Kodi muli ndi chotupa ngati ichi m'bere mwanu? Tiyeni tikambirane za Phyllodes Tumor!

Kodi munayamba mwamvapo chotupa m'bere mwanu ndipo munadzifunsa kuti, "Kodi ichi ndi chiyani?"? Ndi chofala kwambiri. Si zotupa zonse zomwe ndi zoopsa. Komabe, lero tikambirana za mtundu wosowa wa chotupa cha m'mawere chomwe aliyense ayenera kudziwa. Ichi ndi chomwe timachitcha `Phyllodes Tumor` kapena Phyllodes tumor.

Kodi chotupa cha Phyllodes n'chiyani? Tiyeni timvetse bwino!

Mwachidule, chotupa cha phyllodes ndi mtundu wosowa wa chotupa chomwe chimayamba m'minofu yolumikizana m'bere lanu. Tsopano mwina mukudabwa kuti, "Kodi minofu yolumikizana iyi ndi chiyani?" Nthawi zambiri tikamaganizira za mabere, timaganiza za minofu yamafuta yomwe imapanga kukula kwa mabere kapena minofu ya glandular yomwe imapanga mkaka, sichoncho? Minofu yolumikizana ndi minofu yokhala ndi ulusi yomwe imagwirizanitsa mitundu yonse iwiri ya minofu ndikugwira ntchito ngati chothandizira. Ili ngati makoma a nyumba, kuthandiza kuti zinthu zikhale bwino.

Apa ndi pomwe zotupa za Phyllodes zimapangidwira. Zimakhala zolimba, zokhala ndi ulusi, komanso ngati zipsera. Zikayang'aniridwa ndi maikulosikopu, zimafanana ndi tsamba. Dzinali limachokera ku liwu lachi Greek "phyllon," lomwe limatanthauza "tsamba." Nthawi zina amatchedwa cystosarcoma phyllodes. Nthawi zambiri, zotupa izi zimakhala zopanda khansa, kapena sizimayambitsa khansa. Komabe, nthawi zina, zimatha kukhala zotupa, kapena khansa.

Kotero, kodi khansa ya phyllodes ndi khansa?

Vutoli ndi lomwe anthu ambiri ali nalo. Mwina ayi! Pafupifupi 75% ya ma cysts a phyllodes si khansa. Izi zikutanthauza kuti si owopsa. Komabe, pafupifupi 25% akhoza kukhala khansa. Ma cysts a phyllodes awa ndi ochepa kwambiri mwa khansa zonse za m'mawere, pafupifupi 0.05%.

Izi ndi za mtundu wa khansa wotchedwa `sarcoma`. Sarcoma ndi khansa yomwe imayamba m'minofu yolumikizana. Izi ndi zosiyana ndi mitundu ya khansa ya m'mawere yomwe timaiona nthawi zambiri. Chifukwa khansa yofala ya m'mawere nthawi zambiri imayamba m'minofu ya glandular monga ma ducts a mkaka ndi ma lobules.

Chinthu chimodzi chapadera cha zotupa za phyllodes ndichakuti nthawi zambiri sizimafalikira mosavuta kudzera mu dongosolo la lymphatic. Izi zikutanthauza kuti sizimafalikira mwachangu ku ziwalo zina za thupi monga khansa zina. Komabe, sizimafalikira kawirikawiri (metastasize) kudzera m'magazi kupita ku ziwalo zina za thupi, monga mapapo kapena mafupa. Koma zimenezonso sizimachitika kawirikawiri.

Kawirikawiri, izi zimachizidwa kokha pamalo pomwe pali chotupacho. Nthawi zambiri, chimatha kuchiritsidwa ndi opaleshoni yosavuta yotchedwa lumpectomy, yomwe imachotsa chotupacho chokha. Zotupa za phyllodes sizimayankha bwino mankhwala a thupi lonse, monga chemotherapy, yomwe imagwiritsidwa ntchito pa khansa zina za m'mawere.

Ndani amene ali ndi mwayi waukulu wokhala ndi ma phyllodes cysts?

Matenda a phyllodes cysts ndi omwe amachititsa zotupa zosakwana 1% ya khansa yonse ya m'mawere. Izi zikutanthauza kuti ndi osowa kwambiri. Amapezeka kwambiri m'mawere a akazi. Komabe, nthawi zambiri, zanenedwa kuti amapezeka mwa amuna.

Ngakhale kuti zotupa zimenezi zimatha kufalikira pa msinkhu uliwonse, zimapezeka kwambiri mwa akazi azaka zapakati, azaka zapakati pa 40 ndi 50. Zapezekanso kuti anthu omwe ali ndi vuto la majini lotchedwa Li-Fraumeni syndrome, lomwe limawonjezera chiopsezo cha khansa, ali ndi mwayi waukulu wopeza zotupa za phyllodes.

Kodi zizindikiro za chotupa cha phyllodes ndi ziti? Kodi mumachizindikira bwanji?

Mungaone chotupa cholimba, chosalala, komanso chodziwika bwino m'mawere anu. Chotupa cha phyllodes nthawi zambiri chimakhala chachikulu kuposa masentimita atatu, ndipo nthawi zina chimakhala chachikulu kwambiri. Chodabwitsa n'chakuti, chotupachi chimatha kukula mofulumira pakapita nthawi yochepa, nthawi zambiri milungu ingapo .

Pamene chotupacho chikukula, khungu m'dera limenelo likhoza kunyezimira, kuwala, kapena kupweteka pamene chotupacho chikufalikira. Ngakhale kuti chifukwa chenicheni sichikudziwika, akuti zotupa za phyllodes izi zimapezeka kwambiri m'mawere akumanzere kuposa kumanja.

Chofunika: Ngati mwapeza chotupa chatsopano m'bere mwanu, mukumva kuti chikukula mofulumira, kapena mukuona kusintha kwa khungu lanu, onetsetsani kuti mwaonana ndi dokotala.

Ngati chotupa cha phyllodes chili ndi khansa (yoopsa), zizindikiro zina zingawonekere limodzi ndi zizindikiro izi. Mwachitsanzo:

• Kutopa
• Kupuma movutikira
• Kupweteka kwa mafupa

Zizindikiro ngati izi zikutanthauza kuti khansayo mwina yafalikira mpaka m'mafupa kapena m'mapapo. Choncho muyeneranso kusamala ndi zinthu izi.

Kodi matenda a Phyllodes Tumors amawapeza bwanji?

Mukapita kwa dokotala, mwina adzachita kaye mayeso a nthawi zonse a ziphuphu za m'mawere, monga ultrasound scan ndi mammogram, kuti atsimikizire kuti izi si ziphuphu zina.

Komabe, kuti tisiyanitse chotupa cha phyllodes ndi mtundu wina wa chotupa cha m'mawere chotchedwa fibroadenoma, nthawi zambiri pamafunika biopsy. Fibroadenoma ndi chotupa chosaopsa chomwe chimapangika m'minofu yolumikizana. Nthawi zina zimakhala zovuta kusiyanitsa ziwirizi ndi ma scan okha.

Kuyeza magazi m'mawere ndi pamene dokotala wanu amatenga minofu yaying'ono kuchokera m'mawere anu n'kuitumiza ku labu kuti akaione pogwiritsa ntchito maikulosikopu. Izi nthawi zambiri zimachitika pogwiritsa ntchito makina ojambulira ultrasound ndi singano yapadera yopanda kanthu. Sizipweteka kwambiri.

Nthawi zina, ngati chitsanzo cha minofu chomwe chatengedwa motere chikuvuta kuchipeza, dokotala wanu angakupatseni lingaliro la "excision biopsy". Izi zikutanthauza kuti chotupa chonsecho chimachotsedwa ndikuyang'aniridwa ndi opaleshoni. Ndipotu, iyi ndi njira yomwe madokotala amalangiza ngati muli ndi chotupa cha phyllodes. Biopsy iyi ingakuuzeni mtundu weniweni wa chotupacho, kaya ndi khansa kapena ayi. Ngati ndi khansa, ingagwiritsidwenso ntchito kuwona ngati chafalikira ku ziwalo zina za thupi.

Kodi pali kusiyana kotani pakati pa chotupa cha Phyllodes ndi Fibroadenoma?

Funso ili ndi lofunika kwambiri. Chifukwa, `Fibroadenoma` ndi mtundu wofala kwambiri wa chotupa chosaopsa chomwe chimapezeka m'bere. Izi zimapangidwanso m'minofu yolumikizirana ya bere. Chifukwa chake, nthawi zina zimakhala zovuta kusiyanitsa pakati pa ziwirizi kudzera mu mayeso azachipatala, ngakhale kusanthula.

Ma fibroadenoma si owopsa. Komabe, nthawi zambiri samasintha kukhala mitundu ina ya zotupa. Madokotala ena amakhulupirira kuti nthawi zina ma fibroadenoma amatha kukhala zotupa za phyllodes.

Ndikofunikira kwambiri kuti dokotala wanu adziwe ngati chotupa chanu ndi fibroadenoma kapena chotupa cha phyllodes. Chifukwa mitundu iwiri ya chotupa imachita mosiyana, madokotala amachichiza mosiyana. Ma fibroadenoma nthawi zambiri amakhalabe chimodzimodzi kapena amachepa pakapita nthawi. Komabe, zotupa za phyllodes, ngakhale kuti sizabwino, zimatha kukula mwachangu ndikupangitsa kupweteka. Chifukwa chake, nthawi zambiri zimachotsedwa msanga kuti zipewe mavuto amtsogolo.

Kodi ma cysts a phyllodes amafunikadi kuchotsedwa?

Inde, ndicho chimene madokotala amalangiza. Ngakhale chotupacho chitakhala chopanda vuto, ndi bwino kuchichotsa. Kuchotsa chotupa cha benign phyllodes kungathandize kuti chisakule, chisapweteke kwambiri, kapena chisadzakhale khansa mtsogolo. Popeza zotupazi zimatha kukula ndikusintha mwachangu, n'kosavuta kwa inu ndi dokotala wanu kuzichotsa zonse nthawi imodzi kusiyana ndi kuchitidwa opaleshoni mobwerezabwereza.

Zotupa zonse ziwiri za phyllodes zosaopsa komanso zowopsa zimachiritsidwa ndi opaleshoni yochotsa lumpectomy. Izi zimaphatikizapo kuchotsa chotupacho pamodzi ndi minofu yathanzi (mbali) yozungulira. Minofu yathanzi iyi imachotsedwa kuti chotupacho chisabwererenso pamalo omwewo (kubwereranso), chifukwa mitundu yonse iwiri ya zotupa imatha kubwereranso.

Ngati chotupa chanu chili choipa, dokotala wanu angakulangizeninso kuti mugwiritse ntchito mankhwala ochizira khansa ya m'mawere mutachita opaleshoni kuti muwononge maselo otsala a khansa ndikuletsa khansayo kuti isabwererenso.

Kodi zotupa za malignant phyllodes zingachiritsidwe?

Inde, imatha kuchiritsidwa.Ngati khansa yachotsedwa kwathunthu, opaleshoni imatha kuichiritsa. Izi nthawi zambiri zimakhala zosavuta kuchita ngati khansayo sinafalikire kupitirira chotupa choyambirira. Khansa ikafalikira ku ziwalo zina za thupi (khansa yofalikira), zimakhala zovuta kwambiri kupeza ndikuchotsa maselo onse a khansa. Khansa zina zomwe zafalikira zimachiritsidwa ndi mankhwala a chemotherapy a thupi lonse. Komabe, monga tanenera kale, chithandizochi sichigwira ntchito bwino pa zotupa za phyllodes.

Ngakhale khansayo ikuwoneka kuti yatha, imatha kubwereranso. Ma cysts onse a benign ndi malignant phyllodes amatha kumera zaka zambiri atachotsedwa. Ngati izi zitachitika, chotupa chatsopano nthawi zambiri chimatha kuchiritsidwa pochotsa ndi minofu yambiri yathanzi kuposa yoyamba. Komabe, pafupifupi 30% ya anthu omwe ali ndi ma cysts a cancer phyllodes m'mawere adzafa ndi matendawa. Chifukwa chake, ndikofunikira kudziwa izi ndikutsatira malangizo a dokotala wanu.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri zokhudza mtedza wa phyllodes. Nazi zinthu zofunika kwambiri zomwe mungaphunzire kuchokera munkhaniyi:

• Matenda a phyllodes ndi mtundu wosowa kwambiri wa khansa ya m'mawere.
• Ngati mwapeza chotupa m'bere mwanu, musachite mantha ndipo pitani kwa dokotala. Ngakhale chikhale chotupa cha phyllodes, kuchichotsa nthawi zambiri kumathetsa vutoli.
• Dokotala apitiliza kukuyang'anirani nthawi zonse kuti aone ngati chotupacho chakulanso.
• Pali chinthu chomwe muyenera kuchita: kuwunika mabere anu nthawi zonse ('kudziyesa nokha mabere').
• Mukazindikira msanga ziphuphu, zotsatira zake zimakhala zabwino.

Musaiwale: Mumadziwa bwino thupi lanu. Ngati muwona kusintha kulikonse kapena chilichonse chachilendo, sikuchedwa kulankhula ndi dokotala za izi. Kukhala ndi thanzi labwino ndiye chinthu chofunikira kwambiri!

Chotupa cha phyllodes, ma cysts a m'mawere, khansa ya m'mawere, ma cysts a phyllodes, fibroadenoma, opaleshoni ya m'mawere, kudziyesa wekha m'mawere