Mitundu 9 ya Khansa ya m'mawere Aliyense Ayenera Kudziwa Zake

Zamkati

• Kodi khansa ya m'mawere ndi chiyani?
• Kodi mungadziwe bwanji mtundu wa khansa ya m'mawere yomwe munthu ali nayo?
• Mitundu Yosiyanasiyana ya Khansa ya M'mawere
• Onaninso za

Mwayi inu mukudziwa winawake yemwe ali ndi khansa ya m'mawere: Pafupifupi 1 mwa amayi asanu ndi atatu aku America amakhala ndi khansa ya m'mawere m'moyo wake. Ngakhale zili choncho, pali mwayi wabwino kuti simukudziwa zambiri za mitundu yonse ya khansa ya m'mawere yomwe munthu angakhale nayo. Inde, pali zosiyana zambiri za matendawa ndipo kuzidziwa kungapulumutse moyo wanu (kapena wa munthu wina).

Kodi khansa ya m'mawere ndi chiyani?

"Khansa ya m'mawere ndi nthawi yayikulu kwambiri yomwe imakhudza ma khansa onse omwe ali m'mawere, koma pali mitundu ingapo ya khansa ya m'mawere ndi njira zingapo zowagawira," akutero a Janie Grumley, MD, oncologist wa mawere komanso wamkulu wa Margie Petersen Breast Center ku Providence Saint John's Center Santa Monica, CA.

Kodi mungadziwe bwanji mtundu wa khansa ya m'mawere yomwe munthu ali nayo?

Omasulira ofunikira ndikuti khansa ya m'mawere ndiyowopsa kapena ayi (in-situ amatanthauza kuti khansara ili mkati mwa mawere a m'mawere ndipo sangathe kufalikira; kuwonongeka kumatha kuyenda kunja kwa bere; malo m'thupi); chiyambi cha khansara komanso mtundu wamaselo omwe amakhudza (ductal, lobular, carcinoma, kapena metaplastic); ndi mitundu iti ya ma hormonal receptors omwe alipo (estrogen; progesterone; human epidermal grow factor receptor 2 kapena HER-2; kapena katatu-hasi, yomwe ilibe chilichonse chazomwe zatchulidwazi). Zolandilira ndizomwe zimawonetsa kuti maselo am'mawere (a khansa komanso athanzi) kuti akule. Zinthu zonsezi zimakhudza mtundu wa chithandizo chomwe chingakhale chothandiza kwambiri. Nthawi zambiri, mtundu wa khansa ya m'mawere udzaphatikiza zonse izi m'dzina. (Zokhudzana: Muyenera-Dziwani Zambiri Zokhudza Khansa ya M'mawere)

Tikudziwa-ndizofunika kukumbukira. Ndipo chifukwa pali mitundu yambiri, pali mitundu yambiri ya khansa ya m'mawere-mukangoyamba kulowa mumagulu ang'onoang'ono, mndandanda umakula mpaka khumi ndi awiri. Mitundu ina ya khansa ya m'mawere, imapezeka kwambiri kuposa ina, kapena ndiyofunika kwambiri kuti mudziwe chiopsezo chanu cha khansa; apa pali mndandanda wa zisanu ndi zinayi zomwe muyenera kudziwa.

Mitundu Yosiyanasiyana ya Khansa ya M'mawere

1. Invasive Ductal Carcinoma

Anthu ambiri akamaganiza za khansa ya m'mawere, ndiye kuti ndi invasive ductal carcinoma. Uwu ndiye mtundu wodziwika kwambiri wa khansa ya m'mawere, yomwe imakhala pafupifupi 70 mpaka 80% ya matenda onse, ndipo nthawi zambiri amapezeka kudzera pa mammogram screenings. Mtundu uwu wa khansa ya m'mawere umatanthauzidwa ndi maselo a khansa omwe amayambira m'njira za mkaka koma amafalikira ku ziwalo zina za mawere, nthawi zina mbali zina za thupi. "Monga khansa zambiri za m'mawere, nthawi zambiri pamakhala zikwangwani mpaka kumapeto," akutero a Sharon Lum, M.D., director of the Loma Linda University Breast Health Center in California. "Komabe, munthu yemwe ali ndi khansa ya m'mawere yamtundu wotere amatha kunenepa bere, khungu, kutupa m'mawere, zotupa kapena zofiira, kapena kutuluka kwa mawere."

2. Khansa ya m'mawere ya m'mimba

Khansa ya m'mawere yomwe imangotchedwa 'siteji 4 ya khansa ya m'mawere', khansa yamtundu uwu ndi pomwe ma cell a khansa afalikira (mwachitsanzo kufalikira) mbali zina za thupi-nthawi zambiri chiwindi, ubongo, mafupa, kapena mapapo. Amachoka ku chotupa choyambiriracho n’kudutsa m’magazi kapena m’ma lymphatic system. Kumayambiriro kwa matendawa, palibe zizindikiritso zoonekeratu za khansa ya m'mawere, koma pakapita nthawi, mutha kuwona kupindika kwa bere (monga khungu la lalanje), kusintha kwa mawere, kapena kumva kupweteka kulikonse mthupi , akutero Dr. Lum. Khansara ya Gawo 4 mwachiwonekere imamveka yowopsa, koma pali mankhwala ambiri olonjeza omwe apatsa amayi omwe ali ndi khansa ya m'mawere mwayi wokhala ndi moyo wautali, akuwonjezera.

3. Ductal Carcinoma Mu Situ

Ductal carcinoma in situ (DCIS) ndi mtundu wa khansa ya m'mawere yomwe siili yowononga kumene maselo osadziwika apezeka mumzere wa njira ya mkaka wa m'mawere. Sikuti nthawi zambiri amadziwika ndi zizindikilo, koma nthawi zina anthu amatha kumva chotupa kapena kutuluka magazi. Khansara yamtunduwu ndi khansa yoyambirira kwambiri ndipo imatha kuchiritsidwa, zomwe ndi zabwino kwambiri - koma izi zimakulitsanso chiopsezo chanu chomwa mankhwala ochulukirapo (werengani: chithandizo cha radiotherapy chomwe sichingakhale chofunikira, mankhwala a mahomoni, kapena opaleshoni yama cell omwe sangafalikire kapena kuchititsa nkhawa zina. ). Ngakhale, a Dr. Lum akunena kuti maphunziro atsopano akhala akuyang'anitsitsa kuyang'anitsitsa kwa DCIS (kapena kuwona kokha) kuti apewe izi.

4. Invasive Lobular Carcinoma

Mtundu wachiwiri wa khansa ya m'mawere ndi invasive lobular carcinoma (ICL), ndipo umapanga pafupifupi 10 peresenti ya matenda onse a khansa ya m'mawere, malinga ndi American Cancer Society. Mawu akuti carcinoma amatanthauza kuti khansara imayamba ndi kanyama kenakake kenako kadzaphimba chiwalo chamkati-pamenepa minofu ya m'mawere. ICL imanena makamaka za khansa yomwe yafalikira kudzera m'magulu otulutsa mkaka m'chifuwa ndipo kuyambira pamenepo ayamba kulowerera minofu.Popita nthawi, ICL imatha kufalikira kumatenda am'mimba komanso mbali zina za thupi. "Mtundu uwu wa khansa ya m'mawere kumakhala kovuta kuzindikira," akutero Dr. Lum. "Ngakhale kulingalira kwanu kuli kwachilendo, ngati muli ndi chotupa m'chifuwa chanu, fufuzani." (Zokhudzana: Mnyamata Wazaka 24 Uyu Anapeza Chotupa Cha Khansa Ya M'mawere Pamene Akukonzekera Kukagonako Usiku)

5. Khansa ya M'mawere Yotupa

Wankhanza komanso wokula msanga, khansa yamtundu uwu imawonedwa ngati gawo lachitatu ndipo imakhudza maselo omwe amalowa pakhungu ndi zotengera za m'mawere. Nthawi zambiri pamakhala chotupa kapena chotupa, koma zotengera zam'mimba zikatsekedwa, zizindikilo monga kuyabwa, ziphuphu, zotupa ngati kuluma kwa tizilombo, ndi mabere ofiira, otupa amatha kuwoneka. Chifukwa imatengera khungu, mtundu uwu wa khansa ya m'mawere ukhoza kuganiziridwa molakwika ngati matenda, akutero Dr. Lum, choncho onetsetsani kuti mwayang'anitsitsa khungu lanu ndi dokotala wanu ngati sizikuyenda bwino. njira zopangira derm. (Zogwirizana: Mgwirizano Pakati pa Kugona ndi Khansa ya M'mawere)

6. Khansa ya m'mawere ya katatu

Uwu ndi khansa ya m'mawere yoopsa, yovuta, komanso yovuta. Monga momwe dzinalo lingafotokozere, maselo a khansa ya munthu yemwe ali ndi khansa ya m'mawere yosakhala ndi katatu alibe pa zolandilira zonse zitatu, zomwe zikutanthauza kuti chithandizo chodziwika bwino monga mankhwala a mahomoni ndi mankhwala omwe amatsata estrogen, progesterone, ndi HER-2 sizothandiza. Khansa ya m'mawere yopanda katatu imachiritsidwa m'malo mwa opaleshoni, ma radiation, ndi chemotherapy (zomwe sizigwira ntchito nthawi zonse ndipo zimadza ndi zovuta zambiri), yatero American Cancer Society. Khansara yamtunduwu imatha kukhudza achinyamata, aku Africa-America, Hispanics, ndi omwe ali ndi kusintha kwa BRCA1, malinga ndi kafukufuku wamba.

7.Lobular Carcinoma In Situ (LCIS)

Osati kukusokonezani, koma LCIS kwenikweni samawonedwa ngati mtundu wa khansa ya m'mawere, atero Dr. Lum. M'malo mwake, ili ndi gawo lokula kwamaselo osazolowereka mkati mwazinthu (zotulutsa zotulutsa mkaka m'mayendedwe a mawere). Vutoli silimayambitsa matenda ndipo nthawi zambiri silimawonekera pa mammogram, koma limapezeka kwambiri mwa azimayi azaka zapakati pa 40 ndi 50 chifukwa chofufuza pachifuwa pazifukwa zina. Ngakhale si khansa, palokha, LCIS imawonjezera chiopsezo chokhala ndi khansa ya m'mawere pambuyo pake m'moyo, chifukwa chake ndikofunikira kwambiri kuti muzindikire mukamaganizira mozama za chiopsezo chanu cha khansa. (Zokhudzana: Sayansi Yaposachedwa Pachiwopsezo Cha Khansa Yam'mawere, Yofotokozedwa Ndi Madokotala)

8. Khansa Ya m'mawere Amuna

Inde, abambo amatha kutenga khansa ya m'mawere. Abambo a Beyoncé adangowulula kuti akulimbana ndi matendawa ndipo akufuna kudziwitsa amuna ndi akazi kuti adziwe. Ngakhale kuti 1 peresenti yokha ya khansa ya m'mawere imapezeka mwa amuna ndipo amakhala ndi minofu yochepa kwambiri ya m'mawere, milingo ya estrogen (mwina yochitika mwachibadwa kapena kuchokera ku mankhwala a mahomoni / mankhwala), kusintha kwa majini, kapena zinthu zina monga Klinefelter syndrome (a. chibadwa chomwe mwamuna amabadwa ndi X chromosome yowonjezera) zonse zimawonjezera chiopsezo chamunthu chokhala ndi khansa m'matumbo mwake. Kuphatikiza apo, atha kukhala ndi khansa yofanana ya azimayi (mwachitsanzo, ena omwe ali pamndandandawu). Komabe, kwa amuna, khansa munyama iyi nthawi zambiri imakhala chizindikiro kuti ali ndi kusintha kwa majini komwe kumawapangitsa kuti atengeke mosavutazonse mitundu ya khansa, atero Dr. Grumley. Ichi ndichifukwa chake ndikofunikira kwambiri kuti mwamuna aliyense yemwe wapezeka ndi khansa ya m'mawere aziyezetsa majini kuti amvetsetse chiopsezo chake chonse cha khansa, akuwonjezera.

9. Matenda a Paget a Nipple

Paget's Matenda ndi osowa kwambiri ndipo ndi pamene maselo a khansa amasonkhanitsa mkati kapena mozungulira nipple. Nthawi zambiri amakhudza ma ducts a nipple poyamba, kenako amafalikira pamwamba ndi areola. N’chifukwa chake khansa ya m’mawere yamtundu wotere nthawi zambiri imakhala ndi mamba, ofiira, oyabwa, ndi nsonga zamabele ndipo kaŵirikaŵiri amaganiziridwa molakwika ngati zotupa, akutero Dr. Ngakhale kuti Matenda a Paget amatenga zosakwana 5 peresenti ya matenda onse a khansa ya m'mawere ku US, oposa 97 peresenti ya anthu omwe ali ndi vutoli alinso ndi mtundu wina wa khansa ya m'mawere (mwina DCIS kapena yowopsa), ndibwino kukhala podziwa zizindikiro za matendawa, inatero American Cancer Society.

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