Kodi tiyenera kudziwa za khansa ya m'mawere, m'malo mochita mantha?

Tikamva mawu oti "khansa," ambiri a ife timachita mantha kwambiri. Pakati pawo, tikamva mawu oti khansa ya m'mawere, akazi athu amada nkhawa kwambiri. Koma mantha si njira yabwino yothetsera vutoli. M'malo mwake, kumvetsetsa ndi kuzindikira izi ndiyo njira yabwino kwambiri yodzitetezera. Kotero lero, tiyeni tikambirane za khansa ya m'mawere m'njira yosavuta komanso yochezeka.

Kodi khansa ya m'mawere ndi yofanana kwa aliyense? Kapena pali mitundu yosiyanasiyana?

Ayi. Kunena zoona, si aliyense amene amadwala khansa ya m'mawere mofanana. Pali mitundu yosiyanasiyana ya khansa ya m'mawere. Madokotala amaika mitundu iyi m'magulu potengera ngati ali ndi mapuloteni enaake (ma receptor) omwe amathandiza maselo a khansa kukula. Mwachidule, maselo ena a khansa ali ngati ana aang'ono anjala. Amafunikira zinthu monga mahomoni m'thupi lathu ngati "chakudya" kuti akule.

Pali mitundu iwiri ikuluikulu ya ma receptor:

1. Ma hormone receptors (HR): Awa ndi mahomoni achikazi otchedwa estrogen ndi progesterone . Ngati ma receptor awa alipo pa maselo a khansa, mahomoni awa amathandiza khansa kukula.

2. Cholandirira cha HER2: Ichi ndi puloteni ina yotchedwa `(Human Epidermal Growth Factor Receptor 2).` Ngati izi zichulukirachulukira pa maselo a khansa, khansa imatha kukula mofulumira.

Khansa imagawidwa m'mitundu ingapo kutengera ngati ili ndi ma receptor awa kapena ayi. Tiyeni tiwone mitundu ikuluikulu.

Kodi majini amakhudza bwanji khansa?

Anthu ena amaganiza kuti, "Palibe m'badwo wanga amene anali ndi vutoli, kotero palibe njira ina imene ndingakulitsire." Koma si zoona kwenikweni. Komabe, palinso mphamvu ya majini yomwe imachokera ku mibadwomibadwo.

Pali majini apadera m'thupi lathu omwe amalamulira momwe maselo amagawikira. Ngati pali kusintha kwa majini awa, maselo amatha kuyamba kugawikana mosalamulirika ndikukhala ndi khansa. Majini odziwika bwino omwe amagwirizanitsidwa ndi khansa ya m'mawere ndi BRCA1 ndi BRCA2 . Mkazi amene ali ndi kusintha kwa majini awa ali pachiwopsezo chachikulu chotenga khansa ya m'mawere (ndi khansa ya mazira) kuposa ena.

Kuphatikiza apo, kafukufuku akuchitika pa majini ena angapo, monga `TP53` ndi `PALB2`. Pamene sayansi ikupita patsogolo, tidzapeza njira zabwino kwambiri zochizira matenda amenewa.

Kodi moyo wathu umakhudza zoopsa?

Inde, ndithudi. Sikuti majini okha, komanso moyo wathu umakhudza kwambiri chiopsezo cha khansa ya m'mawere. Kafukufuku wina wasonyeza kuti chiopsezo cha khansa chimawonjezeka tikatengera moyo wa mayiko otukuka. Pali zifukwa zingapo zomwe zimapangitsa izi.

• Kunenepa Kwambiri: Mafuta akachuluka m'thupi, makamaka pambuyo pa kusamba, kuchuluka kwa estrogen kumawonjezeka. Ichi ndi chiopsezo cha khansa ya HR+.
• Zakudya zosapatsa thanzi: Kudya zakudya zambiri zopangidwa ndi zinthu zokonzedwa, nyama yofiira, shuga, ndi mafuta kumawonjezera chiopsezo. Zakudya zokhala ndi ndiwo zamasamba, zipatso, nyemba, ndi tirigu wonse.Zimathandiza kuchepetsa chiopsezo cha khansa .
• Kusachita masewera olimbitsa thupi: Anthu omwe amakhala moyo wosachita zinthu zambiri amakhala pachiwopsezo chachikulu kuposa omwe amakhala moyo wotanganidwa.
• Kusayamwitsa: Pali umboni womveka bwino wosonyeza kuti kuyamwitsa mwana kumachepetsa chiopsezo cha khansa ya m'mawere kwa mayi.
• Kumwa Mowa: Kumwa mowa ndi chinthu chachikulu chomwe chimawonjezera chiopsezo cha khansa ya m'mawere .

N’chifukwa chiyani kuzindikira msanga n’kofunika kwambiri populumutsa moyo?

Uthenga wofunika kwambiri m'nkhaniyi ndi uwu: Kaya khansa ya m'mawere ndi yoopsa bwanji, imatha kuchiritsidwa kwathunthu ngati yapezeka msanga . Koma vutoli likachedwa, zinthu zimaipiraipira.

Tangoganizirani, ngati khansa yapezeka pachiyambi, ikangopezeka pa bere (gawo lapafupi), chiŵerengero cha kupulumuka kwa zaka 5 chimakhala choposa 95% . Izi zikutanthauza kuti anthu 95 pa 100 aliwonse adzapulumuka bwino.

Komabe, ngati khansa yafalikira ku ma lymph nodes apafupi (gawo lachigawo), chiwerengerochi ndi pafupifupi 85%. Tsoka ilo, ngati khansa yapezeka itafalikira ku ziwalo zakutali monga chiwindi, mapapo, ndi ubongo (gawo lakutali), chiwerengerochi chimatsika kufika pa 30%.

Nanga n’chifukwa chiyani timachedwa? Nthawi zina, chifukwa cha mantha, manyazi, kuganiza kuti, "Ndi chotupa chaching'ono chabe, chidzachira chokha," kapena chifukwa chosadziwa, timachedwa kupita kwa dokotala. Ndicho cholakwika chachikulu chomwe timachita.

Kodi muyenera kuchita chiyani?

• Kudziyesa Mabere: Yang'anani mabere anu kamodzi pamwezi. Samalani nthawi yomweyo ngati muwona chotupa, kusintha kwa khungu, kusintha kwa mawonekedwe, kapena kutuluka kwa nipple.
• Pitani kwa dokotala wanu: Ngati muli ndi zaka zoposa 40 ndipo mulibe zizindikiro zilizonse, lankhulani ndi dokotala wanu ndipo mulandire mammogram ngati pakufunika kutero. Mammogram imatha kuzindikira ngakhale tinthu tating'onoting'ono tomwe sitingamve.
• Musachite mantha: Musachite mantha ndipo mubisale ngati muwona kusintha kulikonse. Si zotupa zonse m'mawere zomwe ndi khansa. Koma dokotala ayenera kusankha ngati ndi khansa kapena ayi. Choncho ngati muli ndi kukayikira pang'ono, pitani kwa dokotala nthawi yomweyo.

Njira zochiritsira tsopano zapita patsogolo kwambiri. Pali njira zambiri, monga opaleshoni, chemotherapy, radiotherapy, hormone therapy, ndi therapy yolunjika. Dokotala wanu adzasankha chithandizo chabwino kwambiri kwa inu. Chofunika kwambiri ndi kusachedwetsa chithandizo.