Zina zambiri za khansa ya m'mawere

Mitundu ya khansa ya m'mawere ndi magawo ena

Ambiri a ife timakonda kuganiza za khansa ya m'mawere ngati matenda amodzi, koma kufufuza kumapitiriza kutsimikizira kuti palibe. Kuwonjezera pa mitundu yosiyana ya khansa ya m'mawere, pali matenda angapo a matendawa. Mtundu ndi kachigawo kakang'ono ka khansa ya m'mawere, yomwe imapezeka mu lipoti la matenda opatsirana pambuyo pa opaleshoni, imapereka timu yothandizira khansa zowonjezera zomwe akufunikira kuti apange dongosolo lomwe liri loyenera kwambiri kuti athetse bwino mtundu ndi mtundu wina wa khansa ya m'mawere.

> Onetsetsani mawere a m'mawere komanso mwachidule za khansa ya m'mawere.

Mitundu ya khansa ya m'mawere

Ngati dokotala akukayikira khansa ya m'mawere, ndi bwino kudziŵa mitundu yosiyana tsopano, kotero kuti muli ndi chidziwitso choyenera ngati chitsimikizo chikhala chowonadi.

Khansa ya khansa: Ambiri amayamba ndi khansa m'matumbo omwe amanyamula mkaka, kuyamwa, kumsana.

Ductal In-Situ (DCIS) : Gawo ili 0 khansa ili mkati mwa mkaka wa m'mawere.

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Sichidapyola pakhoma la ngolo kapena kufalikira m'matumbo oyandikana nawo. Ngakhale kuti siwopseza moyo panthawiyi, DCIS iyenera kuchitidwa chithandizo chifukwa pali ngozi yapamapeto pake kukhala khansara yoopsa. DCIS nthawi zambiri imatengedwa m'thupi lachibadwa ndipo imathandizidwa ndi lumpectomy .

Ductal carcinoma (IDC) , yomwe imadziwika kuti infiltrating ductal carcinoma, ndiyo njira yofala kwambiri ya khansa ya m'mawere. Zimakhala pafupifupi 80 peresenti ya matenda onse a khansa ya m'mawere. IDC poyamba imapanga mkaka wa mkaka, imatuluka mumtambo, ndipo imafalikira m'matumbo oyandikana nawo.

Kuchokera kumalo osatulutsidwa, IDC ikhoza kufalikira kupitirira pa bere ndikupita ku ziwalo zakutali. IDC ikhoza kupezeka pa matenda a m'mawere a m'mawere , mamemografia , MRI , ndi nthawi zina payekha. Chithandizochi chingaphatikizepo mankhwala amodzi kapena angapo monga opaleshoni, ma radiation, chemotherapy, mankhwala opatsirana, ndi mankhwala a mahomoni.

Lobular carcinoma in-situ (LCIS ) imafotokoza kukula kosavuta kwa maselo m'makutu a m'mawere kumene mkaka umatulutsidwa. Ngakhale kuti LCIS sichikupita ku khansara yowonongeka, lobular carcinoma in situ imaonedwa ngati chiopsezo choyambitsa kansa ya m'mawere m'mawere. LCIS ​​imapezeka kawirikawiri panthawi yomwe imakhala yopweteka . Kuchitapo kanthu nthawi zambiri sikofunikira, ngakhale kuti mkhalidwewu umalimbikitsa kwambiri. Azimayi omwe ali pachiopsezo chachikulu chokhala ndi kansa ya m'mawere akhoza kusankha kukhala ndi mfuti imodzi kapena onse awiri kuti athe kuchepetsa mwayi wawo wopanga matendawa.

Kachilombo ka lobular carcinoma (ILC) , kawiri kawiri ka khansa ya m'mawere, imapereka 8 peresenti ya khansa ya m'mawere.

ILC sichitha kupezeka ngati chotupa chodziwika bwino. Chithandizochi chingaphatikizepo opaleshoni, chemotherapy, radiation, ndi mankhwala a mahomoni.

Khansara yotentha ya m'mawere (IBC) ndi khansa yoopsa, yowerengera ndalama zosachepera 5 peresenti ya khansa ya m'mawere. Kawirikawiri sichipezeka ndi mtanda. Maselo a khansa ya IBC alowa mu khungu la m'mawere ndipo amaletsa zitsulo zake zamphongo. Zizindikiro zimaphatikizapo khungu lachangu ndi loponyedwa. Mawere otsekemera angawoneke ofiira, otupa ndi otentha kukhudza. Zingakhale zolakwika ngati mastitis, matenda a pachifuwa. Malingana ndi sitepe ya khansa yodziŵika, mankhwala angaphatikizepo opaleshoni, chemotherapy, mankhwala a mahomoni, ndi mankhwala opatsirana.

Matenda a Paget a m'mawere amachepera osachepera 3 peresenti ya khansa ya m'mawere. Zizindikiro zimaphatikizapo kutuluka kwa msana, kutuluka kwa magazi, ndi khungu, khungu lopsa ngati ofanana, chikopa cha khungu. Khansara ya m'mawere imapezeka kawirikawiri. Pafupifupi 50 peresenti ya odwala omwe ali ndi matenda a Paget a nkhono amakhala ndi chotupa chomwe chingamveke m'mawere pa nthawi yoyamwitsa.

Kuchiza kudzadalira pa siteji ndi zinthu zina, kuphatikizapo ngati mulibe chotupa cha khansa m'mimba kuphatikizapo matenda a Paget. Chithandizochi chingaphatikizepo opaleshoni, chemotherapy, ndi mankhwala otchedwa hormone.

Mitundu Yambiri ya khansa ya m'mimba imaphatikizapo

Ngakhale kuti simukupezeka kuti muli ndi imodzi mwa izi, ngati mutapezeka kuti muli ndi kachilomboka, khansa ya m'mawere ndi yochepetsetsa ikudziŵikiranso.

Medullary carcinoma amaonedwa kuti ndi kachilombo koyambitsa matendawa. Ali ndi siponji kumverera pamene akhudzidwa; sizikumverera ngati mtanda. Zingathe kuwonedwa pa mammografia. Ziphuphuzi ndizochepa kawirikawiri zowonjezera mahomoni . Njira zochizira zimaphatikizapo opaleshoni, ma radiation, ndi chemotherapy.

Mbalame yotchedwa Tubular carcinoma imagwiritsidwanso ntchito ngati mankhwala osokoneza bongo. Maselo ake ali ndi maonekedwe a tubula pamene akuyang'ana pansi pa microscope. Zimamva spongy kukhudza. Zitha kupezeka pa matenda a m'mawere a m'mawere kapena mamemografia. Kawirikawiri si khansa yowopsya, imayankha bwino kuchipatala cha m'mawere.

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Mucinous carcinoma amaonedwa kuti ndi njira yosawerengeka ya khansa ya khansa yowonongeka, yomwe maselo "amayandama" m'madzi a mucin, chomwe chimagwiritsidwa ntchito kwambiri mu ntchentche. Matendawa angatenge njira zingapo, kuphatikizapo kuyeza thupi, mamemografia, ultrasound, MRI, ndi biopsy. Kuchiza, malingana ndi siteji, kungaphatikizepo opaleshoni, chemotherapy, radiation, ndi mankhwala a mahomoni.

Kansera yamatenda a m'matumbo ndi kanjira ya kansa ya m'mawere ya khansa yomwe yafalitsidwa ku mbali zina za thupi, zomwe zingakhalepo, koma ubongo, mafupa, chiwindi ndi mapapo. Zimachiritsidwa, koma mwatsoka sizitha kuchiritsidwa. Osachepera 10 peresenti ya omwe adatengedwa kumene ndi khansara ya m'mawere ali ndi kansa ya m'mawere pamene amayamba kupeza. Matenda ambiri ammimba amatha miyezi kapena zaka zitatha kupezedwa ndi kupatsidwa khansa ya m'mawere.

Chithandizo chikupitirira, ndi zolinga zopereka khalidwe lokha, koma kutalika kwa moyo. Kuwonjezera pa kuchitiridwa mankhwala ndi chemotherapy, ma radiation, ndi / kapena mankhwala a mahomoni, amayi ndi amuna omwe ali ndi khansa ya m'mawere amatha kusankha ngati akuyenerera kutenga nawo mbali pa zochitika zachipatala za mankhwala atsopano.

Mankhwala Opambana a Khansa ya M'bwere

Kusankha kagawo ka kansa ya m'mawere kumachitidwa panthawi yomwe imakhalapo, yomwe imachitidwa ndi dokotala, yemwe ndi dokotala. Wodwalayo amatsimikizira kukhalapo kwa khansa ndikupitiriza kuyang'ana minofu yowonongeka yomwe ikuyang'ana mabala ndi mahomoni omwe ali ndi chotupa cha khansa.

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Mankhwala atatu a khansa ya m'mawere ndi awa:

Odwala omwe ali ndi khansa yam'mimba : Ambiri omwe ali ndi khansa ya m'mawere ali ndi kachilombo ka khansa ya m'mawere; ziwalo zawo zingakonzedwe kuti zikule ndi kufalikira ndi estrogen kapena progesterone . Ziphuphu zowonjezera mahomoni zimakhala ndi 65 mpaka 75 peresenti ya zotupa zonse. Amagwiritsidwa ntchito ndi mankhwala monga tamoxifen , omwe angatengedwe ndi amayi omwe asanabadwe ndi amayi, kapena aromatase inhibitors omwe angatengedwe ndi odwala omwe ali post postopaopausal. Mankhwala a mahomoni amachititsa ntchito ya estrogen kuchepetsa mwayi wokhala ndi khansa yowonongeka.

HER2-positive: Matenda amenewa ali ndi kachilombo koyambitsa matenda a anthu , omwe ndi jini lomwe limatulutsa mapuloteni a HER receptor. Ngakhale kulandira kotereku kuli kofunikira pa kukula kwa maselo a m'mawere, mopitirira muyeso, kulandira HER2 kungachititse kuti khansa ikule. Chemotherapy ndi mankhwala ochiritsira.

Katatu: Khansara ya m'mawere ya katatu imakhala ndi ma receptors, ma progesterone receptors, kapena HER2 receptors. Zotsatira zitatu zimakhala zowawa kwambiri ndipo zimakhudza pafupifupi 15 peresenti ya anthu omwe ali ndi khansa ya m'mawere. Chifukwa katatu sakhala ndi homoni ndi HER2 receptors, sizimayankha mankhwala opatsirana, komanso chemotherapy ndi mankhwala ovomerezeka.

Mawu Ochokera

Kaya mtundu uliwonse wa khansa ya m'mawere ndi yotani, nthawi zonse imapezeka bwino komanso imachiritsidwa kale kwambiri, isanafalikire komanso ikakhala ndi zotsatira zabwino kwambiri. Onaninso dokotala wa banja lanu kapena azimayi kuti mupange kafukufuku wapachaka womwe umaphatikizapo kufufuza kwa m'mawere. Phunzirani mbiri ya banja lanu la khansa ya m'mawere; Ngati pali khansa ya m'mawere m'banja lanu, kambiranani ndi wothandizira anu pa nthawi yomwe muyenera kuyamba kukhala ndi mammograms.

Ngati palibe mbiri ya banja la khansa ya m'mawere, kumbukirani kuti 85 peresenti ya khansa ya m'mawere imapezeka mwa amayi omwe alibe mbiri ya banja la matendawa. Musati muzisiye kukhala ndi zizoloŵezi zachizolowezi kuyambira pa zaka 40.

Ndine wokondwa kuti ndinatero. Kawiri kawiri, mammogram anapeza khansa yomwe ili pachifuwa changa chisanamveke m'matenda a khansa, ndipo khansa isanayambe kuchitiridwa mankhwala a chemotherapy.

> Zotsatira:

> American Cancer Society. Mitundu ya khansa ya m'mawere. Kukambirana Kotsiriza kwa Zamankhwala: 09/25/2014
Zosinthidwa Kotsiriza: 05/04/2016.

> Cancer.Net. Yavomerezedwa ndi Bungwe la Okonza Cancer.Net, 02/2016.