Kalasi 3 khansa ya m'mawere: wonse. Therapy a khansa ya m'mawere

khansa - zilonda chotupa amene agonjetsa osati thanzi ndi kukongola kwa akazi, komanso moyo wake. Chiwerengero cha odwala ikukula mu Russia ndi leaps ndi malire. Ngati ngakhale zaka 30 zapitazo 6000 milandu mu magawo otsiriza madokotala m'kaundula pa chaka, koma tsopano chithunzi ichi wauka kwa nthawi awiri ndi theka. M'nkhaniyi tiona kulongosola mwatsatanetsatane zimene likuoneka kalasi 3 khansa. The moyo wa akazi, mankhwala ake, zizindikiro zimene iye amaona, kodi kupewa matenda oopsa - zonsezi werenganibe.

Kodi owopsa khansa kalasi 3?

Kuyamba ndi ife kudziwa kuti ndi matenda. Madokotala amanena kuti khansa mu akazi 3 siteji - ichi ndithu ndi chotupa chachikulu. awiri The akafika masentimita asanu, motero akhoza kufalitsa pa khungu: a khungu darkens, zitunda, zimatengera mtundu wa ndimu peel. The lymph mfundo mu m'khwapa ali metastasis: iwo welded ndi wandiweyani, kuwonjezeka kwambiri kukula. Kutupa pa magawo awiri oyambirira nthawi zambiri amakhalabe padera, kotero iye akutembenukira kwa dokotala pamene matendawa amagwira patsogolo.

Cancer 3 madigiri - matenda zokhudza zonse. Izi zikutanthauza kuti si kokwanira kudula chotupa chija kuchitira izo. Ambiri mwina, chotupacho kale tiyeni metastases tosaoneka mu ziwalo mkati. Choncho, imeneyo ya zochitika ukhoza kuwononga zisadzachitikenso, chitukuko cha khansa pamalo ena mastectomy Nthawi kwambiri makamaka matenda chakupha. Ngati pambuyo opaleshoni pofuna kuchiza khansa sakutero mankhwala zisadzachitikenso amapezeka 100% ya milandu.

Zina mwa zifukwa

Monga mmene taonera, mavuto sizingasinthe angachotsedwe digiri 3 khansa. The moyo amayembekezeka wodwala zimadalira kuzindikira ake: iyenso amadziwa za matendawo, m'pamenenso muzindikire njira zoipa m'thupi lanu. Pa nthawi yomweyo, madokotala akhala lolunjika pa zinthu zimene zingachititse kuti mapangidwe chotupa. Choyamba, fano la moyo wa mkazi. Kudwala pa chiopsezo madona wopanda mwana wamkulu kapena amene ali ndi pakati kwa nthawi yoyamba patadutsa zaka 30, madona aang'ono amene nawo kawirikawiri ndi gwero la cheza kuti amakonda kudya zakudya mafuta. Pachiswe chotupa odwala wamkulu kuposa zaka 40, chibadwa predisposed matenda, komanso anthu amene anayamba kusamba oyambirira (asanafike zaka 12) ndi kusintha mochedwa kubwera.

Kachiwiri, mapangidwe chotupa amakhudza mlingo wa thanzi. Cancer odwala atengeke amene milingo timafunika kuti magazi mkulu, pali matenda kagayidwe kachakudya, kunenepa, mavuto endocrine, matenda a chithokomiro. Kuyang'aniridwa ndi dokotala ayenera kukhala madona anthu osunga khansa maliseche ndi chifuwa, komanso amene akutsogolera kulera m'kamwa limene pali kusintha mu bere.

zinthu zina

Matenda, khansa ya m'mawere kumachitika chifukwa. Iye akhoza yoyamba zosiyanasiyana njira pathological mu zimakhala. Mwachitsanzo, mapangidwe foci wa mastopathy fibrocystic chifukwa mobwerezabwereza hyperplasias dishormonal. zifukwa zawo motere: yemweyo endocrine matenda zonse kukhala pambuyo likufa mimba, chifuwa augmentation kukula, zokhudzana ndi matenda, zosayenera kudyetsa mwana wakhanda.

Mwatsoka, chiopsezo kuti "kupeza" matenda mwachindunji njila kwa kukula kwa bere. The kugwira zikuluzikulu mosamala muyenera kuwunika chikhalidwe chake. chitukuko khansa zachititsanso kuti kuvutika anatomical, matenda, anapanga kwambiri pamene mkaziyo anali ndi mwana wosabadwayo, ndipo anali m'mimba. Tikuyankhula zokhudza kukhala lobes zina minofu glandular, kobadwa nako kapena majini chingawapangitse kukhala zidakwa kwa zotupa chosaopsa - fibroadenoma. mabungwe onse awa ziyenera kuchotsedwa opaleshoni chifukwa iwo ndi kovuta kusiyanitsa kuyambira chiyambi cha khansa.

zizindikiro

Ndi zomvetsa chisoni, koma kawirikawiri mu magawo kutsogoloku madona zindikirani khansa. Zizindikiro ndi zizindikiro mu nkhani iyi amaoneka mosiyana. Main - chisindikizo kuti akhoza kufika pachifuwa pa akufufuza mpata. Si ndi chotupa chija, koma kukaona chipatala sadzakhala zosafunika. chotupa kutanthauzira angakhale osiyana: mu kumanzere ndi nganga bwino. Only 2.5% milandu anaona khansa amgwirizano: chifuwa mfundo yachiwiri kukhala mwina mapangidwe osiyana ndi metastasis. Theka la odwala khansa "amakonda" anaika kunja kuyandikira armpit lapansi.

khansa, zizindikiro ndi zizindikiro zimene m'njira wofatsa matendawa sizimawoneka kundivutitsa mkazi formations zolimba mu gawo lachitatu. Iwo sizimapweteka, koma kulenga kusapeza: germinating mpanda pachifuwa, olimba ngati mwala, ndipo kugwira kaŵirikaŵiri lidzasinthidwa chosema n'kupuma. Ngati khungu akhudzidwa, matenda ndi noticeable kwa apoyera: a khungu kuphimba deforms, kukoka nipple. Pa zimene kupita zoonera kapena kumaliseche yochitidwa. Pamene bwanji lymph mfundo ndi kukula ndi mavuto m'dera underarm.

mitundu atypical khansa

Kawirikawiri kalasi 3 khansa ya m'mawere moyo amayembekezeka pa nthawi imene zimadalira zochita woyenera wa mkazi ndi dotolo ali mitundu angapo. Kuwonjezera muyezo pamwamba chithunzi matenda, chotupacho akhoza kutenga zachilendo mitundu atypical:

1. Mastitopodobny khansa. Iwo amakhala ndi apano mofulumira, chifuwa mwachikondi, kuchuluka kwake. Khungu ndi wofiira, otentha kukhudza, anatambasula ndi mantha. matenda ndi ofanana kwambiri mastitis, kotero zolakwa oopsa matenda sizachilendo.
2. Rozhistopodobnaya mawonekedwe. Redness a khungu la kugwira, amene kufalikira akutali malire ake, ali ndi imodzi losongoka m'mbali. Mkazi akhoza kwambiri adzauka kutentha. Chotupa mosavuta kusokonezedwa ndi erysipelas wamba.
3. khansa oti muli nazo zida. A mtundu woopsa kwambiri. Kumachitika chifukwa kusalola ming'alu khungu ndi lymph mfundo, chifukwa mu chimauma formations wandiweyani. Iwo anawonetseredwa mu mawonekedwe a chipolopolo okuta mbali yaikulu ya pachifuwa.
4. Cancer Paget. Amagwira nipple iye shelled, amatulutsa chamadzimadzi. Nthawi zambiri kuonedwa ngati chikanga. Ngati sanalandire chithandizo, khansa likulowerera minofu kwambiri, kupanga pali mfundo zilonda.

Onse a mitundu awa sali ngati khansa wamba. Koma kwa akatswiri odziwa matenda mtundu wa matenda sadzakhala kovuta.

Kodi chimachitika m'thupi?

khansa mu akazi dongosolo histological amatanthauza adenocarcinomas kapena otchedwa mawonekedwe olimba a matenda ndi kuchuluka kwa mitundu Transitional. Zotupa ndi lobular ndi ductal, malingana ndi contours ndi kufalikira. M'pofunikanso kudziŵa kuti kuwonjezera zotupa wamba zilonda mu bere kumachitika khansa si zaminyewa, monga sarcoma. Zimachitika kawirikawiri kwambiri -% 1 okha milandu. matenda awo ndi mankhwala ofanana ndi chotupa wamba.

khansa ya m'mawere ungathe kugawidwa mu mitundu iwiri malingana kukhalapo kapena kusapezeka kwa boma makamaka timafunika cholandilira (ERZ). Iwo akhoza kwambiri asinthe matenda, nthawi zambiri zimadalira njira ya mankhwala kwa iye amene dokotala akufuna. Anthu zotupa amene ali ERZ kwambiri khalidwe la kusintha kwa thupi. N'chimodzimodzinso ndi nambala yaikulu ya khansa chachikulu - 70%. malignancies ERZ-zoipa ambiri mwa akazi patsogolo kusintha.

metastases

Ndi zoopsa kwambiri ndi moyo maphunziro amene nthawi zambiri zimachitika mu magawo mochedwa matenda pamene mkazi ndi khansa ya m'mawere. Metastasis - yemweyo maselo chotupa ntchito lymph otaya (ndipo kwambiri anayamba mwa bere minofu) amafalitsidwa kwa mwanabele. malignancies koyamba makamaka umakhudza axillary, subscapular ndi subclavian m'madera a thupi. Ndiye kukwawa metastasis m'dera khosi, chifuwa chachiwiri komanso malo ozungulira izo. Nthawi zina metastases kukaonekera pamaso anapezeka khansa. Pankhaniyi, muyenera yomweyo kuganiziranso onse kuti achotse khansa chotupa.

Hematogenous njira - kudzera m'thupi - kupeza metastases ziwalo zina, pamene iwo anayamba parasitize. Childs, iwo zili zimakhala ubongo, chiwindi, m'mapapo, pleura, fupa. Ngati maphunziro anazolowera mafupa, koposa zonse, iwo "kukhazikika" mu mafupa a chiuno, ndi Chigaza, msana, nthiti, femur ndi humerus. Pankhaniyi, mkazi amamva kupweteka ululu, omwe mosavuta kusokonezedwa ndi matenda a dongosolo minofu ndi mafupa. M'tsogolo kumakhala kovuta, lakuthwa, mumamva ngati si ankachitira choyambitsa awo - khansa.

diagnostics

Chithandizo cha matenda a khansa ya m'mawere angathe ndithu, ngati nthendayo kuyambira yekha kukhala. Nthawi zina zambiri moyembekezera mankhwala amtopola. Koma musanayambe kusankha njira yoyenera, dokotala ayenera kupanga matenda zolondola. Iye adzayenera kuti atsimikizire kapena debunk ndi kopanda matenda a khansa, komanso kudziwa mtundu chotupa chimene akuchita nawo. Komanso, dokotala ndiyo malo ndi gawo la mapangidwe matenda. Njira yodziwira monga: ultrasound, Kujambula (kumveka mankhwala maginito) ndi mammography - chifuwa x-ray.

Komanso, mkazi anapereka kuchita biopsy - Histological kusanthula minofu zinkakhala m'dera. Ndondomeko chowawa Choncho, anachita ntchito mankhwala oletsa ululu pamalopo pa outpatient maziko. Komanso, mtima wa walangizidwa ultrasound wa pamimba, radioisotope phunziro la msana X-ray a m'mapapo. Komanso, kufunika mayeso onse ndi akukhudzidwira chikudutsa chala mosamala mwanabele.

chithandizo

Izo zimatengera ukulu ndi mtundu chotupa pamaso pa metastases. Ngati mkazi ndi mochedwa kwambiri kudziwa khansa ya m'mawere opaleshoni mosalephera. Izi zikugwirizana ndi magawo wachitatu ndi wachinayi wa matenda. Kuyamba kutupa amayesetsa kuti "aphe" ndi mankhwala amphamvu mankhwala timadzi. Kwathunthu tichotse chotupa chija sangakhale, koma inu akhoza kupanga izo operable ndi kukwaniritsa kuchokocha. Koma opaleshoni, madokotalawo kuyesa kwathunthu unadulidwa chotupa ndi matenda lymph mfundo. Voliyumu ya ntchito zosiyanasiyana: malinga ndi kukula ndi mapangidwe a. Nthawi zina muyenera kudula bere lonse.

Pambuyo opaleshoni ya khansa ya m'mawere radiotherapy kutumikiridwa. Cholinga - kupewa kumwa. Mu zaka 5 pambuyo alowererepo ayenera kukaona oncologist - maziko miyezi itatu iliyonse. Iwo amayankha mphamvu ya chithandizo, ndi oyang'anira udindo wa wodwalayo. Akazi akhonza kusankha mankhwala kuchipatala kuti zimaphatikizapo kugwiritsa ntchito njira ya mankhwala.

Zoneneratu

Chotupa si amapha. Ngati wapezeka mu nthawi sitandade 3 khansa ya m'mawere moyo amayembekezeka kuwonjezera kwambiri. Zotsatira zabwino za vutoli ndipo amathandiza kuti lolemba la dokotala ndiponso kusapezeka kwa metastases. Mwatsoka, ngati matenda itayamba, wodwalayo adzakhala ndi moyo zaka zitatu zokha. Koma magawo oyambirira, zaka zisanu mlingo kupulumuka ndi 90%.

Pofuna kubweretsa matenda kuti chikhalidwe choterocho oopsa, ndi okwanira kutsatira njira zodzitetezera. Choyamba, ngakhale ali mwana mtsikana ayenera kuwunika thanzi lawo kuti mimbayo, kubereka ana pa nthawi yoyenera kuyamwitsa ndi kudya bwino, kusunga moyenera tsiku chizolowezi ndi thupi. Chachiwiri, patatha zaka 30, muyenera zonse tione pachifuwa: kapena kulimbikitsa ake, kufunafuna chisindikizo zolakwika. Chachitatu, muyenera upo mwadongosolo katswiri ndi ndime ya mammography: patapita zaka 40 - kamodzi pa chaka. Kupewa zonse mosavuta. Kukumbukira zimenezi ndi kukhala bwino.