Chii Chinonzi Chikamu Chegomarara Remazamu?

Zvemukati

• Mhedziso
• Chikamu 0 kenza yemazamu vs. lobular carcinoma in situ
• Chikamu 0 vs. nhanho 1 kenza yemazamu
• Zvakajairika sei?
• Pane zviratidzo here?
• Kune vamwe vanhu vari mungozi yakawedzera here?
• Chikamu che0 chegomarara repazamu chinowanikwa sei?
• Chikamu che0 chegomarara repazamu chinorapwa
• Ini ndichada chemo?
• Kunetseka nezvehutano hwepfungwa
• Ndeapi maonero?

Mhedziso

Chikamu 0 kenza yemazamu, kana ductal carcinoma in situ (DCIS), ndipo apo panenge paine masero asina kujairika mune yekunamatira yemukaka ducts. Asi iwo maseru haana kupararira pamusoro pemadziro edige kuti asvike kumatunhu akakomberedza, muropa, kana ma lymph node.

DCIS haifadzi uye dzimwe nguva inonzi "precancer." Nekudaro, DCIS ine mukana wekukanganisa.

Chikamu 0 kenza yemazamu vs. lobular carcinoma in situ

Chikamu 0 kenza yemazamu yaishandiswa kusanganisira lobular carcinoma in situ (LCIS). Kunyangwe hazvo zita iri riine izwi rekuti carcinoma, LCIS haisisiri muboka rekenza. LCIS ​​inosanganisira masero asina kujairika mumakete, asi haaparadzi kupfuura makanda.

LCIS ​​dzimwe nguva inonzi "lobular neoplasia." Izvo hazvireve kuti zvinoda kurapwa. Nekudaro, LCIS inogona kuwedzera njodzi yako yekuva nekenza inopinda mune ramangwana, saka kutevedzera kwakakosha.

Chikamu 0 vs. nhanho 1 kenza yemazamu

Muchikamu chekutanga chegomarara repazamu, gomarara rinokuvadza, kunyangwe riri diki uye riine matinyama emuzamu (nhanho 1A), kana mashoma maseru emukenza anowanikwa munzvimbo dzepedyo dzedumbu (nhanho 1B).

Sezvo isu tichiongorora nhanho 0 kenza yemazamu, isu tiri kutaura nezve DCIS, kwete nhanho yekutanga inoparadza kenza yemazamu kana LCIS.

Zvakajairika sei?

Mu2019, kuchave neanenge mazana maviri nemakumi maviri nemakumi maviri nemakumi maviri nematanhatu emamiriro matsva ekenza yemazamu muUnited States.

DCIS inomiririra nezve zvese zvitsva kuongororwa.

Pane zviratidzo here?

Iko kazhinji hakuna zviratidzo zvechikamu chegomarara repazamu, kunyangwe zvichikonzeresa bundu remuzamu kana kubuda kweropa kubva munyatso.

Kune vamwe vanhu vari mungozi yakawedzera here?

Chikonzero chaicho cheStage 0 kenza yemazamu haina kujeka, asi pane zvinhu zvinogona kuwedzera njodzi yako, senge:

• kuwedzera zera
• nhoroondo yako yeanypical hyperplasia kana chimwe chirwere chebonde chepamuviri
• Nhoroondo yemhuri yekenza yemazamu kana magene ekuchinja anogona kuwedzera njodzi yekenza yemazamu, senge BRCA1 kana BRCA2
• kuva nemwana wako wekutanga mushure memakore makumi matatu kana kusambove nepamuviri
• kuva nenguva yako yekutanga usati wasvika makore gumi nemaviri kana kutanga kuenda kumwedzi mushure memakore makumi mashanu nemashanu

Kune zvekare mamwe mararamiro ehupenyu njodzi, izvo zvinogona kuchinjwa kudzikisa njodzi yako, kusanganisira:

• kusaita basa
• kuve wakanyanya kufuta mushure mekuguma kuenda kumwedzi
• kutora hormone kutsiva kurapa kana mamwe mahormone emumuromo ekudzivirira kubata pamuviri
• kunwa doro
• kusvuta

Chikamu che0 chegomarara repazamu chinowanikwa sei?

Ona chiremba wako kana iwe uine bundu kana zvimwe shanduko kumazamu ako. Kurukurai nhoroondo yemhuri yekenza uye bvunzai kuti munofanira kuongororwa kangani.

Chikamu 0 gomarara repazamu rinowanzo kuwanikwa panguva yemammogram kuongorora. Ichitevera mammogram inofungidzirwa, chiremba wako anogona kuraira yekuongorora mammogram kana imwe bvunzo yekufungidzira, senge ultrasound.

Kana kuchine mumwe mubvunzo nezve iyo inofungidzirwa nzvimbo, iwe uchazoda biopsy. Kune izvi, chiremba anoshandisa tsono kubvisa sampuli yeshutu. Nyanzvi yezvirwere anoongorora zvinyama pasi pe microscope uye nekupa chirevo kuna chiremba wako.

Chirevo chehutachiona chichataura kana paine masero asina kujairika aripo uye, kana zvirizvo, kuti vangave nehasha sei.

Chikamu che0 chegomarara repazamu chinorapwa

Mastectomy, kana kubviswa kwezamu rako, yaimbove kurapwa kweiyo nhanho gomarara repazamu, asi hazvigare zvichidikanwa nhasi.

Zvimwe zvezvikonzero zvekutarisa mastectomy ndezvi:

• une DCIS mune zvinopfuura chikamu chimwe chechipfuva
• nzvimbo yacho yakakura maererano nezamu rako rezamu
• haugone kurapwa nemwaranzi
• iwe unofarira mastectomy pane lumpectomy ine radiation kurapwa

Ipo mastectomy ichibvisa iro zamu rese, lumpectomy inobvisa chete iyo nzvimbo yeDCIS pamwe nekaganji kadiki kwakatenderedza. Lumpectomy inonzi zvakare kuvhiyiwa-kuchengetedza zamu kana kuwanda kwenzvimbo. Izvi zvinochengetedza zamu rakawanda uye ungangodaro usingadi kuvhiyiwa kwekuvakazve.

Radiation kurapa inoshandisa yakakwira-simba matanda kuparadza chero asina kujairika maseru anogona kunge akasara kumashure mushure mekuvhiyiwa. Radiation kurapwa kweiyo nhanho kenza yemazamu inogona kutevera lumpectomy kana mastectomy. Mishonga inopihwa mazuva mashanu pasvondo kwevhiki dzinoverengeka.

Kana iyo DCIS iri hormone receptor-positive (HR +), kurapwa kwehomoni kunogona kushandiswa kudzikisira mikana yekuvandudza kenza yemazamu inopinda mumashure.

Nyaya yega yega yakasiyana, saka taura nachiremba wako nezvezvakanakira nenjodzi dzerudzi rwemhando yekurapa.

Ini ndichada chemo?

Chemotherapy inoshandiswa kudzora mamota uye kuparadza gomarara maseru mumuviri wese. Sezvo danho 0 gomarara repazamu risingapindiri, iyi systemic kurapwa kazhinji haina kudikanwa.

Kunetseka nezvehutano hwepfungwa

Paunodzidza iwe une chikamu 0 kenza yemazamu, iwe une sarudzo hombe dzekuita. Zvakakosha kutaura nachiremba wako pamusoro pekuongororwa kwako zvakadzama. Kumbira kujekeswa kana iwe usinganyatsonzwisisa kuongororwa kana sarudzo dzako dzekurapa. Iwe unogona zvakare kutora nguva yekuwana rwechipiri pfungwa.

Pane zvakawanda zvekufunga nezvazvo. Kana iwe uchinetseka, wakamanikidzwa, kana uchinetseka kurarama nehutachiona uye kurapwa, taura nachiremba wako. Vanogona kukuendesa kunzvimbo dzekutsigira munharaunda yako.

Heano zvimwe zvinhu zvekufunga nezvazvo:

• Svika kushamwari uye mhuri kuti utsigirwe.
• Taura nachiremba kana imwe nyanzvi yehutano hwepfungwa.
• Joinha online kana-in-munhu rutsigiro boka. IAmerican Cancer Society Tsigira Zvirongwa uye peji reSevhisi inopa ruzivo nezve zviwanikwa, kungave online kana munzvimbo yako. Iwe unogona zvakare kurarama chat pamwe nemumiriri kana, kana iwe uri muUnited States, fonera nhare yekubatsira pa1-800-227-2345.

Maitiro ekuderedza kushushikana uye kushushikana anosanganisira:

• kurovedza muviri
• yoga kana kufungisisa
• kufema kwakadzikama
• masaja (bvunza chiremba wako kutanga)
• kurara zvakakwana manheru ega ega
• kuchengetedza kudya kwakaringana

Ndeapi maonero?

Stage 0 kenza yemazamu inogona kunonoka kukura uye inogona kusatombofambira mberi kune inopinda cancer. Inogona kurapwa zvinobudirira.

Vakadzi vakave neDCIS vane mikana ingangokwana kagumi yekuva nekenza yemazamu inoparadza kupfuura vakadzi vasina kumbove neDCIS.

Muna 2015, vakatarisa vakadzi vanopfuura zviuru zana vaive vaonekwa kuti vane gomarara repazamu rechitanhatu. Vatsvagiri vakafungidzira iyo yemakore gumi-gomarara repazamu-yakatarwa kufa kwehuwandu pa1.1 muzana uye makumi maviri emakore chiyero pa3.3 muzana

Kune vakadzi vaive neDCIS, njodzi yekufa nekenza yemazamu yakawedzerwa ne1.8 nguva pamusoro pevakadzi muhuwandu hwevanhu. Kufa kwemitengo kwaive kwakakwirira kune vakadzi vanoonekwa vasati vava nemakore makumi matatu nemashanu pane vakadzi vakuru, pamwe neveAfrica -America pamusoro pevaCaucasians.

Nokuda kwezvikonzero izvi, chiremba wako anogona kukurudzira kuongorora kakawanda kupfuura kana iwe usina kumbova neDCIS.