Chotupa m'mawere? Si zotupa zonse zomwe ndi khansa! Tiyeni tikambirane za PASH (Pseudoangiomatous Stromal Hyperplasia).

Mukayang'ana thupi lanu, kapena mwachisawawa, ndikupeza chotupa m'bere lanu, ndi zachilendo kumva mantha ambiri. "Kodi iyi ndi khansa?" ndi funso loyamba lomwe limabwera m'maganizo. Mantha amenewo ndi omveka bwino. Koma kodi mumadziwa kuti si zotupa zonse m'bere zomwe ndi khansa? Lero tikulankhula za chotupa chimodzi chopanda vuto, koma nthawi zambiri choopsa. Ichi chimatchedwa PASH.

Mwachidule, kodi PASH ndi chiyani?

Dzina lonse la PASH ndi ``Pseudoangiomatous Stromal Hyperplasia``. Ngakhale kuti dzinali ndi lovuta pang'ono, tanthauzo lake ndi losavuta. Ili ndi chotupa chosaopsa (chosakhala ndi khansa) chomwe chimakula m'minofu ya m'mawere. Kunena zoona, chotupachi chimapangidwa ndi puloteni yotchedwa ``collagen`` yomwe imapezeka m'thupi lathu ndi maselo ogwirizana nayo.

Ndizofala kwambiri kotero kuti kafukufuku wapeza kuti PASH imapezeka pafupifupi 23% ya zitsanzo za minofu ya m'mawere. Izi zikutanthauza kuti akazi ambiri amakhala ndi chotupa chonga ichi nthawi ina m'miyoyo yawo. Izi sizowopsa.

Nanga n’chifukwa chiyani PASH imagwirizana ndi khansa?

Nayi mfundo yofunika. Nthawi zina chotupa cha PASH chingasokonezedwe ndi khansa yosowa kwambiri yotchedwa `Angiosarcoma.` Angiosarcoma ndi khansa yomwe ingapangidwe m'mitsempha yamagazi ya m'mawere. Chifukwa chakuti ziwirizi zimatha kuwoneka zofanana pa mayeso ena, madokotala amasamala kwambiri.

Koma kumbukirani, mwayi woti chotupa cha PASH chisanduke khansa ndi wochepa kwambiri. Komanso, n'zosowa kwambiri kuona zotupa za PASH zikugwirizana ndi khansa ya m'mawere.

Ndani amene ali ndi mwayi waukulu wokhala ndi PASH?

Matendawa amapezeka kwambiri mwa akazi azaka zapakati pa 30 ndi 50. Koma sizikutanthauza kuti sizingachitike kwa ena. Pakhala malipoti a PASH mwa atsikana azaka zapakati pa 14 komanso mwa akazi azaka zapakati pa 51 ndi 67.

Chodabwitsa n'chakuti, PASH ingathenso kuchitika mwa amuna. Komabe, nthawi zambiri imapezeka mwa amuna omwe ali ndi vuto lotchedwa `Gynecomastia`. `Gynecomastia` ndi kukula kwa minofu ya bere la amuna chifukwa cha mphamvu ya mahomoni. Izi zikusonyeza kuti PASH ili ndi mgwirizano wa mahomoni.

Kodi chifukwa chenicheni cha PASH ndi chiyani?

Kunena zoona, chomwe chimayambitsa PASH sichikudziwikabe, koma ofufuza ambiri amakhulupirira kuti imakhudzidwa ndi mahomoni .

Mwachitsanzo, zotupa za PASH za akazi ena zimatha kutupa ndi msambo wawo wa mwezi uliwonse. Palinso zochitika zina za PASH zomwe zimagwirizanitsidwa ndi mapiritsi oletsa kubereka komanso mankhwala obwezeretsa mahomoni (HRT). Izi zikufufuzidwabe.

Kodi zizindikiro za PASH ndi ziti? Kodi tikudziwa bwanji?

Nthawi zambiri, ziphuphu za PASH zimakhala zazing'ono kwambiri ndipo zimangowoneka pogwiritsa ntchito maikulosikopu (`microscopic`). Anthu ambiri samva zizindikiro zilizonse ndipo sadziwa ngakhale kuti ali nazo. Zimapezeka mwangozi panthawi ya mammogram pazifukwa zina.

Koma timibulu ta PASH tingakule kwambiri, kuyambira masentimita 1 mpaka 12. Pamenepo ndi pamene timayamba kumva zizindikiro.

Kodi mungatsimikizire bwanji molondola momwe PASH ilili?

Ngati muli ndi chotupa m'bere lanu, dokotala wanu adzakulangizani mayeso angapo kuti atsimikizire ngati ndi PASH kapena ayi.

• Mammogram kapena MRI: Izi zimatenga zithunzi zatsatanetsatane za minofu ya m'mawere kuti ziwone mtundu wa chotupacho.
• Ultrasound Scan: Izi zimagwiritsa ntchito mafunde a phokoso pofufuza minofu ya m'mawere. Zingathandize kudziwa ngati chotupa chili cholimba kapena chodzaza ndi madzi.
• Kufufuza Kwambiri: Iyi ndiyo njira yodziwira matenda yeniyeni. Mu izi, singano yaying'ono, yopanda kanthu imagwiritsidwa ntchito kuchotsa chidutswa chaching'ono kwambiri cha minofu kuchokera pa chotupacho ndikuchiyang'ana pansi pa maikulosikopu. Mtundu wa maselo omwe ali mu chidutswacho ungagwiritsidwe ntchito kudziwa motsimikiza 100% ngati ndi PASH kapena china chake.
• Kuchotsa chotupa pa opaleshoni: Nthawi zina, ngati n'kovuta kutsimikizira ndi biopsy, dokotala angasankhe kuchotsa chotupa chonsecho mwa opaleshoni kuti akachione.

Kodi PASH imafuna chithandizo?

Nkhani yabwino ndi iyi. Nthawi zambiri, mukapezeka ndi PASH, simudzafunika chithandizo chilichonse. Dokotala wanu nthawi zambiri amanena kuti, "Tiyeni tingoyang'ana izi." Izi zikutanthauza kuti muziyang'anira chotupacho panthawi ya mammogram yanu ya pachaka.

Komabe, nthawi zina opaleshoni ingafunike kuti muchotse chotupacho. Izi zili choncho pazifukwa zotsatirazi:

1. Ngati chotupacho ndi chachikulu kwambiri ndipo mukumva kusasangalala kapena kupweteka.

2. Ngati simukutsimikiza 100% kuti iyi ndi PASH ngakhale mutayesa, chotsani kukayikira kumeneko.

Opaleshoni iyi ndi yosavuta kwambiri. Imafuna kuchotsa chotupacho ndi minofu yozungulira kuti isamerenso. Mwayi woti chotupa cha PASH chibwererenso pambuyo pa opaleshoni ndi wochepa kwambiri kuyambira 15% mpaka 22%.