Mubvunzo mumwe chete unouya mupfungwa dzemunhu ari kurapwa kenza yemazamu ndewekuti, 'Chirwere ichi chapera zvachose here?' Kutya ikoko kune musoro. Asi mashoko akanaka ndeekuti kazhinji, kenza yemazamu haidzoki. Zvisinei, dzimwe nguva inogona kudzoka.
Kana ikadzoka, tinoidaidza kuti ' kudzoka' . Pane nzira dzakawanda dzinogona kuitika nadzo. Imwe ndeyekuti inodzoka muzamu rimwechete nekenza yekutanga kana munzvimbo iri pedyo. Dzimwe nguva inogona kupararira kuma lymph nodes ari pedyo. Dzimwe nguva, inogona kupararira kunzvimbo dziri kure dzemuviri, dzakadai semapfupa kana mapapu.
Chiremba ari kutarisa papi?
Kubva panguva yaunotanga kuonekwa uine kenza yemazamu, vanachiremba vako vachaongorora zvinhu zvinowedzera njodzi yekuti idzoke zvakare. Ruzivo urwu ruchavabatsira kusarudza kuti ndeipi mishonga yakakunakira.
"Hatigoni kutaura nechivimbo che100% kuti kenza ichadzoka. Asi ikozvino tinogona kufanotaura nemukana wakanyanya kupfuura kare," anodaro nyanzvi.
Kwave nekufambira mberi kukuru mubasa iri mumakore gumi apfuura, kunyanya mukenza ine estrogen -receptor positive.
Zvichitaurwa zviri nyore, bundu rakakura, ndipo parinopararira kune dzimwe nhengo dzemuviri, ndipo panowedzera mukana wekudzoka kwaro. Zvakare, biology yegomarara yakakosha zvikuru. Kureva kuti, ndeapi mareceptor chaiwo aripo pamasero egomarara. Semuenzaniso, rudzi rwegomarara remazamu runonzi ``triple-negative'' (ndiko kuti, gomarara risina mareceptor matatu ese eestrogen, progesterone, uye HER2) rine mukana wekudzokazve zvishoma.
| Zvinhu zvekufunga nezvazvo pakuongorora njodzi | Sei izvozvo zvichikosha? |
|---|---|
| Zera rako uye kana wakambosvika panguva yekuenda kumwedzi | Zera uye huwandu hwemahormone zvinogona kukanganisa njodzi. |
| Kukura kwebundu | Mabundu makuru anowanzobatanidzwa nenjodzi huru yekudzokazve kwechirwere. |
| Kana yakapararira kusvika kuma lymph nodes | Kuvapo kwemasero ekenza mutsvina kunoratidza mukana wekuti kenza ipararire. |
| Mamiriro egomarara remugamuchiri | Kurapwa uye njodzi zvinosiyana zvichienderana nekuti kenza yacho ine ER-positive, PR-positive, HER2-positive, kana kuti triple-negative. |
Miedzo yakakosha inotarisa zvakadzama njodzi
Dzimwe nguva, kana kenza yakakura kana kuti yapararira kuma lymph nodes, zvakaoma kutaura kuti njodzi yacho ndeyei chaizvo. Vanachiremba vanoti iyi 'nzvimbo isina kuchena.'
Muzviitiko zvakaita seizvi, kune bvunzo dzakakosha dzinogona kupa ruzivo rwakawanda. Zvisinei, hazvisi bvunzo dzese idzi dzakakodzera mhando dzese dzekenza.
- Oncotype DX: Iyi ndiyo bvunzo inonyanya kushandiswa. Inotarisa majini makumi maviri nerimwe muchikamu chidiki chegomarara rako. Zvichienderana nekuti majini iwayo anoshanda sei, unowana 'recurrence score' iri pakati pe0 ne100. Iyi bvunzo inogona kubatsira chiremba wako kunzwisisa kuti gomarara rako rinogona kudzoka sei mune ramangwana uye kana uchabatsirwa nechemotherapy. Zvisinei, bvunzo iyi inogona kungoitwa chete kune magomarara ane estrogen-receptor positive uye asina kupararira kulymph nodes.
- Mimwe miedzo: Kunewo miedzo inonzi `(MammaPrint)`, `(Breast Cancer Index)`, `(Pam50)`, uye `(EndoPredict)`. Mimwe yeiyi inobatsira kufanotaura njodzi yekudzoka kwekenza mushure memakore mashanu.
Kuongororwa kweropa mune ramangwana
Boka revaongorori riri kuedza kugadzira bvunzo yeropa iyo inogona kuona kana kenza inogona kudzoka zvakare.
Kuongororwa kwerudzi urwu kwakakosha zvikuru mushure mekunge kurapwa kwese kwapera, kana pasina kana nyama yekenza yasara yekuongorora.
"Kana tikaziva kuti ndiani achawana kenza zvakare, tinogona kusarudza kana vachida kurapwa zvakare. Zvadaro tinogona kutanga kutsvaga mishonga mitsva inovabatsira nekukurumidza," anodaro mumwe wevasayendisiti vari muongororo iyi. "Chinangwa chedu chikuru ndechekudzivirira kenza yemazamu inopararira, iyo yakaoma kugadzirisa uye inokonzeresa 90% yekufa kwekenza yemazamu."
Zvisinei, zvinonzi zvichatora makore akati wandei kuti pave nekuongororwa ropa kunogona kushandiswa navanachiremba .
Ungaitei?
Kusvika masayendisiti awana bvunzo itsva dzakadai, pane zvaunogona kuita. Maitiro ako ezuva nezuva anogona kubatsira kuderedza njodzi iyi. Semuenzaniso, zvakakosha kurovedza muviri nguva dzose uye kuchengetedza huremu hwakanaka .
Chimwe chinhu chekurangarira ndechekuti njodzi yekudzoka kwechirwere ichi uye huwandu hwevanhu vanorarama zvinhu zviviri zvakasiyana . Izvi zvakakosha zvikuru. Fungidzira munhu ane kenza yemazamu, owana kurapwa, uye kenza yacho yodzoka mushure memakore maviri. Asi kana ikawanikwa nekukurumidza, munhu iyeye anogona kurarama zvakanaka kwemakumi emakore.
Saka, musapotsa chero nguva yekutevera nguva yenyu. Kana muine mibvunzo kana zvinokunetsai, iva nechokwadi chekubvunza chiremba wenyu.
"Zvakakosha kutaura nachiremba wako uye kunzwisisa chaizvo njodzi yako uye zvazvinoreva. Izvi zvichakubatsira kuita sarudzo dzakakodzera nezvekurapa kwako. Kubata nekenza kunogona kuva chiitiko chinotyisa uye chinovhiringidza. Saka unofanirwa kunzwa wakasununguka kutaura nachiremba wako nezvekutya kwako."
Mharidzo Yekuenda Nayo Kumba
- Kazhinji, kenza yemazamu haidzokeri mushure mekurapwa, saka usatya zvisina kufanira.
- Njodzi yekuti kenza idzoke inoenderana nezvinhu zvakaita sehukuru hwebundu, kupararira kwaro munyama dziri pedyo, uye rudzi rwekenza yemuviri.
- Kuti vazive njodzi chaiyo uye vasarudze kurapwa kwakanakisa, vanachiremba vanogona kushandisa bvunzo dzakakosha seOncotype DX.
- Unogonawo kubatsira kuderedza njodzi iyi nekuita maekisesaizi nguva dzose uye kuchengetedza huremu hwakanaka hwemuviri.
- Chinhu chinonyanya kukosha kutaura pachena nachiremba wako. Teerera zvese zvaunotya uye mibvunzo yako. Zvakakoshawo zvikuru pahutano hwepfungwa dzako.
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