Tikudziwa momwe mungamverere mantha komanso nkhawa ngati mutapeza chotupa m'bere mwanu. Mawu oti "khansa" angatipangitse kukhala ndi mantha kwambiri. Koma chofunika kwambiri chomwe muyenera kudziwa ndichakuti si khansa zonse za m'mawere zomwe ndi zofanana. Pali mitundu ina ya khansa yomwe si yamphamvu kwambiri kuposa ina ndipo imayankha bwino kwambiri ikalandira chithandizo. Lero tikulankhula za mtundu wosowa kwambiri wa khansa ya m'mawere , koma womwe umachira mwachangu.
Kodi Khansa ya M'mawere ya Mucinous ndi Chiyani?
Mwachidule, khansa ya mucinous ndi mtundu wosowa kwambiri wa khansa ya m'mawere. Imakhala ndi khansa yochepera 2% ya khansa zonse za m'mawere. Ndi mtundu wa khansa womwe umayamba m'mitsempha ya mkaka wa m'mawere ndikufalikira ku minofu yozungulira. Kunena zoona, imagwera m'gulu la `(Invasive Ductal Cancer)`.
Koma chinthu chapadera pa izi ndichakuti pali chinthu chotchedwa 'mucin' chozungulira maselo a khansa awa. Taganizirani ngati chinthu chokhuthala, chomata ngati ntchofu m'mphuno ndi m'matumbo mwathu. Umu ndi momwe mucin uyu alili. Mu khansa iyi, maselo a khansa amayandama mkati mwa chinthu chonga jelly chotchedwa mucin. Izi nthawi zina zimatchedwa colloid carcinoma.
Chifukwa cha kuphimba kofanana ndi mamina kotchedwa mucin, maselo a khansa sangathe kuyenda mwachangu, zomwe zikutanthauza kuti sangathe kulowa m'minofu yozungulira, kuposa mitundu ina ya khansa. Ichi ndiye chifukwa chachikulu chomwe khansa iyi siikuwopsa kwambiri ndipo imayankha bwino chithandizo.
Nthawi zina chotupacho chimakhala ndi maselo a khansa ya mucinous okha. Timachitcha kuti 'pure mucinous carcinoma'. Nthawi zina maselo a mucinous awa amatha kuwoneka osakanikirana ndi mitundu ina ya khansa ya m'mawere. Komabe, mtundu wa 'pure' uli ndi chiwopsezo chachikulu chochira.
Ndani ali pachiwopsezo chachikulu chotenga khansa iyi?
Khansa yamtunduwu imagwira akazi kwambiri. N’zosowa kwambiri kuti mwamuna adwale khansa imeneyi.
Ngakhale vutoli lingachitike pa msinkhu uliwonse, limapezeka kwambiri akazi azaka zapakati pa 60 ndi 70 akasiya kusamba .
Kodi zizindikiro za khansa ya mucinous ndi ziti?
Monga khansa zambiri za m'mawere, khansa iyi siingasonyeze zizindikiro zilizonse kumayambiriro. Koma pakapita nthawi, chizindikiro chachikulu chomwe mungazindikire ndi chotupa m'mawere .
Mungamve chotupa ichi mukamadziyesa nokha pa bere. Kapena chingapezeke mukachiyang'aniridwa ndi dokotala. Nthawi zambiri, chotupachi chingakhale chachikulu pafupifupi masentimita atatu. Komabe, anthu ena akhoza kukhala ndi chotupa chaching'ono kapena chachikulu.
Kodi dokotala amazindikira bwanji izi? (Kuzindikira)
Mukapita kwa dokotala yemwe ali ndi chotupa m'bere mwanu, adzakuyesani mayeso angapo kuti adziwe ngati ndi khansa ya m'mawere kapena mtundu wina.
| Mayeso | Mwachidule, kodi zimenezi zikutanthauza chiyani? |
|---|---|
| Kuyezetsa Thupi | Dokotala adzayang'ana mabere anu onse awiri pamanja kuti awone mtundu wa chotupacho, kukula kwake, komanso ngati chikusuntha kapena ayi. |
| Mammogram | Iyi ndi X-ray ya bere. Khansa ya mucinous nthawi zambiri imakhala ndi m'mphepete mwake ndipo imawoneka ngati chotupa chomwe chimatuluka m'minofu yozungulira. Sichiwonetsa kawirikawiri kuchuluka kwa calcium m'maselo (calcifications). |
| Kujambula kwa Ultrasound | Kuyesa kumeneku kumathandiza kupeza zithunzi zomveka bwino za chotupacho, kaya chili cholimba kapena chodzaza ndi madzi, komanso mtundu wake. |
| Kujambula kwa MRI | Nthawi zina, MRI scan ingalimbikitsidwe kuti ipeze chithunzi chomveka bwino cha kufalikira kwa khansa ndi madera ena a m'mawere. |
| Kufufuza za thupi | Iyi ndi njira yeniyeni yodziwira matendawa. Singano yaying'ono kapena kuduladula kumagwiritsidwa ntchito kuchotsa chidutswa cha minofu kuchokera pa chotupacho ndikuchiyang'ana pansi pa maikulosikopu. Kuyesaku kumafufuza ngati pali chinthu chotchedwa mucin mu chotupacho. |
Kodi mankhwala ochizira izi ndi otani?
Dokotala wanu adzakuuzani njira yochizira khansa ya mucinous. Izi zimadalira kukula kwa khansa, mtundu wa chotupa, momwe mahomoni ake alili, komanso ngati khansayo yafalikira ku ma lymph nodes.
Njira zazikulu zochizira zitha kugawidwa motere:
| Chithandizo | Kufotokozera |
|---|---|
| Kuchotsa Lumpectomy | Izi zikuphatikizapo kuchotsa chotupa cha khansa chokha ndi minofu yathanzi yozungulira. Bere lonse silichotsedwa. |
| Kuchotsa Mabere | Izi zikuphatikizapo kuchotsa bere lonse. Opaleshoni iyi imalimbikitsidwa ngati chotupacho ndi chachikulu kapena ngati pali madera angapo m'bere. |
| Mankhwala a Chemotherapy | Kupatsa thupi mankhwala opha maselo a khansa. Ngati khansa ya mucinous sinafalikire ku ma lymph nodes kapena imakhudzidwa ndi mahomoni, chemotherapy singakhale yofunikira. Izi zidzatsimikiziridwa ndi dokotala wanu. |
| Chithandizo cha X-ray | Pambuyo pa opaleshoni yochotsa lumpectomy, mphamvu yamagetsi imagwiritsidwa ntchito kuwononga maselo otsala a khansa. |
| Chithandizo cha Mahomoni | Khansa zambiri za mucinous zimakhudzidwa ndi mahomoni otchedwa estrogen kapena progesterone. Chithandizochi chimaphatikizapo kupereka mankhwala (monga tamoxifen) omwe amaletsa ntchito ya mahomoni awa. Ichi ndi chithandizo chothandiza kwambiri. |
Chofunika kwambiri n'chakuti khansa ya mucinous ili ndi chiyembekezo chabwino kwambiri. Poyerekeza ndi khansa zina za m'mawere zoopsa, chiwerengero cha odwala omwe apezeka ndi khansa yamtunduwu ndi chachikulu kwambiri. Chifukwa chake, ndi dongosolo loyenera la chithandizo, mwayi wochira kwathunthu ndi wokwera kwambiri.
Uthenga Wopita Nawo Kunyumba
- Khansa ya m'mawere ya Mucinous ndi khansa ya m'mawere yosowa kwambiri komanso yosaopsa kwambiri .
- Popeza maselo a khansa ali ozunguliridwa ndi chinthu chonga ntchofu (mucin), kuchuluka kwa khansa kumafalikira pang'onopang'ono. Izi zimapangitsa kuti chiwerengero cha machiritso chikhale chokwera kwambiri.
- Chizindikiro chachikulu ndi chotupa m'bere. Ngati mukumva choncho, musachite mantha ndipo pitani kwa dokotala nthawi yomweyo.
- Kuzindikira matendawa kumatsimikiziridwa ndi biopsy.
- Opaleshoni, chithandizo cha radiation, ndi chithandizo cha mahomoni zonse ndi njira zothandiza kwambiri. Dokotala wanu adzasankha njira yochizira yomwe ili yoyenera kwa inu.
- Ndikofunikira kwambiri kudziyesa nokha mabere mwezi uliwonse ndikuchita mammogram ogwirizana ndi msinkhu wanu.
Khansa ya m'mawere, Khansa ya m'mawere ya Mucinous, Colloid Carcinoma, Matumbo a m'mawere, Thanzi la akazi, Chithandizo cha khansa, khansa ya m'mawere sinhala
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