Onani dokotala wanu ngati muli ndi kusintha kwa mawere
Pakati pa kudziyesa , mungayang'ane mitsempha kapena kusintha mthupi lanu. Ngakhale izi zingakhale zowopsya, nkofunika kumvetsetsa kuti sizitsamba zonse ndi khansa.
Komabe, ngati mutapeza mtanda, ndi kofunika kuti muwone dokotala mwamsanga. Izi zikhoza kukhala zovuta kudziwa ngati nthenda ili yoipa kapena yowopsya , ndipo nthawi zambiri njira yodziwiratu ndiyo kupyolera muyeso monga mammogram, ultrasound, MRI, kapena biopsy. kuchotsedwa ndi kuyang'ana pansi pa microscope).
Pali zambiri zomwe zimachititsa kuti thupi liziyenda bwino, zomwe zimatha kufanana ndi khansa ya m'mawere , ngakhale pamaphunziro ojambula zithunzi, choncho izi zingakhale zovuta kufikira mutapeza mayankho omwe mukufunikira.
Ngakhale mutakhala otanganidwa kuti mutenge zomwe zikuchitika mu bere lanu, kumbukirani kuti ngakhale panthawi yovuta kwambiri ya khansa ya m'mawere, zotupa zambiri zimatha kuchiritsidwa, makamaka zikapezeka msanga.
Tiyeni tiwone zochepa za mitundu yowonjezereka ya zilonda za m'mawere, osati zizindikiro zoopsa za khansa ya m'mawere.
Zomwe Zimayambira pa Chifuwa
Chifuwa cha m'mawere ndi chopweteketsa (sachedwa) chikwama chodzaza madzi chomwe chimakula mkati mwa minofu. Matumbo a pachifuwa ndi ofanana kwambiri ndipo sagwirizana kwambiri ndi khansa ya m'mawere. Amakonda kwambiri amayi omwe ali ndi zaka makumi anayi (40) omwe ali pa nthawi yoyamba (nthawi yomwe asanayambe kusamba pamene mayi ayamba kukhala ndi nthawi), koma akhoza kuchitika pa msinkhu uliwonse.
Kupangidwa kwa Chiberekero
Nthawi zambiri bere limakhala losalala komanso losalala. Mwa kuyankhula kwina, ngati mukukankhira pamsana, zidzakhala ndi zina, monga buluni yamadzi. Kuwonjezera apo, chifuwa cha m'mawere chingasunthike ndipo chingasinthe kukula kwake pa nthawi ya kusamba .
Matumbo amatha kukhala opweteka ngati ali aakulu ndipo akukakamiza pa malo amtundu.
Izi zikuti, mumangomva kapena kumva ululu kwa iwo asanakangoyamba kumene msambo.
Malo a Chifuwa cha Chifuwa
Matumbo amatha kukhala pafupi ndi pamwamba, kapena mkati mkati, pafupi ndi khoma lanu. Ngati mphukirayi ili pafupi ndi pamwamba, n'zosavuta kupeza komanso zosavuta kusiyanitsa ndi zina. Komabe, ngati zili mkatikati, zimakhala zovuta kuzisiyanitsa ndi mitundu ina ya mawere a m'mawere, chifukwa mukapitiriza kuyesetsa, mukuyesera kuti mugwire ntchito kudzera minofu ya m'mawere, yomwe ingakhale yowuma komanso yolimba.
Kuzindikira Chst
Nkhumba sizingathe kupezedwa ndi matenda a chifuwa cha feteleza kapena mammogram okha. M'malo mwake, dokotala akhoza kuyendetsa m'mawere a ultrasound, chifukwa mafunde akumveka amatha kudutsa muzitsulo zodzaza madzi, mosiyana ndi kubwezeretsa m'mimba. Pankhani ya zida zolimba, mayesero ochuluka, monga biopsy angafunike.
Pankhani ya chimbudzi chodzaza madzi, dokotala angathenso kutenga chitsanzo cha mpweya wamadzimadzi mwa kuchita bwino aspirin ndi syringe. Njirayi imachotsa madzimadzi mkati mwa chimbudzi. Ngati kansalu kameneka kamakhala ndi aspiration ndipo madzi amadzimadzi alibe magazi, izi ndizopweteka kwambiri. Siliva yopangira chifuwa cha m'mawere, ndikuti nthawi zambiri chimbudzi chimathetsa nthawi zonse pamene madzi amachoka, kuti musadandaule (ngakhale kuti zosavuta zimakhala zosavuta nthawi zonse).
Zomwe Zimayambira pa Zifupa za M'thupi
Matenda a fetus ndi amphuno abwino omwe amapezeka mwazidzidzidzi ndipo amapezeka mwa amayi omwe ali ndi zaka za m'ma 20 ndi 30, koma akhoza kuchitika pa msinkhu uliwonse. Ngakhale tizilombo toyambitsa matenda tizilombo toyambitsa matenda enieni, amachulukitsa chiopsezo cha amai kuti adziwe khansa ya m'mawere m'tsogolomu, pafupifupi nthawi imodzi ndi theka (kapena kuposa) kusiyana ndi mkazi yemwe alibe chifuwa chake.
Maonekedwe a Fibroadenoma ndi Malo
A fibroadenoma amamva ngati mimba ya m'mawere ndipo nthawi zambiri amakhala olimba. Kawirikawiri zimasunthira pansi pa khungu nthawi ya bere.
Mafibroadenomas nthawi zambiri amakhala pafupi ndi bere ndipo amatha kumva, ngakhale ena angakhale ochepa kuti asamveke.
Pachifukwa ichi, fibroadenoma ikhoza kupezeka pamtambo.
Matenda a Fibroadenoma ndi Chithandizo
Chinthu chofunika kwambiri kuti mupeze matenda a fibroadenoma; Komabe, ngakhale ndi chiwopsezo, dokotala wanu angakulimbikitseni kuchotsa fibroadenoma kukhala otsimikiza kuti palibe khansa ya m'mawere (ndipo ngati ilipo, kuti ichitire izo, ndithudi). Kuphatikiza pa lumpectomy, nthawi yowonjezereka yoperewera kwa mafuta nthawi zina amagwiritsidwa ntchito pochizira fibroadenoma. Palinso mankhwala ena a fibroadenoma komanso, ngakhale zambiri mwazogwiritsidwa ntchito mobwerezabwereza.
Zomwe Zimayambira Pamimba Zina za M'mimba
Pali zina zambiri zomwe zingayambitse zilonda zoopsa , zowopsa , kapena za khansa. Ena mwa awa ndi awa:
Ductal kapena Lobular Hyperplasia
Atypical lobular hyperplasia ndi atypical ductal hyperplasia ndizo zinthu zomwe zimaonedwa kuti ndizodziwika bwino. Mwa kuyankhula kwina, izi zouluka sizili khansara, koma kwambiri kuwonjezera chiopsezo kuti mutha kuyamba khansa ya m'mawere.
Lobular Carcinoma In Situ (LCIS) ndi Ductal Carcinoma In Situ (DCIS)
LCIS ndi DCIS ndi khansara, koma popeza kuti matumbowa sanagwedezeke kupyolera mu chinthu china chotchedwa "pansi pamimba," iwo sali osowa. (Gawo I mpaka IV la khansa ya m'mawere onse amaonedwa kuti ndi osavuta). Carcinoma in situ ikuonedwa ngati siteti 0 khansa.
Adenosis
Adenosis ndi chikhalidwe chochititsa manyazi chomwe chirikufutukula mu makondomu a m'mawere. Adenosis ikhoza kuyambitsa mtanda umene umamveka ngati khungu kapena chotupa ndipo nthawi zina zimakhala zovuta kusiyanitsa ndi khansara chifukwa nthawi zambiri zimayambitsa mawerengedwe a mammogram.
Phyllodes Tumors
Chotupa cha pachifuwa cha phyllodes ndi chotupa chosadziwika chomwe chingakhale choipa kapena choipa. Popeza kuti zilonda zotupa phyllodes zimakhala ndi chizoloŵezi chokhala zovulaza, zotupazi zimachitidwa mofanana. Ambiri amayamba ndi maselo otchedwa epithelial omwe amapanga khancinasi. Mosiyana ndi zimenezi, matenda a phyllodes amapezeka m'maselo a mesenchymal (maselo ofanana ndi maselo) ndipo zotupa zimakhala ziphuphu.
Papillomas Intraductal
Mapilisi am'thupi ndi mavotu omwe amayamba mu mkaka wa mkaka ndipo nthawi zambiri amadziwika ndi kupezeka kwa ntchentche. Ngakhale kuti zotupazi nthawi zambiri zimakhala zoipa, ngati zili ndi zigawo za atypical hyperplasia, zimakhala ndi chiopsezo chowonjezeka cha khansa.
Mafuta a Necrosis ndi Mazenera a Mafuta
Pamene mawere akuwonongeka ndi opaleshoni kapena kupwetekedwa mtima, minofu yambiri imatha. Mafuta a necrosis akhoza kuchitika omwe amawoneka ngati khungu lolimba, kapena m'malo mwake, mafuta osokoneza bongo angayambe. Mafuta a necrosis nthawi zina amawopsa ngati, kuonjezeranso, angayambitse kuyamwa kwa mimba ndi kumangirira khungu ndi khungu, zizindikiro zomwe amayi amaphunzitsidwa kuyang'anira pamene akudziyesa okha. Ngakhale pa PET kufufuza mafuta necrosis akhoza kutsanzira khansara, ndipo nthawi zina biopsy ndi yofunikira kuti mudziwe kusiyana kwake.
Mastitis
Matenda a m'mawere, mastitis nthawi zambiri amatsagana ndi wofiira, kutupa, ndi ululu. Nthawi zina zimakhala zovuta kusiyanitsa pakati pa mastitis ndi khansa yotupa ya m'mawere , yomwe nthawi zambiri imayamba ndi kufiira, kukoma mtima, ndi kuthamanga, osati mtanda.
Chitani Ectasia
Mankhwala a mammary ectasia ndi ovuta kwambiri omwe mazira amkaka amakhala otsekemera ndi kutupa, nthawi zambiri kumayambitsa kutuluka kwa imvi. Zingayambitse chotupa chaching'ono pansi pa msomali wanu, ndipo nthawizina chimapangitsa kuti mbozi ibwezeretsedwe mkati. Ambiri mwa amayi omwe ali pafupi ndi msinkhu wa kusamba.
Mipira Yambiri
Mipira yamoto ndi yachilendo yomwe ingakhale yowonongeka, yotetezeka, kapena khansa. Kawirikawiri sizimayambitsa mtanda umene mungamve koma ungawoneke ngati mtanda pa mammogram. Unyinji wokhudzana ndi ulusi wofiira pamimba nthawi zambiri umakhala wosochera ndipo ukhoza kusokonezeka mosavuta ndi khansara. Kafukufuku amafunika kwambiri, makamaka chifukwa maselo a khansa akhoza kusakanikirana ndi ulusi wautali.
Zina za kusintha kwa ubweya wa Benign
Lipomas kapena zina zotupa zowopsa zimaphatikizapo maatartomas , mawere a m'mawere , hemangiomas, adenomyoeptheliomas, ndi matenda a m'mimba amatha kuchitika.
Khansa ya Metastatic
Nthawi zambiri, metastases ya khansa m'madera ena a thupi, monga khansara ya coloni kapena khansara yamapapo, ikhoza kuyambitsa mkaka watsopano.
Zomwe Zimayambitsa Khansa ya M'bwere
Khansara ya m'mimba ndi nthenda yowopsya yomwe imapangidwa ndi maselo osakanikirana a minofu, ikukula m'njira yosayendetsedwa yomwe ingafalikire kumatenda kapena ziwalo zina.
Maonekedwe ndi malo a khansa ya m'mawere
Chotupa cha m'mawere chikhoza kukhala ndi mawonekedwe osasinthasintha (ngakhale nthawi zina akhoza kuzungulira) ndi malo owala, mofanana ndi mpira wa golf. Nthawi zambiri zimakhala zovuta kwambiri, ngati chidutswa cha karoti yaiwisi. Zingakhale zosasunthika pamtunda kudzipenda, koma popeza minofu imayendayenda, nthawi zina zimakhala zovuta kudziwa ngati mtanda ukuyenda kapena ngati minofu yathanzi ikuzungulira. Kawirikawiri kansa ya m'mawere imakhala yopweteka, ngakhale khansa ya m'mawere imatha kupweteka m'mawere , kotero kaya kapena kutsekemera kwa m'mawere sikungathe kutsimikizira kuti akudwala.
Khansara ya m'mimba ikhoza kukhala pafupi kapena mkatikati mwa bere, pafupi ndi khoma la chifuwa. Zitha kuchitika kumtunda, komwe kuli minofu ya m "mimba (" mchira "wa bere). Malo otchuka kwambiri ndi apamwamba, kunja kwa quadrant ya m'mawere, koma chotupa chingayambe kulikonse.
Matenda a khansa ya m'mawere ndi chithandizo
Kuyeza mawere ndi matenda enaake kungathandize kuchipatala, ngakhale kuti nthawi zina amafunika ultrasound kapena MRI. Ngakhale ndi maphunziro onse awa, zingakhale zovuta kudziŵa ngati mtanda uli wabwino kapena woipa. Nthawi zambiri zimakhala zofunikira kuti mudziwe zambiri zokhudza khungu ndipo ndiyo njira yokhayo yosiyanitsira khansara ndi osakhala ndi khansa. Pali njira zingapo zosiyana zogwiritsira ntchito chifuwa cha m'mawere, kuphatikizapo chingwe cha singano, chikhomo chachikulu, kapena chiwonetsero chotseguka, ndipo njira yabwino imadalira malo a chotupacho ndi zina zambiri.
Chithandizo cha khansa ya m'mawere chimadalira pazomwe amadziwidwa. Kuphatikiza pa opaleshoni, mankhwalawa angaphatikizepo mankhwala a chemotherapy, mankhwala a mahomoni, mankhwala opatsirana pogwiritsa ntchito ma radiation, mankhwala othandizira, kapena mankhwala atsopano omwe akuphunziridwa m'mayesero a zamankhwala.
Mawu Ochokera
Pamapeto pake, chifuwa cha m'mawere chokha chingathe kusiyanitsa pakati pa khansara kapena chifuwa chokhudzana ndi chifuwa cha bere kapena chotupa. Komanso, ndizofunika kuzindikira kuti matenda enaake omwe amawopsa kwambiri-monga mapilisi kapena atypical hyperplasia-akhoza kuonjezera chiopsezo cha amayi cha khansa ya m'mawere m'tsogolomu.
> Zotsatira:
> Larribe, M., Thomassin-Piana, J., ndi A. Jalaguier-Coudray. Khansa ya m'mawere ndi Mapulaneti Ozungulira: Mgwirizano pakati pa Kujambula ndi Matenda Achilengedwe. Kujambula ndi Kujambula Kwapakati . 2014. 95 (1): 37-46.
> Lehman, C., Lee, A., ndi C. Lee. https://www.ncbi.nlm.nih.gov/pubmed/25341156. AJR American Journal ya Roentgenology . 2014. 203 (5): 1142-53.
> Valeur, N., Rahbar, H., ndi T. Chapman. Masewera a Mankhwala Masamba Achifuwa: Chochita ndi Mapumphi ndi Mabomba. Mafilimu a zamankhwala . 2015. 45 (11): 1584-99.