Kodi muli ndi kusintha kumeneku m'mabere anu? Tiyeni tidziwe za khansa yoopsa yotupa m'mawere (IBC)!

Kodi munayamba mwaonapo chotupa, kutupa, kapena kufooka kwa khungu pa bere lanu? Nthawi zina timaganiza kuti ndi matenda osavuta, koma akhoza kukhala khansa ya m'mawere yoopsa kwambiri, yomwe imafalikira mofulumira. Lero tikambirana za khansa yowopsa koma yosowa, khansa ya m'mawere yotupa, kapena `(Khansa ya m'mawere yotupa - IBC)`.

Kodi Khansa ya M'mawere Yotupa (IBC) ndi Chiyani?

Mwachidule, `(Khansa ya m'mawere yotupa - IBC)` ndi khansa ya m'mawere yomwe ikukula mofulumira kwambiri komanso yachilendo. Mosiyana ndi khansa zambiri za m'mawere, sizimayambitsa chotupa. M'malo mwake, khungu la m'mawere limakhala ndi madontho ndi makulidwe, ngati khungu la lalanje. Pamodzi ndi izi, bere lomwe lakhudzidwa likhoza kumva kupweteka, kufiira, kutupa, komanso nthawi zina madontho.

Tangoganizirani, mabere athu ali ndi madzi otchedwa lymph fluid. Machubu ang'onoang'ono omwe amathandiza kuyenda kwa madzi a lymph amatchedwa lymph vessels. Pamene IBC ikukula, maselo a khansa amatseka mitsempha ya lymph iyi. Kenako madzi a lymph sangathe kuyenda bwino, ndipo kutupa kumachitika m'mawere. Ndicho chifukwa chake zimasonyeza zizindikiro monga kufiira ndi kutupa. Chifukwa zizindikirozi zimafanana kwambiri ndi zizindikiro za matenda wamba a m'mawere, nthawi zina zimatha kusokonezedwa ndi matenda.

Chofunika kwambiri ndichakuti `(IBC)` ndi khansa yomwe ikukula mofulumira kwambiri. Chifukwa chake, ndikofunikira kufunafuna chithandizo mwamsanga zizindikiro zikayamba kuwonekera. Nthawi zambiri, madokotala amagwiritsa ntchito mankhwala ophatikizana a chemotherapy, opaleshoni, ndi radiation therapy pa izi.

Ndani ali pachiwopsezo chachikulu chopanga IBC?

Ngakhale kuti aliyense angathe kupanga IBC, zinthu zina zingawonjezere chiopsezo.

• Jenda: Ngakhale kuti aliyense akhoza kukhala ndi IBC, ndi yofala kwambiri pakati pa akazi.
• Zaka: Poyerekeza ndi mitundu ina ya khansa ya m'mawere, IBC nthawi zambiri imapezeka ali aang'ono. Nthawi zambiri imapezeka mwa akazi osakwana zaka 40. Avereji ya zaka zomwe munthu amadwala matendawa ndi pafupifupi zaka 57.
• Mtundu: Anthu akuda amapezeka kuti ali ndi `(IBC)` kuposa azungu.
• Kulemera: Anthu onenepa kwambiri kapena onenepa kwambiri ali pachiwopsezo chachikulu chotenga IBC kuposa omwe ali ndi index ya body mass index (BMI).

Kodi `(IBC)` ndi yofala bwanji?

IBC imapezeka m'madigiri osiyanasiyana padziko lonse lapansi. Imapezeka kwambiri m'maiko aku North Africa. Mwachitsanzo, IBC imayambitsa 4% ya khansa ya m'mawere ku Tunisia ndi 11% ku Egypt. Komabe, ndi yosowa kwambiri m'maiko ngati United States, komwe imayambitsa 1% mpaka 5% yokha ya khansa yonse ya m'mawere.

Kodi zizindikiro zoyambirira za `(IBC)` ndi ziti?

Popeza IBC nthawi zambiri siimayambitsa chotupa monga mitundu ina ya khansa ya m'mawere, zingakhale zovuta kuzindikira poyamba. M'malo mwake, zizindikiro zoyambirira nthawi zambiri zimakhala zokhudzana ndi kutupa kwa bere lomwe lakhudzidwa. Izi zikutanthauza kufiira, kutupa, ndi kupweteka. Chifukwa cha izi, nthawi zambiri zimanyalanyazidwa ngati matenda osaopsa kwambiri, monga matenda.

Kodi zizindikiro za `(IBC)` ndi ziti?

Zizindikiro za IBC zimatha kukula mofulumira kwambiri, nthawi zambiri mkati mwa milungu itatu kapena isanu ndi umodzi. Zizindikiro izi zingaphatikizepo:

• Kusintha kwa mtundu wa khungu (lofiira, lofiirira, kapena lofiirira), mawonekedwe ofanana ndi mabala, kapena ziphuphu m'dera pafupifupi gawo limodzi mwa magawo atatu a bere.
• Khungu la bere limakhala lokhuthala, lokhala ndi maenje, kapena lokhala ndi madontho, ngati khungu la lalanje.
• Ululu, kutupa, kuyabwa, kulimba, kapena kupweteka m'bere limodzi.
• Kutentha, kutentha, kulemera, kapena kukula kwa bere limodzi.
• Nipple yopindika kapena yobwerera m'mbuyo.
• Ma lymph nodes otupa pafupi ndi collarbone kapena pansi pa kwapa.

Kodi zifukwa za `(IBC)` ndi ziti?

Matenda ambiri a IBC amaonedwa kuti ndi khansa ya m'mapapo yolowa m'magazi . Khansa ya m'mapapo ndi khansa yomwe imayamba m'maselo omwe ali mkati mwa ductal ductal ductal ductal ductal. "Invasive" amatanthauza kuti khansayo yafalikira kupitirira ductal ductal ducts kupita ku minofu yathanzi. Ofufuza sakudziwabe chifukwa chake maselowa amakhala oopsa.

IBC imayamba chifukwa cha maselo a khansa omwe amatseka mitsempha ya lymph. Awa ndi njira zazing'ono zomwe zimathandiza kutulutsa madzi a lymph kuchokera m'mawere. Kutsekeka kumeneku kumapangitsa kuti bere likhale lofiira, lotupa, komanso lotupa. Nthawi zambiri matenda a IBC, maselo a khansa amafalikira (metastasize) kunja kwa mitsempha ya lymph. Khansa yomwe yafalikira motere ingakhudze ziwalo zina za thupi lanu ndipo ingakhale yovuta kuchiza.

Kodi `(IBC)` imazindikiritsidwa bwanji ndipo siteji yake imadziwikiratu bwanji?

Popeza IBC ndi matenda osowa kwambiri ndipo zizindikiro zake zimafanana ndi matenda ofala a m'mawere (mastitis), dokotala wanu angakupatseni mankhwala opha tizilombo toyambitsa matenda kuti aone ngati zizindikiro zanu zikutha. Izi zidzakuthandizani kuonetsetsa kuti si matenda. Komabe, ngati mukuganiza kuti muli ndi IBC,Dokotala adzalamula kuti apimidwe kuti atsimikizire kuti ali ndi matendawa komanso mayeso ena kuti aone ngati khansa yafalikira kupitirira bere.

Momwe mungadziwire `(IBC)`

Matendawa akuphatikizapo:

• Kuwunika thupi: Kuzindikira matendawa kungakhale kovuta chifukwa nthawi zambiri IBC siimayambitsa ziphuphu. Nthawi zina, dokotala amayesa kuchotsa matenda ena omwe amayambitsa zizindikiro zofanana, monga mastitis.
• Mayeso ojambula zithunzi:
• Mammogram: X-ray yopanda mphamvu zambiri yomwe imajambula zithunzi za mkati mwa bere. Izi zimatha kuzindikira zizindikiro za khansa, monga ziphuphu, calcium deposits (kuchuluka kwa calcium m'mawere), kapena kukhuthala kwa khungu.
• Ultrasound ya m'mawere: Izi zimagwiritsa ntchito mafunde a phokoso kujambula zithunzi za mkati mwa bere, minofu yozungulira, ndi ma lymph nodes. Izi zingathandize kudziwa ngati khansa yafalikira ku minofu yapafupi.

Koma, mwatsoka, matenda a IBC ndi matenda a m'mawere onse amatha kuwoneka ofanana pa mayeso ojambula zithunzi.

• Kufufuza za khansa: Njira yokhayo yotsimikizira kuti muli ndi IBC ndiyo kuchitidwa biopsy. Pachifukwa ichi, dokotala wanu amatenga chitsanzo cha minofu kuchokera m'mawere anu. Katswiri wotchedwa pathologist amafufuza chitsanzocho mu labu kuti adziwe ngati ndi khansa. Zotsatira za biopsy zingathandizenso kudziwa ngati njira zina zochiritsira khansa yanu zili zoyenera.

Kudziwa Gawo la `(IBC)`

Zotsatira za biopsy zimathandiza dokotala kudziwa siteji ya khansa, kutanthauza ngati khansayo yafalikira kupitirira minofu ya m'mawere. Pofika nthawi yomwe IBC imapezeka, imakhala kale pagawo lachitatu (Gawo lachitatu) kapena lachinayi (Gawo lachinayi).

• Gawo Lachitatu: Khansa yafalikira ku minofu ya m'mawere ndi pakhungu lokha.
• Gawo Lachinayi: Khansa yafalikira ku ziwalo zina.

Dokotala angachite chimodzi kapena zingapo mwa izi kuti aone ngati khansa yafalikira:

• Kujambula kwa CT: Kujambula X-rays zingapo za pachifuwa, m'mimba, ndi m'chiuno kumatengedwa ndikuphatikizidwa kukhala chithunzi chimodzi. Izi zimatha kuzindikira zizindikiro za khansa m'mafupa ndi minofu yofewa.
• Kujambula mafupa: Kujambula mafupa pang'ono pogwiritsa ntchito zinthu zowononga mafupa. Izi zingathandize kupeza malo omwe mafupa awonongeka chifukwa cha kufalikira kwa khansa.
• MRI: Imagwiritsa ntchito mafunde a wailesi, maginito, ndi kompyuta kuti ipange zithunzi zamkati mwa thupi.
• Kujambula PET: Njira yomwe imagwiritsa ntchito utoto wokhala ndi mankhwala owononga mphamvu (tracers) kuti ijambule zithunzi za mkati mwa thupi.

Kodi mankhwala a `(IBC)` ndi ati?

Mu chithandizo cha `(IBC)`Kuphatikiza kwa chemotherapy, opaleshoni, ndi radiation therapy nthawi zambiri kumagwiritsidwa ntchito.

• Chemotherapy: Chemotherapy ya khansa ya m'mawere imagwiritsa ntchito mankhwala ophera maselo a khansa. Mankhwalawa amatha kuperekedwa kudzera m'mitsempha kapena ngati mapiritsi. Maselo a khansa akachepa chifukwa cha chemotherapy, amatha kuchotsedwa mosavuta pogwiritsa ntchito opaleshoni. Chemotherapy ingaperekedwenso pambuyo pa opaleshoni kuti iphe maselo ena onse a khansa.
• Opaleshoni: Izi zimaphatikizapo kuchotsa bere lonse lomwe lakhudzidwa (mastectomy) ndi ma lymph nodes apafupi. Opaleshoni yochotsa minofu ya bere yokha siigwira ntchito pa IBC chifukwa khansa iyi imafalikira mofulumira kwambiri.
• Chithandizo cha radiation: Makina amagwiritsa ntchito mphamvu kuwononga maselo a khansa. Pambuyo pa opaleshoni, chithandizo cha radiation chingaperekedwe kuti chiphe maselo aliwonse a khansa omwe mwina sanagwiritsidwe ntchito.

Kutengera mtundu wa maselo a khansa omwe apezeka mu biopsy, mungapatsidwe chithandizo monga chithandizo cholunjika, chithandizo cha mahomoni, kapena chithandizo cha immunotherapy .

• Chithandizo cholunjika: Izi zimalimbana ndi zofooka zinazake m'maselo a khansa ndikuziwononga. Mwachitsanzo, puloteni yotchedwa HER2 imathandiza maselo a IBC kukula ndi kufalikira. Chithandizo cholunjika chimawononga puloteni iyi, zomwe zimapangitsa kuti maselo a khansa azivutika kukula.
• Chithandizo cha mahomoni: Maselo ena a khansa ali ndi ma hormone receptors. Khansa izi zimakula zikakumana ndi mahomoni otchedwa estrogen ndi progesterone. Ngati maselo anu a khansa ali ndi ma receptor awa, dokotala wanu angakupatseni mankhwala omwe amaletsa mahomoni awa.
• Chithandizo cha Immunotherapy: Izi zimathandiza chitetezo cha mthupi lanu kuzindikira ndikulimbana ndi maselo a khansa. Kafukufuku wasonyeza kuti mitundu ina ya chithandizo cha immunotherapy imatha kuwonjezera mphamvu ya mankhwala ena a IBC, monga chemotherapy. Kafukufuku pa izi akupitirirabe.

Dokotala wanu angakulangizeninso kuti mutenge nawo mbali mu mayeso azachipatala. Mayeso azachipatala ndi kafukufuku amene amayesa chitetezo ndi kugwira ntchito kwa mankhwala atsopano a khansa. Mankhwala omwe apambana m'mayeserowa pambuyo pake amatha kukhala mankhwala wamba.

Kodi mavuto ogwirizana ndi `(IBC)` ndi ati?

Chithandizo cha IBC chingayambitse mavuto ena. Mwachitsanzo, lymphedema (madzimadzi ochulukirapo) amatha kuchitika pambuyo pa opaleshoni yochotsa ma lymph nodes.

Popeza IBC imakula mofulumira kwambiri, khansayo ikhoza kufalikira ku minofu ina (yomwe yafalikira) pofika nthawi yomwe matendawa amapezeka.Ngati khansayo yafalikira ku ziwalo zina za thupi, mungafunike chithandizo china.

Kodi `(IBC)` ingapewedwe?

Mwatsoka, palibe njira yopewera IBC. Kuti mupeze zotsatira zabwino, funani chithandizo mwamsanga mukangoona zizindikiro. Ngati muwona kusintha kulikonse m'mabere anu, uzani dokotala wanu mwamsanga.

Kodi `(IBC)` imafalikira mofulumira bwanji?

Khansa ya IBC ndi khansa yoopsa kwambiri yomwe imakula mofulumira kwambiri. Imatha kutenga milungu kapena miyezi kuti ikule. Pofika nthawi yomwe imapezeka, imakhala itafalikira kale pakhungu la bere ndipo ili pa Gawo Lachitatu.

Kodi chiyembekezo cha anthu omwe ali ndi IBC ndi chiyani?

Kawirikawiri IBC imakula mofulumira ndipo imafalikira ku minofu ina kunja kwa bere. Imatha kubwereranso ngakhale mutalandira chithandizo. Kuzindikira msanga ndi kulandira chithandizo ndikofunikira kuti matendawa athetsedwe bwino momwe mungathere.

Popeza IBC imafalikira mofulumira ndipo imapezeka mochedwa kuposa khansa zina, chiyembekezo cha anthu omwe ali ndi vutoli nthawi zambiri sichili chabwino monga cha mitundu ina ya khansa ya m'mawere. Komabe, anthu ena amakhala ndi moyo zaka zambiri atapezeka ndi IBC. Dokotala wanu akhoza kufotokoza zomwe zikuchitika malinga ndi momwe mulili.

Kodi muyenera kupita kwa dokotala liti ngati mukukayikira za IBC?

Ngati muwona kusintha kulikonse m'mawere anu, ngakhale simukumva chotupa, pitani kwa dokotala nthawi yomweyo. Dokotala wanu adzachita mayeso ena ndikusankha ngati muyenera kuda nkhawa ndi IBC.

Makamaka ngati muli ndi zizindikiro za IBC ndipo mukumwa maantibayotiki pa matenda a m'mawere, ngati zizindikiro zanu sizikusintha mkati mwa sabata imodzi, uzani dokotala wanu nthawi yomweyo.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Funsani dokotala wanu momwe kupezeka kwanu ndi khansa kungakhudzire njira zanu zochiritsira komanso zotsatira zake zamtsogolo. Nazi mafunso ena oti mufunse:

• Kodi khansa yanga ya m'mawere ili pamlingo wotani?
• Kodi akatswiri omwe akugwira ntchito yosamalira odwala anga ndi ndani?
• Kodi ndi njira ziti zochiritsira zomwe mumalimbikitsa?
• Kodi ndi zotsatira zotani zomwe ndingayembekezere kuchokera ku chithandizochi?
• Kodi zotsatirapo kapena mavuto omwe angakhalepo chifukwa cha chithandizo ndi ati?
• Kodi mungandithandize kulumikizana ndi zinthu monga magulu othandizira ndi chisamaliro cha ovutika maganizo?

Pomaliza, zinthu zoti muzikumbukira

Khansa ya m'mawere yotupa (IBC) ndi khansa yosowa koma yomwe ikukula mofulumira kwambiri. Ngati muwona kusintha kulikonse m'mawere anu, makamaka m'bere limodzi lokha, funsani upangiri wa dokotala nthawi yomweyo. Kusintha kumeneku kungakhale chizindikiro cha matenda osaopsa kwambiri, monga matenda. Komabe, IBC imafalikira mofulumira kwambiri.Ngati zizindikiro zanu ndi zizindikiro za IBC, kuyamba chithandizo mwamsanga kungakuthandizeni kukhala ndi chiyembekezo chabwino. Choncho, musazengereze kufunafuna chithandizo. Moyo wanu ndi wofunika!

Khansa ya m'mawere yotupa, IBC, khansa ya m'mawere, khansa ya m'mawere yotupa, zizindikiro za m'mawere, thanzi la akazi, chithandizo cha khansa