Khwerero itatu ya khansa ya m'mawere ndi gawo la khansa ya m'mawere. Chiwerengero chimaika chiwerengero cha khansa ya m'mawere yomwe imakhala yoipa katatu pa 15-20 peresenti. Zimakhala zochitika kawirikawiri kwa atsikana achichepere. Khansa ya m'mawere ya m'mawere imatulukanso kwa amayi omwe amanyamula kusintha kwa BRCA, makamaka ngati atapezeka kuti ali aang'ono. Khansarayi imapezeka nthawi yomwe imakhala yoyezetsa thupi m'malo moyang'ana zojambula zojambulajambula ngati sizowoneka zodalirika kuti zikhale zowonetsera kwa atsikana monga momwe amachitira akazi achikulire.
Chotsatira chake, khansa ya katatu yoyipa ya khansa imapezeka nthawi zambiri. Iwo amapezeka kawirikawiri m'mabanja a African-American and Hispanic / Latina. Katatu kawirikawiri amakhala ngati khansa ya m'mawere yowawa kwambiri.
Khansa yachitatu ya khansa ya m'mawere imatchula dzina lake ndi isrogen, progesterone, ndi HER2 yolakwika. Izi zikutanthauza kuti alibe maselo a estrogen, obvomerezeka a progesterone, kapena a HER2 receptors, omwe ali mapuloteni omwe amadziwika kuti akulepheretsa kukula kwa khansa ya m'mawere.
Matenda a mimba omwe amachititsa kuti akhale ndi kachilombo kamene amawatchula pamwambapa amachitapo kanthu ndi mankhwala a mahomoni, omwe amachotsedwa pa mapiritsi, tsiku lililonse kwa zaka zisanu kapena kuposerapo, atatha kuchiza. Imodzi mwa mankhwala otere a hormone, tamoxifen , ogwiritsidwa ntchito kwa zaka makumi ambiri, akupitiriza kulemedwa kwa amayi omwe ali ndi amayi omwe amatha kumwa matendawa komanso amodzi omwe amayesedwa ndi estrogen-positive.
Aromatase inhibitors, kalasi yaposachedwapa ya mankhwala ophera mahomoni oyenerera polemba amayi am'maopausal, atsimikiziridwa kuti ndi othandiza kwambiri kuposa tamoxifen pochepetsa chiopsezo cha kubwereza khansa ya m'mawere.
Mankhwala otchedwa hormone mankhwala sagwira bwino ndi matumbo atatu osokoneza. Odwala atatu omwe alibe odwala alibe mtendere wa m'maganizo podziwa kuti kwa zaka zisanu kapena kupitilira athandizidwe kutenga mankhwala otchedwa hormone mankhwala omwe amachepetsa kwambiri chiopsezo cha kubwereza khansa ya m'mawere. Ngakhale kuti kafukufuku akupitirizabe kupeza njira zothandizira komanso pali mankhwala omwe akuwoneka kuti akudalira, pakalipano palibe mankhwala omwe angagwiritsidwe ntchito ndi khansa ya m'mawere itatu.
Kodi Katemera Wathu Wosasamalitsa Wachiwerewere Amapezeka Bwanji?
Khansa Yachiwerewere Yosayembekezereka ya Katatu imatsimikiziridwa pakutsata opaleshoni, ndi katswiri wamagulu amene amayesa minofu yomwe imachotsedwa. Pogwiritsira ntchito microscope, wodwalayo angadziwe ngati khansa ya m'mawere ilipo kapena ayi, dziwani mtundu ndi kagawo ka khansa ya m'mawere. Wodwala matendawa amawerenganso maselo a mitsempha kuti awone ngati khansara iliyonse yafalikira pamtunda. Wodwalayo adzayesanso kuti azindikire mahomoni ndi majini m'thupi.
Lipoti lachiromboli lidzapereka gulu la chisamaliro cha khansa zowonjezera zomwe akufunikira kuti apange dongosolo lomwe liri loyenerera kuti athetsere bwino mtundu ndi mtundu wina wa khansa ya m'mawere.
Njira Zothandizira
Khansa Yambiri Yopweteka ya M'thupi imatengedwanso monga khansa yambiri ya m'mawere m'kati mwachithandizo cha mankhwala, ndi opaleshoni kuchotsa khansa, kutentha kwa miyendo monga momwe tawonetsera motsatira lumpectomy kwa matenda oyambirira, ndi chemotherapy. Popeza mayeso atatu omwe amachititsa kuti asrogen amapezeke, mapuloteni a progesterone, ndi HER2 receptors, sichimachiritsidwa ndi mahomoni kapena mankhwala othandizira.
Chemotherapy imagwira bwino kwambiri ndi chithandizo cha khansa yachitatu yopweteka. Kawirikawiri, chemotherapy imapatsidwa opaleshoni yotsatira, koma ikhoza kuperekedwa chisanachitike opaleshoni kuti iwononge chotupa cha mkazi mpaka kukula komwe kungachotsedwe ndi lumpectomy ndipo sikuti imadwalitse mastectomy .
Kuopa Kubwereza
Pamene mankhwala ochiritsira apitirira, mantha a kubwereza nthawi zambiri amalowa kwa iwo omwe amachiritsira khansa itatu ya m'mawere. Popeza mankhwala a mahomoni, operekedwa pambuyo pochita chithandizo pofuna kuchepetsa chiopsezo cha kubwereza sikungakhale yothandiza, palibe mankhwala ena. M'malo mwake, amayi ayenera kuphunzira kulamulira mantha awo ndikupitirizabe ndi miyoyo yawo. Nkhani yabwino ndi yakuti amayi ambiri amachiritsidwa khansa ya m'mawere itatu yosalepheretsa kuti asayambe kugwidwa ndi khansa ya m'mawere.
Wopulumuka khansara ya katatu yosamalitsa, osati mosiyana ndi wopulumuka ku matenda aliwonse oopsya, akhoza kuyamba kudabwa pamene mantha a kubwereza sali lingaliro loyamba pamene akukweza ndi lingaliro lomaliza asanagone.
Pamene nthawi ikupita, mantha amachoka pokhapokha kuti abwererenso patsiku la kubadwa, maholide, ndi zochitika zina zapadera. Kumva za wina yemwe akupezeka kuti akhoza kubweretsanso mantha. Ma sabata asanayambe kuyerekezedwa kuchipatala kapena kuyembekezera zotsatira za mammografia kapena kusinkhasinkha zingachititse kuwonjezeka kwakukulu kwa nkhaŵa monga momwe kubwereranso kubwerera.
Moyo Wopulumuka
Kusintha kumatengera nthawi, ndondomeko ikhoza kuthamangitsidwa osati kupita nokha. Magulu othandizira amayi omwe amachiritsidwa khansa ya m'mawere itatu imatha kugwira ntchito yochiritsira. Azimayi omwe ali ndi vutoli katatu, nthawi zambiri amamverera okhaokha chifukwa sagwirizana ndi ena ndi katatu. Akamalowa m'gulu la khansa ya m'mawere, nthawi zambiri amakhala okhawo omwe ali ndi vutoli. Ngakhale kuti amatha kufotokozera zochitika zomwe zimagwirizanitsa, zotsatirazi zimakhala zosagwirizana ndi mankhwala omwe ena mwawo akukambirana omwe sagwiritsidwe ntchito kwa iwo.
Pokhala pa gulu la pa Intaneti kapena nkhope yoyang'anizana ndi ena omwe amagawana nawo zomwe zimachitika zimathandizira aliyense kuti azindikire kuti wachita zonse zomwe zingachititse mankhwala kuti amuphe khansa yake. Kusamalirana kumathandiza amayi kuganizira kuti akhale ndi moyo komanso kusangalala tsiku ndi tsiku ndikukhala ndi moyo.
Magulu othandizira amagwira ntchito chifukwa amachepetsa kusamvana nokha ndikukubweretsani pamodzi ndi ena omwe akukumana ndi zofanana.
Mawu Ochokera
Magulu othandizira angakhale malo ogwirizana, kupanga mabwenzi osatha, ndi kupeza kumvetsa wopulumuka aliyense ayenera kudutsa pa chiopsezo chake cha khansa.
Mabungwe otsatirawa ali ndi mapulogalamu a pa intaneti ndi magulu othandizira omwe amapereka akazi omwe ali ndi khansa ya m'mawere itatu yomwe ili ndi mwayi wokomana ndi kuphunzira kuchokera kwa wina ndi mnzake.
- CancerCare
- Kukhala Patsogolo pa Khansa ya M'thupi
- Gawo la Khansa Yamtundu Wosasamalitsa Wachitatu