Zomwe Mungapemphe Dotolo Wanu Zokhudza Khansa ya m'mawere

Zamkati

• Tsopano popeza ndapezeka ndi khansa ya m'mawere, kodi pali mayeso ena azithunzi omwe ndingafunike?
• Kodi ndimakhala ndi khansa ya m'mawere yamtundu wanji, ili kuti, ndipo izi zikutanthauza chiyani m'maganizo mwanga?
• Kodi chotupa changa chafalikira mpaka pati?
• Kodi chotupa chimakhala chiyani?
• Kodi khansa yanga ya khansa yolandila kapena yololera?
• Kodi maselo anga a khansa ali ndi zotengera zina kumtunda zomwe zingakhudze chithandizo changa?
• Zizindikiro ziti za khansa ya m'mawere zomwe ndingakumane nazo?
• Kodi njira zanga zochizira khansa ya m'mawere ndi ziti?
• Kodi ndi mitundu iti yamankhwala yomwe ingachitike kwa ine?
• Kodi ndimankhwala ati omwe amapezeka kwa ine?
• Kodi ndi mitundu iti ya chemotherapy yomwe ndingasankhe?
• Kodi ndimankhwala amtundu wanji omwe ndingasankhe?
• Kodi ndi mitundu iti yamankhwala opatsirana monoclonal omwe ndingasankhe?
• Kodi ndi mitundu iti ya chithandizo chama radiation chomwe ndingasankhe?
• Kodi ndiyenera kupuma nthawi yantchito chifukwa cha zochiritsira zilizonse. Ndipo ndidzatha liti kubwerera kuntchito?
• Kodi ndimaona bwanji ndikalandira chithandizo?
• Kodi pali mayesero aliwonse azachipatala omwe nditha kutenga nawo mbali?
• N'chifukwa chiyani ndinadwala khansa ya m'mawere?
• Kodi ndi zinthu ziti zomwe ndingachite kunyumba kuti ndikhale ndi malingaliro abwino ndikalandira chithandizo ndikusintha moyo wanga?
• Kodi ndi zinthu ziti zothandizira zomwe zilipo kwa ine?

Osatsimikiza kuti ndiyambira pati kukafunsa dokotala za matenda anu a khansa ya m'mawere? Mafunso 20 awa ndi malo abwino kuyamba:

Tsopano popeza ndapezeka ndi khansa ya m'mawere, kodi pali mayeso ena azithunzi omwe ndingafunike?

Funsani katswiri wanu wa oncologist ngati mukufuna mayeso ena azithunzi kuti muwone ngati chotupacho chafalikira ku ma lymph node kapena ziwalo zina za thupi lanu.

Kodi ndimakhala ndi khansa ya m'mawere yamtundu wanji, ili kuti, ndipo izi zikutanthauza chiyani m'maganizo mwanga?

Funsani oncologist wanu, kutengera biopsy yanu, mtundu wanji wa khansa ya m'mawere yomwe muli nayo, komwe ili pachifuwa, ndi tanthauzo lake pakapangidwe kanu ka mankhwala ndi malingaliro anu mukalandira chithandizo.

Kodi chotupa changa chafalikira mpaka pati?

Kumvetsetsa gawo lomwe muli ndi khansa ya m'mawere ndikofunikira. Funsani dokotala wanu kuti akufotokozereni za gawoli ndikupeza komwe kwina kupatula bere zotupa zilizonse.

Malinga ndi nkhaniyi, gawo la khansa ya m'mawere limadalira kukula kwa chotupacho, ngati khansayo yafalikira kumatenda aliwonse am'mimba, komanso ngati khansayo yafalikira kumadera ena mthupi.

Kodi chotupa chimakhala chiyani?

Makhalidwe apadera a khansa ya m'mawere amakhudza momwe chotupa chanu chimakhalira. Izi zikuphatikiza kuchuluka kwa zotupa zomwe zikuchulukirachulukira, komanso momwe zotupazo zimakhalira zachilendo zikawoneka poyesedwa ndi microscope.

Mukakwera kalasi, khungu la khansa limafanana ndi mawere wamba. Kukula kwa chotupa chanu kumatha kusintha malingaliro anu ndi dongosolo la chithandizo.

Kodi khansa yanga ya khansa yolandila kapena yololera?

Funsani dokotala ngati khansa yanu ili ndi zolandilira. Awa ndi mamolekyulu omwe amakhala pakhungu lomwe amalumikizana ndi mahomoni m'thupi omwe amatha kupangitsa kuti chotupacho chikule.

Makamaka funsani ngati khansa yanu ili ndi estrogen receptor-positive kapena receptor-negative, kapena progesterone receptor-positive kapena receptor-negative. Yankho lake liziwone ngati mungagwiritse ntchito mankhwala omwe amaletsa mphamvu ya mahomoni kuchiza khansa yanu ya m'mawere.

Ngati biopsy yanu sinaphatikizepo kuyesa kwa ma receptors a mahomoni, funsani dokotala wanu kuti akayezetse izi pazoyesera za biopsy.

Kodi maselo anga a khansa ali ndi zotengera zina kumtunda zomwe zingakhudze chithandizo changa?

Maselo ena a khansa ya m'mawere amakhala ndi zotengera kapena mamolekyulu pamwamba omwe amatha kumangika ndi mapuloteni ena m'thupi. Izi zimatha kulimbikitsa chotupacho kukula.

Mwachitsanzo, American Cancer Society (ACS) imalimbikitsa kuti odwala onse omwe ali ndi khansa ya m'mawere yowonongeka ayesedwe kuti awone ngati zotupa zawo zili ndi mulingo wambiri wa HER2 protein receptor. Izi ndizofunikira chifukwa pali njira zina zochiritsira khansa ya m'mawere ya HER2.

Funsani oncologist wanu ngati khansa yanu ili ndi HER2. Ndipo ngati simunayesedwe kwa HER2 protein receptors, funsani oncologist wanu kuti akayese mayeso.

Zizindikiro ziti za khansa ya m'mawere zomwe ndingakumane nazo?

Pezani zizindikiro za khansa ya m'mawere yomwe mudzakumane nayo mtsogolomo, ndipo ndi zizindikiritso ziti zomwe muyenera kulumikizana ndi dokotala wanu.

Kodi njira zanga zochizira khansa ya m'mawere ndi ziti?

Chithandizo chanu chidzadalira pa izi:

• mtundu wa khansa
• kalasi ya khansa
• mahomoni ndi mawonekedwe a HER2 receptor
• siteji ya khansa
• mbiri yanu yazachipatala komanso zaka

Kodi ndi mitundu iti yamankhwala yomwe ingachitike kwa ine?

Mutha kukhala woyenera kuchotsa chotupa (lumpectomy), kuchotsa mawere (mastectomy), ndikuchotsa ma lymph node okhudzidwa. Uzani madokotala anu kuti afotokoze kuopsa ndi phindu la njira iliyonse.

Ngati madokotala anu akulangizani kuti mukhale ndi chiberekero, afunseni ngati kukonzanso kwa bere ndichotheka kwa inu.

Kodi ndimankhwala ati omwe amapezeka kwa ine?

Funsani dokotala wanu wa oncologist ngati pali mankhwala aliwonse awa:

• chemotherapy
• cheza
• mankhwala a mahomoni
• mankhwala a monoclonal antibody

Kodi ndi mitundu iti ya chemotherapy yomwe ndingasankhe?

Ngati dokotala akupatsani chemotherapy, afunseni kuti ndi mitundu iti ya chemo yomwe ikuganiziridwa. Dziwani zoopsa ndi phindu la chemotherapy.

Ndikofunikanso kufunsa zomwe zingachitike chifukwa cha kuphatikiza ma chemo regimens. Mwachitsanzo, ngati kutaya tsitsi lanu kwakanthawi kwakukukhudzani, funsani katswiri wanu wa oncologist ngati mankhwala omwe angalimbikitsidwe angayambitse tsitsi kapena alopecia.

Kodi ndimankhwala amtundu wanji omwe ndingasankhe?

Ngati oncologist wanu akulangiza zamankhwala, funsani njira izi zomwe zikuganiziridwa. Dziwani za kuopsa ndi phindu la mankhwala a mahomoni ndi zomwe zingachitike.

Kodi ndi mitundu iti yamankhwala opatsirana monoclonal omwe ndingasankhe?

Ma antibodies a monoclonal amatseketsa kumangiriza kwa zinthu kuma receptors pamwambapa. Ngati oncologist wanu akuvomereza mankhwala ndi ma monoclonal antibodies, funsani dokotala wanu za mankhwala omwe akuganiziridwa.

Dziwani za kuopsa kwake ndi maubwino ake komanso mavuto omwe angakhalepo ndi ma monoclonal antibodies.

Kodi ndi mitundu iti ya chithandizo chama radiation chomwe ndingasankhe?

Pezani zovuta ndi maubwino a radiation ndi khansa yanu, ndi zomwe zingachitike.

Kodi ndiyenera kupuma nthawi yantchito chifukwa cha zochiritsira zilizonse. Ndipo ndidzatha liti kubwerera kuntchito?

Funsani katswiri wanu wa oncologist ngati zovuta zamankhwala anu zingafune kuti mupume kuntchito mukalandira kapena mukalandira chithandizo. Ndipo dziwitsani abwana anu pasadakhale zomwe gulu lanu la zamankhwala limalimbikitsa.

Kodi ndimaona bwanji ndikalandira chithandizo?

Maganizo anu mukalandira chithandizo amadalira izi:

• mbiri yanu yazachipatala
• zaka zanu
• mtundu wa chotupa
• chotupa
• malo a chotupa
• siteji ya khansa

Gawo lanu lakale la khansa ya m'mawere ndi nthawi yodziwitsa ndi kulandira chithandizo, mwayi wambiri kuti chithandizocho chipambane.

Kodi pali mayesero aliwonse azachipatala omwe nditha kutenga nawo mbali?

Ngati muli ndi gawo lapamwamba la khansa ya m'mawere, mungafune kuganizira zamayesero azachipatala. Ma oncologists anu atha kukulozerani njira yoyenera, kapena mutha kuwona http://www.clinicaltrials.gov/ kuti mumve zambiri.

N'chifukwa chiyani ndinadwala khansa ya m'mawere?

Funso ili ndikosatheka kuyankha, koma sizimapweteka kufunsa. Pakhoza kukhala zoopsa monga mbiri ya banja kapena zochita zawo monga kusuta ndudu. Kunenepa kwambiri kungapangitsenso chiopsezo chotenga khansa ya m'mawere.

Kodi ndi zinthu ziti zomwe ndingachite kunyumba kuti ndikhale ndi malingaliro abwino ndikalandira chithandizo ndikusintha moyo wanga?

Funsani oncologist wanu ngati pali zosintha zina ndi zina zomwe mungasinthe. Zosintha zomwe zingaphatikizidwe zitha kuphatikiza:

• kusintha zakudya zanu
• kuchepetsa nkhawa
• kuchita masewera olimbitsa thupi
• kusiya kusuta
• kuchepetsa kumwa mowa

Zinthu izi zikuthandizira kuchira kwanu ndikuwonjezera mwayi wanu wazotsatira zabwino.

Kodi ndi zinthu ziti zothandizira zomwe zilipo kwa ine?

Kupeza chithandizo ndikuthandizidwa ndikofunikira panthawiyi. Ganizirani zopezeka m'magulu am'deralo othandizira zinthu monga zachuma ndikupeza thandizo ngati kupeza mayendedwe ngati kuli kofunikira. Muthanso kupeza chilimbikitso cham'magulu olimbikitsa monga American Cancer Society.