Dokotala wanu akakuuzani kuti muli ndi khansa ya m'mawere ya 'Stage 0', mungamve mantha komanso chidwi. Kodi iyi ndi khansa yeniyeni? Kapena ndi khansa yoyamba? Kodi chimachitika n'chiyani pambuyo pake? Mafunso chikwi ngati awa angakhale akukuzungulirani. Musadandaule, ndi zachilendo. Tiyeni tikambirane za izi mosavuta, m'njira yomwe mungamvetse.
Kodi khansa ya m'mawere ya Gawo 0 ndi chiyani kwenikweni?
Kunena zoona, pali maganizo ena pakati pa madokotala pankhaniyi. Akatswiri ena amaona kuti iyi ndi gawo loyamba la khansa ya m'mawere. Ena amaganiza kuti ndi gawo loyambirira la khansa.
Mwachidule, khansa ndi kugawikana kosalamulirika kwa maselo osazolowereka. Maselo amenewa amatha kulowa m'thupi lathanzi lozungulira. Komabe, mu khansa ya m'mawere ya Gawo 0, maselo osazolowerekawa safalikira (`osalowa m'thupi`). Izi zikutanthauza kuti maselowo amakhalabe komwe adayambira ndipo sanafalikire ku minofu yozungulira. Komabe, pali mwayi woti angachite zimenezo mtsogolomu. Iyi ndi gawo losapita patsogolo kwambiri kuposa khansa ya Gawo 1.
Pali mitundu iwiri ikuluikulu ya khansa ya m'mawere ya gawo 0.
1. Matenda a Paget osalowa m'thupi: Uwu ndi matenda osowa kwambiri. Ndi matenda a khansa omwe amapezeka m'chifuwa.
2. Ductal Carcinoma in Situ (DCIS): Izi ndi zomwe nthawi zambiri timatchula tikamalankhula za khansa ya m'mawere ya Gawo 0. Pankhaniyi, maselo osazolowereka amakula mkati mwa ducts za mkaka m'bere lanu. Chofunika kwambiri, maselo amenewa sanafalikire kunja kwa ducts, komwe ndi komwe minofu yambiri ya mafuta m'bere imakhala.
Chifukwa chenicheni cha DCIS sichinadziwikebe. Anthu ambiri saona zizindikiro zilizonse. Komabe, nthawi zina pamakhala chotupa chaching'ono kapena kutuluka magazi kuchokera m'chuuno .
Maselo osazolowereka amenewa akhoza kukhala khansa yofalikira kapena ayi. Palibe amene anganeneretu nthawi yeniyeni yomwe izi zidzachitike. Imeneyo ndiye vuto lalikulu kwambiri pankhaniyi.
Kodi izi ziyenera kuthandizidwa? Kodi ndingapange bwanji chisankho?
Mukapezeka ndi DCIS, imapatsidwa giredi mu lipoti la matenda lomwe mumalandira.
- Gulu lachitatu la nyukiliya: Uwu ndi mtundu womwe uli ndi kuthekera kwakukulu kofalikira.
- Giredi 1 ya nyukiliya: Izi zili ndi mwayi wochepa kwambiri wofalikira.
Mudzayesedwanso kuti muwone ngati maselo anu a khansa ali ndi ma estrogen receptors. Dokotala wanu angatchule izi kuti "ER-positive" kapena "ER+. Ngati ndi choncho, zikutanthauza kuti khansa yanu ingakule pang'onopang'ono.
Pakadali pano, dokotala wanu angakulimbikitseninso kuti muyesedwe majini, zomwe zingakuthandizeni kudziwa ngati pali kusintha kulikonse m'majini anu komwe kumawonjezera chiopsezo chanu cha khansa ya m'mawere .
Zimene mungachite pambuyo pake zimadalira zinthu zonsezi, komanso zomwe mumakonda .
Madokotala ambiri amakhulupirira kuti ndi bwino kulandira chithandizo chifukwa ngakhale khansa ya Gawo 0 isafalikire, ingasinthe mtsogolo. Chifukwa chake, mwambi wakuti, "Ndi bwino kukhala otetezeka kuposa chisoni" ukugwiranso ntchito pano.
Pali njira zitatu zazikulu zochiritsira . Tiyeni tiwone izi patebulo.
| Njira Yothandizira | Mwachidule... (Kufotokozera Kosavuta) |
|---|---|
| Kuchotsa Lumpectomy | Izi zimaphatikizapo kuchotsa mwa opaleshoni malo okhawo omwe ali ndi maselo osazolowereka komanso minofu yathanzi yozungulira. |
| Kuchotsa lumpectomy ndi chithandizo cha radiation | Pambuyo pa opaleshoni yomwe yatchulidwa pamwambapa, chithandizo cha radiation chimaperekedwa kuti chiwononge maselo aliwonse osazolowereka omwe angakhalepo. |
| Kuchotsa Mabere | Opaleshoni iyi imachotsa bere lonse. Ikhoza kulangizidwa ngati DCIS yafalikira m'bere lonse kapena pazifukwa zina. |
Kodi tiyenera kudikira pang'ono popanda chithandizo? (Kudikira Mosamala)
Nkhani imeneyi ndi yotsutsana. Akatswiri ena amakhulupirira kuti njira yotchedwa "watcherful waiting," yomwe imatanthauza kusachiza nthawi yomweyo koma kuyang'anira vutoli ndi mayeso okhazikika, ndi njira yabwino. Pafupifupi gawo limodzi mwa magawo atatu a akazi omwe ali ndi DCIS adzadwala khansa yomwe imafalikira mtsogolo.
Choncho dokotala wanu angakulangizeni kuti mupewe kulandira chithandizo nthawi yomweyo ndipo m'malo mwake muziyang'anira vutoli ndi mayeso okhazikika.
Izi zili ndi ubwino ndi kuipa. Taganizirani izi...
Ngati mwachitidwa opaleshoni (mwina ndi chithandizo cha radiation) msanga, mutha kupewa kufalitsa khansa yomwe siikula. Kumbali ina, mwina mwalandira chithandizo chopweteka cha chinthu chomwe sichingakhale vuto.
Koma ngati mwasankha kudikira popanda opaleshoni, ndipo mwatsoka vuto lanu limakhala khansa yofalikira, likhoza kukhala lalikulu kwambiri (ndipo lovuta kuchiza) likapezeka.
Ichi ndi chisankho chaumwini kwambiri. Inu ndi dokotala wanu muyenera kupanga chisankhochi pamodzi, mutakambirana bwino. Gawani nkhawa zanu zonse ndi mantha anu ndi dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Khansa ya m'mawere ya Gawo 0, kapena DCIS, si matenda opatsirana . Maselo olakwikawa amapezeka mkati mwa ducts za mkaka zokha.
- Matendawa akhoza kukhala khansa kapena ayi mtsogolo. N'zosatheka kudziwa pasadakhale.
- Kulandira chithandizo kapena ayi, komanso chithandizo chomwe mungagwiritse ntchito, zimadalira zinthu zingapo (giredi ya khansa, momwe matenda alili) komanso zomwe mumakonda.
- Njira zazikulu zomwe zingagwiritsidwe ntchito ndi opaleshoni (`Lumpectomy` kapena `Mastectomy`), chithandizo cha radiation, kapena kusalandira chithandizo konse (`waiting watching`).
- Ichi si chisankho chomwe muyenera kupanga nokha. Kambiranani momasuka komanso mokwanira ndi dokotala wanu kuti mupange chisankho chomwe chili chabwino kwa inu.
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