Sengoli: William Ramirez
Letsatsi La Creation: 22 September 2021
Ntlafatsa Letsatsi: 17 December 2024
Anonim
Adellea Sofea (2019) | Episod 2
Video: Adellea Sofea (2019) | Episod 2

Litaba

Kakaretso

Kankere ea matsoele ke eng?

Kankere ea matsoele ke mofetše o qalang maseleng a matsoele. Ho etsahala ha lisele tse sefubeng li fetoha 'me li hola taolong. Hangata lisele li theha hlahala.

Ka linako tse ling mofetše ha o hasane ho ea pele. Sena se bitsoa "in situ." Haeba mofets'e o namela kantle ho letsoele, mofetše o bitsoa "o hlaselang." E ka hasana feela ho lisele tse haufi le li-lymph node. Kapa kankere e ka senya (e namela likarolong tse ling tsa 'mele) ka tsamaiso ea lymph kapa mali.

Kankere ea matsoele ke mofuta oa bobeli o tloaelehileng oa mofets'e ho basali ba United States. Hangata, e ka ama le banna.

Mefuta ea kankere ea matsoele ke efe?

Ho na le mefuta e fapaneng ea mofets'e oa matsoele. Mefuta e ipapisitse le hore na lisele tsa matsoele li fetoha mofetše. Mefuta e kenyelletsa

  • Ductal carcinoma, e qalang ka liseleng tsa likotopo. Ena ke mofuta o tloaelehileng haholo.
  • Lobular carcinoma, e qalang ka li-lobules. E fumanoa hangata matsoeleng ka bobeli ho feta mefuta e meng ea mofets'e oa matsoele.
  • Kankere ea matsoele e ruruhang, moo lisele tsa mofetše li thibelang lijana tsa lymph letlalong la sefuba. Sefuba sea futhumala, se be khubelu se be se ruruhe. Ena ke mofuta o sa tloaelehang.
  • Lefu la Paget la letsoele, e leng mofetše o amang letlalo la nnyo. Hangata e ama letlalo le lefifi ho potoloha nko. Hape ke ka seoelo.

Ke eng e bakang kankere ea matsoele?

Kankere ea matsoele e etsahala ha ho na le liphetoho liphatseng tsa lefutso (DNA). Hangata, ha ho tsejoe hore na hantle-ntle sesosa sa liphetoho tsena tsa lefutso ke eng.


Empa ka linako tse ling liphetoho tsena tsa lefutso li futsitsoe, ho bolelang hore o tsoetsoe le tsona. Kankere ea matsoele e bakoang ke liphetoho tse futsitsoeng tsa lefutso e bitsoa kankere ea matsoele e futsitsoeng.

Hape ho na le liphetoho tse ling tsa liphatsa tsa lefutso tse ka hlahisang kotsi ea kankere ea matsoele, ho kenyelletsa le liphetoho tse bitsoang BRCA1 le BRCA2. Liphetoho tsena tse peli li boetse li phahamisa kotsi ea mae a bomme le mefuta e meng ea mofetše.

Ntle le liphatsa tsa lefutso, mokhoa oa hau oa bophelo le tikoloho li ka ama kotsi ea hau ea mofetše oa matsoele.

Ke mang ea kotsing ea kankere ea matsoele?

Lintho tse hlahisang kotsi ea mofets'e oa matsoele li kenyeletsa

  • Botsofali
  • Histori ea kankere ea matsoele kapa lefu la matsoele le se nang kankere
  • Kotsi e futsitsoeng ea mofets'e oa matsoele, ho kenyelletsa ho ba le liphetoho tsa liphatsa tsa lefutso tsa BRCA1 le BRCA2
  • Matšoafo a matsoele a teteaneng
  • Nalane ea ho ikatisa e lebisang ho pepesetsong e eketsehileng ho hormone ea estrogen, ho kenyelletsa
    • Ho ilela khoeli u sa le monyane lilemong
    • Ho ba dilemong tsa pele ha o ne o qala ho beleha kapa o so ka o beleha
    • Ho qala ho khaotsa ho ilela khoeli hamorao
  • Ho noa kalafo ea li-hormone bakeng sa matšoao a ho ilela khoeli
  • Phekolo ea radiation ho sefuba kapa sefubeng
  • Botenya
  • Ho noa joala

Matšoao a kankere ea matsoele ke afe?

Matšoao a kankere ea matsoele a kenyelletsa


  • Lekopola le lecha kapa botenya ka hara sefuba kapa haufi le sephaka
  • Phetoho ea boholo kapa sebōpeho sa letsoele
  • Dimple kapa puckering letlalong la letsoele. E ka shebahala joalo ka letlalo la lamunu.
  • Nkoe e kene ka hare ka letsoeleng
  • Ho tsoa ha nko ntle le lebese la matsoele. Ho tsoa ho ka etsahala ka tšohanyetso, ho ba le mali kapa ho etsahala ka letsoele le le leng feela.
  • Letlalo le sefubelu, le lefubelu, kapa le ruruhileng sebakeng sa nnyoana kapa sefubeng
  • Bohloko sebakeng sefe kapa sefe sa letsoele

Kankere ea matsoele e fumanoa joang?

Mofani oa hao oa tlhokomelo ea bophelo a ka sebelisa lisebelisoa tse ngata ho fumana mofetše oa matsoele le ho tseba hore na u na le mofuta ofe:

  • Tlhahlobo ea 'mele, ho kenyeletsoa le tlhatlhobo ea sefuba ea kliniki (CBE). Sena se kenyelletsa ho lekola makhopho afe kapa afe kapa eng e bonahalang e sa tloaeleha ka matsoele le liphakeng.
  • Nalane ea bongaka
  • Ho etsa liteko, tse kang mammogram, ultrasound kapa MRI
  • Sefuba sa matsoele
  • Liteko tsa k'hemistri ea mali, tse lekanyang lintho tse fapaneng maling, ho kenyelletsa li-electrolyte, mafura, liprotheine, tsoekere (tsoekere) le li-enzyme. Tse ling tsa liteko tse ikhethang tsa chemistry ea mali li kenyelletsa metabolic panel (BMP), karolo e pharalletseng ea metabolic (CMP), le phanele ea electrolyte.

Haeba liteko tsena li bontša hore u na le mofetše oa matsoele, u tla ba le liteko tse ithutang lisele tsa mofetše. Liteko tsena li thusa mofani oa hau ho etsa qeto ea hore na ke kalafo efe e ka u tsoelang molemo. Liteko li ka kenyelletsa


  • Liteko tsa liphatsa tsa lefutso tsa liphetoho tsa lefutso tse kang BRCA le TP53
  • Teko ea HER2. HER2 ke protheine e amanang le kholo ea sele. E ka ntle ho lisele tsohle tsa matsoele. Haeba lisele tsa hau tsa mofetše oa matsoele li na le HER2 e fetang e tloaelehileng, li ka hola kapele mme tsa namela likarolong tse ling tsa 'mele.
  • Teko ea receptor ea estrogen le progesterone. Teko ena e lekanya boholo ba li-receptor tsa estrogen le progesterone (lihormone) ka har'a lisele tsa mofetše. Haeba ho na le li-receptor tse ngata ho feta tse tloaelehileng, mofets'e o bitsoa estrogen le / kapa progesterone receptor e ntle. Mofuta ona oa mofetše oa matsoele o ka hola kapele.

Mohato o mong ke ho hlahisa mofetše. Ho etsa litepisi ho kenyelletsa ho etsa liteko ho fumana hore na mofetše o nametse ka har'a sefuba kapa likarolong tse ling tsa 'mele. Liteko li ka kenyelletsa liteko tse ling tsa ho hlahloba litšoantšo le biopsy ea sentinel lymph node. Biopsy ena e etsoa ho bona hore na mofetše o nametse ho li-lymph node.

Kalafo ea mofetše oa matsoele ke efe?

Kalafo ea mofetše oa matsoele e kenyelletsa

  • Phekolo joalo ka
    • Mastectomy, e tlosang letsoele lohle
    • Lumpectomy ea ho tlosa mofetše le lisele tse tloaelehileng ho e potoloha, empa eseng sefuba ka bosona
  • Phekolo ea radiation
  • Chemotherapy
  • Phekolo ea Hormone, e thibelang lisele tsa mofetše ho fumana lihormone tseo ba li hlokang ho hola
  • Phekolo e reretsoeng, e sebelisang lithethefatsi kapa lintho tse ling tse hlaselang lisele tsa mofets'e tse seng kotsi ho lisele tse tloaelehileng
  • Immunotherapy

Na kankere ea matsoele e ka thibeloa?

U kanna ua khona ho thusa ho thibela mofetše oa matsoele ka ho etsa liphetoho bophelong bo botle joalo ka

  • Ho lula boima bo phetseng hantle
  • Ho lekanyetsa tšebeliso ea joala
  • Ho ikoetlisa ka ho lekaneng
  • Ho fokotsa ho pepesehela ha hau estrogen ho
    • Ho nyantša masea a hau ha u khona
    • Ho fokotsa kalafo ea lihormone

Haeba u le kotsing e kholo, mofani oa tlhokomelo ea bophelo a ka u fa tlhahiso ea hore u noe meriana e itseng ho theola kotsi eo. Basali ba bang ba kotsing e kholo ba ka etsa qeto ea ho fumana mastectomy (ea matsoele a bona a phetseng hantle) ho thibela mofetše oa matsoele.

Hape ke habohlokoa ho fumana li-mammograms tse tloaelehileng. Ba kanna ba tseba ho tseba mofets'e oa matsoele li sa tsoa qala, ha ho le bonolo ho a phekola.

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