Momwe chithandizo cha khansa ya m'mawere chimachitikira

Zamkati

• 1. mankhwala a mahomoni
• 2. Opaleshoni
• 3. Chemotherapy
• 4. Radiotherapy
• 5. Physiotherapy
• Chithandizo cha khansa ya m'mawere yamphongo
• Chithandizo cha mimba
• Njira zamankhwala zothandizira khansa ya m'mawere

Chithandizo cha khansa ya m'mawere chimasiyanasiyana kutengera kukula kwa chotupacho, ndipo chitha kuchitidwa kudzera mu chemotherapy, radiation radiation kapena opaleshoni. Zinthu zina zomwe zingakhudze kusankha kwamankhwala ndi mawonekedwe a chotupa ndi mawonekedwe a mkazi, monga msinkhu, kupezeka kwa matenda oyanjana nawo kapena ayi komanso kuti walowa kale kusamba.

Mankhwalawa amawonetsedwa makamaka chifukwa cha zotupa zoyipa, ndipo ngati ali ndi khansa ya m'mawere yoyipa nthawi zambiri imangofunika kuyang'anitsitsa nthendayi, osafunikira chithandizo chamtundu uliwonse. Pankhani ya khansa ya m'mawere, yomwe chotupacho chimakula kwambiri, pangafunike kugwiritsa ntchito mankhwala onse kuti athane ndi maselo onse a khansa ndikuwonjezera mwayi wochiritsidwa.

Chithandizo cha khansa ya m'mawere chitha kuchitidwa ndi SUS kwaulere ku High Complexity Assistance Units ku Oncology, yotchedwa UNACON komanso ku High Complexity Assistance Center ku Oncology, yotchedwanso CACON. Kuti muyambe kulandira chithandizo cha khansa ndikofunikira kulumikizana ndi INCA ndikutsatira zisonyezo zonse kuti mankhwalawa akhale pafupi ndi nyumba.

Njira zazikuluzikulu zochiritsira zomwe zitha kuwonetsedwa ndi oncologist ndi mastologist ndi:

1. mankhwala a mahomoni

Thandizo la mahomoni limachepetsa kuchuluka kwa mahomoni achikazi omwe amayenda m'magazi, kupewa kufalikira kwa maselo a khansa. Chithandizo chamtunduwu chimalimbikitsidwa pankhani ya khansa ya m'mawere yamtundu wa "positive hormone receptor", ndiye kuti, omwe amapindula ndi mankhwala azamankhwala, popeza ma cell a chotupa ali ndi zolandilira.

Dokotala angakulimbikitseni kugwiritsa ntchito Tamoxifen kapena Fulvestranto, yomwe iyenera kugwiritsidwa ntchito kwa zaka pafupifupi 5, ngakhale mayiyo sakuwonetsanso zizindikiro zina za khansa. Kuphatikiza apo, tamoxifen imatha kuwonetsedwa musanachite opaleshoni kapena pambuyo pake kuti muchotse chotupacho.

2. Opaleshoni

Kuchita opaleshoni kumawonetsedwa pamtundu uliwonse wa chotupa cha m'mawere, mosasamala kukula kwake, chifukwa kumachotsa maselo ambiri a khansa, kukulitsa mwayi wochiritsa ndikuwongolera chithandizo chotsalira. Mtundu wa opareshoni umasiyanasiyana kutengera kukula kwa chotupacho, ndipo mastectomy yayikulu, momwe bere limachotsedweratu, limangogwiritsidwa ntchito pamavuto akulu kwambiri khansa ikafalikira. Nthawi zina, nthawi zambiri gawo lokhala ndi bere pomwe chotupacho limadziwika kuti mastectomy.

Pambuyo pa opaleshoniyi, adokotala amalimbikitsanso magawo ena a radiotherapy kuti athetse ma cell omwe sangakhale atachotsedwa, makamaka ngati ali ndi khansa yapachiyambi yomwe ili pachiwopsezo chachikulu kapena khansa ya m'mawere.

3. Chemotherapy

Kuchiza ndi chemotherapy kumachitika ndikugwiritsa ntchito mankhwala angapo omwe akuwonetsedwa ndi oncologist ndipo ndizofala kuti zotsatira zoyipa ziziwoneka, monga mseru, kusanza, kupweteka mutu, kusowa chilakolako komanso kutayika tsitsi. Chifukwa chake, ndikofunikira kutsatira katswiri wazamisala kuti athandize kuthana ndi zosinthazi.

4. Radiotherapy

Kuchiza kwa khansa ya m'mawere ndi radiotherapy kumawonetsedwa ngati chemotherapy siyokwanira kuthana ndi maselo onse a khansa. Munthawi yamankhwala iyi, wodwalayo amayang'aniridwa ndi radiation m'chifuwa ndi m'khwapa ndipo kuphatikiza ndi chemotherapy ndikofala.

5. Physiotherapy

Pambuyo pochitidwa opaleshoni yochotsa mabere, physiotherapy iyenera kuyambika kuthana ndi kutupa kwa mkono, kukulitsa mayendedwe ndi phewa, kukonza kukhazikika kwa thupi, kuimitsa chidwi ndikuchepetsa kupindika ndi kulumikizana ndi zilonda, zomwe ndizovuta zomwe zimachitika chifukwa cha opaleshoni yokhudzana ndi radiotherapy, yomwe zimakhudza azimayi onse omwe amachitiridwa motere.

Chithandizo cha khansa ya m'mawere yamphongo

Chithandizo cha khansa ya m'mawere mwa amuna chimachitidwa ndi njira zomwezo zomwe akazi amagwiritsa ntchito, komabe, popeza momwe matendawa amapangidwira nthawi yayitali kwambiri yamatendawa, pamakhala mwayi wocheperako kuposa amayi omwe amapezeka koyambirira kwa matendawa.

Chifukwa chake, ndikofunikira kuti amuna azindikiranso za khansa ya m'mawere, monga kupweteka pachifuwa kapena madzimadzi omwe amatuluka munsonga ndikupita kwa dokotala akangowona kusintha kulikonse. Phunzirani momwe mungazindikire khansa ya m'mawere yamphongo.

Chithandizo cha mimba

Chithandizo cha khansa ya m'mawere mukakhala ndi pakati chimadalira msinkhu wobereka, kukula ndi kukula kwa matendawa. Njira zonse zitha kuchitidwa kwa amayi apakati, komabe ali ndi zoletsa zina, chifukwa atha kuyimira chiopsezo kwa mayi ndi mwana.

Kuchita opaleshoni ya khansa ya m'mawere kumatha kuchitidwa nthawi iliyonse yomwe ali ndi pakati, chifukwa kumayimira chiopsezo chochepa ndipo sikusokoneza kukula kwa mwana. Komabe, nthawi zambiri, opaleshoni yokha siyokwanira kuthana ndi khansa yamtunduwu, yofunikira kuthandizidwa ndi chemotherapy kapena radiation, yomwe iyenera kuchitidwa poganizira nthawi yobereka komanso momwe zingakhudzire kukula kwa mwana. .

Mwanjira imeneyi, dotolo nthawi zambiri amasankha kuchedwetsa magwiridwe antchito a opaleshoni kuti athe kuyamba chithandizo chothandizirana ndi chemo ndi radiotherapy kutsatira popanda zoopsa zilizonse. Mankhwala a chemotherapy amalimbikitsidwa kuyambira trimester yachiwiri yapakati, popeza kuyambira mwezi wachinayi wa mimba zoopsa za chithandizo cha mwana ndizochepa.

Komabe, zikawoneka kuti khansara yapita patsogolo kwambiri, adotolo atha kunena kuti mankhwalawa amachitika mu trimester yoyamba ya mimba, ndipo mwina pangafunike kuthetsa mimba kuti ipewe kuwonongeka kwa mwanayo. Kumbali inayi, chithandizo chikayambika pambuyo pa trimester yachiwiri, chiziyimitsidwa mpaka sabata la 35 kapena milungu itatu mwana asanabadwe kuti apewe zovuta pakubereka, monga matenda opatsirana kapena kukha magazi.

Radiotherapy ndi njira ina yothandizira yomwe ingagwiritsidwe ntchito mu khansa ya m'mawere, koma sayenera kugwiritsidwa ntchito ngati ali ndi pakati chifukwa imatha kusokoneza kukula kwa mwanayo, chifukwa chake, imayenera kuchitika atabadwa. Nthawi zina, mayi akamakhala ndi khansa atakula kwambiri ndipo atha kale kukhala ndi pakati, adotolo angasankhe kuyembekezera kubereka kuti radiotherapy iyambe kuyambika posachedwa.

Njira zamankhwala zothandizira khansa ya m'mawere

Chithandizo chachilengedwe cha khansa ya m'mawere chimangothandiza kuchipatala komwe kumachitika mchipatala, ndipo sikuyenera kusintha malangizo a dokotala. Kuti musamalire mankhwala mwachilengedwe muyenera:

• Idyani zakudya zokhala ndi michere ndi chakudya chilichonse, monga oats wathunthu, fulakesi, ndi zakudya zonse, ndi ndiwo zamasamba zosaphika;
• Kuchepetsa kumwa mafuta ndikupewa kumwa zakudya zopangidwa kapena zopangidwa;
• Siyani kusuta, ngati mumasuta;
• Bweretsani ndalama pakudya chakudya chamagulu, chopanda mankhwala.

Mitundu yamasinthidwe yazakudya ndiyofunikira kwambiri chifukwa imatsimikizira kuchuluka kwa lignans mthupi, zomwe ndi zinthu zomwe zimachepetsa kutulutsa kwa estrogen, mahomoni akulu omwe amachititsa kuti khansa yamtunduwu ipangidwe.