikiro ndi Zizindikiro
Mankhwala otchedwa ductal hyperplasia kaŵirikaŵiri samayambitsa zizindikiro zodabwitsa. Kaŵirikaŵiri amapezeka pamene chiwopsezo chachitidwa kuti chifufuze chofufumitsa cha m'mawere kapena chifuwa cha mimba. Kawirikawiri, mankhwala opatsirana amtundu wa hyperplasia amatha kupweteka m'mawere . Mankhwala a hyperplasia angapangidwe ndi zomwe zimapezeka pa mammogram kapena ultrasound, koma zowonjezera zowonjezera zimayenera (biopsy) kuti zipeze bwinobwino.
Mayesero Amagwiritsa Ntchito Kufufuza ADH
Mayesero omwe angasonyeze kuti ADH alipo kapena akutsimikizira kuti matendawa ndi awa:
- Mammography - ADH nthawi zambiri amawoneka ngati chitsanzo cha mawerengedwe pa mammogram .
- Ultrasound - An ultrasound amagwiritsa ntchito kuyimba mafunde kuyesa maonekedwe a mtanda kapena kuphulika m'mimba ndipo angasonyezenso mawerengedwe.
- Kuthamanga kwapachipatala - M'malo osungira mankhwala, maselo a m'mawere amachotsedwa kudzera mu njira yopserera. Pansi pa microscope, ena mwa maselowa angawoneke ngati amatsenga.
- Chifuwa cha m'mimba - Kuyesedwa koyambirira kwa matenda opatsirana pogonana ndi hyperplasia. Mosiyana ndi mankhwala osokoneza bongo omwe angapeze maselo omwe ali ophiphiritsira, chifuwa cha m'mawere chimathandizanso dokotala wanu kudziwa malo a maselo amenewo. Chitsanzo cha minofu chingapezeke ndi nthenda yaikulu ya singano (singano kumalo osungirako zida panthawi ya ultrasound) kapena ndi chifuwa chotseguka chapachifuwa .
Tsatirani Pambuyo Podziwa
Popeza n'zovuta kufotokozera kuti nthendayi yamatenda idzapitirira kukhala yonyozeka (osati khansa) ndipo ikadzayambitsa matendawa (khansa), muli ndi zina zomwe mungasankhe mutatha kupeza. Anthu ambiri adzasankha mafilimu ochuluka owonetsera okha, kuti adziŵe kusintha kulikonse. Kafukufuku wochita opaleshoni a ku Korea mu 2008 adapeza kuti osachepera theka la amayi onse omwe anapezeka ndi ADH anayamba khansa ya m'mawere. Azimayi ambiri omwe amapita kukapangitsa khansa ya m'mawere anali osakwana zaka 50, anali ndi zochepa kwambiri pa mammogram, ochepa kwambiri kuposa 15 mm (1.5 masentimita kapena ochepa pang'ono kuposa mamita inchi mwake), ndi mtanda womwe ungapezeke pogwiritsa ntchito (mtanda wodwala).
Anthu ena angasankhe kuti akhoza kusankha mtundu wa opaleshoni ya m'mawere kuchotsa minofu yokayikitsa.
Kuchiza
Mukapezeka kuti muli ndi ADH, mudzafunsidwa kuti mupange chisankho pazomwe mungachite. Zosankha zanu panthawiyi zikuphatikizapo:
Kudikirira - Nthawi zambiri madokotala amalangiza amai kuti ayambe "kuyembekezera ndi kuwona" njira yopita ku ductal hyperplasia. Zomwe zimayambitsa njirayi ndi kuti osachepera theka la amayi omwe ali ndi ADH sangapitirize kukula khansa ya m'mawere, ndipo kuchotsedwa kungabweretse chiopsezo chosafunikira.
Chithandizo cha opaleshoni - Kwa omwe ali pachiopsezo chachikulu chokhala ndi kansa ya m'mawere, kapena kukhala ndi nkhawa kwambiri ndi kudera nkhaŵa za kupeza kwa ADH, chithandizo cha opaleshoni ndi chotheka. Anthu ena amanena kuti ngakhale omwe alibe ADH omwe ali pachiopsezo cha khansa ya m'mawere nthawi zina amakhala opaleshoni yoteteza. Ngakhale kuti opaleshoni ingakhale yabwino kwa iwo omwe ali pangozi - mwachitsanzo, osachepera 50, okhala ndi zotupa zazikulu kapena zotupa zomwe zingamveke poyesedwa, kapena ndi zifukwa zinanso zoopsa - ziridi zosankhidwa ngakhale kwa iwo omwe alibe zifukwazi.
Zosankha zosankha zingaphatikizepo:
- Kutsogoleredwa kwa Ultrasound, Vacuum-Assisted Excision - Kutsekedwa kwapulojekiti yothandizidwa ndi njira yosalepheretsa kuchotsa dera lachilengedwe. Ichi sichiri chosankha kwa aliyense.
- Lumpectomy - Lumpectomy imaphatikizapo kuchotsa minofu yomwe ili ndi maselo osadziwika komanso mitsempha yambiri yozungulira pofuna kuthandiza kupewa kubwereza.
- Mayi ochepa - Amayi ena ali ndi malo omwe amatha kufalikira m'mimba mwawo (kapena m'mawere onse). Ngati izi zitachitika, mkazi akhoza kusankha kukhala ndi mastectomy kuchotsa zonse zomwe zingakhale zachilendo.
Kuthamangitsani
Azimayi amodzi (1) mwa amayi asanu ndi awiri (25) aliwonse amapezeka kuti ali ndi hyperplasia atypical-kaya m'matope awo kapena mkaka. Pafupifupi mmodzi pa asanu mwa amayiwa amakhala ndi kansa ya m'mawere yosautsa mkati mwa zaka 15 atatha kupeza matenda.
Pansi
Zosankha za kudikirira ndi kudikirira ndi mammogram kapena kukhala ndi dera lanu ndi machitidwe okhwima a hyperplasia amachotsedwa ndiwathunthu.
Kaya mumasankha "kuyang'ana ndi kuwona" kapena kukhala ndi vuto labwino pachifuwa chanu, khansa ya m'mawere imakhala yowonjezereka kwambiri kwa amayi. Ochita kafukufuku akuti nthawi zovuta monga izi-kupeza kuti muli ndi mankhwala oopsa a hyperplasia-ndi mwayi wabwino kuti muchepetse chiopsezo chanu cha matenda. Ngati mwapezeka kuti muli ndi ADH, izi zingakhale nthawi yabwino yopititsa patsogolo thanzi lanu lonse ndi zakudya zamagetsi , kuchita masewera olimbitsa thupi, kuchepetsa nkhawa, komanso nthawi zonse zofufuza za mawere ndi kuyang'ana.
Zotsatira:
Kuerer, H. Ductal Carcinoma mu Situ: Kuchiza kapena Kuyang'anitsitsa. Kufufuza kwa Akatswiri mu Mankhwala Opangira Anticancer . 2015. 15 (7): 777-85.
Mastropasqua, M., ndi G. Viale. Kuyezetsa Kudzala Mtengo Wopweteka Kwambiri Wopweteka Mimba: Kodi Ochita Opaleshoni Ayenera Kudziwa Chiyani? European Journal of Oncology Opaleshoni. 2016 Aug. (Epub patsogolo pa kusindikiza).