Kuongororwa, Kurapa, Kuponeswa Kwemari
Nhanho yechina ndiyo inonyanya kufanana nekenza yepabonde. Iyo inowanzozonzi mastraseti yemasitamende yepamuviri nokuti yakapararira (metastasized) kupfuura yepakutanga nzvimbo panzvimbo yezamu kune dzimwe nhengo mumuviri. Zvirwere zveMetastatic zvinogona kuwanikwa mumapfupa, mapapu, chiropa, uropi, uye ganda. Nhanho yechina inowanzoonekwa kuti kana kugadziriswa kwekenza yemazamu kunowanikwa, asi zvinogona kunge zvakare kuti kanaya inotanga kuwanikwa sei.
Kurapa zvinangwa kunosanganisira kutarisa kupararira kwekenza nekusimudzira hutano hwakanaka hwehupenyu. Uye mune dzimwe nguva, mushonga unogona kuitika.
Kusarudzira Gwara 4 Kenza Yemazamu
Chikamu chekenza yebonde chirwere chinowanikwa mushure mokunge chave chichibva kubva muchifuva kune dzimwe nzvimbo dzomuviri. Dr. Susan Love anonyora kuti nzvimbo yekutanga iyo kenza yemukondombera yakawanda inopararira ndeyemapfupa . Izvozvo zvinoshandiswa zvinogona kutungamirirwa ne bisphosphonates nemimwe mishonga inowanzonzi ye osteoporosis; doses yakakwirira inogonawo kushanda pakuraira kupararira mumapfupa. Estrogen-negative musana wekenza inogona kufamba kumapfupa, asi inowanzoonekwa mumapapu, chiropa , uye uropi. Kenza yepabonde mumapapu uye chiropa zvinogona kupindura zvakanakisisa kumagadziriro ehurongwa akadai semasikironi (kana yakanaka kune hormone receptors), chemotherapy uye mishonga mitsva inonzi biologic therapies. Kana kenza yemazamu inowanikwa kune dzimwe nhengo, ichiri kenza yemvere.
Inogona kufamba kumapfupa, asi haisi kenza yemapfupa; pasi pekroscope, masero ari achiri kenza yemazamu.
Kurarama Nechigarire 4
Kuongororwa kuti une kenza yemasitamende yakaoma chaizvo. Chinangwa chekugadzirisa kenza yepabonde chepakutanga chiri kuwana kuregererwa kwekusingaperi, semuenzaniso, mushonga.
Asi pamutambo wechina, kurova chikara ndiko kwezuva nezuva uye hondo yeupenyu. Hazviwanzoonekwa sokurapa, asi nemishonga mitsva, inogona kurapwa sechirwere chisingaperi. Iko makore mashanu ekupona kwemaitiro evanhu vane mastasti ndeye 24.3%. Nhamba iyoyo inobva pane SEER statistics data kubva muna 2003-2009, uye kuponeswa kwemitengo kunowirirana nerudzi. Vamwe varwere vanopindura zvakanaka kurapwa uye vanorarama kwemakore akawanda. Katharine Russell Rich, uyo akanyora hondo yake nekenza yemazamu muThe Red Devil, akararama nechirwere chetachiona kwemakore gumi nemasere, zvichimuita kuti ave nhengo yeboka rimwe chete. Uye akabatanidza hurukuro yepepanhau munyori wechirangaridzo Molly Ivins akaenda kwemakore masere neChirmatory Breast Cancer , asi akaramba achishanda kusvikira vhiki mbiri asati apfuura.
Kunzwisisa Kuziva Kwako
Chigadziko chechina chinonzi T (chero), N (chero), M1 mune TNM system. Aya nhamba anotarisa kune zvikwata zveBurum, Node Status , uye Metastasis. Tsvina yako inogona kunge iine mashizha, kupindira kwako kwemuviri kunogona kunge kune vashomanana kana nhamba huru yenhamba. Ndiyo Metastasis chikwata chinotsanangura kenza yepamusoro yepamusoro nokuti chikamu cheM1 chinoreva kuti kenza yakapararira mberi kwenharaunda yako yepamu neyemukati lymph nodes, uye iri kuratidza mumapfupa uye nhengo dzakakura.
Kuongororwa kwechirwere chemasastatic kuchabatanidza kusabatanidzwa kwehommone, HER2 chimiro , tumorori yegorosi , chiremara chemaitiro , nezvimwe zvinhu zvakawanda.
Mishonga
Chimwe nechimwe chekenza yemasasa inoshandiswa ichabatwa nenzira yakasiyana nekuda kwenzvimbo dzakasiyana-siyana dzinogona kupararira nekenza. Purogiramu yako yehutano ichave yakagadzirirwa kuisa pfungwa pakudzivirira kupararira kwekenza nekuchengetedza hupenyu hwakanaka hwehupenyu. Iwe unogona kunge usingadi mishonga yemhando dzose dziripo, asi iwe uchava nezvimwe zvakawanda zvingasarudzwa, kusanganisira kubatanidzwa muchipatara chekuedza. Mishonga yakazara yemishonga inogona kusanganisira zvinosarudzwa zvakadai sekuvhiyiwa uye kupiswa kwezuva .
Iwe unogonawo kudiwa zvirongwa zvakadai semakemikirini (zvichida kuvhara kana kutaura), hormone therapy. Izvi zvinogona kushandiswa mukubatana nedzimwe nzira dzokurapa kana dzinogona kushandiswa imwe mushure meimwe. Apo rimwe remishonga rinenge risingabatsiri, unogona kupiwa sarudzo yekushandura kune imwe mishonga.
Unhu hwehupenyu panguva yekurapa
Mimwe yemishonga yako inogona kukuita kuti uchinzwe zviri nani - kana chirwere chinorwadza chinokanganisa mukupindura kwemaawa kana hormone therapy - iwe unogona kunzwa kununurwa kukuru. Asi ichokwadi chekurapa kweoncology iyo mishonga yakawanda inokonzera kusagadzikana nemigumisiro - kuora mwoyo, kuneta, kurwadziwa, neuropathy, mucositis, kutapudzwa kwevhudzi, kuvhiringidza, uye kurora. Edza kuchengetedza gwaro rezvenharaunda yako uye uuye nayo newe kunechiremba wako achishanyira. Izvi zvichavabatsira kuti vanzwisise zvauri kuita nazvo. Iwe unogona kukumbira kuchengetedzwa kwepfungwa kuti ikubatsire kukunda matambudziko aya. Mishonga, chirwere chepanyama uye mamwe mazano anogona kupa iyo inobatsira.
Kutsungirira Manzwiro Ako
Zviripo kuti unzwe uora mwoyo , uchisuruvara, unonetseka, kana kunyange wakatsamwa paunoongororwa ane kenza yemasitamende yepabonde. Vazhinji vedu tinoda kunzwa sokuti tine humwe hutano pamusoro pehutano hwedu uye ramangwana redu, asi kenza inogona kubvisa zvatinoda, kugadzirisa zvirongwa zvedu zvemangwana, uye kutyisa kutya matiri uye kune avo vanotitarisa isu. Kana izvozvo zvichiitika, tora hama dzako pedyo uye uwane rubatsiro. Chikamu 4 mapoka anobatsira anogamuchira nhengo itsva uye anonyatsonzwisisa matambudziko ako. Taura nachiremba wako nevanamuko pamusoro pemanzwiro ako uye kukumbira rubatsiro. Vanogona kupa mishonga yekurapa, kukubatsira kuti uwane boka rekutsigira , kana kukutaurira kuongororwa kwehutano hwehutano kana kurapa. Kana uine dambudziko rokurara, tsvaga boka rega yoga kana edza zvakanaka kurara .
Sources:
AJCC Cancer Staging Manual 6th Edition. Springer Verlag, New York, NY. 2002, mapeji 223-240.
Chirwere chepabonde chepabonde chikaitika. American Cancer Society. Last Revised: 06/11/2012.
Surveillance Epidemiology uye End Results (SEER) Kanzura Nhamba Yekuongorora. National Cancer Institute. SEER Stat Fact Sheets: Breast, Survival & Stage. November 2012.
Nhanho dzeBeast Cancer. Stage IV. National Cancer Institute. Last Modified: 06/21/2012
Symptom Management mu Metastatic Breast Cancer. William Irvin, Jr, Hyman B. Muss, naDeborah K. Mayer. Oncologist . 2011 Nhasi; 16 (9): 1203-1214. Yakabudiswa paIndaneti 2011 August 31.
Kana Cancer Inodzoka Kudzoka. Mapeji 584-597. Dr Susan Love's Breast Book. Susan M. Love, MD Chechipiri Yegore, 2010.