Khansa ya m'mawere mwa akazi osakwana zaka 40: Zimene muyenera kudziwa

Ngakhale tikamva mawu oti 'khansa', timachita mantha kwambiri. Ndipo ngati munthu ali wamng'ono, makamaka mayi wosakwana zaka 40, wapezeka ndi khansa ya m'mawere, zimakhala zovuta kufotokoza m'mawu momwe zimakhalira. Mafunso omwe amabwera m'maganizo mwathu ndi osatha. 'N'chifukwa chiyani izi zandichitikira?', 'N'chiyani chidzachitike tsopano?', 'Kodi izi zitha kuchiritsidwa?', 'Kodi zidzabweranso chithandizo chitatha?'... Mwina muli ndi mafunso ambiri otere m'maganizo mwanu. Lero tikulankhula za khansa ya m'mawere yomwe imakhudza atsikana kuti ayankhe mafunso awa omwe muli nawo m'maganizo mwanu.

Ngati khansa iyamba m'bere limodzi, kodi ingayambenso m'bere lina?

Ichi ndi mantha aakulu kwa anthu ambiri. Koma zoona zake n'zakuti, atsikana ambiri ali ndi chiopsezo chochepa kwambiri chotenga khansa yatsopano m'mawere awo ena athanzi. Chiwopsezochi chimadalira zinthu zingapo.

• Kapangidwe ka majini anu: Izi zimakhudza ngati muli ndi kusintha kulikonse kwa majini komwe kumawonjezera chiopsezo chanu cha khansa.
• Mtundu wa khansa yomwe muli nayo: Pali mitundu yosiyanasiyana ya khansa ya m'mawere . Chiwopsezo chake chimasiyana malinga ndi mtundu wake.
• Chithandizo chomwe mudalandira: Chiwopsezochi chimasiyananso kutengera chithandizo chomwe mudalandira.

Chifukwa chake, madokotala nthawi zambiri amayesa kuchotsa bere lokha ndi khansa (lumpectomy) kapena, ngati kuli kofunikira, bere lonse (mastectomy), pamene akusunga bere lina lathanzi. Izi zimatchedwa kusunga bere. Pokhapokha ngati pali chiopsezo chapadera, kuchotsa bere lathanzi nthawi zambiri sikuvomerezeka.

Kodi ndikofunikira kuyesedwa majini?

Inde, izi ndizofunikira kwambiri. Makamaka ngati muli ndi zaka zosakwana 45, onetsetsani kuti mwalankhula ndi dokotala wanu za kuyezetsa majini ngati mwapezeka ndi khansa ya m'mawere.

N’chifukwa chiyani mayeso a majini amenewa ndi ofunikira kwambiri?

Pali mitundu iwiri ya majini m'thupi lathu, `BRCA1` ndi `BRCA2`. Ngati pali kusintha kwa majini awa, chiopsezo chotenga khansa ya m'mawere ndi khansa zina chimawonjezeka kwambiri.

Pali ubwino wambiri pa mayeso awa:

• Mukhoza kudziwa zoopsa zanu zam'tsogolo: Ngati muli ndi kusintha kwa majini kumeneku, mutha kudziwa zoopsa zanu zodzadwala khansa mtsogolo ndikuchitapo kanthu kuti mupewe.
• Zimathandiza kudziwa chithandizo: Mankhwala ena a khansa amatsimikiziridwa kutengera zomwe zapezeka m'majini.
• Ndikofunikanso kwa banja lanu: Ngati mutapeza kuti muli ndi kusintha kwa majini kumeneku, achibale anu apamtima, monga amayi anu, abambo anu, abale anu, ndi ana anu, nawonso akhoza kuyezedwa kuti aone ngati ali pachiwopsezo.

Kawirikawiri amalangizidwa kuganizira mayesowa mutakwanitsa zaka 25. Koma ngati mukufuna kudziwa za izi musanafike nthawi imeneyo, lankhulani ndi dokotala wanu komanso mlangizi wa majini .

Zokhudza Chithandizo cha Khansa ndi Zotsatirapo Zake

Mwina muli ndi mafunso ambiri okhudza mankhwala ndi zotsatira zake. Tiyeni tiwone.

Mavuto ndi Endocrine Therapy

Mitundu ina ya khansa ya m'mawere imayamba chifukwa cha mahomoni otchedwa estrogen. Chithandizo cha endocrine, kapena chithandizo cha mahomoni, chimagwira ntchito poletsa ntchito ya mahomoni awa. Mankhwala monga Tamoxifen ndi Aromatase Inhibitors amagwiritsidwa ntchito pa izi.

Madokotala nthawi zambiri amalimbikitsa chithandizochi kwa nthawi yayitali, monga zaka 5 kapena 10. Izi zitha kuchepetsa kwambiri chiopsezo chobwereranso kwa khansa. Komabe, anthu ena angakumane ndi zotsatirapo zoyipa kuchokera ku chithandizochi. Mwachitsanzo, kutentha thupi, kupweteka kwa mafupa, komanso kusintha kwa malingaliro.

Kodi ma estrogens apakhungu ndi otetezeka ku ukazi wouma?

Vuto lina lomwe akazi ena amakumana nalo ndi mankhwala a mahomoni ndi kuuma kwa m'mimba. Ma estrogens opangidwa ndi topical amapezeka pa izi. Komabe, palibe deta yomveka bwino yokhudza momwe izi zilili zotetezeka kwa munthu amene ali ndi mbiri ya khansa ya m'mawere.

Chifukwa chake, madokotala amalimbikitsa kuti muyambe mwayesa mafuta odzola ndi mafuta osakhala a mahomoni. Pokhapokha ngati izi sizithetsa vutoli, mafuta odzola a mahomoni amaganiziridwa mosamala kwambiri komanso pokhapokha ngati pakufunika kutero. Ndikofunikira kulankhula ndi dokotala wanu wa khansa komanso dokotala wa matenda a akazi musanapange chisankho pankhaniyi.

Kodi mungakhale bwanji ndi mantha akuti khansa ingabwererenso?

Ngakhale chithandizo chanu chonse chitatha, ndi zachilendo kukhala ndi mantha oti "Kodi chidzabweranso?" Ichi ndi chinthu chofala kwa aliyense amene akuchira khansa. Pali zinthu zingapo zomwe mungachite kuti muthane ndi nkhawa imeneyi.

Kodi mayi wachinyamata amene wakhala akudwala khansa angayamwitse mwana wake?

Izi ndi vuto kwa amayi ambiri achichepere. Nthawi zina n'zotheka. Zinthu zingapo ziyenera kuchitika kuti izi zitheke. Chithandizo chanu cha khansa chiyenera kumalizidwa kwathunthu, kapena chiyenera kuti chinayimitsidwa kwakanthawi potsatira upangiri wa dokotala wanu. Komanso, muyenera kukhala ndi minofu ya m'mawere ndi ma nipples otulutsa mkaka mutachitidwa opaleshoni. Komabe, ngati mwalandira chithandizo cha radiation, kuyamwitsa kungakhale kovuta pang'ono. Chosankha chabwino ndikulankhula ndi dokotala wanu za izi.

Zinthu zomwe mungapeze thandizo

Simuli nokha paulendowu. Pali anthu ndi mabungwe ambiri oti akuthandizeni ndikukupatsani chidziwitso chomwe mukufuna.

1. Gulu lanu la zachipatala: Choyamba, ndikofunikira kukambirana momasuka za chilichonse ndi dokotala wanu komanso gulu lanu la zachipatala.

2. Wogwira Ntchito Zachitukuko: Zipatala zambiri za khansa zili ndi antchito othandiza anthu omwe aphunzitsidwa kuthandiza pa mavuto amisala ndi chikhalidwe cha anthu.

3. Mawebusayiti odalirika: Mukasaka zambiri pa intaneti, nthawi zonse yang'anani magwero odalirika okha. Mawebusayiti a mabungwe odziwika padziko lonse lapansi monga `Susan G. Komen`, `Living Beyond Breast Cancer`, `Young Survival Coalition`, `American Cancer Society` ali ndi zambiri zabwino kwambiri.