Kodi pali kusintha kwa khungu pa nipple yanu? Tiyeni tiphunzire za Matenda a Paget a m'mawere

Kodi mwaonapo kufiira pang'ono, kuyabwa, kapena kutsekeka kwa nsonga za mabere anu posachedwapa? Mungaganize kuti ndi vuto lofala pakhungu, monga eczema. Lingathe kutha popanda chithandizo. Koma musangonyalanyaza ngati vuto laling'ono, tikulankhula za vuto losowa lotchedwa khansa ya m'mawere lomwe muyenera kulisamala nalo.

Mwachidule, kodi matenda a Paget a m'mawere ndi chiyani?

Matenda a Paget a m'mawere ndi khansa yosowa kwambiri yomwe imapezeka pakhungu lozungulira nipple yanu. Imakhala pakati pa 1% ndi 4% ya khansa zonse za m'mawere. Apa ndi pamene maselo a khansa amakula pamwamba pa khungu la nipple.

Chofunika kwambiri n'chakuti, anthu ambiri omwe ali ndi matenda a Paget (oposa 90%) alinso ndi mtundu wina wa khansa womwe unayamba m'bere lomwelo. Ikhoza kukhala ductal carcinoma in situ (DCIS) , kapena khansa ya m'mawere yolowa m'malo mwake . Izi zikutanthauza kuti chizindikiro chooneka pakhunguchi chingakhale chizindikiro cha vuto lalikulu mkati.

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

Ngakhale kuti aliyense akhoza kudwala khansa ya m'mawere, pali zinthu zina zomwe zingawonjezere chiopsezo chake. Tiyeni tiwone zomwe zili.

• Zaka: Chiwopsezo chimawonjezeka pang'onopang'ono ndi zaka, makamaka munthu akakwanitsa zaka 50. Avereji ya zaka zomwe munthu amadwala matendawa ndi pafupifupi zaka 57.
• Jenda: Akazi ali ndi mwayi waukulu wopeza matendawa kuposa amuna.
• Mbiri ya banja: Ngati amayi anu, mlongo wanu, kapena mwana wanu wamkazi adadwalapo khansa ya m'mawere, muli pachiwopsezo chachikulu.
• Kusintha kwa majini: Anthu ena angalandire kusintha kwa majini monga `(BRCA1)` ndi `(BRCA2)` zomwe zimawonjezera chiopsezo cha khansa ya m'mawere.
• Kulemera kwambiri kwa thupi: Kunenepa kwambiri, makamaka pambuyo pa kusamba, ndi chinthu china chomwe chingayambitse mavuto.
• Kugwiritsa ntchito mowa: Kumwa mowa mopitirira muyeso kumawonjezera chiopsezo cha khansa ya m'mawere.
• Mabere Okhuthala: Ngati muli ndi minofu yambiri ya glandular m'mabere anu (izi zitha kuzindikirika ndi mammogram), izi zimawonjezeranso chiopsezo chanu.
• Chithandizo cha mahomoni: Kutenga mankhwala a mahomoni okhala ndi estrogen kwa nthawi yayitali mutatha kusamba kungapangitse chiopsezo.
• Chithandizo cha radiation: Ngati munalandira chithandizo cha radiation pachifuwa pazifukwa zilizonse muli ana kapena achinyamata, muli pachiwopsezo chachikulu chotenga khansa ya m'mawere mtsogolo.

Kodi zizindikiro za matenda a Paget ndi ziti? Kodi mumazindikira bwanji?

Zizindikiro za matendawa poyamba zimakhala zosaonekera kwenikweni. Ndicho chifukwa chake anthu ambiri samazinyalanyaza. Koma ndikofunikira kwambiri kudziwa zizindikirozi.

Tiyeni tiwone tebulo ili kuti tidziwe bwino zizindikiro izi.

Nthawi zambiri, matendawa amayamba m'chifuwa ndipo amafalikira kudera lakuda la khungu (areola) lozungulira.

Dokotala, mumazindikira bwanji izi?

Mukapita kwa dokotala yemwe ali ndi zizindikiro ngati izi, choyamba adzakuyang'anirani mosamala. Kenako, adzakulangizani mayeso angapo kuti adziwe matendawa bwinobwino.

Kuyezetsa kofunikira kwambiri ndi biopsy . Izi zimaphatikizapo kutenga chidutswa chaching'ono cha minofu kuchokera pakhungu la nipple ndikuchiyang'ana pansi pa maikulosikopu kuti muwone ngati chili ndi 'maselo a Paget'. Biopsy iyi ikhoza kuchitika m'njira zingapo:

• Kujambula pamwamba pa khungu: Chitsanzo chaching'ono cha maselo chimakokedwa pamwamba pa khungu.
• Kumeta: Chigawo chapamwamba cha khungu chimachotsedwa ndi chida chakuthwa.
• Kujambula kwa magazi:Chikopa chaching'ono chozungulira chimatengedwa ndi chida chozungulira.
• Kuchotsa minofu ya m'chiuno: Njira yaying'ono yochitira opaleshoni yochotsa minofu.

Popeza matenda a Paget nthawi zambiri amatsagana ndi khansa zina m'mawere, dokotala wanu adzayitanitsa mayeso ena kuti awonenso khansazo. Izi zingaphatikizepo:

• Mammogram: Kuwunika bere pogwiritsa ntchito X-ray.
• Ultrasound ya m'mawere: Kuyeza komwe kumagwiritsa ntchito mafunde a phokoso kuti apange chithunzi cha mkati mwa bere.
• Kujambula MRI ya M'mawere: Kuyeza komwe kumapereka chithunzi chomveka bwino komanso chatsatanetsatane cha bere.

Kodi mankhwala ochizira izi ndi otani?

Njira yochiritsira imatsimikiziridwa ndi gawo la matenda anu. Izi zikutanthauza kuti, dokotala adzasankha chithandizo chabwino kwambiri kutengera zinthu monga ngati muli ndi matenda a Paget okha, kapena ngati pali khansa ina m'mawere, komanso ngati yafalikira.

Kodi mungadziteteze bwanji ku mitundu iyi ya khansa?

Ngakhale kuti palibe njira yodzitetezera khansa 100%, tingachepetse chiopsezo chathu mwa kusintha moyo wathu.

• Khalani ndi kulemera koyenera.
• Kuchita masewera olimbitsa thupi nthawi zonse.
• Chepetsani kumwa mowa.
• Kafukufuku wina wasonyeza kuti kuyamwitsa ana kumachepetsanso chiopsezo cha khansa ya m'mawere.

Ngati muli ndi chinthu chimodzi kapena zingapo zomwe zingayambitse khansa ya m'mawere, ndikofunikira kwambiri kulankhula ndi dokotala wanu za izi ndikupeza upangiri wokhudza zinthu monga kuyezetsa magazi nthawi zonse.