Kodi inunso muli ndi LCIS? Musadandaule, tiyeni tidziwe bwino lomwe kuti ndi chiyani! (Lobular Carcinoma in Situ - LCIS)

Pambuyo pofufuza bere lanu pazifukwa zina, kodi dokotala wanu anakuuzani kuti muli ndi vuto lotchedwa LCIS? Muyenera kuti munachita mantha kwambiri mutamva mawu oti 'carcinoma'. Chifukwa tikamva mawu amenewo, nthawi yomweyo timaganiza za khansa. Koma musadandaule. Tikambirana m'njira yosavuta kuti mumvetse bwino LCIS, kodi ndi khansa, komanso choti muchitepo.

Kodi LCIS ndi chiyani kwenikweni?

Mwachidule, LCIS ndi kukula kwa maselo osazolowereka m'maselo opanga mkaka (ma lobules) m'mabere anu. Taganizirani izi, maselo m'matupi athu nthawi zonse amagawikana ndikudzikonzanso okha. Choncho maselo omwe ali mkati mwa maselo a mkaka awa akagawikana, amayamba kukula kukhala maselo osiyana pang'ono, osazolowereka m'malo mwa maselo abwinobwino. Ndicho chimene LCIS ili.

Chofunika kwambiri chomwe muyenera kukumbukira apa ndichakuti, ngakhale kuti dzinalo limagwiritsa ntchito mawu oti 'carcinoma', LCIS si khansa ya m'mawere. Ngakhale ena amaona kuti ndi khansa yomwe imayambitsa khansa, si khansa yokha.

Maselo osazolowereka awa ali mu mkhalidwe wotchedwa 'in situ'. Izi zikutanthauza kuti amakhalabe pomwe ali ndipo sanafalikire ku ziwalo zina za bere. Ndicho chifukwa chake sichowopsa.

Koma, kukhala ndi LCIS kumatanthauza kuti muli ndi chiopsezo chachikulu chotenga khansa ya m'mawere mtsogolo kuposa munthu wamba. Zili ngati chizindikiro chochenjeza pamsewu. Zimakuuzani kuti pakhoza kukhala ngozi patsogolo, choncho yendetsani galimoto mosamala. LCIS ndi chenjezo lotere.

Kodi mitundu ikuluikulu ya LCIS ndi iti?

Madokotala amaona maselo osazolowereka pogwiritsa ntchito maikulosikopu ndipo amagawa LCIS m'magulu atatu akuluakulu kutengera momwe amaonekera. Kudziwa mtundu womwe muli nawo ndikofunikira kwambiri posankha chithandizo.

Kodi pali zizindikiro zilizonse za LCIS?

Nthawi zambiri, LCIS siili ndi zizindikiro zenizeni. Izi zikutanthauza kuti simukumva ngati muli ndi chotupa m'bere lanu, simukumva kupweteka, komanso mulibe kutuluka magazi m'bere.

Kodi mavuto omwe angakhalepo chifukwa cha LCIS ndi ati?

Ichi ndi chinthu chomwe chimawopseza anthu ambiri. Si aliyense amene ali ndi LCIS amene adzadwala khansa. Kumbukirani zimenezo. Komabe, kafukufuku wasonyeza kuti pafupifupi munthu m'modzi mwa anthu khumi (10%) omwe ali ndi LCIS ali ndi mwayi wokhala ndi khansa ya m'mawere mtsogolo, makamaka matenda otchedwa `ductal carcinoma in situ (DCIS)` kapena `lobular breast cancer`.

Ndikofunikira kulankhula ndi dokotala wanu za chiopsezochi ndikuwafunsa momveka bwino kuti chiopsezo chanu ndi chiyani, chifukwa chiopsezochi chingasiyane malinga ndi zinthu monga mtundu wa LCIS womwe muli nawo komanso mbiri ya banja lanu ya khansa.

Kodi chithandizo cha LCIS ndi chiyani?

Chithandizo chomwe mumalandira chimadalira mtundu wa LCIS womwe muli nawo. Si aliyense amene amachitiridwa chimodzimodzi.

1. Kuyang'anira Mwachangu

Ngati muli ndi 'Classic LCIS', dokotala wanu nthawi zambiri amalangiza njira iyi. Izi zikutanthauza kuti muyenera kuyang'anitsitsa thanzi lanu popanda kukupatsani mankhwala kapena opaleshoni.

• Dokotala wanu akakupimeni mabere miyezi 6 iliyonse .
• Kupita ku mammogram chaka chilichonse .
• Mayeso ena, monga MRI ya m'mawere, angalimbikitsidwenso.

2. Chithandizo Choteteza

Cholinga cha mankhwala amenewa ndikuletsa maselo osazolowereka kukhala khansa. Amagwiritsa ntchito mankhwala omwe amathandiza kuchepetsa chiopsezo cha khansa.

• Pachifukwa ichi, mungagwiritse ntchito mankhwala monga `Selective Estrogen Receptor Modulators (SERM)` kapena `Aromatase Inhibitors`. Izi zimathandiza kuchepetsa chiopsezo cha khansa zomwe zimakhudzidwa ndi estrogen (ER-positive) makamaka. Dokotala wanu adzakufotokozerani izi mwatsatanetsatane.

3. Opaleshoni

Opaleshoni nthawi zambiri imalimbikitsidwa kwa anthu omwe ali ndi mtundu wa 'Pleomorphic' kapena 'Florid' wa LCIS, chifukwa mitundu imeneyo ili ndi chiopsezo chachikulu chotenga khansa.

• Kuchotsa Lumpectomy: Izi zimaphatikizapo kuchotsa malo omwe ali ndi maselo osazolowereka ndi minofu yathanzi yozungulira.
• Kuchotsa Mastectomy Yoteteza Mabala Opatsirana: Iyi ndi opaleshoni yayikulu pang'ono. Pa opaleshoniyi, mabere onse awiri amachotsedwa. Komabe, imalimbikitsidwa pazochitika zoopsa kwambiri. Mwachitsanzo, ngati wachibale wanu wapafupi, monga amayi anu, mlongo wanu, kapena mwana wanu wamkazi, wakhala ndi khansa ya m'mawere, dokotala wanu angakambirane nanu za njira imeneyi.

Kodi tingatani kuti tichepetse chiopsezo cha LCIS?

Ngakhale kuti palibe njira yeniyeni yopewera LCIS, pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo chanu chokhala ndi khansa ya m'mawere.

• Muziwongolera kulemera kwanu: Kunenepa kwambiri ndi chinthu chachikulu chomwe chimayambitsa khansa ya m'mawere. Choncho yesetsani kukhala ndi kulemera koyenera.
• Kuchita masewera olimbitsa thupi nthawi zonse: Ndi bwino kuchita masewera olimbitsa thupi osachepera mphindi 150 pa sabata (monga mphindi 30 patsiku, masiku 5 pa sabata) monga kuyenda kapena kukwera njinga.
• Chepetsani kumwa mowa: Kafukufuku wasonyeza kuti pali kugwirizana pakati pa mowa ndi khansa ya m'mawere. Chifukwa chake, ndikofunikira kusiya kwathunthu kapena kuchepetsa kwambiri kumwa mowa.
• Dziwani mankhwala omwe mukumwa: Ngati mukumwa mankhwala a mahomoni kapena mitundu ina ya mapiritsi oletsa kubereka, onetsetsani kuti mwalankhula ndi dokotala wanu za chiopsezo cha izi ndi LCIS. Angakulimbikitseni kusintha mankhwala ena.

Kodi ndimadzisamalira bwanji ndikukhala ndi LCIS?

Mukazindikira kuti muli ndi LCIS, mumachita mantha, koma muyeneranso kusamalira thupi lanu kwambiri.

• Kudziyesa wekha m'mawere: Yendani mabere anu mwezi uliwonse. Ngati muwona china chilichonse chatsopano, monga chotupa, kusintha kwa khungu, kapena chotupa, pitani kwa dokotala nthawi yomweyo.
• Dziwani kusinthaku: Funsani dokotala wanu za zizindikiro zomwe zingachitike ngati LCIS isintha kukhala khansa.
• Musaphonye zipatala:Onetsetsani kuti mwapita kukaonana ndi dokotala nthawi zonse. Mayeso awa adzakuthandizani kuzindikira kusintha kulikonse mwachangu.

Ndizachibadwa kuchita mantha mukapezeka ndi LCIS. Koma sizikutanthauza kuti muli ndi khansa. Zimangotanthauza kuti muyenera kusamalira thanzi lanu pang'ono. Ndi chidziwitso choyenera komanso njira yogwirizana ndi dokotala wanu, mutha kukhala ndi moyo wathanzi komanso wosangalala ndi vutoli.