Chii chinonzi Atypical Hyperplasia? Zviratidzo, Zvinokonzera, & Kurapa

Atypical hyperplasia chirwere chemazamu chisina ngozi (non-cancerous) umo masero ano kukura zvisina kujairika asi haasi kenza. Fungidzira masero anoita kunge asingajairiki kana akaonekwa ne microscope asi asina kupinda munzvimbo ye kenza.

Chirwere ichi chinotapura vakadzi vanosvika 5-10% vane biopsies dzemazamu. Kunyange zita racho richinzwa richitya, zvakakosha kuziva kuti atypical hyperplasia pachayo haisi kenza, kunyange zvazvo ichikwidziridza njodzi yekuwana kenza yemazamu mune ramangwana.

Chii chinonzi Atypical Hyperplasia?

Atypical hyperplasia inoitika kana masero emazamu akawanda kupfuura zvakajairika uye anoita kunge asingajairiki kana akaonekwa ne microscope. Masero aya haana kuva kenza, asi anoratidza zvimwe zvinhu zvinotyisa vanachiremba.

Kune marudzi maviri makuru aunofanira kuziva nezvawo. Atypical ductal hyperplasia (ADH) inotapura ma ducts emukaka, nepo atypical lobular hyperplasia (ALH) ichitapudza nzvimbo dzinogadzira mukaka dzinonzi lobules. Marudzi ese maviri ane zvinoreva zvakafanana pakurarama kwako.

Vanachiremba vanorondedzera chirwere ichi se high-risk lesion. Izvi zvinoreva kuti zvinowedzera mikana yekuwana kenza yemazamu gare gare, asi haisi kenza pachayo. Fungidzira sechenjedzo yeyero pane chiratidzo chitsvuku chekukurumidzira.

Ndeapi Zviratidzo zve Atypical Hyperplasia?

Vakadzi vazhinji vane atypical hyperplasia havaoni chero zviratidzo zvachose. Chirwere ichi chinowanzoonekwa panguva yekutarisa kwakajairika kwe mammograms kana kana vanachiremba vachiongorora zvimwe zvinetso zvemazamu.

Kana zviratidzo zvikaitika, zvinowanzova zvishoma uye zvinogona kusanganisira:

• Chidimbu chidiki kana nzvimbo yakakora mumazamu
• Kurwadziwa kana kusagadzikana kwemazamu
• Kushanduka kwehunhu hwemazamu
• Mukaka kubva pamukaka (zvisingawanzoitika)

Zviratidzo izvi zvinogona kuratidzawo mamwe mamiriro ezvinhu asina ngozi emazamu. Kana ukaona chero shanduko mumazamu ako, zvakakosha kutaura nachiremba wako, kunyange zvazvo zvichinzwa zvishoma.

Ndeapi Marudzi e Atypical Hyperplasia?

Atypical hyperplasia ine maitiro maviri akasiyana, imwe neimwe ichitapudza zvikamu zvakasiyana zve tishu remazamu ako. Kunzwisisa marudzi aya kunokubatsira iwe nechikurapa chako kuronga nzira yakanakisa yekutarisa nekutarisira.

Atypical ductal hyperplasia (ADH) inoitika muma ducts emukaka, matumbo anounza mukaka kubva ku lobules kuenda kumukaka. Rudzi urwu runoumba anenge 60-70% ye atypical hyperplasia kesi uye zvishoma zvinowedzera njodzi yako yekenza yemazamu.

Atypical lobular hyperplasia (ALH) inotapura lobules, idzo ndidzo gwara dzinogadzira mukaka mumazamu ako. Kunyange zvisingawanzoitika kupfuura ADH, rudzi urwu runowedzerawo njodzi yekenza uye inogona kusanganiswa nenjodzi yakakwirira yekuwana lobular breast cancer.

Marudzi ese maviri anoda nzira dzakafanana dzekutarisa nekutarisira. Chiremba wako achakutsanangurira rudzi rwaunaro uye zvinoreva kune mamiriro ako chaiwo.

Chii Chinokonzera Atypical Hyperplasia?

Chikonzero chaicho che atypical hyperplasia hachizivisike zvizere, asi vatsvakurudzi vanotenda kuti chinobva pakusanganiswa kwezvinhu zvine chekuita nemahomoni nezvinhu zvekurasika. Kushanduka kwemahomoni emuviri wako, kunyanya estrogen, zvinogona kutamba basa rakakura.

Zvinhu zvakati wandei zvinogona kuita kuti uwane chirwere ichi:

• Kuwanikwa kwenguva refu kwe estrogen muhupenyu hwako hwese
• Nhoroondo yemhuri yekenza yemazamu kana ovarian cancer
• Biopsies dzemazamu dzakapfuura dzisina ngozi
• Tishu remazamu rakakora
• Zera, nenjodzi ichikwira mushure memakore 40
• Menopause yakareba kana kumwedzi kwakakurumidza
• Kusambobereka vana kana kubereka mwana wako wekutanga mushure memakore 30

Zvakakosha kuyeuka kuti kuva nezvinhu izvi zvinokonzera hazvirevi kuti iwe uchawana atypical hyperplasia. Vakadzi vazhinji vane zvinhu zvakawanda zvinokonzera havawani chirwere ichi, nepo vamwe vane zvinhu zvishoma zvinokonzera vachiwana.

Rini Unofanira Kuona Chiremba ne Atypical Hyperplasia?

Unofanira kubata nachiremba wako kana ukaona chero zvidimbu zvitsva kana zvichishanduka, zvipembenene, kana nzvimbo dzakakora mu tishu remazamu ako. Kunyange zvazvo shanduko dzakawanda dzemazamu dzisingakuvadzi, zviri nani kuti uzviongorore.

Rongedza nguva yekuona chiremba kana uine kurwadziwa kwenguva refu kwemazamu, mukaka kubva pamukaka, kana chero shanduko mukuonekwa kana hunhu hwemazamu ako. Chiremba wako anogona kuona kana shanduko idzi dzoda kuongororwa zvakadzama kuburikidza ne mifananidzo kana biopsy.

Kana watove wakaziva atypical hyperplasia, chengeta nguva dzakajairwa dzekutarisa sezvakarayirwa nechikwata chako chehutano. Kuongororwa uku kunobatsira kubata chero shanduko nekukurumidza uye kuve nechokwadi chekuti unowana kutarisirwa kwakakodzera.

Ndeapi Zvinhu Zvinokonzera Atypical Hyperplasia?

Kunzwisisa zvinhu zvinokonzera kunogona kukubatsira iwe nechikurapa chako kuita sarudzo dzakachenjera pamusoro pezvirongwa zvekuongorora nekudzivirira. Zvimwe zvinhu haugone kuchinja, nepo zvimwe zvaunogona kukwanisa kuchinja.

Zvinhu zvisingachinjiki zvinosanganisira:

• Zera pamusoro pemakore 40
• Nhoroondo yemhuri yekenza yemazamu kana ovarian cancer
• Nhoroondo yako ye chirwere chemazamu chisina ngozi
• Tishu remazamu rakakora
• Genetic mutations senge BRCA1 kana BRCA2
• Kumwedzi kwakakurumidza (pamberi pemakore 12)
• Menopause yakareba (mushure memakore 55)

Zvinhu zvinogona kuchinjwa zvinosanganisira:

• Kushandisa hormone replacement therapy
• Kunwa doro
• Kutonga uremu
• Mwero wekuita zvemuviri

Kuva nezvinhu zvakawanda zvinokonzera hazvirevi kuti uchawana atypical hyperplasia, sezvo kuva nezvinhu zvishoma zvinokonzera hazvikupi simba. Zvinhu izvi zvinongobatsira vanachiremba kuona njodzi yako yese.

Ndeapi Matambudziko Anogona Kuitika e Atypical Hyperplasia?

Kunetseka kukuru ne atypical hyperplasia ndekubatanidzwa kwayo nenjodzi yakawedzera yekenza yemazamu. Vakadzi vane chirwere ichi vane njodzi inenge ine 4-5 nguva yakakwira yekuwana kenza yemazamu kana ichienzaniswa nevakadzi vasina.

Njodzi yakawedzera iyi inoshandurwa kuita nhamba dzakakosha dzaunganzwisisa. Kana njodzi yako yehupenyu hwese yekenza yemazamu yakanga iri anenge 12%, kuva ne atypical hyperplasia inogona kuikwidziridza kusvika ku 20-25%. Kunyange zvazvo izvi zvinonzwa zvakakosha, yeuka kuti vakadzi vazhinji vane atypical hyperplasia havawani kenza.

Kukanganisa kwepfungwa kunogona kuve kunetsawo. Vakadzi vazhinji vanonzwa vachitya nezvenjodzi yavo yakawedzera yekenza, izvo zvinogona kukanganisa hupenyu hwavo. Zvakajairika kunzwa uine hanya kana kushushikana mushure mekuwana chirwere ichi.

Mu zviitiko zvisingawanzoitika, atypical hyperplasia inogona kuwanikwa pamwe chete nemamwe high-risk lesions kana kenza yekutanga panguva imwe chete ye biopsy. Pathologist wako achaongorora tishu rese zvakanyatsonaka kuitira kuti hapana chinorasika.

Atypical Hyperplasia Inogona Kudzivirirwa Sei?

Kunyangwe usingakwanisi kudzivirira zvachose atypical hyperplasia, sarudzo dzakati dzehupenyu dzinogona kubatsira kuderedza njodzi yako yese yekenza yemazamu. Mazano aya anotarisa pakurarama hupenyu hwakanaka uye kuderedza njodzi dzinozivikanwa.

Funga nezve nzira idzi dzakabudiswa nesainzi:

• Chengeta uremu hwakanaka kuburikidza nekudya kwakaringana uye kurovedza muviri
• Deredza kunwa doro kusvika kune imwe chete pazuva
• Ramba uchiita zvemuviri neanenge maminitsi 150 e kurovedza muviri kwakanyanya pavhiki
• Bereka mwana kana zvichibvira, sezvo zvinogona kuderedza njodzi yekenza yemazamu
• Taura nezvenjodzi uye mabhenefiti e hormone replacement therapy nachiremba wako
• Funga nezvekurairwa kwe genetic kana uine nhoroondo yakasimba yemhuri

Kuongorora kwakajairwa kwemazamu pachako uye mammograms hazvigone kudzivirira atypical hyperplasia, asi zvinobatsira kuona shanduko nekukurumidza. Kuonekwa nekukurumidza kunotungamira kumigumisiro iri nani kana chero shanduko dzine hanya dzikawanda.

Atypical Hyperplasia Inoziviswa Sei?

Atypical hyperplasia inowanzoonekwa panguva ye biopsy yemazamu inoitirwa zvimwe zvikonzero, senge mammogram isina kujairika kana kuongororwa kwemuviri. Kuziva kunoda kuongororwa kwetishu remazamu pasi pe microscope ne pathologist.

Maitiro ekuziva anowanzoitevera matanho aya:

1. Mifananidzo yekutanga (mammogram, ultrasound, kana MRI) inoratidza nzvimbo ine hanya
2. Chiremba wako anokurudzira core needle biopsy kuti atore sampuli yetishu
3. Pathologist anoongorora sampuli dzetishu pasi pe microscope
4. Pathologist anoziva shanduko dzemasero dzakajairika dze atypical hyperplasia
5. Chiremba wako anotaura nezvemhedzisiro nematanho anotevera newe

Dzimwe nguva, chiremba wako anogona kukurudzira kuvhiya mushure mekuziva kwe biopsy yekutanga. Izvi zvinobatsira kuve nechokwadi chekuti hapana high-grade lesions kana kenza yekutanga iri kuvanza pedyo munzvimbo dzisingatorwe ne needle biopsy.

Kurapa kwe Atypical Hyperplasia ndekupi?

Kurapa kwe atypical hyperplasia kunotarisa pakutarisa nekuderedza njodzi pane kuita chimwe chinhu nekukurumidza. Sezvo chirwere ichi chisiri kenza, kurapwa kwakasimba hakukoshi, asi kucherechedza kwakanyatsojeka kwakakosha.

Chirongwa chako chekurapa chingasanganisira:

• Kuongororwa kwakawedzerwa ne mammograms dzakawanda uye bvunzo dzekuongorora
• Kuongororwa kwe MRI kana uine mamwe high-risk factors
• Kukurukura nezve mishonga yekudzivirira senge tamoxifen kana raloxifene
• Genetic counseling kana nhoroondo yemhuri ichiratidza njodzi yekurasika
• Kurairwa kwemaitiro ehupenyu pamusoro pekudya, kurovedza muviri, uye kunwa doro

Vakadzi vamwe vane njodzi yakakwira vanogona kufunga nezve kuvhiya kwekudzivirira, kunyange zvazvo izvi zvinowanzochengeterwa avo vane nhoroondo dzakasimba dzemhuri kana genetic mutations. Oncologist wako achakubatsira kuenzanisa mabhenefiti nenjodzi yezvisarudzo zvese.

Chinangwa ndechekubata chero shanduko dzeramangwana nekukurumidza sezvinobvira uchikubatsira kuchengetedza hupenyu hwako hwakanaka uye rugare rwepfungwa.

Maitiro ekutarisira kumba panguva ye Atypical Hyperplasia?

Kutarisira atypical hyperplasia kumba kunosanganisira kuchengetedza tsika dzehutano uye kuramba uchiri kuona shanduko dzemazamu. Tarisa pazvisarudzo zvehupenyu zvinotsigira hutano hwese hwemazamu uye kunaka.

Funga nezve mazano ekutarisira kumba aya:

• Ita kuongorora kwemazamu pachako pamwedzi wega wega kuti uzive shanduko dzakajairika
• Chengeta rekodhi ye chero shanduko dzemazamu kana zviratidzo
• Chengeta kudya kwakanaka kwakazara ne michero, miriwo, uye zviyo zvizere
• Ita zvemuviri nguva dzose kuti utsigire basa rekuzvidzivirira uye kuchengetedza uremu hwakanaka
• Deredza kunwa doro uye usafume
• Tarisa kushushikana kuburikidza nemazano ekusununguka, kufungisisa, kana kurairwa

Yeuka kuti tishu remazamu rinowanzochinja panguva yekumwedzi kwako, saka edza kuongorora mazamu ako panguva imwe chete pamwedzi wega wega. Kana uri postmenopausal, sarudza zuva rakafanana sekutanga kwemwedzi wega wega.

Ramba uine hukama nemagrupo ekutsigira kana mabasa ekurairwa kana kunetseka nezve chirwere chako kuchikura. Vakadzi vazhinji vanowana kubatsirwa kutaura nevamwe vane zviitiko zvakafanana.

Unofanira Kugadzirira Sei Nguva Yako Yekuona Chiremba?

Kugadzirira nguva yako yekuona chiremba kunobatsira kuve nechokwadi chekuti unowana ruzivo rwakanyatsojeka uye unonzwa wakavimbika nezve chirongwa chako chekutarisira. Uya nemarekodhi ehutano akakodzera, kusanganisira mammograms yapfuura uye biopsy reports.

Usati wawana,unganidza ruzivo urwu rwakakosha:

• Rondedzero yakazara yemishonga iripo uye zvinowedzerwa
• Nhoroondo yemhuri yekenza yemazamu, ovarian, uye dzimwe kenza
• Nhoroondo yako yehutano, kusanganisira biopsies dzemazamu dzakapfuura
• Rondedzero yemibvunzo nezvinetso zvaunoda kukurukura
• Ruzivo rweinshurensi uye mapepa ekutumira kana zvichidiwa

Nyora mibvunzo yako usati wawana kuti usakanganwe panguva yekuona chiremba. Mibvunzo yakajairika inosanganisira kubvunza nezvenjodzi yako chaiyo yekenza, mazano ekutarisa, uye kana genetic testing yakakodzera.

Funga nezvekutora shamwari yakavimbika kana nhengo yemhuri kuti ikutsigire uye kubatsira kurangarira ruzivo rwakakosha rwakakurukurwa panguva yekushanya.

Chii Chinonyanya Kukosha Nezve Atypical Hyperplasia?

Atypical hyperplasia chirwere chinogona kutarisirwa chinoda kutarisirwa asi chisingafanire kutonga hupenyu hwako. Kunyange zvazvo ichikwidziridza njodzi yekenza yemazamu, vakadzi vazhinji vane chirwere ichi havawani kenza.

Tarisa pane zvaunogona kutonga: kuchengetedza kutarisirwa kwakajairwa, kurarama hupenyu hwakanaka, uye kuramba uine ruzivo nezve zvisarudzo zvako. Shanda pedyo nechikwata chako chehutano kuti ugadzire chirongwa chekuongorora chinonzwisisika kune mamiriro ako chaiwo.

Yeuka kuti kufambira mberi kwezvokurapa kuri kuramba kuchivandudza kugona kwedu kuona uye kudzivirira kenza yemazamu. Nzira yako yekutanga yekutarisa nekutarisira inokuisira munzvimbo yakanakisa yekuchengetedza hutano hwako hwemazamu hurefu.

Mibvunzo InowanzoBvunzwa Nezve Atypical Hyperplasia

Q1: Atypical hyperplasia ichachinja kuva kenza here?

Kwete, atypical hyperplasia haizochinji kuva kenza. Kunyange zvazvo ichikwidziridza njodzi yako yekuwana kenza yemazamu, vakadzi vazhinji vane chirwere ichi havawani kenza. Njodzi yakawedzera inoreva kuti unoda kuongororwa kwakanyanya, asi haisi vimbiso yekuti kenza ichaitika.

Q2: Ndingawanzoita mammograms sei mushure mekuziva atypical hyperplasia?

Vanachiremba vazhinji vanokurudzira mammograms pagore rega rega, uye vamwe vanogona kukurudzira kutanga kare kana kuwedzera kuongororwa kwe breast MRI. Chirongwa chako chaicho chekuongorora chinoenderana nezvinhu zvako zvese zvinokonzera, nhoroondo yemhuri, uye mamwe mazano ehutano hwako. Oncologist wako achakuitira chirongwa chekuongorora chakagadzirirwa iwe.

Q3: Ndingafanira kufunga nezvekutorwa mishonga yekudzivirira senge tamoxifen here?

Mishonga yekudzivirira inogona kuderedza njodzi yekenza yemazamu neanenge 50% muvakadzi vane njodzi yakakwira, asi inewo migumisiro inogona kuitika. Chiremba wako achakubatsira kuenzanisa mabhenefiti nenjodzi zvichienderana nezera rako, hutano hwese, uye zvinhu zvako zvinokonzera. Sarudzo iyi ndeyemunhu oga uye inofanira kuitwa mushure mekukurukura kwakanyanya nechikwata chako chehutano.

Q4: Ndingabereka mwana here kana ndine atypical hyperplasia?

Hongu, kuva ne atypical hyperplasia hakuvamiriri kubereka mwana. Chaizvoizvo, kubereka mwana kunogona kupa mabhenefiti ekudzivirira pamusoro pe kenza yemazamu. Kurukura chero zvinetso nachiremba wako, asi chirwere ichi hachifanire kukanganisa kugona kwako kubereka mwana wako.

Q5: Kuva ne atypical hyperplasia kunoreva here kuti ndinoda genetic testing?

Genetic testing haikurudzirwi otomatiki kune munhu wese ane atypical hyperplasia. Zvisinei, kana uine nhoroondo yakasimba yemhuri yekenza yemazamu kana ovarian cancer, chiremba wako anogona kukurudzira genetic counseling kuti aone kana kuongororwa kwakakodzera. Kusanganiswa kwe atypical hyperplasia uye genetic mutations kunogona kuwedzera njodzi yekenza zvakanyanya, kuita kuti kuongororwa kwakawedzerwa kana matanho ekudzivirira ave akakosha zvikuru.