Tikamaganiza za 'khansa ya m'mawere', nthawi zambiri timaganiza za chotupa m'mawere, sichoncho? Koma kodi mumadziwa kuti si khansa yonse ya m'mawere yomwe imatuluka ngati chotupa? Lero, tikambirana za mtundu wa khansa womwe umachita mosiyana pang'ono, womwe umafalikira mobisa mkati mwa thupi. Izi zimatchedwa Invasive Lobular Carcinoma, kapena (ILC) mwachidule.
Mwachidule, kodi Invasive Lobular Carcinoma (ILC) ndi chiyani?
Chabwino, tiyeni tinene motere. Mabere anu ali ndi tiziwalo timene timatulutsa mkaka. Madokotala amatcha izi "lobules." Mtundu uwu wa khansa umayambira m'ziwalo timeneti timatulutsa mkaka.
Mosiyana ndi mitundu ina ya khansa ya m'mawere, maselo a khansa a ILC awa, m'malo mosonkhana pamodzi kuti apange chotupa, amafalikira kudzera m'maselo a m'mawere m'mizere ya maselo osiyanasiyana . Taganizirani ngati mzere wa nyerere. Ichi ndichifukwa chake chotupa chimafalikira motere.
ILC imapanga pafupifupi 10% mpaka 15% ya khansa ya m'mawere. Khansa yamtunduwu nthawi zambiri imayamba chifukwa cha mahomoni achikazi otchedwa estrogen. Komanso ndi khansa yomwe ikukula pang'onopang'ono . Imatha kukhalapo kwa zaka zambiri musanakhale ndi zizindikiro zilizonse kapena kuzindikirika ndi mammogram. Monga khansa zina, ILC imatha kufalikira kudzera m'mafupa a m'mawere kapena ziwalo zina za thupi.
Ngati palibe chotupa, kodi mumadziwa bwanji zizindikiro zake?
Ichi ndiye chinthu chofunikira kwambiri. Popeza khansa ya ILC sipanga chotupa, muyenera kusamala kwambiri ndi kusintha kwina kochepa m'mawere. Simungazindikire kusintha kulikonse kumayambiriro. Koma pamene khansa ikupita patsogolo, zizindikirozi zingawonekere.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Kukhuthala kapena kusintha kwa khungu la bere | Khungu lomwe lili m'dera lina la bere likhoza kuoneka lolimba kuposa masiku onse. Pakhoza kukhala ma dimpling, omwe amaoneka ngati khungu lomwe lili pa khungu la lalanje. |
| Kutupa kapena kudzaza m'mawere | Ngakhale chotupa chitatha, mbali imodzi kapena gawo la bere likhoza kumva kutupa kapena kukhuta kuposa masiku onse. Pakhozanso kukhala kusintha kwa mawonekedwe kapena kukula kwa bere. |
| Nipple yopotoka | Nkhuku yomwe nthawi zambiri imakhala kunja imawoneka ngati ikulowa mkati. |
| Chotupa m'khwapa | Ngakhale mutakhala kuti mulibe chotupa m'bere mwanu, mutha kumvabe chotupa m'khwapa mwanu. |
| Kupweteka m'mawere kapena kutentha | Mungamve kupweteka m'mawere kapena kutentha mukakhudza popanda chifukwa chenicheni. |
| Kutulutsa madzi m'machubu | Mtundu uliwonse wa kutuluka magazi (makamaka magazi) kuchokera m'chuuno, pokhapokha ngati muli mayi woyamwitsa. |
Chofunika kwambiri n’chakuti palibe amene amadziwa bwino mabere anu kuposa inu, choncho ngati muwona kusintha pang’ono, musanyalanyaze.
Kodi ndi zinthu ziti zomwe zingachititse kuti munthu adwale khansa imeneyi?
Monga momwe zilili ndi khansa ina iliyonse, n'zovuta kunena chomwe chimayambitsa khansayi. Ndi kusintha kwa majini komwe kumayambitsa maselo athanzi kukhala khansa. Koma ofufuza apeza zinthu zingapo zomwe zimawonjezera chiopsezo chotenga ILC.
- Kukhala ndi zaka zoposa 55.
- Kukhala ndi mwana wanu woyamba mutakwanitsa zaka 30 kapena osabereka.
- Popeza ndinali ndi khansa ya m'mawere kale.
- Kukhala ndi wachibale (makamaka mayi, mlongo, mwana wamkazi) amene ali ndi khansa ya m'mawere kapena khansa ya m'chiberekero.
- Kukhala ndi vuto lotchedwa Lobular Carcinoma In Situ (LCIS): Ichi si khansa, koma kusintha kwa maselo komwe kumawonjezera chiopsezo chotenga khansa mtsogolo.
- Kusintha kwina kwa majini kumachokera ku cholowa.
- Kutha msinkhu usanafike zaka 12.
- Kusamba kumachitika munthu akakwanitsa zaka 55.
- Kutenga mankhwala a mahomoni pa zizindikiro zomwe zimachitika pambuyo pa kusamba.
Kodi mavuto enieni a ILC ndi ati?
Pali mavuto awiri osiyana pang'ono a khansa ya ILC omwe amafunika chisamaliro chapadera.
1. Kufalikira kumadera osadziwika bwino m'thupi: Mitundu ina ya khansa ya m'mawere nthawi zambiri imafalikira ku ubongo, mafupa, chiwindi, ndi mapapo. Khansa ya ILC imathanso kufalikira kumadera amenewo. Koma kuwonjezera apo, imathanso kufalikira kumadera osadziwika bwino komwe khansa nthawi zambiri sifalikira.
- Dongosolo la m'mimba (matumbo, m'mimba)
- Matenda a akazi (chiberekero, mazira)
- Chipinda chamkati cha m'mimba (peritoneum)
- Zophimba ubongo ndi msana (Leptomeninges)
- Minofu yozungulira diso
2. Kubwereranso pambuyo pa chithandizo: Ichi ndi chinthu choopsa kwambiri pa khansa iyi. Ngakhale mutalandira chithandizo ndikuganiza kuti chachiritsidwa, khansayo imatha kubwereranso mbali yakutali ya thupi ngakhale patatha zaka 10 mpaka 15. Timatcha izi `(Metastatic Invasive Lobular Carcinoma)`.
Kodi madokotala amapeza bwanji izi?
Mukawona dokotala za chotupa cha m'mawere, iye adzakufunsani kaye za zizindikiro zanu ndikuwunika bere lanu ndi kwapa. Popeza ILC si chotupa, sichingadziwike poyesedwa nthawi zonse. Chifukwa chake, mutha kutumizidwa kukayezetsa ngati awa.
- Mammogram: X-ray ya bere. Komabe, chifukwa cha momwe khansa ya ILC imafalikira, nthawi zina siimawonekera bwino pa mammogram.
- Ultrasound ya m'mawere: Izi zimathandiza kuwona bwino dera linalake la m'mawere.
- Kujambula MRI ya m'mawere: Izi zingapangitse kuti pakhale zithunzi zomveka bwino komanso zatsatanetsatane za minofu ya m'mawere. MRI ndi yofunika kwambiri pozindikira khansa zovuta kuzizindikira monga ILC.
Ngati pali kukayikira kulikonse kuchokera ku mayesowa, gawo lotsatira ndi biopsy . Izi zikutanthauza kuti chidutswa chaching'ono kwambiri cha minofu chimatengedwa kuchokera m'mawere pansi pa anesthesia ndikuwunikidwa pansi pa maikulosikopu. Biopsy iyi yokha ndi yomwe ingatsimikizire 100% ngati maselo a khansa alipo kapena ayi.
Magawo a khansa
Akangozindikira kuti ndi khansa, kukula kwa khansa kumatsimikizika ndipo gawo lake limatsimikizika. Chithandizo chimakonzedwa kutengera gawoli.
| Gawo | Kufotokozera |
|---|---|
| Gawo Loyamba | Khansayo ndi yaying'ono kuposa masentimita awiri. Ikhoza kufalikira ku ma lymph nodes apafupi kapena mwina yatha. |
| Gawo Lachiwiri | Khansayi ili ndi kukula kwa pakati pa masentimita 2-5 ndipo yafalikira ku ma lymph nodes apafupi. Kapena ndi yayikulu kuposa masentimita 5 koma sinafalikire ku ma lymph nodes. |
| Gawo Lachitatu | Khansa yafalikira ku ma lymph nodes angapo m'mawere ndi ma lymph nodes apafupi. |
| Gawo Lachinayi | Khansa yafalikira ku ziwalo zakutali m'thupi, monga mapapo, chiwindi, kapena mafupa. (Metastatic) |
Kodi mankhwala a ILC ndi ati?
Dokotala wanu adzaganizira zinthu zambiri, kuphatikizapo gawo la khansa yanu, kaya ndi yogwirizana ndi mahomoni (ER+), komanso thanzi lanu lonse, kuti apange dongosolo la chithandizo lomwe lingakhale labwino kwa inu. Izi nthawi zambiri zingaphatikizepo chithandizo chimodzi kapena kuphatikiza.
- Opaleshoni: Kuchotsa gawo la bere kapena bere lonse lomwe lili ndi maselo a khansa.
- Chemotherapy: Kupereka mankhwala amphamvu ophera maselo a khansa. Angaperekedwe opaleshoni isanachitike kapena itatha.
- Chithandizo cha Radiation: Kugwiritsa ntchito kuwala kwamphamvu kwambiri kuwononga maselo aliwonse a khansa omwe angakhalepo pambuyo pa opaleshoni.
- Chithandizo cha Mahomoni: Ngati khansayo imadalira estrogen (ER+), mankhwala amaperekedwa omwe amaletsa ntchito ya mahomoni amenewo.
- Thandizo Lolunjika: Mankhwala omwe amayang'ana kusintha kwa majini komwe kumakhudza kukula kwa maselo a khansa.
Nthawi yochira mukalandira chithandizo imasiyana malinga ndi munthu aliyense ndipo zimatengera chithandizo chomwe mwalandira. Lankhulani ndi dokotala wanu za izi momasuka.
Kodi mwayi wokhala ndi matendawa ndi wotani?
Tonsefe timachita mantha tikamva mawu akuti khansa. Koma ndikofunikira kudziwa zinthu izi. "Chiwerengero cha anthu opulumuka" ichi ndi chiwerengero cha anthu omwe amapulumuka zaka 5 kapena 10 atapezeka ndi khansa.
Kafukufuku akusonyeza kuti 94% ya akazi omwe adapezeka ndi khansa ya ILC amakhalabe ndi moyo patatha zaka 5. Pambuyo pa zaka 10, chiwerengerochi chimawonjezeka kufika pa 86% . Poyerekeza ndi mitundu ina ya khansa ya m'mawere, kuchuluka kwa kupulumuka kwa zaka 10 n'kotsika pang'ono. Madokotala akupitiliza kufufuza kuti apeze zomwe zimayambitsa ndikuwongolera chithandizo.
Kumbukirani, izi ndi ziwerengero chabe. Si zolosera za mkhalidwe wanu. Dokotala wanu yekha ndi amene angakupatseni kufotokozera bwino za mkhalidwe wanu.
Uthenga Wopita Nawo Kunyumba
- Invasive Lobular Carcinoma (ILC) ndi mtundu wa khansa ya m'mawere yomwe nthawi zambiri siimawoneka ngati chotupa.
- Dziwani kusintha pang'ono pakhungu la bere, monga kukhuthala, kutupa, kusintha mawonekedwe, ndi kupindika kwa nipple.
- Ndikofunikira kwambiri kudziwa momwe mabere anu alili bwino. Chitani mayeso a bere lanu mwezi uliwonse.
- Ngati muwona kusintha pang'ono kapena kwachilendo, musanyalanyaze poganiza kuti, "Mwina si kanthu." Pitani kwa dokotala nthawi yomweyo.
- Monga khansa iliyonse, izi zikapezeka msanga, m'pamenenso chithandizo chimayenda bwino.
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