Kana uchitarisa muviri wako, kana kuti uchingotarisa zvisina kurongeka, wobva waona bundu riri muzamu rako, zvakajairika kuti unzwe kutya kukuru. "Iri kenza here?" ndiwo mubvunzo wekutanga unouya mupfungwa dzako. Kutya ikoko kune musoro. Asi waiziva here kuti haasi mapundu ese ari muzamu ari kenza? Nhasi tiri kutaura nezvebundu rimwe risina njodzi, asi rinowanzotyisa. Iri rinonzi PASH.
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Zvichitaurwa zviri nyore, chii chinonzi PASH?
Zita rakazara rePASH nderekuti Pseudoangiomatous Stromal Hyperplasia. Kunyange zvazvo zita racho rakaoma zvishoma, zvarinoreva zviri nyore kwazvo. Iri ibundu risina njodzi (risina kenza) rinokura munyama yezamu. Kutaura chokwadi, mapundu aya anoumbwa nepuroteni inonzi collagen inowanikwa mumuviri wedu nemasero ayo.
Zvakajairika zvekuti zvidzidzo zvakawana kuti PASH inowanikwa muinenge 23% yemazamu. Izvi zvinoreva kuti vakadzi vazhinji vanozove nebundu rakadai pane imwe nguva muhupenyu hwavo. Izvi hazvina kuipa.
Saka sei PASH ichibatanidzwa nekenza?
Heino chinhu chakakosha. Dzimwe nguva bundu rePASH rinogona kuvhiringidzwa nerudzi rwekenza rusingawanzoitiki runonzi Angiosarcoma. Angiosarcoma ikenza inogona kuumbwa mutsinga dzeropa dzezamu. Nekuti zviviri izvi zvinogona kufanana pane dzimwe bvunzo, vanachiremba vanongwarira zvikuru.
Saka, kana ukaona chimwe chinhu chinoita sePASH pa mammogram yako (X-ray yemazamu ako), chiremba wako haazogumisi kuti hauna kenza kusvika vava nechokwadi che100%. Vanoda kuva nechokwadi chekuti iPASH kana chimwe chinhu.
Asi yeukai, mukana wekuti bundu rePASH rive kenza wakaderera zvikuru. Zvakare, hazviwanzoitiki kuona bundu rePASH richisangana nekenza yemazamu.
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Dambudziko iri rinowanzoitika kuvakadzi vari pakati pemakore makumi matatu nemakumi mashanu. Asi izvi hazvirevi kuti hazvigone kuitika kune vamwe. Kwave nemishumo yePASH muvasikana vari pakati pemakore gumi nemana uye muvakadzi vakuru vari pakati pemakore makumi mashanu nerimwe nemakumi matanhatu nemanomwe.
Zvinoshamisa kuti PASH inogonawo kuitika kuvarume. Zvisinei, inowanzoonekwa kuvarume vane chirwere chinonzi Gynecomastia. Gynecomastia kukura kwenyama yezamu remurume nekuda kwekushandiswa kwemahormone. Izvi zvinoratidza kuti PASH ine hukama nemahormone.
Chii chinonyanya kukonzera PASH?
Kutaura chokwadi, chikonzero chaicho chePASH hachisati chazivikanwa, asi vaongorori vanotenda zvikuru kuti inokonzerwa nemahormone .
Semuenzaniso, mapundu ePASH evamwe vakadzi anogona kuzvimba nekuenda kwavo kumwedzi. Kwakavewo nedzimwe nyaya dzePASH dzakabatana nemapiritsi ekudzivirira pamuviri uye kurapa kwekutsiva mahormone (HRT). Izvi zvichiri kuongororwa.
Ndezvipi zviratidzo zvePASH? Tinozviziva sei?
Kazhinji, mapundu ePASH madiki zvikuru uye anongoonekwa chete nemaikorosikopu (microscopic). Saka vanhu vazhinji havanzwi zviratidzo uye havatombozivi kuti vane chimwe. Anowanikwa netsaona panguva yekuongorora mammogram nekuda kwechimwe chikonzero.
Asi mamwe mapundu ePASH anogona kukura zvakakura, kubva pamasendimita 1 kusvika 12. Ndipo patinotanga kunzwa zviratidzo.
| Hunhu | Tsananguro |
|---|---|
| Kunzwa bundu muruoko | Inonzwa sebundu rakaoma rinogona kunzwikwa muruoko, kazhinji rakaita denderedzwa kana kuti rakaenzana nedenderedzwa. |
| Kufamba | Mapundu aya anogona kufamba mukati menyama yezamu. Izvi zvinoreva kuti haagari panzvimbo imwe chete nguva dzose. |
| Marwadzo | Mapundu ePASH haawanzo kukonzera kurwadziwa kana kusagadzikana. Zvisinei, kana bundu racho rikava guru kwazvo, unogona kunzwa kusagadzikana. |
| Kuchinja kwehukuru | Dzimwe nguva saizi yemapundu aya inogona kuchinja, dzimwe nguva nekukurumidza. Asi kuchinja uku kwehukuru hakuna njodzi. |
Nzira yekusimbisa sei PASH status nemazvo?
Kana uine bundu muzamu rako, chiremba wako anokurudzira bvunzo dzinoverengeka kuti aone kana riri PASH kana kwete.
- Mammogram kana MRI: Izvi zvinotora mifananidzo yakadzama yenyama yezamu kuti zvionekwe kuti bundu riri papi.
- Ultrasound Scan: Izvi zvinoshandisa mafungu eruzha kuongorora nyama dzezamu. Zvinogona kubatsira kuona kana bundu rakasimba kana kuti rakazara nemvura.
- Kuongororwa kweMatumbu: Iyi ndiyo nzira inonyanya kujeka yekuongorora. Mukuita izvi, tsono diki, isina chinhu inoshandiswa kubvisa chidimbu chidiki chenyama kubva mubundu uye kuriongorora pasi pemaikorosikopu. Rudzi rwemasero ari muchidimbu ichocho runogona kushandiswa kuona ne100% chokwadi chekuti iPASH here kana chimwe chinhu.
- Kubviswa kweganda: Dzimwe nguva, kana zvakaoma kusimbisa ne biopsy, chiremba anogona kusarudza kubvisa bundu rose nekuita oparesheni kuti riongororwe.
PASH inoda kurapwa here?
Aya ndiwo mashoko akanaka. Kazhinji, kana wangoonekwa uine PASH, hauzodi kurapwa. Chiremba wako anowanzo taura kuti, "Ngatingotarisa izvi." Izvi zvinoreva kuramba uchitarisa bundu panguva yekuongorora mammogram yako yegore negore.
Zvisinei, kashoma, kuvhiyiwa kungadiwa kuti bundu ribviswe. Izvi zvinokonzerwa nezvikonzero zvinotevera:
1. Kana bundu rakakura kwazvo uye uchinzwa kusagadzikana kana kurwadziwa.
2. Kana usina chokwadi che100% chekuti iyi iPASH kunyangwe mushure mekuyedzwa, bvisa kusava nechokwadi ikoko.
Kuvhiyiwa uku kuri nyore kwazvo. Kunosanganisira kubvisa bundu pamwe nenyama shoma dzakaripoteredza kuti risakure zvakare. Mikana yekuti bundu rePASH ridzoke mushure mekuvhiyiwa iri pasi pe15% kusvika 22%.
Mharidzo Yekuenda Nayo Kumba
- PASH ibundu rinowanzoitika, risingakuvadzi kenza (risina njodzi) rinoitika muzamu.
- Kana ukaona bundu muzamu rako, usavhunduka, asi edza kuona chiremba kuti akupe mazano. Usambozvifuratira.
- PASH haiwanzoiti kenza. Hazvionekwi sechirwere chisati chasvika kenza.
- Miedzo yakaita seye 'Mammogram', 'Ultrasound', uye 'Core Biopsy' inokosha kuti pave nekuongorora kwakarurama.
- Kazhinji, hapana kurapwa kunodiwa paPASH, uye zvakakwana kungoitarisa nachiremba.
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