Khansa ya m'mawere mwa amuna
Khansa ya m'mawere ndi khansa yomwe imayamba m'matumbo. Amuna ndi akazi onse ali ndi minofu ya m'mawere. Izi zikutanthauza kuti aliyense, kuphatikiza amuna ndi anyamata, atha kudwala khansa ya m'mawere.
Khansa ya m'mawere mwa amuna ndiyosowa. Khansa ya m'mawere ya amuna imakhala yochepera 1% mwa khansa yonse ya m'mawere.
Zomwe zimayambitsa khansa ya m'mawere mwa amuna sizikudziwika bwinobwino. Koma pali zifukwa zomwe zimayambitsa khansa ya m'mawere mwa amuna:
- Chiwonetsero cha radiation
- Kuchuluka kwa estrogen chifukwa cha zinthu monga kumwa kwambiri, matenda enaake, kunenepa kwambiri, ndi mankhwala ena ochizira khansa ya prostate
- Chibadwa, monga mbiri ya banja ya khansa ya m'mawere, mutated BRCA1 kapena BRCA2 jini, ndi matenda ena amtundu, monga matenda a Klinefelter
- Matenda owonjezera a m'mawere (gynecomastia)
- Ukalamba - Amuna nthawi zambiri amapezeka kuti ali ndi khansa ya m'mawere azaka zapakati pa 60 mpaka 70
Zizindikiro za khansa ya m'mawere mwa amuna ndizo:
- Kutupa kapena kutupa m'matumbo. Chifuwa chimodzi chikhoza kukhala chachikulu kuposa chimzake.
- Chotupa chaching'ono pansi pamabele.
- Kusintha kwachilendo pamabele kapena khungu kuzungulira chotupa monga kufiira, kukulitsa, kapena kutsekemera.
- Kutulutsa kwamabele.
Wothandizira zaumoyo wanu atenga mbiri yanu yazachipatala komanso mbiri yazachipatala yabanja. Mudzapimidwa thupi ndi kuyezetsa mawere.
Wopereka wanu atha kuyitanitsa mayeso ena, kuphatikiza:
- Chiwonetsero.
- Chiberekero cha m'mawere.
- MRI ya m'mawere.
- Ngati mayeserowa akuwonetsa kuti ali ndi khansa, omwe akukuthandizani azichita kafukufuku wokhudza khansa.
Ngati khansa ipezeka, omwe amakupatsani mwayi adzaitanitsa mayeso ena kuti adziwe:
- Khansara imatha kukula msanga
- Ndizotheka bwanji kufalikira
- Ndi mankhwala ati omwe angakhale abwino kwambiri
- Pali mwayi woti khansa ibwererenso
Mayesowa atha kuphatikiza:
- Kujambula mafupa
- Kujambula kwa CT
- Kujambula PET
- Sentinel lymph node biopsy kuti awone ngati khansara yafalikira ku ma lymph node
Biopsy ndi mayeso ena adzagwiritsidwa ntchito poyerekeza ndi kukonza chotupacho. Zotsatira za mayesowa zikuthandizani kudziwa chithandizo chanu.
Chithandizo cha khansa ya m'mawere mwa amuna ndi awa:
- Kuchita maopareshoni kuti muchotse bere, ma lymph node pansi pa mkono, zokutira paminyewa ya chifuwa, ndi minofu ya pachifuwa, ngati pakufunika kutero
- Thandizo la radiation mutatha kuchitidwa opaleshoni kuti muphe ma cell aliwonse a khansa ndikutsata zotupa
- Chemotherapy kupha ma cell a khansa omwe afalikira mbali zina za thupi
- Mankhwala a mahomoni oletsa mahomoni omwe angathandize mitundu ina ya khansa ya m'mawere kukula
Mukamalandira chithandizo komanso mukalandira chithandizo, omwe amakupatsani angakufunseni kuti mupimenso mayeso ena. Izi zingaphatikizepo mayeso omwe mudakhala nawo mukazindikira. Kuyezetsa kotsatira kukuwonetsa momwe mankhwalawa akugwirira ntchito. Awonetsanso ngati khansayo ibwerera.
Khansa imakhudza momwe mumadzionera nokha komanso moyo wanu. Mutha kuchepetsa nkhawa zamankhwala ndikulowa nawo gulu lothandizira khansa. Kugawana ndi ena omwe adakumana ndi zovuta zomwezo komanso mavuto omwe akukumana nawo kungakuthandizeni kuti musamve nokha. Gulu litha kukulozerani zithandizo zothandiza kuthana ndi vuto lanu.
Funsani omwe akukuthandizani kuti akuthandizeni kupeza gulu la amuna omwe apezeka ndi khansa ya m'mawere.
Kuwona kwakanthawi kwa amuna omwe ali ndi khansa ya m'mawere kumakhala bwino kwambiri khansa ikapezeka ndikuchiritsidwa msanga.
- Pafupifupi amuna 91% omwe amathandizidwa khansa isanafalikire m'malo ena amthupi alibe khansa pambuyo pazaka zisanu.
- Pafupifupi amuna atatu mwa anayi omwe amathandizidwa ndi khansa yomwe yafalikira kumatenda am'mimba koma osati kumadera ena opanda khansa pazaka zisanu.
- Amuna omwe ali ndi khansa yomwe yafalikira kumadera akutali ali ndi mwayi wocheperako kwanthawi yayitali.
Zovuta zimaphatikizaponso zotsatira zoyipa za opaleshoni, radiation, ndi chemotherapy.
Lumikizanani ndi omwe amakupatsani nthawi yomweyo mukawona china chake chachilendo pachifuwa chanu, kuphatikiza zotupa zilizonse, kusintha kwa khungu, kapena kutuluka.
Palibe njira yomveka yopewera khansa ya m'mawere mwa amuna. Njira yabwino yodzitetezera ndi:
- Dziwani kuti abambo amatha kukhala ndi khansa ya m'mawere
- Dziwani zomwe zili pachiwopsezo ndipo lankhulani ndi omwe amakupatsani mwayi wokhudza kuwunika ndi kuzindikira msanga ngati muli ndi mayeso ngati pakufunika kutero
- Dziwani zizindikilo za khansa ya m'mawere
- Uzani wothandizira wanu ngati muwona kusintha kwa bere lanu
Kulowetsa ductal carcinoma - wamwamuna; Ductal carcinoma in situ - wamwamuna; Intraductal carcinoma - wamwamuna; Khansa ya m'mawere yotupa - wamwamuna; Paget matenda a nipple - wamwamuna; Khansa ya m'mawere - yamwamuna
Kutha KK, Mittendorf EA. Matenda a m'mawere. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 34.
Jain S, Gradishar WJ. (Adasankhidwa) Khansa ya m'mawere yamwamuna. Mu: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, olemba. Chifuwa: Kusamalira kwathunthu kwa matenda a Benign ndi Malignant. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 76.
Tsamba la National Cancer Institute. Chithandizo cha khansa ya m'mawere yamwamuna (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/breast/hp/male-breast-kuchiza-pdq. Idasinthidwa pa Ogasiti 28, 2020. Idapezeka pa Okutobala 19, 2020.