Kana chiremba akakuudza kuti une kenza yemazamu, zvakajairika kunzwa kutya, kushamisika, uye kuva nemibvunzo yakawanda. Kana chiremba akati, "Iyi ikenza yeDanho rechipiri" kana "Giredhi rechitatu," ungashamisika kuti mazwi aya anorevei chaizvo. Zvakajairika kunzwa kutya zvakanyanya paunonzwa mazwi akadai. Zvisinei, kuziviswa zvakajeka nezvezvinhu izvi kuchakubatsira iwe nemhuri yako kuti muve vakasimba mupfungwa uye muite sarudzo nezverapi remangwana. Saka ngatitaurei nezvazvo zviri nyore nhasi.
Kune mhando mbiri dzakasiyana dzegomarara here: 'Stage' uye 'Grade'?
Ehe, izvi zvine chekuita nezvinhu zviviri. Zvese izvi zvinopa vanachiremba ruzivo rwakakosha nezverudzi rwegomarara rako.
Zvichitaurwa zviri nyore:
- Danho reKenza: Funga nezvegomarara semoto mudiki unotanga mumba. 'Danho' rinoreva kuti moto wacho wapararira kusvika papi mumba, kungave kwapararira kupfuura zamu kusvika kuma lymph nodes ari muhapwa kana kune dzimwe nhengo dzemuviri. Kana nhamba yedanho iri yakaderera, gomarara racho haripararire zvakanyanya.
- Giredhi reKenza: Funga nezvemoto iwoyo zvakare. 'Giredhi' rinoreva kuti moto wacho wakanyanya sei uye kuti uri kupararira nekukurumidza sei. Vanachiremba vanoongorora masero ekenza vachishandisa maikorosikopu kuti vaone kuti akafanana sei nemasero ane hutano uye kuti ari kupatsanuka nekukurumidza sei. Giredhi rakakwirira, kenza yacho inogona kuva nehasha zvikuru.
Ruzivo rwese urwu rwakakosha zvikuru kuti chiremba asarudze nzira yekurapa yakakunakira.
Matanho ekenza yemazamu ndeapi?
Matanho egomarara remazamu anonyanya kuratidzwa nenhamba dzinobva pa0 kusvika pa4. Dzimwe nguva mabhii akadai saA, B, naC anoshandiswa kutsanangura matanho aya.
| Danho | Zvinoreva zviri nyore |
|---|---|
| Danho 0 | Iyi ndiyo nhanho yekutanga yekenza yemazamu. Masero asina kujairika ari mukati memigero inotakura mukaka yezamu chete. Haana kupararira kune nyama yakapoteredza. Izvi zvinonziwo `Ductal Carcinoma In Situ (DCIS)`. |
| Danho I (Danho 1) | Gomarara iri rava kupinda muropa, zvichireva kuti rapararira mumatishu ezamu akagwinya ari pedyo. Asi bundu iri richiri diki kwazvo (risingasviki masendimita maviri) uye harina kupararira kuma lymph nodes ari pedyo, kana kuti harina kupararira zvakanyanya. Panguva ino, mikana yekurapwa yakakura zvikuru. |
| Danho rechipiri (Danho rechipiri) | Gomarara iri rinogona kunge rakakura zvishoma (pakati pe 2-5 centimeters) kana kuti rakapararira kune mamwe ma lymph nodes ari pedyo muhapwa. Asi gomarara iri richiri munzvimbo yemazamu nehapwa chete. |
| Danho rechitatu (Danho rechitatu) | Iri danho rave repamusoro munharaunda . Gomarara rinogona kunge rakapararira kunze kwezamu, kusvika kumadziro echipfuva, ganda, kana ma lymph nodes muhapwa. Asi harisati rapararira kune nhengo dziri kure dzakadai sechiropa kana mapapu. |
| Danho rechina (Danho rechina) | Danho iri rinonzi Metastatic Breast Cancer . Apa ndipo apo kenza yapararira kupfuura zamu nelymph nodes dziri pedyo kuenda kunhengo dziri kure dzakadai semapfupa, mapapu, chiropa, kana uropi . |
Kuongororwa kwegomarara nedzimwe bvunzo dzakakosha
Chiremba anoona kuti masero egomarara anowanikwa sei nekuongorora masero egomarara akawanikwa kuburikidza nekuvhiyiwa kana biopsy.
- Giredhi 1: Masero egomarara akafanana zvikuru nemasero ane hutano. Anokura zvishoma nezvishoma.
- Giredhi 2: Masero egomarara akasiyana zvishoma nemasero ane hutano. Anokura zvishoma nezvishoma.
- Giredhi 3: Masero egomarara akasiyana zvikuru nemasero ane hutano uye anotaridzika kunge akaora. Anogona kukura nekupararira nekukurumidza.
Chinonyanya kukosha ndechekuti, kuziva giredhi iri kuchabatsira zvikuru chiremba wako kuona kuti unoda kurapwa sei uye rudzii rwekurapa, senge chemotherapy, kwaunoda.
Pamusoro pezvo, chiremba ari kuita mimwe miedzo yakakosha.
- Mamiriro eHormone Receptor: Mamwe masero egomarara rezamu anoshandisa mahormone eestrogen neprogesterone kukura.
- ER-positive (ER+) zvinoreva kuti kenza inoshandisa hormone inonzi estrogen kukura.
- PR-positive (PR+) zvinoreva kuti hormone inonzi progesterone ndiyo inoshandiswa.
- Kana izvi zvikaonekwa kuti zvine chirwere, kenza inogona kudzorwa nekupa mushonga wemahormone.
- Mamiriro eHER2: `HER2` ipuroteni inodzora kukura kwemasero. Mamwe masero ekenza anogadzira puroteni iyi ye`HER2` yakawandisa (`HER2-positive`). Zvadaro kenza inogona kukura nekukurumidza. Kune kenza ye`HER2-positive`, kune mishonga chaiyo (Targeted Therapy) inotarisa puroteni iyoyo.
Chii chinonzi TNM system?
Iyi ndiyo nzira inogamuchirwa pasi rose inoshandiswa navanachiremba kuti vaone nhanho yekenza nemazvo. Kunyange zvazvo zvingaita sezviri nyore, inogona kupa mufananidzo chaiwo wekenza yako.
- T (Bundu): Inoyera saizi yegomarara uye kana rakapararira kune nhengo dzakapoteredza.
- N (MaNodes): Inoongorora kana kenza yapararira kune ma lymph nodes ari pedyo, uye kana zvakadaro, kusvika papi.
- M (Metastasis): Inoongorora kana kenza yapararira kune nhengo dziri kure dziri kunze kwezamu.
Danho rose regomarara rako rinowanikwa nekubatanidza nhamba dzine chekuita nebhii rimwe nerimwe (semuenzaniso T1, N0, M0). Kana ukaona chero chimwe chezviratidzo izvi pamushumo wako, usatya kubvunza chiremba wako kuti akutsanangurire.
Tinofanira kunetseka here nezveMutengo weKupona Kwemakore Mashanu?
Mashoko aya anovhundutsa munhu wese. Izvi zvinoreva kuti vangani pavanhu zana vanoonekwa vaine kenza panguva yakati vachararama mushure memakore mashanu.
Asi yeuka izvi: Idzi ingori nhamba dzakajairika dzakabva padata rezviuru zvevarwere. Havagoni kufanotaura mamiriro ako ega.
- Kune kenza dzepakutanga (dzakapararira munzvimbo dzakasiyana), chiyero ichi chinosvika 99% .
- Kunyangwe huwandu uhwu hwakaderera kana kenza yapararira kunhengo dziri kure (Kure/Danho rechina), nekuda kwekurapa kwemazuva ano, vanhu vazhinji vakakwanisa kuchengetedza hupenyu hwakanaka uye kurarama kwemakore mazhinji kunyangwe vaine kenza yeDanho rechina .
Saka, usanyanya kunetseka nenhamba dziri paindaneti. Chinangwa chako chinofanira kunge chiri chekuramba uchitevera hurongwa hwako hwekurapa hwakasiyana.Taura pachena nachiremba wako nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- 'Danho' regomarara rezamu rinoreva kuti gomarara rapararira kusvika papi. 'Giredhi' rinoreva kuti gomarara racho rakasimba zvakadii.
- Kuziva danho chairo uye giredhi regomarara rako kwakakosha pakusarudza nzira yakanakisisa yekurapa gomarara rako.
- Kenza yeDanho rechina (Metastatic) haisiriyo mugumo wehupenyu. Nekurapwa kwazvino, chirwere ichi chinogona kudzorwa uye kurarama zvakanaka.
- Kana usina kunzwisisa chimwe chinhu mumushumo wako, usatya kana kuzeza kubvunza chiremba wako kakawanda. Ikodzero yako.
- Usaite rwendo urwu wega. Tsvaga rutsigiro kubva kumhuri yako, shamwari, uye mapoka ekutsigira kana zvichidikanwa. Izvi zvichakupa simba guru repfungwa.
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