Ngati inu kapena munthu amene mumamudziwa wapezeka ndi khansa ya m'mawere , n'zachibadwa kuchita mantha, kudabwa, komanso kusadziwa. "N'chiyani chichitike tsopano?", "Ndilandira chithandizo chamtundu wanji?", "Kodi ichi chidzachiritsidwa?" ndi mafunso onse omwe amabwera m'maganizo mwanu. Choyamba, mvetsetsani kuti simuli nokha panthawiyi. Lero tikambirana za 'siteji', chinthu chofunikira chomwe chimatsimikizira chithandizo cha khansa ya m'mawere, komanso momwe chithandizo chimakonzedwera malinga ndi gawo lililonse.
Kodi 'gawo' la khansa ndi liti?
Mwachidule, gawo la khansa ndi njira yofotokozera momwe khansa yafalikira m'thupi lanu. Monga momwe timalembera malo omwe tili pamapu, madokotala amagwiritsa ntchito njira iyi yodziwira matenda kuti amvetse momwe khansayo ilili. Izi zimatsimikiziridwa ndi zinthu ziwiri zazikulu.
1. Kukula kwa chotupa: Kodi chotupacho ndi chachikulu bwanji?
2. Kufalikira kapena Kufalikira kwa Matenda: Kodi chotupacho chafalikira kunja kwa bere, mpaka ku ma lymph nodes m'khwapa, kapena ku ziwalo zina zakutali m'thupi (monga chiwindi, mapapo, mafupa)?
Kutengera ndi izi, khansa ya m'mawere yagawidwa m'magawo asanu akuluakulu (0 mpaka IV). Kudziwa izi ndikofunikira kwambiri kwa inu ndi gulu lachipatala lomwe likukuthandizani.
Kodi chithandizo chimangotengera gawo lokha?
Ayi. Ngakhale kuti siteji ndi chinthu chachikulu, si chokhacho. Dokotala wanu adzaganizira zinthu zina zambiri kuti apange dongosolo labwino kwambiri la chithandizo kwa inu.
- Mtundu wa khansa ya m'mawere yomwe muli nayo: Pali mitundu yosiyanasiyana ya khansa ya m'mawere.
- Chiwerengero cha zotupa za khansa: Kodi ndi chotupa chimodzi kapena zingapo?
- Kuthamanga kwa khansa: Khansa zina zimakula pang'onopang'ono, pomwe zina zimafalikira mwachangu.
- Zaka zanu ndi thanzi lanu lonse: Ndikofunikanso kudziwa ngati muli ndi matenda ena, monga matenda a shuga kapena matenda a mtima.
- Kodi munakhalapo ndi khansa ya m'mawere kale?
- Mtundu wa maselo a khansa: Kaya mahomoni achikazi amakhudza kukula kwa maselo a khansa (mahomoni omwe amalandira), kapena ngati majini enaake monga HER2 alipo m'maselo amenewo, ndizofunikira kwambiri posankha chithandizo.
Kumbukirani, khansa ya aliyense ndi yosiyana. Choncho chithandizo chomwecho chomwe chinaperekedwa kwa mnzanu sichingagwire ntchito kwa inu.Ndondomeko ya chithandizo yapangidwira inuyo.
Kodi chithandizo chilichonse chili ndi chiyani?
Chabwino, tiyeni tsopano tiwone njira zochiritsira zomwe zili zoyenera pa gawo lililonse. Ili ndi chitsogozo chosavuta choyambira. Kumbukirani kuti dongosolo lanu lenileni la chithandizo lidzatsimikiziridwa ndi dokotala wanu.
| Gawo la khansa | Tanthauzo chabe | Mankhwala ogwiritsidwa ntchito pafupipafupi |
|---|---|---|
| Gawo 0 (Ductal Carcinoma in Situ - DCIS) | Iyi ndi nthawi yoyambirira kwambiri. Maselo a khansa amakhala m'mitsempha ya mkaka ya bere lokha. Sanafalikirebe ku minofu yozungulira. | - Opaleshoni: kuchotsa chotupa chokha (lumpectomy) kapena mwina kuchotsa bere lonse (mastectomy). - Chithandizo cha Radiation: Nthawi zambiri chimaperekedwa chotupa chikachotsedwa. - Chithandizo cha mahomoni: Ngati khansa imadalira mahomoni. |
| Gawo Loyamba | Khansayo ikadali yaying'ono. Ili mkati mwa bere. Siinafalikire ku ma lymph nodes omwe ali m'khwapa (kapena sinafalikire kwambiri). | - Opaleshoni: (Kuchotsa Lumpectomy kapena Mastectomy). Kuchotsa lymph node ya sentinel kumachitika. - Chithandizo cha radiation: Izi nthawi zambiri zimaperekedwa ngati mwachitidwa opaleshoni yochotsa lumpectomy. - Mankhwala ena: Kutengera mtundu wa khansa, mankhwala a chemotherapy, mankhwala a mahomoni, kapena chithandizo cholunjika chingafunike. |
| Gawo Lachiwiri | Chotupacho ndi chachikulu pang'ono, ndipo/kapena khansayo ikhoza kufalikira ku ma lymph nodes apafupi m'khwapa. | - Opaleshoni: (Kuchotsa Lumpectomy kapena Kuchotsa Mastectomy). - Chemotherapy: Ikhoza kuperekedwa musanachite opaleshoni (kuchepetsa chotupa) kapena pambuyo pake. - Chithandizo cha radiation. - Chithandizo cha mahomoni ndi chithandizo cholunjika: kutengera mtundu wa khansa. |
| Gawo Lachitatu | Uwu ndi matenda 'omwe afalikira m'deralo'. Khansa yafalikira kunja kwa bere mpaka pakhoma la pachifuwa kapena pakhungu. Yafalikira mpaka kuma lymph nodes angapo m'khwapa. Koma sinafalikire ku ziwalo zakutali. | - Chemotherapy: Chithandizo nthawi zambiri chimayamba ndi chemotherapy. Cholinga chake ndi kuchepetsa chotupacho musanachite opaleshoni. - Opaleshoni: Nthawi zambiri opaleshoni ya Mastectomy. - Chithandizo cha radiation: pambuyo pa opaleshoni. - Mankhwala a mahomoni ndi njira zochizira zomwe cholinga chake ndi kuchiza matenda. |
| Gawo Lachinayi | Iyi ndi khansa ya 'metastatic'. Khansa yafalikira kupitirira bere ndi ma lymph nodes apafupi kupita ku ziwalo zakutali m'thupi (monga mafupa, mapapo, chiwindi, ndi ubongo). | - Cholinga chachikulu: kuwongolera matendawa, kuchepetsa zizindikiro, komanso kukonza moyo wabwino. - Mankhwala: Awa ndi mankhwala okhudza thupi lonse omwe amakhudza thupi lonse. Mankhwala a chemotherapy, mankhwala a mahomoni, mankhwala ochizira matenda, ndi immunotherapy ndi omwe amagwiritsidwa ntchito kwambiri. - Chithandizo cha radiation kapena opaleshoni chingagwiritsidwe ntchito pazochitika zapadera, monga kuchepetsa ululu. |
Lankhulani ndi dokotala wanu.
Izi zitha kumveka ngati zovuta pang'ono, koma chofunika ndichakuti njira zonsezi zimapangidwira kukuthandizani kuti mupindule kwambiri ndi chithandizo chanu. Gulu lanu lachipatala lidzakambirana nanu zonsezi.
Lembani mndandanda wa mafunso ndi mantha anu onse ndipo muwabweretse kwa dokotala wanu. Musaope kufunsa mafunso monga, "Kodi zotsatirapo za chithandizochi ndi ziti?", "Ndidzakhala kuchipatala kwa nthawi yayitali bwanji?", "Kodi ndiyenera kusintha zakudya zanga?" Ndinu otenga nawo mbali pazisankho zanu zaumoyo.
Ulendo wopeza chithandizo cha khansa ya m'mawere ukhoza kukhala wovuta. Koma kumbukirani, ndi sayansi ya zamankhwala yapamwamba masiku ano, matendawa ndi ochiritsika kwambiri, makamaka ngati atapezeka msanga. Ndipo pali mankhwala ambiri abwino omwe angathandize kukhala ndi moyo wabwino pagawo lililonse.
Uthenga Wopita Nawo Kunyumba
- Chithandizo cha khansa ya m'mawere ndi njira yapadera kwambiri yomwe imakhudza munthu aliyense payekha.
- Gawo la khansa ndi chinthu chofunikira kwambiri posankha chithandizo. Koma si lokhalo. Pali zinthu zina zambiri zomwe zimakhudza khansa, kuphatikizapo mtundu wa khansa, momwe mahomoni anu alili, komanso zaka zanu.
- Khansa ikapezeka msanga, njira zambiri zochiritsira zimakhalapo ndipo mwayi wochira mokwanira umawonjezeka.
- Musamaope kufunsa dokotala wanu mafunso ndi kulankhula za mantha ndi nkhawa zanu. Ndinu gawo lofunika kwambiri pa ulendo wanu wathanzi.
- Chithandizo ndi chikondi cha abale ndi abwenzi chidzakhala mphamvu yayikulu kwa inu paulendowu. Musayese kumenyana nokha.
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