Mhando dzeKenza yeBeresi uye Zvikamu zvishoma
Vakawanda vedu tinowanzofunga nezvekenza yebonde sechirwere chimwe chete, asi tsvakurudzo inoramba ichiratidza zvimwe. Mukuwedzera kune zvakasiyana-siyana zvekenza yepazamu, kune huwandu hweshupu dzechirwere. Chirwere uye chimiro chekenza yemazamu, yakaratidzwa mumushumo wehutano mushure mekuvhiyiwa, inopa boka rekuchengetedza kenza ruzivo rwavanoda kuti varambe hurongwa hwakakosha zvikuru kurapa zvakanakisisa rudzi rwakasiyana nehuwandu hwekenza yengamu.
> Onai mazamu ekutura uye muongororwo wekenza yepamu nepakati.
Breast Cancer Types
Kana chiremba wako achifungira kenza yemvere, zvakakosha kusvika pakuziva mhando dzakasiyana ikozvino, saka une chikonzero chekunzwisisa kana kufungidzirwa kunoratidza kuti ndeyechokwadi.
Ductal Cancer: Mishonga yakawanda yemazamu inotanga mumidziyo inotakura mukaka, yekuyamwisa, kusvika kumucheko.
Ductal In-Situ (DCIS) : Chikamu ichi 0 kenza iri mukati mezamu.
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Zvinorevei Kana Ndiine Chifuva Chechifu Chidzokorora Mushure mekushaya Mastectomy?
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Kana Chifuva Chako Chakatsvuka uye Chinorwadza, Ndicho Chirwere Here kana Mastitis?
Hauna kuputsa kuburikidza nemadziro egwayi kana kupararira mukati memapfupa emvere. Kunyange zvazvo kwete upenyu hunotyisidzira panguva ino, DCIS inoda kurapwa nokuti pane dambudziko rayo pakupedzisira kuva kenza inoparadza. DCIS inowanzotorwa mumuviri wechiratidzo uye yakabudirira kurapwa ne- lumpectomy (kunyanya-kuchengetedza chirwere) ichichiteverwa nehutachiona hwemaawa .
Kuvhiringidza ductal carcinoma (IDC) , iyo inozivikanwawo sekuti infiltrating ductal carcinoma, ndiyo inowanzojairika yekenza yemazamu. Inoratidzira makumi mapfumbamwe nezana makumi mapfumbamwe echese yepabonde chepabonde. IDC pakutanga inoumba mukati memukati wemukaka, inoputika kubva mumatope emadziro, uye inopararira mukati memapfupa emvere.
Kuruboshwe kusati kwatorwa, IDC inokwanisa kupararira mberi kwezamu uye kuenda kune nhengo dziri kure. IDC inogona kuonekwa panguva yemakiriniki ekunyatsoongorora , mammogram , MRI , uye dzimwe nguva mukuzvidzivirira kwezamu. Mishonga inogona kusanganisira imwe kana kupfuura mamwe maitiro ekurapa akadai sokuvhiya, rayation, chemotherapy, chinangwa chakakosha, uye hormone therapy.
Lobular carcinoma in-situ (LCIS ) inotsanangura kukura kusina kukwana kwemasero mumakondomu emufupa umo mukaka unogadzirwa. Kunyange zvazvo LCIS isingawanzofambira mberi kune kenza inopararira, lobular carcinoma in situ inoonekwa sechinetso chekudzivirira kenza yepabonde mucheche. LCIS inonyanya kuwanika panguva yebiopsy yakaitwa kune imwe yemvere . Kushanda nekukurumidza hakuwanzodikanwa, kunyange kutevera mamiriro acho zvakanyanyiswa kunorudzirwa. Vakadzi vari pangozi yakakura yekutarisa kenza yepamu vanogona kusarudza kuva nechimwe kana mazamu ose ari kubviswa kuti vaderedze mikana yekuvandudza chirwere chacho.
Kuvhiringidza lobular carcinoma (ILC) , iyo yechipiri inowanzojairika yekenza yemazamu, inokonzera 8 muzana yemakondomu ekurwisa asina kuvhara.
ILC haigoni kuunza sechinhu chakasiyana. Mishonga inogona kusanganisira chirwere, chemotherapy, radiation, uye hormone therapy.
Kenza yepamuviri yepamuviri (IBC) chirwere chinoshungurudza, kuverenga zvisingasviki 5 kubva muzana zvekenza yemazamu. Kazhinji haisi kuve nehapa. Makirini eCCC eCC anopinda mukati meganda rezamu uye anovhara midziyo ye lymph. Zviratidzo zvinogona kusanganisira chirwere chinoputika uye chinoputika. Iyo yebhokisi inobatwa inogona kuoneka yakatsvuka, ichibhururuka uye inodziya kune iyo inobata. Iko kunogona kutanga kusarudzwa zvisina kunaka semastitis, utachiona hwezamu. Zvichienderana nechikamu chekenza pakuongororwa, kurapwa kunogona kusanganisira kuvhiyiwa, chemotherapy, utachiona hweHodmone, uye kurapwa kwemaawa.
Chirwere chePaget chezamu chinotapira chikamu chinopfuura 3 muzana chemakondomu ezere. Zviratidzo zvinogona kusanganisira chirwere chokubuda, chinogona kubuda ropa, uye chinyararire, ganda rinopisa rakafanana nechechi, chirwere cheganda. Iyi kenza yemazamu inowanzoongororwa kuburikidza nekuita nhipi yehupi. Vanenge makumi mashanu kubva muzana yevarwere vane chirwere chePaget chemukoyi vane tumarara inogona kunzwika mukati mezamu munguva yekliniki yepamu kuongorora.
Mishonga inofanirwa pachigarire nezvimwe zvinhu, kusanganisira kana kana kwete kune chirwere chekenza muzamu kuwedzera kune chirwere chePaget. Mishonga inogona kusanganisira chirwere, chemotherapy, uye hormone therapy.
Mhando dzakawanda dzeBeast Cancer Ibatanidza
Kunyangwe zvisingasviki kuti iwe uchazoonekwa neimwe yeiyi, kana iwe uine hutachiwana zvachose, makondomu aya evanhu vashoma, anozivikanwa vashoma vanofanirwa kuziva.
Medullary carcinoma inonzi inonzi subtype ye invasive ductal carcinoma. Iine spongy inonzwa apo inobatwa; hazvinzwi sechimedu. Iyo inogona kuonekwa kakawanda pane mammamiro. Izvi zvipembenene hazviwanzovi nehommoni receptor zvakanaka . Mishonga inoshandiswa inosanganisira kuvhiyiwa, kupiswa kwezuva, uye chemotherapy.
Tubular carcinoma inofanirwawo sechinyorwa chekushaya ductal carcinoma. Masero ayo ane chimiro chemuviri kana akatarisa pasi pekroscope. Icho chinonzwa spongy kune iyo touch. Inogona kuwanikwa panguva yekliniki yezamu kuongorora kana mammogram. Kakawanda haisi kenza ine utsinye, inopindura zvakanaka kumapurogiramu ekurapa kwepabonde.
Mucinous carcinoma inofungidzirwa sechirwere chisingawanzovi chemukana wechirwere chechirwere chinoputika, umo masero "anotenderera" mumadziva emucin, chinhu chikuru chemukasi. Kuongororwa kunogona kutora matanho akawanda, kusanganisira kuongorora mumuviri, mammogram, ultrasound, MRI, uye biopsy. Kurapa, zvichienderana nesiteji, kunogona kusanganisira chirwere, chemotherapy, radiation, uye hormone therapy.
Chirwere cheMetastatic chepamuti chirwere chepamuviri chepamuti IV rakapararira kune dzimwe nhengo dzomuviri, zvingangobatanidza, asi kwete zvishoma, uropi, bone, chiropa, nemapapu. Iyo inoporesa, asi zvinosuruvarisa haisi kupora. Vanodarika 10 kubva muzana yevaya vachangobva kuongororwa nekenza yemazamu vane kenza yepamusoro yepabonde pavanotanga kuonekwa. Zvizhinji zvechirwere zvinokonzera mazamu zvinokonzera mwedzi kana makore mushure mekunge zviongororwa uye zvakarapwa kune kenza yepamu.
Mishonga inopfuurira, ine zvinangwa zvekupa kwete kwete chete, asi urefu hwehupenyu. Mukuwedzera kune zvichida kubatwa nechemotherapy, radiation, uye / kana hormone therapy, vakadzi nevarume vane kenza yemasasa inokonzera mazamu vanogona kusarudza kuona kana vakakwanisa kubatanidzwa mukuongororwa kwekliniki yemishonga mitsva.
The Main Subtypes Breast Cancer
Kugadzirisa hutano hwekenza yemazamu hunoitwa panguva yehupopi, inotungamirirwa nechiremba, uyo ari chiremba. Muongorori wehutano anosimbisa kuvepo kwekenza uye anowedzera kuongorora mhuka dzomukati dzinotarisa maitiro ehuteni uye humoni hwechirwere chekenza.
Iyo mitatu mikuru miviri yekenza yemazamu inosanganisira:
Hormone-receptor-positive: Vakawanda vanorwara nekenza vemazamu vane chirwere ichi chekenza yebonde; maronda avo anogona kukurudzirwa kukura uye kupararira neesrogen kana progesterone . Hormone receptor maitiro emakondomu anokwana 65 kusvika ku75 muzana yemamota ose. Iyo inorapwa nemishonga yakadai sa tamoxifen , iyo inogona kutorwa nevakadzi vasati vagara uye vanotevera-menopausal, kana kuti aromatase inhibitors inogona kungotorwa chete nevarwere vane post menopausal. Mishonga yekurapa inorambidza basa re estrogen kuderedza mukana wekuva nekenza yekudzoka kwekenza.
HER2-positive: Izvi zvipembenene zvine epidermal growth factor 2 , iyo igene inotumira HER receptor protein. Kunyange zvazvo ichi chinogamuchirwa chikadikanwa mukukura kwemazamu emazamu, zvakanyanyisa, mutero weHER2 unogona kuita kuti kenza iwedzere. Chemotherapy ndiyo inowanzorapwa.
Triple-negative: Kenza yepabonde katatu-isina maitiro ane estrogen receptors, progesterone receptors, kana HER2 receptors. Triple-negative inowedzera kuva nehasha uye inokanganisa vanenge 15 muzana yevaya vane kenza yemazamu. Nemhaka yokuti katatu-negative haina hormone neHER2 receptors, haina kupindirana neyodymone therapy, uye chemotherapy ndiyo inorayirwa kurapwa.
Shoko Rinobva
Chero chero chimiro kana chimiro chekenza yemazamu, nguva dzose inowanikwa zvakanaka uye inorapwa pane imwe nguva yakatanga kuitika, isati yapararira uye kana ine mhinduro yakanaka kwazvo. Ona chiremba wemhuri yako kana gynecologist pakuongorora kwegore negore kunosanganisira yakazorora kunyatsoongorora. Dzidza nezvehupenyu hwemhuri yako yekenza yebonde; kana pane kenza yemazamu mumhuri yako, taura nemutarisiri wako pamusoro paunoda kutanga kutora mammograms.
Kana pasina nhoroondo yemhuri yekenza yemazamu, yeuka kuti 85 muzana yekenza yekamu inowanikwa kune vakadzi vasina nhoroondo yemhuri yechirwere. Usarega kubvisa mammograms kubva pamakore makumi mana.
Ndiri kufara ndakaita. Kaviri, mammograms akawana kenza iri muchifuva changu chisati chave kunzwika muchechi yepamusoro kuongorora, uye musati waive nekenza yepamu inoda kurapwa ne chemotherapy.
> Sources:
> America Cancer Society. Mhando dzeBrazil Cancer. Ongororo Yokupedzisira Yezvechiremba: 09/25/2014
Last Revised: 05/04/2016.
> Cancer.Net. Breast Cancer-Treatment Options. Yakagamuchirwa neCancer.Net Editorial Board, 02/2016.