Kodi lipoti la biopsy linati ADH? Musadandaule, tiyeni tikambirane za izi! (Atypical Ductal Hyperplasia)

Mwina mwaona kusintha kwa bere lanu, kapena dokotala wanu mwina anakulangizani kuti mupange biopsy mutatenga mammogram. Mukalandira lipoti la biopsy ndikuwona kuti likulembedwa kuti "Atypical Ductal Hyperplasia" kapena "ADH," sizachilendo kumva mantha komanso nkhawa. "Kodi khansa iyi ndi iti?" "Nchiyani chindichitikira tsopano?" Mutha kukhala ndi mafunso ambiri m'maganizo mwanu. Koma musadandaule. Lero, tikambirana za ADH, chifukwa chake imachitika, komanso choti muchite nayo m'njira yosavuta komanso yomveka bwino.

Kodi Atypical Ductal Hyperplasia (ADH) ndi chiyani kwenikweni?

Mwachidule, ADH ndi kukula kosazolowereka kwa maselo mkati mwa ducts za mkaka wa mabere anu. Si khansa. Koma si zachilendo.

Tangoganizirani, njira zotulutsira mkaka m'mabere mwathu zili ngati machubu ang'onoang'ono. Khoma lamkati la machubu amenewa limapangidwa ndi maselo. Mwa munthu wathanzi, maselo amenewa amakonzedwa m'magawo awiri, okonzedwa bwino kwambiri, okonzedwa bwino.

Koma mwa munthu amene ali ndi ADH, maselo amenewa amakhala osokonezeka pang'ono, amaunjikana pamwamba pa wina ndi mnzake, ndipo amakula m'magawo angapo. Ndipo mawonekedwe a maselo amenewa ndi achilendo pang'ono. Maselo amenewa si maselo a khansa, zomwe zikutanthauza kuti ndi 'osaopsa'. Komabe, zina mwa makhalidwe awo ndi ofanana ndi maselo omwe ali ndi vuto lotchedwa ``DCIS - Ductal Carcinoma In Situ'', lomwe ndi gawo loyambirira kwambiri la khansa ya m'mawere.

Izi zili ngati nyali yachikasu pamsewu. Sizikutanthauza kuti pachitika ngozi, koma zikutanthauza kuti muyenera kusamala kwambiri mukapita patsogolo.

ADH ndi ALH: Kodi kusiyana pakati pa awiriwa ndi kotani?

Mungamvenso mawu akuti 'Atypical Hyperplasia'. Ili ndi dzina lalikulu la kukula kwa maselo kosazolowereka. Pali mitundu iwiri ikuluikulu ya izi. Ndikofunikira kudziwa kusiyana pakati pa ziwirizi.

Mitundu yonse iwiri imawonjezera chiopsezo cha khansa mtsogolo. Kafukufuku wasonyeza kuti mkazi amene ali ndi vuto lililonse mwa izi akhoza kukhala ndi mwayi wochuluka wopeza khansa ya m'mawere kuposa munthu amene alibe khansa.

Kodi zizindikiro za ADH ndi ziti?

Nthawi zambiri, ADH siimayambitsa zizindikiro zilizonse. Nthawi zambiri imapezeka mwangozi. ADH nthawi zambiri imapezeka ngati pali vuto la m'mawere (monga microcalcifications) pamene munthu akuchitidwa mammogram pazifukwa zina ndipo biopsy imachitidwa kuti afufuze vutolo.

Komabe, nthawi zina, anthu ena amathanso kuona zizindikiro monga izi:

• Chotupa m'bere chimamveka m'dzanja.
• Kumva kupweteka m'mawere.
• Kutuluka kwa magazi m'mabere (makamaka magazi).

Ngati muli ndi zizindikiro ngati izi, sizikutanthauza kuti ndi chifukwa cha ADH. Komabe, ngati muwona kusintha kulikonse kwachilendo m'mabere anu , ndi bwino kupita kwa dokotala nthawi yomweyo ndikupita naye kuchipatala.

Zifukwa ndi zoopsa za ADH

Madokotala sakudziwabe chifukwa chake maselo a mkaka amachita zinthu molakwika chonchi. Komabe, akukhulupirira kuti zinthu zina zomwe zimawonjezera chiopsezo cha khansa ya m'mawere zimagwirizanitsidwanso ndi chiopsezo cha matenda a ADH.

Kodi zinthu zoopsa zimenezi ndi ziti?

• Mbiri ya banja: Ngati wachibale (makamaka wachibale wapafupi monga mayi, mlongo, kapena mwana wamkazi) wakhala ndi khansa ya m'mawere.
• Kusintha kwa majini: Kukhala ndi kusintha kwa majini monga `(BRCA1, BRCA2)` komwe kumawonjezera chiopsezo cha khansa ya m'mawere.
• Mbiri ya moyo wanu: Ngati mudadwalapo khansa ina.
• Kunenepa kwambiri: Kulephera kusunga kulemera kwa thupi moyenera.
• Moyo:Kumwa mowa pafupipafupi komanso kugwiritsa ntchito fodya.

Ndikofunikira kukumbukira kuti ngakhale munthu wopanda chilichonse mwa zinthuzi akhoza kudwala ADH kapena khansa ya m'mawere.

Njira yodziwira ndi kuchiza ADH

Tiyeni tiwone zomwe dokotala wanu nthawi zambiri amachita pambuyo pake akapeza ADH.

1. Kufufuza kwa Opaleshoni / Excisional Biopsy

Kawirikawiri ADH imayamba kupezeka ndi 'biopsy ya singano', yomwe imaphatikizapo kutenga chidutswa chaching'ono cha minofu kuchokera pachifuwa ndi chida chonga singano ndikuchiyang'ana.

ADH ikatsimikizika, gawo lotsatira la madokotala ndikuchita 'biopsy ya opaleshoni' kapena 'excisional biopsy' . Izi zimaphatikizapo kuchotsa dera lonse la maselo osazolowereka, pamodzi ndi minofu yathanzi yozungulira iwo.

Chifukwa chake, pochotsa ndikuwunika dera lonselo, mutha kukhala otsimikiza 100% kuti palibe maselo ena oopsa ozungulira. Pafupifupi 20% ya maopaleshoni omwe amachitika mwanjira imeneyi, maselo a khansa apezeka kuwonjezera pa ADH. Chifukwa chake opaleshoni iyi imachitika kuti mukhale otetezeka.

2. Mankhwala Ochepetsa Chiwopsezo

Ngati minofu yafufuzidwa pambuyo pa opaleshoni ndipo palibe maselo otsala a khansa, nthawi zambiri sipafunika chithandizo china. Komabe, ngati dokotala wanu akuganiza kuti chiopsezo chanu cha khansa mtsogolo ndi chachikulu kwambiri , kutengera zinthu monga mbiri yanu komanso mbiri ya banja lanu, angakupatseni mankhwala othandizira kuchepetsa chiopsezocho.

Mankhwalawa amagwira ntchito poletsa ntchito ya hormone ya estrogen m'thupi, yomwe imadziwika kuti imathandizira kukula kwa mitundu ina ya khansa ya m'mawere.

• Tamoxifen kwa amayi omwe ali ndi vuto la kusamba.
• Mankhwala monga Raloxifene kapena Anastrozole kwa amayi omwe asiya kusamba.

Mankhwalawa nthawi zambiri amalimbikitsidwa kwa zaka pafupifupi 5. Ngakhale kuti angayambitse zotsatirapo zina, zotsatirapo zake zoyipa sizimachitika kawirikawiri. Kaya mankhwalawa ndi oyenera kwa inu kapena ayi ndi nkhani yomwe muyenera kukambirana ndi dokotala wanu.

3. Kuyang'anira Mosamala

Mukapezeka ndi ADH, chofunika kwambiri ndikuyang'anitsitsa mabere anu. Dokotala wanu angakulangizeni izi:

• Mammogram ya pachaka: Musasiye izi.
• Kuyezetsa Mabere: Dokotala amakupimani mabere miyezi 6 mpaka 12 iliyonse.
• MRI ya m'mawere: Ngati chiopsezo chanu chili chachikulu, mungalimbikitsidwe kuyesedwa ndi MRI kamodzi pachaka kuwonjezera pa mammogram.
• Kudziyesa Mabere: Phunzirani momwe mungayendere mabere anu kunyumba kamodzi pamwezi ndipo chitani chizolowezi. Ngati muwona kusintha kulikonse, uzani dokotala wanu nthawi yomweyo.

Kodi chiopsezo chotenga khansa ndi chiyani kwa munthu amene ali ndi ADH?

ADH si khansa, koma imawonjezera chiopsezo mtsogolo. Musachite mantha ndi ziwerengerozi, sizikutanthauza kuti aliyense amene ali ndi ADH adzadwala khansa.

• Pakatha zaka 5 kuchokera pamene munthu wapezeka ndi ADH, anthu pafupifupi 7 mwa anthu 100 (7%) adzakhala ndi khansa ya m'mawere.
• Pambuyo pa zaka 10 , anthu pafupifupi 13 mwa anthu 100 (13%) akhoza kudwala matendawa.
• Pambuyo pa zaka 25 , anthu pafupifupi 30 mwa anthu 100 (30%) akhoza kudwala matendawa.

Izi zikusonyeza kufunika koyezetsa matenda nthawi zonse , chifukwa chiopsezo chimawonjezeka pakapita nthawi. Chifukwa ngakhale khansa itayamba m'njira ina, kuyezetsa matenda nthawi zonse mwanjira imeneyi kungathe kuizindikira msanga kwambiri. Kenako mwayi wopeza chithandizo ndi kuchira kwathunthu ndi wokwera kwambiri.

Kodi ndingatani kuti ndichepetse chiopsezochi?

Ngakhale palibe njira yotsimikizika yopewera ADH, pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo chanu cha khansa ya m'mawere mtsogolo. Izi ndi zabwino kwambiri pa thanzi lanu lonse.

• Khalani ndi kulemera koyenera: Yesetsani kukhala ndi kulemera koyenera malinga ndi kutalika kwanu.
• Kuchita masewera olimbitsa thupi tsiku lililonse: Chitani masewera olimbitsa thupi amphamvu kwa mphindi zosachepera 30 patsiku.
• Chepetsani kumwa mowa: Ngati mumamwa mowa, chepetsani mowa momwe mungathere. Ndi bwino kusiya kumwa mowa wonse ngati n'kotheka.
• Pewani kusuta: Siyani kusuta ndi kugwiritsa ntchito fodya kwathunthu.
• Zakudya zabwino: Idyani zakudya zokhala ndi ndiwo zamasamba zambiri, zipatso, ndi zitsamba, komanso zokhala ndi mafuta ochepa, shuga, ndi mchere wochepa.