Kana iwe wakanga uine mazamu emvere uye wakanzi iwe une atypical lobular hyperplasia, iwe unogona kunge wakanetseka. Izvi zvinorevei? Ndicho kenza yemazamu here? Ngatitarise kuti chii chaicho chinoratidzirwa chinorevei, ndezvipi zvirongwa zvekurapa zviripo, uye zvaunotarisira mune remangwana.
Overview
Atypical lobular hyperplasia (ALH) haisi kenza yemazamu , asi inofungidzirwa kuti haina ngozi.
Chiremba wako anogonawo kutaura nezvechiitiko ichi se "chirwere chinowedzera chifuva." Atypical lobular hyperplasia inowanikwa mumasero epithelial akonzera mukaka lobes, achiita masero akawanda kupfuura aizowedzera ipapo. Zvimwe zvemasero aya hazvina kumira mumamiriro uye zvakakura, saka zvinonzi atypical. Kazhinji, ruvara rwakatsetseka nemamwe masero emasero akafanana, asi mu lobular hyperplasia kunogona kuva nezvikamu zvakasiyana zvemasero. Izvi zvakafanana neatypical ductal hyperplasia .
Kuongororwa kweatypical lobular hyperplasia zvinoreva kuti njodzi yako yehupenyu yekukurira kenza yemazamu inokwana 4 kusvika ku5 panjodzi inowanikwa. Majini etypical lobular haana kushamisa uye ane mikana yekuita se lobular carcinoma in situ (LCIS), rudzi rwekenza yevasina kunini. Iwe unoda kuve wakangwarira nezvehutano hwako hwepamuviri , uye zvichida unogona kuva nehadzi reMRI pamwe chete nemakore ako ekuongorora mammogram .
Vakadzi vari pakati pemakore makumi mashanu nemakumi mashanu nemakumi mashanu nemaserepia hyperplasia vane njodzi yakanyanya yekusangana nekenza yebonde.
ALH inonziwo lobular hyperplasia neAyypia, mammary atypical lobular hyperplasia, epithelial atypical hyperplasia kana chirwere chepachifu chinowedzera.
Zviratidzo nezviratidzo
Atypical lobular hyperplasia haibvumiri chero zviratidzo zvinoshamisa.
Inowanzowanikwa pane chiitiko chekuongorora mammogram. Mune zvimwe zviitiko, atypical lobular hyperplasia inogona kukonzera kurwadziwa kwepamu . Apo hyperplasia inoratidzira pane mammogram kana ultrasound, sampu inoshandiswa inogona kutorwa kuti iwane zvakajeka kuongororwa.
Kuziva
Iwe unogona kunge usingadi zvose izvi kuongororwa, asi mamwe mafungiro uye sampu yekunyanya kudikanwa ichadiwa kuti uwane zvakajeka kuongororwa.
- Mammogram - ALH inoratidzika seboka rema microcalcifications pane mammogram
- Ultrasound - Chifuva che ultrasound chinoshandisa mazai ane mutsindo kuti aratidze mapoka e-microcalcifications
- Core Needle Biopsy
- Stereotactic Biopsy
Zvakaoma kufanotaura kuti zviitiko zvei atypical lobular hyperplasia zvicharamba zvakashata uye zvinogona kuva zvakaipa, uye vanachiremba vanogona kusawirirana pane zvaunosarudza mushure mekunge uongororwa. Vanhu vazhinji vanongoda kuwedzera kuongororwa mammograms uye / kana mazamu eMMIsiti kuchengeta nhamba yekuchinja kupi zvako.
Vamwe vanhu vangaita sarudzo yekusagadzikana kuti vabvise mishonga inoshungurudza. Kana iwe uine mhuri yekamuti kana kenza yemuviri, kana kuti iwe une BRCA gene mutation, iwe uchada kuenzanisa izvo mukati mako nemishonga yako yekurapa. Nehutano hwemhuri yekenza yepazamu uye / kana kuchinja kwejena, kazhinji kazhinji kwakanakisisa kuongororodza mazano emagetsi. Gene kuedza ichiri muchecheche, uye pane zvakawanda zvakasara kudzidza pamusoro pezvinobvira mazita ekuberekwa kwekenza kune kenza yemvere.
Mupi wezano wakanaka anogona kukubatsira zvikuru nekutsvaga kese yekenza yemhuri yako nhoroondo (somuenzaniso, nhoroondo yekenza yepancreatic inomutsa mukana wekuti une BRCA2 gene mutation) uye inogona kuva rubatsiro kukutungamirira pane chero zvisarudzo zvaunoita.
Mishonga
Vakadzi vane ALH vanofanira kurayirwa kurega kutora chirongwa chekudzivirira pamuviri, kudzivisa hormone replacement therapy. Izvo zvose chirongwa chekuberekwa kwepiritsi nehomoni chinoshandiswa kurapwa chinogona kuwedzera mungozi yako yekukura nekenza yemazamu.
Kuita mararamiro akakodzera uye kuchinja kwezvokudya zvinogona kuderedza ngozi yavo yekenza yemazamu (somuenzaniso, kudya kudya kwakapfuma mumichero nemiriwo, hove, uye mafuta omuorivhi uye kubatanidzwa nguva dzose mazuva mashanu pavhiki) kunokosha zvakare.
Vanofanira kukurudzirwa kuona nyanzvi iyo inogona kuverenga ngozi yavo yekuva nekenza yevasasa inoputika vachishandisa muenzaniso weGail. Zvikomborero uye njodzi dzinofanira kuongororwa zvakakodzera uye, kudzivirira kudzivirira kushandisa tamoxifen kana raloxifene, inogona kukurudzirwa kune vamwe vakadzi.
Kana ALH inowanikwa nenheyo yengano inonyanya kushandiswa kunofanirwa kuitwa kuti irege kuderedzwa kwehutachiona.
Kutsungirira
Vanenge mumwe chete pavakadzi vose 25 vanozoonekwa kuti vane atypical hyperplasia, kana mumukaka wavo wemukaka kana kuti mazamu lobes. Vanenge makumi maviri kubva muzana zvevakadzi ava vanogona kukura lobular carcinoma in situ kana invasive lobular carcinoma mukati pemakore gumi nemashanu mushure mekunge vaongororwa.
Shoko Rinobva
Kana iwe ukaonekwa kuti une atypical lobular hyperplasia, ita zvaunogona kuita kuderedza dambudziko rako rekuita kenza yepamu. Ona munhu ane chikafu chekudya uye upe chirongwa chekudya chine utano. Tarisa uremu hwako, ramba uchinwa doro kushandiswa uye usasvuta. Tsvaga kuongorora nguva dzose. Tora nguva yekudzidza nezvengozi. Semuenzaniso, vakadzi vakawanda havazivi kuti kushandisa piritsi yekuberekwa kunokonzera kenza yepabonde. Kuwedzera hakusi kwakakwirira, asi kune mumwe munhu anenge atova nengozi yakawanda, inokosha zvechokwadi.
Tora nguva yekudzidza pamusoro pemakakatanwa nemammograms uye kuongororwa. Isu hatina kenza yakakwana yekuongorora kenza panguva ino. Mammograms anokwanisa kurasikirwa nekenza, uye zvinokonzera kumira kwenhema. Chirwere MRIs iri kuve kuda kuva nehanya nehutano kune avo vari kuwedzerwa njodzi yechirwere ichi chinofanira kuonekwa zviri nani.
> Sources:
> America Cancer Society. Hyperplasia ye Breast (Ductal kana Lobular). Updated 09/20/17. https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/hyperplasia-of-the-breast-ductal-or-lobular.html
> Racz, J., uye A. Anodemba. Ndeapi Apo Atypical Ductal Hyperplasia Inoda Kushandiswa Kunotsvakurudza? . Mapiritsi Anopikisa Inocology eNorth America . 2018. 27 (1): 23-32.