Mtundu uwu wa kafukufuku wa khansa ya m'mawere umakhala ndi kusintha kwa nkhono kapena isola
Matenda a Paget a nkhono kapena m'mawere ndi mtundu wochuluka wa khansa ya m'mawere yomwe ikhoza kuchitika mwa amayi ndi abambo. Zimaphatikizapo khungu ndi khungu lakuda kuzungulira, lotchedwa areola, ndipo nthawi zambiri limasonyeza kukhalapo kwa khansa ina ya m'mawere mkati mwa bere lomwelo. Matendawa amatha kukhala a ductal carcinoma m'mimba kapena khansa ya m'mawere. Zizindikiro nthawi zambiri zimaphatikizapo zikopa, zofiira, zitsamba zam'madzi ndi ausola.
Matenda a Paget a Nipple ndi Ofanana bwanji?
Pakati pa 1 mpaka 4 peresenti ya matenda onse a khansa ya m'mawere ndi Paget's disease ya m'mawere, ndipo nthawi zambiri amapezeka m'mabambo a menopausal , koma amatha kupezeka kwa achinyamata komanso okalamba.
Matendawa amatchedwa Sir James Paget, dokotala wa ku Britain wa m'ma 1800 amene adafalitsa nkhani zokhudzana ndi kugwirizana pakati pa kusintha kwa khungu ndi khansa ya m'mawere .
Kodi Pali Nthawi Zonse Pali Khansa Yina Yoyamba?
Pazifukwa zochepa za matenda a Paget, palibe khansa ya m'mawere, kapena ngati chotupa chiripo, sichigwirizana ndi matendawa. Akatswiri amanena kuti panthawiyi, maselo a khungu amatha kusintha kukhala maselo a khansa.
Komabe, anthu ambiri omwe ali ndi matenda a Paget a mchiuno amakhala ndi khansa ya m'mawere yoopsa kapena ductal carcinoma in situ (DCIS). Ochita kafukufuku amakhulupirira kuti maselo a khansa amayenda kuchoka ku chotupacho ndipo amayendayenda kudzera m'matope a mkaka, kumene amalowa mchiuno ndi asola.
Matenda a pachifuwa amapezeka nthawi zonse m'matumbo omwewo ali ndi matenda a Paget.
Zizindikiro ndi Zizindikiro za Matenda a Paget a Nipple
- Tsamba lofiira, lopweteka, lopweteka, ndi / kapena lachitsulo chosakaniza ndi / kapena orola
- Kuwopsya khungu khungu
- Kujambula khungu la msuzi
- Kunyowa komwe sikungakhudze zokonda
- Khungu lodziwika kwambiri pa ntchentche
- Kutentha kapena khungu lopweteka
- Kutulutsa magazi kapena magazi kumagazi (osati mkaka)
- Kuthamangitsidwa kwa i-ipple (pamene ikulowetsa m'mawere / flattens)
- Chifuwa cha m'mimba pansi pa khungu lomwe lakhudzidwa
Kuzindikira Matenda a Paget
Ngati mukukumana ndi zizindikiro zapamwambazi, onani katswiri wa zamankhwala. Kuzindikira matenda a Paget kudzaphatikizapo izi:
- Kufufuza mwakuthupi khungu ndi mawere. Kufikira 50 peresenti ya anthu omwe ali ndi matenda a Paget a nkhono ali ndi chifuwa cha m'mawere chomwe chimamveka pa kuyeza kwachipatala.
- Nkhono ndi matenda a nkhono kapena isola, yomwe ingakhale ndi imodzi mwa zotsatirazi: Zomwe zimapangidwira pang'onopang'ono (maselo amachotsedwa pamwamba pa khungu), kumeta nsalu (pamwamba pake pakhungu limachotsedwa), Chidutswa cha minofu chimachotsedwa ndi chida chodula chozungulira), kapena chiguduli chokongoletsera (kamtengo kakang'ono ka minofu kamachotsedwa ndi scalpel).
- Mamemography, ultrasound, ndi / kapena MRI kuti apeze zithunzi za m'mawere ndi malo omwe amamvetsetsa / zovuta zowoneka.
Kuchiza Matenda a Paget
Chithandizo cha matenda a Paget chimadalira kukula ndi msinkhu wa khansa. Mankhwala omwe amapezeka kawirikawiri ndi awa:
- Mastectomy ngati zotupa zimapezeka m'mimba
- Mankhwalawa amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda
- Chemotherapy kapena mankhwala otchedwa hormonal treatment, malingana ndi siteji ya chotupa ndi zina zomwe zimachitika khansa
- Kuchita opaleshoni ya ubereki, yomwe imaphatikizapo kuchotsedwa kwa ntchentche ndi isola, motsogozedwa ndi mankhwala onse a m'mawere, ngati palibe zotupa zopezeka
> Zotsatira:
> Matenda a Paget a Nipple : Mafunso ndi Mayankho. Mutu wa khansa. National Cancer Institute . April 2012. Matenda a Paget a Nipple: Mafunso ndi Mayankho
Matenda a Paget a Nipple. American Cancer Society.
Matenda a Paget a Chifuwa. NIH: National Cancer Institute.