Kodi kafukufuku wa mabere unanena kuti 'ADH'? Tiyeni tikambirane izi mwachidule (Atypical Ductal Hyperplasia)

Tiyerekeze kuti mutatenga mammogram, dokotala wanu anatenga kachidutswa kakang'ono ka minofu n’kukatumiza kuti akayesedwe. Timatcha izi kuti biopsy. Ngati lipotilo libweranso patatha masiku angapo ndikunena kuti "Atypical Ductal Hyperplasia" kapena "ADH," mungamve mantha komanso nkhawa mwadzidzidzi. Ndizachibadwa kudzifunsa kuti, "Kodi iyi ndi khansa?" Koma musadandaule. ADH si khansa. Komabe, ndi vuto lomwe limawonjezera pang'ono chiopsezo chanu chokhala ndi khansa ya m'mawere mtsogolo. Ndicho chifukwa chake ndikofunikira kwambiri kudziwa za izi. Lero, tiyeni tikambirane momveka bwino za zomwe ADH ili, tanthauzo lake lenileni, komanso zomwe tiyenera kuchita.

Mwachidule, kodi Atypical Ductal Hyperplasia (ADH) ndi chiyani?

Kuti timvetse izi, choyamba tiyeni tiwone kapangidwe ka bere. Mabere athu ali ndi tiziwalo totulutsa mkaka (lobules) ndi netiweki ya machubu ang'onoang'ono (ducts) omwe amanyamula mkakawo kupita ku nipple. Kawirikawiri, makoma amkati mwa ducts za mkaka awa amakhala olumikizidwa bwino, okhala ndi zigawo ziwiri za maselo.

Komabe, mu vuto lotchedwa Atypical Ductal Hyperplasia (ADH), izi ndi zomwe zimachitika:

• Hyperplasia: Maselo omwe ali mkati mwa njira zotulutsira mkaka amakula kukula. Mawu oti "hyperplasia" kwenikweni amatanthauza "kuwonjezeka kwa chiwerengero cha maselo."
• Osazolowereka: Maselo awa sali ngati maselo abwinobwino. Mawonekedwe awo, kukula kwawo, ndi momwe maselo amaphatikizidwira pamodzi ndi "osazolowereka." Izi zikutanthauza kuti m'malo mokhala ndi zigawo ziwiri, amaphatikizika pamodzi mu mawonekedwe osokonezeka komanso okhala ndi zigawo zambiri.

Chofunika kwambiri ndichakuti maselo amenewa si a khansa . Ndi maselo abwinobwino. Komabe, ali ndi zofanana ndi maselo omwe ali ndi vuto lotchedwa Ductal Carcinoma in Situ (DCIS), lomwe ndi gawo loyambirira la khansa. Mwanjira ina, maselowa ali pakati pa maselo abwinobwino ndi maselo a khansa. Ichi ndichifukwa chake akuti munthu amene ali ndi ADH ali ndi chiopsezo chachikulu chotenga khansa ya m'mawere mtsogolo kuposa munthu amene alibe ADH.

Chofunika: ADH si khansa. Ndi "chizindikiro" chabe chomwe chimawonjezera chiopsezo chanu cha khansa ya m'mawere. Zili ngati thupi lanu likukupatsani chenjezo pang'ono.

Kodi kukhala ndi ADH kumatanthauza chiyani?

Ngati lipoti lanu la biopsy likunena kuti muli ndi ADH, sizikutanthauza kuti muli ndi khansa. Komabe, madokotala amaona kuti vutoli ndi chinthu chomwe chimawonjezera chiopsezo chanu cha khansa ya m'mawere mtsogolo. Kafukufuku wapeza kuti mayi yemwe ali ndi ADH akhoza kukhala ndi mwayi wochuluka wopeza khansa ya m'mawere nthawi zinayi kuposa mkazi wopanda vutoli.

Pachifukwa ichi, dokotala wanu angakulangizeni kuti muyezedwe khansa ya m'mawere pafupi ndi nthawi yanu yachizolowezi. Mwachitsanzo:

• Kupita ku mammogram chaka chilichonse.
• Mwina ndi ultrasound ya m'mawere kapena MRI scan.
• Dokotala amayesa mabere nthawi zonse (mayeso a mabere a kuchipatala).

Cholinga cha kuyezetsa khansa nthawi zonse m'njira imeneyi ndikuwonetsetsa kuti ngati khansa itayamba, itha kupezeka msanga ndikuchiritsidwa bwino.

Kodi zizindikiro za ADH ndi ziti?

Nthawi zambiri, palibe zizindikiro zenizeni za ADH. Izi zikutanthauza kuti simungazindikire chilichonse. Anthu ambiri amapezeka ndi vutoli akachitidwa biopsy chifukwa cha vuto lina lomwe limapezeka pa mammogram pazifukwa zina.

Komabe, nthawi zambiri anthu ena amakumana ndi zizindikiro zotsatirazi. N'zovuta kunena ngati izi zimachitika chifukwa cha ADH kapena ayi, koma ngati muwona chinthu chonga ichi, muyenera kuwonana ndi dokotala.

Zifukwa ndi zoopsa zomwe zimayambitsa matenda a ADH

Madokotala sakudziwabe chifukwa chake maselo omwe ali m'mitsempha ya mkaka amachita zinthu zachilendo chonchi. Komabe, akukhulupirira kuti zinthu zomwezo zomwe zimayambitsa khansa ya m'mawere zingathandizenso kukula kwa ADH.

Zinthu zoopsa zomwe zingakhudze ADH

• Mbiri ya banja: Kukhala ndi wachibale (makamaka mayi, mlongo, mwana wamkazi) amene ali ndi khansa ya m'mawere.
• Kusintha kwa majini: Kukhala ndi kusintha kwa majini komwe kumawonjezera chiopsezo cha khansa ya m'mawere, monga BRCA1 kapena BRCA2.
• Mbiri yanga: Ndinali ndi khansa ina kale.
• Kunenepa kwambiri: Kulephera kusunga kulemera kwa thupi moyenera.
• Moyo: Kumwa mowa ndi kugwiritsa ntchito fodya.

Kodi ADH imachiritsidwa bwanji?

Ngati biopsy yanu yatsimikizira kuti muli ndi ADH, dokotala wanu nthawi zambiri amalangiza njira ina yaying'ono yochitira opaleshoni ngati gawo lotsatira. Izi zimatchedwa excisional biopsy .

Izi zikuphatikizapo kuchotsa osati malo okhawo a minofu komwe maselo osazolowereka (ADH) amapezeka, komanso minofu yaying'ono yathanzi yozungulira. Nchifukwa chiyani izi zimachitika? Chifukwa nthawi zina, pafupi kwambiri ndi komwe ADH imapezeka, pakhoza kukhala vuto lalikulu, monga magawo oyambirira a khansa monga DCIS, kapena maselo a khansa obisika.

Kafukufuku wasonyeza kuti pafupifupi 20% ya opaleshoni imeneyi yomwe imachitidwa pa ADH, maselo obisika a khansa amapezeka m'derali. Ichi ndichifukwa chake opaleshoniyi ndi yofunika.

Minofu yomwe yachotsedwa panthawi ya opaleshoni ikatumizidwa ku labu ndipo yatsimikizika kuti ilibe maselo a khansa, simudzafunikiranso chithandizo. Kuyambira pamenepo, chomwe muyenera kuchita ndikuyesedwa mabere nthawi zonse monga momwe dokotala wanu akulangizira.

Mankhwala Ochepetsa Ngozi

Ngati chiopsezo chanu cha khansa ya m'mawere chili chachikulu kwambiri chifukwa cha momwe mulili ndi ADH komanso zinthu zina (monga mbiri ya banja), dokotala wanu angakupatseni mankhwala ena kuti achepetse chiopsezo chanu. Mankhwalawa amagwira ntchito poletsa ntchito ya hormone ya estrogen m'thupi.

• Tamoxifen: Kwa akazi omwe sanathe kusamba.
• Raloxifene (Evista®), Exemestane (Aromasin®), Anastrozole (Arimidex®): Kwa akazi omwe asiya kusamba.

Mankhwalawa akhoza kulangizidwa kwa zaka zisanu. Komabe, popeza mankhwala onsewa ali ndi zotsatirapo zinazake, ndikofunikira kukambirana nawo mosamala ndi dokotala wanu kuti mudziwe ngati ndi oyenera kwa inu.

Mafunso oti mufunse dokotala wanu

Ndizachilendo kukhala ndi mafunso ambiri mukazindikira kuti muli ndi ADHD. Musazengereze kufunsa mafunso awa mukapita kwa dokotala wanu.

• "Dokotala, kodi lipoti langa la mayeso likutanthauza chiyani kwenikweni?"
• "Kodi ndikufunikadi opaleshoni?"
• "Kodi chiopsezo changa chotenga khansa ya m'mawere mtsogolo ndi chotani?"
• "Ndiyenera kuchita mayeso ngati a mammogram kangati?"
• "Ndi kusintha kotani komwe ndikufunika kusintha pa moyo wanga?"
• "Kodi ndi lingaliro labwino kuti ndikalandire uphungu wa majini?"

Kodi mungachepetse bwanji chiopsezo chanu mukakhala ndi ADHD?

Ngakhale simungathe kuwongolera vuto lanu la ADH, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chanu cha khansa mtsogolo. Izi zingakuthandizeninso kukhala ndi moyo wathanzi.

• Khalani ndi kulemera koyenera: Kuchita masewera olimbitsa thupi komanso kudya zakudya zopatsa thanzi n'kofunika kwambiri.
• Maseŵero Olimbitsa Thupi: Yesetsani kukhala otanganidwa tsiku lililonse.
• Chepetsani kumwa mowa: Chepetsani kumwa mowa momwe mungathere kapena siyani kumwa mowa wonse.
• Pewani kusuta: Kusuta fodya ndi kugwiritsa ntchito fodya kumawonjezera kwambiri chiopsezo cha khansa.

Komanso, khalani ndi chizolowezi chodziyesa nokha mawere . Dziwani mawonekedwe abwinobwino a mawere anu kamodzi pamwezi. Mwanjira imeneyi, mutha kuzindikira mwachangu ziphuphu zatsopano, makulidwe, kapena kusintha kulikonse.