Kutsanangura Mitemo Yakasiyana Yakasangana neBase 4 Kanzvadzi yeKenza
Izwi rokuti "metastatic" rinoshandiswa nenzira dzakasiyana nekenza yemazamu , saka ngatitange nokuongorora tsanangudzo shomanana dzemashoko aungawana.
Kutsanangura "Metastatic"
Chirwere chematenda cheMetastatic chinenge chakafanana nechitsauko 4 chekenza yemazamu uye inoonekwa sechikamu chepamusoro zvikuru chekenza yemazamu. Inoreva mazamu emakwenzi ayo akapararira mberi kwemazamu uye nhengo dzomukati dziri pedyo nedzimwe nzvimbo dzomuviri semapfupa, chiropa, uropi, kana mapapu (anonziwo zvinoshandiswa kure nemasitemu).
Zvisinei, kana iwe ukaverenga kuburikidza nehupi hwehutano hwako hwehutano, somuenzaniso, kuongororwa kwakanyorwa pamusoro pe lymph node biopsy wave uine, iwe ungangodaro wakaona shoko rokuti "metastatic." Metastases kune lymph nodes-kupararira kwekenza kune lymph node-hazvirevi kuti une kenza yepamusoro yepabonde. Pane kudaro, lymph node metastases inonyanya kukosha nokuti iyo chiratidzo chokuti kenza yako inogona kupararira kana kuva mastatic.
Cancers inogona kupararira munzira shomanana-kuburikidza neyymymatic system kana kuburikidza neropa. Apo mazamu echando anopararira ndokupinda lymphatic system iyo inowanzosvika pakutanga kune lymph node dziri pedo uye inogona kunge ichiri chekutanga chepenza yepabonde.
Cherechedza kuti kana kenza yemazamu inopararira ichiri kenza yemazamu. Kana iwe waizotora muenzaniso wekenza munzvimbo idzi uye uchitarisa pasi pema microscope, kuonekwa kwaizova kwekenza mazamu masero, kwete mafupa, chiropa, kana mapapu masero.
Nokudaro, somuenzaniso, kenza yemazamu yakapararira pamapfupa hainzi maitiro emapfupa emapfupa, asi "chibereko chepachifu chetema kumapfupa."
Chirwere chepamusoro cheKenza
Wako oncologist angashandisa izwi rokuti "kenza yepamusoro yepamu" paunenge uchitaura nezvemarara ako, kana iwe ungaverenga izwi iri paunodzidza nezvekenza yako.
Chirwere chepamusoro chepamuti chepabonde rinowanzoreva mazamu echando anenge ari danho rechitatu B kana chikamu chechina (metastatic).
Izvozvi mapfupa haasati apora, asi aya kanzira inoporesa zvikuru uye kurapwa kunogona kuwedzera upenyu uye kuderedza zviratidzo zvekenza. Mavhareji nguva yekurarama nekenza yemasasa inowedzera, uye kune vamwe vanhu vakapona kwenguva yakareba mushure mekutsvaga kwekenza yepamusasa yemasasa.
Kuvhiringidza vs. Vasingadi
Izwi rinotapukira kenza yemvere rinotyisa, asi semasastases kune lymph nodes, hazvirevi kuti kenza inoshandiswa. Izwi rinopararira nekenza yemvere rinoreva chero kenza iyo yakapararira kunze kwenzvimbo inonzi "ganda remukati." Kutaura zvazviri, danho roga roga rekenza yemazamu risingafungi kuti risingawaniki is carcinoma in situ kana chikwata chekenza yepamu. Nhanho IA kusvika panhete 4 kanama yebonde inofungidzirwa kuti inopinda nekenza yemazamu.
Mhando Dzose
Kune mhando dzakasiyana dzekenza yemasasa, uye mukati mezvikamu zvakasiyana, pane zvakawanda zvema molecular kusiyana pakati pekenza dzakasiyana.
Zvinodhaka zvepabonde zvinotanga kuputsika mumhando huru:
- Mastastatic Intraductal Breast Cancer - Intraductal, kana kuti ductal musamende yekenza ndiyo iyo inotanga mu epithelial masero (kuisa magirazi masero) emakwenzi emukaka. Ichi ndicho chimiro chakajairika chekenza yemazamu, kuverenga kwemakumbo mana kubva kune mashanu. Kune zvikamu zvakasiyana-siyana zve ductal carcinoma yezamu zvinosanganisira tubular, medullary, papillary, uye mucinous pakati pevamwe. Izvi zvinogona kusiyana mumamiriro ekufananidzira okutanga, kushungurudza, nezvimwe zvakawanda.
- Metastatic Intralobular Breast Cancer - Kenza yeAntralobular, kana yebrebular yemvere inomuka mumasero epithelial ayo anotarisa mapiritsi emapapu anobudisa mukaka. Iyi ndiyo yechipiri inonyanya kuwanda yekenza yebonde, kuverenga kwepamapfumbamwe 10 muzana yekenza. Inowanzoitika kune vakadzi vakwegura maererano nedharaal carcinomas, asi izvi zvinogona kusiyana.
- Metastatic Inflammatory Breast Cancer - Kusiyana nekenza dzakawanda dzepamuviri, kenza yepamusoro yepamuviri inowanzova mumatanho epamusoro echirwere panguva yekuongororwa. Izvozvo zvinokonzerwa nekenza, iyo inoratidzira inenge inenge zana muzana yekenza yemazamu, kazhinji inoratidzika sehutsvuku uye kuvhara mukati mazamu panzvimbo yehutu hwakasiyana.
- Zvirwere zvePaget - Chirwere chePaget chinokonzera makapfumbamwe kubva muzana emakondomu emucheche uye inomuka mumatope emukomana. Izvi zvinowanzotanga nehutsvuku, ruvara rwechirwere pamuchu, uye dzinowanzobatanidzwa nechepakati chekenza inopinda mukati mukati mezamu.
- Kazhinji Nzira dzeBeast Cancer - Kune mamwe marudzi akasiyana-siyana ekenza inogona kubuda muzamu zvakadai semavhuturo e phyllodes, sarcomas, nezvimwewo.
De Novo Cancer
De novo kenza yemazamu inoreva mazamu ehutachiwana ayo ari maitiro panguva yekufungidzirwa kwekutanga uye nhoroondo dzezvikamu zvishanu kubva kune gumi kubva muzana zvemastraseti emamese.
Dzimwe nguva, metastases inowanikwa apo zvirwere zvakadai sePET scan zvinowanikwa mukugadzirisa kenza yepabonde. Pashoma pfupi, nzvimbo dzemasitasita dzinowanika kutanga, vasati vasangana nekenza yemvere. Somuenzaniso, munhu angave akaparara, uye pa-ray-ray, metastases inogona kuwanikwa mufupa riri pasi pekuputsika. Kenza yemazamu inogona kuwanika sechikamu chekubata kuziva kuti nzvimbo yekenza yepakutanga ndeipi.
Kudzokorora kenza
Kazhinji yenguva (90 kusvika kuzana 95 muzana yenguva) kenza yemasasa inomiririra inomirira kudzoka kwekenza yepabonde yapfuura.
Kudzoka kunotevera kenza yepamuti yepamuviri inogona kuitika mwedzi, makore, kana makumi emakore achitevera chirwere chepakutanga. Nguva yekudzoka inogona kupa wako oncologist mamwe mashoko anokosha pamusoro pekenza yako. Semuenzaniso, matumire ayo anodzoka mumakore matatu emukenza wepakutanga anowanzova ane hasha kukunda matumbo anowedzera shure, kunyange zvazvo zvakare, izvi hazvisi nguva dzose.
Hatizivi kuti masero emasero anogona sei "kuvanza" kana kuti nei achionekwa zvakare. Imwe nyanzvi ndeyekuti kune hurumende pakati pemasero ekenza, ine kenza yemasero emasero ari kunyanya kurwisana nemishonga yatinoshandisa pakutanga kwekenza yemazamu. Nokuda kwechimwe chikonzero, aya masero emukenza anoramba ari kurapwa kwatinoshandisa uye akarara akarara, achimirira zvakare kutanga kukura mune imwe nguva gare gare nenguva.
Isu tinoziva kuti mishonga yepamu inonzi estrogen receptor positive inowanzoita kuti idzoke mumakore mashanu okutanga mushure mehutano kunze kweavo inonzi estrogen receptor negative.
Dzimwe nguva zvinogona kuva zvakaoma kuziva kana kudzokorora kudzoka kwechokwadi. Inofungidzirwa kuti kanzura inodzoka mumwedzi mitatu yekutanga mushure mekurapa haisi kudzoka kwechokwadi asi pane kufambira kwekenza yepakutanga.
Mishonga yekenza yemasasa inowanzoita yakafanana kana ichimirira kudzokorora kana kenza yemazamu de novo, asi pane zvimwe zvakasiyana. Chirwere chinokonzera nguva panguva yekuongororwa chinogona kuva chinotyisa, asi izvi hazvisi nguva dzose. Mimwe mhando dzekenza yepazamu, yakadai sekenza yepamuviri yepamuviri, inowanzowanika kana ichinge isati yasvika.
Shoko Rinobva
Zvakakosha kunzwisisa kuti kunyange kana zvirwere zviviri zvekenza zvirwere zvechirwere zvechirwere zvine ruvara rumwechete, zvinogona kuve zvakasiyana-siyana. Kenza yese yepamuviri yakasiyana. Ichokwadi, mazhinji emishonga mitsva yekenza inotarisa mamwe maitiro akasiyana-siyana emakemikari pakati pevana vekenza.
Chimwe chezvikonzero zvinobatsira kunzwisisa kuti kenza yese yakasiyana ndeyekuti-kana isina kumboitika-iwe uchatanga kutanga kunzwa nezvevamwe vakambotarisana ne "yakafanana" yekenza yengamu. Shamwari dzinofunga zvakanaka uye nhengo dzemhuri dzinogona kugovera nhau dzokuti mumwe munhu wavanoziva sei nekenza yemhando imwechete sezvawakaita nekurapwa. Iyi nyaya dzinogona kuteverwa nemamwe mazano anoreva zvakanaka kuti kanzira yako inofanira kurapwa sei.
Kunyange kana hanzvadzi yomukoma wechitatu yemunun'una wako wechitatu aiva nekenza yenguva imwechete yekenza sezvaunoita nemamiriro etero eestrogen receptor, izvi hazvirevi kuti kenza yako yakafanana kana ichapindura kune imwechete.
Munhu wese akasiyana uye kenza yese yakasiyana. Nhamba dzingatipa ruzivo, asi dzakawanda zvezviyero izvi zvakaunganidzwa vasati vatariswa mishonga mutsva yematenda emasitema. Iwe unogona kuve, pane dzimwe nguva, zvinyoronyoro zviyeuchidze shamwari dzako kuti uri kutsvaga kurapwa kwaunofunga kuti kwakarurama kwauri iwe woga. Period.
> America Cancer Society. Cancer Chokwadi uye Zvikamu 2016. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2016/cancer-facts- uye-nhamba-2016.pdf
> DeVita, Vincent., Et al. Kanzira: Mitemo & Practice of Oncology. Kanzira yeBretiti. Wolters Kluwer, 2016.