Kenza yemazamu isati iri kenza. Kuwanda kwezviitiko zvayo kunowedzera zvakanyanya nezera, asi hutachiona hunoitika kune vakadzi vekuberekwa kwenguva. Ngationgororei zvakadzama kutyora, kuziva zvikonzero, zviratidzo zvekenza yepamuviri muvakadzi, uye nzira dzerapi.
Nei kenza yemazamu ichiitika?
Zvinokonzera kenza yemazamu zvakasiyana, nekuda kweizvi, zvinowanzotambudza kubvisa imwe chete zvakananga iyo yakatungamirira kuchirwere. Nekuchenjerera, kusiyanisa kuongororwa, zvinoitika kuti chirwere chacho chinokonzerwa nezvikonzero zvakasiyana. Pakati pezvinokonzera kukwidziridzwa kwehutano hwezvinhu zvinokonzera, oncologist dzinotsanangura:
- Age. Incological michina inowanzoonekwa mune vakadzi 40-60 yemakore. Zvisinei, izvi hazviregi kukosha kwekuongorora vasikana vaduku.
- Heredity. Oncologist anocherechedza kuwedzerwa kwehutano hwehutano pakati pevakadzi vane hama dzepedyo vanotambura neoncology. Ngozi yekudzivirira zvirwere muvarwere vakadaro inogona kuwedzera kusvika ku5, zvichienderana nehuwandu hwehukama.
- Kukuvadzwa kwemammary gland. Kakawanda, kana uchitaridzika chirwere, zvinonzwisisika kuti zvinosangana nekurwadziwa, kukuvara kwechipfuva.
- Kupesana kwehurongwa hwemagetsi. Kakawanda kunetseka uye kudarika kunokonzera kukonzera kushanda, kunokanganisa chimiro chemasabolism mumuviri.
- Kushungurudzwa kwezvokudya. Kuwedzeredza mukudya kwemhuka dzemafuta, zvokudya zvine high caloric zvakagadzikana, kushaya mavhitamini A, E, C kunotungamirira kukuwedzera kweuviri hwemuviri. Kubudirira kwekuneta kunogona kukanganisa zvirongwa zvehutano.
- Kurwisana kunoenderana nekubereka vana. Kune izvi zvinoshanduka, zvichikonzera kutanga kwezvirwere zvechirwere, zvinokwanisika kuratidza:
- pakutanga kwava kutanga kumwedzi (makore gumi nemaviri asati asvika);
- kunonoka kumwedzi (pashure pemakore 55);
- kunonoka kutanga kushanda (mushure me30);
- mimba shure kwe40;
- nguva shomanana yekushanda kwemarara;
- nguva dzose kubvisa pamuviri;
- kuvhiringidza maitiro muzvidzidzo;
- primary infertility;
- hupenyu hwepabonde husina kuchena.
- Kuita zvechisimba kwechiropa, chirwere chetachiona, mazai. Kukundikana kwehutachiona hwemhomoni nezvikamu izvi kazhinji zvinokonzera kenza yemvere.
- Ionizing rayation. Kuwedzerwa kwekukura kwehutachiona kunowedzera kune varwere vanoratidzirwa kumasana emhepo. Chimwe chiitiko chakanyanya kuitika pakuonekwa kwacho chakaonekwa kune varwere avo vakave vaine ruzivo rwemazuva ane makore gumi nematanhatu kusvika kumakore gumi, kusvika kumaduku maduku-kuvakadzi vanopfuura 35.
- Nzira yakaipa yehupenyu. Kuvapo kwemitemo yakaipa, kutengesa ropa kunowedzera huwandu hwekufambira mberi kwehutano hwehutano mumumatare gland.
Maitiro emukenza webonde
Zvichienderana nechinzvimbo chechilonda, kuwedzera kwekuchinja uye mararamiro avo, maitiro anotevera echepamu rehadzi anozivikanwa:
- nodular;
- kuparadzanisa (filtrative form, edematous-infiltrative, kuvimba);
- mastitis-like;
- erysipelas (carapaceous form);
- kenza yePaget .
Kuita kwepachirwere-kukanganisa kwekenza yemazamu
Kenza yepenza inoputira nguva dzose inowanzosangana nekuputika, kuputika kwezamu. Paanoongororwa, chiremba anoongorora chinorwadza kana, kana chisingaregi, chisingafadzi, chinoputika (densification). Muchidimbu chayo inenge yakaoma, isina mitsara yakajeka, uye inowanzoita yakawanda yeglandu. Somugumisiro, chifuva chinowedzera muzwi, ganda rinowedzera.
Paanoedza kuisa ganda muhomwe, mukadzi anogona kuzviita nekuoma. Inotaridzika sevheji yemarangi. Izvi zvinokonzerwa nekudzivirirwa kwemidziyo ye lymph ine tumor-shaped emboli kana kudzvinyirira kwemuviri wavo mukuru. Panguva imwechete kuzvikudza kunoratidzwa munharaunda yeArosola uye mazamu akaipoteredza. Mune armpit, dense lymph nodes inowanikwa.
Nodular fomu yekenza yemazamu
Kenza yemazamu yakadaro muvakadzi yakawanda kupfuura dzimwe. Iyi fomu ndeye 80% yezviitiko zvose. Mune matanho ekutanga, chirwere chacho hachikonzeri mukadzi kusagadzikana, hazvizvirati. Chiratidzo chete ndehupo hwekusava nemarwadzo, kusimba kwakasimba, kana chisimbiso mubhokisi. Kazhinji kacho chirwere chinowanikwa munzvimbo yekunze kwepamusoro pezamu.
Paanoongororwa, mammorogosti anoongorora kuenzanisa kwechigaro uye maitiro ezvitsuwa. Iyo yakagadzikana syndrome inoshanduka paganda rezamu, inowanzove yakakura kusvika pakukura kwemasviki 2. Kana kenza yemazamu inoshandisa nzvimbo yepamusoro, mukadzi wacho anogadzirisa chirwere chekoti, kuchinja kwaro-iyo mbiru inodzokera kune rumwe rutivi. Izvi zvinopa murwere uye anesthetic kusagadzikana.
Nzira yakasiyana yekenza yemazamu
Chirwere chepabonde chemufananidzo uyu chinoratidzirwa nekuputika kweganda uye mvere dzemazamu. Panzvimbo yezvedzidzo, mukadzi anotora kuregera. Chirwere ichi chinowanzotanga nekusimudzirwa kwekushisa kwemuviri, izvo zvisingasviki marefu. Nokufamba kwenguva, nzvimbo yacho inopararira-zvisimbiso zvitsva zvinowanikwa muzamu, gland rinopera simba. Izvo zvinotarisirwa hazvina kunaka kune iyi maitiro ekurwara. Metastases mu kenza yemazamu yemufananidzo uyu inogona kuvapo mumitezo inopoteredza uye mishonga.
Kenza inotapira yemvere
Chirwere chepabonde chinoratidzwa nekupinda kwemasero e-pathogenic zvakananga mumatope ematanda. Kazhinji chimiro ichi chinopfuurira maererano nemhando ye mastitis - chifuva chinoputika, kutonhora kunomuka, uye kuzvimba kunobuda. Paunenge uchinge uchinzwa, kuwirirana kunowanikwa. Icho chiduku muhukuru. Panguva imwe chete, mapeji akawanda anogona kunge aripo. Nemhaka yekufanana kwezviratidzo, kazhinji vanachiremba vanovhiringidzika nemastitis. Kunyora kurapa hakushandi. Kuwedzera kuongororwa kunogadzira nzira inocological.
Chirwere chinopisa chekenza yemazamu
Rozhistopodobny kenza yemazamu yakasiyana nemamwe maitiro ekurwara nehupamhi hwehutano. Pakarepo nechiratidzo chakadaro, vakadzi vanotendeukira kuchiremba. Mune iyi hyperemia ine mhiri mhiri dzakafanana nemirazvo. Izvi zvinokonzerwa nokupararira kwemarara masero mumitambo ye lymphatic. Kufugama kweganda kunofamba nekuchinja uku. Mukuwedzera, kushungurudzwa kunosangana nekuvhiringidza kwekuita:
- kuwedzera kwekushisa kwemuviri;
- kuunganidzwa kwepus muhupamhi hwemashupu.
Paget Cancer ye Breast
Nechimiro chechirwere, chifuva chepfupa chinoumbwa zvakananga kubva pamiromo yemakwenzi emakwenzi echikwata chemukoko. Muchiitiko ichi, kukundwa kwemukoti uye isola inosvika mberi. Varwere vanonzwa munharaunda iyi vachikurira, kupisa kunzwa, kunyorova. Chikamu chekutanga chinoratidzika nechitarisiko chezviyero, zvipembenene zvisingasviki zvezvipembenene zvemukoko, isola. Somugumisiro, nzvimbo yemazamu inowedzera muzwi.
Sezvo kufambira mberi kuchifambira mberi, mukoti unova wakapfava, uye munzvimbo yawo chionda chinoumbwa. Zvishoma nezvishoma, nzira yacho inowedzera kuasola. Izvi zvinotungamirira kuchinje chakakwana pakuonekwa kwezamu. Iyo nzira inopararira kubva pakati nepakati kune dzimwe nzvimbo dzeglandu, kutora kuwedzera kwemaviri. Nokufamba kwenguva, vanogona kunyatsorongedza chirwere-kufanana.
Medullary Breast Cancer
Kanzera yeMedullary iri kunze kune fiberroadoma . Chimwe chinhu chakasiyana nekukura nokukurumidza kwezvidzidzo kusvika kumazana makuru munguva shoma shoma. Somugumisiro, kubva pamasero epamuviri mukati meglandani, michina inoumbwa, iyo inoparadzana kubva kune mumwe nemasviki mashoma emasekine ekubatanidza. Pachinyorwa-michina chemuenzaniso wezvisikwa masero eforomu yakapoteredza, ane guru guru re cytoplasm inozivikanwa. Dumbu racho rinonzwisisika rishoma kubva kumativi akaipoteredza uye izvi zvinoonekwa panguva yekuongorora. Pamuviri kune zvivharo, izvo zvinosundira kunze kwemasvosve.
Chirwere chepabonde - Zviratidzo uye Zviratidzo
Muchikamu makumi manomwe kubva muzana, vakadzi vanoona chirwere chacho pachavo. Zvisinei, hutachiona hwekutenda huri kutozara. Kudzivirira izvi kuti zvirege kuitika, zvinokosha kuti uongorore glands kamwechete pamwedzi, kunyange pasina kusagadzikana, kurwadziwa, uye zvimwe zviratidzo. Kuzviongorora pachako kunofanira kuitwa pamusi we5th-7 wekufamba. Kuti uone kenza yezamu panguva yakakodzera, mukadzi wese anofanira kuziva zviratidzo zvechirwere. Iyo huru ndeyokuti:
- kushanduka kwechimiro muchimiro, ukuru hwezamu;
- chimiro chekubudiswa kubva mukoti;
- kudzokera kwechiko;
- kuchinja mune chimiro, ruvara rweganda rezamu - ruvara, kuongorora;
- chimiro cheEdema muchimiro chemuti peel.
Zviratidzo zvekutanga zvekenza yepese muvakadzi
Kutora, kupisa, kusungira mubhokisi, mumuchiri uye isola ndiyo zviratidzo zvekutanga zvekenza yebonde. Zvisinei, zvakakosha kuti tinyatsosiyanisa zviratidzo izvi nezvimwe zviitiko zvinoshandiswa nechinangwa chekuchinja. Kakawanda, vakadzi vanogona kuona kusasuruvara, kuzvimba uye unyoro hweshungu dzomumakumbo panguva yekuvhunga uye muhafu yepiri yemhepo, nguva pfupi vasati vasvika kumwedzi. Chiratidzo chakajeka chechirwere ndiko kugadzirisa kunogona kuitika mumatanho ekutanga.
Kusununguka kubva munharaunda yeharayi - zviratidzo zvakajeka zvekenza yemazamu muvakadzi, izvo zvinogona kugadzirirwa kare pakutanga kwechirwere chetachiona. Nokufamba kwenguva, inzwi ravo rinowedzera. Muchiitiko ichi, ruvara runogona kusiyana-kubva pane zvakajeka, kusvika kune ropa, tsvuku-ruvara, uye kusachena kwakachena. Apo nzvimbo yacho inotanga kubvisa maviko, inobva yatsvuka uye inoputika. Kusuruvara kunowedzera, kunomanikidza mukadzi kutsvaka rubatsiro.
Kuongororwa kwekenza yemazamu
Maitiro ekuongorora anoitwa nguva dzose nenzira yakaoma yekuziva rudzi rwechirwere uye chikonzero chakakonzera. Saka kenza yemazamu-inotarirwa nehommone inogona kusimbisa kuchinja kwemashure ehomoni - mukadzi anopa ropa kumahomoni. Pakati peimwe mimwe miedzo yekuongororwa nekenza yemazamu:
- mammography - inogadzira rudzi, chimiro, chiyero chemuviri;
- doktografiya - nzira yekutsanangurira mararamiro ekurwara kwekenza, kuratidza kuiswa kwemajeri akasiyana-siyana mumuchero;
- Ultrasound - inobatsira kutsanangura ukuru, nzvimbo yepamuviri;
- cytological research - inoronga rudzi rwe pathological process, inobatsira kuita chirongwa chakarurama chegorgorithm;
- biopsy - histological examination of the sample;
- chirwere chekuongorora sarudzo resection - inoitwa pamberi pezvisiri izvo zvisingatauriki zvinyorwa zvepamusoro kana kana zvisingaiti kugadzirisa maitiro ehutano nedzimwe nzira.
Kurapa kwekenza yemazamu
Kusarudzwa kwehutachiona hwehutachiona hunobva pamhando, kupararira kwechirwere, chikwata chayo, kuvapo kwekugadzirisa zvirwere. Kurapa chirwere chakadai sekenza yemazamu, unogona kushandisa:
- chirurgic method;
- radiation therapy;
- chemotherapy;
- hormonal treatment;
- immunotherapy.
Saka nzira yekuvhiya inoshandiswa mukusavapo kwechiito chekuchengetedza chirwere. Kushandiswa kwehuroyi kwekenza yebonde kunobatsira kuderedza kuwanda kwekuraira kwechirwere. Chemotherapy nokuda kwekenza yemazamu inoshandiswa senzira yekugumisa futi yehutano hwehutano. Hormonotherapy uye immunomodulator zvinounza mutumbi kudzokera kune zvakananga uye zvinoshamisa kuderedza mukana wekudzokazve.
Chirwere chepabonde - Prognosis
Kana kenza yemazamu inowanikwa, zvinodaro zvinowanzoenderana nemhando yezvidzidzo, danho remararamiro, nguva yemurwere, kuvapo kana kusavapo kwezvirwere zvinokonzera. Matanho ekutanga ehutachiona akakwirira pakurapa (1 na2). Muzviitiko zvenguva pfupi kune mikana yakawanda yekudzoka zvakare, kuumbwa kwe foci itsva kunyange mushure mokunge kubviswa zvachose kwezviripo. Nokudaro, makore gumi anofungidzira kuti kupona mukirasi 1 ndeye 98%, uye mumutambo wechina, 10% chete yevarwere vanorarama makore anopfuura gumi mushure mekuongororwa. Mukuwedzera kune danga, izvo zvinotarisirwa zvinosangana ne:
- tumor nzvimbo;
- ukuru hwezvidzidzo;
- kliniki yehutachiona.
Kudzivirira kenza yebonde
Chirwere chepabonde mumadzimai chinogona kudziviswa nekutevera mazano akawanda echiremba. Vanachiremba vanopa zano:
- Dzivisa mamiriro ezvinhu anonetsa.
- Deredza kureba kwekugara muzuva muzhizha.
- Bvisai kukuvara kunogona kuitika kwezvinyorwa zvinyoro.
- Mucheka, bhuroti , inofanira kusarudzwa maererano nehukuru.
- Rega tsika dzakaipa.
- Hormonal zvinoreva kubata pamuviri uye gynecologist.
- Bvisa pane zvekudya zvekudya zvakakosha mumafuta.
- Usazvidzivirira kwenguva refu.
- Kushanyira chiremba kamwechete pagore.