Chithandizo cha Mahomoni a Khansa ya M'mawere: Tiyeni Tikambirane Izi

Ngati inu kapena munthu amene mumamudziwa wapezeka ndi khansa ya m'mawere, mwina munamvapo mawu akuti 'mankhwala a mahomoni'. Kumva dzinali nthawi zina kungakupangitseni mantha komanso kufuna kudziwa zambiri. Kodi limatanthauza chiyani kwenikweni? Kodi ndi loopsa? Limagwira ntchito bwanji? Tiyeni tikambirane zonsezi m'njira yosavuta komanso yaubwenzi lero.

Kodi chithandizo cha mahomoni ichi n'chiyani?

Mwachidule, chithandizo cha mahomoni ndi mankhwala othandiza kwambiri pa mitundu ina ya khansa ya m'mawere. Komabe, sichiperekedwa pa khansa zonse za m'mawere. Ndikofunikira kwambiri pa khansa zomwe zili ndi hormone receptor-positive (HR+) .

Taganizirani izi, pali mitundu iwiri ya mahomoni omwe amapangidwa mwachilengedwe m'thupi lathu otchedwa Estrogen ndi Progesterone. Maselo ena a khansa ya m'mawere ali ngati chomera chaching'ono. Monga momwe chomera chimafunira madzi, maselo a khansa awa amafunikira mahomoni awiriwa kuti akule ndikufalikira. Timatcha khansa iyi ya HR+. Mwachidule, awiri mwa odwala atatu a khansa ya m'mawere ali ndi khansa yamtunduwu.

Mwina mwawonapo zinthu ngati izi mu lipoti lanu la khansa:

• Estrogen receptor positive (ER+)
• Progesterone receptor positive (PR+)

Khansa ikhoza kukhala ndi chimodzi mwa izi kapena zonse ziwiri. ER+ ndiye mtundu wofala kwambiri.

Kotero zomwe mankhwala a mahomoni awa amachita n'zosavuta kwambiri. Zimagwira ntchito m'njira ziwiri zazikulu:

1. Zimaletsa mahomoni (estrogen ndi progesterone) omwe maselo a khansa amafunikira. Zili ngati kutseka chitoliro cha madzi ku chomera.

2. Amachepetsa kuchuluka kwa estrogen m'thupi. Izi zimalepheretsa maselo a khansa "kudya" komwe amafunikira kuti akule ndipo zimawaletsa kukula.

N’chifukwa chiyani chithandizo cha mahomonichi chimaperekedwa?

Madokotala a khansa amalimbikitsa chithandizo ichi pazochitika zosiyanasiyana.

• Kuchepetsa chiopsezo cha khansa: Mankhwalawa amaperekedwa kwa anthu omwe ali pachiwopsezo chachikulu chotenga khansa ya m'mawere, mwachitsanzo, omwe ali ndi majini monga `BRCA1` ndi `BRCA2`, kuti apewe kukula kwa khansa.
• Pankhani ya DCIS: Yang'anirani kukula kwa khansa ya m'mawere yomwe imayamba msanga yotchedwa `Ductal Carcinoma In Situ (DCIS).`
• Opaleshoni isanachitike (Neoadjuvant Therapy):Chithandizochi chimaperekedwa musanachite opaleshoni kuti chichepetse chotupacho ndikupangitsa opaleshoniyo kukhala yosavuta.
• Chithandizo Chothandizira: Uwu ndi mtundu wofala kwambiri wa chithandizo. Umaperekedwa pambuyo pa opaleshoni kuti uchotse khansa, kuti khansa isabwererenso kapena kuti khansa isakule m'bere lina.
• Khansa ikafalikira (Metastatic Breast Cancer): Ngati khansa yafalikira ku ziwalo zina za thupi, chithandizochi chimagwiritsidwa ntchito polamulira kukula kwa maselo amenewo.

Kodi mitundu ikuluikulu ya mankhwala a mahomoni ndi iti?

Pali mitundu ingapo ya mankhwala a mahomoni. Dokotala wanu adzasankha chithandizo chomwe chili chabwino kwa inu kutengera zinthu monga msinkhu wanu, ngati mwakhala mukusiya kusamba, komanso mtundu wa khansa. Tiyeni tiwone mitundu ikuluikulu.

Kodi mungapeze bwanji chithandizochi?

Kawirikawiri, mankhwalawa amaperekedwa ngati piritsi lomwe mumamwa tsiku lililonse. Mankhwala ena amapezekanso ngati madzi. Ena, monga mankhwala omwe amaletsa mazira kugwira ntchito, amaperekedwa ngati jakisoni ku ofesi ya dokotala wanu kamodzi pamwezi. Kutengera ndi vuto lanu, mankhwalawa angafunike kumwedwa kwa nthawi yayitali, monga zaka 5 kapena 10 .

Kodi pali zotsatirapo zilizonse pa chithandizochi?

Monga momwe zimakhalira ndi chithandizo chilichonse, zotsatirapo zina zingachitike ndi chithandizochi. Komabe , si aliyense amene amalandira mankhwalawa, ndipo si aliyense amene amawamva mofanana . Anthu ena sangamve kupweteka kulikonse. Zotsatirapo zofala kwambiri ndi izi:

• Kumva kutopa komanso kutopa.
• Kutentha kwambiri.
• Kupweteka kapena kuuma kwa mafupa ndi minofu.
• Kuchepa kwa chilakolako chogonana.
• Kusintha kwa maganizo pafupipafupi.
• Kusanza ndi kusanza.
• Kuuma kwa nyini.
• Kulemera.

Ubwino ndi kupambana kwa chithandizo cha mahomoni

Chimodzi mwa ubwino waukulu wa chithandizochi ndichakuti chimayang'ana kwambiri mtundu wofala kwambiri wa khansa ya m'mawere (ER+). Komanso, chithandizochi chingaperekedwe pamodzi ndi mankhwala ena monga chemotherapy ndi chithandizo cholunjika.

Kafukufuku wasonyeza momveka bwino kuti chithandizo cha mahomoni chimachepetsa kwambiri chiopsezo cha kubwereranso kwa khansa ndipo chimatalikitsa moyo wa odwala, zomwe zimapangitsa kuti chikhale njira yothandiza kwambiri komanso yofunika kwambiri yothandizira.

Kodi chemotherapy kapena hormone therapy ndi yabwino?

Izi zili ngati kufunsa kuti, "Ndi chiyani chabwino, screwdriver kapena nyundo?" Ndi zida ziwiri zosiyana zomwe zimagwiritsidwa ntchito pazifukwa zosiyanasiyana. Chemotherapy ndi mankhwala amphamvu omwe amapha maselo omwe amagawikana mofulumira. Mankhwala a mahomoni ndi mankhwala omwe amangoyang'ana maselo a khansa omwe amadalira mahomoni okha. Nthawi zina mungafunike zonse ziwiri, ndipo nthawi zina mungafunike chimodzi chokha. Dokotala wanu adzasankha chomwe chili chabwino kwa inu.

Nanga bwanji ngati sindikukonda chithandizochi?

Funso ili ndi lofunika kwambiri. Kumbukirani kuti, zomwe mukufuna komanso maganizo anu ndi ofunika kwambiri pankhani ya chithandizo. Dokotala wanu adzakulangizani njira yochizira matenda kutengera mtundu wa khansa yomwe muli nayo, thanzi lanu lonse, moyo wanu, komanso zomwe mumakonda.

Ngati muli ndi mantha, kukayikira, kapena kusakonda chithandizo cha mahomoni, musazengereze kukambirana ndi dokotala wanu za izi momasuka . Chofunika kwambiri ndikulankhula za ubwino ndi zovuta za chithandizocho, zomwe mungachite ngati pali zotsatirapo zake, komanso ngati pali njira zina, ndikupanga chisankho chodziwa bwino chomwe chingakuthandizeni.