Khansa ya m'mawere Imafalikira

Zamkati

• Kodi khansa ya m'mawere ndi chiyani?
• Kodi magawo a khansa ya m'mawere ndi ati?
• Gawo 0
• Gawo 1
• Gawo 2
• Gawo 3
• Gawo 4
• Kodi kufalikira kumachitika bwanji?
• Kodi khansa ya m'mawere imafalikira kuti?
• Kodi metastasis imapezeka bwanji?
• Kodi metastasis imachiritsidwa bwanji?
• Kulankhula ndi dokotala wanu

Kaya inu, mnzanu, kapena wachibale wina mwapezeka kuti muli ndi khansa ya m'mawere, kudziwa zambiri zomwe zingapezeke kungakhale kovuta kwambiri.

Apa pali kuwunika kosavuta kwa khansa ya m'mawere ndi magawo ake, ndikutsatira kuwonongeka kwa momwe khansa ya m'mawere imafalikira, momwe imapezekera, ndi momwe madotolo amathandizira.

Kodi khansa ya m'mawere ndi chiyani?

Khansa ya m'mawere imachitika m'maselo a khansa atapangidwa m'minyewa ya m'mawere. Ndi imodzi mwazofala kwambiri za matenda a khansa kwa azimayi ku United States, yachiwiri ndi khansa yapakhungu. Matendawa amathanso kukhudza amuna.

Kuzindikira koyambirira kwathandizira kuzindikira khansa ya m'mawere ndikuwongolera kupulumuka.

Zizindikirozi zitha kuphatikiza:

• chotupa m'mawere anu
• kutuluka magazi m'magulu anu
• kusintha kwa kukula, mawonekedwe, kapena mawonekedwe a bere lanu
• kusintha kwa mtundu kapena khungu pakhungu lanu

Kuyanjana ndi kudzipimitsa pachifuwa nthawi zonse komanso mammograms kungakuthandizeni kuwona zosintha zilizonse zikamachitika. Mukawona zina mwazizindikirozi, uzani dokotala wanu mwachangu momwe mungathere.

Kodi magawo a khansa ya m'mawere ndi ati?

Dokotala wanu amadziwika kuti ndi khansa iti pozindikira:

• kaya khansa ndi yovuta kapena yosagwira
• kukula kwa chotupacho
• kuchuluka kwa ma lymph node omwe akhudzidwa
• khansa kupezeka mbali zina za thupi

Dokotala wanu adzatha kukuwuzani zambiri za malingaliro anu ndi njira zoyenera zochiritsira gawolo litatsimikizika kudzera m'mayesero osiyanasiyana.

Magawo asanu a khansa ya m'mawere ndi awa:

Gawo 0

Mu gawo la 0, khansara imawonedwa ngati yosavomerezeka. Pali mitundu iwiri ya khansa ya m'mawere 0:

• Mu ductal carcinoma in situ (DCIS), khansara imapezeka mkatikati mwa ngalande za mkaka koma sinafalikire kumatenda ena a m'mawere.
• Pomwe lobular carcinoma in situ (LCIS) amadziwikanso kuti khansa ya m'mawere ya siteji 0, sikuti kwenikweni imadziwika kuti khansa. M'malo mwake, imafotokoza maselo osadziwika omwe apangidwa m'makolo a bere.

Khansa ya m'mawere ya Gawo 0 imachiritsidwa.

Gawo 1

Pakadali pano, khansara imawonedwa ngati yolanda koma yakomweko. Gawo 1 ligawidwa m'mafomu 1A ndi 1B:

• Mu siteji 1A, khansayo ndi yochepera kuposa 2 sentimita (cm). Sinafalikire ku ma lymph node oyandikana nawo.
• Mu siteji 1B, dokotala sangapeze chotupa pachifuwa chanu, koma ma lymph node amatha kukhala ndi magulu ang'onoang'ono a khansa. Maguluwa amayeza pakati pa 0.2 mpaka 2 millimeters (mm).

Mofanana ndi gawo 0, khansa yoyamba ya m'mawere imachiritsidwa kwambiri.

Gawo 2

Khansara ndiwowopsa mu gawo 2. Gawo ili ligawidwa 2A ndi 2B:

• Mu siteji 2A, Mwina mulibe chotupa, koma khansara yafalikira ku ma lymph node anu. Kapenanso, chotupacho chimakhala chochepera 2 cm kukula ndipo chimakhudzanso ma lymph node.Kapenanso chotupacho chimatha kutalika pakati pa 2 ndi 5 cm koma sichimakhudza ma lymph node.
• Mu siteji 2B, kukula kwa chotupacho ndikokulirapo. Mutha kupezeka kuti muli ndi 2B ngati chotupa chanu chili pakati pa 2 mpaka 5 cm ndipo chafalikira kumatenda anayi kapena ochepa. Apo ayi, chotupacho chikhoza kukhala chachikulu kuposa masentimita asanu popanda kufalikira kwa lymph node.

Mungafunike chithandizo champhamvu kuposa momwe mudapangira kale. Komabe, mawonekedwe ake akadali bwino pa gawo 2.

Gawo 3

Khansa yanu imawerengedwa kuti ndi yolanda komanso yapita patsogolo ikafika pamsinkhu wachitatu. Sinafalikirebe ku ziwalo zanu zina. Gawo ili ligawidwa m'magawo ang'onoang'ono 3A, 3B, ndi 3C:

• Mu siteji 3A, chotupa chanu chimatha kukhala chocheperapo ndi 2 cm, koma pali ma lymph node omwe ali ndi matendawa pakati pa anayi ndi 9. Kukula kwa chotupa panthawiyi kungakhale kokulirapo kuposa masentimita asanu ndikuphatikizira kusonkhana kwakung'ono kwama cell m'matenda anu. Khansara itha kufalikira m'matenda am'munsi mwanu ndi m'chifuwa.
• Mu siteji 3B, chotupacho chimatha kukula kulikonse. Pakadali pano, yafalikiranso m'chifuwa kapena pakhungu lanu ndipo imakhudza ma lymph node.
• Mu siteji 3C, khansayo itha kufalikira kumatenda am'magazi opitilira 10 ngakhale palibe chotupa. Ma lymph node omwe akhudzidwa akhoza kukhala pafupi ndi kolala yanu, mkono wanu wam'mimba, kapena chifuwa chanu.

Chithandizo chapa siteji 3 ndi monga:

• chifuwa
• cheza
• mankhwala a mahomoni
• chemotherapy

Mankhwalawa amaperekedwanso koyambirira. Dokotala wanu angakuuzeni mankhwala osiyanasiyana kuti mupeze zotsatira zabwino.

Gawo 4

Pa gawo 4, khansa ya m'mawere yasintha. Mwanjira ina, wafalikira mbali zina za thupi. Izi zitha kuphatikizira chimodzi kapena zingapo zotsatirazi:

• ubongo
• mafupa
• mapapo
• chiwindi

Dokotala wanu akhoza kuyesa njira zingapo zamankhwala, koma khansara imawonedwa kuti imatha panthawiyi.

Kodi kufalikira kumachitika bwanji?

Pali njira zingapo zomwe khansa imafalikira mthupi.

• Kuwukira mwachindunji kumachitika pamene chotupacho chafalikira ku chiwalo chapafupi m'thupi. Maselo a khansa amayamba mizu ndikuyamba kukula m'dera latsopanoli.
• Kufalikira kwa Lymphangitic kumachitika khansa ikadutsa m'mitsempha yama lymphatic. Khansa ya m'mawere nthawi zambiri imakhudzana ndi ma lymph node omwe ali pafupi, motero khansara imatha kulowa m'mitsempha yamagazi ndikugwira mbali zosiyanasiyana za thupi.
• Kufalikira kwapadera kumayenda mofanana mofanana ndi kufalikira kwa lymphangitic koma kudzera m'mitsempha yamagazi. Maselo a khansa amayenda mthupi lonse ndikumera mizu kumadera akutali ndi ziwalo.

Kodi khansa ya m'mawere imafalikira kuti?

Khansara ikayamba m'matumbo, imatha kufalikira kumatenda asanakhudze mbali zina za thupi. Khansa ya m'mawere imafalikira kwambiri ku:

• mafupa
• ubongo
• chiwindi
• mapapo

Kodi metastasis imapezeka bwanji?

Mayesero osiyanasiyana amatha kuzindikira kufalikira kwa khansa. Mayeserowa samachitidwa pokhapokha dokotala ataganiza kuti khansara ikhoza kufalikira.

Musanawaitanitse, adotolo awunika kukula kwa chotupa chanu, kufalikira kwa ma lymph node, komanso zizindikilo zomwe muli nazo.

Mayeso ofala kwambiri ndi awa:

• X-ray pachifuwa
• kusanthula fupa
• chojambula cha CT
• Kujambula kwa MRI
• ultrasound
• kujambula kwa positron emission tomography (PET)

Mtundu wamayeso omwe mumatha kukhala nawo udalira mbiri yanu yazachipatala. Mwachitsanzo, ngati inu kapena dokotala mukukayikira kuti khansara mwina yafalikira pamimba panu, mutha kukhala ndi ultrasound.

Kujambula kwa CT ndi MRI kumatha kuthandiza dokotala kuwona m'maganizo mbali zosiyanasiyana za thupi nthawi imodzi. Kujambula PET kungakhale kothandiza ngati dokotala akuganiza kuti khansayo mwina yafalikira koma sakudziwa kuti.

Mayesero onsewa ndi osafunikira, ndipo sayenera kukhala kuchipatala. Mutha kupatsidwa malangizo apadera musanayezedwe.

Mwachitsanzo, ngati muli ndi CT scan, mungafunikire kumwa chakumwa chosiyanitsa pakamwa kuti muthandizire kufotokoza zinthu zosiyanasiyana m'thupi lanu.

Ngati muli ndi mafunso kapena nkhawa, musazengereze kuyimbira ofesi yomwe ikuyesa mayeso kuti mumveke.

Kodi metastasis imachiritsidwa bwanji?

Gawo 4 khansa ya m'mawere sichitha. M'malo mwake, ikapezeka, mankhwalawa akukhudzana ndikukweza moyo wanu.

Njira zazikulu zochizira khansa ya m'mawere ya 4 ndi monga:

• chemotherapy
• mankhwala a radiation
• opaleshoni
• mankhwala a mahomoni
• chithandizo chothandizira
• mayesero azachipatala
• kusamalira ululu

Chithandizo kapena chithandizo chomwe mungayese chimadalira kufalikira kwa khansa yanu, mbiri yanu yazachipatala, ndi zisankho zanu. Si mankhwala onse omwe ali oyenera aliyense.

Kulankhula ndi dokotala wanu

Momwe khansa ya m'mawere imafalikira zimadalira pazinthu zingapo komanso zochitika zomwe zimakhala zosiyana ndi thupi lanu komanso khansa yanu. Khansara ikafalikira ku ziwalo zina, palibe mankhwala.

Mosasamala kanthu, chithandizo pagawo lachinayi chingathandize kusintha moyo wanu komanso kutalikitsa moyo wanu.

Dokotala wanu ndiye gwero lanu labwino kwambiri kuti mumvetsetse gawo lomwe muli khansa ndikukuwuzani njira zabwino kwambiri zochiritsira zomwe mungapeze.

Mukawona chotupa kapena zosintha zina m'mabere anu, kambiranani ndi dokotala kuti mupange msonkhano.

Ngati mwapezeka kale kuti muli ndi khansa ya m'mawere, auzeni dokotala ngati mukumva kuwawa, kutupa, kapena zizindikilo zina zoyipa.