HER2 , iyo inonziwo HER2 / neu neHER-2, ndiyo iyo yakafananidzirwa nevanhu epidermal kukura factor receptor 2. Kuziva kuti HER2 yako inhengo chii chikamu chinokosha chekucherechedza kwako.
HER2 ndiro geni inoshandisa mapuroteni aripo pamusoro pemasero. Sero rehutano rakanaka rine mabhuku maviri eHER2 gene. Munenge makumi mapfumbamwe makumi matatu emakondomu emucheche, kenza dzemakumbo ezemazamu dzine mazana maviri emakirini aya, uye izvi zvinotungamirira kune-over-production yeHER2 protein.
Somugumisiro, masero akabatwa anokura nekuparadzanisa zvakanyanya zvakakurumidza.
Kunyanya-kutaura kana kukudziridza kweHER2 geni kwakaratidzwa kuti inotora basa rinokosha pakudzika nekufambira mberi kwemamwe marudzi ekenza yepamu uye mamwe marudzi ekenza.
Inhaka Here?
Iyi dambudziko rezvechimiro harisi nhaka kubva kuvabereki vako. Izvo zvisina kufanira zvejeni iri zvakabatana nehutano hwekenza.
Mhinduro dzakanaka uye dzakaipa dzekuedzwa
Kana kenza yako yepazamu ichiongororwa neHER2 chimiro, zvigumisiro zvichagoverwa sezvakanaka kana zvisina kunaka. Kana zviwanikwa zvako zvakagadzirwa seHER2 positive, izvo zvinoreva kuti maGENI ako eHER2 ari kupfuura-anounza protein yeHER2. Kana zviwanikwa zvako zvikakaniwa HER2 zvisina kunaka, ipapo maGENI eHER2 haasi kukurudzirwa.
Available Treatments
Herceptin (trastuzumab) imishonga inoshandiswa kurapa HER2 chirwere chemuti wakanaka. Iro chirwere chinotarisirwa uye chinonziwo chirwere chekudzivirira zvirwere.
Ichi chemishonga chichapiwa mukati, kamwe kamwe kwemavhiki maviri kusvika matatu. Kamwe pazvinenge zviri muhutano hwako, Herceptin inotarisa HER2 mapuroteni anowanikwa nenhamba yakawandisa pamusoro pekenza yepabonde. Izvi zvinobatsira kumisa kukura kweHER2 maitiro emukenza masero.
Zvimwe zviitiko zveHerceptin kurapa zvinosanganisira:
- inoderedza HER2 matumbo akanaka, vasati vavhiyiwa
- inobvisa HER2 masero emukenza masero akapararira kupfuura kwepamuviri yepakutanga.
- Inobatsira kudzivisa kudzokorora (kudzoka) kweHER2 kenza yakanaka
Miedzo yeHER2
Chiremba wako angashevedzera kuongororwa mashomanana:
- FISH: Fluorescence In Situ Hybridization -kuedzwa kunoshandisa mapurojekiti e-fluorescent kuti atarise nhamba yeHER2 makopi emagumbe muchitachiona chesero. Kana pane mairi maviri emapepa eHER2, ipapo kenza iHER2 yakanaka.
- IHC: ImmunoHistoChemistry -kuedzwa kunoenzanisa kubudiswa kweproteni yeHER2 nechirwere. Mhinduro yemigumisiro inoratidzika se 0, 1+, 2+, kana 3+. Kana mhinduro yacho iine 3+, kenza yako ndeyeHER2-positive. Kana mhinduro yacho iine 2+, iwe uchada kuongorora kweFISH kuti uone kana kenza iHER2-positive.
The Bottom Line
HER2 kenza yakanaka yepamu inoratidzwa neHCC kana kuti FISH test. Mugumisiro weHER 2 wakanaka unokosha, sezvo inoratidza kuti kenza inogona kurapwa naHercceptin, pamwe nePerjeta uye Kadcyla. Kana kenza yako ichionekwa seHER2 yakanaka, inogona kunge ine utsinye. Kutanga kurapwa nokukurumidza sezvinobvira kunobatsira kuvandudza kupona kwako, pamwe nekubatsira kudzivirira kudzokorora.