Yog koj daim duab mammogram qhia txog "cov hlwb txawv txav," nws yog ib qho ib txwm muaj kev ntshai thiab ntxhov siab. "Qhov no puas yog mob qog noj ntshav? Yuav muaj dab tsi tshwm sim rau kuv lub neej?" Tej zaum koj yuav xav tsis thoob. Tab sis tsis txhob ntshai. Nws yuav tsis loj npaum li koj xav. Feem ntau, qhov no yog theem pib ntawm mob qog noj ntshav hauv lub mis, hu ua "Theem 0." Qhov ntawd yog qhov peb tab tom tham txog hnub no. Cia peb saib sai sai seb nws yog dab tsi tiag tiag, seb nws puas yog ib yam dab tsi uas yuav tsum txhawj xeeb txog, thiab muaj kev kho mob dab tsi.
Qhov 'Theem 0' no yog dab tsi?
Hais yooj yim xwb, theem 0 txhais tau hais tias cov qog nqaij hlav lossis cov qog nqaij hlav tsis zoo tseem nyob qhov chaw uas lawv pib thawj zaug, nyob rau hauv cov raj mis lossis cov lobules ntawm lub mis. Cov qog nqaij hlav no tseem tsis tau kis mus rau hauv cov nqaij noj qab haus huv ib puag ncig. Cov kws kho mob hu qhov mob no tias "nyob rau hauv situ." Qhov ntawd txhais tau hais tias "qhov chaw uas nws nyob."
Xav txog cov kav dej mis hauv lub mis zoo li ib lub kav dej hauv tsev. Cov qe ntshav tsis zoo no tsuas yog nyob hauv cov kav dej ntawd xwb. Lawv tseem tsis tau tawg los ntawm phab ntsa ntawm cov kav dej thiab kis mus rau lwm qhov ntawm lub tsev. Qhov ntawd yog qhov tshwm sim ntawm no. Qhov no tseem ceeb heev, vim tias yog tias nws raug kuaj pom ntawm theem no, nws tuaj yeem kho tau thiab yuav luag kho tau tag nrho .
Muaj ob hom 'theem 0' tseem ceeb. Cia peb saib lawv sib cais.
| Kev Tshwj Xeeb | DCIS (Ductal Carcinoma In Situ) | LCIS (Lobular Carcinoma In Situ) |
|---|---|---|
| Lub ntsiab lus | Cov qe ntshav tsis zoo hauv cov kav mis ntawm lub mis. | Cov qe ntshav tsis zoo hauv cov qog tsim mis (lobules) ntawm lub mis. |
| Qhov hnyav | Qhov no suav hais tias yog ib qho mob 'ua ntej mob qog noj ntshav'. Yog tias tsis kho, nws tuaj yeem hloov mus ua mob qog noj ntshav uas kis tau rau lwm tus yav tom ntej. | Qhov no tsis yog mob qog noj ntshav. Txawm li cas los xij, nws suav hais tias yog 'lub cim qhia txog kev pheej hmoo ' uas ua rau muaj kev pheej hmoo ntawm kev mob qog noj ntshav hauv ob lub mis yav tom ntej. |
| Kev txheeb xyuas | Feem ntau nws tuaj yeem pom nrog lub mammogram. | Feem ntau, koj tsis hnov ib lub pob. Koj pom nws thaum koj mus kuaj lub mis vim lwm yam. |
| Yuav ua li cas | Kev kho mob yuav tsum pib tam sim ntawd. | Yuav tsum tau soj ntsuam ze thiab tham nrog kws kho mob tsis tu ncua. Tej zaum yuav tsum tau kho mob kom txo tau qhov kev pheej hmoo. |
Cov kev kho mob rau DCIS yog dab tsi?
Vim tias DCIS tuaj yeem dhau los ua mob qog noj ntshav uas kis mus rau yav tom ntej, nws yog ib qho tseem ceeb uas yuav tsum kho nws sai li sai tau thaum pom tias muaj mob. Zoo hmoo, kev kho mob zoo heev.
1. Kev phais mob
Qhov no yog txoj kev kho mob tseem ceeb. Muaj ob hom kev phais.
- Kev phais tshem qog hauv lub mis (Lumpectomy): Qhov no tsuas yog tshem tawm cov qog lossis thaj chaw uas muaj cov qe ntshav tsis zoo xwb, nrog rau qee cov nqaij noj qab nyob zoo nyob ib puag ncig nws. Nws tsis tshem tag nrho lub mis.
- Kev phais tshem lub mis tawm: Qee zaum, yog tias DCIS loj lossis tau nthuav dav thoob plaws lub mis, cov kws kho mob yuav pom zoo kom tshem tawm tag nrho lub mis. Qhov kev txiav txim siab no yog ua tom qab sib tham nrog koj tus kws kho mob kom zoo.
Muaj ib txhia poj niam kuj txiav txim siab phais kho lub mis tom qab phais lub mis tawm. Qhov no yog ib qho kev txiav txim siab ntawm tus kheej kiag li.
2. Kev Kho Mob Hluav Taws Xob
Kev kho mob hluav taws xob feem ntau yog muab tom qab phais mob qog nqaij hlav. Qhov no siv cov hluav taws xob muaj zog heev los rhuav tshem cov hlwb me me uas tseem tshuav tom qab phais. Nws zoo li ntxuav thaj chaw kom huv si tom qab phais, txo qhov kev pheej hmoo ntawm qhov teeb meem rov tshwm sim.
3. Kev Kho Mob Hormone
Yog tias koj tus mob DCIS muaj cov tshuaj hormone-receptor zoo, koj tus kws kho mob yuav pom zoo kom siv tshuaj hormone kho tom qab phais. Cov tshuaj no txo qhov kev pheej hmoo ntawm kev mob qog noj ntshav tshiab hauv ob lub mis yav tom ntej.
Koj ua dab tsi rau ib tus neeg uas muaj LCIS?
Zoo li peb tau hais ua ntej lawm, LCIS tsis yog mob qog noj ntshav, tab sis yog ib qho cim ceeb toom rau yav tom ntej . Yog li ntawd, txoj kev kho nws txawv me ntsis. Qhov tseem ceeb ntawm no yog tsis txhob ntshai, tab sis ua raws li txoj kev npaj tseg.
- Kev soj ntsuam ze: Qhov no yog qhov tseem ceeb tshaj plaws. Nws yog ib qho tseem ceeb uas yuav tsum tau kuaj xyuas lub mis tsis tu ncua, kuaj mammograms, thiab lwm yam kev soj ntsuam tsim nyog raws li koj tus kws kho mob pom zoo.
- Kev kho mob Hormone: Cov poj niam uas muaj LCIS kuj tseem yuav tau txais kev kho mob hormone (piv txwv li, Tamoxifen) los txo qhov kev pheej hmoo ntawm kev mob qog noj ntshav yav tom ntej.
- Kev Phais Tiv Thaiv: Qhov no tsis yog ib yam dab tsi uas txhua tus tuaj yeem ua tau. Txawm li cas los xij, cov poj niam uas muaj feem yuav mob qog noj ntshav mis qee zaum ua qhov kev txiav txim siab no. Leej twg poob rau hauv pawg neeg muaj feem yuav mob no?
- Yog tias ib tug neeg hauv tsev neeg (niam, muam) tau muaj mob qog noj ntshav hauv lub mis.
- Yog tias koj tau kuaj pom tias muaj kev hloov pauv ntawm cov noob caj noob ces uas ua rau koj muaj feem yuav mob qog noj ntshav hauv lub mis, xws li BRCA1 lossis BRCA2 .
Hauv cov xwm txheej zoo li no, qee tus poj niam txiav txim siab ua ob lub mis kom tsis txhob muaj kev pheej hmoo yav tom ntej. Qhov no yog ib qho kev txiav txim siab tus kheej thiab tseem ceeb heev, thiab yuav tsum tau ua tom qab sib tham nrog kws kho mob kom zoo.
Koj xaiv qhov twg zoo tshaj plaws rau koj li cas?
Tom qab nyeem tag nrho cov no, tej zaum koj yuav xav tias, "Dab tsi zoo tshaj plaws rau kuv?" Cov lus teb nyob ntawm koj, nrog koj tus kws kho mob.
Nco ntsoov tias, 'Theem 0' tsis yog kev txiav txim tuag. Qhov no yog ib qho mob uas kho tau yooj yim heev, thiab pom tau thaum ntxov.
Koj tus kws kho mob yuav pom zoo rau txoj kev kho mob zoo tshaj plaws rau koj, suav nrog koj tus mob (DCIS lossis LCIS), nws qhov loj me, koj hnub nyoog, keeb kwm tsev neeg, thiab koj tus kheej nyiam. Nco ntsoov tham txog cov lus nug lossis kev txhawj xeeb uas koj muaj nrog koj tus kws kho mob . Kev tham nrog nws qhib siab yog qhov kev txiav txim siab zoo tshaj plaws uas koj tuaj yeem ua tau.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob qog noj ntshav hauv lub mis 'Theem 0' txhais tau hais tias cov qe ntshav tsis zoo no tau daig rau qhov chaw uas lawv pib (hauv cov raj lossis cov qog). Lawv tseem tsis tau kis mus rau cov nqaij nyob ib puag ncig.
- DCIS yog ib yam mob uas yuav tsum tau kho tam sim ntawd vim tias nws tuaj yeem ua rau mob qog nqaij hlav kis mus rau lwm qhov yog tias tsis kho.
- LCIS tsis yog mob qog noj ntshav, tab sis yog ib qho cim ceeb toom ntawm kev pheej hmoo mob qog noj ntshav yav tom ntej, thiab yuav tsum tau saib xyuas kev kho mob ze .
- Cov txheej txheem xws li phais, kev kho mob hluav taws xob, thiab kev kho mob hormone yeej ua tau zoo heev thiab muaj feem kho tau zoo.
- Nws yog ib qho tseem ceeb uas koj yuav tsum tham txog txhua txoj kev xaiv uas koj muaj, lawv qhov zoo thiab qhov tsis zoo, nrog koj tus kws kho mob thiab txiav txim siab qhov zoo tshaj plaws rau koj. Nws yog ib qho tseem ceeb uas yuav tsum paub txog thiab tsis txhob ntshai.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus