Mukapeza kuti inuyo kapena munthu amene mumamudziwa ali ndi khansa ya m'mawere, funso limodzi lalikulu komanso mantha omwe amabwera m'maganizo mwanu ndi lakuti, "Kodi idzafalikira mofulumira bwanji?" Ndizachibadwa kuganiza za momwe maselo a khansa amagawikira mofulumira, kutanthauza momwe chotupacho chidzakulira mofulumira. "Kodi izi zakhala nthawi yayitali bwanji m'thupi langa?" "Zinatenga nthawi yayitali bwanji kuti zifike pa kukula kwake kwamakono?" Mwinanso mungadabwe.
Kunena zoona, ngakhale madokotala alibe njira yodziwira nthawi yeniyeni yomwe khansa inayamba kukula m'thupi lanu. Choncho, n'zovuta kunena nthawi yeniyeni yomwe inatenga kuti ikule kufika pa kukula kwake komwe ilipo panopa. Zingatenge milungu ingapo, miyezi ingapo, kapena kupitirira apo. Kawirikawiri, khansa ikapezeka, madokotala amaichotsa kwathunthu momwe angathere ndi opaleshoni, kotero palibe njira yodziwira momwe idzakulire mofulumira. Komabe, pali mfundo zina zasayansi zomwe zingatithandize kumvetsetsa izi.
Kodi ndi zinthu ziti zomwe zimakhudza kukula kwa khansa?
Ngakhale kuti n'zosatheka kunena momwe khansa ya m'mawere imakulira mofulumira, madokotala amatha kuyang'ana zizindikiro zina za chotupacho kuti adziwe ngati ndi chotupa chomwe chikukula mofulumira kapena chomwe chikukula pang'onopang'ono. Zinthu izi zidzatsimikizira momwe mukufunira chithandizo mwachangu komanso mtundu wanji.
Mwachidule, aliyense ndi khansa iliyonse ndi yosiyana. Nazi zina mwa zinthu zofunika kwambiri zomwe zingakuthandizeni kudziwa momwe khansa yanu idzakulire mofulumira.
| Factor | Momwe Zimakhudzira |
|---|---|
| Mtundu wa Khansa | Pali mitundu yosiyanasiyana ya khansa ya m'mawere. Mitundu ina imakula mofulumira kuposa ina. Mwachitsanzo, katatu-negative imakula mofulumira kuposa hormone receptor-positive . Dokotala wanu adzadziwa mtundu wake pofufuza kachidutswa kakang'ono ka chotupa chanu (biopsy). |
| Gawo | Gawoli limatsimikiziridwa ngati khansa ikadali mkati mwa ducts za mkaka kapena yafalikira ku minofu ya bere, lymph nodes m'khwapa, kapena ziwalo zina. Pali magawo kuyambira 0 mpaka IV (anayi). Gawo IV limatanthauza kuti khansa yafalikira kupitirira bere kupita ku ziwalo zakutali, monga ubongo kapena chiwindi. Khansa zomwe zafalikira kupitirira ducts za mkaka zimakhala ndi mwayi wokulirapo msanga. |
| Giredi (Giredi) | Dokotala wanu adzakupatsani giredi kuyambira 1 mpaka 3 ya khansa yanu. Izi zimatsimikiziridwa ndi momwe maselo a khansa amaonekera 'mwachilendo' pogwiritsa ntchito maikulosikopu. Maselo a khansa omwe amaoneka ngati maselo abwinobwino (Giredi 1) amatha kufalikira mosavuta, pomwe maselo omwe amaoneka osazolowereka komanso opunduka (Giredi 3) amatha kukula ndikufalikira mwachangu kwambiri. |
| Zaka zanu | Khansa ya m'mawere nthawi zambiri imapezeka mwa akazi azaka zopitirira 50. Komabe, ngati munthu wachinyamata ali ndi khansa ya m'mawere, nthawi zambiri imakhala yoopsa. |
| Majini | Anthu ena amabadwa ndi kusintha kwa majini komwe kumawaika pachiwopsezo chachikulu chotenga khansa ndikuitenga mwachangu. Makamaka, kusintha kwa majini (BRCA1) ndi (BRCA2) kumagwirizanitsidwa ndi khansa ya m'mawere yomwe ikukula mwachangu. Ngati kuli kofunikira, dokotala wanu angakutumizireni kuti mukayesedwe majini kuti adziwe. |
Mitundu ya khansa ya m'mawere ndi kukula kwake
Tiyeni tsopano tiwone mitundu ina yodziwika bwino ya khansa ya m'mawere ndi kuchuluka kwake komwe imakula. Izi zikuthandizani kumvetsetsa bwino za vuto lanu.
| Mtundu wa Khansa | Kukula ndi zinthu zapadera |
|---|---|
| Khansa ya m'mimba (DCIS) | Iyi ndi khansa yoyambirira kwambiri yotchedwa Gawo 0. Maselo a khansa sanafalikire kunja kwa misempha ya mkaka. Izi sizikutanthauza kuti ndi khansa yomwe ikukula mofulumira. Komabe, nthawi zina izi zimatha kukhala khansa yowopsa. |
| Cholandirira Mahomoni (HR)-positive | Khansa zambiri za m'mawere ndi za mtundu uwu. Maselo a khansa awa ali ndi ma receptors omwe amayankha mahomoni a estrogen ndi/kapena progesterone. Mtundu uwu nthawi zambiri umakula mwa akazi. Mankhwala omwe amaletsa mahomoni amatha kulamulira kukula kwawo. |
| HER2-positive | Pafupifupi 20% ya khansa ya m'mawere ndi yamtunduwu. Ali ndi puloteni yambiri yotchedwa HER2. Puloteni iyi imayambitsa khansa kukula mofulumira. Koma tsopano, chifukwa cha chithandizo cholunjika chomwe chimayang'ana puloteni iyi ya HER2, anthu omwe ali ndi mtundu uwu nawonso ali ndi zotsatira zabwino. |
| Zoipa zitatu | Maselo a khansa awa alibe ma hormone receptors (HR) kapena HER2 protein. Chifukwa chake, ndizovuta kuchiza. Mtundu uwu umakula ndikufalikira mwachangu kwambiri (wamphamvu kwambiri). |
| Khansa ya m'mawere yotupa | Uwu ndi mtundu wosowa kwambiri komanso wofalikira mofulumira kwambiri . Chifuwa chimafiira, kutupa, ndipo nthawi zina chimakhala ndi khungu lotupa, lofanana ndi khungu la lalanje. |
Kukula kwa khansa ndi kufunika koyezetsa
Cholinga chachikulu choyezetsa khansa ya m'mawere ndikupeza khansa msanga, isanayambike ndikufalikira m'thupi lonse. Khansa zomwe zimapezeka panthawi ya mammogram nthawi zambiri zimakhala zazing'ono ndipo sizingafalikire kwambiri.
Kumbukirani, ngakhale khansayo itakhala yoopsa bwanji, ngati ingagwidwe msanga komanso pamalo amodzi, mwayi wochira kwathunthu ndi waukulu kwambiri.
Popeza khansa yomwe ikukula mofulumira ndi yovuta kuizindikira pachiyambi, kuchuluka kwa anthu omwe ali ndi khansa yamtunduwu kungakhale kochepa. Chifukwa chake, njira yabwino kwambiri yodzitetezera ku khansa yomwe ikukula mwachangu komanso mwamphamvu ndikupeza mammogram nthawi ndi nthawi kuyambira pa msinkhu woyenera.
Ndi mayeso ati omwe akuyenererani?
Kawirikawiri amayi omwe ali pachiwopsezo chochepa amalangizidwa kuti ayambe kuchitidwa mammogram akakwanitsa zaka 40. Komabe, ngati wina m'banja mwanu adadwala khansa ya m'mawere, muli ndi chibadwa, kapena muli ndi zinthu zina zoopsa, mungafunike kuyamba kuyezetsa msanga.
Malangizo abwino kwambiri ndikulankhula ndi dokotala wanu za zinthu zomwe zingakubweretsereni chiopsezo ndikukonza nthawi yoyezetsa matenda yomwe ingakuyenerereni. Musaope kufunsa dokotala wanu mafunso aliwonse omwe muli nawo.
Uthenga Wopita Nawo Kunyumba
- Kukula kwa khansa ya m'mawere iliyonse n'kosiyana. Ndi kwapadera kwa thupi lanu komanso mtundu wa khansayo.
- Zinthu zingapo zimakhudza kuchuluka kwa khansa, kuphatikizapo mtundu wake, siteji yake, giredi ya khansa, zaka zake, ndi majini ake.
- Pali mitundu ya khansa yoopsa komanso mitundu ya khansa yomwe ikukula pang'onopang'ono.
- Kaya ndi khansa yamtundu wanji, ikapezeka msanga, m'pamenenso imakhala ndi mwayi wochira .
- Kuyezetsa khansa nthawi zonse, monga mammogram, ndiyo njira yabwino kwambiri yodziwira khansa msanga. Onetsetsani kuti mwalankhula ndi dokotala wanu za nthawi yoyezetsa khansa yomwe ili yoyenera kwa inu.
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