Kusanthula, Kuchiza, Kupulumuka
Gawo 4 ndi mawonekedwe apamwamba kwambiri a khansa ya m'mawere. Kawirikawiri amatchedwa khansa ya m'mawere ya mastastatic chifukwa yakula (zowonongeka) kupyola malo oyambirira pachifuwa kwa ziwalo zina m'thupi. Matenda a metastatic amapezeka m'mapapo, mapapo, chiwindi, ubongo, ndi khungu. Gawo lachinayi nthawi zambiri limapezeka ngati kansa ya m'mawere imapezeka, komabe zingakhalenso momwe kansa imayambira.
Zolinga za kuchipatala ziphatikizapo kuthetsa kufalikira kwa khansa komanso kulimbikitsa moyo wabwino. Ndipo nthawi zina, mankhwala angatheke.
Kufotokozera Gawo 4 Khansa ya m'mawere
Khwerero 4 ya khansa ya m'mawere ndi matenda omwe amapezeka atachoka kale kuchokera pachifuwa kupita kumadera ena a thupi. Dr Susan Love akulemba kuti malo oyamba omwe khansa ya m'mawere yotchedwa hormone imafalikira ndi mafupa . Mavitaminiwa amatha kulamulidwa ndi bisphosphonates ndi mankhwala ena omwe amadziwika kuti osteoporosis; Mankhwala apamwamba angathandizenso kuchepetsa kufalikira m'mapfupa. Mayendedwe a Estrogen-khansa amatha kupita ku mafupa, koma amapezeka m'mapapo, chiwindi , ndi ubongo. Khansara ya m'mimba m'mapapu ndi chiwindi angayankhe bwino njira zothandizira monga anti-hormones (ngati zowonjezera mavitamini ovomerezeka), chemotherapy ndi mankhwala atsopano. Pamene khansa ya m'mawere imapezeka m'ziwalo zina, imakali khansa ya m'mawere.
Ikhoza kupita ku mafupa, koma si khansara ya fupa; pansi pa microscope, maselo akadali khansa ya m'mawere.
Kupulumuka Ndi Gawo 4
Kupezeka ndi khansara ya m'mawere kumakhala kovuta kwambiri. Cholinga choyang'anira khansa ya m'mawere oyambirira ndi kupeza chikhululukiro chosatha, mwachitsanzo, mankhwala.
Koma pa siteji 4, kumenyana ndi chirombo ndi nkhondo ya tsiku ndi tsiku komanso moyo. Kawirikawiri sikumachiritsidwa, koma ndi mankhwala atsopano, akhoza kuchitidwa ngati matenda aakulu. Mzaka zisanu zapakati pa moyo wa odwala metastatic ndi 24.3%. Chiwerengero chimenecho chinachokera pa deta ya chiwerengero cha SEER kuchokera mu 2003-2009, ndipo maulendo opulumuka amasiyana mosiyana. Odwala ena amayankha bwino kuchipatala ndikukhala ndi moyo kwa zaka zambiri. Katharine Russell Rich, yemwe analemba za nkhondo yake ndi khansa ya m'mawere ku The Red Devil, anakhala ndi matenda aakulu kwa zaka 18, kumupanga iye kukhala membala wa gulu lokhalokha. Ndipo adagwirizanitsa mlembi wina wolemba nyuzipepala ya liberal Molly Ivins anapita kwa zaka 8 ndi Inflammatory Breast Cancer , koma anapitiriza kugwira ntchito mpaka masabata awiri asanafike.
Kumvetsa Kuzindikira Kwako
Gawo lachinayi liri ndi T (yina), N (yina), M1 mu TNM dongosolo. Ziwerengero izi zimatanthawuza zambiri za Tumor, Node Status , ndi Metastasis. Chotupa chanu chikhoza kukhala kukula kwake, kutenga nawo mbali kwa thupi lanu kungakhale kokha kapena nambala yambiri. Ndi mzere wa Metastasis umene umatanthawuza khansa ya m'mawere chifukwa machesi a M1 amatanthawuza kuti khansara yafalikira kupyola m'dera lanu la maselo am'mimba ndi am'deralo, ndipo ikuwonetseredwa m'mapfupa ndi ziwalo zazikulu.
Kupeza matenda a mthupi kumaphatikizansopo kuloĊµerera kwa mahomoni, chikhalidwe cha HER2 , kalasi yamatumbo , chotupa chachikulu , ndi zina zambiri.
Kuchiza
Nthendayi iliyonse ya kansa ya m'mawere imathandizidwa mosiyana chifukwa cha malo osiyanasiyana omwe khansa ingafalikire. Ndondomeko yanu ya mankhwala idzasinthidwa kuti iwononge kuchepetsa kufala kwa khansa komanso kukhala ndi moyo wabwino. Simungasowe mankhwala onse omwe alipo, koma mudzakhala ndi njira zambiri, kuphatikizapo kutenga nawo mbali muyeso la kuchipatala. Mankhwalawa angaphatikizepo njira zowunikira monga opaleshoni ndi ma radiation .
Mwinanso mungafunikire mankhwala ochizira monga chemotherapy (mwina opatsirana kapena pakamwa), mankhwala opangira mahomoni, komanso mankhwala othandizira odwala. Mankhwalawa angagwiritsidwe ntchito pogwirana ndi mankhwala ena kapena angagwiritsidwe ntchito pambuyo pake. Pamene mankhwala ena amalephera, mukhoza kupatsidwa mankhwala osokoneza bongo.
Mphamvu ya Moyo Pa Chithandizo
Zina mwa mankhwala anu zikhoza kukuthandizani kuti mukhale bwinoko - ngati chotupa chowawa chimawombera poyang'ana ma radiation kapena mankhwala a hormone - mukhoza kumverera bwino. Koma ndizodabwitsa kuti mankhwala ambiri amachititsa kuti mankhwalawa asapweteke kwambiri - kunyowa, kutopa, kupweteka, kupweteka kwa m'mimba, mucositis, kutaya tsitsi, kudzimbidwa, ndi kutsegula m'mimba. Yesetsani kulemba zolemba zanu ndikubweretsereni kwa dokotala wanu. Izi zidzawathandiza kumvetsetsa zomwe mukuchita. Mukhoza kupempha chisamaliro chothandizira kuthana ndi mavutowa. Mankhwala, mankhwala opatsirana ndi uphungu wina angaperekedwe zomwe zingathandize.
Kulimbana ndi Maganizo Anu
N'kwachibadwa kumva kupsinjika mtima , chisoni, nkhawa, kapena ngakhale kukwiya mukamapezeka ndi khansa ya m'mawere. Ambiri a ife timamva kuti tili ndi mphamvu pa thanzi lathu komanso tsogolo lathu, koma khansara ikhoza kuchotsa zenizeni zathu, kuchepetsa zolinga zathu zamtsogolo, ndi kuchititsa mantha mwa ife komanso mwa iwo omwe amatisamalira. Pamene izi zichitika, tambani okondedwa anu pafupi ndi kupeza chithandizo. Gawo 4 magulu othandizira amalandira mamembala atsopano ndipo akumvetsa bwino mavuto anu. Lankhulani ndi dokotala ndi anamwino za momwe mumamvera ndikupempha thandizo. Angathe kulemba odwala matenda opatsirana pogonana, kukuthandizani kupeza gulu lothandizira , kapena kukulozerani kuchipatala chodziwitsira khalidwe kapena uphungu. Ngati muli ndi vuto la kugona, funsani gulu la yoga kapena yesetsani kugona bwino .
Zotsatira:
AJCC Buku Lophatikiza Khansa 6. Springer Verlag, New York, NY. 2002, masamba 223-240.
Matenda a kansa ya pachifuwa pamtunda. American Cancer Society. Zosinthidwa Kotsiriza: 06/11/2012.
Kuwonetseredwa kwa Epidemiology ndi End Results (SEER) Kuwerengera kafukufuku wa khansa. National Cancer Institute. SEER Stat Fact Sheets: Chifuwa, Kupulumuka & Gawo. November 2012.
Zotsatira za khansa ya m'mawere. Gawo IV. National Cancer Institute. Last Modified: 06/21/2012
Chizindikiro Chakumayambiriro kwa Khansa ya M'thupi Yamatenda. William Irvin, Jr, Hyman B. Muss, ndi Deborah K. Mayer. Oncologist . 2011; 16 (9): 1203-1214. Idasindikizidwa pa Intaneti pa August 31.
Kansa Ikubweranso. Masamba 584-597. Dr. Susan Love's Breast Book. Susan M. Love, MD Yachisanu, 2010.