Breast Cancer Treatment

Chirwere cheKenza Chirwere uye Kuwanazve

Mibvunzo miviri inowanzobvunzwa nemumwe munhu anonzi ane kenza yemazamu-ingava devovo kana sekudzokorora- "Iropi kurapwa kwandinoda?" Uye "Kusvikira rini kurapwa kwangu nekudzoka kunotora?" Mibvunzo iyi inoda kupindurwa mberi murwere anogona kuita zvisarudzo pamusoro pekugadzirisa basa nemabasa emhuri munguva yekushanda nekushanda kwenguva.

Kurapa uye Kuwanazve

Kunyange zvazvo murwere achigona kupiwa kuongororwa kwehutano hwemazuva ose hutapwa huripo, pane zvinhu zvakawanda zvinogona kukanganisa mhinduro yomunhu kune kurapwa uye kugadzirisa muviri-yakawandisa kupa nguva yakajeka.

Pakutanga-kutangira kenza yepabonde yepabonde kunogona kutora mwedzi, kana kwete kwenguva yakareba, zvichienderana neurongwa hwekurapa.

Nguva yekudzorera inobva kune marudzi emarapirwo uye nemigumisiro yemishonga iyoyo. Nepo kune zvipatara zvakakwana zvekenza yepazamu, kurapwa uye nguva yekugadzirisa ichasiyana kubva kune varwere kusvika kune murwere zvichienderana nesiteji chekenza yepamu panguva yekuongororwa. Pamberi pemishonga isati yatanga, kenza yemazamu inoda kuve yakagadzirwa kuitira kuti chirongwa chekurapa chinongogadzirwa chinyatsogadzirwa.

• Zvaunotarisira Kana Iwe Unoda Lumpectomy Kuti Uite Kanzera Yemazamu

• Mafuta Anopisa Angave Sirivha Kuvhara Kwechirwere cheKenza Chirwere

Kurwisa Kanzvadzi yeKenza

Mushure mekunge kuongororwa kwekenza yemazamu kunosimbiswa, inguva yekuziva kana yakapararira uye, kana yakaita, yakareba zvakadini. Iyi nzira inotsanangurwa sekugadzira. Kuisa kenza yemazamu ndiko kunokosha, kwete mukugadzirisa nzira yakanakisisa yokurapa asiwo pakuongorora kubudirira kwekurapa.

Mimwe miedzo inogona kudiwa kuti ione danho rekenza yemazamu, kusanganisira asi isingatarisirwi pachipfuva x-ray, kuongorora, uye neropa basa. Izvi zvinowedzerawo nguva yakawanda muchitsauko chisati charapa.

Pose apo miedzo yose inongororwa, kenza inogona kugadzirwa. Chikwata chekenza yepamu inoreva chirwere chemukati, icho chisina kupararira kunze kwenzvimbo iyo yakatanga kupararira pedyo nechembere.

Matanho I kuburikidza ne IV ndiwo kanzura dzakapararira.

Zvimwe zvezvikamu zvinoratidza zvishoma-zvishoma uchishandisa tsamba A, B, uye C. Nhamba yepamusoro yero nhamba, kenza shomanana inopararira. Mumutsara, tsamba yekare inoreva nzvimbo iri nani. Makondombera eropa ane zvikamu zvakafanana zvinowanzobatwa zvakafanana.

Kana kenza yacho isati yasvika, murwere anogona kutanga mishonga inogona kusanganisira imwechete kana yakawanda pane inotevera:

1. Kuvhiya kunowanzowanzo chikamu cherongwa hwekenza yekurapa kwekenza, pamwe nesarudzo dzinosanganisira:
   • Lumpectomy. Izvi zvinoonekwa sechechi-kuchengetedza chirwere. Icho kubviswa kwechirwere chekenza uye mharaunda yakakomberedzwa yemaviri. Iyo inowanzokurudzirwa kuvarwere vane chirwere chepabonde kare. Izvozvi kuvhiyiwa kune imwe nzira-yezuva, inowanzoitwa mune imwe nzvimbo yekuvhiya. Nguva yekudzorera inotevera kuvhiyiwa uku pasina zvinetso, zvakadai sekuve nekugadziriswa zvakare kuzarura nzvimbo yekuvhiya uye kubvisa mimwe michina yekuchengetedza margins akachena, inofungidzirwa kuti inotora nguva yemazuva mashanu kusvikira kune manomwe.
   • Mastectomy. Kuvhiyiwa uku kunosanganisira kubvisa zvose zvezamu. Nguva yekudzorera inobva pane kana murwere achida zviri nyore kana kuchinjwa radical mastectomy. A bi-lateral mastectomy inosanganisira kubviswa kwezvese mazamu. Chirwere chinowanzoita kuti mazuva maviri echipatara arambe achivhara chero matambudziko. Kana mukadzi akasarudza kuva nekukurumidza kuvakazve, izvi zvinogonawo kumubata nguva yekudzikinura. Mastectomy iri nyore uye isina matambudziko kana kuvakwa kwezamu ine nguva yekudzikinura kwevhiki rimwe kana ina.
   • Breast Reconstruction. Ichi ndiko kuvhiyiwa kuvaka chifuva chetsva kuti chigadzirise icho chinenge chichibviswa. Inogona kuitwa pakarepo mushure mokunge bhuru richibviswa kana kuitwa sekuvhiyiwa kwakasiyana pane imwe nguva inotevera. Iyo yakaoma kunzwisisa iyo nzira icharaira nguva yekudzorera sezvinozoita chero upi noupi hwekuvhiyiwa kushungurudzwa. Zvichienderana nerudzi rwekuvakazve kuvaka chifuva chitsva, zvinogona kusanganisira zvinopfuura kuvhiya imwechete kupedzisa chirongwa chacho. Uyewo, kana murwere achida kurapwa kwemazuva, kuvakazve kunogona kunonoka kusvikira kurapwa kwemaawa uye nguva yekudzikinura yapera.

1. Radiation Therapy inoshandisa simba-ray x-rays kana mamwe mavara emagetsi kuti vauraye masero emukenza kana kuti vasachengetedze kukura. Dhiyabhorosi inonzi kunze kwemahara inoshandisa mimwe kunze kwemashizha kuti ifukidze mazamu. Mishonga inopedza mavhiki matanhatu kusvika manomwe. Miviri inopinza inoshandisa chinhu chinonzi radioactive chakaiswa chisina, mbesa, waya, kana catheter uye inoshandiswa zvakananga muzamu. Izvi zvinogona kutora zvishoma semazuva mashanu apo vamwe vanozotora kusvika mavhiki matatu kuti vapedzise.
2. Chemotherapy inoshandisa zvinodhaka kumira kukura kwekenza masero kana kuuraya masero emukenza. Inogona kupiwa mumuromo kana mukati mutsva. Iro chirongwa chetsika uye chinogona kukanganisa muviri wose unokonzera madhara. Chiremba wezvokurapa inocologist achakurudzira kushandisa chemotherapy kubva pachigadziko chechirwere uye maitiro echiremera. Chemotherapy inowanzopiwa mavhiki maviri kusvika matatu matatu kwemwedzi mitatu kusvika kumitanhatu. Nguva yekudzoka inopesana uye varwere vanokurudzirwa kuronga kwemwedzi mitatu kusvika kumwedzi yekudzikinura nguva-mushure mekupedza kurapwa kwechikamu chimwe nechimwe chemotherapy.

1. Targeted Therapy inoshandisa zvinodhaka kurwisa kenza yemasero pasina kukuvadza masero anowanzoitika. Iyi mishonga inoshanda nekutsvaga kuchinja kwekenza masero inoita kuti vakwanise kubva pamasero akajairika, kunyange kushanda pane dzimwe nguva apo chemotherapy inotadza kushanda. Vanowanzova nemigumisiro yakawandisa kupfuura chemotherapy mishonga. Nguva yekudzorera ichasiyana.
2. Hormone Therapy inopedza kana kuti inomisa kukura kwemamota ane utachiona hunovhara simba remuviri yekubudisa mahomoni kana kupindira nemagadziro ehomoni. Apo utachiona hweHommone hunoshandiswa kuderedza chiitiko chekudzoka kwekenza yepamusoro shure kwekupedzwa kwekushanda kwakasimba, inotorwa mufomu yemapiritsi zuva rega kwemakore mashanu kana kupfuura.

Metastatic Breast Cancer

Chirwere chematenda cheMetastatic chinoshandiswa zvakasiyana nechepakutanga chikwata chekenza. Mastrasetic Metastatic, kenza yemuStart IV, yakapararira kune nhengo dziri kure, dzakadai sefupa, uropi, mapapu, uye chiropa. Inenge 6 kubva muzana kusvika ku10 muzana yevatsva vatsva inonzi metastatic pavanotanga kuonekwa kuti vane kenza yemazamu. Chirwere chematenda cheMastastatic chichagara ichifanira kurapwa.

• Kuchengetedza Mwoyo Wako Kubva Mirizhonga Yakasarudzwa neBritain-Breed Cancer

• Inguva Yakareba Kurapa Kenza Kwechirwere Ichatora Sei?

Mishonga ndeyekuchengetedza mararamiro akanaka ehupenyu kune murwere nekuwedzerwa hupenyu kwenguva yakareba sezvazvinogona.

Emotional Recovery

Kunyange zvazvo zvingave zvichikwanisa kuisa nguva pane zvimwe zvinhu zvekugadzirisa muviri, zvakafanana hazvisizvo zvekugadzirisa mupfungwa kunoda kuitika shure kwekuongororwa kwekenza yengamu. Izvi zvinonyanya kukosha nemwedzi yadzo yekurapa kwepanyama uye yekunetseka.

Kunyange zvazvo kune hurombo mukupedzisa kurapwa, kune manzwiro anoda kuporeswa. Manzwiro ekutsamwa, kusuruvara, kuzvidya mwoyo, uye kurasikirwa nekuzvivimba kwekenza nekenza yebonde hazvisi zvisizvo. Iko kunewo kutya chaiyo kwekudzoka zvakare. Kuchinja mumufananidzo wemuviri kunogona kuitawo kuti kuderera kwechimiro chemufananidzo uye hukama hwepedyo huve hwakasiyana pashure pokurapa. Kugamuchira chii chiri "chitsva chekare" chinetso uye chinotora nguva.

Vadiwa neshamwari vangangowedzera kuremera kune avo vanorwara kubva mucheche yepamu. Vanokwanisa kutarisira varwere kudzokera kune avo vekare nguva pfupi mushure mekunge kurapwa kwapera. Ichi ndicho chinotarisirwa kutarisira. Iko kunofanirwa kuva nenguva yekugadzirisa inotevera kuguma kwekushanda kwakasimba; haigoni kukurumidza. Zvisinei, inogona kuitwa nyore.

Kurapa kana kubatana neboka rekusimbisa kurapwa kunogona kuderedza kusagadzikana kwepfungwa kwekuve nekenza yemazamu. Inogona kubatsirawo nekushandura kuupenyu semupone. Sezvo pasina vanhu vaviri vanoona kenza yemazamu nenzira yakafanana, zvinokosha kuziva ne-kwete kuenzanisa-zviitiko zvekenza zvevamwe kune boka rinotsigira.

Shoko Rinobva

Kana kurapwa kwekambani yepabonde chepabonde chepabonde i-lumpectomi inotevera neradio inorapwa, zvinokwanisika kuchengetedza basa rinowanzoitika. Kudzokera kubasa kunogona kuitika mazuva mashoma mushure mekuvhiyiwa. Shanda panguva yekurapa kwemaawa, iyo inowanzovera mavhiki mashoma mushure mekuvhiyiwa, inogona kuitwa nekugadzirisa kurapwa usati watanga zuva rebasa kana mushure mezuva rebasa. Mishonga inokonzerwa nemigumisiro-iyo huru yechirungu, ineta, haisi kuiswa kusvikira mushure mokurapa kwakasiyana-siyana.

Varwere, vachirasikirwa nekemotherapy kana chirwere chinotarirwa vanogona kuwana kuti vanogona kutarisira purogiramu yebasa shoma kana vachibvumirwa kushanda kubva kumba. Kuwana kuburikidza nemishonga zviri nyore nekusigirwa kweshamwari nemhuri. Kutora "nguva yekubuda" kubva pane zvose zvinokonzera kenza yepamu, yakadai sekudya kwemasikati neine shamwari, kutenga, kana kuti firimu inotora nzira yakareba yekusimudzira mweya.

> Sources:

> America Cancer Society. Targeted Therapy. Ongororo Yokupedzisira Yezvechiremba: 09/25/2014, Last Revised: 05/04/2016

> National Cancer Institute. Chemotherapy. Yakatumirwa : April 29, 2015

> National Cancer Institute. Hormone Therapy. Yakadzokororwa: August 2, 2012