Ngati mwakhala ndi chifuwa cha m'mawere ndipo munauzidwa kuti muli ndi lobular hyperplasia, mwina mukuda nkhawa. Kodi izi zikutanthauza chiyani? Kodi khansa ya m'mawere iyi? Tiyeni tiyang'ane zomwe zenizeni izi zikutanthauza, ndi njira ziti zamankhwala zomwe zilipo, ndi zomwe mungayembekezere m'tsogolomu.
Mwachidule
Atypical lobular hyperplasia (ALH) si khansa ya m'mawere , koma imaonedwa kuti ndi yangwiro.
Dokotala wanu angathenso kunena za matendawa ngati "matenda opatsirana a m'mawere." Mankhwala oopsa otchedwa lobular hyperplasia amapezeka m'maselo apachilendo omwe amathira mkaka wa lobe, kutulutsa maselo ambiri kusiyana ndi omwe amatha kukula pamenepo. Zina mwa maselowa ndi osasinthasintha ndi kukula, motero amatchedwa atypical. Kawirikawiri, lobe imakhala ndi mzere umodzi wa maselo ofanana, koma mu lobular hyperplasia pangakhale maselo angapo a maselo. Izi ndi zofanana ndi machitidwe a hyperplasia ovomerezeka .
Kudziwa kuti munthu ali ndi matenda otchedwa lobular hyperplasia kumatanthauza kuti nthawi yomwe mumakhala ndi moyo wa khansa ya m'mawere ndi yoopsa kwambiri. Maselo amphamvu otchedwa lobular ndi osalimba ndipo ali ndi mwayi wokhala lobular carcinoma in situ (LCIS), mtundu wa khansa ya m'mawere yosavomerezeka. Muyenera kukhala osamala za ubereki wanu, ndipo mwinamwake mungakhale ndi mawere a MRI pamodzi ndi mamemogram anu owonetsera pachaka.
Azimayi azaka zapakati pa 45 mpaka 55 ali ndi atypical hyperplasia ali ndi chiopsezo chachikulu cha tsogolo la khansa ya m'mawere.
ALH amadziwikanso kuti lobular hyperplasia ndi atypia, mammary atypical lobular hyperplasia, matenda opatsirana oopsa omwe amawopsa kwambiri.
Zizindikiro ndi Zizindikiro
Atypical lobular hyperplasia sizimayambitsa zizindikiro zirizonse zodabwitsa.
Kawirikawiri amapezeka pa chizoloŵezi chowonetsera machitidwe. Nthawi zingapo, kupweteka kwa m'mawere kumayambitsa matenda a lobular hyperplasia. Pamene hyperplasia ikuwonetsa pa mammogram kapena ultrasound, mungatengere zitsulo kuti mupeze chithandizo chodziwika bwino.
Kudziwa
Mwina simungasowe mayesero onsewa, koma ziganizidwe zina ndizomwe mungafunikire kuti mupeze bwinobwino matenda.
- Mammogram - ALH ikuwoneka ngati kagulu kazing'onozing'ono pa mammogram
- Ultrasound - Mawere a ultrasound amagwiritsa ntchito mafunde omveka kuti awulule magulu ang'onoang'ono
- Chinthu Chachikulu Chachidutswa
- Kusintha kwapakati
Zimakhala zovuta kufotokozera kuti zochitika zotani za lobular hyperplasia zidzakhalabe zoipa ndipo zingakhale zovuta, ndipo madokotala sangagwirizane pa zomwe mungasankhe mukatha kupeza. Anthu ambiri amafunikira kuyang'anitsitsa mavitamini ndi / kapena ma breastissi a MRIs kuti azindikire kusintha kulikonse.
Anthu ena amatha kusankha chosemphana chotsalira kuti achotse minofu yokayikitsa. Ngati muli ndi mbiri ya banja la khansa ya m'mawere kapena ovari, kapena ngati muli ndi BRCA gene mutation, muyenera kuyesetsa kuti mugwirizane ndi zosankha zanu. Ndi mbiri ya banja ya khansa ya m'mawere ndi / kapena kusintha kwa majini, nthawi zambiri zimakhala bwino kuyang'ana mthandizi wa zamoyo. Kuyesedwa kwa jeni kumakali koyambira, ndipo pali zambiri zomwe zatsala kuti ziphunzire zokhudzana ndi zamoyo zomwe zimayambitsa khansa ya m'mawere.
Mphungu wabwino akhoza kukuthandizani kwambiri mwa kuyang'ana mbiri yanu ya khansa ya banja (mwachitsanzo, mbiri ya khansa ya pancreatic imapangitsa mwayi kuti mukhale ndi BRCA2 gene mutation) ndipo ikhoza kukuthandizani pazomwe mukupanga.
Kuchiza
Azimayi okhala ndi ALH ayenera kulangizidwa kuti asiye kumwa mankhwala oletsa kumwa mankhwala, kupewa kupewa mankhwala owonongera. Mapiritsi a mapiritsi komanso mahomoni omwe amachititsa kuti asamakhale odwala akhoza kuwonjezera chiopsezo cha khansa ya m'mawere.
Kupanga moyo woyenera ndi zakudya zomwe zingasinthe chiopsezo chawo cha khansa ya m'mawere (mwachitsanzo, kudya chakudya chochuluka pa zipatso ndi ndiwo zamasamba, nsomba, ndi maolivi komanso kuchita masewera olimbitsa thupi masiku asanu ndi awiri pa sabata) n'kofunikanso.
Ayenera kulimbikitsidwa kuti awone katswiri yemwe angawone chiopsezo chawo chokhala ndi kansa ya m'mawere yosautsa pogwiritsa ntchito chitsanzo cha Gail. Ubwino ndi zoopsa ziyenera kukambidwa molingana ndi, komanso kupewa choyamba pogwiritsira ntchito tamoxifen kapena raloxifene, zingakonzedwe kwa amayi ena.
Ngati ALH imapezeka ndi singano yaikulu imapangitsa kuti munthu asagwiritsidwe ntchito moyenera kuti asamangoganizira za matendawa.
Kulimbana
Azimayi amodzi (1) mwa amayi asanu ndi awiri (25) aliwonse amapezeka kuti ali ndi hyperplasia ya atypical, kapena mu mazira awo a mkaka kapena ma bere. Pafupifupi 20 peresenti ya akaziwa akhoza kukhala ndi lobular carcinoma mu situ kapena invasive lobular carcinoma pasanathe zaka 15 ataphunzira.
Mawu Ochokera
Ngati mutapezeka kuti muli ndi lobular hyperplasia, chitani zimene mungachite kuti muchepetse chiopsezo cha khansa ya m'mawere. Onaninso munthu wathandizira ndikudyetsa ndondomeko yoyenera kudya. Onetsetsani kulemera kwanu, sungani mowa mopitirira malire ndipo osasuta. Pezani nthawi zonse kufufuza. Tengani nthawi yophunzira za ngozi. Mwachitsanzo, amayi ambiri sakudziwa kuti kugwiritsa ntchito mapiritsi olerera kumayambitsa matenda a kansa ya m'mawere. Kuwonjezeka sikokwanira, koma kwa munthu amene ali ndi chiopsezo chowonjezeka, ndizofunikira kwambiri.
Tengani nthawi kuti muphunzire za kutsutsana ndi zizindikiro ndi matenda opatsirana. Tilibe vuto loyesa kansa ya m'mawere nthawi ino. Mammograms amatha kuphonya khansa, ndipo amachititsa ma alarm. Mankhwala a MRIs amayamba kukhala ofanana kwambiri ndi omwe ali ndi chiopsezo chachikulu cha matendawa chifukwa chozindikira bwino.
> Zotsatira:
> American Cancer Society. Hyperplasia wa Chifuwa (Ductal kapena Lobular). Kusinthidwa 09/20/17. Chiwongola dzanja
> Racz, J., ndi A. Akunyoza. Kodi Atypical Ductal Hyperplasia Amafuna Kusakaniza Opaleshoni? . Makanema Opangira Opaleshoni Yopangira Opaleshoni ku North America . 2018. 27 (1): 23-32.