Kunzwisisa Metastatic Breast Cancer muMapapu

Zvemukati

• Kenza yemazamu inopararira sei kumapapu
• Zviratidzo nezviratidzo zvemapapu metastasis
• Kuongorora metastatic kenza yemazamu
• Kurapa metastatic kenza yemazamu
• Chemotherapy
• Hormonal Therapies
• Targeted Therapies yeHER2-yakanaka kenza yemazamu
• Radiation
• Kurerutsa zviratidzo
• Outlook
• Nzira dzekudzora njodzi

Mhedziso

Metastatic kenza yemazamu inoreva gomarara repazamu iro rinopararira kupfuura nzvimbo yemunharaunda kana yedunhu rekutanga kunzvimbo iri kure. Inodaidzwa zvakare kunzi gomarara rechina zamu.

Kunyangwe ichikwanisa kupararira chero kupi, kenza yemazamu inopararira kumapfupa mune vangangoita makumi manomwe muzana yevanhu vane cancer yemazamu, inofungidzira iyo Metastatic Breast Cancer Network.

Dzimwe nzvimbo dzinojairika mapapu, chiropa, uye huropi. Hazvina mhosva kuti inopararira kupi, ichiri kutarisirwa sekenza yemazamu uye inorapwa yakadaro. Inenge 6 kusvika ku10 muzana yekenza yemazamu muUnited States inoonekwa padanho rechina.

Mune zvimwe zviitiko, kurapwa kwekutanga kwekenza yepamberi kenza yemazamu hakubvise maseru ekenza ese. Panogona kunge paine microscopic cancer maseru akasara kumashure, achibvumira iyo cancer kuti ipararire.

Kazhinji yenguva, metastasis inoitika mushure mekutanga kurapwa kwapera. Izvi zvinonzi kudzokorora. Kudzokorora kunogona kuitika mukati memwedzi mishoma yekupedzisa kurapwa kana makore mazhinji gare gare.

Hakuchina mushonga wekenza yemazamu, asi unorapika. Vamwe vakadzi vachararama kwemakore mazhinji mushure mekuongororwa kwechikamu chechina gomarara repazamu.

Kenza yemazamu inopararira sei kumapapu

Gomarara repazamu rinotanga mazamu. Sezvo masero asina kujairika anopatsanuka nekuwanda, anoita bundu. Sezvo bundu rinokura, maseru egomarara anogona kubva pabundu rekutanga uye oenda kunhengo dziri kure kana kupinda nechisimba padyo.

Cancer maseru anogona kupinda muropa kana kutamira kune ma lymph node ari padyo pasi peruoko kana padyo necollarbone. Kamwe muropa kana lymph masystem, gomarara maseru anogona kufamba nemuviri wako uye kumhara mune nhengo dziri kure kana nyama.

Kamwe masero ekenza paanosvika mumapapu, anogona kutanga kuumba bundu rimwe kana anopfuura matsva. Zvinokwanisika kuti kenza yemazamu ipararire kunzvimbo dzakawanda panguva imwe chete.

Zviratidzo nezviratidzo zvemapapu metastasis

Zviratidzo nezviratidzo zvegomarara mumapapu zvinogona kusanganisira:

• kuramba chikosoro
• kurwadziwa pachipfuva
• mweya wekufema
• yakadzokororwa chipfuva hutachiona
• kurasikirwa nenzara
• kuonda
• kukosora ropa
• kurwadziwa muchipfuva
• uremu mubhokisi
• fluid pakati pechipfuva madziro nemapapu (pleural effusion)

Iwe unogona kunge usina zviratidzo zvinoonekwa pakutanga. Kunyangwe kana ukadaro, iwe ungangoda kuvabvisa sezviratidzo zvechirwere kana dzihwa. Kana iwe wakamborapwa kenza yemazamu munguva yakapfuura, usaregeredze zviratidzo izvi.

Kuongorora metastatic kenza yemazamu

Kuongororwa kunogona kutanga nekuongororwa kwemuviri, basa reropa, uye chifuva X-ray. Mimwe miedzo yekufungidzira ingangodikanwa kuti upe yakajeka maonero. Iyi bvunzo dzinogona kusanganisira:

• CT scan
• PET scan
• MRI

Bhiopsy inogona zvakare kuve yakakosha kuti ubatsire kuona kana gomarara repazamu rave metastasized kumapapu ako.

Kurapa metastatic kenza yemazamu

Kana uchirapa metastatic kenza yemazamu, chinangwa ndechekubatsira kudzikisa kana kubvisa zviratidzo uye kurebesa hupenyu hwako pasina kupa hupenyu hwako hupenyu.

Kurapa kenza yemazamu kunoenderana nezvinhu zvakawanda, senge mhando yekenza yemazamu, kurapwa kwekutanga, uye hutano hwako hwese. Chimwe chinhu chakakosha ndechekuti gomarara rapararira uye kuti gomarara rapararira kunzvimbo dzakawanda here.

Chemotherapy

Chemotherapy inogona kushanda mukuuraya cancer maseru chero kupi mumuviri. Uku kurapwa kunogona kubatsira kudzikira mamota uye kumisa mamota matsva kubva pakuumba.

Chemotherapy inowanzo iri yega yekurapa sarudzo yekatatu-isina metastatic kenza yemazamu (hormone receptor-negative uye HER2-isina). Chemotherapy inoshandiswa zvakare pamwe chete neHER2-yakanangwa ekurapa kweHER2-yakanaka kenza yemazamu.

Kana iwe wakambove uine chemotherapy, kenza yako inogona kunge yakaramba kumira kune iyo mishonga. Kuedza mamwe makemikari mishonga kungave kunoshanda.

Hormonal Therapies

Avo vane cancer-yemazamu kenza yemazamu vanozobatsirwa nemishonga inovhara estrogen uye progesterone kubva mukusimudzira kukura kwegomarara, senge tamoxifen kana chinodhaka chinobva mukirasi inonzi aromatase inhibitors.

Mimwe mishonga, senge palbociclib uye fulvestrant, inogona zvakare kushandiswa kune avo vane estrogen-yakanaka, HER2-isina chirwere.

Targeted Therapies yeHER2-yakanaka kenza yemazamu

HER2-yakanaka kenza yemazamu inogona kurapwa nematanho ekurapa akadai se:

• trastuzumab
• pertuzumab
• ado-trastuzumab emtansine
• lapatinib

Radiation

Radiation kurapa kunogona kubatsira kuparadza kenza maseru munzvimbo yakasarudzika. Inogona kukwanisa kudzikisa zviratidzo zvekenza yemazamu mumapapu.

Kurerutsa zviratidzo

Iwe unogona zvakare kuda kurapwa kurerutsa zviratidzo zvinokonzerwa nemamota mumapapu. Unogona kukwanisa kuita izvi na:

• kuburitsa mvura inoungana yakatenderedza mapapu
• oxygen therapy
• stent yekuvhurira yako yemhepo
• mishonga inorwadza

Mishonga yakatsaukana inowanikwa nemushonga kuti ubatsire kujekesa mafambiro ako uye kudzikisa kukosora. Vamwe vanogona kubatsira nekuneta, kurasikirwa nenzara, uye kurwadziwa.

Imwe yeiyi marapiro ine mhedzisiro mhedzisiro inosiyana zvichienderana nemunhu. Zviri kwauri iwe nachiremba wako kuyera zvayakanakira nezvayakaipira uye osarudza kuti ndeapi marapirwo anozovandudza hupenyu hwako.

Kana mhedzisiro ikatanga kukanganisa hupenyu hwako, unogona kushandura chirongwa chako chekurapa kana kusarudza kumisa imwe kurapwa.

Vatsvagiri vari kudzidza dzakasiyana siyana dzinogona kurapwa nyowani, kusanganisira:

• poly (ADP-ribose) polymerase (PARP) inhibitors
• phosphoinositide-3 (PI-3) kinase inhibitors
• bevacizumab (Avastin)
• immunotherapy
• kutenderera mamota maseru uye kutenderera mamota DNA

Makiriniki miedzo yekurapa metastatic kenza yemazamu iri kuenderera. Kana iwe uchida kutora chikamu mukuedzwa kwekiriniki, bvunza chiremba wako kuti uwane rumwe ruzivo.

Outlook

Izvo zvakakosha kuti urangarire kuti hapana imwe-saizi-inokodzera-yese kurapwa kwekenza yemastastatic. Nekushanda pamwe chete nechikwata chako chekuchengetedza hutano, unozogona kusarudza marapirwo anoenderana nezvinodiwa.

Vanhu vazhinji vane kenza yemastastatic vanowana nyaradzo mumapoka ekutsigira uko kwavanogona kutaura nevamwe vane zvakare kenza yemastastatic.

Kune mamwe masangano epasirese neatunhu anogona kukubatsira pane zvaunoda zuva nezuva, semabasa epamba, kukuendesa kuchipatara, kana kubatsira nemari.

Kuti uwane rumwe ruzivo nezve zviwanikwa, fonera iyo American Cancer Society 24/7 National Cancer Information Center pa800-227-2345.

Nzira dzekudzora njodzi

Zvimwe zvengozi zvinhu, sekuchinja kwemajini, murume kana mukadzi, uye zera, hazvigone kudzorwa. Asi pane zvimwe zvinhu zvaunogona kuita kudzikisa njodzi yako yekuva nekenza yemazamu.

Izvi zvinosanganisira:

• kuita kurovedza muviri nguva dzose
• kunwa doro zvine mwero
• kuva nehutano hwakanaka
• kudzivisa kuve wakanyanya kufuta kana kufutisa
• kusasvuta

Kana iwe wakamborapwa kenza yemazamu, iwo mararamiro maratidziro anogona kubatsira kudzikisa njodzi yekudzokazve.

Kurudziro yekenza yemazamu yekuongorora inosiyana zvichienderana nezera rako uye njodzi zvinhu. Kumbira chiremba wako kuti ndezvipi kuongororwa kwekenza yemazamu zvakakukodzera.

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