Khansa ya m'mawere ya Lobular: Kodi Kukula Kwake ndi Kupulumuka Kwake Ndi Chiyani?

Zamkati

• Kodi matendawa ndi otani?
• Kodi mitengo yapulumuka ndi yotani?
• Ndondomeko ya chithandizo
• Opaleshoni
• Mankhwala ena
• Kukhala bwino

Kodi khansa ya m'mawere ndi chiyani?

Khansa ya m'mawere yotchedwa Lobular, yomwe imadziwikanso kuti invasive lobular carcinoma (ILC), imapezeka m'mabere kapena ma lobele. Ma Lobules ndi madera a m'mawere omwe amatulutsa mkaka. ILC ndi mtundu wachiwiri wofala kwambiri wa khansa ya m'mawere.

ILC imakhudza pafupifupi anthu 10 pa 100 aliwonse omwe ali ndi khansa ya m'mawere. Anthu ambiri omwe ali ndi khansa ya m'mawere ali ndi matendawa m'mimbamo yawo, omwe ndi omwe amanyamula mkaka. Khansara yamtunduwu imatchedwa invasive ductal carcinoma (IDC).

Mawu oti "olanda" amatanthauza kuti khansa yafalikira kumadera ena kuyambira pomwe idayamba. Pankhani ya ILC, yafalikira ku mawere ena a m'mawere.

Kwa anthu ena, izi zikutanthauza kuti maselo a khansa amapezeka mgulu lina la minofu ya m'mawere. Kwa ena, zikutanthauza kuti matendawa afalikira (metastasized) m'malo ena amthupi.

Ngakhale anthu amatha kupezeka ndi khansa ya m'mawere yam'badwo uliwonse, imakonda kwambiri azimayi azaka 60 kapena kupitilira apo. Kafukufuku akuwonetsa kuti mankhwala obwezeretsa mahomoni atatha kusamba atha kuwonjezera chiopsezo cha khansa yamtunduwu.

Kodi matendawa ndi otani?

Monga khansa zina, ILC imayikidwa pamlingo wa 0 mpaka 4. Kuyika masitepe kumakhudzana ndi kukula kwa zotupazo, kukhudzika kwa ma lymph node, komanso ngati zotupa zafalikira kumadera ena a thupi. Manambala apamwamba amaimira magawo otsogola kwambiri.

Mukazindikira kuti muli ndi ILC ndikuyamba kulandira chithandizo chamankhwala, mumatha kukhala ndi malingaliro abwino. Monga mitundu ina ya khansa, magawo oyambilira a ILC atha kuthandizidwa mosavuta ndizovuta zochepa. Izi nthawi zambiri - koma osati nthawi zonse - zimabweretsa kuchira kwathunthu komanso kuchepa kwa kubwereza.

Komabe, kuzindikira koyambirira ndi vuto lalikulu ndi ILC poyerekeza ndi IDC yofala kwambiri. Izi ndichifukwa choti kukula ndi kufalikira kwa mitundu ya ILC ndizovuta kwambiri kuzizindikira pamayeso am'mayeso komanso mayeso a m'mawere.

ILC nthawi zambiri samapanga chotupa, koma imafalikira m'mizere yamafayilo amodzi kudzera munthawi yamafuta a m'mawere. Amatha kukhala ndi magwero angapo kuposa khansa zina ndipo amakhala ndi chizolowezi chofafaniza mafupa.

Chimodzi chikuwonetsa kuti zotsatira zakanthawi yayitali kwa anthu omwe amapezeka ndi ILC zitha kukhala zofananira kapena zoyipa kuposa zomwe zimapezeka ndi mitundu ina ya khansa ya m'mawere yoopsa.

Pali mfundo zina zabwino zofunika kuziganizira. Mitundu yambiri ya khansa imakhala ndi cholandilira, makamaka estrogen (ER), zomwe zikutanthauza kuti zimakula chifukwa cha mahomoni. Mankhwala oletsa zotsatira za estrogen amatha kuthandiza kupewa kubwereranso kwa matenda ndikuwongolera matenda.

Maganizo anu samangodalira gawo la khansa, komanso malingaliro anu azosamalira kwakanthawi. Maimidwe otsatira ndi mayeso angathandize dokotala kuti azindikire kuti khansa imayambiranso kapena zovuta zina zomwe zingachitike mukalandira khansa ya m'mawere.

Sungani kuyezetsa thupi ndi mammogram chaka chilichonse. Yoyamba iyenera kuchitika patatha miyezi isanu ndi umodzi kuchokera pomwe opareshoni kapena mankhwala a radiation amaliza.

Kodi mitengo yapulumuka ndi yotani?

Kuwonjezeka kwa khansa kumawerengedwa malinga ndi kuchuluka kwa anthu omwe amakhala zaka zosachepera zisanu atawapeza. Pafupifupi zaka zisanu kupulumuka kwa khansa ya m'mawere ndi 90% ndipo zaka 10 zapulumuka ndi 83%.

Gawo la khansa ndilofunika poganizira za kupulumuka. Mwachitsanzo, ngati khansara ili m'mawere, zaka zisanu zapulumuka ndi 99 peresenti. Ngati yafalikira ku ma lymph node, mlingowo umatsika mpaka 85%.

Chifukwa pali zosintha zambiri kutengera mtundu ndi kufalikira kwa khansa, ndibwino kuti mulankhule ndi adotolo pazomwe mungayembekezere munthawi yanu.

Ndondomeko ya chithandizo

ILC ikhoza kukhala yovuta kwambiri kuzindikira kusiyana ndi mitundu ina ya khansa ya m'mawere chifukwa imafalikira munjira yapadera yanthambi. Nkhani yabwino ndiyakuti ndi khansa yomwe ikukula pang'onopang'ono, yomwe imakupatsani nthawi yoti mupange dongosolo lamankhwala ndi gulu lanu la khansa.

Pali njira zingapo zamankhwala zomwe zingakuthandizeni kuti mukhale ndi mwayi wochira.

Opaleshoni

Chithandizo chimasiyanasiyana kutengera gawo la khansa yanu. Zotupa zazing'ono m'mabere zomwe sizinafalikire zimatha kuchotsedwa mu lumpectomy. Njirayi ndi njira yochepetsera ya mastectomy yathunthu. Mu lumpectomy, gawo limodzi lokha la minyewa yamawere limachotsedwa.

Mu mastectomy, bere lonse limachotsedwa kapena popanda minofu yoyambira ndi minofu yolumikizana.

Mankhwala ena

Hormonal therapy, yotchedwanso anti-estrogen therapy, kapena chemotherapy itha kugwiritsidwa ntchito pochepetsa zotupa zisanachitike opaleshoni. Mungafunike radiation pambuyo pa lumpectomy kuti muwonetsetse kuti maselo onse a khansa awonongedwa.

Dokotala wanu adzakuthandizani kupanga dongosolo losamalira lomwe limasinthidwa malinga ndi thanzi lanu, pogwiritsa ntchito ukadaulo waposachedwa kwambiri womwe ulipo.

Kukhala bwino

Kuzindikira ILC kungakhale kovuta, makamaka chifukwa ndizovuta kuyambitsa matenda oyamba, komanso kusaphunzira bwino ngati IDC. Komabe, anthu ambiri amakhala ndi moyo zaka zambiri atazindikira kuti ali ndi matendawa.

Kafukufuku wamankhwala ndi ukadaulo womwe udalipo zaka zisanu zapitazo mwina sizingakhale zotsogola kwambiri monga zosankha zamankhwala zomwe zilipo masiku ano. Kupezeka kwa ILC lero kumatha kukhala ndi chiyembekezo kuposa momwe kungakhalire zaka zisanu kapena kupitilira apo.

Pezani chithandizo kuchokera kwa ena omwe ali ndi khansa ya m'mawere. Tsitsani pulogalamu yaulere ya Healthline Pano.