Kansera yotupa ya m'mawere ndi khansa yosawerengeka komanso yosautsa yomwe imayambitsa mawere kukhala ofiira ndi kutupa, kuoneka ngati kutupa. Ku United States, matenda a IBC amawerengera mmodzi kapena asanu peresenti ya matenda onse a khansa ya m'mawere. Poyerekeza ndi mitundu ina ya khansa ya m'mawere , kansa ya m'mimba yotupa imawombera akazi achichepere, ndipo imakhala yofala kwambiri kwa akazi akuda kuposa akazi oyera.
Amuna amene amapezeka ndi IBC ndi achikulire kuposa odwala. IBC nthawi zambiri imalakwitsa chifukwa cha zina.
Zizindikiro
Zizindikiro zambiri za khansa yapakhungu yotupa zimatha kutsanzira zina. Kuonjezera apo, khansa izi sizikhoza kuwonetsa mammogram kuti kukhala ndi chidziwitso chokwanira ndi chofunikira. Pamene IBC ikukula, imateteza zotengera za mitsempha ndi mitsempha m'magazi, zomwe zimabweretsa zizindikiro zambiri. Zizindikiro zingakhalepo.
- Kufiira ndi / kapena kuthamanga khungu (lomwe poyamba lingayese mtundu wa eczema kapena matenda a khungu). Pakhoza kukhala malo omwe ali a khungu, pinki, ofiira, kapena amdima kwambiri ndi blue kapena purple tinge. Kufiira uku kawirikawiri kumakhala kokwanira, kumaphatikizapo gawo limodzi mwa magawo atatu a m'mawere kapena kuposa.
- Kuwonjezereka mwadzidzidzi kukula kwa mawere (monga kuchuluka kwa kapu masiku angapo).
- Khungu limawoneka ngati pepala la lalanje (lotchedwa peau d'orange).
- Kuphika khungu nthawi zonse.
- Kuchuluka kwa ubweya, kumene bere limamva "lolemetsa" kuposa lina.
- Kulimba kwa kuuma kwa bere limodzi.
- Kutentha kwa bere limodzi.
- Chifuwa chimakhala chofunda, cholimba kapena cholimba kuposa nthawi zonse.
- Mavuto a pamimba omwe sali okhudzana ndi kusamba.
- Kuchotsa minofu kapena kusintha kwina.
- Kutupa ma lymph nodes pansi kapena pamwamba pa collarbone.
Zifukwa ndi Zoopsa
Sitikudziwa chomwe chimayambitsa IBC, koma zina mwazidziwitso zadziwika.
Poyerekeza ndi zina za khansa, zimakhala zachilendo kwa amayi achichepere kuposa amayi achikulire. Zimakhalanso zofala kwambiri kwa amayi omwe ali olemera kwambiri kapena ochepa kwambiri (koma angathe kuchitika ndi anthu olemera kwambiri.
Kudziwa
Dokotala wanu adzachita kafukufuku wa m'mawere , kuphatikizapo kafukufuku wa chifuwa chanu kufunafuna kusintha kwa khungu lomwe lingayambitsidwe ndi maselo a khansa omwe amateteza mitsempha ndi ziwiya mu khungu lanu. Ngati chifuwa chanu ndi kutupa, chikhoza kuyambitsa kutuluka kwa madzi, chimbudzi chotchedwa edema. Dokotala wanu adzayang'anitsanso ma lymph nodes mumakutu anu. Ngati khungu lanu lachifuwa lathyoka, liloledwa, liphuphu, kapena likufanana ndi pepala la lalanje, lomwe lidzatchulidwanso. Zizindikirozi zimatha msanga, nthawi zina zimawonekera usiku umodzi komanso nthawi zina kumatenga masabata angapo kapena miyezi ingapo.
Zojambula Zoganizira
Pambuyo polemba mbiri yosamala ndikuyesera thupi lanu, dokotala wanu akhoza kupanga maphunzilo ojambula zithunzi kapena kupanga chidziwitso kuti amvetsetse zizindikiro zanu. Maphunzirowa sangathandize kokha khungu la khansa yotupa, koma akhoza kuthana ndi zizindikiro zofanana, monga mastitis (matenda a m'mawere). Mayesero omwe angachitike ndi awa:
- Mammogram: Monga taonera, mammogram akhoza kukhala oipa ndi IBC, koma angasonyezenso umboni wa kuphulika kwa khungu, chotupa, kapena kuchuluka kwa chifuwa.
- Ultrasound: Ultrasound singakhale yopindulitsa ndi IBC ngati misa yonyansa siilipo, koma ingakhale yothandiza pofufuza zamoyo zam'mimba (armpit nodes).
- CT: CT ingakhale yothandiza kudziwa ngati khansara yayamba kufalikira kumalo akutali.
- MRI: MRI imapereka uthenga wabwino pa zida zofewa, ndipo imatha kuona IBC yomwe sichikuwoneka pa mammogram.
- Kugwiritsira ntchito mafupa: Nthawi zambiri mafupa amafufuzidwa kuti ayang'ane kufalikira kwa khansa ku mafupa.
- PET kuyesa: PET kuyesa ndiyeso yovuta kuti azindikire malo okhudzira khansa yogwira ntchito m'thupi. Kaŵirikaŵiri zimapangidwira zambiri pamasitepe kusiyana ndi kafukufuku, ndipo zingakhale zothandiza pakuzindikiritsa zovuta zowonjezereka kwa maselo a mitsempha ndi ziwalo zina za thupi.
Chimake
Ngati misa ikudziwika, chifuwa cha m'mawere chikhoza kuchitidwa. Ngati misa salipo, khungu lachikopa la khungu lachilendo likhoza kuwonetsa khansara. Mankhwala opweteka kwambiri a m'mawere ndi oopsa a khansa ya khansa.
Zowonetsera Kuzindikira
IBC ikhoza kukhala yovuta kuti ipeze matenda, kotero madokotala akubwera ndi zochepa zoyenera kuti apeze matenda. Izi zikuphatikizapo:
- Zizindikiro monga kufiira, kutentha, ndi / kapena kutupa kwa bere, ndi maonekedwe a lalanje-peel omwe amawoneka mofulumira. Unyinji ukhoza kapena sungakhaleko.
- Nthawi ya zizindikiro zosakwana miyezi isanu ndi umodzi.
- Zizindikiro zomwe zimaphatikizapo gawo lachitatu kapena kuposerapo.
- Chiwopsezo chomwe chikuonetsa khansara yowonongeka.
Kukula
Khansara yotentha ya m'mawere imakula mumsampha kapena mapepala, osati m'maso. IBC imafalikira kupyolera mu thupi makamaka kudzera m'kati mwa maselo am'mimba. Kumayambiriro, ziphuphuzi zingawoneke ngati ziphuphu zochepa, zomwe zimakhala zochepa, koma khungu likadali pamutu, limatha kuchepa msanga.
Miyendo
Mosiyana ndi magawo a khansa ya m'mawere anthu ambiri amadziwa bwino (magawo 1 mpaka 4), IBC imaikidwa ngati gawo 3 kapena gawo 4.
- Gawo lachitatu: Khwerero 3 la khansa ndi lalikulu kuposa masentimita asanu ndipo lafalitsidwa ku nthendayi imodzi, koma silinafalikire kumadera ena a thupi.
- Gawo 4: Khwerero 4 la khansa ndi ofanana ndi siteji 3B, koma khansara imafalikiranso kumadera akutali a thupi.
Kuchiza
Kansera yotupa ya m'mawere imakhala yamwano, ndipo nthawi zambiri amachiritsidwa ndi mankhwala osiyanasiyana kuti athe kuchepetsa chiopsezo (pa siteji 3).
Neoadjuvant Chemotherapy
Neoadjuvant chemotherapy amatanthauza chemotherapy yomwe imaperekedwa chisanachitike opaleshoni. Kusakaniza mankhwala kumaperekedwa mozungulira kwa miyezi 4 mpaka 6.
Opaleshoni
Opaleshoni yowonjezereka ndi kusintha kosinthika kosavuta, kofanana ndi vuto lalikulu la khansa ya m'mawere. Ndi IBC, komabe, minofu yamphongo (pectoral yaing'ono) ingachotsedwe, ndipo minofu yambiri imachotsedwanso (osati chabe chidziwitso cha nthenda). Ngati amayi akufuna kuchitidwa opaleshoni yowonjezera, nthawi zambiri amachedwa kuchepa mpaka pakapita miyezi isanu ndi umodzi chithandizo cha mankhwala chitatha.
Mankhwala Opanga Mafuta
Mankhwalawa amagwiritsidwa ntchito atatha kuchipatala kuti athetse khoma la chifuwa ndi zitsulo zilizonse zotsala.
Zotsatira Zothandizira
Mankhwala ambiri ochepetsa kutupa mawere ndi a HER2 abwino, choncho mankhwala ndi mankhwala omwe ali ndi HER2 amatha kukhala othandiza kwambiri poletsa chotupacho. Mankhwalawa amaperekedwa pamodzi ndi mankhwala ena atapezeka ndi IBC.
Thandizo la Hormonal
Mankhwala ambiri otsekemera a m'mawere ndi aestrogen receptor ndi progesterone receptor, choncho mankhwala opangira mahomoni ndi tamoxifen kapena aromatase inhibitors sagwiritsidwa ntchito.
Mayesero Amakono
Pali mayesero angapo a kachipatala omwe ali ndi khansa ya m'mimba yotupa, akuyang'ana mankhwala omwe ali pamwambapa, komanso mankhwala atsopano monga immunotherapy.
Ngozi ya Kubwereza ndi Chithandizo
IBC ili ndi chiopsezo chachikulu chobwerezabwereza kuposa mitundu ina ya khansa ya m'mawere. Ngati kubwereza, kumachitika, mankhwala amapezeka, ndipo angaphatikizepo mankhwala a H22, chemotherapy, hormonal therapy, kapena mankhwala ena m'mayesero a zamankhwala.
Mawu Ochokera
Ngati inu kapena wokondedwa wanu mwapezeka kuti muli ndi khansa ya m'mimba yotupa mumatha mantha, komanso mumakhumudwa poyang'ana ziwerengero ndi kuyerekeza zotupa ndi mitundu ina ya khansa ya m'mawere. Ndikofunika kuzindikira kuti munthu aliyense ndi khansa iliyonse ndi yosiyana. Kuchiza kungakhale kovuta, koma pali opulumuka ku nthawi yayitali. Zotsatira za chithandizo cha mankhwala zikuwonjezereka, monga mankhwala monga HER2 omwe akuwongolera chithandizo nthawi zambiri amakhala ndi zotsatira zochepa kuposa mankhwala achibadwa a mankhwala.
> Zotsatira:
> National Cancer Institute. Khansa yotentha ya m'mawere. Kusinthidwa 01/06/15.