Kana iwe wakanga uine chifuva chemuzamu, lumpectomy , kana mastectomy yakaitwa uye ukadzorera mitsva kubva kubasa rehutachiona, iwe unoda kunzwisisa kuti chikamu chechikamu chehupoti chinorevei kwauri. Kuongorora kunobatanidza nehutano hwekurapa uye kuponeswa kwemitengo.
Rimwe remibvunzo yekutanga yaunogona kubvunza ndeyokuti, "Ko kenza yakapararira mberi kwechirwere, kana kuti yose iri munzvimbo imwe chete here?" Pari zvino, hapana imwe yero yeruzhinji inokupa mhinduro kumubvunzo iwoyo, asi kune chirongwa chekuisa kenza muzvikamu, zvichibva pazvinhu zvitatu.
IWNM System yeChechi yeCearcer Staging
Nzira yekushandiswa yakawanda kwazvo inoshandiswa ndiyo TNM system.
- T inoshandiswa kumarara. Mumufananidzo (mammogram kana ultrasound) yemarara, radiologist inogona kuita chiyero chekukura kwemuviri. Dzimwe nguva izvi zvakaoma kuzviita, zvichienderana nechepamusoro pechirwere ichienderana nefirimu yemifananidzo, kana kuti chirwere chiri mukati mukati memvere. Chirwere chisina kujeka, kana chisina kumira kunze kwemashure, dzimwe nguva chinonzi chimiro chakasvibiswa. Haasi nguva dzose, uye inogona kuva yakareba kudarika iyo yakazara. Nzira yakarurama kwazvo yekuwana uswa hwechirwere ndeyekuvhiya zvose zvayo, uye wozviyera. Chiremera Chikamu chakakamurwa kuva makira mana: T-1 inobva 0 - 2 masentimita, T-2 inobva 2 - 5 cm, T-3 yakakura kudarika 5cm, uye T-4 chiremera chemhando chero ipi zvayo yakaputsa (yakasvibiswa) ganda kana rakanamatirwa kumadziro echifuva.
- N inoshandiswa kuti ive yeLymph Node. Sezvo kenza inogona kufamba nemuviri wako mu lymph system yako, zvakakosha kuva nemakirini ako epamuviri ari pedo nekenza yakaedzwa chekenza uye micro-metastasis. Kune nzira mbiri dzekutarisa lymph nodes: nekubata, uye nekuvhiyiwa. Kana lymph nodes yako ichiongororwa nekubata, chiremba wako chirwere (palfate) (inonzwa) ganda riri pamusoro pemakumbo esimbi, uye uverenge. Kana chiremba wacho asingakwanisi kunzwa chero node dzakarembera, chiyero chacho ndeche N-0, kana chiremba anokwanisa kunzwa achizvimba uye achifunga kuti node dzakanaka (kanzira) iyo nhamba ndeye N-1. Kana lymph nodes dzichinzwa sokuti dzakanyunguduka uye dzakabatana pamwe chete (pane lumpy), dzinotaridzwa N-2, kana kuti dziri pedyo necollarbone, dzinonzi N-3. Nzira yechipiri yekuongorora lymph nodes inosanganisira nodeel node biopsy.
- M inoshandiswa kuMetastasis. Metastasis inokanganisa danho rekenza. Kana muenzaniso weiyo nhengo dzave dzichibviswa uye dzakaonekwa nekenza, dzinotaridzwa M-0, asi kana vane kenza dzemukenza kana micrometastasis mavari, dzinoratidzwa M-1. Izvi zvinokuudza kuti tumarara yakateura masero kunze kwenzvimbo yayo yepakutanga, uye kuti kenza inogona kuva mune dzimwe nzvimbo dzomuviri.
Zvose zveNTM ruzivo ruchabatanidzwa kaviri, kamwe chete nechiremba, uye zvakare nechirwere chechirwere mubazi. Mumwe muongorori achapa pfungwa pamusoro pekenza maererano neTNM yero. Hapana imwe yemanzwiro aya achava mhinduro chaiyo kune "chikwata chei kenza iyi?" Iwe unogona kunge uchida kuziva zvakawanda nezvayo, zvakadai
- iyo hormone receptor status (yakafurirwa nehomoni)
- chikamu chemuviri (speed of growth)
- uye kana ikapararira (metastasized)
- kwawakaenda kune imwe mumuviri wako
Zvose izvi zvinokonzera kuongororwa kwako uye zvichabvunzwa mukutarisa maitiro ako ekurapa.
Zvikamu Zvina zveChancer Breast
Pane zvikamu zvina zvekenza yebonde, uye kuongorora kwako kunoenderana nechomuviri cheTMM. Precancerous in situ carcinomas inonzi Zita Zero . Heino mhedzisiro uye nhamba dzeTMM dzinorondedzera.
- Nhanho 1 inoreva kuti iwe une tumorara yeT-1 uye yakachena lymph nodes pasina uchapupu hwemasastasis, kana T1N0M0.
- Chikamu chechipiri chine zvikamu zvitatu zvakasiyana, izvo zvinosanganiswa neT1, T2, kana T3 tumorori, yakanaka kana nhengo dzisina kukodzera, uye kwete metastasis; somuenzaniso T1N0M0.
- Chikamu chechitatu chinosanganisira zvikamu zvitatu zvakasiyana, izvo zvinobva mukusanganiswa kwehupi hwehutachiona hwemakumbo, lymph node dzakanaka kana node dziri munzvimbo yekoloni, uye kwete metastasis; somuenzaniso T3N1M0.
- Nhanho 4 inonziwo kanamasi yepasitamende yepamusoro uye inorongwa nekuve nechiyero chechirwere, chakanaka kana chakaipa nhengo dzemaitiro, pamwe nemasastasis akajeka, somuenzaniso, T1N1M1.
Maitiro Okukura Akaenzaniswa Sei?
Nyeredzi yakakura inotaridzwa nehudhirologist achishandisa mammogram kana mufananidzo we ultrasound wakatorwa kubva pachipfuva chako. Asi haasi mitsetse yose iri nyore, miviri yakazara iyo iri nyore kuyera. Semuenzaniso, chironda chinogona kuparadzaniswa semapatat akabikwa uye chifananidzo chinogona kunge chiri pakona iyo radiologist isingagoni kuona zviyero zvose. Uye mamwe matumire kunyange asina mhedziso dzisina kukwana saka zvakaoma kuenzanisa kukwana kwese kwechirwere.
Kuwana Mufananidzo Wakanaka Wemubhedha
Mukutanga kwekutora zvose zvese maererano nekenza yako, unowana kuwedzerwa kwakajeka kwechiremera. Kana zvasvika pakuyera ukuru hwemuviri wako usati wambovhiyiwa, vanachiremba vanovimba nemigumisiro yezvidzidzo zvekufungidzira. Ngatifananisei mazamu akafanana ekufungidzira nzira:
- Chimiro chemamera: Chimiro chemafirimu chinonzi mammography chinogona kushandiswa kufanidza mvere dzemazamu, asi hachina kururama pane mazamu emvere. Kana iwe uri-pre-menopausal kana usina kumbove wakabata pamuviri, mazamu ako angave akaoma zvakakwana kuti avanze mashoma, achiita kuti zvive zvakaoma kuverenga. Asi kana iwe uri shure-menopausal, uine mafuta ane mazamu, kana uine pamuviri, firimu mammography inogona kunyatsonyatsoyera chiremera chako. Digital mammography inoshanda zvakanaka pamatomu ane mazamu uye inogona kushandiswa kuwana huwandu hwakanaka hwehukuru.
- Breast Ultrasound: Pasina kushandisa compression, ultrasound yakaisvonaka pakusiyanisa pakati pekasi yakazara-ye-fluid uye masero akawandisa akadai semarara. Ultrasound inogona kushandiswa kuita chiyero chemuviri wemvere. Asi zvinogona kunge zvisinganyanyi kukosha kupfuura mamamamiro, sezvo zvave zvichiwanikwa kuti zvisanyanya kufara kwechiremera chemuviri.
- Chirwere cheMRI: MRI haina kusimba uye haina kurwadziwa, uye haishandisi mazai ezuva kuti igadzire mifananidzo yezvipfuva zvemuviri wako. Kunyange zvazvo mammamiro angakwanisa kuwana bundu rako, MRI inogona kudiwa kuti uione kana mazamu ako ari akaoma kana kuti bhiopsy yako inoratidza kuti uwandu hukuru pane zvaunotarisirwa. MRI inogonawo kushandiswa panguva yeooadjuvant chemotherapy kuti ione kufambira mberi kwemishonga. Kunyange zvazvo MRI inogona kugadzira chimiro chakajeka chechirwere chako, inowedzera kuwedzera-kuenzanisa uswa chaihwo muhupamhi hutatu.
Kutsvakurudza kwePathological Results
Zvinyorwa uye zvidzidzo zvekufungidzira zvinopa bhoppark yakavhara yehutu hwako. Asi iwe unoda chaiyo chiremera chemuviri kuitira kuti ugadzirise zvakanakisisa zvisarudzo. Chiremba wako achashandisa ruzivo kubva kune miedzo yapfuura sehutungamiri paunobvisa tumarara yako. Mushure mokunge lumpectomusi kana mastectomy, mazamu ako epamusoro anonyanya kusanganiswa achabatanidzwa nehupenyu hwako hwechipiri, uye chiremba achaongorora mairi chaiwo. Kuyerera kwechiremera chako ndechegoridhe yegoridhe yekukura kwemuviri. Mushumo wenyu wekupedzisira-wokugadzira hutachiwana huchapfupisa kuongorora kwako kwakakwana kwekenza yemazamu.
Zvikonzero zvekuchengetedzwa kwekuchengetedza
Iye zvino zvaunoziva kuti mushure mekuvhiyiwa mushumo wehutachiona ndiyo nzira yakanakisisa yekuwana chiremera chako, iwe unogona kunge uri kubvunza, "Saka nei tisingaiti kutanga kuvhiyiwa uye tichiputsa zvose izvi zvimwe zviedzo?" Zvidzidzo zvako zvepfungwa uye zvekufungidzira zvakaitwa kuitira kuti iwe uite iwe nechiremba wako mukugadzira chisarudzo chakanyatsogadziriswa pakuvhiya mazamu.
Kana lumpectomusi ichizobvisa kenza yako, unogona kukwanisa kuora mastectomy. Asi kana neoadjuvant chemo inogona kuderedza chiremera chako usati wambovhiyiwa, iwe unogona kunge uchida zviduku zvishoma zvabviswa. Mune zvimwe zviitiko, zvakadai sekupararira-dzakapararira kenza yepamu isina kuvhiringidza , mastectomy ingangodaro ndiyo nzira yekuvhima. Kuva neruzivo rwepamusoro nekunzwisisa zvinorehwa nemayero ako kunokubatsira kuti uite ruzivo, unyanzvi hwokurapa zvisarudzo.
Kuronga Kusarudzwa Nechiremba Wako
Apo iwe unoronga chiremba achishanyira, uye iwe unoziva kuti iwe uchange uchitaura nezvekutsvaga kwako, mhinduro dzebazi, kana zvirongwa zvekurapa, unogona kuda kubvunza mumwe munhu kuti auye newe, kutora manotsi. Kana izvozvo zvisingaiti, kutora duku tepi rekodi pamwe chete pfungwa yakanaka. Dzimwe nguva patinowana mashoko asina kufadza, zvinotyisa mupfungwa dzedu kana manzwiro edu, uye tinogona kurega kutora muhurukuro yose yehurukuro. Kuva neshamwari kana kuti shamwari inotsigira pamwe chete inogona kubatsira, zvose mukuchengeta rekodhi yemibvunzo nemhinduro uye nekukupa kumanikidzirwa mupfungwa. Iva nechokwadi chokuti shamwari yako kana hama yako inogona kuchengetedza ruzivo rwehutano hwako pachako kana izvo ndizvo zvaunoda.
Sources
Cancer Staging, National Cancer Institute.