Mmene Mungayankhire Bwino Amuna Achifuwa (MBSE)

Khwerero ndi Gawo Guide kuti Mufufuze Khansa ya Amuna mwa Amuna

Mwinamwake mwamva kuti amayi ayenera kuchita zovuta za mawere, koma kodi mumadziwa kuti amuna amatha kudziyezetsa okha? Ngakhale sizinayankhulidwe kawirikawiri, khansara ya m'mawere imachitika. Ndipotu, amuna omwe ali ndi khansara ya m'mawere amapezeka kuti ali pazigawo zapamwamba kuposa matendawa.

Khansa ya m'mawere ya abambo

Kawirikawiri khansa ya pachifuwa ya abambo ndi yamuna, ndipo amuna ambiri sakudziwa kuti ali pangozi; iwo amaziwona izo ngati khansa ya mkazi. Koma ngati muli ndi minofu ya m'mawere mungathe kutenga khansa ya m'mawere, ndipo amuna ali ndi minofu. Icho chinati, khansa ya m'mawere mwa akazi nthawi zambiri imakhala yofala kuposa amuna. Chaka chilichonse ku United States, amuna pafupifupi 2,000 amapezeka ndi matendawa.

Khansara ya m'mimba mwa amuna ikuwoneka ikuwonjezeka. Malinga ndi kafukufuku wa 2017 pakhala kuwonjezeka kwa khansa ya m'mawere ngati khansara yoyamba (khansa yoyamba) mwa amuna, komanso kuwonjezeka kwakukulu kwa khansa ya m'mawere ngati kansa yachiwiri yapamuna mwa amuna amene kale anachiritsidwa ku lymphoma.

Cholinga cha Ma Edzi Amuna Omwe Amadziwitsa Abambo

Chifukwa chifuwa cha m'mawere sichinali gawo la mwamuna pachaka, komanso amuna sapita kukayezetsa magazi, amuna ambiri amapezeka m'mimba mwawo, mwina chifukwa cha kusintha kwa maonekedwe awo kapena maonekedwe awo. Pamene munthu sadziwa za zizindikiro za khansa ya m'mawere, akhoza kuwatsutsa; Panthawi imene akuyang'anira, khansayo ikhoza kukhala yowonjezera yomwe ikufuna chithandizo chokwanira. Mbiri imatiuza kuti izi ndizoona, ndipo amuna amapezeka kuti amapezeka m'zigawo zochepa za matendawa kuposa akazi. Mwatsoka, izi zimatanthauzanso kuti kupulumuka ndi khansa ya m'mawere ndi yochepa kwa amuna kuposa akazi. (Kupulumuka, komabe, ndizofanana ndi amuna ndi akazi omwe amapezeka pazigawo zofanana, ndipo chifukwa cha kufa kwa anthu apamwamba ndichokudziwika patapita nthawi).

Kudziyesa mawere a m'mawere (MBSE) amalimbikitsidwa mwezi uliwonse, monga kwa akazi, ngakhale kuti tilibe malangizo abwino ofotokozera nthawi yabwino. Kudziwa thanzi lanu lonse, ndi momwe chifuwa chanu chimakhalira ngati njira yabwino yowunika thanzi lanu.

Zinthu Zowopsa kwa Khansa Yamtundu wa Amuna

Ngakhale kuti khansa zambiri za m'mawere zimachitika mwa amuna omwe ali ndi mbiri ya banja la khansa ya m'mawere, anthu onse angapindule podziwa momwe angapangire kudziyesa mbuzi. Mosiyana ndi mayesero ambiri owonetsetsa, palibe chiopsezo poyesera mayeso, ndi kuthekera kopanda mantha ndi mayesero a zachipatala omwe amafunikira kuyesa kuyeza kosavuta. Izi zati, anthu sakhala ndi "chinyengo" chokhudzana ndi akazi, monga momwe zinthu monga cysts sizinali zachilendo.

N'kofunikanso kuti amuna adziwe zizindikiro za khansa ya m'mawere .

Mwamuna ndi mkazi aliyense ayenera kuphunzira za mbiri yawo osati kokha ya khansa ya m'mawere koma khansa yonse. Matenda a khansa ya pachifuwa ndi aakulu ngati achibale ena ali ndi matendawa, koma vuto la khansa ya m'mawere lingaperekedwe kwa omwe ali ndi mbiri ya banja la khansa yamtundu, kansa ya prostate, kansa ya pancreatic, khansa ya khansa, ndi zina zambiri. Nthawi yotsatira mukakhala ndi banja lanu, khalani ndi nthawi yokambirana .

Mofanana ndi amayi, amuna omwe amanyamula BRCA1 kapena BRCA2 gene mutation amakhala otheka kwambiri kuti ayambe khansa ya m'mawere, komabe palinso njira zambiri zomwe ma genetic angapangire chiopsezo chanu. Tengani kamphindi kuti mudziwe zambiri za momwe mapangidwe anu a chibadwa angakhudzire chiopsezo cha khansa iliyonse . Ngati muli ndi anthu ochepa omwe ali ndi kansa ya m'mawere, kuphatikizapo munthu mmodzi ali ndi khansara ya m'mawere ndipo wina ali ndi khansara ya pancreatic, kapena zikuwoneka ngati khansara ikuyenda m "banja lanu mwanjira ina iliyonse, ganizirani kuyendera mthandizi. Pakalipano timakhala ndi mayesero osiyana siyana omwe amachititsa anthu kukhala ndi khansa, koma mtsogoleri wabwino wa ma genetiki amatha kudziwa ngati muli pachiopsezo chachikulu cha izi zomwe mukuzidziwa kuti mungathe kuzichita mofulumira kuzindikira ngati kuli koyenera.

Kuphatikiza pa chiopsezo cha banja, amuna omwe ali pangozi yaikulu ndi omwe adalandira chithandizo cha estrogen, kutuluka kwa dzuwa, ndi omwe ali ndi matenda omwe amadziwika ndi kuchuluka kwa estrogen monga chiwindi cha chiwindi ndi matenda a Klinefelter.

Maganizo ochokera

Amuna ayenera kudziwa zifukwa zomwe ali ndi khansa ya m'mawere, kuti adziŵe zizindikiro, samvetsetse kusintha komwe kumachitika m'mawere awo, ndipo afunseni dokotala kuti awonetsetse chifuwa cha m'mawere.

Akazi akuwerenga nkhaniyi akhoza kunena kuti mwamuna wawo kapena ena ena amafunsa za chiwerewere cha khansa ya m'mawere m'banja lawo. Mbiri ya khansa ya m'mawere, makamaka kusintha kwa BRCA, iyenera kugawidwa ndi dokotala ndipo payenera kukhala kukambirana za chiopsezo choyamba khansa ya m'mawere.

Pano pali njira zowonetsera mawere a mbuzi:

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Pangani Tsiku Lomwe Mwezi Wathu wa MBSE.
Tsatirani izi pakuchita mawere a mbuzi pamwezi. Yambani ndi kusankha tsiku. Maik Schmalenberg / EyeEm / Getty Images

Gawo loyamba ndi lofunika kwambiri pakuchita zovuta za amuna omwe ali pachifuwa ndi kungoyika tsiku la mwezi kuti lichite izi ndikupeza cholembera.

Lembani tsiku lachidziwitso cha mbuzi yanu yamwamuna pa kalendala yanu. Izi zidzakuthandizani kuti mukhalebe pafupipafupi ndikuchepetsani nkhawa za m'mawere.

Popeza kuti kudzifufuza nokha ndi kofunikira kwa amuna ena, mungafune kutenga tsiku kuti muzichita mayeso awiriwa mwezi uliwonse. Ndikofunika kuzindikira kuti khansara si chinachake chimene chimagunda m'zaka zapakati, ndipo khansa ya testicular imapezeka nthawi zambiri anyamata.

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Yambani mu Bath Yanu kapena Kusamba
Yambani pochita kafukufuku wanu wa khansa ya m'mawere mumphati kapena kusamba. Chris Windsor / Getty Images

Pamene mukukhoza kuyesa mawere anu paliponse, kuwapanga m'samba kuli ndi ubwino wina.

Kuthamanga kusamba kapena kusambira. Gwiritsani ntchito sopo kapena gel osamba kuti mupange soapy, wosanjikizika pamtunda wanu. Khungu lopuma bwino lidzaphweka kuunika, chifukwa limalola kuti zala zanu zikhombe pakhungu lanu popanda kupukuta.

(Momwemo, pakapita nthawi, kuchita mayeso anu m'malo osiyanasiyana kungakhale lingaliro labwino. Mwachitsanzo, mungathe kuzindikira chotupa pamene mukugona pansi ndi chovuta kumva pamene mukuyimirira komanso mosiyana).

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Sungani Malemba Anu Achifuwa
Momwe mungagwiritsire ntchito zala zanu kuti mufufuze mabere anu. Pam Stephan

Kwezani dzanja lanu lakumanzere pamutu panu, ndipo ngati n'kotheka, yesani dzanja lanu lakumanzere kumbuyo kwa mutu wanu. Pa dzanja lanu lamanja, ikani chizindikiro chanu chala, chala chapakati, ndi chala chaching'ono pamodzi monga gulu. Mudzagwiritsa ntchito zala zitatu kuti muwone chifuwa chanu chakumanzere. Onetsetsani kuti nkhope yanu ya kumanzere ikuyambira poyambira pambali. Ikani zala zanu zitatu zogwira pa khungu lanu, panikizani pansi ndi kusuntha mumagulu ang'onoang'ono. Bwerezani izi mozungulira pakhosi lanu. Musachedwe.

Zimagwira ntchito bwino ngati mumagwiritsa ntchito zala mwanjira iyi mmalo momang'amba ndi chala chimodzi. Amuna ochepa (kapena amayi) ali ndi mabere omwe amamverera ngati marshmallows, ndipo ndi zosavuta kumva molakwika "ziphuphu" ndi njira imodzi.

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Yang'anani Nipple Yanu
Kudziyesa Bere Wamwamuna MBSE. Kudziyesa Bere Wamwamuna MBSE

Amuna ndi amayi nthawi zambiri amaiwala kuti ayang'anitse minofu yawo poyesera mawere, koma gawo ili la mbuzi ndi lofunika kwambiri.

Matenda a Paget a kangwe ndi khansa yambiri ya m'mawere yomwe imayambira ndi khungu lofiira, kukulitsa, ndi khungu losalala. Khansa m'mimba imatha kuperekanso ndi ngalande yachisanu kapena kusintha kwa mkangano wamba wa nkhono.

Onetsetsani nkhono yanu poyikulitsa pang'onopang'ono pakati pa ndondomeko yanu ndi zala. Fufuzani zowonongeka, puckering, kapena retraction (kukopa mkati).

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Yang'anani Zonse Zonse

Sinthani manja anu ndikuyang'ana pomwe mukugwiritsa ntchito njira zomwezo monga Njira 3 ndi 4. Mafupa onse ayenera kufufuzidwa.

Anthu ena omwe ali ndi dzanja lamanja kapena lamanzere kwambiri akhoza kukhala ovuta pofufuza mawere awo mbali yina ya thupi. Mungafunse mnzanuyo kuti ayese mawere anu (ndipo mukhoza kubwereza).

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Kuwunika Kwambiri

Pukutsani nokha ndi kuuma ndi thaulo. Imani pamaso pa galasi lalikulu kwambiri kuti muwone mawere onse awiri. Onetsetsani kuti asymmetry iliyonse ndi khungu zimasintha (kuthamanga, puckers, dimples).

Nthaŵi zambiri amalimbikitsidwa kuti muyang'ane pagalasi molunjika, kuchokera mbali iliyonse, komanso pamene mukugwedezeka. Izi zikhoza kukhala nthawi yabwino kuchita kafukufuku wa khungu wamwezi uliwonse kuyang'ana khansara ya khungu. Phunzirani momwe mungadzichepetsere mayeso a khungu pofuna kuyang'ana zizindikiro zoyambirira za khansara ya khungu. Ngakhale kuti khansa ya m'mawere ndi yachilendo kwa amuna (1.6 peresenti ya khansa yonse mwa amuna ndipo amodzi mwa amuna awiri akuyembekezeredwa kukhala ndi khansa), pafupifupi 30 peresenti ya amuna adzakhala ndi kansa ya khungu ya mtundu wina m'moyo wawo wonse.

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Mmene Munganyamulire Lump

Ngati mutapeza chofuwa cha m'mawere, sitepe yotsatira ndi iti?

Choyamba, mukhoza kutsimikiziridwa kuti zifuwa zambiri za m'mawere ndi mawere a khansa.

Ambiri omwe amadziwika kuti "mtanda" amamvekedwa mwa amuna ndi gynecomastia kapena pachifuwa. Gynecomastia kawirikawiri imagwirizanitsa, koma nthawi zonse, ndipo monga momwe mabere azimayi sakhala ofanana kukula kwake, gynecomastia mwa amuna nthawi zambiri amapezeka pambali imodzi kuposa imzake. Gynecomastia nthawi ya zaka zachinyamata ndi zachizoloŵezi pafupifupi 50 peresenti ya anyamata achichepere omwe ali ndi feteleza. Amuna, gynecomastia amavomerezana komanso amatha kugwirizana ndi zikhalidwe zosiyanasiyana.

Ngati mukumva kuti ndizosazolowereka, pangani nthawi yoti muwone dokotala wanu nthawi yomweyo. Mayesero monga mammograms, ultrasounds, ndi m'ma MRIs akhoza kuchitidwa kwa amuna monga momwe aliri kwa akazi.

Ngati matendawa sakudziwika, chiwerengero cha chifuwa kapena dera lachilendo chidzakulolani inu ndi dokotala wanu kudziwa zomwe mukuchita.

Amuna ambiri amanyazi akamayankhula za zifuwa za m'mawere, ndipo amuna omwe amakhala ndi khansa ya m'mawere amamva okhaokha m'nyanja ya pinki. Pa nthawi yomweyo, palinso chithandizo chambiri kuposa kale m'matenda a khansa ya m'mawere ndipo pamakhala anthu omwe amagwira ntchito pa Intaneti omwe angathe kuthana ndi matendawa ndi amuna ena omwe angagawane nawo.

> Zotsatira:

> Farr, D., Thomas, A., Khan, S., ndi M. Schroeder. Khansa Yamtundu Wachifuwa Ngati Khansa Yachiwiri Yoyamba: Ngozi Yowonjezera Pambuyo Lymphoma. Oncologist . 2017. 22 (8): 895-900.

> Humphries, M., Sundara Rajan, S., Honarpisheh, H. et al. Khalidwe la Khansa Yamtundu Wachiberekero: Kufotokozera Biomarker Phunziro kuchokera ku Mliri Wopirira Wambiri. Scientific Reports . 2017. 7: 45293.

> Lecarpentier, J., Silvestri, V., Kuchenbaecker, K. et al. Kulosera za Zowopsa za Khansa ya Amuna ndi Tsabola mu Mwamuna BRCA1 ndi BRCA2 Kutengera Mitundu Kugwiritsa ntchito Mapu a Polygenic. Journal of Clinical Oncology . 2017 Apr 27. (Epub patsogolo pa kusindikiza).