Gomarara repazamu muvarume

Gomarara repazamu igomarara rinotanga munyama yemuzamu. Zvese zviri zviviri varume nevakadzi vane zvipfuva zamu. Izvi zvinoreva kuti chero munhu, kusanganisira varume nevakomana, anogona kuita gomarara repazamu.

Kenza yemuzamu muvarume haiwanzoitika. Kenza yemukomana yemazamu inowana isingasviki 1% yekenza dzese dzamazamu.

Chikonzero chekenza yemazamu muvarume hachina kujeka. Asi pane zvinhu zvine njodzi zvinoita kuti kenza yemazamu inyanye kuitika muvarume:

• Kujekesa kune radiation
• Masero epamusoro eestrogen nekuda kwezvinhu zvakaita sekudhakwa, cirrhosis, kufutisa, uye mimwe mishonga yekurapa gomarara reprostate.
• Heredhi, senge nhoroondo yemhuri yekenza yemazamu, yakachinja BRCA1 kana BRCA2 geni, uye mamwe matambudziko egene, akadai saKlinefelter syndrome
• Kuwedzeredza chipfuva chemazamu (gynecomastia)
• Kukwegura - varume vanowanzoonekwa vaine kenza yemazamu pakati pemakore makumi matanhatu kusvika makumi manomwe

Zviratidzo zvekenza yemazamu muvarume zvinosanganisira:

• Bundu kana kuzvimba mumatumbu emuzamu. Rimwe zamu rinogona kunge rakakura kudarika rimwe.
• Bundu diki pasi pezamu.
• Shanduko dzisina kujairika munyatso kana ganda rakakomberedza munyatso senge kutsvuka, kuyera, kana kubaya.
• Kubuda kwemboro.

Anokuchengetedza hutano anotora nhoroondo yako yekurapa uye nhoroondo yemhuri yekurapa. Unenge uine bvunzo dzepanyama uye bvunzo yemazamu.

Wako mupi anogona kuraira kumwe kuyedzwa, kusanganisira:

• Mammogram.
• Zamu Ultrasound.
• Iyo MRI yezamu.
• Kana paine bvunzo dzinoratidza gomarara, mupi wako achaita biopsy kuti aongorore gomarara.

Kana gomarara rikawanikwa, mupi wako anozoraira mimwe bvunzo kuti azive:

• Iyo kenza ingakurumidze kukura sei
• Ingangoita sei kuti ipararire
• Ndeapi marapirwo angave akanyanya kunaka
• Ndeapi mikana yekuti gomarara rinogona kudzoka

Iyo bvunzo inogona kusanganisira:

• Bone scan
• CT scan
• PET scan
• Sentinel lymph node biopsy kutarisa kana gomarara rapararira kune ma lymph node

Iyo biopsy uye imwe bvunzo ichashandiswa kuyera uye kuisa bundu. Mhedzisiro yeaya miedzo ichabatsira kuona kurapwa kwako.

Kurapa sarudzo yekenza yemazamu muvarume inosanganisira:

• Kuvhiya kubvisa zamu, lymph node pasi peruoko, iyo tambo pamusoro pechipfuva tsandanyama, uye chipfuva mhasuru, kana zvichidikanwa
• Radiation kurapwa mushure mekuvhiyiwa kuuraya chero akasara cancer maseru uye kunongedza chaiwo mamota
• Chemotherapy kuuraya cancer maseru ayo apararira kune dzimwe nhengo dzemuviri
• Hormone kurapa kuvharira mahormone ayo anogona kubatsira mamwe marudzi ekenza yemazamu kukura

Munguva uye mushure mekurapwa, mupi wako anogona kukukumbira kuti uve nemimwe bvunzo. Izvi zvinogona kusanganisira bvunzo dzawanga uine panguva yekuongororwa. Iyo yekutevera-bvunzo inoratidza kuti kurapwa kuri kushanda sei. Ivo vacharatidza zvakare kana gomarara richidzoka.

Gomarara rinobata manzwiro aunoita pamusoro pako neupenyu hwako. Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vakave nezviitiko zvakafanana nematambudziko zvinogona kukubatsira kuti unzwe kushoma uri wega. Boka rinogona zvakare kunongedza iwe kune zvinobatsira zviwanikwa zvekugadzirisa mamiriro ako.

Kumbira mupi wako kuti akubatsire kuwana boka rekutsigira revarume vakaonekwa kuti vane gomarara repazamu.

Maonero kwenguva refu evarume vane gomarara repazamu akanaka kana gomarara rikawanikwa nekurapwa nekukasira.

• Vanosvika makumi mapfumbamwe nemasere muzana evarume vanorapwa gomarara risati rapararira kune dzimwe nzvimbo dzemuviri vasina gomarara mushure memakore mashanu.
• Vanoda kusvika vatatu pavarume vana vakarapwa gomarara rakapararira kuma lymph node asi kwete kune dzimwe nzvimbo dzomuviri vasina gomarara makore mashanu.
• Varume vane gomarara rakapararira kunzvimbo dziri kure dzemuviri vane mukana mudiki wekurarama kwenguva refu.

Matambudziko anosanganisira mhedzisiro kubva pakuvhiya, radiation, uye chemotherapy.

Bata mupi wako ipapo ipapo kana iwe ukaona chimwe chinhu chisina kujairika nezve chipfuva chako, kusanganisira chero mapundu, shanduko yeganda, kana kubuda.

Iko hakuna yakajeka nzira yekudzivirira kenza yemazamu muvarume. Nzira yakanakisa yekuzvidzivirira ndeiyi:

• Ziva kuti varume vanogona kuita gomarara repazamu
• Ziva njodzi dzako uye taura nemupi wako nezve kuongorora uye kutanga kuona nemiedzo kana zvichidikanwa
• Ziva zviratidzo zvinogona kuitika zvegomarara repazamu
• Udza mupiki wako kana iwe ukaona chero shanduko muzamu rako

Inopinda mukati ductal carcinoma - murume; Ductal carcinoma in situ - murume; Intraductal carcinoma - murume; Kenza yechipfuva yemazamu - murume; Paget chirwere chezamu - murume; Gomarara repazamu - murume

Hunt KK, Mittendorf EA. Zvirwere zamu. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 34.

Jain S, Gradishar WJ. Kenza yemazamu yemurume. Mune: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, eds. Chipfuva: Yakakwana Management yeBenign uye Malignant Zvirwere. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 76.

National Cancer Institute webhusaiti. Kurapwa kenza yemazamu yemurume (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/breast/hp/male-breast-treatment-pdq. Yakagadziridzwa Nyamavhuvhu 28, 2020. Yakasvika Gumiguru 19, 2020.