Siteji khansa 4: kufotokoza, zimayambitsa, zizindikiro, matenda ndi mankhwala mbali

khansa ya m'mawere ndi matenda aakulu. M'mawere ndi khansa siteji 4 amakhala ndi chakuti metastases ali anaona osati malo kumene kunali chotupa, komanso ziwalo oyandikana. Kuti madokotala ananena zawo matendawa akumane, mwayi wodwala kuchira zonse ndi kochepa. Metastases zambiri zimakhudza mafupa, mapapo, chiwindi.

Pofuna kuonjezera moyo amayembekezeka khansa pa siteji mochedwa, ndikofunikira kuti atembenukire ku njira zosiyana mankhwala khansa.

Kodi mukudziwa kuti ali pa chiopsezo?

Kwa akazi ena, pali mwayi kuchuluka kwa osauka matenda chifuwa Oncology. Izi matenda akazi predisposed amene kusintha yotupa mu chiberekero ndi thumba losunga mazira. Mkulu ngozi ya matenda a odwala ndi chiwindi matenda ndi atherosclerosis. zizolowezi zoipa komanso kuwononga m'mawere.

Akazi amene achibale panokha takumana ndi khansa, muyenera kusamala kwambiri. Tisaiwale kuti chifuwa ndi chikhalidwe precancerous, choncho amafunika chithandizo mwamsanga.

Kodi milandu ayenera kukhala osamala?

Kodi mukudziwa ngati muli ndi khansa ya m'mawere (siteji 4)? Zizindikiro ingakhale monga iyi:

• Kutopa, kufooka, kusafuna chakudya.
• kupweteka kwambiri m'dera fupa. Mu ichi kusapeza mlandu amalimbikira pa nthawi ndi pang'onopang'ono kuonjezera.
• Kuyambitsa nseru.
• Kusintha kulemera (modabwitsa kuwonda).
• Kusapeza mu hypochondrium lapansi.
• Zikamera wa chifuwa amphamvu.
• Nthawi ya migraine.

Kodi kuzindikira kudwala wa maonekedwe?

Mkazi kuzindikira zotsatirazi zizindikiro chowawa matendawa:

1. Nsonga zamabele kusintha mtundu ndi kutenga mawonekedwe osiyana.
2. khungu chifuwa edema zimachitika.
3. Mukhoza kupeza chotupa m'dera m'mawere.

matenda a matenda

m'mawere ndi khansa siteji 4 - izi ndi njira zotsogola kwambiri za matendawa. Pofuna kukwaniritsa boma zimenezi, zodzitetezera ayenera nthawi zonse ikuchitika. Ofunika njira muyeso amachita zonse kudziletsa m'mawere: chiyenera kuchitidwa pa 5-11 tsiku TH a kuzungulira kusamba.

zoona zokhudza udindo umoyo wawo angathe akamagwira mammography. njira yodziwira ndi zolondola kwambiri ndipo sabweretsa chisoni.

Kuti apange matenda zolondola, m'pofunika kuchita X-ray, Kujambula, CT jambulani, fupa jambulani. Mu matenda chifuwa Oncological, chifuwa biopsy imagwiridwa ndi mtima wa chitumidwa kwa magazi. Ngati metastases amakhudzidwa ndi chiwindi kapena mapapo, m'pofunika kuchita biopsy ziwalo izi.

Ikani ndi Ductography: njira kupeza kudwala ndi mkaka ducts anayambitsa chinthu chapadera ndi Mosiyana.

Akazi amene sizinawakhudze zaka 40, tikulimbikitsidwa ultrasound Kupenda zopangitsa mammary. Kudalirika kwa njira yodziwira ndi 70 peresenti. Ngati katswiri ndi achifwamba zosalongosoka citukuko m'dera pachifuwa, izo salamula ndi kusanthula chinsinsi, anamasulidwa nipple lapansi.

kupulumuka madokotala ananena zawo

moyo mkazi amasintha kwambiri pamene anaika matenda "khansa ya m'mawere siteji 4". Mlingo kupulumuka zisakuyenda chawonjezeka pang'ono, chifukwa chakuti zisakuyenda makampani mankhwala umabala kwambiri mankhwala khalidwe kuchiza matenda, pali njira yatsopano ya chithandizo cha matenda. Ndiyamika chithunzi ichi anayamba duwa: zaka 20 zapitazo, akazi akudwala mawonekedwe matenda, sanakhale moyo chaka.

Komabe, zomvetsa chisoni m'pofunika zapatsogolo kukonzekera koipa: ambiri odwala kufa m'miyezi khumi kuchokera tsiku matenda. Ndi angati ali ndi gawo khansa 4? Komanso zimadalira luso lake kupewa mavuto zotheka.

Nthawi zambiri chifukwa cha imfa si chotupa lokha ndi mavuto amene zimabweretsa. akazi ambiri amafa ndi matenda mwachizolowezi kupuma monga khansa thupi ofooka chimatsutsana matenda alionse: kugonana chilungamo kwambiri amachepetsa chitetezo chokwanira.

% 10 Only odwala moyo kuposa chaka. Achibale a odwala ayenera kusamala ndi nzeru: mkazi ayenera kukhala woyenera nthawi miyezi yomaliza ya moyo wake. Wodwala ayenera kutetezedwa ku maganizo, m'pofunika kuti adziteteze ku kachilombo, choncho m'pofunika asagwiritse maulendo banja. Kulemera kwa wodwalayo ayenera komanso kuyang'aniridwa: zambiri odwala kufa kutopa.

khansa ya m'mawere (siteji 4): Zizindikiro ndi Chithandizo

Kodi n'zotheka kuchiza matendawa? Cholinga cha mankhwala ndi kusintha umoyo wa akazi. M'pofunika kuchepetsa kufala zina za metastases, kuchepetsa zizindikiro matenda. Kusankha njira chithandizo kumatengera zifukwa zotsatirazi:

• Pamaso pa tilinazo mtima zotsatira za mahomoni.
• Munthu chithunzi cha matenda (achire mphamvu ya maphunziro yapita).
• M'badwo wa wodwalayo.
• metastasis malo.
• General chikhalidwe cha mkazi.
• Personal maganizo wodwala kwambiri. Nkofunika kudziwa zimene zimachititsa ikufuna kukwaniritsa.

Kodi kuchiza khansa ya m'mawere siteji 4? The njira yaikulu ya chithandizo cha matenda - ndi zovuta mankhwala mankhwala. Magazi ayenera kutsukidwa ku zinthu zoipa. Kudzera njirayi, alili bwino kwambiri. magazi zingathandize magazi m'thupi, yafupika kupatsidwa zinthu za m'mwazi udindo.

Odwala ambiri pali kuchepa kwa albumin, kuyambira chiwindi chatsika khansa ya m'mawere. Nthawi zina wodwala akhoza kuchita popanda kugwiritsa ntchito mosamala kwambiri.

Nthawi zambiri kuchita opaleshoni kuchotsa limba, chifukwa popanda opaleshoni sizingatheke kuchepetsa kawopsedwe chonse cha thupi.

njira mankhwala opaleshoni

Panopa opaleshoni imagwiridwa ndi, ngati ndi khansa ya m'mawere (siteji 4). Chithandizo lili mu choona kuti ndi m'mawere opaleshoni yochotsa. Njira imeneyi mankhwala mtsogoleri mankhwala a matenda. Pamene mastectomy zina pali kuchotsa chifuwa ndi lymph mfundo pafupi breastbone lapansi.

Cholinga kwakukulu m'makalata resection ya m'mawere - kuteteza limba. Mu ntchito iyi, anachira gawo minofu pachifuwa, amene anagundidwa ndi chotupa cha. Opaleshoni imeneyi si kothandiza kwambiri chifukwa m'pofunika kusankhidwa radiotherapy.

Metastases ndi chinthu complicating matenda, ndipo angayambe ngati wapezeka chifuwa khansa siteji 4. Metastases akuwuka kwa chotupa chija mu England mammary, akhoza inadzudzula kudzera mankhwala amphamvu. Amachepetsa popereka zizindikiro. Chiwerengero cha magawo Morning anatsimikiza ndi dokotala. Kutalika avareji njira Morning - masiku osachepera 10.

asanazolowere

Pofuna kulimbitsa thupi, wofooka matenda ntchito immunotherapy. Iwo imayendetsa chitetezo cha mthupi. Choncho, prescribers, kusintha chitetezo chokwanira.

Konzanso ntchito pambuyo opaleshoni, kufunafuna ake maganizo anatengera akazi. opaleshoni pulasitiki angathe kuchitidwa padziko kukhazikitsanso chifuwa ngati n'koyenera.

Kodi kuwachepetsera ululu?

Ngati "codeine wokwana" ndipo "tramadol" pa mlingo waukulu kapena kuthandiza kulimbana ndi zomverera chowawa, mankhwala mankhwala amphamvu ndi zotsatira chomwa mankhwalawa. Kusankha ntchito zawo ayenera kutenga wazachipatala.

Nthawi zambiri, ngati anapezeka ndi gawo khansa 4, zikhoza kugwiritsidwa ntchito "Morphine". Ndi bwino kumatha ululu chizindikiro, koma mankhwala ali contraindications ambiri. Pakati pake penipeni, ndi amphamvu mankhwala ndi amayambitsa zotsatira zambiri osafunika mbali. Iye ali ndi zotsatira chowawa dongosolo kupuma, akuphwanya kugunda kwa mtima, kotero pamene mankhwala awa ali azimwa "Naloxone". Iye adzabweretsa wodwala kubwerera mwakale, zotsatira zoyipa kukhala osaonekera. "Morphine" ndi kuwasiya, choncho nthawi ndi nthawi ndi kuwonjezera mlingo. Choncho, ayenera kugwiritsidwa ntchito mu zikafika poipa pamene ululu akukulirakulira.

Pa ntchito mankhwala othetsa ululu ndi mitsempha zofunikira kugwiritsa ntchito mankhwala, kuyambira gawo khansa 4 mukhoza kugwirana ndi mantha dongosolo. "Imipramine" timapitiriza zotsatira analgesic wa analgesics, utatha wamanjenje dongosolo. Izi kuchepetsa mlingo wa mankhwala chomwa mankhwalawa.

Ngati muli ululu fupa minofu khansa ya m'mawere ndi odwala utachepa kudya, ayenera kugwiritsidwa ntchito "Prednisolone".

Ntchito mu siteji khansa 4 ndi mankhwala zokhudzana neuroleptics ndi ( "droperidol"). Iye ali wabwino antiemetic tingati bwino thanzi la akazi.

mankhwala khansa m'mayiko

Mu Isiraeli, mlingo wa mankhwala ndi mkulu. Mu zipatala zosiyanasiyana m'dzikoli akhoza kupeza apamwamba chithandizo. Iwo makamu ntchito zonse matenda zofunika khansa. Mukhozanso kafukufuku pa chipangizo chamakono RUTH. Mu Isiraeli, mukhoza kuchita biopsy cha mitundu yonse, kuphatikizapo zingalowe ndi stereotactic.

The njira zoyambirira za mankhwala a khansa ya m'mawere ndi pa mochedwa opaleshoni siteji. Patapita mastectomy (kuchotsa bere) akhoza anaikapo mu chifuwa amadzala zopangidwa silikoni. Imagwiridwa ndi kuchepetsedwa chitsulo ntchito minofu akazi omwe.

Pamene mankhwala zovuta za matenda ikuchitika mankhwala amphamvu ndi radiotherapy. Anatumizidwa mphamvu zosiyana ndi mankhwala mankhwala (mankhwala "Herceptin").

M'pofunika chiyembekezo cha zabwino, ngakhale ngati muli ndi khansa ya m'mawere (siteji 4). Ulosi wa kupulumuka ndi olimbikitsa, chifukwa pafupifupi 10% odwala moyo ndi wachinayi khansa siteji chifuwa pafupi zaka zisanu. Tiyenera kugwiritsa ntchito mankhwala tchito njira zonse zotheka matenda.