Funso limodzi lomwe limabuka m'maganizo mwa munthu aliyense amene akulandira chithandizo cha khansa ya m'mawere ndi lakuti, 'Kodi matendawa atha tsopano?' Mantha amenewo ndi omveka bwino. Koma nkhani yabwino ndi yakuti nthawi zambiri, khansa ya m'mawere sibwerera. Komabe, nthawi zina imatha.
Ngati yabwereranso, timaitcha kuti ' kubwereranso' . Pali njira zingapo zomwe izi zingachitikire. Choyamba ndi chakuti imabwereranso m'mawere omwewo monga khansa yoyamba kapena m'dera lapafupi. Nthawi zina imatha kufalikira ku ma lymph nodes apafupi. Nthawi zina, imatha kufalikira kumadera akutali a thupi, monga mafupa kapena mapapo.
Dokotala akuyang'ana chiyani?
Kuyambira nthawi yomwe mwapezeka ndi khansa ya m'mawere koyamba, madokotala anu adzafufuza zinthu zomwe zimawonjezera chiopsezo chanu chobwereranso. Izi zidzawathandiza kusankha chithandizo chomwe chili chabwino kwa inu.
"Sitinganene motsimikiza 100% kuti khansa idzabweranso. Koma tsopano tikhoza kulosera ndi mwayi waukulu kwambiri kuposa kale," akutero katswiri wina.
Pakhala kupita patsogolo kwakukulu pankhaniyi m'zaka 10 zapitazi, makamaka pankhani ya khansa ya estrogen -receptor positive.
Mwachidule, chotupa chikakula, chimafalikira kwambiri ku minofu ina, chiopsezo chobwereranso chimakhala chachikulu. Komanso, biology ya khansa ndi yofunika kwambiri. Izi zikutanthauza kuti, ndi ma receptors ati omwe ali pa maselo a khansa. Mwachitsanzo, mtundu wa khansa ya m'mawere wotchedwa ``triple-negative'' (ndiko kuti, khansa yomwe ilibe ma receptors onse atatu a estrogen, progesterone, ndi HER2) ndi yotheka pang'ono kubwereranso.
| Zinthu zoti muganizire poyesa zoopsa | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Zaka zanu komanso ngati mwayamba kale kusamba | Ukalamba ndi kuchuluka kwa mahomoni kungayambitse chiopsezo. |
| Kukula kwa chotupa | Zotupa zazikulu nthawi zambiri zimagwirizanitsidwa ndi chiopsezo chachikulu cha kubwereranso. |
| Kaya yafalikira ku ma lymph nodes | Kupezeka kwa maselo a khansa m'chimbudzi kumasonyeza kuthekera kwa khansa kufalikira. |
| Mkhalidwe wa khansa ya cholandirira | Chithandizo ndi zoopsa zimasiyana malinga ndi ngati khansa ili ndi ER-positive, PR-positive, HER2-positive, kapena triple-negative. |
Mayeso apadera omwe amayang'ana kwambiri zoopsa
Nthawi zina, ngati khansa ndi yayikulu kwambiri kapena yafalikira ku ma lymph nodes, zimakhala zovuta kunena kuti chiopsezo chake ndi chiyani. Madokotala amatcha izi 'dera la imvi.'
Muzochitika ngati izi, pali mayeso apadera omwe angapereke chidziwitso chochulukirapo. Komabe, si mayeso onsewa omwe ali oyenera mtundu uliwonse wa khansa.
- Oncotype DX: Iyi ndi njira yoyesera yomwe imagwiritsidwa ntchito kwambiri. Imayang'ana majini 21 mu chitsanzo chaching'ono cha khansa yanu. Kutengera momwe majini amenewo amagwirira ntchito, mumapeza 'chiwerengero chobwerezabwereza' pakati pa 0 ndi 100. Chiŵerengerochi chingathandize dokotala wanu kumvetsetsa momwe khansa yanu ingabwererenso mtsogolo komanso ngati mudzapindula ndi mankhwala a chemotherapy. Komabe, mayesowa angachitike kokha pa khansa zomwe zili ndi estrogen-receptor positive ndipo sizinafalikire ku ma lymph nodes.
- Mayeso ena: Palinso mayeso otchedwa `(MammaPrint)`, `(Breast Cancer Index)`, `(Pam50)`, ndi `(EndoPredict)`. Ena mwa awa amathandiza kulosera za chiopsezo cha khansa kubwerera patatha zaka zisanu.
Kuyezetsa magazi mtsogolo
Gulu la ofufuza pakadali pano likuyesera kupanga mayeso a magazi omwe angathandize kudziwa ngati khansa ingabwerenso.
Kuyesa kwamtunduwu ndikofunikira kwambiri pambuyo poti mankhwala onse atha, pomwe palibe minofu ya khansa yotsala yoti ifufuzidwe.
"Ngati tingadziwe bwino lomwe amene adzadwalanso khansayi, tingathe kusankha ngati akufunika chithandizo china. Kenako tingayambe kufufuza njira zatsopano zomwe zimawathandiza mwachangu," akutero m'modzi mwa asayansi omwe akuchita nawo kafukufukuyu. "Cholinga chathu chachikulu ndikupewa khansa ya m'mawere yomwe imafalikira, yomwe ndi yovuta kuyisamalira ndipo imayambitsa 90% ya imfa za khansa ya m'mawere."
Komabe, akuti zitenga zaka zingapo kuti apange mayeso a magazi omwe angagwiritsidwe ntchito ndi madokotala .
Kodi mungachite chiyani?
Mpaka asayansi atapeza mayeso atsopano ngati awa, pali zinthu zomwe mungachite. Zizolowezi zanu za tsiku ndi tsiku zingathandize kuchepetsa chiopsezochi. Mwachitsanzo, ndikofunikira kuchita masewera olimbitsa thupi nthawi zonse ndikukhala ndi kulemera koyenera .
Chinthu china choyenera kukumbukira ndi chakuti chiopsezo chobwereranso ndi kuchuluka kwa anthu omwe ali ndi khansa ndi zinthu ziwiri zosiyana . Izi ndizofunikira kwambiri. Tangoganizirani munthu amene ali ndi khansa ya m'mawere, akulandira chithandizo, kenako khansayo imabweranso patatha zaka ziwiri. Koma ngati yapezeka msanga, munthuyo akhoza kukhala ndi moyo wabwino kwa zaka zambiri.
Choncho, musaphonye nthawi iliyonse yokumana ndi dokotala. Ngati muli ndi mafunso kapena nkhawa, onetsetsani kuti mwafunsa dokotala wanu.
"Ndikofunikira kulankhula ndi dokotala wanu ndikumvetsetsa bwino lomwe chiopsezo chanu ndi tanthauzo lake. Izi zikuthandizani kupanga zisankho zoyenera zokhudza chithandizo chanu. Kulimbana ndi khansa kungakhale koopsa komanso kosokoneza. Chifukwa chake muyenera kukhala omasuka kulankhula ndi dokotala wanu za mantha anu."
Uthenga Wopita Nawo Kunyumba
- Nthawi zambiri, khansa ya m'mawere sibwereranso mukalandira chithandizo, choncho musachite mantha mosayenera.
- Kuopsa kwa khansa kubwerera kumadalira zinthu monga kukula kwa chotupacho, kufalikira kwa minofu yapafupi, ndi mtundu wa khansa ya m'thupi.
- Kuti adziwe zoopsa zanu zenizeni ndikusankha chithandizo chabwino kwambiri, madokotala angagwiritse ntchito mayeso apadera monga Oncotype DX.
- Mungathandizenso kuchepetsa chiopsezochi mwa kuchita masewera olimbitsa thupi nthawi zonse komanso kukhala ndi thupi labwino.
- Chofunika kwambiri ndikulankhula momasuka ndi dokotala wanu. Mvetserani mantha anu onse ndi mafunso anu. Ndikofunikanso kwambiri pa thanzi lanu la maganizo.
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