Musaope Khansa ya M'mawere ya Gawo 0! Tiyeni tiphunzire tsatanetsatane.

Ngati mammogram yanu ikuwonetsa "maselo osazolowereka," ndi zachilendo kumva mantha komanso nkhawa. "Kodi khansa iyi ndi iti? Kodi chidzachitike ndi chiyani pa moyo wanga?" Mwina mukudabwa. Koma musachite mantha. Mwina sizingakhale zovuta monga momwe mukuganizira. Nthawi zambiri, iyi ndi nthawi yoyambirira ya khansa ya m'mawere, yomwe imadziwika kuti "Gawo 0." Ndicho chimene tikulankhula lero. Tiyeni tiwone mwachangu chomwe chili, ngati ndi chinthu chodetsa nkhawa, komanso mankhwala omwe alipo.

Kodi 'Gawo 0' ili ndi chiyani?

Mwachidule, gawo 0 limatanthauza kuti maselo a khansa kapena maselo osazolowereka akadali komwe adayambira, m'mitsempha ya mkaka kapena ma lobules a bere. Maselo amenewa sanafalikire (sanalowe) m'minofu yathanzi yozungulira. Madokotala amatcha vutoli "in situ." Izi zikutanthauza "komwe linali."

Ganizirani za njira zotulutsira mkaka m'mawere ngati njira ya mapaipi m'nyumba. Maselo osazolowereka awa ali mkati mwa mapaipiwo okha. Sanapyole makoma a mapaipiwo ndikufalikira mbali zina za nyumbayo. Ndicho chimene chikuchitika apa. Izi ndizofunikira kwambiri, chifukwa ngati zapezeka pa siteji iyi, zimatha kuchiritsidwa ndikuchira pafupifupi kwathunthu .

Pali mitundu iwiri ikuluikulu ya 'gawo 0'. Tiyeni tiiyang'ane padera.

Kodi mankhwala a DCIS ndi otani?

Popeza DCIS ikhoza kukhala khansa yomwe imafalikira mtsogolo, ndikofunikira kuichiza ikangopezeka. Mwamwayi, mankhwala ndi othandiza kwambiri.

1. Opaleshoni

Uwu ndiye chithandizo chachikulu. Pali mitundu iwiri ya opaleshoni.

• Kuchotsa bere lonse: Izi zimaphatikizapo kuchotsa bere lonse lokhalokha kapena malo omwe ali ndi maselo osazolowereka, pamodzi ndi minofu yathanzi yozungulira berelo.
• Kuchotsa Mastectomy: Nthawi zina, ngati DCIS ndi yayikulu kapena yafalikira m'bere lonse, madokotala angakulangizeni kuchotsa bere lonse. Chisankhochi chimachitika mutakambirana bwino ndi dokotala wanu.

2. Chithandizo cha Radiation

Chithandizo cha radiation nthawi zambiri chimaperekedwa pambuyo pa opaleshoni ya lumpectomy. Izi zimagwiritsa ntchito kuwala kwamphamvu kwambiri kuwononga maselo aliwonse osazolowereka omwe angakhalepo pambuyo pa opaleshoni. Zili ngati kuyeretsa bwino malowo pambuyo pa opaleshoni, kuchepetsa chiopsezo cha vutoli kubwereranso.

3. Chithandizo cha mahomoni

Ngati DCIS yanu ili ndi mahomoni olandirira, dokotala wanu angakulangizeni kuti mulandire chithandizo cha mahomoni mutachita opaleshoni. Mankhwalawa amachepetsa chiopsezo cha khansa yatsopano m'mabere onse awiri mtsogolo.

Kodi mumachitira chiyani munthu amene ali ndi LCIS?

Monga tanenera kale, LCIS si khansa, koma chizindikiro cha chenjezo cha mtsogolo . Chifukwa chake, njira yochizira ndi yosiyana pang'ono. Chofunika kwambiri apa si kuchita mantha, koma kuchita zinthu mwadongosolo.

• Kuwunika mosamala: Ichi ndiye chinthu chofunikira kwambiri. Ndikofunikira kuyesedwa mabere nthawi zonse, kuyesedwa ma mammogram, ndi zina zofunika monga momwe dokotala wanu wanenera.
• Chithandizo cha mahomoni: Azimayi omwe ali ndi LCIS angapatsidwenso chithandizo cha mahomoni (monga Tamoxifen) kuti achepetse chiopsezo chotenga khansa mtsogolo.
• Opaleshoni Yopewera Khansa: Si aliyense amene angachite izi. Komabe, akazi omwe ali pachiwopsezo chachikulu chotenga khansa ya m'mawere nthawi zina amapanga chisankho ichi. Ndani amagwera m'gulu la anthu omwe ali pachiwopsezo chachikuluchi?
• Ngati wachibale wapafupi (amayi, mlongo) wakhala ndi khansa ya m'mawere.
• Ngati mwapezeka ndi kusintha kwa majini komwe kumawonjezera chiopsezo chanu cha khansa ya m'mawere, monga BRCA1 kapena BRCA2 .

Zikatero, akazi ena amasankha kuchitidwa opaleshoni ya mastectomy awiri kuti apewe zoopsa zamtsogolo. Ichi ndi chisankho chaumwini komanso chachikulu, ndipo chiyenera kupangidwa pambuyo pokambirana bwino ndi dokotala.

Kodi mumasankha bwanji chomwe chikukuyenererani bwino?

Mukawerenga zonsezi, mwina mukudzifunsa kuti, "N'chiyani chabwino kwa ine?" Yankho lili ndi inu, ndi dokotala wanu.

Dokotala wanu adzakulangizani njira yabwino kwambiri yothandizira, poganizira mtundu wa matenda anu (DCIS kapena LCIS), kukula kwake, zaka zanu, mbiri ya banja lanu, komanso zomwe mumakonda. Onetsetsani kuti mwakambirana mafunso kapena nkhawa zilizonse zomwe muli nazo ndi dokotala wanu . Kulankhula naye momasuka ndiye chisankho chabwino kwambiri chomwe mungapange.