Ngati mwachitidwa opaleshoni ya mammogram ndipo dokotala wanu akukuuzani kuti, "Muli ndi khansa ya m'mawere ya Gawo 0, yotchedwa DCIS," ndi zachilendo kumva mantha mwadzidzidzi komanso kudabwa. Tonsefe timachita mantha tikamva mawu oti "khansa." Koma ngati mukumvetsa bwino lomwe DCIS, mudzazindikira kuti mantha amenewa ndi osafunikira. Tiyeni tikambirane mwatsatanetsatane, mosavuta.
Mwachidule, kodi DCIS (Ductal Carcinoma in Situ) ndi chiyani?
Ngakhale dzinali lingawoneke lovuta pang'ono, tanthauzo lake ndi losavuta. Tiyeni tilidule liwu ndi liwu:
- Mphuno: Izi zikutanthauza njira zotulutsira mkaka m'mabere anu. Njirazi ndi tinthu tating'onoting'ono tomwe timanyamula mkaka kuchokera ku tiziwalo totulutsa mkaka m'mabere kupita ku nipple mukamayamwitsa.
- Khansa: Ili ndi dzina lachipatala la khansa. Limatanthauza kukula kosazolowereka kwa maselo.
- Mu Situ: Ili ndiye liwu lofunika kwambiri pano. "Mu Situ" ndi Chilatini kutanthauza "malo." Izi zikutanthauza kuti maselo a khansa osazolowereka awa amangopangidwa mkati mwa duct ya mkaka. Sanapyole khoma la duct ndikufalikira ku minofu yozungulira bere.
Tangoganizirani chitoliro cha madzi. Pali dzimbiri mkati mwa chitolirocho. Koma dzimbiri silinalowe m'khoma la chitolirocho ndipo silinatuluke. DCIS ili choncho. Maselo a khansa (monga dzimbiri) ali mkati mwa duct ya mkaka (chitoliro cha madzi), koma sanafalikire kunja.
Ichi ndichifukwa chake madokotala amatcha DCIS kuti ndi khansa ya m'mawere "yosalowa m'thupi" kapena "yosalowa m'thupi" . Siifalikira (yosafalikira) ku ziwalo zina za thupi.
Koma chofunika kwambiri n’chakuti, ngati DCIS sipatsidwa chithandizo, nthawi zina imatha kukhala khansa ya m’mapapo yolowa m’mapapo, yomwe imathyola khoma la mkodzo wa mkaka ndikufalikira ku minofu yozungulira. Ndicho chifukwa chake ndikofunikira kwambiri kuzindikira ndi kuchiza msanga.
Kodi vuto limeneli lotchedwa DCIS ndi lofala bwanji?
DCIS kwenikweni ndi mtundu wofala kwambiri wa khansa ya m'mawere. DCIS imapanga 20% mpaka 25% ya khansa ya m'mawere yomwe yangopezeka kumene. Imapezeka kwambiri mwa akazi. Amuna ali ndi mwayi wochepa wopeza DCIS.
Posachedwapa, pakhala malipoti ambiri okhudza milandu ya DCIS. Koma akatswiri amati chifukwa chake si chifukwa chakuti DCIS yafala kwambiri, koma chifukwa chakuti mayeso monga mammograms tsopano amatha kuzindikira vutoli posachedwa kwambiri.
Kodi zizindikiro za DCIS ndi ziti?
Nthawi zambiri mu DCISPalibe zizindikiro . Izi zikutanthauza kuti simungamve kusiyana kulikonse. Uku ndiye kufunika kwa mammogram. Zimathandiza kuzindikira matenda awa zizindikiro zisanawonekere.
Komabe, nthawi zambiri, anthu ena amakumana ndi zizindikiro monga izi:
- Kumva chotupa m'bere
- Kutupa pakhungu
- Kutuluka kwa magazi m'machubu (monga magazi)
Zifukwa ndi zoopsa za DCIS
DCIS imachitika pamene maselo athanzi m'mitsempha ya mkaka asintha (kusintha) ndikuyamba kukula mopitirira muyeso. Koma akatswiri sakudziwabe chifukwa chake maselowa amasintha motere, kapena chifukwa chake milandu ina ya DCIS pambuyo pake imasanduka khansa yoopsa.
Komabe, zinthu zingapo zapezeka zomwe zimawonjezera mwayi, kapena chiopsezo, chotenga DCIS.
| Zoopsa | Kufotokozera |
|---|---|
| Mbiri ya banja | Kukhala ndi khansa ya m'mawere mwa achibale a m'magazi (amayi, mlongo, mwana wamkazi). |
| Mbiri yaumwini | Kukhala ndi khansa ya m'mawere kapena kukula kwa maselo kosazolowereka (atypical hyperplasia). |
| Zaka ndi jenda | Ndi mkazi ndipo ndili ndi zaka zoposa 30. |
| Zotsatira za mahomoni | Kutha msinkhu usanafike zaka 12, kusamba pambuyo pa zaka 55. |
| Mimba | Musatenge mimba, kukhala ndi mwana woyamba mutakwanitsa zaka 30, kapena kusayamwitsa ana anu. |
| Zinthu zokhudzana ndi majini | Kukhala ndi kusintha kwa majini ( BRCA 1 ndi BRCA 2 ) komwe kumawonjezera chiopsezo cha khansa ya m'mawere. |
| Zinthu zina | Kukhala ndi minofu yolimba ya m'mawere, atalandira chithandizo cha radiation kudera la pachifuwa. |
Chofunika kumvetsetsa apa ndichakuti kukhala ndi chimodzi mwa zinthuzi sizikutanthauza kuti mudzakhala ndi DCIS. Mwachitsanzo, anthu omwe alibe mbiri ya khansa ya m'mawere m'banja mwawo akhoza kudwala DCIS. Amangotanthauza kuti mwayi woti munthu adwale khansa ndi wokwera pang'ono.
Kodi matenda a DCIS amapezedwa bwanji?
Oposa 90% a milandu ya DCIS amapezeka pa mammogram . Ma mammogram amasonyeza magulu ang'onoang'ono a calcium deposits (microcalcifications) m'mawere. Izi ndi zizindikiro zazikulu za DCIS.
Ngati mammogram ikuwonetsa chilichonse chokayikitsa, dokotala angakulangizeni kuti mutenge biopsy . Biopsy imaphatikizapo kutenga chitsanzo chaching'ono kwambiri cha minofu yokayikitsa ndikuiyang'ana pansi pa maikulosikopu kuti muwone ngati ili ndi maselo a khansa.
Magiredi ndi Magawo a DCIS
DCIS ikapezeka, madokotala amatsimikiza giredi yake ndi siteji yake.
- Gawo: DCIS nthawi zonse ndi khansa ya m'mawere ya Gawo 0. Iyi ndi nkhani yabwino kwambiri chifukwa ikutanthauza kuti khansayo sinafalikire.
- Giredi: Izi zikutanthauza momwe maselo a khansa alili ofanana kapena osiyana ndi maselo athanzi komanso momwe amakulira mofulumira. Pali magulu atatu akuluakulu.
- Magawo Otsika: Maselo a khansa nthawi zambiri amakhala ngati maselo athanzi ndipo amakula pang'onopang'ono.
- Gulu Lapakati: Maselo a khansa ndi osiyana pang'ono ndi maselo athanzi.
- Magulu Apamwamba: Maselo a khansa ndi osiyana kwambiri ndi maselo athanzi ndipo amakonda kukula mofulumira.
Kodi mankhwala a DCIS ndi ati?
Ngakhale kuti DCIS si khansa yoopsa, ndikofunikira kuichiza kuti isadzakhale khansa yoopsa pambuyo pake. Dokotala wanu adzakukonzerani chithandizo chabwino kwambiri kutengera zinthu monga zaka zanu, giredi ya DCIS, ndi zomwe mumakonda.
Pali njira ziwiri zazikulu zochizira:
| Njira Yothandizira | Mwachidule... |
|---|---|
| 1. Kuchotsa Lumpectomy / Opaleshoni Yosunga Mabere + Chithandizo cha Radiation | Izi zimaphatikizapo kuchotsa mwa opaleshoni malo okhawo a minofu ndi DCIS, pamodzi ndi minofu yochepa yathanzi yozungulira. Izi zimasiya bere lanu lonse liri losawonongeka. Pambuyo pa opaleshoni, chithandizo cha radiation nthawi zambiri chimaperekedwa kuti chiphe maselo otsala a khansa. |
| 2. Kuchotsa Mabere | Pachifukwa ichi, bere lonse lomwe lakhudzidwa ndi DCIS limachotsedwa opaleshoni. Njirayi imalimbikitsidwa ngati DCIS yafalikira kudera lalikulu la bere kapena ku ducts zingapo za mkaka, kapena ngati opaleshoni ya lumpectomy si njira ina. Chithandizo cha radiation nthawi zambiri sichifunika pambuyo pa opaleshoni ya mastectomy. |
Ngati mwachitidwa opaleshoni ya mastectomy, mutha kulankhula ndi dokotala wanu za opaleshoni yokonzanso bere.
Chithandizo cha pambuyo pa opaleshoni
Pambuyo pa opaleshoni, dokotala wanu angakulangizeni chithandizo cha mahomoni kuti mupewe kubwerera kwa DCIS. Izi zimaphatikizapo kugwiritsa ntchito mankhwala monga Tamoxifen kapena Aromatase Inhibitors . Chithandizochi nthawi zambiri chimakhala kwa zaka pafupifupi zisanu.
Kodi DCIS ingachiritsidwe kwathunthu?
Inde, ndithudi! DCIS ndi matenda ochiritsika kwambiri komanso ochiritsika kwathunthu . Chiŵerengero cha machiritso kwa iwo omwe amalandira chithandizo ndi chachikulu kwambiri, pafupifupi 100%.
Chiwopsezo chakuti DCIS ibwererenso pambuyo pa chithandizo n'chochepa kwambiri. Ngakhale itabwereranso, nthawi zambiri siimakhala pachiwopsezo.
Kodi muyenera kuchita chiyani?
Ngakhale kuti palibe njira yeniyeni yopewera DCIS, kuzizindikira msanga kungathandize kuti munthu achire mokwanira.
- Pezani ma mammogram nthawi zonse: Nthawi zambiri amalangizidwa kuti muzichita mammogram kamodzi pachaka mutakwanitsa zaka 40. Komabe, lankhulani ndi dokotala wanu za kangati komwe muyenera kuchita izi, kutengera zomwe zimayambitsa chiopsezo chanu.
- Tsatirani malangizo a dokotala wanu: Mukalandira chithandizo, pitani kukayezetsa monga momwe dokotala wanu wanenera. Nthawi zambiri, kuyezetsa kumachitika miyezi 6-12 iliyonse kwa zaka zisanu zoyambirira komanso chaka chilichonse pambuyo pake.
- Funsani dokotala wanu mafunso: Mukapeza kuti muli ndi DCIS, lankhulani ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Funsani mafunso monga, "Ndi chithandizo chiti chabwino kwambiri kwa ine?", "Chithandizo chidzatenga nthawi yayitali bwanji?", "Kodi ndidzatha kupitiriza kugwira ntchito panthawiyi?"
Ndizachibadwa kukhala ndi mantha komanso nkhawa mukazindikira kuti muli ndi khansa. Koma kumbukirani kuti DCIS ndi khansa ya m'mawere yomwe imayamba msanga, yosaopsa, komanso yochiritsika kwambiri. Ndi chithandizo choyenera komanso kutsatira malangizo, mutha kukhala ndi moyo wathanzi kwathunthu.
Uthenga Wopita Nawo Kunyumba
- DCIS ndiye gawo loyambirira kwambiri la khansa ya m'mawere (Gawo 0) . Pano, maselo a khansa amakhala mkati mwa ducts za mkaka ndipo sanafalikire ku minofu yozungulira.
- Iyi ndi khansa yosalowa m'thupi, choncho sifalikira ku ziwalo zina za thupi.
- DCIS nthawi zambiri imakhalabe ndi zizindikiro zilizonse . Nthawi zambiri imapezeka kudzera mu mammogram.
- DCIS imatha kuchiritsidwa pafupifupi kwathunthu ndi chithandizo, kotero palibe chifukwa choopa.
- Ngati sichinalandire chithandizo, pali chiopsezo choti chikhale khansa yoopsa, choncho ndikofunikira kwambiri kufunafuna chithandizo motsatira upangiri wa dokotala .
- Kupimidwa nthawi zonse ndi dokotala komanso mammogram ndiyo njira yabwino kwambiri yodziwira matendawa msanga.
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