Nthawi zambiri khansa ya m'mawere imachotsedwa ndi mahomoni estrogen ndi progesterone. Mankhwala otchedwa hormone, omwe amatchedwanso endocrine mankhwala, amagwiritsidwa ntchito kuchotsa kapena kuteteza mahomoni ndi kuima kapena kuchepetsa kukula kwa maselo a kansa. Ngati khansara yanu ndi yovuta kwambiri, ndiye kuti mankhwala a hormone angakhale mbali ya dongosolo lanu la mankhwala.
Ngati dokotala akufotokoza izi pa kansa ya m'mawere anu oyambirira, yesetsani kumwa mankhwala a hormonal kwa zaka zisanu mutatha mankhwala anu oyambirira.
Chithandizo chachikulu cha mankhwalawa ndi kuteteza estrogen kuti ipangitse maselo a khansa, omwe amachititsa kuti musamafe. Kansera ya m'mawere yomwe ndi estrogen-receptor, mankhwala ophera mahomoni si othandiza.
Mankhwala kapena Opaleshoni
Mahomoni akhoza kuchepetsedwa ndi mankhwala ndi / kapena opaleshoni. Amayi am'mbuyo asanamwalire, mazira ambiri amapanga estrogen ndipo, pambuyo pa chithandizo choyambirira, kutenga Tamoxifen kudzakwanira kuteteza estrogen ku maselo a khansa.
Ngati kuli kofunika, kwa atsikana omwe ali ndi kansa ya m'mawere yotchedwa estrogen, mazira amatha kutsekedwa kwa kanthawi ndi majekeseni ochotsera ovari. Kwa amayi omwe ali ndi chiopsezo chachikulu, mazira a ovari amatha kuchotsedwa opaleshoni (oophorectomy). Kupopera kothamanga ndi sitepe yofunikira yomwe mungathenso kubzala . Kambiranani ndi dokotala nkhaniyi musanayambe kumwa mankhwala.
Anti-Estrogen Hormone Mankhwala Osokoneza Bongo
Pali magulu awiri a mankhwala omwe amagwiritsidwa ntchito pa mankhwala a mahomoni ndipo izi zimaperekedwa malinga ndi momwe mthupi lanu limayendera komanso khansa yanu ya m'mawere: Selective Estrogen Receptor Modulators (Zachigawo) ndi Aromatase Inhibitors (AIs).
Zotsatira Zogwirizana
Kukhala ndi mazira anu otsekedwa pansi kapena kuchotsedwa kapena kutenga mankhwala a mahomoni angabweretsere kuchipatala . Simungapeze zizindikiro zonse za kusamba kwa thupi, koma apa pali zina zomwe zimawonongeka zomwe mungapezeke ndi mankhwala awa:
- Kutentha kumatentha
- Kutuluka kwa usiku
- Chikhalidwe chimasintha
- Vuma lakuya
- Kutopa
Kugwiritsa Ntchito Malemba
Mankhwala amachimake amagwiritsidwa ntchito pambuyo pochita opaleshoni ndi zina zochiritsira zapakati pa khansa ya m'mawere. Izi zimathandiza kupewa kuchepa kapena matenda opatsirana mu khansa ya m'mawere yotchedwa estrogen-receptor, kuletsa estrogen kuti ikulimbikitseni kukula kwa maselo a khansa yeniyeni.
Ngati dokotala akulembera mankhwala oletsa anti-estrojeni, nkofunika kuwasunga nthawi zonse komanso malinga ndi momwe mukufunira.
| Khansara ya m'mawere oyambirira | ||
| Manopausal Chikhalidwe | Mankhwala Osakanikirana ndi Edzirojini | Nthawi Yoyenera |
| Pre- | Tamoxifen | 2 - 5 zaka * |
| Pre- | Kusakaniza kwa mankhwala osokoneza bongo, ma ARV ndi AIs | Zaka 5 (mayesero odwala) |
| Post- | Aromatase Inhibitor | Zaka zisanu. Kupitiriza zina zowonjezera 5 kungapangitse kupulumuka kwapanda matenda. |
| * Tamoxifen angaperekedwe kwa zaka ziwiri ndikutsatira Aromasin kwa zaka zitatu, nthawi zina. Kwa amayi omwe amachitilidwa ndi tamoxifen kwa zaka zisanu, kupitiliza tamoxifen kapena kusintha kwa AI kwa zaka zina zisanu ndikuthandizira kuchepetsa kuopsa kwa kubwereza ndipo pali deta yomwe imasonyeza kusintha kwa moyo wonse, komanso. | ||
| Matenda a Metastatic | ||
| Manopausal Chikhalidwe | Mankhwala Osakanikirana ndi Edzirojini | Nthawi Yoyenera |
| Chilichonse | Tamoxifen | Mpaka sipadzakhalanso ogwira mtima |
| Chilichonse | Okhazikika ndi apamwamba mlingo wa estrogens | Mpaka sipadzakhalanso ogwira mtima |
| Chilichonse | Aromatase Inhibitors | Mpaka sipadzakhalanso ogwira mtima |
| Post- | Kupweteka kwa Faslodex | Pakuti matenda sakuyankha ku Tamoxifen kapena Fareston |
| Chilichonse | Megace | Pakuti matenda sakumayankhira ku mankhwala ena amodzi |
| Chilichonse | Androgens (mahomoni aamuna) | Amagwiritsidwa ntchito pambuyo poti mankhwala ena onse am'thupi asagwire ntchito |
| Pre- | Kusakaniza kwa mankhwala osokoneza bongo, ma ARV ndi AIs | Mpaka sipadzakhalanso ogwira mtima |
Dziwani kuti ambiri, odwala omwe ali ndi chiopsezo chachikulu amakhala ndi zotupa (kutulutsa matenda abwino kapena T3 kapena zotupa zapamwamba), kuti achepetse chiopsezo chobwerezabwereza, nthawi ya mankhwala a mahomoni ayenera kupitilira kwa zaka khumi.
> Chitsime:
> National Cancer Institute. Thandizo la mahomoni la khansa ya m'mawere.