Iko rudzi rusingawaniki rwekenza yebonde rinoshanduka mumutsara kana asola
Chirwere chepaget chemukoko kana chifuva chirwere chisingawaniki chekenza yemazamu inogona kuitika kune vakadzi nevarume. Inosanganisira mbambo uye ganda rakasviba rakakomberedza, rinonzi isola, uye rinowanzoratidza kuvepo kweimwe kenza yepamu mukati mukati memucheche. Izvi zvinotapira mazamu zvinogona kuva ductal carcinoma in situ kana kushaya kenza yemazamu. Zviratidzo zvinowanzosanganisira scaly, tsvuku, ruzivo ruvara uye isola.
Ndezvipi zvakafanana zvirwere zvePaget zveNipple?
Iga 1 kusvika ku4 muzana yezvose zvinokonzerwa nekenza yemazamu inosanganisira Paget's disease yezamu, uye maitiro akawanda anowanikwa mumadzimai evanhu vane marwadzo , asi anogonawo kuonekwa muvechiri kuyaruka uye vakwegura.
Chirwere chacho chinonzi Sir James Paget, chiremba weBritish kubva kuma1800s akabudisa nyaya pamusoro pekubatana pakati pekuchinja mumuchiri uye pasi pekenza yebonde .
Kune Nguva Dzose Rimwe Rakananga Kanzera Here?
Muzviitiko zvishomanana zvechirwere chePaget, hapana kenza yepabonde iri pasi, kana kana bundu riripo, harina kufanana nechirwere chiri mumuchiri. Vatsvakurudzi vanoratidza kuti mumatambudziko iwayo, masero echeputi anogadziriswa angangoshanduka kuchinja sekenza masero.
Kunyange zvakadaro, ruzhinji rwevanhu vane chirwere chePaget chemukoti vane kenza yemusasa inoputika kana ductal carcinoma in situ (DCIS). Vatsvakurudzi vanotenda kuti kenza dzemasera dzinogona kufamba kubva mumarara uye dzinofamba-famba kuburikidza nemukati wemukaka, umo dzinopinda mukoti uye ariola.
Mavhumbu ezvepamuviri anowanzowanikwa muhunyu imwechete iyo ine chirwere chePaget.
Zviratidzo nezviratidzo zvePaget Zvirwere zveNipple
- Tsvuku, ganda, gusty, uye / kana mbambo yakatsva uye / kana isola
- Kunyatsotsamwa kweganda
- Kugadzira mucheche weganda
- Utchiness husingaiti pane zvisikwa
- Ganda rakanyanya kunyanya pamusana
- Kupisa kana kuti kurwadza kweganda
- Kusviba kana kubuda ropa kunobva mumukoko (kwete mukaka)
- N itrale retraction (kana inosvika mukati mazamu / flattens)
- Chifupa chepfu pasi peganda rakaputika
Kuongorora zvirwere zvePaget
Kana uri kutarisana nechimwe chezviratidzo nezviratidzo izvi, tarisa unyanzvi hwehutano. Kuongorora chirwere chePaget kunosanganisira matanho anotevera:
- Kuongorora mumuviri weiyo uye chifuva. Kusvikira makumi mashanu kubva muzana yevanhu vane chirwere chePaget chemukoti vane bundu rinenge rave rinonzwa pamakiriniki ekuongorora.
- Bhoopsy uye chirwere chemukoko kana isola, iyo inogona kusanganisira imwe yeiyi inotevera: Mhuka inonzi biopsy (masero anonyatsoputirwa kubva pamusoro peganda), kuveura ndebvu (yepamusoro peganda rinobviswa), kurova bhiopsy (disk- chimiro chakaumbwa chemiviri chinobviswa nechitenderedzwa chekucheka chigadziko), kana wedge biopsy (duku duku remashizha rinobviswa neecalpel).
- Mammography, ultrasound, uye / kana MRI kuwana zvifananidzo zvezamu uye kunyorera nzvimbo dzinofunganya / zvinogona kuitika mumakumbo.
Kurapa Matwere aPaget
Kurapa kwechirwere chePaget kunoenderana nekukura uye chigadziko chekenza. Mishonga inowanzozivikanwa ndeyikuti:
- Mastectomy kana tumarara inowanikwa mukati memvere
- Sentinel lymph node biopsy, iyo inosarudza kuti kana kwete chekenza yakapararira kune lymph nodes
- Chemotherapy kana hormonal therapy, zvichienderana nesiteji chemuviri uye zvimwe zvikamu zvekenza
- Chirwere-kuchengetedza chirwere, izvo zvinosanganisira kubviswa kwembambo uye isola, inoteverwa ne-breast-radiation yose, iyo isingawaniki
> Sources:
> Dambudziko rePaget reNipple : Mibvunzo nemhinduro. Musoro weCancer. National Cancer Institute . April 2012. Zvirwere zvePaget zveNipple: Mibvunzo nemhinduro
Zvirwere zvePaget zveNipple. American Cancer Society.
Paget Zvirwere zveBhechi. NIH: National Cancer Institute.