Dokotala wanu akakuuzani kuti muli ndi khansa ya m'mawere yosalowa m'thupi, kapena Ductal Carcinoma in Situ (DCIS), mungamve mantha komanso mantha kwambiri. Ndizachilendo kukhala ndi mafunso monga, 'Ndichite chiyani tsopano? Ndikufunika chithandizo chamtundu wanji?' Koma musachite mantha. Ngakhale kuti imatchedwa khansa, idakali pachiyambi kwambiri, zomwe zikutanthauza kuti sinafalikirebe. Tiyeni tikambirane za izi mosavuta komanso momveka bwino.
Kodi DCIS ndi chiyani kwenikweni?
Mwachidule, DCIS ndi matenda omwe maselo a khansa amakula mkati mwa ducts za mkaka m'mawere okha . Ganizirani za ducts za mkaka izi ngati mapaipi ang'onoang'ono. Mu DCIS, maselo a khansa ali mkati mwa mapaipi awa okha. Sanafalikire kunja kwa mapaipi, zomwe zikutanthauza kuti sanafalikire ku minofu ina yofewa m'mawere. Izi ndi zomwe madokotala amatcha "in situ" (kutanthauza 'm'malo').
Izi zimadziwikanso kuti khansa ya m'mawere ya 'Stage 0' . Chofunika kwambiri komanso chabwino kwambiri pa izi ndichakuti ngati yapezeka isanafalikire, imatha kuchiritsidwa kwathunthu ndi chithandizo choyenera. Cholinga chachikulu cha chithandizo ndikuchotsa kwathunthu maselo a khansa awa asanatuluke m'mitsempha ya mkaka ndikufalikira ku minofu ina ya m'mawere.
Kodi ndikufunika opaleshoni?
Mwina inde. Chithandizo chachikulu komanso chofala kwambiri cha DCIS ndi opaleshoni. Koma musaope kunena kuti "opaleshoni." Pali mitundu iwiri ikuluikulu ya opaleshoni. Dokotala wanu adzakufotokozerani njira yoyenera kwambiri pa vuto lanu.
| Mtundu wa opaleshoni | Mwachidule... | Kodi nthawi zambiri imagwiritsidwa ntchito liti? |
|---|---|---|
| Kuchotsa Lumpectomy (Opaleshoni yosamalira bere) | Izi sizichotsa bere lonse. Mbali yokhala ndi khansa ndi minofu yathanzi yozungulira bere ndi yomwe imachotsedwa. Bere lanu limasiyidwa lokha. | Iyi ndi njira yoyamba kwa odwala ambiri a DCIS, makamaka ngati khansa ili m'dera limodzi laling'ono. |
| Kuchotsa Mabere | Pachifukwa ichi, bere lonse limachotsedwa opaleshoni. | Pakhoza kukhala zifukwa zingapo zomwe dokotala wanu angakulimbikitseni opaleshoniyi. Mwachitsanzo: - Ngati khansa yafalikira kudera lalikulu la bere. - Ngati khansa ili m'malo angapo a bere. - Kutengera ndi komwe khansa ili, zingakhale zovuta kusunga mawonekedwe a bere pambuyo pochotsa chotupa. - Ngati muli ndi chiopsezo chachikulu chotenga khansa ya m'mawere mtsogolo chifukwa cha mbiri ya banja lanu, zotsatira za mayeso a majini, kapena unyamata. |
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Chithandizo chanu sichimatha mutatha opaleshoni. Pali njira zingapo zomwe mungachite kuti khansa isabwererenso.
Chithandizo cha X-ray
Ngati mwachitidwa opaleshoni ya lumpectomy , nthawi zambiri mumalimbikitsidwa kugwiritsa ntchito radiation therapy mutachita opaleshoni. Cholinga chake ndi kuwononga maselo ang'onoang'ono a khansa omwe angakhalebe m'derali mutachita opaleshoni. Izi zimachepetsa kwambiri chiopsezo choti khansa ibwererenso.
- Njira yodziwika kwambiri: Izi zimaphatikizapo kugwiritsa ntchito kuwala kwakunja kwa bere kuchokera ku makina kwa masiku pafupifupi 5 pa sabata kwa milungu ingapo.
- Njira zina: Nthawi zina, ma radiation amaperekedwa ku gawo la bere lomwe khansa inali, osati ku bere lonse. Palinso njira yomwe mbewu yaying'ono ya ma radiation imayikidwa m'bere kuti ichitidwe. Komabe, njira zonsezi, zomwe zimapereka ma radiation ku bere lonse, zikuphunziridwabe kuti zione ngati zikugwira ntchito bwino.
Chofunika kwambiri ndichakuti ngati mwachitidwa opaleshoni ya mastectomy , chithandizo cha radiation nthawi zambiri sichifunika.
Chithandizo cha Mahomoni
Azimayi ena angalangizidwe kumwa mankhwala a mahomoni, monga tamoxifen , kuwonjezera pa chithandizo cha radiation. Izi zimachepetsanso chiopsezo cha khansa kubwerera.
Koma mankhwalawa amaperekedwa kokha ngati khansa yanu ili ndi 'hormone-receptor-positive' . Kodi zimenezi zikutanthauza chiyani? Zimatanthauza kuti hormone estrogen, yomwe imapangidwa mwachibadwa m'thupi lanu, imathandiza maselo a khansa kukula. Dokotala wanu adzakuyesani kuti aone ngati khansa yanu ndi yamtunduwu. Zimenezi zidzatsimikizira ngati mukufunikira chithandizochi kapena ayi.
Kodi ndikufunika chemotherapy?
Mwina ayi. Ichi ndi mantha aakulu kwa anthu ambiri. Chemotherapy ndi mankhwala omwe amagwiritsa ntchito mankhwala amphamvu kuti awononge maselo omwe amagawanitsa mofulumira (monga maselo a khansa) m'thupi lonse. Komabe, chifukwa DCIS ndi matenda omwe amangopezeka m'mitsempha ya mkaka ndipo sanafalikire mbali zina za thupi, chemotherapy nthawi zambiri sivomerezedwa pochiza.
Kodi ndiyenera kuchitidwa opaleshoni kachiwiri?
Nthawi zina izi zingachitike. Makamaka ngati mwachitidwa opaleshoni ya lumpectomy , ngati dokotala atachotsa minofuyo, akuganiza kuti minofu 'yoyera' (yathanzi) siinachotsedwe mokwanira mozungulira maselo a khansa, opaleshoni yachiwiri ingafunike. Izi zimatchedwa 'clear margins'. Izi zimachitika kuti muchotse maselo onse a khansa otsala ndikukutetezani.
Kodi muyenera kuganizira zokonzanso bere?
Pambuyo pochotsa lumpectomy kapena mastectomy, akazi ena amasankha opaleshoni yokonzanso bere. Ichi ndi chisankho chaumwini . Sikofunikira kuchipatala. Ndipo sikuyenera kuchitika nthawi yomweyo pambuyo pa opaleshoni yoyamba. Ngati mukufuna, musazengereze kulankhula ndi dokotala wanu za njira zomwe mungasankhe, momwe zimachitikira, komanso ngati zili zoyenera kwa inu.
Uthenga Wopita Nawo Kunyumba
- DCIS ndi khansa ya m'mawere yoyambirira kwambiri, yosavulaza, choncho musachite mantha.
- Mankhwala a izi ndi opambana kwambiri. Mwayi woti munthu achire kwathunthu ndi waukulu kwambiri.
- Chithandizo chachikulu ndi opaleshoni. Imeneyi ingakhale kuchotsa chotupa (kuchotsa chotupa chokha) kapena kuchotsa bere lonse.
- Pambuyo pa opaleshoni, chithandizo cha radiation kapena hormone chingafunike kuti khansa isabwererenso.
- Mankhwala a chemotherapy nthawi zambiri safunika pa DCIS.
- Ndi ufulu wanu kukambirana bwino nkhawa zanu zonse ndi mantha anu ndi dokotala wanu.
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