Inu kapena munthu amene mumamudziwa akapezeka ndi khansa ya m'mawere , zingakhale zosintha moyo wanu komanso zovuta kwambiri. Mwina muli ndi mafunso ambiri m'maganizo mwanu panthawiyi. "N'chiyani chikuchitika tsopano?", "Ndichite chiyani ndi izi?" Mwina mukudabwa. Limodzi mwa mawu omwe mudzamve nthawi zambiri paulendowu ndi "gawo" la khansa. Kunena zoona, ichi ndiye chinthu chachikulu chomwe chimatsimikizira dongosolo lanu la chithandizo. Lero, tikambirana za izi m'njira yosavuta yomwe mungamvetse.
Kodi khansa iyi ili pati?
Mwachidule, njira yodziwira khansa ndi njira yomwe madokotala amafotokozera mtundu wa khansa. Zili ngati kulemba malo pamapu. Zimakuuzani zinthu zingapo:
- Kukula kwa Chotupa: Kodi chotupa cha khansa ndi chachikulu bwanji?
- Kupezeka kwa Ma Lymph Node: Kodi maselo a khansa afalikira ku ma lymph node m'khwapa kapena kuzungulira bere?
- Kufalikira kwakutali (Metastasis): Kodi khansa yafalikira kupitirira bere kupita ku ziwalo zina zakutali m'thupi (monga chiwindi, mapapo, mafupa)?
Kutengera ndi izi, khansa imagawidwa m'magawo akuluakulu, kuyambira 0 mpaka IV (zero mpaka 4). Izi sizikupatsani chithunzi chonse kwa inu kapena dokotala wanu. Dokotala wanu adzaganizira zinthu zina zambiri posankha chithandizo chabwino kwambiri.
Zinthu zina zomwe zimakhudza zisankho za chithandizo
- Mtundu wa khansa: Pali mitundu yosiyanasiyana ya khansa ya m'mawere. Chithandizo chimasiyana malinga ndi mtundu wake.
- Chiwerengero cha ziphuphu: Kodi muli ndi ziphuphu zingapo za khansa m'bere lanu?
- Kuchuluka kwa khansa: Kodi khansa ikukula mofulumira bwanji?
- Zaka zanu ndi thanzi lanu : Thanzi lanu lonse ndilofunika kwambiri posankha chithandizo.
- Mahomoni Olandirira: Kodi mahomoni achikazi (estrogen, progesterone) amathandiza maselo a khansa kukula? Ngati ndi choncho, mankhwala apadera angagwiritsidwe ntchito.
- Mkhalidwe wa HER2: Kodi selo la khansa lili ndi puloteni yambiri yotchedwa ``(HER2)`` pamwamba pake? Ngati ndi choncho, ikhoza kufulumizitsa kukula, ndipo pali njira zina zochizira khansa.
Tsopano tiyeni tiwone mankhwala omwe amapezeka nthawi zambiri pa gawo lililonse.
Magawo osiyanasiyana ndi njira zochiritsira
Tebulo ili m'munsimu likukupatsani lingaliro lomveka bwino la tanthauzo la izi. Komabe, ichi ndi chitsogozo chathunthu. Ndi udindo wanu kusankha chithandizo chomwe chili chabwino kwa inu.Muyenera kulankhula ndi dokotala ndikusankha.
| Gawo la Khansa | Tanthauzo (mwachidule) | Njira zochizira matenda ambiri |
|---|---|---|
| Gawo 0 | Khansa yosalowa m'thupi. Maselo a khansa ali mkati mwa ducts za mkaka zokha. Sanafalikire ku minofu yozungulira. Izi zimatchedwanso DCIS (Ductal Carcinoma In Situ) . |
|
| Gawo Loyamba | Khansa ndi yoopsa, koma chotupacho ndi chaching'ono (chosakwana masentimita awiri). Sichinafalikire ku ma lymph nodes apafupi kapena mwina sichinafalikire kwambiri. |
|
| Gawo Lachiwiri | Chotupacho ndi chachikulu kwambiri (masentimita 2-5) ndipo/kapena chikhoza kufalikira ku ma lymph nodes angapo apafupi. |
|
| Gawo Lachitatu | Iyi ndi khansa "yomwe yafalikira m'deralo". Chotupacho ndi chachikulu, chafalikira mpaka pakhoma la pachifuwa kapena pakhungu, kapena mpaka pa ma lymph nodes ambiri. Koma sichinafalikire ku ziwalo zakutali m'thupi. |
|
| Gawo Lachinayi | Khansa yafalikira kupitirira bere ndi ma lymph nodes apafupi kupita ku ziwalo zakutali m'thupi (monga mafupa, mapapo, chiwindi, ndi ubongo). Izi zimatchedwanso khansa ya m'mawere yofalikira . |
|
Chinthu chofunika kwambiri kumvetsetsa
Tangoganizirani kuti mnzanu ali ndi khansa ya Gawo Loyamba ndipo inu muli ndi khansa ya Gawo Lachitatu. Izi sizikutanthauza kuti vuto lanu ndi loipa. Chifukwa momwe mankhwala amayankhidwira zimatha kusiyana kwambiri kutengera zinthu monga mtundu wa khansa, momwe mahomoni anu alili, ndi zina zotero.
Khansa zina za Gawo III zimatha kuchira bwino mukalandira chithandizo kuposa khansa zina za Gawo II, choncho musachite mantha kapena kuchita mantha pongoyang'ana nambala ya gawo.
Lankhulani ndi dokotala wanu.
Dokotala wanu ndiye bwenzi lanu lapamtima paulendowu. Mulankhuleni naye za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Nazi mafunso ena omwe mungafunse:
- Kodi khansa yanga ili pamlingo wotani?
- Zimatanthauza chiyani?
- Kodi cholandirira mahomoni ndi momwe khansa yanga ilili (HER2)?
- Ndi njira ziti zochiritsira zomwe zili zabwino kwa ine?
- Kodi zotsatirapo zake ndi ziti?
- Kodi moyo wanga udzakhala bwanji nditalandira chithandizochi?
Musaope kufunsa mafunso awa. Mukadziwa zambiri za matenda anu, mudzakhala olimba maganizo kuti mupirire chithandizo.
Uthenga Wopita Nawo Kunyumba
- "Gawo" la khansa ya m'mawere ndi muyeso wofunikira womwe umagwiritsidwa ntchito pokonzekera chithandizo. Umatiuza za kukula ndi kufalikira kwa khansa.
- Magawo amagawidwa kuyambira 0 mpaka IV. Pamagawo oyambirira (0, I, II), cholinga chake ndikuchiritsa khansa kwathunthu. Pamagawo omaliza (makamaka IV), cholinga chake ndikulamulira khansa ndikusunga moyo wabwino.
- Chithandizo sichimatengera gawo lokhalo. Pali zinthu zambiri zomwe zimakhudza khansa, kuphatikizapo mtundu wa khansa, momwe mahomoni alili, zaka zanu, komanso thanzi lanu.
- Musadandaule pongoyang'ana nambala ya siteji. Khansa iliyonse ndi yosiyana. Aliyense amayankha mosiyana akalandira chithandizo.
- Mphamvu yanu yaikulu ndi kuzindikira. Lankhulani momasuka ndi dokotala wanu za matenda anu ndi chithandizo chanu. Funsani mafunso aliwonse omwe muli nawo.











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