9 Mhando dzeGomarara Repazamu Wese Munhu Anofanira Kuziva Nezvazvo

Zvemukati

• Chii chinonzi kenza yemazamu?
• Unoziva sei rudzi rwegomarara rezamu rine munhu?
• Mhando dzakasiyana dzeCancer yeCancer
• Ongororo ye

Mikana yekuti unoziva mumwe munhu ane gomarara rezamu: Anosvika 1 muvakadzi vechisere vekuAmerica anozoita kenza yemazamu muhupenyu hwake. Kunyangwe zvakadaro, pane mukana wakanaka iwe hauzive zvakawanda nezve ese akasiyana marudzi ekenza yemazamu mumwe munhu anogona kuve nawo. Hongu, kune zvakawanda zvakasiyana zvechirwere ichi uye kuzviziva zvinogona kuponesa yako (kana yeumwe munhu) hupenyu.

Chii chinonzi kenza yemazamu?

"Gomarara repazamu izita hombe remugomo iro rinosanganisira macancer ese ari muzamu, asi kune mhando dzakawanda dzekenza yemazamu uye nzira dzakawanda dzekuisa muzvikamu," anodaro Janie Grumley, MD, chiremba wezvepachipatara uye mutungamiriri weMargie Petersen Chifuva Chemazamu paProvidence Saint John's Center Santa Monica, CA.

Unoziva sei rudzi rwegomarara rezamu rine munhu?

Tsananguro dzakakosha ndedzekuti gomarara repazamu rinokuvadza here kana kwete (in-situ zvinoreva kuti gomarara riri mukati memazamu mazamu uye risingakwanise kupararira; invasive ine mukana wekufamba kunze kwezamu; kana metastatic, zvichireva kuti maseru ekenza afamba achienda kune mamwe nzvimbo mumuviri); mabviro ekenza pamwe nemhando yemaseru ari kubata (ductal, lobular, carcinoma, kana metaplastic); uye rudzii rwemahomoni receptors aripo (estrogen; progesterone; munhu epidermal kukura factor receptor 2 kana HER-2; kana katatu-negative, iyo isina imwe yezvataurwa pamusoro apa). Vanogamuchira ndivo vanoratidzira maseru emuzamu (ane gomarara uye neimwe hutano) kukura. Zvese izvi zvinhu zvinokanganisa mhando yekurapa iyo inonyanya kushanda. Kazhinji, mhando yekenza yemazamu inosanganisira zvese izvi ruzivo muzita. (Yakabatana: Inofanirwa-Kuziva Chokwadi Nezve Kenza Yezamu)

Isu tinoziva-izvo zvakawanda zvekurangarira. Uye nekuti kune zvakawanda zvakasiyana-siyana, kune akawanda emhando dzakasiyana dzegomarara rezamu - kana wangotanga kupinda mune subtypes, rondedzero inokura kusvika anopfuura gumi nemaviri. Mamwe marudzi egomarara rezamu, zvisinei, akajairika kupfuura mamwe, kana akakosha zvakanyanya pakuona njodzi yako yese yegomarara; heino rondedzero yezvipfumbamwe iwe unofanirwa kuziva nezvayo.

Mhando dzakasiyana dzeCancer yeCancer

1. Invasive Ductal Carcinoma

Kana vanhu vazhinji vachifunga nezve kenza yemazamu, pamwe inyaya yeinoparadza ductal carcinoma. Urwu ndirwo rudzi rwegomarara rezamu, rinenge 70 kusvika 80 muzana yezvese kuongororwa, uye rinowanzoonekwa kuburikidza ne mammogram screenings. Rudzi rwegomarara repazamu runotsanangurwa nemasero emukenza asina kujairika anotangira mumakomba emukaka asi achipararira kune zvimwe zvikamu zvemuviri wepamuviri, dzimwe nguva zvimwe zvikamu zvemuviri. "Kufanana nekenza yakawanda yemazamu, kazhinji hapana zviratidzo kusvika padanho repashure," anodaro Sharon Lum, M.D., director weLoma Linda University Breast Health Center muCalifornia. “Zvisinei, munhu ane rudzi urwu rwegomarara rezamu anogona kuona kukora kwezamu, ganda kuita dimpling, kuzvimba muzamu, mapundu kana kutsvuka, kana kubuda muzamu.

2. Metastatic Breast Cancer

Zvakare kazhinji zvinongodaidzwa kunzi 'danho rechina gomarara repazamu', rudzi urwu rwegomarara repazamu ndipo apo maseru egomarara paanenge metastasized (kureva kupararira) kune dzimwe nhengo dzemuviri - kazhinji chiropa, huropi, mapfupa, kana mapapu. Vanobvarura bundu rekutanga vofamba nemuropa kana kuti lymphatic system. Mumatanho ekutanga echirwere, hapana zviratidzo zviri pachena zvegomarara repazamu, asi pamatanho ekupedzisira, iwe unogona kuona kudzika kwezamu (seganda reorenji), shanduko mumazamu, kana kurwadziwa chero kupi mumuviri. , anodaro Dr. Lum. Stage 4 cancer inonzwika inotyisa, asi kune akawanda anovimbisa matsva ekurapa ekupa vakadzi vane metastatic kenza yemazamu mukana wekupona kwenguva yakareba, anowedzera.

3. Ductal Carcinoma In Situ

Ductal carcinoma in situ (DCIS) imhando yegomarara rezamu risingapindike apo masero akawanikwa muruko rwemukaka wemukaka. Hazviwanzo kuratidzwa nezviratidzo, asi dzimwe nguva vanhu vanogona kunzwa bundu kana kuve neropa zamu kubuda. Iyi fomu yegomarara idanho rekutanga kenza uye rinorapika zvakanyanya, izvo zvakanaka-asi izvo zvakare zvinokwidza njodzi yako yekunyanya kurapwa (verenga: ingangove isingaite radiotherapy, hormonal therapy, kana kuvhiyiwa kwemaseru anogona kusapararira kana kukonzera kumwe kunetseka. ). Kunyange zvakadaro, Dr. Lum vanoti zvidzidzo zvitsva zvave zvichitarisa kutarisa kwekushanda kweDCIS (kana kutarisa chete) kudzivirira izvi.

4. Inopararira Lobular Carcinoma

Rudzi rwechipiri rwakajairika rwegomarara repazamu rinokanganisa lobular carcinoma (ICL), uye inoverengera gumi muzana yezvese zvinoparadza chirwere chekenza yemazamu, sekureva kweAmerican Cancer Society. Izwi rekuti carcinoma rinoreva kuti gomarara rinotanga munyama yakati wandei ropedzisira ravhara nhengo yemukati - apa iri nyama yemuzamu. ICL inonyatso kutaura nezvegomarara rakapararira kuburikidza ne-lobes inogadzira mukaka muzamu uye yatanga kupinda munyama.Nekufamba kwenguva, ICL inogona kupararira kune iyo lymph node uye pamwe nezvimwe zvikamu zvemuviri. "Rudzi urwu rwegomarara repazamu runogona kunetsa kuona," anodaro Dr. Lum. "Kunyangwe kufungidzira kwako kuri kwakajairika, kana uine bundu muzamu rako, ita kuti ritariswe." (Yakabatana: Uyu Makore makumi maviri nemana-Akare Akawana Bele Cancer Bundu Paari Kugadzirira Kwehusiku Kunze)

5. Kuzvimba Gomarara Repazamu

Inotyisa uye inokurumidza kukura, mhando yekenza yemazamu inoonekwa seyakaganhurwa 3 uye inosanganisira maseru anopinda mukati meganda uye nemidziyo yemazamu yezamu. Kazhinji hapana bundu kana bundu, asi kana midziyo yelymph yavharika, zviratidzo zvakaita sekukwenya, mapundu, mapundu ekurumwa netumbuyu, uye mazamu matsvuku, akazvimba anogona kuoneka. Nekuda kwekuti inotevedzera mamiriro eganda, rudzi urwu rwegomarara rezamu rinogona kukanganisika sehutachiona, anodaro Dr. Lum, saka ita shuwa kuti unowana chero mamiriro eganda asina kujairika akaongororwa nederm yako uyezve chiremba wako kana asina kugadzirisa chero. derm-yakakurudzirwa nzira. (Yakabatana: Chinongedzo Pakati Pehope neCancer yeCancer.

6. Katatu-Negative Breast Cancer

Iyi imhando yakakomba, ine hasha, uye yakaoma kurapa gomarara rezamu. Sezvingango reva zita, maseru egomarara emunhu ane katatu-negative kenza yemazamu bvunzo haina kunaka kune ese matatu receptors, zvinoreva kuti marapirwo akajairwa senge mahormone therapy uye nemishonga inonangana neestrogen, progesterone, uye HER-2 haishande. Kenza yemazamu katatu-isina kunaka inowanzo kurapwa pamwe nekubatanidzwa kwekuvhiya, radiation radiation, uye chemotherapy (iyo isingawanzo kushanda uye inouya nemhedzisiro yakawanda), inodaro American Cancer Society. Iyi fomu yekenza inowanzo kukanganisa vanhu vadiki, maAfrica-maAmerican, Hispanics, uye avo vane BRCA1 mutation, sekutsvagurudza kwakajairika.

7. Lobular Carcinoma In Situ (LCIS)

Kwete kukuvhiringidza iwe, asi LCIS haisi kutorwa semhando yekenza yemazamu, anodaro Dr. Lum. Pane kudaro, iyi inzvimbo yekukura kwesero zvisina kujairika mukati me lobules (matumbu anobudisa mukaka mumadhamu emazamu). Aya mamiriro haakonzere zviratidzo uye kazhinji haaratidzike pane mammogram, asi inowanzoonekwa muvakadzi vari pakati pemakore makumi mana nemakumi mashanu ekuberekwa nekuda kweiyo biopsy inoitwa pazamu kune chimwe chikonzero. Kunyangwe isiri gomarara, sese, LCIS inowedzera njodzi yako yekuva nekenza yemazamu inoparadza gare gare muhupenyu, saka zvakakosha kuti uzive kana uchifunga zvakanyanya nezve njodzi yako yegomarara. (Yakabatana: YeSainzi Yemazuva Ano Pachirwere Chepabonde CheCancer, Inotsanangurwa Nachiremba.

8. Kenza Yezamu Yechirume

Hongu, varume vanogona kubata gomarara rezamu. Baba vaBeyoncé chaizvo vangoburitsa pachena kuti ari kubata nechirwere ichi uye anoda kusimudzira ruzivo rwekuti varume nevakadzi vave mune-kuziva. Kunyange 1 muzana chete yekenza yemazamu inoitika muvarume uye vane huwandu hushoma hwemazamu, mazinga eestrogen akakwira (zvichida zvinowanzoitika kana kubva kumishonga yehomoni / zvinodhaka), genetic mutation, kana mamwe mamiriro akaita seKlinefelter syndrome (a. genetic mamiriro apo murume anozvarwa aine X chromosome yakawedzera) zvese zvinowedzera njodzi yemurume yekubatwa negomarara muzamu rake. Uyezve, vanogona kugadzira mhando dzakafanana dzegomarara rezamu sevakadzi (kureva, vamwe vari pane iyi runyorwa). Nekudaro, kune varume, gomarara munyama iyi kazhinji chiratidzo chekuti vane hutachiona hunoita kuti vawedzere kubatazvese mhando dzekenza, anodaro Dr. Grumley. Ndosaka zvichinyanya kukosha chero murume akabatwa negomarara rezamu awane kuongororwa genetic kuti anzwisise njodzi yavo yegomarara, anowedzera.

9. Chirwere chePaget cheZamu

Chirwere chePaget hachiwanzoitika uye ndipo panowanikwa maseru ekenza mukati kana kutenderedza munyatso. Kazhinji dzinokanganisa madhiri enyini kutanga, ndokuzopararira kumusoro uye areola. Ndiko kusaka gomarara repazamu iri richigara richionekwa nemakwasha, dzvuku, kuvaviwa, uye kusvotwa nyini uye kazhinji kacho kanonzi kapundu, vanodaro Dr. Lum. Kunyange zvazvo Chirwere chePaget chemuzamu chiri pasi pezvikamu zvishanu kubva muzana zvekenza dzose dzegomarara rezamu muU. kuziva zviratidzo zvechirwere chacho, inoshuma kudaro American Cancer Society.

Ongororo ye