Kodi Khansa Yam'mimba Ndi Chiyani?

Zamkati

• Chidule
• Gawo 0 khansa ya m'mawere vs. lobular carcinoma in situ
• Gawo 0 vs. siteji 1 khansa ya m'mawere
• Kodi ndizofala motani?
• Kodi pali zizindikiro?
• Kodi anthu ena ali pachiwopsezo chowonjezeka?
• Kodi khansa ya m'mawere yoyamba imapezeka bwanji?
• Kodi khansa ya m'mawere yoyamba imathandizidwa bwanji?
• Kodi ndidzafunika chemo?
• Mavuto azaumoyo
• Maganizo ake ndi otani?

Chidule

Gawo 0 khansa ya m'mawere, kapena ductal carcinoma in situ (DCIS), ndipamene pamakhala maselo osadziwika mkatikati mwa ngalande zamkaka. Koma maselowo sanafalikire kupyola khoma la ngalandeyo kuti akafikire minofu yoyandikana nayo, magazi, kapena ma lymph node.

DCIS siyodziwika ndipo nthawi zina imatchedwa "precancer." Komabe, DCIS itha kukhala yowopsa.

Gawo 0 khansa ya m'mawere vs. lobular carcinoma in situ

Khansa ya m'mawere ya Stage 0 imagwiritsa ntchito lobular carcinoma in situ (LCIS). Ngakhale dzinalo lili ndi mawu oti carcinoma, LCIS siyikudziwikanso kuti khansa. LCIS ​​imakhudza maselo osadziwika amtunduwu, koma samafalikira kupyola ma lobules.

LCIS ​​nthawi zina amatchedwa "lobular neoplasia." Sizitengera chithandizo. Komabe, LCIS itha kukulitsa chiopsezo chanu chodwala khansa mtsogolo, chifukwa chake kutsatira ndikofunikira.

Gawo 0 vs. siteji 1 khansa ya m'mawere

Pa siteji 1 khansa ya m'mawere, khansayo ndi yovuta, ngakhale ndiyochepa ndipo imapezeka m'matenda a m'mawere (gawo 1A), kapena kuchuluka kwa ma cell a khansa kumapezeka mu ma lymph node apafupi (gawo 1B).

Pamene tikufufuza khansa ya m'mawere ya 0, tikulankhula za DCIS, osati khansa yoyamba ya m'mawere kapena LCIS.

Kodi ndizofala motani?

Mu 2019, padzakhala pafupifupi 271,270 milandu yatsopano ya khansa ya m'mawere ku United States.

DCIS imayimira pafupifupi matenda onse atsopano.

Kodi pali zizindikiro?

Kawirikawiri palibe zizindikiro za khansa ya m'mawere ya siteji 0, ngakhale kuti nthawi zina imatha kuyambitsa chotupa cha m'mawere kapena kutuluka kwamagazi pamabele.

Kodi anthu ena ali pachiwopsezo chowonjezeka?

Zomwe zimayambitsa khansa ya m'mawere ya Stage 0 sizikudziwika, koma pali zinthu zomwe zingakulitse chiopsezo chanu, monga:

• Kukula msinkhu
• Mbiri ya atypical hyperplasia kapena matenda ena owopsa a m'mawere
• mbiri yabanja ya khansa ya m'mawere kapena kusintha kwa majini komwe kumatha kuonjezera chiopsezo cha khansa ya m'mawere, monga BRCA1 kapena BRCA2
• kukhala ndi mwana wanu woyamba atakwanitsa zaka 30 kapena osakhala ndi pakati
• kukhala ndi nthawi yoyamba usanakwanitse zaka 12 kapena kuyamba kusamba ukatha zaka 55

Palinso zovuta zina pamoyo wanu, zomwe zingasinthidwe kuti muchepetse chiopsezo chanu, kuphatikiza:

• kusagwira ntchito
• kukhala wonenepa kwambiri mutatha kusamba
• kumwa mankhwala obwezeretsa mahomoni kapena njira zina zakulera zam'thupi
• kumwa mowa
• kusuta

Kodi khansa ya m'mawere yoyamba imapezeka bwanji?

Onani dokotala wanu ngati muli ndi chotupa kapena zosintha zina m'mawere anu. Kambiranani za mbiri ya khansa ya banja lanu ndikufunsani kuti muwone kangati.

Khansa ya m'mawere ya Gawo 0 imapezeka nthawi yowunika mammogram. Potsatira mammogram okayikira, dokotala wanu atha kuyitanitsa kuyesa mammogram kapena mayeso ena azithunzi, monga ultrasound.

Ngati pali funso lina lokhudza malo okayikira, mungafune kulemba biopsy. Pachifukwa ichi, adotolo adzagwiritsa ntchito singano pochotsa minofu. Katswiri wazachipatala adzafufuza minofuyo pogwiritsa ntchito microscope ndikupereka lipoti kwa dokotala wanu.

Lipoti la kudwala likunena ngati pali ma cell osazolowereka omwe alipo ndipo, ngati ndi choncho, akhoza kukhala achiwawa.

Kodi khansa ya m'mawere yoyamba imathandizidwa bwanji?

Mastectomy, kapena kuchotsedwa kwa bere lako, kamodzi kunali chithandizo cha khansa ya m'mawere ya siteji 0, koma sikofunikira nthawi zonse masiku ano.

Zina mwazifukwa zoganizira za mastectomy ndi izi:

• muli ndi DCIS m'malo opitilira gawo limodzi la bere
• malowa ndi akulu poyerekeza ndi kukula kwa bere lanu
• simungakhale ndi mankhwala a radiation
• mumakonda mastectomy kuposa lumpectomy ndi radiation radiation

Ngakhale mastectomy imachotsa bere lonse, lumpectomy imachotsa kokha dera la DCIS kuphatikiza malire pang'ono mozungulira. Lumpectomy amadziwikanso kuti opaleshoni yosamalira mawere kapena kudulira komweko. Izi zimasunga bere ambiri ndipo mwina simufunika kuchitidwa opaleshoni yomangidwanso.

Chithandizo cha ma radiation chimagwiritsa ntchito mphamvu zamagetsi kuwononga maselo aliwonse achilendo omwe mwina adatsalira atachitidwa opaleshoni. Thandizo la radiation pa gawo 0 khansa ya m'mawere imatha kutsatira lumpectomy kapena mastectomy. Mankhwala amalandira masiku asanu pasabata kwa milungu ingapo.

Ngati DCIS ili ndi receptor receptor-positive (HR +), mankhwala a mahomoni atha kugwiritsidwa ntchito kuchepetsa mwayi wokhala ndi khansa ya m'mawere pambuyo pake.

Mulimonsemo ndiwosiyana, chifukwa chake lankhulani ndi dokotala wanu zaubwino ndi zoopsa zamtundu uliwonse wamankhwala.

Kodi ndidzafunika chemo?

Chemotherapy imagwiritsidwa ntchito pochepetsa zotupa ndikuwononga ma cell a khansa mthupi lonse. Popeza khansa ya m'mawere yapa 0 siyikulowerera, njira zamachitidwe izi sizofunikira kwenikweni.

Mavuto azaumoyo

Mukaphunzira kuti muli ndi khansa ya m'mawere yoyamba, muli ndi zisankho zazikulu zoti mupange. Ndikofunika kulankhula ndi dokotala wanu za matenda anu mozama. Funsani kuti mumveke ngati simukumvetsetsa za matendawa kapena zomwe mungasankhe. Muthanso kutenga nthawi kuti mupeze lingaliro lina.

Pali zambiri zoti muziganizire. Ngati muli ndi nkhawa, mwapanikizika, kapena mukuvutika kuthana ndi matenda ndi chithandizo chamankhwala, lankhulani ndi dokotala wanu. Amatha kukutumizirani kuzithandizo m'dera lanu.

Nazi zinthu zina zofunika kuziganizira:

• Lankhulani ndi anzanu ndi abale anu kuti akuthandizeni.
• Lankhulani ndi othandizira kapena akatswiri azaumoyo.
• Lowani nawo gulu lothandizira pa intaneti kapena mwa-munthu. Tsamba lamapulogalamu ndi Services la American Cancer Society limapereka chidziwitso pazazinthu, kaya pa intaneti kapena mdera lanu. Muthanso kucheza ndi nthumwi kapena, ngati muli ku United States, imbani foni pa 1-800-227-2345.

Njira zothetsera kupsinjika ndi nkhawa ndi monga:

• kuchita masewera olimbitsa thupi
• yoga kapena kusinkhasinkha
• kupuma kozama
• kutikita (funsani dokotala poyamba)
• kugona mokwanira usiku uliwonse
• kukhala ndi chakudya chamagulu

Maganizo ake ndi otani?

Khansa ya m'mawere ya Gawo 0 imatha kukula pang'onopang'ono ndipo mwina siyingathe kupita ku khansa yowopsa. Itha kuchiritsidwa bwino.

Amayi omwe adakhalapo ndi DCIS ali pachiwopsezo chambiri chodwala khansa ya m'mawere yowopsa kuposa azimayi omwe sanakhalepo ndi DCIS.

Mu 2015, adawona azimayi opitilira 100,000 omwe adapezeka ndi khansa ya m'mawere ya siteji 0. Ofufuzawo akuti pafupifupi zaka 10 zakufa kwa khansa ya m'mawere ndi 1.1 peresenti ndipo zaka 20 ndi 3.3 peresenti.

Kwa amayi omwe anali ndi DCIS, chiopsezo chofa ndi khansa ya m'mawere chinawonjezeka ndi maulendo 1.8 pa azimayi ambiri. Chiwerengero chaimfa chinali chachikulu kwa azimayi omwe amapezeka asanakwanitse zaka 35 kuposa azimayi achikulire, komanso aku Africa-America aku Caucasus.

Pazifukwa izi, adotolo angakulimbikitseni kuwunika pafupipafupi kuposa ngati simunakhalepo ndi DCIS.