Chifuwa chachikulu - chosagwirizana

Chidziwitso cha m'mawere ndicho kuchotsa minofu ya m'mawere kuti iwayese ngati ali ndi khansa ya m'mawere kapena zovuta zina.

Pali mitundu ingapo yama biopsies ammawere, kuphatikiza ma stereotactic, malangizo a ultrasound, ma MRI otsogozedwa ndi ma beopy. Nkhaniyi ikufotokoza za mawere ophatikizika, omwe amagwiritsa ntchito mammography kuti athandize kudziwa komwe kuli pachifuwa chomwe chikuyenera kuchotsedwa.

Mukufunsidwa kuti muvule kuyambira mchiuno kupita mmwamba. Panthawi yolemba, mwadzuka.

Muyenera kuti mukufunsidwa kuti mugone pansi moyang'ana patebulopo. Chifuwa chomwe chimasungidwa biopsied chimapachikidwa pakhomo pa tebulo. Gome limakwezedwa ndipo adokotala amalemba pansi pake. Nthawi zina, ma stereotactic ma biopsy amachitika mukakhala pamalo owongoka.

Zolembazo zachitika motere:

• Wothandizira zaumoyo amayamba kutsuka malo omwe ali pachifuwa chanu. Mankhwala ochititsa mankhwala amabayidwa.
• Chifuwa chimakanikizidwa kuti chigwire bwino ntchito. Muyenera kukhala chete pomwe biopsy ikuchitika.
• Dotolo amadula pang'ono pachifuwa panu pamalo omwe amafunika kuti asinthidwe.
• Pogwiritsa ntchito makina apadera, singano kapena m'chimake zimatsogoleredwa kumalo enieni a malo osadziwika. Zitsanzo zingapo za minofu ya m'mawere zimatengedwa.
• Chidutswa chaching'ono chachitsulo chitha kuikidwa pachifuwa m'deralo. Chojambulachi chimalemba kuti azichita opareshoni pambuyo pake, ngati kuli kofunikira.

Chidziwitso chomwecho chimachitika pogwiritsa ntchito izi:

• Dzenje singano (yotchedwa singano yapakati)
• Zida zopumira
• Zipangizo zonse za singano ndi zingalowe

Njirayi imatenga pafupifupi ola limodzi. Izi zikuphatikiza nthawi yomwe zimatengera ma x-ray. Biopsy yeniyeni imatenga mphindi zingapo.

Pambuyo poti nyembazo zatengedwa, singano imachotsedwa. Ice ndi kukakamiza kumagwiritsidwa ntchito pamalopo kuti athetse magazi. Bandage idzagwiritsidwa ntchito kuyamwa madzi aliwonse. Zolimba sizofunikira. Zingwe zomata zitha kuyikidwa pachilonda chilichonse, ngati zingafunike.

Wothandizira adzakufunsani za mbiri yanu yachipatala. Kuyezetsa mawere kungachitike.

Ngati mumamwa mankhwala (kuphatikizapo aspirin, zowonjezera mavitamini, kapena zitsamba), funsani dokotala ngati mukufuna kusiya kumwa izi chisanachitike.

Uzani dokotala wanu ngati mungakhale ndi pakati.

MUSAGWIRITSE mafuta odzola, mafuta onunkhira, ufa, kapena zonunkhiritsa pansi pamanja kapena pachifuwa.

Mankhwala osokoneza bongo akabayidwa, atha kuluma pang'ono.

Mukamachita izi, mutha kumva kupweteka pang'ono kapena kupanikizika pang'ono.

Kugona m'mimba mwanu mpaka ola limodzi kumatha kukhala kosavuta. Kugwiritsa ntchito mapilo kapena mapilo kungathandize. Anthu ena amapatsidwa mapiritsi othandiza kuti asamasuke.

Pambuyo pa kuyezetsa, bere limakhala lopweteka komanso lofewa masiku angapo. Tsatirani malangizo pazomwe mungachite, momwe mungasamalire bere lanu, ndi mankhwala omwe mungamwe ngati mukumva kuwawa.

Stereotactic beops biopsy imagwiritsidwa ntchito pakukula pang'ono kapena malo owerengera kuwonekera pa mammogram, koma sikuwoneka pogwiritsa ntchito ultrasound ya m'mawere.

Zoyeserera zamatumbo zimatumizidwa kwa wodwalayo kuti akafufuze.

Zotsatira zabwinobwino zikutanthauza kuti palibe chizindikiro cha khansa.

Wopezayo amakudziwitsani mukamafunika mammogram yotsatira kapena mayeso ena.

Ngati biopsy iwonetsa minofu yoyamwa popanda khansa, simudzafunika kuchitidwa opaleshoni.

Nthawi zina zotsatira za kafukufukuyu zimawonetsa zizindikilo zosakhala khansa. Poterepa, kuyerekezera opaleshoni kungalimbikitsidwe kuti achotse malo onse osazolowereka kuti awunikidwe.

Zotsatira za biopsy zitha kuwonetsa zinthu monga:

• Matenda osokoneza bongo
• Atypical lobular hyperplasia
• Mapulogalamu apamwamba papilloma
• Lathyathyathya zaminyewa atypia
• Chingwe chozungulira
• Lobular carcinoma-in-situ

Zotsatira zosazolowereka zitha kutanthauza kuti muli ndi khansa ya m'mawere. Mitundu iwiri yayikulu ya khansa ya m'mawere imapezeka:

• Ductal carcinoma imayamba m'machubu (timadontho) tomwe timasuntha mkaka kuchokera m'mawere kupita kunsonga. Khansa zambiri za m'mawere zimakhala zamtunduwu.
• Lobular carcinoma imayamba m'malo ena a bere otchedwa lobules, omwe amatulutsa mkaka.

Kutengera zotsatira za biopsy, mungafunike kuchitidwa opaleshoni ina kapena chithandizo china.

Wothandizira anu adzakambirana nanu tanthauzo la zotsatira zakufa kwanu.

Pali mwayi wochepa wakutenga nawo jakisoni kapena malo odulira opareshoni.

Kukwapula kumakhala kofala, koma kutuluka magazi kambiri sikupezeka.

Chiwopsezo - chifuwa - chosagwirizana; Chigoba chachikulu cha singano pachifuwa - chosasinthika; Stereotactic chifuwa biopsy; Mammogram yachilendo - mawere osokonekera; Khansara ya m'mawere - malingaliro opatsirana m'mawere

Tsamba la American College of Radiology. ACR imachita zofananira pakugwiritsa ntchito njira zowongolerera mawere. www.acr.org/-/media/ACR/Files/Practice-Parameters/stereo-breast.pdf. Idasinthidwa 2016. Idapezeka pa Epulo 3, 2019.

Henry NL, Shah PD, Haider I, Freer PE, Jagsi R, Sabel MS. Khansa ya m'mawere. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 88.

Parker C, Umphrey H, Bland K. Udindo wa mawere osokonekera poyang'anira matenda a m'mawere. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 12. Philadelphia, PA: Elsevier; 2017: 666-671.