Kodi muli ndi kusintha kulikonse konga kumeneku m'mabere anu? Tiyeni tiphunzire za Matenda a Paget a m'mawere!

Kodi mwaonapo kusintha pang'ono, kuyabwa, kapena china chake chomwe chikuwoneka ngati ziphuphu pa nipple yanu? Kungakhale vuto la khungu labwinobwino, koma ngati muli ndi kukayikira pang'ono m'maganizo mwanu, ndikofunikira kulabadira. Chifukwa, kawirikawiri, zizindikiro izi zimatha kukhala chizindikiro choyamba cha khansa ya m'mawere. Imeneyi ndi imodzi mwa matenda osowa, koma ofunikira kwambiri omwe tikambirane lero.

Kodi Matenda a Paget a m'mawere ndi chiyani?

Mwachidule, matenda a Paget a m'mawere ndi khansa yosowa kwambiri yomwe imayamba pakhungu la nipple yanu . Nthawi zina imathanso kukhudza khungu lakuda lozungulira nipple, lotchedwa areola .

Taganizirani, nthawi zina izi zitha kungokhala pa nipple, monga gawo loyambirira la khansa ya m'mawere (gaulu 0 la khansa ya m'mawere) , yotchedwa `ductal carcinoma in situ` (DCIS) . Kapena, ikhoza kutsagana ndi `invasive breast cancer` yoopsa kwambiri yomwe imafalikira ku ducts za mkaka zomwe zili m'bere lomwelo. Izi zimatchedwanso matenda a mammary Paget .

Izi zili choncho chifukwa khungu la pa nipple limaoneka ngati 'eczema' , kotero anthu ambiri poyamba amaganiza kuti ndi ziphuphu wamba. Zizindikiro zake zitha kuphatikizapo kuyabwa, khungu lotupa, kufiira, nthawi zina zilonda, komanso kutuluka magazi m'nipple . Koma kumbukirani, si aliyense amene ali ndi zizindikirozi amene ali ndi matenda a Paget. Komabe, ngati muli ndi vutoli, izi zitha kukhala zizindikiro zoyamba za khansa ya m'mawere .

Ndani angapange izi?

Matenda a Paget a m'mawere nthawi zambiri amakhudza akazi . Komabe, nthawi zambiri amuna amanenedwa kuti ali ndi matendawa. Avereji ya zaka zomwe munthu amadwala matendawa ndi pafupifupi zaka 57. Komabe, amapezeka mwa anthu aang'ono komanso achikulire kuposa pamenepo. Matenda a Paget ndi omwe amachititsa khansa ya m'mawere yosakwana 4% . Chifukwa chake, monga momwe mungaganizire, iyi ndi matenda osowa kwambiri.

Kodi matendawa amafalikira mofulumira/moopsa bwanji?

Zimatengera ngati muli ndi khansa ya m'mapapo yomwe ili pansi pake, ndipo ngati ndi choncho, ili pamlingo wotani . Mwachitsanzo, ngati muli ndi khansa m'mapapo anu a mkaka okha ndipo sinafalikire ku minofu yozungulira bere, timaitcha ductal carcinoma in situ (DCIS) . Iyi imaonedwa ngati gawo 0. Mtundu uwu wa khansa nthawi zambiri umachiritsidwa ndi opaleshoni yochotsa chotupa ndi nipple , kenako ndi chithandizo cha radiation .

Komabe, ngati `ductal carcinoma` iyi ifalikira kupitirira ductal ductal, imatchedwa `infiltrating ductal carcinoma`.Kapena `invasive ductal carcinoma` . Khansa iyi imakula kwambiri pang'onopang'ono . Poyamba, imatha kuchiritsidwa pochotsa minofu ya m'mawere yomwe yakhudzidwa ndi `axillary lymph nodes` m'khwapa. Komabe, `invasive breast cancer` iyi ikafalikira kupitirira bere, ndiko kuti, kumapeto , imakhala yamphamvu kwambiri komanso yovuta kuchiza.

Kodi zizindikiro zake ndi ziti?

Zizindikirozi nthawi zambiri zimapezeka pa nipple yanu ndi/kapena pakhungu lakuda lozungulira (areola) . Nthawi zambiri, bere limodzi lokha ndi lomwe limakhudzidwa, koma nthawi zambiri zonsezi zimatha kukhudzidwa. Poyamba, zizindikirozi zingawoneke ngati zikubwera ndi kutha, koma zimatha kuipiraipira pakapita nthawi. Zizindikirozi zingaphatikizepo:

• Kuyabwa kwa nipple , komwe kungayambitse kutupa pambuyo pake.
• Khungu louma, khungu lotuluka (pa nsonga ya bere kapena mozungulira).
• Ziphuphu pakhungu zingawonekere. Zingakhale zofiira, zotumbuluka, zotupa, zopweteka, kapena zotuluka magazi .
• Kutupa ndi ululu .
• Monga momwe eczema imanyowa, thunthu limapangika ndipo madzi amatuluka .
• Magazi kapena madzi ofanana ndi mafinya akutuluka mu nipple .
• Nipple yathyathyathya kapena yopotoka .
• Chotupa cha m'mawere chomwe chikuwoneka bwino pansi pa khungu.

Chofunika: Musachite mantha ngati muli ndi chimodzi kapena ziwiri mwa zizindikirozi. Komabe, ngati zikupitirira kapena kuipiraipira, muyenera kufunsa upangiri wa dokotala.

Kodi zifukwa zake ndi ziti? N’chifukwa chiyani izi zimachitika?

Ndipotu, asayansi sakudziwabe chomwe chimayambitsa khansa . Koma kafukufuku watsopano akuchitidwa nthawi zonse kuti apeze. Chomwe tikudziwa ndichakuti maselo ena m'thupi lathu amasinthasintha modabwitsa , zomwe zimapangitsa kuti agawane mosalamulirika komanso abwerezedwe . Kafukufuku wapano akusonyeza kuti kusintha kwa maselo kumeneku kungayambire mu DNA yathu (majini) . Koma sitikudziwa chifukwa chake kusinthaku kumachitika, kapena nthawi yake.

Asayansi apeza kuti nthawi zambiri pamakhala zinthu zina zomwe zimayambitsa khansa. Amakhulupirira kuti zinthuzi zitha kukhala ndi gawo pakukula kwa matendawa. Mwachitsanzo, ngati mumakhala ndi poizoni m'chilengedwe , kapena ngati mumasuta kapena kumwa mowa pafupipafupi, muli ndi mwayi waukulu wopeza matendawa. Komabe, modabwitsa, 85% ya khansa ya m'mawere imachitika mwa anthu omwe alibe zinthu zomwe zimadziwika kuti ndi zoopsa .

Kodi matendawa amapezeka bwanji molondola?

Mukapita kwa dokotala, angayese kaye kuchiza vuto lanu ndi chithandizo chofanana ndi cha eczema . Ngati zimenezo sizikugwira ntchito, kapena ngati akukayikira kuti Paget's Disease of the Breast, angafunike kutenga chitsanzo cha minofu ya m'mawere ndikuyang'ana pansi pa maikulosikopu. Ma cell a Paget amadziwikiratu mosavuta mwanjira imeneyi. Mwina adzachita biopsy ya punch . Izi zimaphatikizapo kuchotsa chidutswa chaching'ono cha minofu yozungulira pogwiritsa ntchito chida chodulira chozungulira (monga kuboola dzenje).

Mukapezeka ndi Paget's Disease of the Breast, dokotala wanu adzafuna kudziwa ngati muli ndi ductal carcinoma in situ ndipo, ngati ndi choncho, momwe yafalikira . Kuti achite izi, choyamba adzayang'ana minofu ya bere lanu pogwiritsa ntchito zithunzi . Mwachitsanzo , mammogram kapena ultrasound ya bere ikhoza kuchitidwa. Ngati malo okayikitsa apezeka, angakulangizeni kuti mutenge singano kuti mutenge chitsanzo cha minofu ya bere.

Kodi chimachiritsidwa bwanji?

Mankhwala amaphatikizapo opaleshoni ndipo nthawi zina njira zina zothandizira khansa .

Opaleshoni

Khansa iliyonse m'bere lanu iyenera kuchotsedwa opaleshoni. Komabe, kuchuluka kwa minofu yomwe yachotsedwa kumadalira matenda anu. Ngati muli ndi Paget's Disease of the Breast yokha, ndipo palibe zotupa zina, mungafunike opaleshoni yochepa yosunga bere . Izi zikutanthauza kuti dokotala wanu adzayesa kuchotsa minofu yokhayo yomwe yakhudzidwa. Iye adzachotsa nipple yanu, khungu lakuda lozungulira (areola), ndi minofu yaying'ono yozungulira .

Kutengera ndi momwe khansa yafalikira, dokotala wanu angakulangizeni kuti muchotse bere lonse . Ngati mukufuna, muthanso kuchitidwa opaleshoni yokonzanso bere pambuyo pake.

Chithandizo Chothandizira

Mukatha opaleshoni, mwina mudzapatsidwa mankhwala ena owonjezera kuti khansa isabwererenso. 'Machiritso othandizira' awa angaphatikizepo:

• Chithandizo cha radiation: Miyezi yamphamvu kwambiri imagwiritsidwa ntchito kuwononga maselo a khansa.
• Chemotherapy: Mankhwala amagwiritsidwa ntchito kupha maselo a khansa kapena kuwaletsa kukula.
• `Chithandizo cha mahomoni`:Mahomoni amathandiza khansa zina za m'mawere kukula. Mankhwalawa amaletsa mahomoni amenewo.
• Chithandizo cha Immunotherapy: Chimathandiza chitetezo cha mthupi lanu kumenyana ndi khansa.

Kodi matendawa angachiritsidwe kwathunthu?

Mwayi wopulumuka ku khansa ya m'mawere umadalira gawo la khansayo pamene yapezeka . Ngati muli ndi matenda a Paget a nipple, omwe amapezeka m'mawere okha, kapena ductal carcinoma in situ (gawo 0) , omwe sanafalikire kupitirira ducts za mkaka, chiyembekezo chanu ndi chabwino kwambiri . Anthu ambiri omwe amapezeka ndi kuchiritsidwa msanga m'matendawa amachira mokwanira . Komabe, khansa ya m'mawere ikafalikira, zimakhala zovuta kwambiri kuthana nayo.

Ndicho chifukwa chake ndikofunikira kwambiri kulabadira ngakhale kusintha pang'ono ndikupempha upangiri kwa dokotala.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muwona kusintha kulikonse m'mabere anu, kaya ndi kusintha kwa khungu kapena kusintha pansi pa khungu, nthawi zonse pitani kwa dokotala. Nthawi zambiri sizingakhale khansa, koma nthawi zonse ndibwino kupita kukayezetsa . Ngati muli ndi zizindikiro monga eczema pa nipple kapena areola kapena kuzungulira nipple, ndipo mwayesa kudzichiza nokha koma sizikuthandiza , konzani nthawi yoti mukaone dokotala kuti akakuyezeninso.

Kodi mumadzisamalira bwanji ngati muli ndi matendawa?

Chinthu chabwino kwambiri chomwe mungachite nokha ndikuyamba kulandira chithandizo mwachangu momwe mungathere . Koma, mufunikanso thandizo . Osachepera , pezani munthu amene mumamudalira kuti mulankhule naye, pitani ku nthawi yanu yokumana, kapena muthandize ntchito zapakhomo.

Bweretsani mndandanda wa mafunso oti mufunse dokotala, ndipo khalani okonzeka kulemba zomwe zanenedwa, kapena pemphani wina kuti akulembereni. Nonse awiri mutha kuziwerenganso pambuyo pake.

Ndikofunikanso kukhala olimba m'maganizo nthawi ngati iyi. Chitani zinthu zomwe zimakutonthozani, lankhulani ndi abale ndi abwenzi, ndikupempha uphungu ngati pakufunika kutero.

Kodi pali kugwirizana pakati pa matenda a Paget a m'mawere ndi matenda ena a 'Paget'?

Funso limene anthu ambiri amafunsa ndi ili. Sir James Paget, dokotala wa opaleshoni wa ku England kumapeto kwa zaka za m'ma 1800, anapeza zinthu zingapo zachipatala. Pali matenda angapo omwe amatchedwa dzina lake, koma si onse omwe ali okhudzana .

Mwachitsanzo, `Matenda a Paget a mafupa` ndi matenda a mafupa omwe si a khansa. Sichikugwirizana ndi matenda a Paget a m'mawere.

Koma,Palinso khansa ina yosowa kwambiri yotchedwa `extramammary Paget's disease` (EMPD), yomwe ndi yofanana pang'ono ndi khansa ina.

Matenda a Paget a m'mawere amadziwika ndi kukhalapo kwa maselo a khansa pakhungu la nipple omwe amatha kuwoneka pogwiritsa ntchito maikulosikopu. Amatchedwa maselo a Paget chifukwa Paget ndiye amene anawafotokoza koyamba. Matenda a Extramammary Paget's disease (EMPD) alinso ndi maselo a Paget awa. Alinso ndi ziphuphu zofanana, koma sizili pa nipple, koma pa ziwalo zoberekera . Ngakhale kuti matenda awiriwa ndi ofanana, ndi matenda osiyana . Samachitika limodzi.

Uthenga Wopita Nawo Kunyumba

Chabwino, nazi zina mwa zinthu zofunika kwambiri zomwe takambirana lero kuti zikuthandizeni kukumbukira:

• Matenda a Paget a m'mawere ndi khansa yoyambirira ya m'mitsempha ya mkaka m'mabele . Nthawi zina, imatha kutsagana ndi khansa ya m'mawere yoopsa kwambiri.
• Mungaone kusintha kwa nipple yanu, monga chotupa chotupa, khungu lotuluka, madzi otuluka, kapena chilonda chomwe sichichira .
• Mukazindikira izi mwachangu ndikuchitapo kanthu, zotsatira zanu zimakhala zabwino.
• Anthu ambiri amachira kwathunthu , koma zingafunike opaleshoni kuti achotsedwe .
• Ngati muwona kusintha kulikonse kwachilendo m'mabere anu, makamaka m'mabere anu, ndi bwino kufunafuna upangiri wa dokotala popanda kuwononga nthawi .

Tikukhulupirira kuti mwadziwitsidwa ndi izi. Khalani ndi thanzi labwino!

Khansa ya m'mawere , matenda a Paget, zizindikiro za nipple, thanzi la mabere, thanzi la akazi, kuzindikira khansa, chithandizo cha khansa