Kanseri Y'Amabere Ya Lobular Ihumanya

Kanser ya lobular iri mu rwego rwo gufata, ni ubwoko bwa kanseri y'amabere itangira nk'ubwiyongere bw'uturemangingo mu mitsi ikora amata mu mubere. Izo mitsi zizwi nka lobules.

Kanser yafashe, bisobanura ko uturemangingo twa kanseri twavuye muri lobules aho byatangiriye bikwirakwira mu mubiri w'amabere. Uturemangingo dufite ubushobozi bwo gukwirakwira mu mitsi ya lymph no mu bindi bice by'umubiri.

Kanser ya lobular iri mu rwego rwo gufata igize igice gito cyane cyose cya kanseri y'amabere. Ubwoko bwa kanseri y'amabere busanzwe cyane butangira mu mitsi y'amabere. Ubwo bwoko bwitwa kanseri ya ductal iri mu rwego rwo gufata.

Mu ntangiriro, kanseri ya lobular ishobora kutazigaragaza ibimenyetso cyangwa ibipimo. Iyo ikura, kanseri ya lobular ishobora gutera: Impinduka mu buryo cyangwa isura y'uruhu rwo hejuru y'ibere, nko kubyimba cyangwa gukomera. Agasoko kashya k'ubunini cyangwa kubyimba mu bere. Umunwa w'ibere uhinduka. Agasoko k'ubukomera mu gice kimwe cy'ibere. Kanseri ya lobular ntabwo ishobora gutera umukaya ukomeye cyangwa ugaragara mu bere kurusha izindi kanseri z'ibere. Fata gahunda yo kubonana na muganga cyangwa undi muhanga wita ku buzima niba ubona impinduka mu bire. Impinduka zo kwitaho zirimo umukaya, agace k'uruhu ruhindagurika cyangwa rudasanzwe, agace gakomeye munsi y'uruhu, n'amazi ava mu munwa w'ibere. Baza umuhanga wita ku buzima igihe ukwiye gutekereza ku isuzuma rya kanseri y'ibere n'umubare w'inshuro ikwiye gusubirwamo. Abahanga benshi mu by'ubuzima bagira inama yo gutekereza ku isuzuma rya kanseri y'ibere rihoraho uhereye mu myaka 40.

Emera umuganga cyangwa undi mwuga wo kwita ku buzima niba ubona impinduka mu mabere yawe. Impinduka uzakurikirana zishobora kuba harimo igisebe, agace k'uruhu rufunze cyangwa rudasanzwe, akarere gakomeye munsi y'uruhu, no kuva mu munyonyo.Baza umwuga wo kwita ku buzima igihe ukwiye gutekereza ku isuzuma rya kanseri y'amabere n'umubare w'inshuro ikwiye gusubirwamo. Abaganga benshi batanga inama yo gutekereza ku isuzuma rya kanseri y'amabere buri gihe uhereye mu myaka 40.Andika amazina yawe maze ubone amakuru mashya yerekeye kuvura kanseri y'amabere, kwitaho no kuyigenzura.AdireseUzahita utangira kwakira amakuru ajyanye n'ubuzima wasabye muri inbox yawe.

Igisimba kimwe kimwe cyose kirimo ibice 15 kugeza kuri 20 by'umusemburo, biteguye nk'urupapuro rw'indembe. Ibice bigabanyijemo ibice bito bito bikora amata yo konsa. Ibiyobyabwenge bito, bita imiyoboro, bijyana amata mu bubiko buri hepfo y'umutima.

Ntabwo birasobanutse icyateye kanseri ya lobular.

Ubu bwoko bwa kanseri y'amabere butangira iyo selile zimwe cyangwa nyinshi zikora amata mu gitereko zihindura ADN yazo. ADN ya selile ifite amabwiriza abwira selile icyo gukora. Mu buzima busanzwe, ADN itanga amabwiriza yo gukura no kwishima ku muvuduko runaka. Amabwiriza abwira selile gupfa igihe runaka. Mu turere twa kanseri, impinduka za ADN zitanga amabwiriza atandukanye. Impinduka zibwira selile za kanseri gukora selile nyinshi vuba. Selile za kanseri zishobora gukomeza kubaho iyo selile zikora neza zapfa. Ibi bituma habaho selile nyinshi.

Selile za kanseri ya lobular zifata umwanya mu gikari cy'amabere zikwirakwira aho gukora umunyegura ukomeye. Agace kageramiwe gashobora kugira uburyo butandukanye n'igice cy'amabere gikikije. Agace gashobora kumera nk'ukubyimbagira no kuzura, ariko ntibishoboka ko kumera nk'umunyegura.

Ibyago byongera ibyago byo kurwara kanseri y'amabere ya lobular (invasive lobular carcinoma) bimeze nk'ibyago byo kurwara kanseri y'amabere muri rusange. Ibintu bishobora kongera ibyago byo kurwara kanseri y'amabere birimo:

• Amateka y'umuryango wa kanseri y'amabere. Niba umubyeyi, umuvandimwe cyangwa umwana yagize kanseri y'amabere, ibyago byawe byo kurwara kanseri y'amabere byiyongera. Ibyago biri hejuru niba umuryango wawe ufite amateka yo kurwara kanseri y'amabere akiri muto. Ibyago binini kandi niba hari abantu benshi bo mu muryango wawe bafite kanseri y'amabere. Nyamara, abantu benshi bapimwa kanseri y'amabere nta mateka y'iyi ndwara mu muryango wabo.
• Amateka bwite ya kanseri y'amabere. Niba warigeze kurwara kanseri mu ibere rimwe, ufite ibyago byiyongereye byo kurwara kanseri mu rindi bere.
• Amateka bwite y'uburwayi bw'amabere. Uburwayi bumwe bw'amabere ni ikimenyetso cy'uko ufite ibyago byinshi byo kurwara kanseri y'amabere. Ubwo burwayi burimo kanseri ya lobular mu myanya (lobular carcinoma in situ), izwi kandi nka LCIS, na hyperplasia idasanzwe y'amabere. Niba warigeze gukorerwa biopsie y'amabere igasanga ufite kimwe muri ibyo bibazo, ufite ibyago byiyongereye byo kurwara kanseri y'amabere.
• Gutangira imihango hakiri kare. Gutangira imihango mbere y'imyaka 12 byongera ibyago byo kurwara kanseri y'amabere.
• Gutangira menopause mu gihe gikura. Gutangira menopause nyuma y'imyaka 55 byongera ibyago byo kurwara kanseri y'amabere.
• Kuba umugore. Abagore bafite ibyago byinshi byo kurwara kanseri y'amabere kurusha abagabo. Buri wese avukana imyanya y'amabere, ku buryo umuntu wese ashobora kurwara kanseri y'amabere.
• Imisemburo myinshi mu mabere. Imisemburo y'amabere igizwe n'ibinure n'imisemburo myinshi. Imisemburo myinshi igizwe n'ibintu bikora amata, imiyoboro y'amata n'imisemburo. Niba ufite amabere afite imisemburo myinshi, ufite imisemburo myinshi kurusha ibinure mu mabere yawe. Kugira amabere afite imisemburo myinshi bishobora gutuma bigorana kubona kanseri y'amabere kuri mammogram. Niba mammogram yerekanye ko ufite amabere afite imisemburo myinshi, ibyago byawe byo kurwara kanseri y'amabere byiyongera. Ganira n'abaganga bawe ku bipimo byindi ushobora gukora uretse mammogram kugira ngo urebe kanseri y'amabere.
• Kunywesha inzoga. Kunywesha inzoga byongera ibyago byo kurwara kanseri y'amabere.
• Kubyara umwana wa mbere mu gihe gikura. Kubyara umwana wa mbere nyuma y'imyaka 30 bishobora kongera ibyago byo kurwara kanseri y'amabere.
• Kutarwara inda. Kube warigeze gutwita rimwe cyangwa inshuro nyinshi bigabanya ibyago byo kurwara kanseri y'amabere. Kudatwita na rimwe byongera ibyago.
• Impinduka za ADN zirakomoka zongera ibyago bya kanseri. Impinduka zimwe za ADN zongera ibyago byo kurwara kanseri y'amabere zishobora guherwa ku babyeyi ku bana. Impinduka ebyiri za ADN zifitanye isano n'ibyago byiyongereye byo kurwara kanseri ya lobular irimo BRCA2 na CDH1. BRCA2 yongera ibyago byo kurwara kanseri y'amabere na kanseri y'ovari. CDH1 yongera ibyago byo kurwara kanseri y'amabere na kanseri y'igifu. CDH1 ifitanye isano ya hafi n'uburwayi bukomoka ku muryango buke cyane bwitwa hereditary diffuse gastric cancer syndrome.
• Ubuvuzi bw'imisemburo ya menopause. Gufata imiti imwe y'imisemburo kugira ngo ugenzure ibimenyetso bya menopause bishobora kongera ibyago byo kurwara kanseri y'amabere. Ibyago bifitanye isano n'imiti y'imisemburo ihuza estrogen na progesterone. Ibyago bigabanuka iyo uretse gufata iyo miti.
• Ubumenyi. Abantu bafite ubumenyi bafite ibyago byiyongereye byo kurwara kanseri y'amabere.
• Urukura rw'imyaka. Ibyago byawe byo kurwara kanseri y'amabere byiyongera uko ugira imyaka. Kanseri ya lobular irimo gutera mu gihe gikura ugereranije n'ubundi bwoko bwa kanseri y'amabere.
• Kumenyekana kwa radiation. Niba wakiriye ubuvuzi bwa radiation mu kifuba cyawe mu bwana cyangwa mu gihe ukiri muto, ibyago byawe byo kurwara kanseri y'amabere biri hejuru.

Guhindura imibereho ya buri munsi bishobora kugabanya ibyago byo kurwara kanseri y'amabere ya lobular invasive n'izindi kanseri z'amabere. Gerageza: Kuganira na muganga wawe cyangwa undi wita ku buzima ku gihe cyo gutangira gupima kanseri y'amabere. Baza ibyiza n'ibibi byo gupima. Hamwe, muzahitamo ibizamini byo gupima kanseri y'amabere bikubereye. Ushobora guhitamo kumenyera amabere yawe binyuze mu kuyasuzuma rimwe na rimwe mu isuzuma ry'amabere ryigenga kugira ngo umenye amabere yawe. Niba hari impinduka nshya, igituntu cyangwa ikintu kitari gisanzwe mu mabere yawe, kibimenyeshe umuhanga mu buvuzi vuba. Kumenya amabere ntibishobora gukumira kanseri y'amabere. Ariko bishobora kugufasha gusobanukirwa neza imiterere n'uburyo amabere yawe ameze. Ibi bishobora gutuma ubona impinduka vuba. Niba uhisemo kunywa inzoga, komeza umubare w'inzoga unywa ku gice kimwe gusa ku munsi. Kugira ngo wirinde kanseri y'amabere, nta mpuzanzoga itekanye. Niba rero uhangayikishijwe cyane n'ibyago byo kurwara kanseri y'amabere, ushobora guhitamo kudakoresha inzoga. Intego ni ugukora imyitozo imara byibuze iminota 30 mu minsi myinshi y'icyumweru. Niba utarakora imyitozo ngororamubiri vuba aha, baza umuhanga mu buvuzi niba byemewe kandi utangire buhoro buhoro. Imiti ihuriweho y'imisemburo ishobora kongera ibyago byo kurwara kanseri y'amabere. Kuganira n'umuhanga mu buvuzi ku byiza n'ibibi byo gukoresha imisemburo. Bamwe bagira ibimenyetso mu gihe cy'ihindagurika ry'imisemburo bigatera uburibwe. Abo bantu bashobora gufata icyemezo cy'uko ibyago byo gukoresha imisemburo byemewe kugira ngo bagabanye ububabare. Kugira ngo ugabanye ibyago byo kurwara kanseri y'amabere, koresha umunyu muke w'imisemburo bishoboka mu gihe gito. Niba ibiro byawe biri mu buryo, komeza uburemere bwabyo. Niba ukeneye kugabanya ibiro, baza umuhanga mu buvuzi uburyo bwiza bwo kugabanya ibiro. Kurya kalori nke no kongera umubare w'imyitozo buhoro buhoro. Niba ufite amateka yo mu muryango wa kanseri y'amabere cyangwa ukumva ko ushobora kuba ufite ibyago byinshi byo kurwara kanseri y'amabere, biganireho n'umuhanga mu buvuzi. Imiti yo gukumira, kubagwa no gupima kenshi bishobora kuba amahitamo ku bantu bafite ibyago byinshi byo kurwara kanseri y'amabere.

Kumenya kanseri ya lobular iri mu mwijima ndetse n'ubundi bwoko bwa kanseri y'amabere, bikunze gutangira hakoreshejwe isuzuma n'ibiganiro ku bimenyetso byawe. Ibipimo byo kubona amashusho bishobora kureba mu mubiri w'amabere ibyo ari byo byose bitari bisanzwe. Kugira ngo hemezwe niba hari kanseri cyangwa oya, igice cy'umubiri gikurwa mu mabere kugira ngo gipimwe.

Mu gihe cyo gusuzuma amabere mu bitaro, umukozi w'ubuzima areba amabere kugira ngo arebe ibyo ari byo byose bitari bisanzwe. Ibi bishobora kuba birimo impinduka ku ruhu cyangwa ku munwa w'amabere. Hanyuma umukozi w'ubuzima yumva amabere kugira ngo arebe ibintu byuzuye. Uwo mukozi w'ubuzima kandi yumva hafi y'amagufwa y'ibitugu no mu gice cy'imbere y'amabere kugira ngo arebe ibintu byuzuye.

Mu gihe cyo gukora mammogram, uhagarara imbere y'imashini ya X-ray yakozwe kuri mammogram. Umukozi ashyira amabere yawe kuri platifomu kandi ashyira platifomu mu buryo buhuye n'uburebure bwawe. Umukozi akufasha gushyira umutwe, amaboko n'umubiri kugira ngo habeho kubona amabere yawe neza.

Mammogram ni X-ray y'umubiri w'amabere. Mammogram zikunze gukoreshwa mu gupima kanseri y'amabere. Niba mammogram yo gupima iboneye ikintu giteye impungenge, ushobora kugira indi mammogram kugira ngo urebe neza icyo gice. Iyi mammogram ikozwe neza cyane yitwa mammogram yo gusuzuma. Ikunze gukoreshwa mu kureba neza amabere yombi. Kanseri ya lobular iri mu mwijima igaragara nabi kuri mammogram ugereranije n'ubundi bwoko bwa kanseri y'amabere. Nyamara, mammogram ni ikizamini cyiza cyo gusuzuma.

Ultrasound ikoresha amasese y'amajwi kugira ngo ikore amashusho y'ibintu biri mu mubiri. Ultrasound y'amabere ishobora gutanga amakuru menshi ku itsinda ry'abakozi b'ubuzima ku kintu cyuzuye mu mabere. Urugero, ultrasound ishobora kwerekana niba icyuzuye ari igice cyuzuye cyangwa igice cyuzuye amazi. Itsinda ry'abakozi b'ubuzima rikoresha ayo makuru mu kwemerera ibizamini ushobora gukenera. Kanseri ya lobular iri mu mwijima ishobora kugorana kuyibona kuri ultrasound ugereranije n'ubundi bwoko bwa kanseri y'amabere.

Kubona MRI y'amabere bisobanura kuryama uhanitse ku meza y'ubupima yuzuye. Amabere ajya mu kibanza cyuzuye ku meza. Icyuzuye gifite ibikoresho bifata ibimenyetso bya MRI. Imeza ijya mu mwanya munini w'imashini ya MRI.

Imashini za MRI zikoresha ikirere cya magnetique n'amajwi ya radio kugira ngo ikore amashusho y'imbere y'umubiri. MRI y'amabere ishobora gukora amashusho y'amabere neza. Rimwe na rimwe ubu buryo bukoreshwa mu kureba neza ibindi bice bya kanseri mu mabere yafashwe. Bishobora kandi gukoreshwa mu gushaka kanseri mu rundi ruhande rw'amabere. Mbere ya MRI y'amabere, urashobora guhabwa inshinge y'amabara. Aya mabara afasha umubiri kugaragara neza mu mashusho.

Biopsy ikoresha igikoresho kirekire, cyuzuye kugira ngo ikuremo igice cy'umubiri. Hano, biopsy y'ikintu cyuzuye mu mabere kirimo gukorwa. Igice cyoherezwa muri laboratwari kugira ngo abaganga bitwa pathologists babipime. Ni abahanga mu gusuzuma amaraso n'umubiri.

Biopsy ni uburyo bwo gukuramo igice cy'umubiri kugira ngo gipimwe muri laboratwari. Kugira ngo bakuremo igice, umukozi w'ubuzima akenshi ashyira umugozi mu ruhu no mu mubiri w'amabere. Uwo mukozi w'ubuzima ayobora umugozi akoresheje amashusho yakozwe na X-ray, ultrasound cyangwa ubundi bwoko bw'amashusho. Iyo umugozi ugeze aho ukwiriye, umukozi w'ubuzima akoresha umugozi kugira ngo akuremo umubiri mu mabere. Akenshi, ikimenyetso gishyirwa aho igice cy'umubiri cyakuwe. Ikimenyetso gito cy'icyuma kizagaragara ku bipimo by'amashusho. Ikimenyetso gifasha itsinda ry'abakozi b'ubuzima gukurikirana icyo gice.

Igice cy'umubiri cyakuwe muri biopsy kijya muri laboratwari kugira ngo gipimwe. Ibipimo bishobora kwerekana niba uturemangingo turi muri icyo gice ari kanseri. Ibindi bipimo bitanga amakuru ku bwoko bwa kanseri n'uburyo ikura vuba. Ibyavuye muri ibi bipimo bibwira itsinda ry'abakozi b'ubuzima niba ufite kanseri ya lobular iri mu mwijima.

Ibipimo byihariye bitanga amakuru arambuye kuri kanseri. Urugero, ibipimo bishobora kureba imiti y'imisemburo ku mubiri w'uturemangingo. Itsinda ry'abakozi b'ubuzima rikoresha ibyavuye muri ibi bipimo kugira ngo rikore gahunda yo kuvura.

Iyo itsinda ry'abakozi b'ubuzima rimaze kumenya kanseri yawe ya lobular iri mu mwijima, ushobora kugira ibindi bipimo kugira ngo umenye uko kanseri yagwiriye. Ibi bita icyiciro cya kanseri. Itsinda ry'abakozi b'ubuzima rikoresha icyiciro cya kanseri yawe kugira ngo rimenye uko bizakugenda.

Amakuru arambuye ku cyiciro cya kanseri yawe ashobora kuba adahari kugeza nyuma yo kubagwa kanseri y'amabere.

Ibipimo n'ibikorwa bikoresha mu gupima icyiciro cya kanseri ya lobular iri mu mwijima bishobora kuba birimo:

• Ibipimo by'amaraso, nko kubara amaraso byuzuye n'ibipimo byerekana uko impyiko n'umwijima bikora.
• Gusuzuma amagufwa.
• Gusuzuma CT.
• MRI.
• Gusuzuma positron emission tomography, bitwa PET scan.

Si buri wese ukeneye ibyo bipimo byose. Itsinda ry'abakozi b'ubuzima rihitamo ibipimo bikwiriye hashingiwe ku mimerere yawe.

Icyiciro cya kanseri ya lobular iri mu mwijima kimwe n'icyiciro cy'ubundi bwoko bwa kanseri y'amabere. Icyiciro cya kanseri y'amabere kiba kuva kuri 0 kugeza kuri 4. Umubare muto bivuga ko kanseri itaratera cyane kandi ifite amahirwe yo gukira. Kanseri y'amabere yo mu cyiciro cya 0 ni kanseri iri mu muyoboro w'amabere. Ntiyarimo gusenyuka kugira ngo ijye mu mubiri w'amabere. Uko kanseri ikura mu mubiri w'amabere kandi ikagenda itera, icyiciro kiragenda kizamuka. Kanseri y'amabere yo mu cyiciro cya 4 bivuga ko kanseri yagwiriye mu bindi bice by'umubiri.

Ubuvuzi bwa kanseri y'amabere ya lobular irasenya kenshi butangira n'ubugingo bwo gukuraho kanseri. Abantu benshi bafite kanseri y'amabere bazagira ubundi buvuzi nyuma y'ubugingo, nko kurasa, chemotherapy na hormone therapy. Bamwe bashobora kugira chemotherapy cyangwa hormone therapy mbere y'ubugingo. Ibi bitonyanga bishobora gufasha kugabanya kanseri no kuyikorohereza gukuraho. Ubuvuzi bwa kanseri y'amabere ya lobular irasenya bufite uburyo bumwe nk'ubuvuzi bw'izindi mpuzandengo za kanseri y'amabere. Bimwe mu bintu bishobora gutandukana kuri uyu muhango wa kanseri birimo:

• Kanseri nyinshi za lobular zirashishikazwa na hormones. Kanseri z'amabere zishishikazwa na hormones zishobora gusubiza neza ubuvuzi bwo guhagarika hormones. Ubu bwoko bw'ubuvuzi bwitwa hormone therapy cyangwa endocrine therapy.
• Kanseri nyinshi za lobular ntizikora HER2 nyinshi. HER2 ni poroteyine imwe mu zigize uturemangingo tw'amabere. Imwe mu turemangingo twa kanseri y'amabere itera impinduka zituma ikora HER2 nyinshi. Ubuvuzi bushobora kugerageza uturemangingo dukora HER2 nyinshi. Kanseri za lobular zirashishikazwa gake gukora HER2 nyinshi, bityo zirashishikazwa gake gusubiza ubu buvuzi. Gahunda y'ubuvuzi bwawe izaterwa n'ibintu byinshi. Ikipe yawe y'ubuvuzi igerageza icyiciro cya kanseri n'uburyo ikura vuba. Ikipe yawe y'ubuvuzi igerageza kandi ubuzima bwawe muri rusange n'icyo ukunda. Lumpectomy irimo gukuraho kanseri na bimwe mu bice byiza by'umubiri biyikikije. Iyi shusho igaragaza umukato umwe ushobora gukoreshwa muri ubu buryo, nubwo umuganga wawe azagena uburyo bubereye umwanya wawe. Mu gihe cya total mastectomy, umuganga akuraho umubiri w'amabere, umunwa, areola n'uruhu. Ubu buryo buzwi kandi nka simple mastectomy. Ubundi buryo bwa mastectomy bushobora gusiga bimwe mu bice by'amabere, nko ku ruhu cyangwa umunwa. Kugira ubugingo bwo gukora amabere mashya ni ugushaka. Bishobora gukorwa icyarimwe n'ubugingo bwa mastectomy cyangwa bishobora gukorwa nyuma. Sentinel node biopsy igaragaza imiyoboro ya mbere y'amaraso aho kanseri ishobora kujya. Umuganga akoresha ibara ritabangamira n'umuti wa radioactive kugira ngo abone imiyoboro ya sentinel. Imiyoboro ikurwaho kandi igeragezwa kugira ngo harebwe ibimenyetso bya kanseri. Ubugingo bwa kanseri ya lobular irasenya busanzwe burimo uburyo bwo gukuraho kanseri y'amabere n'uburyo bwo gukuraho imiyoboro ya lymph hafi. Amahitamo arimo:
• Gukuraho kanseri y'amabere. Lumpectomy ni ubugingo bwo gukuraho kanseri ya lobular irasenya na bimwe mu bice byiza by'umubiri biyikikije. Ibindi bice by'amabere ntibikurwaho. Amazina y'ubundi buryo ni ubugingo bwo kubungabunga amabere na wide local excision. Abantu benshi bagize lumpectomy bagira kandi radiation therapy. Lumpectomy ishobora gukoreshwa gukuraho kanseri nto. Rimwe na rimwe ushobora kugira chemotherapy mbere y'ubugingo kugira ngo ugabanye kanseri kugira ngo lumpectomy ishoboke.
• Gukuraho umubiri wose w'amabere. Mastectomy ni ubugingo bwo gukuraho umubiri wose w'amabere. Uburyo bwa mastectomy busanzwe ni total mastectomy, bwitwa kandi simple mastectomy. Ubu buryo bukuraho hafi yose y'amabere, harimo lobules, ducts, umubiri wa fatty na bimwe mu ruhu, harimo umunwa na areola. Mastectomy ishobora gukoreshwa gukuraho kanseri nini ya lobular irasenya. Bishobora kandi kuba ngombwa iyo hari ibice byinshi bya kanseri mu gice kimwe cy'amabere. Ushobora kugira mastectomy niba udashobora cyangwa udakeneye radiation therapy nyuma y'ubugingo. Ubundi buryo bushya bwa mastectomy bushobora kutakuraho uruhu cyangwa umunwa. Urugero, skin-sparing mastectomy isiga uruhu rumwe. Nipple-sparing mastectomy isiga umunwa n'uruhu ruri hafi yawo, bwitwa areola. Ibi bikorwa bishya bishobora kunoza isura y'amabere nyuma y'ubugingo, ariko si amahitamo ya buri wese.
• Gukuraho imiyoboro mike ya lymph. Sentinel node biopsy ni ubugingo bwo gukuraho imiyoboro mike ya lymph kugira ngo igeragezwe. Iyo kanseri ya lobular irasenya n'izindi mpuzandengo za kanseri y'amabere zikwirakwira, kenshi zijya mu miyoboro ya lymph hafi. Kugira ngo harebwe niba kanseri ikwirakwira, umuganga akuraho imwe mu miyoboro ya lymph hafi ya kanseri. Niba nta kanseri iboneka muri iyo miyoboro ya lymph, amahirwe yo kubona kanseri mu yindi miyoboro ya lymph ni make. Nta yindi miyoboro ya lymph ikenewe gukurwaho.
• Gukuraho imiyoboro myinshi ya lymph. Axillary lymph node dissection ni ubugingo bwo gukuraho imiyoboro myinshi ya lymph mu gituza. Ubugingo bwawe bwa kanseri y'amabere bushobora kuba burimo ubu buryo niba ibizamini byerekana ko kanseri ikwirakwira mu miyoboro ya lymph. Bishobora kandi gukoreshwa niba kanseri iboneka muri sentinel node biopsy.
• Gukuraho amabere yombi. Bamwe mu bantu bafite kanseri ya lobular irasenya mu gice kimwe cy'amabere bashobora guhitamo gukuraho irindi bere, nubwo ritagira kanseri. Ubu buryo bwitwa contralateral prophylactic mastectomy cyangwa risk-reducing mastectomy. Bishobora kuba amahitamo niba ufite ibyago byinshi byo kurwara kanseri mu rindi bere. Ibyago bishobora kuba byinshi niba ufite amateka y'umuryango akomeye wa kanseri cyangwa ufite impinduka za ADN zongera ibyago bya kanseri. Abantu benshi bafite kanseri y'amabere mu gice kimwe cy'amabere ntibazigera bagira kanseri mu rindi bere. Gukuraho kanseri y'amabere. Lumpectomy ni ubugingo bwo gukuraho kanseri ya lobular irasenya na bimwe mu bice byiza by'umubiri biyikikije. Ibindi bice by'amabere ntibikurwaho. Amazina y'ubundi buryo ni ubugingo bwo kubungabunga amabere na wide local excision. Abantu benshi bagize lumpectomy bagira kandi radiation therapy. Lumpectomy ishobora gukoreshwa gukuraho kanseri nto. Rimwe na rimwe ushobora kugira chemotherapy mbere y'ubugingo kugira ngo ugabanye kanseri kugira ngo lumpectomy ishoboke. Gukuraho umubiri wose w'amabere. Mastectomy ni ubugingo bwo gukuraho umubiri wose w'amabere. Uburyo bwa mastectomy busanzwe ni total mastectomy, bwitwa kandi simple mastectomy. Ubu buryo bukuraho hafi yose y'amabere, harimo lobules, ducts, umubibi wa fatty na bimwe mu ruhu, harimo umunwa na areola. Mastectomy ishobora gukoreshwa gukuraho kanseri nini ya lobular irasenya. Bishobora kandi kuba ngombwa iyo hari ibice byinshi bya kanseri mu gice kimwe cy'amabere. Ushobora kugira mastectomy niba udashobora cyangwa udakeneye radiation therapy nyuma y'ubugingo. Ubundi buryo bushya bwa mastectomy bushobora kutakuraho uruhu cyangwa umunwa. Urugero, skin-sparing mastectomy isiga uruhu rumwe. Nipple-sparing mastectomy isiga umunwa n'uruhu ruri hafi yawo, bwitwa areola. Ibi bikorwa bishya bishobora kunoza isura y'amabere nyuma y'ubugingo, ariko si amahitamo ya buri wese. Ingaruka mbi z'ubugingo bwa kanseri y'amabere ziterwa n'uburyo uhitamo. Imirimo yose ifite ibyago by'ububabare, kuva amaraso no kwandura. Gukuraho imiyoboro ya lymph mu gituza bifite ibyago byo kubyimbagira mu kuboko, bwitwa lymphedema. Hormone therapy, bwitwa kandi endocrine therapy, ikoresha imiti yo guhagarika imwe mu hormones mu mubiri. Ni ubuvuzi bwa kanseri z'amabere zishishikazwa na hormones estrogen na progesterone. Abaganga bita izi kanseri estrogen receptor positive na progesterone receptor positive. Kanseri zishishikazwa na hormones zikoresha hormones nk'ibikomoka ku gikurira. Guhagarika hormones bishobora gutuma uturemangingo twa kanseri tugabanuka cyangwa dupfa. Kanseri nyinshi za lobular zishishikazwa na hormones, bityo zishobora gusubiza ubu buvuzi. Hormone therapy ikunze gukoreshwa nyuma y'ubugingo n'ubundi buvuzi. Ishobora kugabanya ibyago byo kugaruka kwa kanseri. Niba kanseri ya lobular irasenya ikwirakwira mu bindi bice by'umubiri, hormone therapy ishobora gufasha kuyigenzura. Ubuvuzi bushobora gukoreshwa muri hormone therapy burimo:
• Imiti ihagarika hormones gukomera ku turemangingo twa kanseri. Iyi miti bita selective estrogen receptor modulators.
• Imiti ihagarika umubiri gukora estrogen nyuma ya menopause. Iyi miti bita aromatase inhibitors.
• Ubugingo cyangwa imiti yo guhagarika ovaire gukora hormones. Rimwe na rimwe imiti ya hormone therapy ivangwa n'imiti ya targeted therapy. Ubu buryo burashobora gutuma hormone therapy ikora neza. Ingaruka mbi za hormone therapy ziterwa n'ubuvuzi uhabwa. Ingaruka mbi zishobora kuba harimo ubushyuhe bukabije, ibyuya byinshi nijoro no kumye mu gitsina. Ingaruka mbi zikomeye zirimo ibyago byo kugabanuka kw'amagufwa n'amaraso. External beam radiation ikoresha imirasire ikomeye y'ingufu kugira ngo irice uturemangingo twa kanseri. Imirasire ya radiation igerwa neza kuri kanseri ikoresheje imashini igenda mu mubiri wawe. Radiation therapy ivura kanseri ikoresheje imirasire ikomeye y'ingufu. Ingufu zishobora kuva kuri X-rays, protons cyangwa izindi nkomoko. Radiation ikoreshwa mu kuvura kanseri ya lobular irasenya n'izindi mpuzandengo za kanseri y'amabere kenshi iba external beam radiation. Muri ubu bwoko bwa radiation therapy, uba uri ku meza mu gihe imashini igenda hafi yawe. Imashini ituma radiation igera ku bice byihariye by'umubiri wawe. Gake, radiation ishobora gushyirwa mu mubiri. Ubu bwoko bwa radiation bwitwa brachytherapy. Radiation therapy ikunze gukoreshwa nyuma y'ubugingo. Ishobora kwica uturemangingo twa kanseri dushobora kuba dusigaye nyuma y'ubugingo. Radiation igabanya ibyago byo kugaruka kwa kanseri. Ingaruka mbi za radiation therapy zirimo kumva unaniwe cyane no kugira ubusembwa nk'ubwo umuriro utera aho radiation igerwa. Amabere ashobora kandi kuba yabyimbye cyangwa akaba akomeye. Gake, ingaruka mbi zikomeye zishobora kubaho. Zirimo kwangirika ku mutima cyangwa mu mpyiko. Gake cyane, kanseri nshya ishobora gukura mu gice cyavuwe. Chemotherapy ivura kanseri ikoresheje imiti ikomeye. Hari imiti myinshi ya chemotherapy. Ubuvuzi kenshi burimo imiti myinshi ya chemotherapy. Iyi miti myinshi itangwa mu mutsi. Imwe iboneka mu binyobwa. Chemotherapy ya kanseri ya lobular irasenya n'izindi mpuzandengo za kanseri y'amabere ikunze gukoreshwa nyuma y'ubugingo. Ishobora kwica uturemangingo twa kanseri dushobora kuba dusigaye kandi igabanya ibyago byo kugaruka kwa kanseri. Rimwe na rimwe chemotherapy itangwa mbere y'ubugingo bwa kanseri ya lobular irasenya n'izindi mpuzandengo za kanseri y'amabere. Chemotherapy ishobora kugabanya kanseri y'amabere kugira ngo yoroherezwe gukuraho. Chemotherapy mbere y'ubugingo ishobora kandi kugenzura kanseri ikwirakwira mu miyoboro ya lymph. Niba imiyoboro ya lymph itazigaragaza ibimenyetso bya kanseri nyuma ya chemotherapy, ubugingo bwo gukuraho imiyoboro myinshi ya lymph bishobora kutakenerwa. Uburyo kanseri isubiza chemotherapy mbere y'ubugingo bufasha ikipe y'ubuvuzi gufata ibyemezo ku buvuzi bushobora kuba bukenewe nyuma y'ubugingo. Iyo kanseri ikwirakwira mu bindi bice by'umubiri, chemotherapy ishobora gufasha kuyigenzura. Chemotherapy ishobora kugabanya ibimenyetso bya kanseri ikomeye, nko kubabara. Ingaruka mbi za chemotherapy ziterwa n'imiti uhabwa. Ingaruka mbi zisanzwe zirimo gutakaza umusatsi, isereri, kuruka, kumva unaniwe cyane no kugira ibyago byinshi byo kwandura. Ingaruka mbi zidafata kenshi zishobora kuba harimo menopause hakiri kare no kwangirika kw'imitsi. Gake cyane, imiti imwe ya chemotherapy ishobora gutera kanseri y'uturemangingo tw'amaraso. Targeted therapy ikoresha imiti itera ibintu byihariye mu turemangingo twa kanseri. Guhagarika ibi bintu, ubuvuzi bwa targeted bushobora gutuma uturemangingo twa kanseri dupfa. Imiti ya targeted therapy isanzwe ikoreshwa mu kuvura kanseri y'amabere itera poroteyine HER2. Imwe mu turemangingo twa kanseri y'amabere ikora HER2 nyinshi. Iyi poroteyine ifasha uturemangingo twa kanseri gukura no kubaho. Imiti ya targeted therapy itera uturemangingo dukora HER2 nyinshi kandi ntikangiza uturemangingo twiza. Kanseri nyinshi za lobular ntizikora HER2 nyinshi, bityo ntizishobora gusubiza ubuvuzi bugerageza HER2. Hari imiti myinshi ya targeted therapy ikoreshwa mu kuvura kanseri y'amabere. Uremangingo wawe wa kanseri ushobora kugeragezwa kugira ngo harebwe niba iyi miti ishobora kugufasha. Imiti ya targeted therapy ishobora gukoreshwa mbere y'ubugingo kugira ngo igabanye kanseri y'amabere kandi yoroherezwe gukuraho. Imwe ikoreshwa nyuma y'ubugingo kugira ngo igabanye ibyago byo kugaruka kwa kanseri. Ibindi bikoreshwa gusa iyo kanseri ikwirakwira mu bindi bice by'umubiri. Andika kuri ubuntu kandi ubone amakuru mashya ku buvuzi bwa kanseri y'amabere, kwitaho no kuyicunga. adresse inkuru yo guhagarika imeri. Uzahita utangira kwakira amakuru mashya y'ubuzima wasabye mu imeri yawe. Nta buvuzi bw'imiti y'ibinyobwa byagaragaye ko bukiza kanseri ya lobular irasenya cyangwa izindi mpuzandengo za kanseri y'amabere. Ariko ubuvuzi bw'imiti y'ibinyobwa bushobora kugufasha guhangana n'ingaruka mbi z'ubuvuzi. Ubushyuhe bukabije ni ubusembwa butunguranye, bukabije bushobora kugusigira ibyuya n'ububabare. Bishobora kuba ikimenyetso cya menopause isanzwe cyangwa ingaruka mbi za hormone therapy ya kanseri y'amabere. Hormone therapy, bwitwa kandi endocrine therapy, ikunze gukoreshwa mu kuvura kanseri ya lobular irasenya. Vugana n'umuganga wawe niba ufite ubushyuhe bukabije. Ubuvuzi busanzwe bwinshi buhari ku bushyuhe bukabije, harimo imiti. Niba ubuvuzi bw'ubushyuhe bukabije budakora neza nk'uko wifuza, bishobora kugufasha kongeramo ubuvuzi bw'imiti y'ibinyobwa kugira ngo wumve neza. Amahitamo ashobora kuba arimo:
• Acupuncture.
• Hypnosis.
• Meditation.
• Uburyo bwo kuruhuka.
• Tai chi.
• Yoga. Nubwo nta kimwe muri ibi bivuzi by'imiti y'ibinyobwa cyagaragaye ko gifasha kugenzura ubushyuhe bukabije, ibimenyetso byerekana ko bamwe mu barokotse kanseri y'amabere babona bifasha. Niba ushaka kugerageza ubuvuzi bw'imiti y'ibinyobwa ku bushyuhe bukabije, vugana n'ikipe yawe y'ubuvuzi ku byo ushobora gukora. Bamwe mu barokotse kanseri y'amabere bavuga ko icyemezo cyabo cyabababaje cyane. Bishobora kuba bigoye kumva ubabaye igihe ukeneye gufata ibyemezo by'ingenzi ku buvuzi bwawe. Mu gihe, uzabona uburyo bwo guhangana n'ibyiyumvo byawe. Kugeza ubwo ubonye icyakora kuri we, bishobora kugufasha: Niba ushaka kumenya byinshi kuri kanseri yawe, saba ikipe yawe y'ubuvuzi amakuru arambuye. Andika ubwoko, icyiciro n'uburyo bwa hormone receptor. Saba amakuru meza aho ushobora kumenya byinshi ku mahitamo yawe y'ubuvuzi. Kumenya byinshi kuri kanseri yawe n'amahitamo yawe bishobora kugufasha kumva ufite icyizere cyinshi mugihe ufata ibyemezo by'ubuvuzi. Ariko kandi, bamwe ntibashaka kumenya amakuru arambuye ya kanseri yabo. Niba ari uko wumva, menyesha ikipe yawe y'ubuvuzi ibyo na byo. Uhereye ubwo utangiye kubwira abantu ku cyemezo cyawe cya kanseri y'amabere, uzabona ubufasha bwinshi. Tekereza mbere ku bintu ushobora gushaka ubufasha. Urugero harimo gutega amatwi igihe ushaka kuvugana cyangwa kugufasha gutegura amafunguro. Ushobora kubona ko ari ingirakamaro kandi bikakuzamura kuvugana n'abandi bafite kanseri y'amabere. Suzuma umuryango uterwa inkunga wa kanseri mu karere kawe kugira ngo umenye ibijyanye n'amatsinda y'ubufasha hafi yawe cyangwa kuri internet. Muri Leta Zunze Ubumwe za Amerika, ushobora gutangira na American Cancer Society. Shaka inshuti cyangwa umuryango wumva neza. Cyangwa vugana n'umuyobozi wa kiliziya cyangwa umujyanama. Saba ikipe yawe y'ubuvuzi kugira ngo ikwereke umujyanama cyangwa undi mwarimu ukora ku bantu bafite kanseri. Mu gihe cy'ubuvuzi bwawe, wihe umwanya wo kuruhuka. Witondere umubiri wawe ubone ibitotsi bihagije kugira ngo ube maso kandi ubone umwanya wo kuruhuka. Hitamo indyo yuzuye imbuto n'imboga kandi ube umunyamaboko uko ushoboye. Gerageza kubungabunga byibuze bimwe mu bikorwa byawe bya buri munsi, harimo n'ibikorwa by'imibanire.

Bamwe mu barokotse kanseri y'amabere bavuga ko icyemezo cyabo cyabababaje cyane mu ntangiriro. Bishobora gutera umunaniro kumva uhangayitse igihe ukeneye gufata ibyemezo by'ingenzi bijyanye n'ubuvuzi bwawe. Mu gihe, uzabona uburyo bwo guhangana n'ibyiyumvo byawe. Kugeza ubwo uzabonye icyakubereye, bishobora kugufasha: Menya ibihagije kuri karisinoma ya lobular y'umwimerere kugira ngo ufate ibyemezo bijyanye n'ubuvuzi bwawe Niba wifuza kumenya byinshi kuri kanseri yawe, saba itsinda ry'ubuvuzi bwawe amakuru arambuye. Andika ubwoko, urwego n'imiterere ya reseptor ya hormone. Saba amakuru meza aho ushobora kumenya byinshi ku bijyanye n'uburyo bwo kuvura. Kumenya byinshi kuri kanseri yawe n'amahirwe yawe bishobora kugufasha kumva ufite icyizere cyinshi mugihe ufata ibyemezo byo kuvura. Ariko kandi, bamwe ntibashaka kumenya amakuru arambuye kuri kanseri yabo. Niba ari ko wumva, menyesha itsinda ry'ubuvuzi bwawe. Komereza hafi incuti zawe n'umuryango wawe Incuti zawe n'umuryango wawe bashobora kuguha urusobe rw'inkunga ikomeye mu gihe cyo kuvurwa kanseri. Uhereye aho utangira kubwira abantu ibyerekeye icyemezo cyawe cya kanseri y'amabere, ushobora kubona ibitero byinshi byo gufasha. Tekereza mbere ku bintu ushobora kwifuza ubufasha. Urugero harimo gutega amatwi igihe ushaka kuvugana cyangwa kugufasha gutegura amafunguro. Huza n'abandi bantu barwaye kanseri Ushobora kubona ko ari ingirakamaro kandi bikakuzamura kuvugana n'abandi bantu babonye kanseri y'amabere. Suzuma umuryango ushyigikira kanseri mu karere kawe kugira ngo umenye amakuru yerekeye amatsinda y'ubufasha hafi yawe cyangwa kuri interineti. Muri Leta Zunze Ubumwe za Amerika, ushobora gutangira na American Cancer Society. Shaka umuntu wo kuvuganira ibyiyumvo byawe Shaka inshuti cyangwa umuntu wo mu muryango wawe uzi gutega amatwi neza. Cyangwa uganire n'umukozi w'idini cyangwa umujyanama. Saba itsinda ry'ubuvuzi bwawe kugira ngo baguhe umujyanama cyangwa undi mwarimu ukora ku bantu barwaye kanseri. Witondere ubwawe Mu gihe cyo kuvurwa, wihe umwanya wo kuruhuka. Witondere umubiri wawe neza ubone ibitotsi bihagije kugira ngo ubehoze ubuzima kandi ufate umwanya wo kuruhuka. Hitamo indyo yuzuye imbuto n'imboga kandi ugume ukora imyitozo ngororamubiri uko ushoboye. Gerageza kubungabunga byibuze bimwe mu bikorwa byawe bya buri munsi, harimo n'ibikorwa by'imibereho.