Unoziva here nezveHer2-Negative Breast Cancer? Ngatikurukurei!

Pamwe wakanzwa zvakawanda nezvegomarara rezamu. Asi unonyatsoziva here kuti rudzi urwu rwegomarara runonzi 'HER2-negative'? Rinoita zvakasiyana zvishoma nedzimwe mhando dzegomarara rezamu, uye kurapwa kwaro kunogona kusiyana. Usazvidya mwoyo, nhasi tichataura nezvegomarara rezamu reHER2-Negative` nenzira iri nyore yaunogona kunzwisisa, zvakanaka here?

Chii chinonzi HER2-Negative Breast Cancer?

Zvichitaurwa zviri nyore, `HER2-negative breast cancer` zvinoreva kuti masero egomarara ari muzamu rako haana protein yakawandisa kana shoma inonzi `human epidermal growth factor 2 (HER2). Waizviziva here kuti gomarara rezamu rinowanzo buda nekuda kwemahormone (kunyanya estrogen neprogesterone) kana nekuda kweprotein iyi ye`HER2`? Semuenzaniso, mugomarara rezamu re`HER2-positive`, protein ye`HER2` inowanikwa pamusoro pemasero, izvo zvinoita kuti masero egomarara aparadzane nekukurumidza uye agadzire mabundu.

Asi muzviitiko zve `HER2-negative`, kenza haibereki nekuti kune mapuroteni e`HER2` akawandisa. Kureva kuti, pane zvimwe zvinhu zvinobatanidzwa.

Kana chiremba wako akakuongorora kuti une kenza yemazamu, vachanyatsoongorora mamiriro ako e'HER2' (kureva kuti, akanaka kana asina kunaka). Aya ndiwo maitiro emasero ekenza, atinodaidza kuti 'biomarkers' , uye kana akanzwisiswa nemazvo, vanachiremba vanogona kusarudza kuti ndeipi mishonga yakakodzera uye inoshanda kwauri. Wanzwisisa here?

Ndedzipi mhando huru dzekenza yemazamu yeHER2-negative?

Ruzhinji rwegomarara remazamu riri kuonekwa parizvino nderwerudzi rwe `HER2-negative`. Kune mhando mbiri huru dzegomarara iri, ngatitarisei kuti ndedzipi:

1. Kenza yemazamu ine hormone receptor-positive uye HER2-negative (HR+/HER2-) :

Iyi ndiyo mhando yekenza yemazamu inonyanya kuwanikwa, ichiverengera inenge 70 muzana (70%) yekenza dzese dzemazamu. Muchiitiko ichi, masero ekenza ane mareceptor anonzwa estrogen hormone (ER+), progesterone hormone (PR+), kana zvese zviri zviviri. Zvichitaurwa zviri nyore, kana mahormone aya akabatana nemareceptor aya, masero ekenza anotanga kukura. Zvisinei, mhando idzi dzekenza hadzina huwandu hwakawanda hweHER2 protein. Ndosaka dzichinzi HR+/HER2-.

2. Kenza yemazamu isina receptor yehormone uye HER2 isina HER2 (HR-/HER2-) :

Rudzi urwu runoumba chikamu chinosvika gumi nerimwe muzana (11%) chegomarara remazamu. Masero egomarara aya haana mareceptor eestrogen kana progesterone. Zvakare, sezvambotaurwa, puroteni ye'HER2' haina kukwira. Izvi zvinoreva kuti mahormone kana puroteni ye'HER2' haina kubatsira mukukura kwegomarara iri . Rimwe zita reizvi i'Triple-Negative Breast Cancer' . Izvi zvinodaro nekuti estrogen receptor, progesterone receptor, uye protein ye'HER2' zvese hazvina kukwira muchiitiko ichi.

Ndezvipi zviratidzo zvekenza yemazamu yeHER2-negative?

Kutaura zvazviri, zviratidzo zvegomarara rezamu reHER2-negative zvakafanana zvikuru nezvegomarara remazamu ripi zvaro. Unofanira kuziva zvinotevera:

• Kana ukaona shanduko isingawanzoitika pahukuru kana chimiro chezamu rimwe kana ese ari maviri.
• Kana ukaona bundu idzva, bundu, kana kuomarara muzamu rako kana muhapwa, kunyanya kana bundu risingachinje nekufamba kwemwedzi kwako kwemwedzi.
• Kuchinja kweganda rezamu kana zamu. Semuenzaniso:
• Kubuda kweganda, seganda reorenji
• Ganda rinokwinya, rinobonda
• Ganda rine makwapa
• Kukwenya kunogara kuripo
• Kuchinja kweruvara rweganda (tsvuku, pepuru, brown, kana rima risingawanzoitika).
• Kubuda kwemuzamu . Izvi zvinogona kunge zvakatsvuka seropa, mvura yakachena, kana ruvara ruchena semukaka (kana usiri nepamuviri kana kuti uchiyamwisa).
• Kuchinja mazamu (kana aisavapo kare).

Zvakakosha kuziva kuti kenza yemazamu haisi nguva dzose inokonzera shanduko dzinooneka muchitarisiko chako . Zvakare, shanduko zhinji idzi dzinogona kuonekwawo mumamiriro ezvinhu asina njodzi, akajairika (semuenzaniso cysts, fibroadenoma). Ndosaka zvichikosha kugara uchitarisa mazamu ako uye kuongororwa kenza yemazamu zvinoenderana nezera rako . Kana uine chero kunetseka nezvekuchinja, iva nechokwadi chekuona chiremba kuti uone kana chiri chiratidzo chekenza kana chimwe chirwere.

Chii chinokonzera kenza yemazamu yeHER2-negative?

Zvichitaurwa zviri nyore, kenza yemazamu yeHER2-negative inokonzerwa nekuchinja kwemajini, kana kuti DNA, mumasero emazamu, kunonzi mutations , kunoita kuti masero iwayo ave masero ekenza. Masero aya ekenza anobva apatsanuka uye anowedzera nekukurumidza pasina kudzora, zvichiita kuti pave nemabundu.

Zvinhu Zvinokonzera Njodzi

Nyanzvi hadzisati dzaziva kuti chii chaizvo chinokonzera kushanduka kwemajini uku mukenza yemazamu yeHER2-negative. Zvisinei, dzakaona zvinhu zvinoverengeka zvinogona kuwedzera njodzi yekubatwa nekenza yemazamu. Izvi zvinosanganisira:

• Kuchinja kwemajini kwakagara nhaka : Hapana kuchinja kwemajini kwakanangana nekenza yemazamu yakabatana neHER2. Zvisinei, kana munhu akagara nhaka kuchinja kwemajini akadai seBRCA1 kana BRCA2, anenge ari panjodzi huru yekubatwa nekenza yemazamu (nemamwe magomarara) kazhinji.
• Iwe kana mumwe munhu wemumhuri mako akamborwara nekenza yemazamu.: Kana wakambova nekenza yemazamu kare, une njodzi yekuti idzoke zvakare. Uyewo, kana hama dzako dzeropa (kunyanya amai vako, baba vako, vanun'una vako, vana) vakambova nekenza yemazamu, iwe une njodzi yakakura zvishoma.
• Kugara uchiona mahormone eestrogen kana progesterone kwenguva refu : Kana wakatanga kuenda kumwedzi uri mudiki (semuenzaniso, usati wasvitsa makore 12), kana kuti wakasvika padanho rekuenda kumwedzi (semuenzaniso, mushure memakore 55), muviri wako wagara uchiona mahormone aya kwenguva yakareba. Izvi zvinogonawo kuva chikonzero chenjodzi. Mimwe mishonga yekutsiva mahormone inogonawo kuwedzera njodzi yako kana ikatorwa kwenguva refu.
• Kunwa doro : Ongororo yakawana kuti kunwa doro rinopfuura rimwe chete pazuva kunowedzerawo njodzi yekubatwa nekenza yemazamu.

Pamusoro peizvi, zvinhu zvakaita sekukura, kufuta, uye kusaita maekisesaizi zvinogonawo kuwedzera njodzi yekubatwa nekenza yemazamu.

Ko HER2-negative cancer yemazamu inoonekwa sei?

Vanachiremba vanowanzo ongorora kenza yemazamu isina HER2 kuburikidza ne biopsy yemazamu . Izvi zvinosanganisira kutora chidimbu chidiki chenyama kubva pabundu kana nzvimbo inofungirwa kuti inogona kupararira woitumira ku lab. Ikoko, nyanzvi yezvirwere inoongorora sampuli yacho pasi pe microscope kuti ione kana paine masero ekenza.

Kana masero ekenza akasimbiswa, bvunzo dzakakosha dzinozoitwa kuti vaone kuti puroteni ye`HER2` yakawanda sei iri pamusoro pemasero ekenza iwayo, kana kuti makopi mangani ejini re`HER2` aripo.

• Kana uine huwandu hwakajairwa (hwakaderera) hweprotein kana gene re'HER2', une kenza yemazamu ye'HER2-negative'.

Miedzo mikuru miviri yemurabhoritari yakaitwa nechinangwa ichi ndeiyi:

1. Immunohistochemistry (IHC) : Bvunzo iyi inoshandisa ma antibodies chaiwo uye madhayi kuti ione puroteni yeHER2 pamusoro pemasero ekenza. Kana mhedzisiro yeIHC iri 0 kana 1+, kenza inoonekwa seHER2-negative. Kana mhedzisiro iri 2+ (dzimwe nguva inonzi "equivocal" kana "borderline"), bvunzo inonzi FISH inoitirwawo kusimbisa mamiriro eHER2.

2. Kusanganiswa kweFluorescence in situ (FISH) : Bvunzo iyi inotarisa kuti makopi mangani eHER2 gene, iyo inogadzira HER2 protein, aripo mumasero egomarara. Izvi zvinoshandisa maikorosikopu chaiyo uye zviratidzo zve fluorescent (light-emitting). Muzviitiko apo mhinduro yebvunzo yeIHC isingagutsi, senge 2+, bvunzo yeFISH inogona kusimbisa mamiriro eHER2 (asina kunaka kana akanaka).

Pamusoro pebvunzo idzi dze'HER2', chiremba wezvirwere achaongororawo sampuro ye biopsy uye otarisa kuvapo kwe estrogen receptors (ETU) uye progesterone receptors (PR) mugomarara.

Ungangodawo kuita maekisesaizi ekuona kenza semammogram, ultrasound, CT scan, kana MRI scan kuti uzive danho rekenza yako (ndiko kuti, kuona kuti bundu racho rakakura sei uye kana rakapararira kuma lymph nodes kana kune dzimwe nzvimbo dziri kure dzemuviri).

Chiremba wako achasanganisa ruzivo urwu rwese (HER2 status, HR status, cancer stage, uye cancer characteristics) kuti agadzire hurongwa hwakakodzera hwekurapa kwako.

Ndeipi mishonga yekurapa kenza yemazamu yeHER2-negative?

Kurapa kwakanakisa kwegomarara rezamu reHER2-negative kunogona kusiyana kubva pamunhu nemunhu. Zvinoenderana nezvinhu zvakawanda, kusanganisira danho regomarara rako, ingave iri hormone receptor-positive kana kuti negative (HR+/HER2- kana HR-/HER2-), uye hutano hwako hwese.

Kazhinji, kurapwa kunogona kusanganisira:

• Kuvhiyiwa kwegomarara rezamu : Kubviswa kwegomarara remudumbu pamwe nenyama ine hutano yakaripoteredza. Izvi zvinogona kuitwa nekubvisa chikamu chezasi, kana kuti kubvisa mastectomy, iyo inobvisa zamu rose.
• Kurapa nemwaranzi : Mwaranzi ine simba rakawanda inoshandiswa kuparadza chero masero ekenza angasara mushure mekuvhiyiwa, kana kuderedza bundu risati ravhiyiwa.

Kuwedzera kune aya marapirwo ekutanga, kune mamwe marapirwo chaiwo zvichienderana nerudzi rwegomarara:

Kurapa kenza yemazamu yeHR+/HER2- (hormone receptor-positive, HER2-negative)

Nekuti rudzi urwu rwegomarara runoenderana nemahormone, kurapwa uku kwakakoshawo pamusoro pekuvhiyiwa uye/kana kurapwa nemwaranzi:

• Kurapa nehomoni : Kurapa uku kunoshanda nekuderedza huwandu hwemahormone eestrogen kana progesterone anobatsira kukura kwegomarara, kana nekumisa mahormone iwayo kuti asasungane nemasero egomarara. Semuenzaniso:
• Mishonga inodzivirira kuumbwa kwemishonga yeAromatase (semuenzaniso Anastrozole, Letrozole, Exemestane)
• Gonadotropin-releasing hormone (GnRH) agonists (inomisa kugadzirwa kwemahormone kubva mumazai)
• `Selective estrogen receptor modulators (SERMs)` (semuenzaniso Tamoxifen, Raloxifene)

Mune zvimwe zviitiko, ungangoda kuvhiyiwa (oophorectomy) kuti ubvise mazai ako, izvo zvinogadzira estrogen. Kurapa nemahormone kunogona kuitwa wega kana pamwe chete nekurapwa kwakanangwa kwemakore akati wandei.

• Kurapa kwakanangana : Kurapa uku kunotarisa kusasimba kwemasero ekenza uye kunoarwisa kuti kumise kukura nekupararira kwemasero ekenza. Kune kenza yeHR+/HER2, mishonga inonzi CDK4/6 inhibitors (semuenzaniso Palbociclib, Ribociclib, Abemaciclib) inoshandiswa pamwe chete nekurapwa nemahormone. Izvi zvinovhara enzyme inodzora kupatsanurwa kwemasero ekenza.
• Kurapa nemakemikari: Kune mamwe magomarara emazamu eHR+/HER2-, kunyanya kana gomarara racho rapararira kana kuti rakasimba, vanachiremba vanogona kukurudzira kurapwa nemakemikari pamwe chete nekurapwa nehomoni uye/kana kurapwa kwakanangana.

Kurapa kenza yemazamu yeHR-/HER2- (triple-negative)

Nekuti kenza yemazamu ine triple-negative haitsamiri pamahormone, kurapwa nemahormone hakushande. Kuwedzera pakuvhiyiwa uye/kana kurapwa nemwaranzi, mishonga inotevera inonyanya kushandiswa:

• Kurapa nemakemikari : Kurapa nemakemikari mushonga unokosha zvikuru wegomarara rine mativi matatu. Vanachiremba vanoshandisa mhando dzakasiyana dzemishonga yechemotherapy. Vanogona kupa mushonga mumwe chete kana musanganiswa wemishonga yakati wandei.
• Kurapa Nezvirwere Zvemuviri : Uku kurapa kutsva. Kunoshanda nekukurudzira masoja emuviri wako kuti aone nekuparadza masero ekenza. Pembrolizumab (Keytruda®) mushonga wekurapa nezvirwere zvemuviri unotenderwa neFood and Drug Administration (FDA) uye unopihwa pamwe chete nechemotherapy kune mamwe marudzi ekenza yemazamu ine triple-negative.
• Kurapa kwakanangana : Kune kenza dzisina mativi matatu dzine shanduko yemajini eBRCA, mishonga yakanangana inonzi PARP inhibitors (semuenzaniso, Olaparib, Talazoparib) inoshandiswa. Zvakare, kune chirwere chinopararira, mhando itsva dzemishonga yakanangana (semuenzaniso, maantibody-drug conjugates) dzave kuwanikwa.

Ndezvipi migumisiro yekurapa?

Kunyange hazvo kurapwa kwegomarara kuchikwanisa kurwisa gomarara zvinobudirira, mishonga yese, kusanganisira chemotherapy, radiation therapy, hormone therapy, targeted therapy, uye immunotherapy, inogona kukonzera mimwe migumisiro. Izvi zvinogona kuva zvenguva pfupi kana kuti kwenguva refu. Semuenzaniso, kuneta, kuda kurutsa, kurutsa, kurasikirwa nebvudzi, kushaya chishuwo chekudya, maronda mumuromo, shanduko dzeganda, manyoka kana kuvimbiwa, uye kuderera kwehuwandu hwemasero eropa.

Iva nechokwadi chekutaura nachiremba wako nezvemigumisiro iyi, kuti inogara kwenguva yakareba sei, uye kuti ungaigadzirisa sei. Vanogonawo kukutumira kune nyanzvi dzekuchengetedza varwere vane kenza . Kutarisirwa kwevanhu vane kenza hakusi kwezvikamu zvekupedzisira zvekenza chete, asiwo kunokubatsira kuchengetedza hupenyu hwako nekuchengetedza zviratidzo nemigumisiro panguva yekurapwa.

Ko kenza yemazamu yeHER2-negative inorapwa sei?

Mune kenza dzese dzezamu dzisina HER2, mwero wekurarama wakakwira zvikuru kana kenza iri pazamu chete uye isina kupararira (danho renzvimbo) kupfuura kana kenza yapararira kune nhengo dziri kure mumuviri (semuenzaniso, chiropa, mapapu, uropi, mapfupa) (kenza inopararira kana danho rekure).Mwero wekurarama kwegomarara rakapararira chete kumalymph nodes ari pedyo asi risina kupararira kune nhengo dziri kure (danho remunharaunda) uri pakati nepakati.

Zvisinei, zvakakosha kuyeuka kuti mikana yako yekupora, kana kuti fungidziro, inoenderana nezvinhu zvakanangana nechirwere chako. Izvi zvinosanganisira kuti kenza yapararira kusvika papi (danho), kana kenza ine hormone receptor status (HR+/HER2- kana HR-/HER2-), kuti masero ekenza ane simba rakadii (giredhi), zera rako, hutano hwako hwese, uye kuti unopindura sei kana uchirapwa. Izvi zvinhu izvo chiremba wako anogona kutaura newe nezvazvo uye kukutsanangurira zvaunotarisira. Nhamba dzinongova avhareji, uye hadzizove dzakafanana kune wese munhu.

Ndinozvitarisira sei? (Kuzvitarisira)

Ungave uri munhu ane kenza yemazamu yeHER2-negative iri padanho rekutanga kana kuti uri munhu ari kurarama nekenza yakakura, zvakakosha kutora nguva yekuzvitarisira. Izvi zvichakubatsira mumuviri nemupfungwa. Heano zvimwe zvinhu zvaunogona kuita:

• Zorora kana uchida : Zvakajairika kunzwa kuneta uye kuneta, zvese nekuda kwekurapwa nekenza uye kenza. Kana uchinzwa kuneta, zorora wozorora. Teerera muviri wako.
• Idya chikafu chine hutano uye chinovaka muviri : Mamwe marapirwo egomarara anogona kukanganisa chishuwo chako chekudya uye kuravira. Asi edza kudya chikafu chakakwana kuti uwane zvinovaka muviri zvinodiwa nemuviri wako. Isa michero, miriwo, fiber, uye chikafu chine mapuroteni akawanda. Kana usina chokwadi nezvekudya zvipi kana kuti zvipi, taura nenyanzvi yezvekudya kuti akupe mazano.
• Kurovedza muviri (asi usapfuure mwero) : Zvakakosha kuita maekisesaizi nguva dzose padanho rakakunakira, sezvakakurudzirwa nachiremba wako. Kunyangwe kufamba zvishoma kana yoga zvinogona kuva zvakanaka. Zvinogona kuwedzera simba rako, kuvandudza mafungiro ako, uye kubatsira kuderedza migumisiro yakaipa. Zvisinei, bvunza chiremba wako kuti rudzii rwemaekisesaizi rwakakunakira uye kuti unofanira kuita zvakawanda sei, zvichibva pakuongororwa kwako uye kurapwa.
• Kudzora kushushikana : Zvakajairika kunzwa kushushikana, kuzvidya mwoyo, uye kutya nechirwere chakadai. Tsvaga nzira dzekugadzirisa zvinokuitira zvakanaka. Kunyange zvazvo kufungisisa nekurovedza muviri kufema zvichishandira vamwe, vamwe vangasarudza kuita zvinhu zvekugadzira zvakaita sekuverenga bhuku, kuteerera mimhanzi, kudhirowa, kana kurima. Isa parutivi nguva zuva rega rega yechiitiko chipi zvacho chinokubatsira kunzwa wakadzikama uye wakasununguka.
• Wana rutsigiro rwepfungwa: Zvakakosha kutaura nezvemanzwiro ako nemhuri neshamwari dzepedyo. Zvinogonawo kuva nesimba guru kubatana nevamwe vari kutarisana nechirwere chegomarara uye kugovana zvavakasangana nazvo. Bvunza chiremba wako nezvemapoka ekutsigira kana mapurogiramu ekuponesa gomarara.

Ndinofanira kuona chiremba rini?

Zvakakosha kuti ugare uchisangana nachiremba wako nguva dzose, panguva yekurapwa uye mushure mekurapwa.

• Kana ukava nezviratidzo zvitsva (semuenzaniso, kurwadziwa kunoramba kuripo, bundu idzva, kufema zvakaoma, kudzikira kwehuremu kusingatsananguriki), kana kana zviratidzo zvako zviri kuita sezviri kuwedzera , ona kana kuzivisa chiremba wako nekukasika .
• Mushure mekurapwa, chiremba wako acharonga nguva dzekuonana nachiremba panguva nenguva . Iva nechokwadi chekuti wachengeta nguva idzi. Izvi ndezvekutarisa kana chirwere chako chichidzoka, kugadzirisa migumisiro yekurapwa kwenguva refu, uye kutarisa hutano hwako hwese. Nguva idzi dzekuonana nachiremba dzinonyanya kukosha mumakore mashanu ekutanga mushure mekurapwa . Apa ndipo panowanzo dzoka kenza.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana uchitaura nachiremba wako, usatya kubvunza chero mibvunzo yaunayo, zvisinei nekuti midiki sei. Heano mimwe mibvunzo yaunogona kubvunza kuti ikubatsire:

• Ko hormone yangu yekenza inobvuma chirwere ichi ine mhedzisiro yakanaka here kana kuti yakaipa?
• Ndeipi mhando chaiyo yekenza yangu uye danho rayo?
• Munondikurudzira kurapwa kupi? Sei?
• Ndezvipi zvinokanganisa kwenguva pfupi uye kwenguva refu zvatingatarisira kubva mukurapwa uku? Chii chingaitwe kuderedza izvi?
• Kurapwa kunotora nguva yakareba sei?
• Chii chaungandiudza nezve fungidziro yangu yechirwere ichi?
• Ndingaenderera mberi nemabasa angu ezuva nezuva (basa, mabasa epamba) here panguva yekurapwa?
• Pane zvinhu zvakakosha zvandinofanira kungwarira here maererano nekudya kwangu uye kurovedza muviri?
• Ndingaitei kuti ndideredze njodzi yekudzoka kwekenza?
• Kana ndichida rubatsiro kana mazano, ndinogona kuwana rubatsiro rwekubatsira here?

Zvakanaka kunyora mibvunzo iyi woibvunza, kuti usazokanganwa chero chinhu.

Zviri nani here kuva neHER2-positive kana kuti negative?

Uyu mubvunzo unobvunzwa nevanhu vazhinji. Asi zvakaoma kupa mhinduro iri nyore kune izvi, nekuti chokwadi ndechekuti 'zvinoenderana' .

Semuenzaniso, kenza yemazamu ine HER2-positive inowanzokura nekukurumidza uye ine hukasha kupfuura kenza ine HER2-negative. Zvisinei, pane mukana weizvi. Kune mishonga chaiyo inogona kunanga mapuroteni eHER2, semuenzaniso, Herceptin, Perjeta, uye inoshanda zvikuru kune kenza ine HER2-positive. Mishonga iyi haishande kune kenza ine HER2-negative, nekuti kenza idzodzo hadzina puroteni yakawanda yeHER2 yekurwisa.

Kune rumwe rutivi, kana kenza ye'HER2-negative' iri 'HR+` (hormone receptor-positive), kureva, rudzi rwe'HR+/HER2-`, saka kune mishonga inoshanda zvikuru yemahormone uye mishonga yakanangwa yakadai se'CDK4/6 inhibitors'. Kutaura zvazviri, kenza yemazamu ye'HR+/HER2-` inoonekwa seine fungidziro yakanakisisa pakati pemhando dzekenza yemazamu dziripo.

Asi kana kenza iri `HER2-negative` (HR-) (hormone receptor-negative), kureva kuti, triple-negative, inogona kuva nehasha kupfuura dzimwe mhando, uye kurapwa kunogona kuoma zvishoma. Asi ikozvino kune chemotherapy, immunotherapy, uye mishonga mitsva yakanangwa yeizvozvo zvakare.

Saka, hazvigoneki kutaura kuti chimwe chiri "nani" kana kuti "chakaipa" pane chimwe. Chinhu chakakosha ndechekuziva mhando chaiyo yegomarara rako uye kuwana mushonga unoshanda wakakodzera.

Pakupedzisira, ndinofanira kukuudzai... (Mharidzo Yekuenda Nayo Kumba)

Kana waonekwa uine kenza yemazamu inonzi `HER2-negative`, zvakajairika kuti unzwe kutya uye kunetseka. Asi yeuka, iyi haisiriyo mugumo wenyika. Sainzi netekinoroji yekurapa zvafambira mberi zvikuru nhasi, uye kune nzira dzakawanda dzekurapa dzinoshanda dzerudzi urwu rwekenza.

Chinhu chinonyanya kukosha ndechekuti:

• Kuziviswa zvakanaka nezvenyaya iyi.
• Gara uchiziva nezvekuchinja kuri kuitika mumuviri wako, kunyanya mazamu ako.
• Kana muine kusava nechokwadi, onai chiremba nenguva uye ongororwai.
• Taura pachena uye nekuvimbika nachiremba wako, bvunza mibvunzo yako yese, uye nzwisisa nzira dzekurapa dzakakodzera.

Yeuka kuti hausi wega uri parwendo urwu. Kune vanachiremba vane tarenda, vanamukoti, mhuri yako, neshamwari dzako dzepedyo dziripo kuti dzikubatsire uye dzikutsigire. Ramba uine mafungiro akanaka, tevera mirairo yavanachiremba vako nemazvo, uye uwane rutsigiro rwaunoda, uye zvechokwadi uchakwanisa kugadzirisa mamiriro ezvinhu aya zvinobudirira uye kupora. Dai wava nesimba!

` Kenza yemazamu, HER2-negative, zviratidzo zvekenza, kurapwa kwekenza, hutano hwevakadzi, kurapwa kwemahormone, katatu-negative