Zviratidzo, Kuongororwa, uye Kurapa
Kana iwe wakaziviswa kuti une "atypical ductal hyperplasia" izvi zvinorevei? Inokonzera njodzi yekuve nekenza yepema here kana kuti ingadai yakatova kenza yemazamu here? Ndezvipi matanho anotevera, uye anobatwa sei?
Overview
Atypical ductal hyperplasia (ADH) haisi kenza yemazamu asi inofungidzirwa kuti haina ngozi . Atypical ductal hyperplasia inoratidza kuti kune mamwe masero anokonzera duct kupfuura inowanzove aripo, uye mamwe emasero aya haasi ejairika kana kuti "anowanzo" -awo asingagadziri muchimiro uye nekukura.
Kazhinji, mukaka wemukati unobatanidzwa nechimwe chetatu chemasero akafanana, asi mune ductal hyperplasia, pangava nematanda akawanda emasero.
Izvi zvakafanana neatypical lobular hyperplasia , asi atypical lobular hyperplasia inosanganisira masero epithelial ayo anokonzera makanda echifu panzvimbo pemukaka wemukaka.
Atypical ductal hyperplasia inogonawo kunzi mammary atypical ductal hyperplasia, epithelial atypical hyperplasia, intraductal hyperplasia neatypia, kana kenza yepamu inowedzera.
Dambudziko reBeast Cancer
Kana wakamboonekwa kuti une atypical ductal hyperplasia, njodzi yako yekudzivirira kenza yemazamu inokwana mana kusvika ku5 inowanzosangana nematambudziko eupenyu. Maitiro eAtypical haana kushamisa uye ane mikana yakawanda yekukura kuva kenza yevasinvasive yemazamu, zvakadai se ductal carcinoma in situ (DCIS).
Zvinogona kuva zvinotyisa kunzwa kuti une chimiro chinomutsa dambudziko rekenza yepamu.
Izvo zvinogona kubatsira kuchengeta mupfungwa kuti kuchinja kwemuzamu wako kuchiri kuchinja kusina kuchinja, uye kunyange kana izvi zvichishanduka zvichifambira mberi kusvika kucarcinoma, kuwedzera kwemafuro kunofanira kuva pedyo nezana nezana. Ductal carcinoma in situ (kana danho 0 kenza yepamu) haina kumboparadzira kupfuura chimwe chinhu chinonzi "chikamu chepasi" uye nokuda kwechikonzero ichocho hachisati chaonekwa sechirwere chisingaiti.
Izvi zviri nyore kutaura pane kukunda uye zvakakosha kuva nekukurukurirana kwakanyatsogadzikana nachiremba wako pamusoro pezvakanaka uye kubvisa kubvisa chero nzvimbo dzeyayispiki hyperplasia muzamu rako.
Zviratidzo Uye Zviratidzo
Atypical ductal hyperplasia kazhinji haibvumiri chero zviratidzo zvinoshamisa. Inowanzowanikwa apo bhiopsy yakaitwa kuti iongorore chirwere chechifuva chechifuva kana nzvimbo yekuderera muzamu. Kazhinji, inypical ductal hyperplasia inogona kukonzera kurwadziwa kwepamu . Hyperplasia inogona kuratidzirwa nekuwana pane mammogram kana ultrasound, asi sampu inoshandiswa inodiwa (biopsy) kuwana pachena kuongororwa.
Miedzo Yakashandiswa Kuongororodza ADH
Miedzo inogona kuratidzira kuti ADH aripo kana kuti kusimbisa kuongororwa kunosanganisira:
- Mammography - ADH kazhinji inowanzoonekwa semuenzaniso wekuverenga pane mammogram .
- Ultrasound - An ultrasound inoshandisa kutinhira mazaya kuongorora kuonekwa kweganda kana kuoma mukati memazamu uye inogonawo kuratidza kuverenga.
- Ductal Lavage - Mune ductal lavage, mazamu emazamu anodonhedzwa kuburikidza nemucheka kuburikidza netsika yekutsvaira. Pasi pe microscope, mamwe emasero aya angaita seasypical.
- Brep Biopsy - Chirwere chekuongorora chetypical ductal hyperplasia ndechekufukidzira mazamu. Kusiyana nedharaal lavage iyo inogona kuwana masero anonyangadza, chifuva chechipfuva chinobvumirawo chiremba wako kuti asarudze nzvimbo yemasero iwayo. Muenzaniso unogona kuwanika neine nheyo yechipfuva bhiopsy (netare yekugara kwechibiyasi panguva ye ultrasound) kana nechirwere chinotanga kuvhara chifuva .
Kutevera-Kutevera Mushure Mokuziva
Sezvo zvakaoma zvikuru kufanotaura kana atypical ductal hyperplasia icharamba ichinetseka (isina kenza) uye kana ichangova yakaipa (kanzira), une zvimwe zvekugadzirisa mushure mokunge uongororwa. Vanhu vazhinji vachasarudza kuwedzera kuongororwa mammograms chete, kuchengetedza mamiriro ekuchinja kupi zvako. Kuongorora kwakaitwa nevachechi vekuKorea muna 2008 vakawana kuti zvishoma zvishoma kwehafu yevakadzi vose vakawanikwa vane ADH vakagadzira kenza yepamu. Vakadzi vaikwanisa kuenderera mberi kukura kenza yepamu vaiva pasi pemakore makumi mashanu, vaine mikana yakawandisa pamakumbo avo, mashoma mashoma kupfuura 15 mm (1.5 cm kana zvishoma zviduku kupfuura inch in diameter), uye bundu rinogona kuwanikwa kuburikidza (bundu rinopisa).
Vamwe vanhu vangasarudza aigona kusarudza chirongwa chekuvhiya mazamu kuti abvise mishonga inoshungurudza.
Mishonga
Kana uchinge waonekwa kuti une ADH, uchabvunzwa kuti uite sarudzo pane zvaunofanira kuita. Zvaunosarudza panguva iyoyo zvinosanganisira:
Kurinda kumirira - Kazhinji vanachiremba vacharayira vakadzi kuti vatore "kumirira uye vaone" kusvika kune atypical ductal hyperplasia. Nzira inofambisa iyi nzira ndeyokuti inenge hafu yevakadzi vane ADH havazoenderera mberi kukura kenza yemvere, uye kubviswa kunogona kuunza njodzi isina kukodzera.
Kurapa kwekuvhiya - Kune avo vari pangozi yakakura yekutariswa nekenza yepazamu, kana kunzwa kunetseka zvikuru uye kunetseka pamusoro pekuwana kwaAdH, kurapwa kwekuvhiya zvechokwadi inosarudzwa. Vamwe vanhu vanopokana kuti kunyange avo vasina ADH avo vari pangozi yekenza yemazamu dzimwe nguva vane chirwere chekudzivirira. Apo kuvhiyiwa kunogona kuva sarudzo iri nani kune avo vari pangozi-somuenzaniso, avo vanopfuura makumi mashanu, vane zviremara zvakakura kana zviremara zvinogona kunzwika pakuongorora, kana kuti nezvimwe zvipingamupinyi-zvakajeka kune avo vasina izvi zvinokonzera ngozi.
Zvokuvhiya zvinogona kusanganisira:
- Ultrasound-Kutungamirirwa, Kuvhara-Kubatsiridzwa Kusarudzwa - Kuvhara-kubatsirwa kushamiswa inzira inenge isingaiti yekusunungura nzvimbo inopindira yemaviri. Ichi hachisi chakanaka kune munhu wose.
- Lumpectomy - Lumpectomy inosanganisira kubvisa mavara ane nzvimbo dzisina masero uye mamwe mazamu akakomberedzwa kuitira kubatsira kudzivisa kudzokorora.
- Mastectomy - Vamwe vakadzi vane nzvimbo dzeatypical ductal hyperplasia dzinopararira mukati mavo mazamu (kana kuti zvose mazamu.) Kana izvi zvikaitika mukadzi angasarudza kuva nemastectomi kubvisa zvose zvingave zvisingawanzorevi mazamu.
Prognosis
Vanenge mumwe chete pavakadzi vose 25 vanozoonekwa kuti vane atypical hyperplasia-kana mumukaka wavo wemukaka kana mazamu lobes. Panenge imwe yevashanu kuvakadzi ava vachava nekenza yepamusoro isina kumira mumakore gumi nemashanu mushure mekunge vatsva.
Pasi Pasi
Chisarudzo chekutarisa nekumirira nemammograms kana kuti nzvimbo yezamu rako neatypical ductal hyperplasia yakabviswa ishamwari.
Pasinei nokuti iwe unosarudza "kutarira uye kuona" kana kuti nzvimbo yekushungurudza mukati mako yakabviswa, kenza yemazamu inogara yakawanda kwazvo kuvakadzi. Vatsvakurudzi vakati nguva dzinonetsa dzakadai seizvi-kuwana kuti une atypical ductal hyperplasia-mukana wakanaka wekudzikisa ngozi yako yehutano huzhinji. Kana wakamboonekwa kuti une ADH, iyi inogona kuva nguva yakanaka yekuvandudza hutano hwako hwose neyekudya zvekare , nguva dzose yekurovedza muviri, kuderedza kushushikana kwemazinga, uye nguva dzose mazamu ezvidzidzo uye kuongorora.
Sources:
Kuerer, H. Ductal Carcinoma in Situ: Chirwere kana Active Monitoring. Ongororo Ongororo muAnticancer Therapy . 2015. 15 (7): 777-85.
Mastropasqua, M., naG. Viale. Clinical and Pathological Assessment ye High-Risk Ductal uye Lobular Breast Weed: Ndeapi Vanachiremba Vanofanira Kuziva. European Journal of Oncology Surgery. 2016 Aug. (Epub mberi kwekudhinda).