Kupanga Zolimbana ndi Khansa ya m'mawere

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Kuchokera pakuyesedwa kwa majini kupita ku digito mammography, mankhwala atsopano a chemotherapy ndi zina zambiri, kupita patsogolo kwa matenda a khansa ya m'mawere ndi chithandizo kumachitika nthawi zonse. Koma kodi izi zathandizira bwanji kuzindikira, kulandira chithandizo, komanso koposa zonse, kuchuluka kwa amayi omwe ali ndi khansa ya m'mawere mzaka 30 zapitazi? Yankho lalifupi: zambiri.

Elisa Port, MD, Chief of Breast Surgery ndi: Mtsogoleri wa Dubin Breast Center ku The Mount Sinai Hospital ku New York City. Ngakhale kuti padakali njira yayitali yolimbana ndi matenda oopsawa, tawonani kusiyana komwe kwachitika zaka 30.

Mitengo ya Mammography Pachaka

1985: 25 peresenti

Lero: 75 mpaka 79 peresenti

Zomwe zasintha: Mwachidule? Chirichonse. "Kuchulukitsa kwa inshuwaransi kwa mammograms, kuzindikira za maubwino a mammograms, ndi kafukufuku wazaka zopitilira 30 mpaka 40 zakafukufuku wotsimikizira zidziwitso zomwe mammograms amapulumutsa miyoyo zonse zathandizira pakukweza kuchuluka kwa mammograms omwe amachitika chaka chilichonse," Port akutero . Kuwongolera kwaukadaulo monga kuchepa kwa ma radiation panthawi ya mammograms kwawathandizanso kuti agwiritsidwe ntchito kwambiri ndikuvomerezedwa, akuwonjezera.

Mitengo ya Kupulumuka Zaka Zisanu

1980s: 75 peresenti

Lero: 90.6 peresenti

Zomwe zasinthidwa: Mammograms asanapezeke m'ma 1980, amayi adazindikira khansa ya m'mawere mwa kupeza zotupa paokha. "Tangoganizirani kuchuluka kwa khansa ya m'mawere yomwe idali yomwe idapezeka," Port akutero. "Pa nthawi imeneyi, anali atafalikirabe ku ma lymph node kotero kuti azimayi amapezeka pambuyo pake kuposa masiku ano kotero kuti opulumuka anali otsika kwambiri." Akapezeka adakali aang'ono, zaka zisanu zamoyo zimakhala 93 mpaka 100 peresenti.

Matenda Mitengo

1980s: 102 pa amayi 100,000

Lero: Azimayi 130 pa 100,000

Zomwe zasintha: "Tikutenga khansa ya m'mawere masiku ano kuposa momwe tidachitira zaka 30 zapitazo chifukwa chakuchulukirachulukira," adatero Port. Matenda enieni a khansa ya m'mawere atha kukhala nawonso."Sichifukwa chazinthu zilizonse, koma kuwonjezeka kwa kunenepa kwambiri ku US kuyenera kutengapo gawo," Port akutero. "Tikudziwa kuti kunenepa kwambiri komanso kukhala moyo wongokhala kumawonjezera chiopsezo cha khansa ya m'mawere mwa amayi onse asanabadwe komanso omwe atha msambo."

Chithandizo

1980s: Azimayi 13 pa 100 aliwonse omwe ali ndi khansa ya m'mawere anali ndi lumpectomy

Lero: Pafupifupi azimayi 70 pa 100 aliwonse omwe ali ndi khansa ya m'mawere amachitidwa opaleshoni yoteteza m'mawere (lumpectomy plus radiation)

Zomwe zasintha: "Mammography ndi matenda am'mbuyomu, ang'onoang'ono a khansa adatsegula njira yochitira opaleshoni yoteteza bere m'malo mochotsa bere lonse," adatero Port. M'mbuyomu, mastectomy ankakonda kuchitidwa chifukwa zotupa zinali zazikulu pofika nthawi yomwe adapezeka. Protocol yothandizira ikupitilizabe kusintha. M'mbuyomu, amayi ambiri omwe ali ndi khansa ya m'mawere ya estrogen receptor-positive adamwa mankhwala a tamoxifen kwa zaka zisanu atawazindikira kuti achepetse chiopsezo chobwereranso ndikuwonjezera kupulumuka. Kafukufuku yemwe adasindikizidwa chaka chatha mu The Lancet adapeza kuti kumwa mankhwalawa kwa zaka 10 kumapindulitsa kwambiri. Mwa iwo omwe adazitenga kwa zaka zisanu chiopsezo chobwereranso chinali 25% poyerekeza ndi 21% mwa omwe adatenga zaka 10. Ndipo chiwopsezo cha kufa ndi khansa ya m'mawere chinatsika kuchokera pa 15 peresenti patatha zaka zisanu kufika pa 12 peresenti patatha zaka 10 atamwa mankhwalawa. "Izi ndi zinthu zomwe taphunzira m'chaka chathachi za mankhwala omwe akhalapo kwa zaka zoposa 30," adatero Port. "Sitinapange mankhwalawa patsogolo, koma tathandizira momwe timagwiritsira ntchito gulu la odwala."

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