Mitundu ndi Zowonjezeredwa
Pali mitundu yoposa 100 ndi magawo ochepa a zifuwa za m'mawere, malinga ndi bungwe la World Health Organization. Kowopsa, kapena kulowa mkati, khansa ya m'mawere imapezeka pamene maselo a khansa omwe amayamba mumkaka kapena ma lobes anu amafalikira, kapena amalowa, wathanzi lozungulira. Khansara yamatenda yowopsya ikhoza kuyendera mbali zina za thupi lanu kudzera m'magazi anu ndi ma lymph.
Mafupa ena a m'mawere savulaza, monga fibroadenomas ndi mapiritsi a intraductal . Matenda ena oyambirira pachifuwa ndi ovulaza koma amakhala ndi malo otupa, ndipo awa ndi ductal carcinoma in situ (DCIS) ndi lobular carcinoma in situ (LCIS) .
Mitundu Yambiri Yowonjezera Khansa Yamtundu Wosakanikirana
Pali mitundu yambiri ya khansa ya m'mawere ndipo apa pali mitundu yowonjezereka.
Ductal carcinoma (IDC) - Imeneyi ndiyo mtundu wochuluka wa khansa ya m'mawere. Zimayambira mumakoti anu a mkaka, kenako zimatuluka ndikuyandikira minofu yapafupi. Nazi zina zapadera za ductal carcinoma:
- Kansera yotupa ya m'mawere (IBC) - Iyi ndiyo khansayi yapamwamba, yowopsya, yomwe imayambira mu mkaka wa mkaka ndipo imayamba kuwononga khungu ndi maselo a mitsempha. IBC sichisonyeza kuti ilipo ndi bere, koma kupweteka kwa m'mawere ndi khungu kumasintha ndipo kawirikawiri zimasokonekera chifukwa cha mawere ena. Nthawi zambiri IBC imatha kudziwika ndi mammogram kapena ultrasound.
- Medullary carcinoma - yomwe imatchulidwa kuti ikufanana ndi ubongo (medulla) minofu, zizindikiro za gawoli la IDC ndizobwino.
- Khansa ya m'mawere yapamtima - kansa ya m'mawere yomwe imakhala yosautsa ndipo nthawi zambiri imakhala yosayembekezereka.
- Matenda a Paget a mchiuno - amasonyeza mkati ndi kuzungulira mbozi ndipo nthawi zambiri amasonyeza kukhalapo kwa khansara ya m'mawere pansi pa khungu.
- Khungu la khansa yamtundu wamba, limatchedwa dzina lake kuchokera ku maonekedwe ake osakanikirana ndipo limakhala bwino kuposa njira zambiri za khansa ya m'mawere.
Kachilombo kotchedwa lobular carcinoma (ILC) - Khansara ya m'mawere yotchedwa Lobular imayambira mumatenda anu opangira mkaka kapena lobes. Mukasiya masamba anu ndipo mumalowa minofu ndi zina zamkati pafupi ndi lobe, zimakhala zovuta.
Papillary Carcinoma - Ichi ndi mtundu wa ductal carcinoma in situ (DCIS). Mtundu uwu wa khansa ya m'mawere siwowonjezereka ndipo nthawi zambiri imakhala mkati mwa mkaka wa mkaka.
Mitundu Yochepa Yophatikiza Khansa Yamatumbo
Mmodzi mwa mitundu iyi ya khansa ya m'mawere imapezeka m'magulu osachepera 5% omwe amapezeka.
- Adenoid cystic carcinoma - Kutchulidwa kwa maonekedwe awo opangidwa ndi tizilombo toyambitsa matenda, maselo a khansa amafanana ndi maselo osasangalatsa. Kawirikawiri si zachiwawa, khansa ya m'mawere iyi imakhala ndi mwayi wopeza mankhwala.
- Ziphuphu zovuta - Matenda omwe ali ndi mitundu yosiyana ya maselo a khansa, monga mazira oopsa omwe amachititsa kuti azikhala otupa.
- Nkhono (colloid) carcinoma - Kawirikawiri, mtundu uwu wa khansa ya m'mawere imabweretsa mchere koma umakhala wabwino pambuyo pochiza.
- Sarcomas wa pachifuwa - Sarcomas ndi khansa yomwe imapanga minofu yogwirizana. Ma khansa ambiri a m'mawere ndi ma carcinoma, omwe amapanga minofu ya epithelial.
- Angiosarcoma - Mtundu uwu wosawoneka wa khansa ya m'mawere imayambira m'maselo omwe amayendetsa mitsempha ya magazi mkati mwa chifuwa chanu. Izi zikhoza kuchitika chifukwa cha mankhwala odzoza mazira ndipo zimatha kukula ndikufalikira mofulumira.
- Matenda a tizilombo (cystosarcoma phyllodes) - Amatchedwa kukula kwa masamba omwe amawoneka ngati tsamba, nthawi zambiri zotupazo sizowopsa. Ngati ali ndi khansa, opaleshoni imafunika, koma chotupa cha Phyllodes sichingapindule ndi mankhwala a chemo kapena mankhwala.
Zotsatira:
Zopweteka za ziwalo zogonana ndi za akazi, World Health Organisation of tumors, 2003, ISBN 92 832 2412 4.
American Cancer Society. Kodi khansa ya pachifuwa ndi chiyani? Zosinthidwa: 09/13/2007.