Munyori: Eugene Taylor
Zuva Rekusika: 12 Nyamavhuvhu 2021
Gadziridza Zuva: 16 Mbudzi 2024
Anonim
Kenza Yezamu - Utano
Kenza Yezamu - Utano

Zvemukati

Kenza yemuzamu kuongororwa uye staging

Kenza yemazamu painotanga kuongororwa, inopihwawo nhanho. Chikamu chinoreva kukura kwethumba uye kwarakapararira.

Vanachiremba vanoshandisa bvunzo dzakasiyana kuti vazive danho rekenza yemazamu. Izvi zvinogona kusanganisira bvunzo dzekufungidzira, senge CT scan, MRI, ultrasound, uye X-ray, pamwe neropa basa uye biopsy yeakakanganisika mazamu tishu.

Kuti uwane kunzwisiswa kuri nani kwekuongororwa kwako uye nzira dzekurapwa, iwe uchazoda kuziva kuti gomarara riripi. Gomarara repazamu rinobatwa panguva dzekutanga rinogona kunge riine maonero ari nani pane gomarara rakabatwa munguva dzekupedzisira.

Kenza yemazamu inoratidzira

Maitiro ekudhirowa anosarudza kana gomarara rapararira kubva pazamu kuenda kune zvimwe zvikamu zvemuviri, senge ma "lymph node" kana nhengo huru. Iyo inowanzo shandiswa system ndeyeAmerican Joint Komiti yeCancer TNM system.

Mune iyo TNM sisitimu sisitimu, kanzira dzinoiswa muzvikamu zvichienderana nezvikamu zvavo zveT, N, uye M:


  • T inoratidza kukura kweiyo bundu uye kuti yapararira zvakadii mukati mechipfuva uye kunzvimbo dziri pedyo.
  • N inomiririra kuti yakapararira zvakadii kune lymph mapfundo.
  • M rinotsanangura metastasis, kana kuti yakapararira zvakadii kunhengo dziri kure.

Muchikamu cheTNM, tsamba yega yega inosanganisirwa nenhamba yekutsanangura kuti gomarara rakwira zvakadii. Kana danho reTNM ratemwa, ruzivo urwu rwunosanganisirwa kuita nzira inonzi "grouping stage"

Chikamu chematanho ndiyo yakajairwa nzira yekuratidzira umo nhanho dzinotangira pa0 kusvika pa4. Iyo yakadzikira iyo nhamba, yekutanga danho regomarara.

Chikamu 0

Iyi nhanho inotsanangura noninvasive ("in situ") kenza yemazamu. Ductal carcinoma in situ (DCIS) muenzaniso wecancer 0 cancer. MuDCIS, masero anonamira anogona kunge achangotanga kuumbika asi haana kutapukira mhiri kwenzizi dzemukaka.

Chikamu 1

Iyi nhanho inoratidza mucherechedzo wekutanga wekenza yemazamu inopinda. Panguva ino, bundu rinorema risingasviki masendimita maviri muhupamhi (kana anenge 3/4 inch). Iyi kanzira yemazamu yakakamurwa kuita zvikamu zviviri (1A uye 1B) zvichibva pane zvinoverengeka maitiro.


Chikamu 1A zvinoreva kuti bundu iri 2 masendimita kana madiki, uye kuti gomarara harina kupararira chero kunze kwezamu.

Chikamu 1B zvinoreva kuti masumbu mashoma emukenza yemazamu maseru anowanikwa mune ma lymph node. Kazhinji padanho rino, pamwe hapana bundu rakasiyana rinowanikwa muzamu kana bundu iri masendimita maviri kana madiki.

Chikamu 2

Iyi nhanho inotsanangura inokonzeresa kanzura yemazamu mune imwe yeanotevera ichokwadi:

  • Bundu iri rinorema isingasviki 2 masentimita (3/4 inch), asi rapararira kune lymph node pasi peruoko.
  • Bundu iri pakati pemasendimita maviri kusvika mashanu (anenge 3/4 inch kusvika 2 inches) uye anogona kana anogona kunge asina kupararira kune lymph node pasi peruoko.
  • Bundu iri rakakura kupfuura masendimita mashanu (2 inches), asi harina kupararira kune chero node dzenhengo.
  • Hapana bundu rakasarudzika rinowanikwa muzamu, asi gomarara repazamu rakakura kudarika mamirimita maviri rinowanikwa mu3-3 node node pasi peruoko kana padyo nepachipfuva.

Stage 2 kenza yemazamu yakakamurwa muchikamu 2A uye 2B.


In nhanho 2A, hapana bundu rinowanikwa muzamu kana bundu iri diki pane 2 masentimita. Gomarara rinogona kuwanikwa munzvimbo dzinomira panguva ino, kana bundu iri rakakura kudarika masendimita maviri asi riri diki pane masendimita mashanu uye gomarara harina kupararira kunhengo dzemuviri.

In danho 2B, bundu racho rinogona kunge rakakura kudarika masendimita maviri asi riri diki pane masendimita mashanu, uye masero emukenza wemazamu anowanikwa munhengo dzemuviri, kana kuti bundu racho rinogonawo kunge rakakura kudarika masendimita mashanu, asi gomarara harina kupararira kunhengo dzemuviri.

Chikamu 3

Chikamu chechitatu chegomarara chakatamira kune mamwe mazamu echipfuva nenzvimbo dzakatenderedza asi hachina kupararira kunzvimbo dziri kure dzomuviri.

  • Chikamu 3A mamota anogona kunge akakura kupfuura masendimita mashanu (2 inches) uye akapararira kune imwe kusvika kumatatu emamota pasi peruoko, kana ari chero saizi uye akapararira mumitezo yakawanda.
  • A danho 3B bundu rehukuru hwese rakapararira kumatishu padyo nepazamu - ganda nemhasuru - uye zvinogona kunge zvakapararira kune lymph node mukati mechipfuva kana pasi peruoko.
  • Chikamu 3C gomarara ibundu rehukuru hwese hwapararira:
    • kusvika gumi kana kupfuura mamwe marimba emumuviri pasi peruoko
    • kune lymph node kumusoro kana pasi pekora uye padyo nemutsipa kudivi rimwe remuviri sezamu rakabatwa
    • kune lymph node mukati mechipfuva chaimo uye pasi peruoko

Chikamu 4

Chikamu chechina kenza yemazamu yakapararira kumativi ari kure emuviri, senge mapapu, chiropa, mapfupa, kana huropi. Panguva ino, kenza inoonekwa semberi uye sarudzo dzekurapa dzakashomeka.

Gomarara haricharapike nekuti nhengo huru dziri kubatwa. Asi kuchine marapirwo anogona kubatsira kuvandudza nekuchengetedza hupenyu hwakanaka.

Outlook

Nekuti kenza inogona kunge isina zviratidzo zvinoonekwa mukati mematanho ekutanga, zvakakosha kuti ugare uchiongororwa uye udza chiremba wako kana chimwe chinhu chisinganzwike. Kenza yepazamu yekutanga inobatwa, zvirinani mikana yako yekuva nemhedzisiro yakanaka.

Kudzidza nezve chirwere chegomarara kunogona kunzwa kunetesa uye kutyisa. Kubatana nevamwe vanoziva zvauri kusangana nazvo kunogona kubatsira kudzikamisa kushushikana uku. Tsvaga rutsigiro kubva kune vamwe vari kurarama negomarara repazamu.

Tsvaga rutsigiro kubva kune vamwe vari kurarama negomarara repazamu. Dhawunorodha Healthline's yemahara app pano.

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