Kodi munayamba mwaonapo kuti khungu la mabere anu nthawi zina limawoneka mosiyana pang'ono, ngati khungu la lalanje lokhala ndi mabowo ang'onoang'ono komanso mawonekedwe okhwima? Mu zamankhwala, timatcha izi 'Peau D'Orange' (peau-d'orange). Mu Chifalansa, izi zikutanthauza "khungu la lalanje". Chofunika kwambiri ndichakuti ichi si matenda. Komabe, chikhoza kukhala chizindikiro cha vuto lina lomwe limayambitsa matenda m'thupi. Chifukwa chake, ndikofunikira kwambiri kudziwa izi komanso osachita mantha nazo.
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Kodi n’chiyani kwenikweni chimayambitsa khungu la mapeyala a lalanje (Peau D'Orange)?
Mwachidule, chifukwa chachikulu cha izi ndi kutupa komwe kumachitika chifukwa cha madzi omwe amasonkhana pansi pa khungu. Madokotala amatchanso izi (Edema). Tangoganizirani, madzi akamadzaza pansi pa khungu, gawo lapamwamba la khungu (timalitcha epidermis) limayamba kutambasuka kuti lipange malo. Koma ma pores pakhungu lathu omwe amalola thukuta kutuluka amasungidwa ndi khungu, ngati mabatani pa pilo. Pamenepo ndi pomwe pamwamba pa khungu limawoneka ngati ma dimples ang'onoang'ono kapena ma bumps .
Vutoli likhoza kutsagana ndi ululu, kulemera, ndi kutupa m'mawere. Nthawi zina, bere limatha kuoneka louma komanso lokhuthala, ngati chikopa, likakhudzidwa.
Kodi nthawi zonse izi ndi khansa? Kodi ndiyenera kuda nkhawa?
Ayi. Ichi ndi chinthu choyamba kumvetsetsa. Pali zifukwa zambiri zomwe minofu ya m'mawere imatha kutupa, kufiira, kuuma, kapena kupweteka. Mwachitsanzo, panthawi ya mimba, kuyamwitsa, panthawi ya msambo , kapena chifukwa cha mavuto a khungu wamba. Komabe, mawonekedwe enieni otchedwa Peau D'Orange, kutanthauza, mawonekedwe ozungulira a khungu la lalanje, amapezeka pamene madzi akuchulukana (edema) pansi pake.
Komabe, chifukwa chachikulu chomwe tiyenera kuda nkhawa nacho kwambiri ndi matenda otchedwa Inflammatory Breast Cancer (IBC) .
Uwu ndi mtundu wa khansa wosowa kwambiri koma umafalikira mofulumira kwambiri, choncho ndikofunikira kwambiri kudziwa za khansayi.
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Ngakhale kuti khansa yamtunduwu ndi yochepa kwambiri (yochepera 5%) ya khansa zonse za m'mawere zomwe zimapezeka ku Sri Lanka, koma imafuna chithandizo chachangu .
Mu IBC, maselo a khansa amatseka mitsempha ya lymph pakhungu la bere. Izi zimalepheretsa madzi a lymphatic kuyenda bwino kuchokera ku lymph nodes pansi pa kwapa kapena pamwamba pa collarbone, zomwe zimapangitsa kuti adziphatikize mkati mwa bere. Kuchulukana kwa madzi kumeneku ndi komwe kumayambitsa mawonekedwe a 'peau d'orange'.
Samalani zizindikiro izi, zomwe nthawi zambiri zimawonekera mwachangu m'bere limodzi lokha.
| Zizindikiro Zina za IBC |
|---|
| * Ululu, dzanzi, ndi kuyabwa. |
| * Kukulitsa bere kapena kumva kulemera. |
| * Kumva kutentha m'mawere. |
| * Kutupa koonekeratu. |
| * Kufiira kwa bere loposa gawo limodzi mwa magawo atatu. |
| * Ma nipples opindika kapena opindika. |
Njira zochiritsira za IBC zimatsimikiziridwa ndi dokotala kutengera momwe wodwalayo alili. Zingaphatikizepo:
- Mankhwala a Chemotherapy
- Opaleshoni - Nthawi zambiri bere lonse limayenera kuchotsedwa.
- Chithandizo cha radiation
- Chithandizo cholunjika
- Chithandizo cha mahomoni
Kodi pali zifukwa zina ziti kupatula khansa?
Monga tafotokozera kale, chifukwa chachikulu cha kuoneka kwa Peau D'Orange ndi kuchulukana kwa madzi pansi pa khungu (Edema). Vuto la Edema limeneli limatha kuchitika pazifukwa zambiri, osati khansa yokha.
Chitsanzo ndi matenda otchedwa Lymphedema . Izi zimachitika pamene madzi a m'thupi satuluka bwino ndipo amasonkhana pamalo amodzi. Matendawa amathanso kuchitika pambuyo polandira chithandizo cha khansa ya m'mawere (opaleshoni, chithandizo cha radiation). Angachitikenso pazifukwa zina.
| Matenda ena omwe si a khansa omwe angayambitse kuoneka kwa Peau D'Orange |
|---|
| * Kutsekeka kapena matenda a misempha ya mkaka (Mastitis) |
| * Matenda a minofu yolumikizana (monga Scleroderma, Sarcoidosis) |
| * Matenda ena a m'mawere (Matenda) |
| * Kulephera kwa mtima |
| * Matenda a chithokomiro |
| * Zotsatirapo za mankhwala ena ochepetsa ululu kapena kuthamanga kwa magazi |
| * Kuyankha kwa ziwengo |
| * Magazi amaundana |
| * Mimba |
| * Ziphuphu zina zopanda khansa (Tumors) kupatula IBC |
Ngati kutupa kumachitika chifukwa cha chifukwa chonga ichi, kuwonjezera pa kutupa, muthanso kukumana ndi zizindikiro monga dzanzi, kulimba kwa khungu, komanso kukhuthala kwa khungu . Zikatero, dokotala wanu adzayesa kaye kuchiza chomwe chimayambitsa vutoli.
Kuphatikiza apo, kusintha zakudya , kuchita masewera olimbitsa thupi , kuchepetsa thupi , ndipo, ngati pakufunika , mankhwala ochepetsa mphamvu ya okodzetsa kapena mapiritsi amadzi angaperekedwe.
Kodi muyenera kuchita chiyani ngati muwona chizindikiro chonga ichi?
Iyi ndi gawo lofunika kwambiri. Ngati muwona mabala, kutupa, kufiira, kupweteka, kapena kusintha kwina kulikonse kwachilendo pakhungu la bere lanu, chonde musachite mantha. Koma musanyalanyazenso.
Chinthu choyamba komanso chofunikira kwambiri chomwe muyenera kuchita ndikuwonana ndi dokotala wanu mwachangu ndikupita kuchipatala.
M'malo mofufuza zambiri pa intaneti ndikuchita mantha, njira yabwino ndiyo kupita kwa dokotala woyenerera. Dokotala wanu adzakuyang'anirani ndipo, ngati kuli kofunikira, adzakutumizirani kuti mukayesedwe mayeso monga ultrasound scan, mammogram, kapena biopsy kuti adziwe chomwe chimayambitsa vutoli. Kumbukirani, kuzindikira msanga kumawonjezera mwayi wopeza chithandizo chabwino cha matenda aliwonse.
Uthenga Wopita Nawo Kunyumba
- Peau D'Orange (khungu la mapesi a lalanje) si matenda, koma chizindikiro cha vuto linalake.
- Ngakhale chifukwa chachikulu cha izi ndi Inflammatory Breast Cancer (IBC), pakhoza kukhala zifukwa zina zingapo zomwe sizili za khansa, kuphatikizapo matenda, mimba, ndi zina zambiri.
- Ngati muwona kusintha kulikonse pakhungu la bere lanu, monga kutupa, kufiira, kapena kupweteka , musazengereze ndipo funsani upangiri wa dokotala nthawi yomweyo.
- M'malo mochita mantha ndi kufunafuna zambiri pa intaneti, ndi bwino kupita kwa dokotala kuti mudziwe chifukwa chenicheni.
- Kuzindikira msanga kumawonjezera mwayi wochiza matenda aliwonse.
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