Ni gute gucura bigira ingaruka ku kuvura kanseri y'ibere?

Ndumva ukuntu biremereye kandi biteye ubwoba iyo ufashwe na kanseri y'ibere. Ku ruhande rumwe, hari impungenge ku ndwara, kandi ku rundi ruhande, iyo abaganga bavuze amagambo nka ``(Chimiotherapie)`` no kuvura imisemburo , ubwenge bwawe burushaho kujijisha, si byo se? "Ese nanjye nzahabwa imiti ya chimiotherapie? Ese umusatsi wanjye uzagwa? Ese bizagora umubiri wanjye?" Ugomba kuba ufite ibibazo byinshi mu mutwe wawe. Ariko ntugahangayike. Uyu munsi, turaganira ku kuntu imyaka yawe n'uko wagiye mu gihe cyo gucura cyangwa utageze mu gihe cyo gucura bizaba ingenzi mu kugena uburyo uhabwa ubuvuzi.

Mu bihe byashize, hafi ya buri wese yahawe imiti igabanya ubukana bw'indwara ya kanseri y'ibere akimara kumenya ko kanseri y'ibere yakwirakwiriye mu tunyangingo tw'amaraso. Byari bimeze nko gufata inyundo ugatuma ibintu byose bisa n'umusumari. Ariko ubu ubuvuzi bwateye imbere cyane. Ubu tuzi ko kanseri y'ibere atari imwe, kandi ko abarwayi bose batakira ubuvuzi bumwe. Hari igihe ingaruka mbi za chemotherapy zishobora kuruta inyungu. Ubu rero abaganga ntibahangayikishijwe gusa n'ingano y'ikibyimba n'urwego rwa kanseri, ahubwo banahangayikishijwe n'imiterere y'umubiri wa kanseri.

Kuki gucura ari ingenzi kuri iyi nkuru?

Waba warageze mu gihe cyo gucura cyangwa utageze mu gihe cyo gucura, igihe imihango yawe ya buri kwezi ihagarara burundu, ni ingenzi cyane mu kuvura kanseri y'ibere. Hari impamvu nyinshi zibitera.

Muri make, kanseri y'ibere ku bagore bakiri bato bataracura ishobora kuba ikomeye cyane kurusha ku bagore bamaze gucura .

Byongeye kandi, binagena ubwoko bw'ubuvuzi uzahabwa. Urugero, niba ufite kanseri iterwa n'imisemburo, ubwoko bw'ubuvuzi bw'imisemburo ushobora guhabwa buzatandukana bitewe n'uko ugeze mu gihe cyo gucura.

• Nyuma yo gucura: Ushobora guhabwa umuti nka Arimidex, ubuza umubiri gukora imisemburo ya estrogen.
• Niba ugeze mu gihe cyo gucura: Intanga zawe ziracyakora estrogen, bityo imiti nka Arimidex ntabwo izagira akamaro cyane. Bityo rero, muganga wawe akunze kukwandikira umuti witwa Tamoxifen. Ibi bikora mu guhagarika ubutumwa estrogen yohereza ku turemangingo twa kanseri.

Ubumenyi bw'ibinyabuzima bwa Kanseri: Ingirabuzimafatizo za hormone na HER2

Noneho reka dusuzume byimbitse. Turetse niba ubuvuzi bw'imisemburo bukubereye cyangwa niba butakubereye, ikibazo gikomeye gikurikiraho ni ukumenya niba ukeneye chemotherapy cyangwa niba udakeneye.

Iki cyemezo gikunze gushingira ku bwoko bwa receptors ziri ku buso bw'uturemangingo twa kanseri yawe. Tekereza izi receptors nk' 'antena' ku turemangingo twa kanseri. Izi antenes zibona 'ibimenyetso' byerekana ko kanseri ikeneye gukura. Hari ubwoko bubiri bw'ingenzi bwa receptors tureba.

1. Uturemangingo tw’imisemburo (HR): Uturemangingo tw’imisemburo tw’imisemburo tw’imisemburo y’imisemburo ya estrogen na progesterone.

2. HER2 receptor: Iyi ni indi poroteyine ifasha uturemangingo twa kanseri gukura.

Reba imbonerahamwe iri hepfo uburyo kanseri zishyirwa mu byiciro n'uburyo zivurwa hashingiwe ku buryo zivanze.

Ikizamini cya Oncotype Dx ni iki?

Niba kanseri yawe ifite HR-positive, HER2-negative, ni ukuvuga ubwoko bwa mbere mu mbonerahamwe iri hejuru, ikibazo "Ese nkeneye imiti?" ni cyo kigoye gusubiza. Mu bihe nk'ibi niho abaganga bakoresha ikizamini cya genome nka `Oncotype Dx` .

Iki kizamini gisesengura utunyangingo 21 mu rugero ruto rwa kanseri yawe. Dukurikije ibi, kiguha amanota agaragaza niba kanseri yawe ifite ibyago bike, biri hagati, cyangwa byinshi byo kongera kuyirwara mu gihe kizaza.

• Amanota make: Akenshi ushobora gukira udafite imiti igabanya ubukana bw'indwara ya chimiotherapie .
• Niba amanota ari menshi: Chimiotherapie ni yo ikwiye cyane.

Ariko abantu benshi babona amanota yo hagati . Aho niho ikibazo cyongera kuvuka.

Ibisubizo bivuye mu bushakashatsi bushya

Ku bw'amahirwe, ubushakashatsi bubiri buherutse gukorwa, TAILORx na RxPONDER, bwatanze ibisubizo byiza cyane ku kibazo cyo gukorana n'aba bagore bafite amanota ari hagati. Ubu bushakashatsi bwemeje kandi akamaro ko gucura.

• Igerageza rya TAILORx (ku bantu bafite kanseri itarakwirakwira mu tunyangingo tw'imitsi):
• Ubu bushakashatsi bwerekana neza ko abagore barengeje igihe cyo gucura bafite amanota ari hagati ya Oncotype Dx nta nyungu y'inyongera babona muri chemotherapy. Uburyo bwo kuvura imisemburo buhagije kuri bo.
• Inyigo ya RxPONDER (ku bantu barwaye kanseri yakwirakwiriye mu tunyangingo tw'amaraso):
• Ibi nabyo bigaragaza ikintu kimwe. Abenshi mu bagore bamaze gucura , nubwo kanseri yabo yaba yarageze mu tunyangingo tw’amaraso, ntabwo bungukira cyane ku miti ya chimiotherapie.
• Ariko, inkuru iratandukanye rwose ku bagore batarajya mu mihango, cyane cyane abari munsi y'imyaka 50. Iyo imiti ya chimiotherapie yongewe mu kuvura imisemburo kuri bo, ubushobozi bwo gukumira kanseri bwongera kugaruka burushaho kwiyongera cyane .

Mu magambo make, niba uri umukobwa utaragera mu gihe cyo gucura, imiti ya chimiotherapie ishobora kuba intwaro ikomeye ishobora kurokora ubuzima bwawe. Ariko niba wageze mu gihe cyo gucura, ushobora kubona ibisubizo byiza ukoresheje imiti igabanya ubukana bw'imisemburo utiriwe ubona ingaruka mbi zayo.

Umwanzuro wa nyuma n'ibintu byo gusuzuma

Ukurikije ibi byose, ushobora kuba usobanukiwe uburyo bigoye gufata ibi byemezo wenyine. Niyo mpamvu ari ngombwa cyane kuganira kuri ibi byose na muganga wawe mu buryo bweruye.

Niba uri mu kigero cyo gucura mbere y’uko ujya mu mihango, cyane cyane uri mu kigero cy’imyaka 40, hari ikindi ugomba kuzirikana. Chimiotherapie ishobora gutuma imihango yawe ihagarara burundu bigatuma ujya mu kigero cyo gucura mbere y’igihe. Ku bakiri bato, imihango yawe ishobora guhagarara by’igihe gito hanyuma ikongera igatangira. Ariko niba wifuza kubyara abana mu gihe kizaza, banza uganire na muganga wawe ku bijyanye no kubungabunga uburumbuke mbere yo gutangira kuvurwa.

Amaherezo, wowe na muganga wawe muzahitamo uburyo bwo kuvura bukubereye. Muri icyo kiganiro, ubwoko bwa kanseri yawe, icyiciro cyayo, amanota ya Oncotype Dx, ndetse niba waramaze gucura byose ni ingingo z'ingenzi zo kuganiraho.