Olanda khansa ya m'mawere: zimayambitsa, matenda, mankhwala. Magazi zolembera chotupa

khansa ya m'mawere si kugwirizana msinkhu, kwa magulu kapena akazi. Kudwala akhoza kuoneka mu munthu aliyense. Komabe, kuchuluka kwa anthu mwa milandu ndi negligible. Pali mitundu yosiyanasiyana ya khansa ya m'mawere. M'nkhaniyi tiona tione pa buku la matenda olanda.

Kapangidwe ka bere wamkazi

Kumvetsetsa za pathogenesis ya matenda, m'pofunika kumvetsa thunthu la maere. Mu dongosolo wake, anaganiza kuonetsetsa ndi zigawo izi:

• mafuta;
• connective minofu;
• mabere;
• ducts;
• lobules wa zopangitsa za mammary.

Mbali inanso yofunika kwambiri ya bere ndi lymphadenitis. Zakugwirirani maselo a khansa ndiponso tizilombo toyambitsa matenda, akuchita ntchito yake yoteteza.

Mimba kumathandiza kuti kuchuluka kupanga mkaka mu zopangitsa lapansi. Ndiye wasefukira mwa ducts wa nipple lapansi. Mitundu ina ya zilonda Prostate zotupa kuyamba chitukuko, zokhudza angapo thoracic ritsa. Zikuphatikizapo khansa olanda.

Kufotokozera za matenda

Olanda khansa - izi ndi khansara kwambiri. Iwo amakhala ndi kuchuluka kwa zotupa mu mafuta kapena minofu connective. Pansi kuwukira ananena kuti luso la maselo zilonda kuima pambali pa chotupa chachikulu mofulumira kugunda ziwalo ozungulira. Ichi ndi chimodzi mwa zinthu chotupa metastasis. Ndi olanda kapena osakhala olanda zotupa zimatengera njira mankhwala.

Mu matenda maselo a khansa mofulumira kugunda pafupi lymph mfundo. Pamisinkhu patsogolo ntchito yawo chimafikira kwa msana, chiwindi ndi impso. Ngati zinthu zilonda anapeza kunja bere, mtundu wa kudwala amatchedwa metastatic matenda khansa.

The zifukwa

Olanda khansa akuchita pang'onopang'ono. maonekedwe ake patsogolo matenda premalignant, monga chifuwa. Tiyeni tione mwatsatanetsatane zimene zimayambitsa chachikulu cha matenda.

1. M'mawere. Matendawa akufotokozera pa maziko a timadzi vutoli mu thupi. Nthawi zambiri anapezeka ku akazi osaposera zaka 40. Pakuti mastitis amakhala ndi ululu, zimatulutsa ku nsonga zamabele lapansi. Mu chifuwa tinatake tozungulira chotupa anapanga, imbaenda kusintha zimakhala thupi ndi khansa.
2. Fibroadenoma. kudwala Izi akufotokozera makamaka atsikana. Chifuwa kuoneka knotty mapangidwe chikhalidwe chosaopsa. Chifukwa cha kuvulala, kusowa chithandizo kapena kulephera m'thupi, iwo amayamba kukula kukula, okhudza minofu wathanzi.
3. Mimba. Opaleshoni mpheto sikuti usokoneze mimba, koma kungakhale mgwirizano wa minofu glandular. Chifukwa, chisindikizo anapanga imene khansa akufotokozera.
4. Mkaka wa m'mawere. Kupewa kuyambitsa zobvuta zina yoyamwitsa - ichi ndi chifukwa china khansa olanda.
5. Kusowa chikondi. Osasamba moyo kugonana akuphwanya bwino m'thupi mwa thupi, amene ali kungasokoneze boma la zopangitsa za mammary.

Chipatala kuwonekera kwa matenda

palibe amene akhoza kukhala otetezeka ku khansa ya m'mawere. Malinga ndi ziwerengero aliyense chinayi akazi okongola amadwala kuwonekera kwa matenda. Malingana ndi madokotala, odwala akhoza kukhala maulendo angapo. Zoposa wani miliyoni akazi sadziwa kukhalapo kwa chotupa. Mu magawo oyambirira kudwala kumachitika pafupifupi asymptomatic, koma akhoza matenda kudzera kafukufuku mwatsatanetsatane. Mwatsoka, maonekedwe zizindikiro amayamba zikutanthauza kuti matenda walowa msinkhu wina wa chitukuko. Kodi zizindikiro zikusonyeza olanda khansa ya m'mawere?

• Kusintha mtundu wa khungu nipple.
• Maonekedwe a chisindikizo yaing'ono kapena apezeka m'dera m'mawere.
• Kusintha kukula ndi mawonekedwe a bere.
• Wamagazi kumaliseche kwa nipple ndi kuchititsa woyaka kutengeka ndi nkhawa.

Ngati zizindikiro zimenezi alipo, muyenera yomweyo dokotala kudziwa chifukwa.

mitundu ya matenda

mabuku zachipatala limafotokoza embodiments angapo pathologies zimapanga olanda khansa. matenda monga:

• Predinvazivny khansa. Neoplasm Kodi kumukhululukira ziwalo pafupi, koma amakhalabe mu ducts mkaka.
• Lobular khansa. Matendawa amawapeza kawirikawiri (15% milandu). Neoplasm akufotokozera mu lobules ndi ducts wa zopangitsa, akhoza metastasize kuti zimakhala pafupi. The chizindikiro chachikulu cha matenda - chifuwa ululu pa palpation.
• Olanda ductal carcinoma. Neoplasm aumbike mwa ducts mkaka. maselo zilonda zikupitiriza pang'onopang'ono mu minofu adipose, koma mofulumira metastasize ziwalo zina. Ductal carcinoma ndi yofala kwambiri chifuwa zotupa olanda (80% milandu pakati khansa onse).

njira matenda

Matenda a matenda zambiri akuyamba ndi kudzipenda. Kapangidwe ka bere wamkazi limasonyeza chidindo palpation. Kusintha khungu, mawonekedwe a nipple ndi zizindikiro zina likunena za pathologies kwambiri, akhoza kupezeka paokha. Ngati mukukayikira matenda ayenera kukaonana ndi dokotala. The katswiri ayenera kukhala kudzifufuza thupi ndi mankhwala mayesero zina. Kawirikawiri ntchito matenda a mammography, chifuwa ultrasound ndi Kujambula. Pa kudziwika biopsy neoplastic anachita. Zitsanzo chifukwa ndiye anatumiza kwa zasayansi kwa kusanthula. Zotsatira udzatithandiza kudziwa udindo m'thupi chotupa cha, peculiarities ake.

Tiyenera kulankhula za mmene, pamene ndi chifukwa kuti apereke magazi zolembera chotupa. kusanthula izi ntchito matenda a matenda, ndiye - kuwayang'anira mankhwala. Chotupa zolembera ndi macromolecules amene apanga mu thupi la mkazi poyankha ntchito ya maselo a khansa. Pamene mlingo wawo kuposa mwakale, tinganene njira pathological, koma osati nthawi zonse. Nthawi zina, kuwonjezera chiwerengero cha macromolecules mu magazi limasonyeza chifuwa, chosaopsa zotupa kapena kutupa. Ngati khansayo olanda m'pofunika kufufuza ndende ya zotsatirazi zolembera chotupa: CA 15-3, CA 27-29, HER2. Kupeza zotsatira odalirika tsiku pamaso yobereka nkhani ayenera kupuma, osamwa mowa. Magazi zolembera chotupa chindipitirire mtsempha. Kumasulira zotsatira wakhala dokotala zasayansi.

Zosintha mankhwala

Pali njira zingapo kulimbana ndi khansa olanda: opaleshoni, mankhwala amphamvu ndi poizoni zamoyo m'thupi mankhwala. Kawirikawiri mankhwala zovuta ntchito. Choyamba, dokotala amachotsa chotupa. Ndiyeno, mtima amagwira ntchito radiotherapy. Bwino ndi dzuwa la mankhwala ndi 70%. Walitsa kwenikweni wasonyeza odwala amene chotupa zamitundu upambana 5 cm. Morning, timadzi-mankhwala ndi zamoyo ntchito ngati njira kulimbana khansa. Ngati zimakhala a Prostate chowululidwa progesterone zolandilira kapena esitirojeni ntchito timadzi mankhwala. Popeza zinthu deta Kwalamulidwa mankhwala amphamvu.

The Mapa apeze

Kuti madokotala ananena zawo za matenda chimadalira pa zotsatira za chithandizocho. Olanda chifuwa chotupa amakhala ndi amaposa amafa. Choncho, m'mayiko ambiri ayamba mapologaramu mosamala kuti azindikire magawo oyambirira Oncology. Okwana pali anayi. Olanda khansa, kalasi 2 kapena 1 mphindi, mwamsanga matenda, 90% wa malekezero kuchira. mphamvu zabwino ndi zotheka ndi mankhwalawa. Kupulumuka ku Oncology digiri 3 ndi 47%, ndipo pa mphindi 4 - pafupifupi 16%. Mu masiteji ina ya ovuta kuchiza olanda khansa. Kuneneratu kwambiri chatsika maonekedwe a metastases.