Kupeza kuti muli ndi khansa ya m'mawere kungakhale kovuta kwambiri, koopsa, komanso kopweteka mtima m'moyo wanu. Ndizachilendo kuti mafunso chikwi abwere m'maganizo mwanu panthawi ngati iyi. Chimodzi mwa zikalata zofunika kwambiri zomwe mudzalandire paulendowu ndi lipoti lanu la matenda , kapena monga tonse tikudziwira, Lipoti la Matenda . Mutha kulandira lipotili musanalankhule ndi dokotala wanu. Kuwona mawu olakwika azachipatala mkati mwake kungakhale kosokoneza kwambiri. Koma musadandaule, tiyeni timvetse zinthu zomwe zili mu lipotili chimodzi ndi chimodzi, m'njira yosavuta.
Kodi kwenikweni mu lipoti la matenda ili muli chiyani?
Mwachidule, iyi ndi lipoti la zomwe dokotala wa matenda anapeza yemwe adafufuza chidutswa cha minofu yomwe idatengedwa m'thupi lanu (biopsy) kapena yomwe idachotsedwa panthawi ya opaleshoni. Zili ngati wofufuza milandu akufufuza umboni ndikupereka lipoti. Nthawi zambiri zimatenga pafupifupi sabata imodzi kapena ziwiri kuti lipotili lipezeke mutatenga biopsy.
Ngakhale kuti mawonekedwe a lipotili amasiyana pang'ono kuchokera ku chipatala kupita ku chipatala, nthawi zambiri amakhala ndi zinthu izi.
| Gawo la lipotilo | Tanthauzo chabe |
|---|---|
| Zambiri zokhudza inu | Izi zikuphatikizapo mfundo zoyambira monga dzina lanu, zaka, mbiri yachipatala, ndi tsiku lomwe minofu inatengedwa. |
| Kuzindikira matenda | Apa zafotokozedwa momveka bwino ngati chitsanzo cha minofu chomwe chafufuzidwa ndi khansa (chosavulaza kapena choipa). Si zotupa zonse zomwe zimamera m'mawere zomwe zimakhala khansa. Ngati ndi khansa, mtundu wake wafotokozedwanso pano. |
| Kufotokozera kwa Chotupa | Izi zagawidwa m'magawo awiri. "Kufotokozera kwathunthu" ndi momwe chotupacho chimawonekera ndi maso (kukula, mawonekedwe). "Kufotokozera kwa microscopic" ndi momwe maselo amaonekera pogwiritsa ntchito maikulosikopu. |
| Mkhalidwe wa Cholandirira Mahomoni | Amafufuza ngati maselo a khansa ali ndi ma receptors omwe amatha kumamatira ku mahomoni a estrogen kapena progesterone. Izi ndizofunikira kwambiri posankha chithandizo. |
| Kalasi ya Chotupa | Chotupacho chimapatsidwa giredi kuyambira 1 mpaka 3. Giredi 1 ndi khansa yomwe ikukula pang'onopang'ono ndipo chiopsezo chake sichikufalikira. Giredi 3 ndi mtundu womwe umakula mofulumira kwambiri. |
Zambiri zokhudza matenda
Mu gawo la matenda , vuto lanu lingatchulidwe ngati limodzi mwa atatu mwa awa:
- Choyipa (chosakhala khansa): Iyi ndi nkhani yabwino. Zikutanthauza kuti chotupacho si khansa. Zotupa zambiri m'mawere ndi zamtunduwu.
- Khansa ya m'mawere yosalowa m'thupi: Izi zikutanthauza kuti maselo a khansa amakhalabe komwe adayambira (mwachitsanzo, mu duct ya mkaka) ndipo sanafalikire ku minofu yozungulira. Ductal Carcinoma In Situ (DCIS) ndi mtundu umodzi wa khansa imeneyi.
- Khansa ya m'mawere yofalikira: Izi zikutanthauza kuti maselo a khansa afalikira kuchokera pamalo omwe anayambira (m'matenda a mkaka kapena m'mitsempha) kupita ku minofu yozungulira bere. Akhozanso kufalikira ku ma lymph nodes omwe ali m'miyendo kapena m'ziwalo zina za thupi. Pali mitundu iwiri ya khansa yamtunduwu yomwe inganenedwe.
- Khansa ya m'mapapo yolowa m'magazi: Khansa yomwe imayambira m'mapapo otuluka mkaka ndikufalikira.
- Khansa ya Lobular Yofalikira: Khansa yomwe imayamba m'maselo opanga mkaka (lobules) ndikufalikira.
N’chifukwa chiyani gawo la khansa silili mu lipotili?
Mwina mukudabwa kuti n’chifukwa chiyani lipotili silitchula za gawo la khansa (Gawo 1, 2, 3, kapena 4). Pali chifukwa chake.
Lipoti la matenda ndi gawo limodzi lofunika kwambiri pakuwunika siteji ya khansa. Silipereka chithunzi chonse.
Kuti adziwe bwino siteji ya khansa, madokotala adzagwiritsa ntchito lipoti la matenda.Zinthu zina zingapo zowonjezera ku chidziwitsochi . Izi ndi izi:
- Kodi khansa yafalikira ku ma lymph nodes apafupi?
- Kodi khansa yafalikira ku ziwalo zakutali m'thupi (monga chiwindi, mapapo, mafupa)?
Kuti mudziwe zinthu izi, mungafunike kuyesedwanso kwina (monga CT scan, MRI scan , bone scan). Chifukwa chake, lipoti la matenda si nkhani yonse, ndi gawo lofunika kwambiri la nkhaniyi.
Zinthu zoti mufunse dokotala wanu
Mukamalankhula ndi dokotala wanu za lipoti lanu la matenda, musaope kufunsa mafunso aliwonse omwe muli nawo. Mufunseni kuti akufotokozereni chilichonse chomwe simukumvetsa.
Madokotala ambiri amanena kuti odwala amazungulira ndi kukongoletsa mbali za lipoti lawo zomwe sakuzimvetsa, chifukwa amafuna kudziwa zonse molondola. Ichi ndi chizolowezi chabwino kwambiri. Chimasonyeza momwe mumasamalirira thanzi lanu.
Malangizo ena ofunikira ndi kubweretsa wachibale kapena mnzanu wodalirika kuti mukakambirane nkhaniyi. Chifukwa zimakhala zovuta kukumbukira zonse zomwe dokotala akunena mukakhala ndi nkhawa. Kukhala ndi munthu wachiwiri kudzakuthandizani kwambiri komanso kudzakuthandizani kulemba zolemba.
Kodi chimachitika ndi chiyani pambuyo pa lipoti la matenda?
Mukapezeka ndi khansa ya m'mawere, dokotala wanu adzakutumizani kwa katswiri wa mawere kapena katswiri wa khansa.
Katswiri ameneyo ndiye amene adzakonza zonse zomwe zikuchitika. Izi zikutanthauza kuti, potenga zonse kuchokera ku mayeso anu akuthupi, malipoti a mammogram ndi ultrasound, malipoti a MRI, ndi lipoti la matenda, adzapanga dongosolo la chithandizo lomwe likugwirizana ndi inu .
"Mapulani a chithandizo ndi apadera kwambiri kuposa kale," akutero akatswiri. Izi zikutanthauza kuti chithandizo chomwechi chomwe mnzanuyo adalandira sichingagwire ntchito kwa inu. Mudzalandira chithandizo chabwino kwambiri cha khansa yanu.
Ngati muchita opaleshoni ina kapena biopsy mtsogolomu, mudzalandira lipoti latsopano la matenda a wodwala aliyense. Chilichonse mwa izi chidzakhala chofunikira kwambiri paulendo wanu wochiza.
Uthenga Wopita Nawo Kunyumba
- Lipoti la Pathology ndi chikalata chofunikira kwambiri paulendo wanu wochiza matenda. Koma musadandaule ngati simungathe kuliwerenga ndikulimvetsa nokha.
- Lipotili likukuuzani mtundu ndi mtundu wa khansa, osati siteji ya khansa. Gawoli limadziwikiratu pambuyo poyesedwa kangapo.
- Kambiranani za lipoti ili ndi dokotala wanu. Musazengereze kufunsa mafunso aliwonse omwe muli nawo, ngakhale atakhala ang'onoang'ono bwanji.
- Ndi mphamvu komanso thandizo lalikulu kukhala ndi wachibale kapena mnzanu wodalirika mukapita kukakambirana nkhani yofunika ngati iyi.
- Lipotili si chinthu choopa. Ndi chida chachikulu chomwe chimagwiritsidwa ntchito popanga dongosolo la chithandizo chomwe chili chabwino kwa inu. Ili ndi gawo loyamba paulendo wochira.
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