Njira imodzi yodziwitsani bwino matenda anu a khansa ya khansa ndi njira yothandizira kuti muwerenge ndondomeko yanu ya matenda a melanoma, yomwe imatumizidwa kwa dokotala ndipo imakhala ndi mfundo zofunikira monga chithunzi chenicheni cha matenda anu. Iyi ndi gawo loyamba la nkhani zomwe zingakuthandizeni kudziwa momwe mungagwiritsire ntchito nkhaniyi.
Kusanthula mwachidule
Ngati chotupa kapena mole imawoneka mukamayesedwa khungu lanu, dokotala wanu wamkulu kapena dermatologist adzalandira chithunzi cha biopsy kwa wodwalayo (dokotala yemwe amafufuza minofu ndi madzi kuti apeze chithandizo cha mankhwala ) kuti aone pansi kachipangizo kakang'ono.
Ngati wodwalayo akupeza maselo oopsa (khansa) mu biopsy, dokotala wanu wamkulu akhoza kulamula mayesero ena - minofu, magazi, mkodzo ndi mafano - kuti mudziwe ngati khansa yayamba kapena ayi. Mayeserowa amathandiza wodwalayo kuti aone malo, kufalikira, ndi siteji ya khansa ya khansa. Wodwala matendawa akuyang'anitsitsa ndi dokotala wanu woyang'anira chisamaliro mutatha kuwona zotsatira za mayeso ndikuwonetsetsa siteji ya khansa. Pamodzi, iwo amatha kusankha njira zamankhwala zomwe zingakhale zoyenera pa matenda anu.
Mtengo Wamachimake
Lipoti lanu la matenda limakhala ndi chidziwitso, monga chifuwa, Clark mlingo , Kuwala kochepa , zilonda zam'mimba (zimapezeka pamene khungu la chiphuphu limadutsa pakhungu) komanso mitotic (MR).
Mtengo waukulu wa mitoti umagwirizananso ndi mwayi waukulu wokhala ndi mankhwala otchedwa sentinel lymph node biopsy.
The MR imayesedwa mwa kungoyang'ana chotupa chododometsa (chochotsedwa mwachipatala) ndi microscope ndikudziwerengera mowirikiza chiwerengero cha maselo omwe amasonyeza mitosis , chodziŵika bwino chogawanitsa maselo.
Kawirikawiri, MR imati ndi imodzi mwa magulu atatu (ngakhale nthawi zina amatchulidwa ngati nambala yopitirira, yosadziwika):
- zosachepera 1 palimita imodzi ya mamitamita
- 1 mpaka 4 pa kilomita imodzi ya mamitala
- wamkulu kuposa 4mmmmmmmita
Kuposa kuchuluka kwa mitotic, chotupacho chiyenera kukhala chochepa kwambiri (kufalikira). Lingaliro ndilo kuti maselo ambiri akugawanika, amatha kulowa m'ziwiya zamagazi kapena zamaliseche ndipo potero amwazika mozungulira thupi.
Kafukufuku wasonyeza kuti zovuta za kupulumuka kwa odwala omwe ali ndi sitepe ya melanoma ndi mitotic ya 0 pa mamita mamilimita imodzi ndi oposa khumi ndi awiri a odwala omwe ali ndi mitotic yaikulu kuposa 6 mmmmmmmita. Komanso, zilonda 4 peresenti zokhala ndi azimayi otsika a MR (kubwerera) zikuyerekeza ndi 24% mwa anthu omwe ali ndi MR. Mitotic ingathenso kuthandizira kudziwa ngati chitetezo chanu cha fetinel chidzakhala chabwino kapena ayi.
Kodi Kuyeza MR Ndikofunika?
Kuyambira zaka za m'ma 1990, kafukufuku ambiri adatsimikizira kuti mitotic ndiyomwe imatulutsa zotsatira za odwala khansa ya khansa, ngakhale kuti pali kutsutsana kwina. Mafunso awiri ali pansi pa mkangano: 1) ndi MR osagwirizana ndi zifukwa zina zowonetsera ? ndi 2) ngati sichoncho, kodi kuchuluka kwa MR kuli ndi nthawi komanso ndalama?
Ngakhale kuti MR alibe gawo mu njira yogwiritsira ntchito matenda a khansa ya khansa, kafukufuku wasonyeza kuti ndizofunika kwambiri kuposa chifuwa chachikulu, chomwe chimakhala ndi ntchito yofunika kwambiri. Madokotala ena amakhulupirira kuti mitotic siyiyomwe imayimira chifukwa imayenderana kwambiri ndi chotupa (Breslow) makulidwe ndi zilonda. Mwachitsanzo, American Academy of Dermatology imanena kuti MR ayenera kukhala okhudzidwa ndi malipoti a biopsy . Komabe, bungwe la National Comprehensive Cancer Center limalimbikitsa kuti MR azidziwika kuti ali ndi zilonda zonse m'magulu oyamba a 2 mpaka 2.
Komabe, akatswiri ena amanena kuti kuyerekeza kwa MR kuyenera kuchitidwa pa malo akuluakulu azachipatala omwe angapangidwe kafukufuku. Ngati MR sali m'ndondomeko yanu ya matenda, onetsetsani kuti mufunse dokotala wanu za maganizo ake.
Kutsiliza
Nthawi zonse pemphani kafukufuku wanu. Werengani ndi kufunsa dokotala wanu mafunso awa. Musazengereze kupeza lingaliro lachiwiri lokhudzana ndi matendawa kuchokera kwa katswiri, monga dermatopathologist. Wodwala wodziwa bwino ndi wodwala wothandizira, ndipo wodwala wothandizira angathe kupanga chisankho chabwino chomwe chimayambitsa zotsatira zabwino.
Zambiri pa Momwe Mungatanthauzire Lipoti Lanu la Malanoma Pathology
- Clark ndi Bresow Numeri: Kodi Amatanthauzanji?
- Maphunziro a Melanoma
- Zithunzi Zamankhwala a Melanoma
Zotsatira:
Melanoma. National Comprehensive Cancer Network. V1.2009.
Kumvetsetsa Kufufuza kwa Khansa: Khungu la Melanoma. College of American Pathologists.
Attis MG, Vollmer RT. "Mitotic mu mlingo wa melanoma: kubwerezanso." Am J Clin Pathol 2007 127 (3), 380-4.
Barnhill RL, Katzen J, Spatz A, Fine J, Berwick M. "Kufunika kokhala ndi mitotic monga chiwonetsero cha khansa yotchedwa melanoma." J Cutan Pathol 2005 32 268-273.