Chithandizo cha khansa ya m'mawere

Matenda a khansa ya m'mawere ndi kubwezeretsa

Mafunso awiri omwe amafunsidwa kawirikawiri ndi wina yemwe akupezeka ndi khansa ya m'mawere, kaya ya novo kapena ngati ikubwereranso - "Ndi chithandizo chanji chomwe ndikuchifuna?" Ndi "Kodi mankhwala anga ndi chithandizo changa chidzatenga nthawi yayitali bwanji?" Mafunso awa ayenera kuyankhidwa kale wodwalayo akhoza kupanga zosankha zokhudzana ndi ntchito ndi maudindo a banja pa nthawi yogwiritsidwa ntchito ndi nthawi yowonongeka.

Kuchiza ndi Kubwezeretsa

Ngakhale wodwala angapereke chiwerengero cha momwe nthawi iliyonse mankhwala amachitira nthawi zambiri, pali zinthu zambiri zomwe zingakhudze yankho la munthu kuchipatala ndi kuchiritsidwa-zambiri kuti apereke nthawi yoyenera.

Matenda a khansa ya m'mawere oyambirira amatha kutenga miyezi ingapo, osati yaitali, malingana ndi dongosolo la mankhwala.

Nthawi yobwezeretsa imadalira mtundu wa mankhwala ndi zotsatira za mankhwalawa. Ngakhale pali chithandizo chamankhwala cha khansa ya m'mawere, nthawi yothandizira ndi kuchiritsa ikhoza kusiyana pakati pa wodwala ndi wodwala malingana ndi siteji ya kansa ya m'mawere nthawi ya matenda. Asanayambe mankhwala, khansara ya m'mawere imayenera kupangidwira kuti pakhale ndondomeko yothandizira.

• Zimene muyenera kuyembekezera Ngati mukufuna Lumpectomy Kuti Mukhoze Kanseri Yachiberekero

• Kutentha Kwambiri Kungakhale Siliva Kuphimbidwa kwa khansa ya m'mawere

Kusamalitsa khansa ya m'mawere

Pambuyo pozindikira kuti khansa ya m'mawere imatsimikiziridwa, ndi nthawi yoti mudziwe ngati yafalikira ndipo ngati ili nayo, imafalikira mpaka pati. Njirayi ikufotokozedwa ngati staging. Kuyeza khansara ya m'mawere ndikofunikira, osati pozindikira njira yabwino yochizira komanso pofufuza zotsatira za mankhwala.

Kuyesera kwina kungakhale kofunika kuti mudziwe siteji ya khansa ya m'mawere, kuphatikizapo osati ku chifuwa cha x-ray, kuunika, ndi ntchito ya magazi. Ntchitoyi imapanganso nthawi yambiri pa chithandizo chisanafike.

Pamene mayesero onse ayambiranso, khansa ikhoza kukhazikitsidwa. Khwerero 0 khansa ya m'mawere imatanthawuza khansara ya mu-situ, yomwe siinafalikire kupyola pa tsamba pomwe idayamba kugonjetsa minofu yapafupi pafupi.

Ndondomeko I kupyolera mwa IV ndi khansa yomwe yafalikira.

Zina mwa magawowa amasonyeza magawo ang'onoang'ono pogwiritsa ntchito makalata A, B, ndi C. Pansi nambala ya siteji, khansa yochepa imafalitsidwa. Pakapita nthawi, kalata yoyamba imatanthawuza malo abwino. Khansa ya m'mawere yomwe ili ndi magawo ofanana ndi omwe amachitidwa mofananamo.

Kansara ikangoyambika, wodwalayo akhoza kuyamba mankhwala omwe angaphatikizepo chimodzi kapena zingapo zotsatirazi:

1. Kuchita opaleshoni kaŵirikaŵiri ndi gawo la dongosolo la mankhwala a khansa ya m'mawere, ndi zotsatira monga:
   • Lumpectomy. Izi zimaonedwa ngati kuyamwitsa kwa m'mawere. Ndichochotsa chifuwa cha khansa komanso chigawo chozungulira cha minofu. Nthawi zambiri amalimbikitsidwa kwa odwala omwe ali ndi khansa ya m'mawere oyambirira. Kuchita opaleshoniyi ndi njira imodzimodziyo, nthawi zambiri imachitidwa opaleshoni yoyendera opaleshoni. Nthawi yobwereza ikutsata opaleshoniyi popanda zovuta, monga kukhala ndi nthawi yowonjezera kuti mutsegule malo opaleshoniyi ndikuchotsani minofu yowonjezera kuti mutsimikizire mitsinje yoyera, nthawi yomwe mumakhala nayo nthawi zisanu kapena zisanu ndi ziwiri.
   • Mastectomy. Kuchita opaleshoniyi kumaphatikizapo kuchotsa chifuwa chonsecho. Nthawi yobwezeretsa idalira ngati wodwalayo akusowa zosavuta kusintha kapena kusintha. Matenda osokoneza bongo amatanthauza kuchotsa mabere onse awiri. Kachilombo kawirikawiri kumafuna kuti chipatala cha masiku awiri chikulepheretsa mavuto onse. Ngati mkazi asankha kukhazikitsidwa mwamsanga, izi zingakhudze nthawi yake yochira. Kachilombo kosavuta kopanda mavuto kapena kubwezeretsa m'mawere kumakhala ndi nthawi yowonongeka kwa masabata amodzi kapena anayi.
   • Kumangidwanso kwa Amayi. Izi ndi opaleshoni yokonzekera chifuwa chatsopano kuti muthe kuchotsa opaleshoniyo. Zitha kuchitidwa mwamsanga mukamachotsa bere kapena kuchitidwa opaleshoni yosiyana patsiku lomaliza. Kuvuta kwa ndondomekoyi kudzalimbikitsa nthawi yowonzanso monga momwe zidzakhalire ndi zovuta zowonjezereka. Malingana ndi mtundu wa zomangamanga kuti apange chifuwa chatsopano, zingaphatikizepo opaleshoni yoposa imodzi kukwaniritsa njirayi. Komanso, ngati wodwala akufunika mankhwala othandizira mazira, kumangidwanso kungachedwetsedwe mpaka nthawi yothandizidwa ndi mankhwala komanso nthawi yobwezeretsa.

1. Mankhwalawa amagwiritsa ntchito mphamvu zamphamvu zamagetsi kapena mitundu ina ya ma radiation kuti aphe maselo a khansa kapena kuwaletsa kuti asakule. Thandizo la ma radiation kunja limagwiritsa ntchito makina akunja kuti awonongeke m'mawere. Chithandizo chimatenga masabata asanu ndi limodzi kapena asanu ndi awiri. Miyendo ya mkati imagwiritsa ntchito mankhwala osokoneza bongo osindikizidwa mu singano, mbewu, waya, kapena catheters ndipo imayikidwa mwachindunji m'mimba. Ndondomeko izi zingatenge masiku asanu okha pamene ena amatha masabata atatu kuti amalize.
2. Chemotherapy amagwiritsa ntchito mankhwala osokoneza bongo kuti asiye kukula kwa maselo a khansa kapena kupha maselo a kansa. Ikhoza kuperekedwa pamlomo kapena mu mitsempha. Ndi njira yothandizira komanso imakhudza thupi lonse lomwe limayambitsa mavuto. Katswiri wa zachipatala angapangitse kuti azigwiritsa ntchito chemotherapy pogwiritsa ntchito sitepe ya chotupa komanso makhalidwe a chotupacho. Chemotherapy amaperekedwa milungu iwiri kapena itatu kwa miyezi itatu kapena sikisi. Nthawi zobwezeretsa zimasiyanasiyana ndipo odwala amalangizidwa kukonzekera kwa miyezi itatu kapena itatu ya nthawi yopuma-atatha kuchiza mankhwala omwe amamwa mankhwala amodzi.

1. Mankhwala Otsatiridwa amagwiritsa ntchito mankhwala kuti awononge maselo a khansa popanda kuvulaza maselo abwino. Mankhwalawa amagwira ntchito powalimbikitsa kusintha kwa maselo a khansa omwe amawapangitsa kukhala osiyana ndi maselo abwino, ngakhale kugwira ntchito nthawi zina pamene mankhwala a chemotherapy amalephera kugwira ntchito. Nthawi zambiri zimakhala ndi zotsatira zochepa kwambiri kuposa mankhwala a chemotherapy. Nthawi yobwezeretsa idzakhala yosiyana.
2. Thandizo la mahomoni limachepetsa kapena kuchepetsa kukula kwa zotupa za mahomoni poteteza thupi kuti likhale ndi mahomoni kapena kusokoneza mphamvu ya mahomoni. Pamene mankhwala a ma hormone amagwiritsidwa ntchito kuchepetsa chiwopsezo cha kubwereranso kwa khansa ya m'mawere pambuyo pomaliza kutengapo mankhwala, amatengedwa mu mawonekedwe a mapiritsi tsiku lililonse kwa zaka zisanu kapena kuposerapo.

Khansara ya Breast Metastatic

Khansara ya m'mawere yakhudzidwa imathandizidwa mosiyana ndi momwe amachitira khansa ya m'mawere. Khansara ya Metastatic, khansara ya Stage IV, yafalikira ku ziwalo zakutali, monga fupa, ubongo, mapapo, ndi chiwindi. Pafupifupi 6 peresenti mpaka 10 peresenti ya odwala atsopano ali ndi metastatic pamene amapezeka kuti ali ndi khansa ya m'mawere. Kansera yamatenda ya m'matumbo nthawi zonse iyenera kuchitiridwa.

• Kuteteza Mtima Wanu Kuchokera Kumagetsi Ndi Khansa Yam'manja Yamanzere

• Kodi Chithandizo cha Khansa ya M'thupi Chidzatenga Nthawi Yanji?

Chithandizo ndikulingalira kukhalabe ndi moyo wabwino kwa wodwalayo komanso kupititsa moyo kwa nthawi yaitali.

Kusintha Maganizo

Ngakhale zingakhale zotheka kukhazikitsa ndondomeko pazinthu zina zakuthupi, zomwezo sizowona kuti chiwonongeko cha mumtima chiyenera kuchitika pambuyo pozindikira kuti khansa ya m'mawere imatha. Izi ndizoona makamaka ndi miyezi yake ya mankhwala opweteka kwambiri.

Ngakhale kulipo chitonthozo pomaliza chithandizo, pali maganizo omwe amafunikira machiritso. Kukhumudwa, chisoni, nkhawa, ndi kudzidalira kumbuyo kwa khansa ya m'mawere si zachilendo. Palinso mantha enieni a kubwereza. Kusintha kwa chifaniziro cha thupi kungathandizenso kuchepetsa chiyanjano ndi maubwenzi apamtima angakhale osiyana pambuyo pa chithandizo. Kuvomereza zomwe ziri "zachilendo" ndizovuta ndipo zimatenga nthawi.

Okondedwa ndi abwenzi angawonjezere mosavuta kulemetsa kwa iwo omwe akuchira khansa ya m'mawere. Akhoza kuyembekezera kuti odwala abwerere kumbuyo kwawo atangotha ​​mankhwala. Ichi ndi chiyembekezo chosatheka. Pamafunika nthawi yothetsera kusintha kumapeto kwa chithandizo chamankhwala; sangathe kuthamanga. Komabe, zingakhale zophweka.

Thandizo kapena kulowetsa gulu lothandizira chithandizo chotsitsa chithandizo lingathandize kuchepetsa kugwidwa ndi kugonana kwa khansa ya m'mawere. Zingathandizenso kusintha kwa moyo ngati wopulumuka. Popeza palibe anthu awiri omwe amakumana ndi khansa ya m'mawere chimodzimodzi, ndikofunikira kudziwa-osati kufanana ndi zochitika za khansa ya m'mawere ya ena mu gulu lothandizira.

Mawu Ochokera

Pamene chithandizo cha khansa ya m'mawere chiyambire, ndi khansa yotchedwa lumpectomy yotsatiridwa ndi mankhwala a dzuwa, ndizotheka kusunga ntchito yachizolowezi. Kubwerera kuntchito kumatha masiku angapo mutatha opaleshoni. Gwiritsani ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala, omwe amatsatira masabata angapo atatha opaleshoni, angathe kukwaniritsa mwa kukonza ndondomeko musanayambe tsiku la ntchito kapena tsiku la ntchito. Mafunde ali ndi zotsatira zochuluka-zoyambira mbali, kutopa, sizikhala mkati mpaka zitatha mankhwala angapo.

Odwala, pochiritsidwa ndi mankhwala a chemotherapy kapena mankhwala opatsirana angapeze kuti angathe kusamalira nthawi yochepetsera ntchito ngati aloledwa kugwira ntchito kunyumba. Kulimbana ndi mankhwala ndi kophweka mothandizidwa ndi abwenzi ndi achibale. Kutenga "nthawi" kunja kwa zinthu zonse khansa ya m'mawere, monga chakudya chamasana ndi mnzanga, kugula, kapena filimu imapita kutali kuti ikweze mizimu.

> Zotsatira:

> American Cancer Society. Thandizo Lolinga. Kukambirana Kotsiriza kwa Zamankhwala: 09/25/2014, Revised Last: 05/04/2016

> National Cancer Institute. Chemotherapy. Yolemba : April 29, 2015

> National Cancer Institute. Thandizo la Hormone. Yatsimikiziridwa: August 2, 2012