Khansa ya m'mawere

Zamkati

• Chidule
• Kodi khansa ya m'mawere ndi chiyani?
• Mitundu ya khansa ya m'mawere ndi iti?
• Kodi chimayambitsa khansa ya m'mawere ndi chiyani?
• Ndani ali pachiwopsezo cha khansa ya m'mawere?
• Kodi zizindikiro za khansa ya m'mawere ndi ziti?
• Kodi khansa ya m'mawere imapezeka bwanji?
• Kodi mankhwala a khansa ya m'mawere ndi ati?
• Kodi khansa ya m'mawere ingapewe?

Chidule

Kodi khansa ya m'mawere ndi chiyani?

Khansa ya m'mawere ndi khansa yomwe imayamba m'matumbo. Zimachitika pamene maselo omwe ali pachifuwa amasintha ndikukula. Maselo nthawi zambiri amapanga chotupa.

Nthawi zina khansa imafalikirabe. Izi zimatchedwa "in situ." Khansara ikafalikira kunja kwa bere, khansara amatchedwa "yolanda." Itha kufalikira kumatenda apafupi ndi ma lymph node. Kapenanso khansayo imatha kufalikira kumadera ena a thupi kudzera mumitsempha kapena magazi.

Khansa ya m'mawere ndi khansa yachiwiri yofala kwambiri pakati pa azimayi ku United States. Nthawi zambiri, zimathanso kukhudza amuna.

Mitundu ya khansa ya m'mawere ndi iti?

Pali mitundu yosiyanasiyana ya khansa ya m'mawere. Mitunduyi imakhazikitsidwa potengera maselo am'mawere omwe amakhala khansa. Mitunduyo ndi monga

• Ductal carcinoma, yomwe imayamba m'maselo am'mimbamo. Uwu ndiye mtundu wofala kwambiri.
• Lobular carcinoma, yomwe imayamba m'makolo. Nthawi zambiri amapezeka m'mabere onse kuposa mitundu ina ya khansa ya m'mawere.
• Khansa ya m'mawere yotupa, momwe maselo a khansa amatsekereza zotengera zam'mimba pakhungu la m'mawere. Chifuwa chimakhala chotentha, chofiira komanso chotupa. Ichi ndi mtundu wosowa.
• Matenda a Paget a m'mawere, yomwe ndi khansa yokhudzana ndi khungu lamabele. Nthawi zambiri imakhudzanso khungu lakuda mozungulira nsonga yamabele. Komanso ndizosowa.

Kodi chimayambitsa khansa ya m'mawere ndi chiyani?

Khansa ya m'mawere imachitika pakakhala zosintha m'thupi (DNA). Kawirikawiri, chomwe chimayambitsa kusintha kwa majini sichidziwika.

Koma nthawi zina kusintha kwamtunduwu kumachokera, kutanthauza kuti umabadwa nawo. Khansa ya m'mawere yomwe imayamba chifukwa cha kusintha kwa chibadwa kumatchedwa khansa ya m'mawere yobadwa nayo.

Palinso kusintha kwamtundu wina komwe kumatha kubweretsa chiopsezo cha khansa ya m'mawere, kuphatikiza kusintha komwe kumatchedwa BRCA1 ndi BRCA2. Kusintha kumeneku kumathandizanso kuti mukhale ndi vuto la ovari ndi khansa zina.

Kupatula ma genetiki, momwe mumakhalira komanso komwe mumakhalako kungakhudze chiopsezo cha khansa ya m'mawere.

Ndani ali pachiwopsezo cha khansa ya m'mawere?

Zomwe zimayambitsa chiopsezo cha khansa ya m'mawere ndi monga

• Ukalamba
• Mbiri ya khansa ya m'mawere kapena matenda a benign (noncancer)
• Chiwopsezo chotenga khansa ya m'mawere, kuphatikiza kusintha kwa majini a BRCA1 ndi BRCA2
• Minyewa yambiri yamawere
• Mbiri yakubala yomwe imabweretsa kuwonekera kwambiri ku mahomoni a estrogen, kuphatikiza
  • Msambo adakali aang'ono
  • Kukhala pa msinkhu wokalamba pamene udabereka kapena usanabadwe
  • Kuyambira kusamba msinkhu pambuyo pake
• Kutenga mankhwala a mahomoni pazizindikiro zakusamba
• Mankhwala othandizira mawere pachifuwa kapena pachifuwa
• Kunenepa kwambiri
• Kumwa mowa

Kodi zizindikiro za khansa ya m'mawere ndi ziti?

Zizindikiro za khansa ya m'mawere zimaphatikizapo

• Chotupa chatsopano kapena cholimba mkati kapena pafupi ndi bere kapena m'khwapa
• Kusintha kwa kukula kapena mawonekedwe a bere
• Kukhazikika pakhungu la m'mawere. Zitha kuwoneka ngati khungu la lalanje.
• Nipple amatembenukira mkati mwa bere
• Kutulutsa kwamabele osati mkaka wa m'mawere. Kutulutsa kumatha kuchitika modzidzimutsa, kukhala wamagazi, kapena kuchitika mchifuwa chimodzi chokha.
• Khungu lofiira, lofiira, kapena lotupa m'dera lamabele kapena m'mawere
• Ululu m'dera lililonse la bere

Kodi khansa ya m'mawere imapezeka bwanji?

Wothandizira zaumoyo wanu akhoza kugwiritsa ntchito zida zambiri kuti adziwe khansa ya m'mawere ndikuzindikira mtundu womwe muli nawo:

• Kuyezetsa thupi, kuphatikizapo kuyezetsa mawere (CBE). Izi zimaphatikizapo kuwunika zotupa zilizonse kapena china chilichonse chomwe chimawoneka chachilendo ndi mabere ndi nkhwapa.
• Mbiri yazachipatala
• Kujambula mayeso, monga mammogram, ultrasound, kapena MRI
• Chifuwa cha m'mawere
• Kuyesedwa kwa magazi, komwe kumayeza zinthu zosiyanasiyana m'magazi, kuphatikiza ma electrolyte, mafuta, mapuloteni, shuga (shuga), ndi ma enzyme. Zina mwazomwe zimayesedwa ndimagazi zimaphatikizapo zamagetsi zamagetsi (BMP), gulu lamagetsi (CMP), ndi gulu lamagetsi.

Ngati mayeserowa akuwonetsa kuti muli ndi khansa ya m'mawere, mudzayesedwa komwe kumafufuza ma cell a khansa. Mayeserowa amathandizira omwe akukuthandizani kusankha chithandizo chomwe chingakhale chabwino kwa inu. Mayesowa atha kuphatikizira

• Mayeso amtundu wa kusintha kwa majini monga BRCA ndi TP53
• Mayeso a HER2. HER2 ndi mapuloteni omwe amakhudzidwa ndikukula kwamaselo. Ili kunja kwa maselo onse amabere. Ngati maselo anu a khansa ya m'mawere ali ndi HER2 yochulukirapo kuposa yachibadwa, amatha kukula msanga ndikufalikira mbali zina za thupi.
• Mayeso a estrogen ndi progesterone receptor. Kuyesaku kumayeza kuchuluka kwa zotengera za estrogen ndi progesterone (mahomoni) mumisempha ya khansa. Ngati pali zolandila zambiri kuposa zachilendo, khansara amatchedwa estrogen ndi / kapena progesterone receptor positive. Khansara yamtunduwu imatha kukula msanga.

Gawo lina ndikukhazikitsa khansa. Kuyika masitepe kumaphatikizapo kuyesa kuti mudziwe ngati khansara yafalikira mkati mwa bere kapena mbali zina za thupi. Mayesowo atha kuphatikizanso mayeso ena azidziwitso azidziwitso ndi ma lymph node biopsy. Izi zimachitika kuti muwone ngati khansara yafalikira ku ma lymph node.

Kodi mankhwala a khansa ya m'mawere ndi ati?

Chithandizo cha khansa ya m'mawere chimaphatikizapo

• Opaleshoni monga
  • Mastectomy, yomwe imachotsa bere lonse
  • Lumpectomy yochotsa khansara ndi minofu yabwinobwino poizungulira, koma osati bere lokha
• Thandizo la radiation
• Chemotherapy
• Thandizo la mahomoni, lomwe limalepheretsa maselo a khansa kuti asapeze mahomoni omwe amafunikira kukula
• Chithandizo choyenera, chomwe chimagwiritsa ntchito mankhwala osokoneza bongo kapena zinthu zina zomwe zimawononga maselo ena a khansa osavulaza maselo abwinobwino
• Chitetezo chamatenda

Kodi khansa ya m'mawere ingapewe?

Mutha kuthandiza kupewa khansa ya m'mawere posintha moyo wanu wathanzi monga

• Kukhala paulemu wathanzi
• Kuchepetsa kumwa mowa
• Kuchita masewera olimbitsa thupi okwanira
• Kuchepetsa kuchepa kwanu ndi estrogen mwa
  • Kuyamwitsa ana anu ngati mungathe
  • Kuchepetsa chithandizo cha mahomoni

Ngati muli pachiwopsezo chachikulu, omwe amakuthandizani pa zaumoyo wanu angakuuzeni kuti mutenge mankhwala ena kuti muchepetse chiopsezo. Amayi ena omwe ali pachiwopsezo chachikulu atha kusankha kupangika (mawere awo athanzi) kuti ateteze khansa ya m'mawere.

Ndikofunikanso kupeza mammograms wamba. Amatha kuzindikira khansa ya m'mawere kumayambiriro, pomwe kuli kosavuta kuchiza.

NIH: National Cancer Institute

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• Cheryll Plunkett Sasiya Kumenya Nkhondo
• Kuyesedwa Kwachipatala Kumapatsa Wodwala Khansa Ya m'mawere Mwayi Wachiwiri
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• Kupititsa patsogolo Zotsatira za Akazi aku Africa aku America omwe ali ndi Khansa ya m'mawere
• NIH Kafukufuku wa Khansa ya m'mawere Roundup
• Mfundo Zachangu pa Khansa ya M'mawere ya Metastatic