Kodi muli ndi khansa ya m'mawere ya Gawo Lachiwiri? Tiyeni tikambirane za chithandizo!

Ndizachibadwa kukhala ndi mantha komanso nkhawa mukazindikira kuti muli ndi khansa ya m'mawere. Makamaka mukamva mawu ngati "Gawo Lachiwiri," mafunso omwe amabwera m'maganizo ndi ambiri. "Ndichite chiyani tsopano?" ndi "Kodi izi zitha kuchiritsidwa?" mwina zili m'maganizo mwanu. Koma musadandaule. Lero, tikambirana za izi, kutanthauza khansa ya m'mawere ya gawo lachiwiri ndi chithandizo chopambana cha khansa iyi, m'njira yosavuta komanso yochezeka.

Choyamba, kodi gawo lachiwiri ili (Gawo Lachiwiri) ndi chiyani?

Mwachidule, khansa ya m'mawere ya gawo lachiwiri ndi vuto lomwe khansayo imangokhala pa bere kapena pafupi ndi ma lymph nodes. Izi zikutanthauza kuti khansayo sinafalikire ku ziwalo zakutali m'thupi. Izi ndizofunikira kwambiri chifukwa khansa imatha kuchiritsidwa panthawiyi.

Madokotala omwe amakuchizani nthawi zambiri amagwiritsa ntchito njira zosiyanasiyana zochiritsira m'malo mwa njira imodzi yochiritsira. Izi zikupatsani zotsatira zabwino kwambiri. Tsopano tiyeni tiwone zomwe mankhwalawo ali.

Tiyeni tikambirane za chithandizo mwatsatanetsatane.

Tsopano tiyeni tiwone njira iliyonse yothandizirayi mwatsatanetsatane.

Opaleshoni: Njira Zoyambira

Opaleshoni ndiyo njira yodziwika bwino yothandizira khansa ya m'mawere ya gawo lachiwiri. Pali njira ziwiri zazikulu:

• Kuchotsa Lumpectomy: Izi zimaphatikizapo kuchotsa chotupa cha khansa ndi minofu yochepa yozungulira. Izi zimatchedwanso opaleshoni yosunga mawere . Izi nthawi zambiri zimachitika pokhapokha ngati chotupa cha khansa chili chaching'ono.
• Kuchotsa Mastectomy: Ngati chotupa cha khansa chili chachikulu, dokotala angasankhe kuchotsa bere lonse. Opaleshoni iyi imatchedwa `Mastectomy`.

Kaya ndi opaleshoni iti mwa ziwirizi yomwe yachitidwa, dokotalayo nthawi zambiri amachotsa ndikuwunika ma lymph nodes angapo m'khwapa kuti awone ngati khansa yafalikira pamenepo. Mukachotsa mastectomy, mutha kulankhula ndi dokotala wanu za opaleshoni yokonzanso mawere ngati mukufuna.

Chithandizo cha Radiation: Kuwononga maselo otsala

Chithandizo cha radiation nthawi zambiri chimaperekedwa pambuyo pa opaleshoni yochotsa chotupa. Kumbukirani, opaleshoni ingasiye maselo ang'onoang'ono a khansa osaoneka. Chithandizochi chimaperekedwa kuti chiwononge maselo otsala ndikuletsa khansa kuti isabwererenso. Nthawi zina, akazi omwe adachotsedwa opaleshoni amapatsidwanso chithandizo cha radiation, makamaka ngati chotupacho ndi chachikulu kapena ngati pali maselo a khansa m'mabere.

Chemotherapy: Chithandizo champhamvu chomwe chimagwira ntchito m'thupi lonse

Uwu ndi mankhwala omwe anthu ambiri amawadziwa bwino, koma ndi owopsa pang'ono. `Chemotherapy` ndi mankhwala amphamvu omwe amaperekedwa kuti awononge maselo aliwonse a khansa omwe angakhalebe m'thupi pambuyo pa opaleshoni.

Mankhwalawa angaperekedwe m'njira zingapo. Angaperekedwe ngati piritsi kapena madzi. Koma nthawi zambiri amaperekedwa kudzera m'mitsempha. Mankhwalawa saperekedwa nthawi zonse. Amaperekedwa m'njira zosiyanasiyana, zomwe zimapatsa thupi mpumulo.Imaperekedwa m'njira zingapo.

Chithandizo cha Mahomoni: Kwa khansa yodalira mahomoni

Uwu ndi mankhwala enieni. Pali mitundu ina ya khansa ya m'mawere yomwe imakula bwino chifukwa cha mahomoni monga estrogen m'thupi lathu. Izi zimatchedwa khansa ya hormone receptor-positive .

Ngati khansa yanu ndi imodzi mwa mitundu iyi, dokotala wanu angakulangizeni chithandizo cha mahomoni. Mankhwalawa amagwira ntchito poletsa mahomoni omwe maselo a khansa amafunikira.

• Mankhwala a Tamoxifen amaperekedwa kwa akazi a msinkhu uliwonse.
• Mankhwala monga Anastrozole (Arimidex), Exemestane (Aromasin), ndi Letrozole (Femara) amagwiritsidwa ntchito kwa amayi omwe adutsa nthawi yopuma.
• Kuonjezera pa izi, palinso mitundu ina ya mankhwala.

Kwa amayi omwe ali ndi nthawi yopuma, opaleshoni yochotsa mazira m'mimba ingaganizidwe kuti ikuletsa kupanga mahomoni omwe amathandiza khansa kukula. Kapena, mankhwala monga Goserelin (Zoladex) amatha kuletsa mazira kupanga mahomoni kwakanthawi.

Chithandizo cha Zamoyo/Cholinga: Njira yatsopano komanso yapamwamba

Uwu ndi mankhwala opambana kwambiri omwe abwera chifukwa cha kupita patsogolo kwa mankhwala amakono. Pafupifupi 25% ya akazi omwe ali ndi khansa ya m'mawere ali ndi puloteni yambiri yotchedwa HER2 pamwamba pa maselo awo a khansa. Puloteni iyi imapangitsa khansa kukula ndikufalikira mofulumira.

Mankhwala ochiritsira omwe amayang'ana kwambiri mapuloteni a HER2 ndipo amawaletsa kugwira ntchito.

• Mankhwala a mtundu uwu otchedwa Trastuzumab (Herceptin) ndi Pertuzumab (Perjeta) ndi omwe amagwiritsidwa ntchito kwambiri.
• Mankhwalawa nthawi zambiri amaperekedwa pamodzi ndi mankhwala a chemotherapy, motero amawonjezera kupambana kwa mankhwala a chemotherapy.

Dziwani zambiri za mayeso azachipatala.

Kuyesa kwachipatala ndi kafukufuku amene amayesa kugwira ntchito bwino komanso chitetezo cha mankhwala atsopano, mankhwala, kapena kuphatikiza kwa mankhwala mwa anthu. Azimayi ambiri omwe ali ndi khansa ya m'mawere ya gawo lachiwiri ali ndi mwayi wochita nawo mayesowa.

Izi zingakuthandizeni kupeza chithandizo chapamwamba komanso chapamwamba. Kumbukirani, chithandizo chilichonse chopambana chomwe timagwiritsa ntchito lero chinayamba ngati mayeso azachipatala nthawi ina. Mutha kulankhula ndi dokotala wanu za izi ndikufunsa ngati pali mayeso oyenera kwa inu.