Zvese zvaunoda Kuti Uzive Nezve Multifocal Breast Cancer

Zvemukati

• Ndeapi marudzi ekenza yemazamu?
• Chii chinonzi multifocal kenza yemazamu inoonekwa?
• Inorapwa sei?
• Ndeapi akanyanya kurapwa marapirwo?
• Ndeapi maonero?
• Ndeapi marudzi ekutsigira aripo?

Chii chinonzi multifocal kenza yemazamu?

Multifocal gomarara repazamu rinoitika kana paine maviri kana anopfuura mabundu muzamu rimwe chete. Ose mamota acho anotanga mune rimwe bundu repakutanga. Mamota aya zvakare ari mune imwechete quadrant - kana chikamu - chezamu.

Multicentric gomarara repazamu imhando yakafanana yegomarara. Anopfuura rimwe bundu rinobuda, asi mune akasiyana quadrants yezamu.

Kwese kupi kubva pa6 kusvika ku60 muzana yemamota ezamu akawandisa kana kuwanda, zvinoenderana nekuti vanotsanangurwa uye kuongororwa sei.

Mamota mazhinji anogona kuve asingasviki kana anoparadza.

• Asinga tsvete Gomarara rinogara mumatope emukaka kana mumasero anoburitsa mukaka (lobules) wezamu.
• Inopenga Gomarara rinogona kukura kuita zvimwe zvikamu zvechifuva uye rozopararira kune dzimwe nhengo.

Ramba uchiverenga kuti udzidze zvakawanda pamusoro pemhando dzekenza yemazamu inogona kukura nekenza yemazamu yakawanda, kurapwa kupi kungave, uye nezvimwe.

Ndeapi marudzi ekenza yemazamu?

Kune mhando dzinoverengeka dzekenza yemazamu, uye dzinoenderana nerudzi rwemasero kenza inokura ichibva.

Kazhinji kenza yemazamu macarcinomas. Izvi zvinoreva kuti anotanga mumasero epithelial anoenderana nemazamu. Adenocarcinoma rudzi rwecarcinoma inokura ichibva mumukaka kana makomba.

Gomarara repazamu rakaiswa zvakare mumhando idzi:

• Kunyorera carcinoma in situ (DCIS) inotanga mukati memakomba emukaka. Inonzi isinga pinde nekuti haina kupararira kunze kwemigero iyi. Zvisinei, kuva nekenza iyi kunogona kuwedzera njodzi yako yekenza yemazamu inopinda. DCIS ndiyo yakajairika mhando yekenza yemazamu isinga tsvete. Inoita makumi maviri neshanu muzana emakondombera ese emuzamu anoonekwa muUnited States.
• Lobular carcinoma in situ (LCIS) zvakare isingashande. Iwo maseru asina kujairika anotanga mumaronda anogadzira mukaka ezamu. LCIS ​​inogona kuwedzera njodzi yako yekutora kenza yemazamu mune ramangwana. LCIS ​​isingawanzoitika, ichiratidzira mune chete 0,5 kusvika 4 muzana yezvose zvisina cancer cancer yemazamu biopsies.
• Inopisa ductal carcinoma (IDC) ndiyo inonyanya kuzivikanwa kenza yemazamu, inotora chikamu chinosvika makumi masere muzana emakenza aya. IDC inotanga mumasero anoteedzera nzira dzemukaka. Inogona kukura kuzororo rezamu, pamwe nekune mamwe mativi emuviri.
• Inopararira lobular carcinoma (ILC) inotanga mumakete uye inogona kupararira kune dzimwe nhengo dzemuviri. Dzinenge gumi muzana dzekenza dzese dzemazamu dzinoparadza iLC.
• Kenza yechipfuva yemazamu chimiro chisingawanzo chinopararira zvine hukasha. Pakati pe1 ne5 muzana yekenza yemazamu ndeiyi mhando.
• Chirwere chePaget chemunyatso gomarara risingawanzo rinotanga mumukaka wemukaka asi richipararira kusvika munyatso. Inenge 1 kusvika ku3 muzana yekenza yemazamu ndeiyi mhando.
• Phyllode bundu vanowana zita ravo kubva pamhando yakaita semashizha inokura maseru egomarara. Aya mamota haana kujairika. Mazhinji haana cancer, asi hutsinye hunogoneka. Mamota ePhyllode anoumba isingasviki 1 muzana yekenza dzese dzemazamu.
• Angiosarcoma inotanga mumasero anoteedzana neropa kana lymph lymph. Zvishoma pane zvegomarara remuzamu ndirwo rudzi urwu.

Chii chinonzi multifocal kenza yemazamu inoonekwa?

Vanachiremba vanoshandisa bvunzo shoma dzakasiyana kuti vaone gomarara repazamu.

Izvi zvinosanganisira:

• Clinical zamu bvunzo. Chiremba wako anonzwa mazamu ako uye lymph node kune chero mapundu kana zvimwe zvisina kujairika shanduko.
• Mammogram. Bvunzo iyi inoshandisa X-ray kuona shanduko mumazamu uye skrini yekenza. Zera raunofanira kutanga kuva nemuyedzo uyu, uye kuwanda kwaro, zvinoenderana nenjodzi yekenza yemazamu yako. Kana iwe uine mammogram isina kujairika, chiremba wako anogona kukurudzira kuve neyese kana yakawanda bvunzo pazasi.
• Magnetic resonance imaging (MRI). Bvunzo iyi inoshandisa magineti ane simba uye masaisai eredhiyo kugadzira mifananidzo yakajeka yemukati mechipfuva. Icho chakanyatsojeka pakutora kenza yemazamu yakawanda kupfuura mammography uye ultrasound.
• Ultrasound. Bvunzo iyi inoshandisa masaisai ekurira kutsvaga masasi kana zvimwe shanduko mumazamu ako.
• Biopsy. Iyi ndiyo chete nzira yekuti chiremba wako azive zvechokwadi kuti une gomarara. Chiremba wako anoshandisa tsono kubvisa kamuenzaniso kadiki kechipfuva chako. Bhiopsy inogona zvakare kutorwa yeiyo sentinel lymph node - iyo lymph node uko maseru emukenza angangopararira kutanga kubva pabundu. Muenzaniso unotumirwa kubazi, uko kunoongororwa kenza.

Kubva pane izvi uye mimwe miedzo yekuyedza, chiremba wako anozoisa cancer yako. Staging inoratidza kukura kwakaita cancer, kunyangwe yakapararira, uye kana zvirizvo, kusvika papi. Inogona kubatsira chiremba wako kuronga kurapwa kwako.

Mune kenza yakawanda, bundu rega rega rinoyerwa zvakasiyana. Chirwere ichi chakarongwa zvichibva pahukuru hwebundu rakakura. Dzimwe nyanzvi dzinoti nzira iyi haina chokwadi nekuti haina hanya nehuwandu hwemamota muzamu. Zvakadaro, iyi ndiyo nzira gomarara repazamu rinowanzoitwa.

Inorapwa sei?

Kurapa kwako kunoenderana padanho rekenza yako. Kana gomarara iri danho rekutanga - zvichireva kuti mamota acho anongova mune imwe quadrant yezamu rako - kuvhiya kwezamu (kuchengetedza lumpectomy) kunogoneka. Maitiro aya anobvisa yakawanda yegomarara sezvinobvira, uku uchichengetedza hutano hwemazamu hwakakomberedza.

Mushure mekuvhiyiwa, iwe unowana radiation kuti uuraye chero gomarara maseru anogona kunge akasara kumashure. Chemotherapy ndeimwe sarudzo mushure mekuvhiyiwa.

Mamota mahombe kana kanzira dzakapararira dzinogona kuda mastectomy - kuvhiya kubvisa zamu rese. Lymph nodes inogonawo kubviswa panguva yekuvhiyiwa.

Ndeapi akanyanya kurapwa marapirwo?

Kunyangwe kurapwa kwekenza yemazamu kuchikwiridzira kupona kwako, vanogona kuve nemhedzisiro.

Zvimwe zvinokanganisa kubva pakuvhiya kwechipfuva zvinosanganisira:

• kurwadziwa muzamu
• vanga
• kuzvimba muzamu kana ruoko (lymphedema)
• shanduko muchimiro chezamu
• kubuda ropa
• hutachiona

Radiation mhedzisiro inosanganisira:

• kutsvuka, kuchenesa, kubvisa, uye kutsamwa kweganda
• kuneta
• kuzvimba muzamu

Ndeapi maonero?

Kenza yemazamu yeMultifocal ine mikana yakawanda kupfuura mamwe mamota anopararira kune ma lymph node. Zvisinei, kutsvagurudza kunoratidza kuti makore mashanu ekupona mwero haatombosiyana pamamota mazhinji pane echimwe chete matumbu.

Maonero ako anoenderana zvishoma nemamota mangani iwe mune rimwe zamu, uyezve pahukuru hwemamota ako uye kana apararira. Pakazara, makore mashanu ekupona kwecancer iyo yakasungirirwa pazamu ndeye 99 muzana. Kana gomarara rapararira kuma lymph node munzvimbo iyi, makore mashanu ekupona mwero i85 muzana.

Ndeapi marudzi ekutsigira aripo?

Kana iwe uchangobva kuongororwa uine multifocal kenza yemazamu, iwe unogona kuve uine yakawanda mibvunzo pamusoro pezvese kubva pane ako marapirwo sarudzo kusvika kune yakawanda yavanodhura. Chiremba wako uye nevamwe vese vezvekurapa kwako vanogona kuve masosi akanaka eruzivo urwu.

Iwe unogona zvakare kuwana rumwe ruzivo uye mapoka ekutsigira munharaunda yako kuburikidza nemasangano ekenza seaya:

• American Cancer Society
• Yenyika Bele Cancer Foundation
• Susan G. Komen