Kenza yemazamu inoratidzira

Kana kambani yako yehutano yakaziva kuti une kenza yemazamu, ivo vanozoita mimwe miedzo kuiisa. Staging chishandiso chinoshandiswa nechikwata kuziva kuti kenza yakura zvakadii. Chikamu chegomarara chinoenderana nesaizi nenzvimbo yebundu, kunyangwe rapararira, uye kuti gomarara rapararira zvakadii.

Bato rako rekuchengetedza hutano rinoshandisa staging kubatsira:

• Sarudza kurapwa kwakanyanya
• Ziva mhando yekutevera ichazodiwa
• Sarudza mukana wako wekupora (kufungidzira)
• Tsvaga kiriniki miedzo iwe yaunogona kujoina

Kune mhando mbiri dzekuratidzira kenza yemazamu.

Kurapa kwekuchipatara kunoenderana nemiedzo yakaitwa usati wavhiyiwa. Izvi zvinogona kusanganisira:

• Kuongorora kwepanyama
• Mammogram
• Chifuva MRI
• Chipfuva Ultrasound
• Chipfuva Biopsy, ingave ultrasound kana stereotactic
• Chest x-ray
• CT scan
• Bone scan
• PET Scan

Kuratidzira kwepatological inoshandisa mhedzisiro kubva kumabvunzo bvunzo akaitwa pazvipfuva zvemazamu uye lymph node dzakabviswa panguva yekuvhiyiwa. Rudzi urwu rwekutsikisa runobatsira kuona kumwe kurapwa uye kubatsira kufungidzira zvaunotarisira mushure mekurapwa kupera.

Matanho ekenza yemazamu anotsanangurwa nehurongwa hunonzi TNM:

• T anomirira bundu. Inotsanangura kukura nenzvimbo yebundu guru.
• N inomiriralymph nodes. Inotsanangura kana gomarara rapararira kunzvimbo. Iyo zvakare inotaurira kuti mangani mapundu ane gomarara maseru.
• M anomirirametastasis. Inotaurira kana gomarara rapararira kumativi emuviri kure nezamu.

Vanachiremba vanoshandisa nhanho huru nomwe kutsanangura gomarara repazamu.

• Chikamu 0, chinonzi carcinoma in situ. Ichi chirwere chegomarara chinovharirwa kumakomba kana maruva ari muchifuva. Izvo hazvina kupararira kumatishu akakomberedza. Lobules zvikamu zvechipfuva zvinoburitsa mukaka. MaDucts anotakura mukaka kuenda kune zamu. Girafu 0 gomarara inodaidzwa kuti noninvasive. Izvi zvinoreva kuti haina kupararira. Dzimwe nhanho 0 kanzira dzinozove dzinoparadza mushure. Asi vanachiremba havagone kuti ndevapi vachada uye ndevapi vasingadaro.
• Chikamu I. Iyo bundu idiki (kana inogona kunge iri diki kwazvo kuti isaone) uye inoparadza. Iyo inogona kana inogona kunge isina kupararira kune iyo lymph node padyo nezamu.
• Chikamu II. Panogona kunge pasina bundu rinowanikwa muzamu, asi kenza inogona kuwanikwa yakapararira kune axillary lymph node kana node padhuze nepazamu. Nhengo dzeAxillary idzo dzinowanikwa muketani kubva pasi peruoko kusvika pamusoro pekora. Panogona zvakare kuve nebundu riri pakati pe2 kusvika 5 masentimita muchipfuva nekenza diki mune mamwe ma lymph node. Kana, bundu racho rinogona kunge rakakura kupfuura masendimita mashanu risina gomarara munzvimbo dzacho.
• Chikamu IIIA. Gomarara rapararira kusvika pamasekonzi mana kusvika kumakumi mapfumbamwe emaxillary node kana kunzvimbo dziri pedyo nezamu rechipfuva asi kwete kune dzimwe nhengo dzemuviri. Kana, panogona kunge paine bundu rakakura kupfuura masendimita mashanu uye gomarara rakapararira kusvika kumatatu eaxillary node kana kunzvimbo dziri padyo nepfupa rechipfuva.
• Chikamu IIIB. Bundu rakapararira kumadziro echipfuva kana kuganda rezamu richikonzera chironda kana kuzvimba. Iyo inogona zvakare kunge yakapararira kune axillary node asi kwete kune zvimwe zvikamu zvemuviri.
• Chikamu IIIC. Kanzera yehukuru hwese yakapararira kusvika panokwana gumi axillary node. Inogona zvakare kunge yakapararira kune ganda rechipfuva kana remazamu madziro, asi kwete kumativi ari kure emuviri.
• Chikamu IV. Gomarara iri metastatic, zvinoreva kuti rapararira kune dzimwe nhengo dzakaita semabhonzo, mapapu, huropi, kana chiropa.

Rudzi rwekenza rauinaro, pamwe nedanho, zvinobatsira kuona kurapwa kwako. Necheganda I, II, kana III kenza yemazamu, donzvo guru nderekurapa kenza nekuirapa nekuichengeta kuti isadzoke. Nedanho IV, chinangwa ndechekuvandudza zviratidzo uye kuwedzera hupenyu. Mune angangoitika ese, danho IV kenza yemazamu haigone kurapwa.

Gomarara rinogona kudzoka mushure mekunge kurapwa kwapera. Kana ikadaro, inogona kuitika muzamu, munzvimbo dziri kure dzomuviri, kana munzvimbo mbiri idzi. Kana ikadzoka, ingangoda kuitwazve.

National Cancer Institute webhusaiti. Kurapa kenza yemazamu (mukuru) (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/breast/hp/breast-treatment-pdq. Yakagadziridzwa Kukadzi 12, 2020. Yakasvika paKurume 20, 2020.

Neumayer L, Viscusi RK. Kuongorora uye kudomwa kwekenza yemazamu. Mune: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, eds. Chipfuva: Yakakwana Management yeBenign uye Malignant Zvirwere. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 37.

• Kenza Yezamu