Kuongororwa, Mishonga, uye Kuponesa Mari
Izvo zvakajairika kuti vanhu vawane chirwere chepachipiri chemuti wekenza. Kunyangwe zvinogona kutyisa kunzwa kuti une danho repiri (pane nzvimbo yekutanga 1 kana DCIS), chirongwa chechipiri chichiri kutaridzirwa shato yekutanga yekenza yemazamu uye vanhu vazhinji vanoita zvakanaka kwazvo mukurapwa, vachirarama hupenyu hwemazuva ose. Kunyange zvazvo danho iri dzimwe nguva rinosanganisira kenza mumakirini emakiromita ari pedyo, haisi kuonekwa semastastatic.
Ngatitarise chokwadi pamusoro pekugadzirisa, kurapa, uye kupona padanho 2 kenza yepamu.
Overview
Kenza yepabonde inoparadzaniswa kusvika kumatanhatu (kana mashanu). Chikamu 0 kenza yemazamu kana kuti ductal carcinoma in situ (DCIS) haifaniri kuonekwa nekenza yemazamu isina kumira sezvo isina kupararira kuburikidza nechimwe chinhu chinozivikanwa sechando chepasi.
Matanho 1 kusvika ku4 emakondomu echeperi anonzi "kenza". Izvi hazvirevi kuti vakapinda mune mamwe maitiro kana kuti vakaparadzira. Zvinongoreva kuti ivo vakapfuura nepamuviri wepasi uye vane "simba" rokupararira. Chikamu chekutanga chikamu chekutanga chekenza yemazamu inoputika uye shanho yechina ndiyo yakanyanya kufambisa uye inonzi sachiza chemazamu.
Chikamu chechirwere chepabonde chinosanganisira zvipuka zvinenge 2 cm uye kusvika masendimita mashanu muhupamhi uye inogona kupararira kune lymph nodes pedyo nechomuviri.
Staging
Cancers inowanikwa uye yakapatsanurwa muzvikamu nechimwe chinonzi TNM system .
Munyika iyi:
- T inomirira chiremera chemuviri. T0 zvinoreva kuti tumarara haigoni kuonekwa muzamu. T1 inosanganisira matumbo ane chidimbu chemasentimita maviri kana pasi (inch kana pasi). T2 inosanganisira matumbo ari pakati pe2 cm uye 5 cm muhupamhi. T3 inosanganisira matumbo makuru kupfuura masendimita mashanu.
- N inomirira lymph node kupinda. N0 (N-zero) zvinoreva kuti kenza haina kupararira kune chero nhengo dzemaitiro. N1mi inotsanangura kanzura yakapararira kune lymph nodes asi kupararira kunogona kuonekwa chete pasi pe microscope ( micrometastases ). N1 inoshandiswa kurondedzera zvipembenene zvakapararira kune imwe nhengo dzemuviri dzinosvika pedyo nechomuviri. N2 inoreva makondombera akapararira kure nechomuviri.
- M inomirira metastasis. M0 zvinoreva kuti hapana metastases aripo. M1 zvinoreva kuti kenza yemazamu yakapararira kune dzimwe nzvimbo dzomuviri zvakadai semapfupa, uropi, chiropa, kana mapapu.
Kushandisa TNM system, kune hutano hwakawanda hweT uye N iyo inoshandiswa kuronga kenza semuenzaniso wekutanga 2A kana sendi 2B. Kubva nekutsanangurwa kwechipiri 2 mazamu emakemikari asina kuchinja, M nguva dzose inoteverwa ne zero. Mikana yekugadzirisa 2 inosanganisira:
- Nhanho 2A: T0, N1, M0: Hapana tumarara yakawanikwa muzvipfuva zvemazamu, asi masero emukenza akagara muine lymph nodes pedyo neshure rako.
- Chikamu 2A: T1, N1, M0: Une chiremera chemasentimita maviri kana mashoma akapararira kune imwe nhengo yemakirini, OR: chiremera chako chapinda mukati memaviri anenge masendimita masere uye chakapararira kune imwe nhengo ye lymph node.
- Nhanho 2A: T2, N0, M0: Tsvina yako inopfuura 2 cm kana pasi pe5 cm, asi haina kumbokanganisa nhengo dzese dzemuviri.
- Nhanho 2B: T2, N1, M0: Tsvina yako yakakura kudarika 2 cm uye inopfuura masendimita mashanu, uye yakabatanidza lymph nodes dziri pedyo.
- Nhanho 2B: T3, N0, M0: Tsvina yako inopfuura masendimita mashanu, asi haina kusvika pamadziro ako emapfupa kana ganda, uye hauna kufamba kune chero ipi zvayo yemaitiro.
Kurapa
Your oncologist inobatanidza mhinduro dzose dzekuedza pamukenza wako uye kukupa zvakajeka kuongorora.
Kurapa kuchave kwakafanana zvikuru neyekuchera kenza yemazamu 1, uye zvimwe zvipimo zvemasuru makuru kana e-grade-grade types dzekenza.
- Local Treatments: Zvisarudzo zvinoshandiswa zvinosanganisira lumpectomy kana kuti mastectomy , iyo inogona kuteverwa nemishonga inopisa mazamu kusvika kumucheto kana mudanda. Kana mazairo emhepo ari kukurudzirwa, izvozvo zvichabatsira nguva yekugadziridza mazamu iwe ungave nawo.
- Zviratidzo Zvokurapa (Adjuvant Treatments): Mishonga iyi ichakanganisa masero ose mumuviri wako uye ichabatsira kudzivirira kudzokorora. Zvichienderana nezera rako, hutano huzhinji, hutachiona hwekugamuchira , lymph node kupinda uye HER2 / neu migumisiro , iwe unogona kupiwa chemotherapy , hormonal therapy , Herceptin , kana zvimwe zvinorapwa zverapies.
- Neoadjuvant Kurapa: Unogona kusarudza chirwere chekuchengetedza mazamu, asi uve nechirwere chakakura zvikuru kuti uve nechibereko chakanaka mushure me lumpectomy. Muchiitiko ichi, oncologist yako inogona kuratidza kuva nehutachiona hwehutano usati hwavhiyiwa, mune tariro yekuderera chironda. Kana nzira iyi ichibudirira, tumarara shomanana inogona kubviswa uye kurapwa kunogona kupiwa kana zvichidikanwa. Mamwe matumbo haapinduri zvakanaka kune utano husati hwavapo uye kana izvozvo zvikaitika, mastectomy ichadikanwa. Iwe unogona kubva uchitarisa kugadziriswa kwehudzi .
Survival Rates
ICancer Cancer Data Base inowana kuti makore mashanu ekupona kwechikwata chechipiri cheAA kenza yepamu inenge 93 muzana kune varwere vakapedza kurapwa. Mishonga yakavandudza zvikuru panguva iyoyo, kuitira kuti iwe unogona kutarisira kwenguva refu yekugara kana iwe uchangobva kuongororwa. Iwe uchaona wako oncologist kwemakore mashanu ekutevera-up care mwedzi mitatu yese uye ipapo mwedzi mitanhatu. Pashure pemakore mashanu iwe unongoda kuwona wako oncologist kamwechete pagore, asi izvi zvinoshanya kakawanda hupenyu hwako hwose. Iko kushanyirwa kwakakosha kuve nechokwadi chokuti kupora kuri kuenda zvakanaka uye kuti kurapa kwekudzoka hakuzodiwi.
Kuchengetedza Kuchengeta
Iwe unogona kupedza pakati pemwedzi mitatu kusvika gumi nemasere kana kuti kwenguva yakareba mukushanda kwakasimba kwezera rako 2 kenza yemazamu. Zvinogona kunge zvakajeka sekuvhiyiwa uye masvondo matanhatu emirairo, kana kuti inobatanidzwa sezere hwakazara chemo, mahara, uye mamwe maawa. Chero nzira, uchava nemakore mashanu ekutevedza nguva yekutsvaga neche oncologist yako, panguva iyo iwe ungada kutora hormone therapy kana chironda chako chakanga chiri chema hormone. Vamwe ve oncologist s varikurudzira hormonal therapy iyo inopfuura makore mashanu kune avo vane tumoror-positive tumors. Kana uine bundu rinonzi estrogen-receptor rakanaka, wako oncologist angakurudzirawo kuti iwe ushandise bisphosphonate therapy kana uri postmenopausal. Bisphosphonates mishonga inoshandiswa kuhutachiona asi yose inoonekwa kuti inobatsira kuderedza mukana wekuti kenza yemazamu ichapararira kumapfupa (nzvimbo inonyanyozivikanwa yemasastases).
Kutsungirira
Kana iwe uchangobva kuongororwa uine chirwere chepachipiri chepamuviri wepamu unogona kunzwa uchinetseka nezvose zvinodzidza. Tarisa mazano aya pamusoro pekuti unotanga nekenza itsva yepabonde kuongororwa .
Ndinofara, pane ikozvino huzhinji hwezvinhu zvaunogona kuwana rubatsiro, uye dzidza zvakawanda pamusoro pekuongorora kwako. Bvunza rubatsiro uye usvike kune vaunoda. Kunyangwe iwe wakamboshandiswa kuva "wakasimba" unonamatira kune vamwe kutsigira. Iva nechokuita mune rimwe remapoka anobatsira ekurapa kenza yepabonde kana misha inotsigira inowanikwa.
Chinonyanya kukosha, dzidza kuti ungava sei mumutsigiri wako mukuchengetedzwa kwekenza . Kanzira mishonga yekurapa iri kuchinja nokukurumidza, uye zvakakosha kunzwisisa zvinosarudzwa zviripo kuitira kuti iwe unogona kuva nhengo inoshingaira yeboka rako rekurapa kenza.
Shoko Rinobva Pamuviri 2 Kanzvadzi Yemazamu
Kana iwe wakamboonekwa uine chirwere chepachipiri chepabonde chepabonde maonero akadari akanaka kwazvo. Iwe unowanzove une chemotherapy uye / kana remishonga inonzi radiation kupfuura kana chirwere chako chaive chikwata chekutanga, asi zviputi izvi zvichiri kunyangarika. Izvozvo zvakati, kutsigirwa kunokosha. Tsvaka shamwari. Dzidza zvakawanda zvaunokwanisa pamusoro pekenza yako. Funga kuve mune chikamu chekubatsira kwekambani kana kenza yemuInternet munharaunda. Kurapa kwekenza yemazamu kuri kuwedzera, uye pamwe nekusigirwa, mharaunda idzi nzvimbo yakanaka yekugara yakaenzana nekutsvakurudza kwakapfuura pamusoro pekenza yemazamu. Chinonyanya kukosha, iva iwe mumutsigiri wako pane zvaunoita. Iva nechokwadi kuti unonzwisisa chirongwa chako chekurapa uye yeuka kuti iwe ndiwe munhu anokosha pane imwe boka rako rekuchengetedza kenza.
> Sources:
> National Cancer Institute. Breast Cancer Treatment (PDQ) - Health Professional Version. https://www.cancer.gov/types/breast/hp/breast-treatment-pdq.