Kenza yemazamu haisi kuonekwa nguva dzose neziso rakashama. Zviratidzo zvayo zvekare zvinowanzowanikwa mukati memukati mako.
Kuchinja mazamu ako aunoona hakugone kuitika kwekenza yemazamu pane zvose. Kuputika uye mabhuni angangouya ndokuenda sezvinoita mahomoni ako achibhururuka uye achiyerera uye paunenge uchikura. Uyewo, ganda rezamu rinogona kuchinja hutano nekuda kwekushisa kwezuva, kurapwa kwemazhizha , kana zvirwere zvinokonzera kupisa.
Saka, iwe ungaziva sei kana kuti kwete ganda, ganda rinoputika, kana ganda rinoputika rinopisa kana kenza? Iwe uchada rubatsiro kubva kune vashandi vako vezvechiremba kuti uwane zvakajeka kuongororwa.
Hormone Status
Kansa yepabonde inogoverwa kuva miviri miviri mikuru:
- Estrogen receptor positive
- Estrogen receptor negative
Kana iwe ukayera zvakanaka kune kenza yemazamu, estrogen uye progesterone biomarker mitsva yekuedza inowanikwa mukurondedzera kwako kwehutano ichabatsira chiremba wako kuti aone rudzi rwechirwere chaunacho. Mashoko aya anokanganisa kurapa kwako pamwe nekuchengetwa kwako kwekutevera.
HER2 Mamiriro
HER2 (munhu epidermal growth factor receptor 2) mapuroteni anokwanisa kuwedzera kukura kusingadzorwi kwechirwere chekenza yemazamu. Herceptin inoshandiswa kurapa rudzi urwu rwekenza yemazamu, pamwe chete nedzimwe chemotherapy mishonga.
Lapatanib inowanikwa kune avo vari HER2 positive. Kuziva nhengo yako yeHER2 inobata kuongorora nekurapa kwako.
Clinical Breast Exam (CBE)
Vakadzi vari pakati pemakore makumi maviri nemazana makumi matatu vane makore makumi maviri nemakumi matatu vanofanira kuva nekliniki yepamusoro yekuongorora panguva yavo yegore negore. Kana kusagadzikana kuwanikwa, mammogram uye ultrasound inogona kubatsira kujekesa maitiro echinetso chacho.
Mammograms
Chimiro chegoridhe chetenderedzwa yegoridhe yekuongorora kenza yepamusoro nekukurumidza kuona.
IAmerican Cancer Society inokurudzira kuti vakadzi vane makore makumi mana nemashanu zvichikwira vane mammogram gore negore, kunyange mamwe masangano ezvechiremba anoshevedza mazano aya kuti ave nemakore makumi mashanu.
Mammograms inogona kubatsira kuona 85 kusvika ku90 muzana yevese makondomu echando, kunyange usati wasvika unonzwa kunzwa. Tarisa mashoko aya anotevera kuti uzvizive zviri nani nezvinofanira kutarisira:
- Kuva neMamamigramu: Nguva yawakagadzirirwa kuti uve nemigumisiro yakanakisisa, uunze zvinyorwa zvako zvezvechiremba , uye uzive kuti chii chaizoitika
- Mammogram Maonero eRoutine uye Kuongorora Kuongorora : Zvose zvezvipfuva zvako zvichamanikidzwa uye zvinofungidzirwa kaviri
- Mifananidzo yeMifananidzo, Tsanangudzo, uye Zvinyorwa : Ona mifananidzo yemammograms uye izvo radiologist yako ichaongorora
- Kunzwisisa Mushumo Wemamamogram Wenyu: Dzidza kuti chii chingava mumigumisiro yemigumisiro yako yekufungidzira uye zvinorehwa nemishonga
- Zvakawanikwa paMammogram: cysts , calcifications , fibroadenomas , hematomas , tumors , implants
- Chiitiko chekufananidzira kwepabonde uye Data System (BIRADS): Mushumo wako uchaenzaniswa nehurongwa uhwu uye kuti iyo yeruzhinji ichabatanidzwa mukuongororwa kwako
Breast Magnetic Resonance Imaging (MRI)
Chifuva MRI inoratidzira zvakasiyana-siyana zvehutano hwako hwepabonde kupfuura mammogram, saka inogona kushandiswa semuedzo wokuwedzera.
MRIs haishandisi kudzvinyirira, kufanana nemammograms, asi inodhura zvikuru uye kwete yakawanda iripo.
Elastography
Elastography iyi itsva, kunyange ichiri kuongorora, teknolojia yekufungidzira mazamu emvere. Zvinogona kunge zviri nani kudarika mammography, ultrasound, uye MRI pakusiyanisa pakati pehutano uye kenza kukura. Elastograms inogona kuwana mutsara wekenza pasina bhiza.
Pathology Testing
Kana chidimbu chemuzamu chiri kunyunyuta, muenzaniso wezvigunwe kana kuti mvura inofanirwa inofanira kutorwa uye kuongororwa nechiremba.
Fluid Test
- Ductal lavage yakatumidzwa se "pap smear nokuda kwezamu." Bhuku duku duku rakaiswa mukati mezamu kuti rinyore mvura kubva pamapfupa emvere, iyo inobva iongororwa pasi pekroscope kana kuongororwa nekenza masero. Izvo zvakare mapurogiramu ekuongorora mapurisa.
- Munguva yekuda, chiremba wako achashandisa nheyo yakanaka kuti adye sampuli yemvura inobva kune rimwe bundu, rakadai sedstst, kuti iongororwe.
Tissue Test
- Nechifuva chechipfuva , chiremba anovhiya anobva abudisa samudiki shomanana kubva pachifuva chako. Mhuka idzi dzichaongororwa uye dziongororwa pasi pekroscope yekenza inoshandisa zvakanaka-sindano aspiration (FNA) , nheyo yechipfuva biopsy (CNB) , stereotactic biopsy , kana biopsy yakazaruka / yekuvhiya
Staging
Kana imwe nguva mhinduro dzese dziripo, chiremba wako achapfupisa kuongorora kwako. Kenza yako ichave yakarongerwa mumatanho , kamwe chete ney oncologist yako, uye zvakare nehu radiologist yako. Kuziva chikamu chekenza yako yepabonde kunokosha pakufunga pane imwe nzira yekurapa