Nthawi zambiri, tikamamva chotupa m'mawere mwathu, timachita mantha nthawi yomweyo, eti? Chinthu choyamba chomwe chimabwera m'maganizo ndi mantha akuti mwina ndi khansa. Komabe, si zotupa zonse zomwe zimapangika m'mawere zomwe ndi khansa. Lero, tikambirana za mtundu wa chotupa chomwe chimapangika m'mawere, chomwe sichipezeka kawirikawiri, koma ndikofunikira kwambiri kuti tidziwe. Ichi ndi chomwe timachitcha Phyllodes Tumors.
Kodi Phyllodes Tumors ndi chiyani?
Mwachidule, Phyllodes Tumor ndi mtundu wosowa kwambiri wa chotupa cha m'mawere. Chimawerengera zochepera 1% za zotupa zonse za m'mawere. Choncho zimenezo zokha zikusonyeza momwe zimakhalira zosowa. Zotupa zimenezi zimayambira mu minofu yolumikizana ya m'mawere.
Mawu achigiriki akuti “phyllodes” amatanthauza ‘ngati tsamba.’ Ma tinthu tating’onoting’ono timeneti timatchedwa choncho chifukwa timakhala ngati tsamba pamene tikukula.
Mabowo awa amagawidwa m'mitundu itatu ikuluikulu.
| Mtundu wa Chotupa | Kufotokozera kosavuta |
|---|---|
| Chosavulaza (chosayambitsa khansa) | Awa si maselo a khansa. Ambiri, kutanthauza mtundu wofala kwambiri, ndi a mtundu uwu. Palibe chodetsa nkhawa kwambiri. |
| Mzere wa Malire | Uwu ndi matenda apakati omwe ali ndi zizindikiro za khansa komanso zomwe sizili khansa. |
| Khansa (yoopsa) | Izi ndi mitundu yomwe ili ndi maselo a khansa, koma ndi ochepa okha, pafupifupi 25%, mwa zotupa zonse za Phyllodes zomwe zili mumtunduwu. |
Mitundu yonseyi ya zotupa imatha kukula. Koma nkhani yabwino ndi yakuti sizifalikira kawirikawiri ku ziwalo zina za thupi. Ngakhale zitachotsedwa opaleshoni, pali mwayi wochepa woti zidzakulanso.
Kodi zizindikiro za izi ndi ziti?
Chotupa cha Phyllodes nthawi zambiri chimamveka ngati chotupa chosalala komanso chosapweteka m'bere. Mungachimve nokha, kapena dokotala angachione mukachiyang'ana.
Chinthu chapadera kwambiri pa ziphuphuzi ndichakuti zimatha kukula mofulumira kwambiri . Tangoganizirani, zimatha kukula mpaka pafupifupi masentimita atatu (kupitirira inchi imodzi) m'masabata kapena miyezi ingapo. Ngakhale ziphuphu zosavulaza zimakula mofulumira. Pamene chotupacho chikukula, nthawi zina chimaoneka ngati chikutuluka pamwamba pa khungu, ndipo nthawi zina chimamveka ngati khungu likukoka. Nthawi zambiri, chilonda chingapangidwe pamwamba pa khungu.
Zomwe zimayambitsa ndi zoopsa za Phyllodes Tumors
Choyambitsa chenicheni cha zotupazi sichinadziwikebe. Komabe, zapezeka kuti akazi omwe ali ndi vuto la majini losowa lotchedwa Li-Fraumeni syndrome ndi omwe ali ndi mwayi waukulu wopeza matendawa. Ndi osowa kwambiri mwa amuna.
Ngakhale akazi a msinkhu uliwonse amatha kukhala ndi ziphuphu zimenezi, zimapezeka kwambiri mwa akazi azaka za m'ma 40.
Chofunika kwambiri ndichakuti ngati muli ndi chotupa cha Phyllodes chomwe sichili ndi khansa (chosaopsa), sichikuwonjezera chiopsezo chanu chokhala ndi khansa ya m'mawere mtsogolo.
Kodi mungadziwe bwanji ngati iyi ndi Phyllodes Tumor?
Pali mayeso angapo omwe angachitike kuti atsimikizire ngati chotupa m'bere mwanu chili cha mtundu uwu. Dokotala wanu adzakutumizani kuti mukayesedwe.
| Mayeso | Kodi chidzachitike n’chiyani ndi zimenezo? |
|---|---|
| Mammogram | Izi zipereka chithunzi chomveka bwino cha chotupacho. Chotupa cha Phyllodes nthawi zambiri chimawoneka chozungulira kapena chozungulira chokhala ndi malire omveka bwino. |
| Kujambula kwa Ultrasound | Izi zimathandizanso kuona bwino mawonekedwe, malire, ndi momwe mkati mwa chotupacho mulili. |
| Kufufuza kwa Singano Yaikulu | Apa, dokotala amaika singano yaying'ono mu chotupacho, amatenga chidutswa chaching'ono cha minofu, ndikuchiyang'ana pansi pa maikulosikopu kuti aone ngati pali maselo aliwonse a khansa. |
| Kuchotsa zilonda (Excisional Biopsy) | Iyi ndi njira yotsimikizika kwambiri. Anthu ambiri ayenera kuchita izi kuti atsimikizire kuti ali ndi matendawa. Apa, amachita opaleshoni kuti achotse chotupa chonsecho ndikuchiyang'ana. Pokhapokha tinganene motsimikiza 100% ngati ndi chotupa, chosaopsa, kapena chokhazikika. |
Kodi mankhwala ochizira izi ndi otani?
Kaya chotupa cha Phyllodes ndi cha mtundu wanji, ngakhale chitakhala chosakhala cha khansa (chosaopsa), chiyenera kuchotsedwa ndi opaleshoni. Izi ndizofunikira kwambiri. Ngati chotupacho ndi cha khansa (choopsa), chithandizo chowonjezera chingafunike.
Opaleshoni
MakamakaPali mitundu ingapo ya opaleshoni .
- Opaleshoni Yochotsa Matumbo Pang'ono: Pachifukwa ichi, chotupacho chimachotsedwa pamodzi ndi minofu yaing'ono ya bere yozungulira. Izi zimachitika kuti chotupacho chisamerenso m'dera lomwelo.
- Kuchotsa Lumpectomy: Ukunso ndi kuchotsa lumpectomy. Apa, chotupacho chimachotsedwa pamodzi ndi minofu yathanzi yozungulira pafupifupi sentimita imodzi. Pambuyo pa opaleshoni, katswiri (katswiri wa matenda) amayang'ana minofu yochotsedwayo pogwiritsa ntchito maikulosikopu. Izi zitha kutsimikizira ngati chotupacho chachotsedwa kwathunthu.
- Kuchotsa Mastectomy: Opaleshoni iyi imachitika ngati chotupacho ndi chachikulu kwambiri, chokhala ndi khansa (choopsa), kapena ngati bere ndi laling'ono kwambiri moti silingachotsedwe mosavuta ndi opaleshoni ya lumpectomy. Apa, gawo la bere kapena bere lonse limachotsedwa. Ngati pakufunika, opaleshoni yokonzanso bere ikhoza kuchitika nthawi imodzi kapena pambuyo pake.
Nkhani yabwino ndi yakuti zotupa za Phyllodes sizimafalikira kawirikawiri ku ma lymph nodes omwe ali m'khwapa, kotero nthawi zambiri sizifunika kuchotsedwa.
Ma radiation kapena chemotherapy
Ngati muli ndi chotupa cha Phyllodes choipa ndipo sichinafalikire kupitirira bere, dokotala wanu angakulangizeni chithandizo cha radiation . Nthawi zina chotupacho chikafalikira kupitirira bere, chemotherapy ingaperekedwenso.
Kodi chimachitika ndi chiyani mukalandira chithandizo? (Kutsatira)
Popeza kuti zotupa zimenezi zimatha kubwereranso, kutsatira bwino dokotala pambuyo pa opaleshoni n’kofunika kwambiri.
- Pakatha miyezi 4-6 mutachita opaleshoni, muyenera kupita kwa dokotala wanu kuti akakupime mabere, akakupime mammogram, komanso akakupime ndi ultrasound. Dokotala wanu angakulangizeninso kuti mupite ku MRI .
- Ndikofunikira kuchita mammogram ndi/kapena ma ultrasound pa nthawi yake, malinga ndi nthawi yomwe dokotala wanu wakupatsani.
- Ngati munali ndi chotupa cha khansa (choopsa) , mungafunikenso kuyesedwa pachifuwa ndi m'mimba mwanu kwa zaka pafupifupi 5 mutachita opaleshoni.
Ndiye, kodi tiyenera kuopa mkhalidwewu?
Zotsatira zake pambuyo pochotsa chotupa chomwe sichili ndi khansa (chosaopsa) ndi zabwino kwambiri . Palibe choopa.
Ngakhale zotupa zoopsa zimatha kuchiritsidwa kwathunthu ndi chithandizo. Komabe, zimatha kubwereranso. Ngakhale sizingafalikire kumadera ena, monga mapapo, akazi omwe ali ndi zotupa za khansa za Phyllodes amakhala ndi moyo wautali kwambiri . Chifukwa chake, ndikofunikira kuti musachite mantha ndikutsatira malangizo a dokotala molondola.
Uthenga Wopita Nawo Kunyumba
- Matenda a phyllodes ndi mtundu wosowa wa chotupa chomwe chimapangika m'mawere. Ambiri mwa iwo si khansa.
- Ziphuphu zimenezi zimatha kukula mofulumira kwambiri, choncho ngati muwona chophuphu chikukulirakulira mofulumira m'bere lanu, pitani kwa dokotala nthawi yomweyo.
- Ndizotheka kudziwa bwinobwino ngati ichi ndi chotupa cha Phyllodes pambuyo poti chotupacho chachotsedwa ndi kufufuzidwa ndi opaleshoni (biopsy).
- Ngakhale kuti chotupachi si khansa (chosaopsa), chiyenera kuchotsedwa opaleshoni.
- Pambuyo pa opaleshoni, ndikofunikira kuyesedwa kofunikira monga momwe dokotala wanenera, chifukwa izi zitha kuchitikanso.
- Ngakhale chitakhala chotupa cha khansa, zotsatira zake zimakhala zabwino kwambiri mukalandira chithandizo choyenera. Choncho musachite mantha.
Phyllodes Tumor Sinhala, ziphuphu za m'mawere, khansa ya m'mawere, chotupa cha m'mawere , chotupa cha Phyllodes, opaleshoni ya m'mawere, mammogram
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