Kansa Ye Lobular Inopinda Mukati

Kansara ye lobular inopinda ndomhando yekenza yemukaka inotanga sekuwanda kwemasero mumarudzi anogadzira mukaka wemukaka. Aya marudzi anonzi lobules.\n\nKenza inopinda inoreva kuti masero ekenza abuda mulobules kwaakatanga ndokutambanuka mune tishu yemukaka. Masero ane mukana wekutambanuka kuenda kunode lymph uye kune dzimwe nzvimbo dzemuviri.\n\nKansara ye lobular inopinda inoumba chikamu chidiki chekenza yose yemukaka. Mhando yakajairika yekenza yemukaka inotanga mumidziyo yemukaka. Mhando iyi inonzi kansara ye ductal inopinda.

Pakutanga, kenza ye lobular inopinda inogona kusaita zviratidzo nezviratidzo. Sezvo inokura, kenza ye lobular inopinda inogona kukonzera: Kushanduka kwehunhu kana chitarisiko che ganda pamusoro pechibereko, sekunge kuita dimple kana kuita gobvu. Nzvimbo itsva yakazara kana kuzvimba muchibereko. Nipple yakatsva itsva. Nzvimbo yakakura mune imwe chikamu chechibereko. Kenza ye lobular inopinda haina mukana wekukonzera bhora rakaoma kana rakasiyana rechibero kupfuura mamwe marudzi ekenza ye chibereko. Rongai nguva nechikurama kana mumwe mushandi wehutano kana mukaona shanduko mumabwereko enyu. Shanduko dzekutarisa dzinogona kusanganisira bhora, nzvimbo yakakombama kana ganda risiri rakajairika, nzvimbo yakakura pasi peganda, uye kubuda kwe nipple. Bvunzai mushandi wenyu wehutano kuti riini munofanira kufunga nezvekuongororwa kwekenza ye chibereko uye kuti inofanira kudzokororwa kazhinji sei. Vashandi vakawanda vehutano vanokurudzira kufunga nezvekuongororwa kwekenza ye chibereko kutanga mumakore emakumi mana.

'Enda kuonana nachiremba kana mumwe mushandi wehutano kana ukaona kuchinja mumazamu ako. Kuchinja kunofanirwa kutarwa kunogona kusanganisira bhora, nzvimbo ine ganda rakapfupika kana risingawanzo, nzvimbo yakakura pasi peganda, uye kubuda kwemukaka kubva pachipfuva.Bvunza mushandi wako wehutano kuti ungafunga kuongororwa kenza yemazamu rinhi uye kuti rinofanira kudzokororwa kakawanda sei. Vashandi vakawanda vehutano vanokurudzira kufunga nezvekuongororwa kenza yemazamu nguva dzose uchitanga mumakore emakumi mana. Nyorera mahara uye gamuchira zvinyorwa zvitsva pamusoro pekurapa kenza yemazamu, kutarisirwa nekutarisirwa. kero Iwe uchangotanga kugamuchira ruzivo rwehutano rwazvaikumbira mubhokisi rako retsamba.'

Mune mucheche mumwe nemumwe mune lobes e tishu ye glandular inosvika makumi maviri, yakarongeka senhengo dze daisy. Ma lobes anozoparadzaniswa kuva lobules diki dzinoita mukaka wekuyamwisa. Matumbo madiki, anonzi ducts, anotungamira mukaka kuenda kune imwe nzvimbo iri pasi pe nipple. Hazvina kujeka kuti chii chinokonzera invasive lobular carcinoma. Iyi mhando yekenza yemabere inotanga kana masero ari mumwe kana kupfuura maglands anoita mukaka mumuviri akachinja DNA yavo. DNA yesero ine mirairo inoudza sero kuti riite sei. Mumasero ane hutano, DNA inopa mirairo yekukura nekukura nekukurumidza. Mirairo inoudza masero kuti afe panguva yakatarwa. Mumasero ekenza, kuchinja kweDNA kunopa mirairo yakasiyana. Kuchinja kunoudza masero ekenza kuti aite masero akawanda nekukurumidza. Masero ekenza anogona kuramba achirarama apo masero ane hutano afa. Izvi zvinoita kuti pave nemasero akawanda. Masero e invasive lobular carcinoma anowanzo pwanya tishu yemabere nekutsamira panzvimbo pekuita bhora rakaoma. Nzvimbo yakabatwa inogona kunge ine kunzwa kwakasiyana ne tishu yemabere iri kumativi. Nzvimbo inogona kunzwa sekukora nekukura, asi hazvina kukodzera kunzwa sebhora.

Zvinofungwa kuti zvinokonzera chirwere che invasive lobular carcinoma zvakafanana nezvinokonzera cancer yemazamu kazhinji. Zvinhu zvinogona kuwedzera njodzi yekenza yemazamu zvinosanganisira:

• Nhoroondo yemhuri yekenza yemazamu. Kana mubereki, munun'una kana mwana akamborwara nekenza yemazamu, njodzi yako yekenza yemazamu inowedzera. Njodzi yacho inowedzera kana mhuri yako ine nhoroondo yekuwana kenza yemazamu ichiri mudiki. Njodzi yacho inowedzerawo kana uine nhengo dzemhuri dzakawanda dzine kenza yemazamu. Zvisinei, vanhu vakawanda vanoonekwa vane kenza yemazamu havafaniri kuva nenhoroondo yemhuri yerwere iroro.
• Nhoroondo yako pachako yekenza yemazamu. Kana wakamborwara nekenza mumukaka mumwe, une njodzi yakawedzera yekuwana kenza mumukaka mumwe.
• Nhoroondo yako pachako yezvirwere zvemazamu. Zvimwe zvirwere zvemazamu zviratidzo zvekuti une njodzi yakawedzera yekenza yemazamu. Aya mamiriro anosanganisira lobular carcinoma in situ, inozivikanwawo seLCIS, uye atypical hyperplasia yemukaka. Kana wakambotora biopsy yemukaka iyo yakawana chimwe chezvirwere izvi, une njodzi yakawedzera yekenza yemazamu.
• Kutanga kwenguva yako uri mudiki. Kutanga kwenguva yako usati wapedza makore gumi nemaviri kunowedzera njodzi yako yekenza yemazamu.
• Kutanga kwe menopause uri mukuru. Kutanga kwe menopause mushure memakore makumi mashanu nemashanu kunowedzera njodzi yekenza yemazamu.
• Kuva mukadzi. Vakadzi vanowanzova nekenza yemazamu kupfuura varume. Munhu wese anozvarwa nemasero emukaka, saka chero ani zvake anogona kuwana kenza yemazamu.
• Tishu yemukaka yakakora. Tishu yemukaka yakagadzirwa nemafuta nematishu akakora. Tishu yakakora yakagadzirwa nemagland emukaka, ducts emukaka nematishu akakora. Kana uine mazamu akakora, une tishu yakakora kupfuura mafuta mumazamu ako. Kuva nemazamu akakora kunogona kuita kuti zviome kuona kenza yemazamu pane mammogram. Kana mammogram yakaratidza kuti une mazamu akakora, njodzi yako yekenza yemazamu inowedzera. Taura nechikwata chako chehutano nezvimwe bvunzo zvaunogona kuita pamwe chete nemammograms kuti utsvage kenza yemazamu.
• Kunwa doro. Kunwa doro kunowedzera njodzi yekenza yemazamu.
• Kuva nevana vako vokutanga uri mukuru. Kubereka mwana wako wokutanga mushure memakore makumi matatu kunogona kuwedzera njodzi yekenza yemazamu.
• Kusambobata pamuviri. Kubata pamuviri kamwe kana kupfuura kunoderedza njodzi yekenza yemazamu. Kusambobata pamuviri kunowedzera njodzi.
• Kuchinja kweDNA kunogona kuwedzera njodzi yekenza. Kuchinja kweDNA kunowedzera njodzi yekenza yemazamu kunogona kupfuudzwa kubva kuvabereki kuenda kuvana. Kuchinja kweDNA kunobatanidzwa nenjodzi yakawedzera ye invasive lobular carcinoma kunosanganisira BRCA2 neCDH1. BRCA2 inowedzera njodzi yekenza yemazamu ne ovarian cancer. CDH1 inowedzera njodzi yekenza yemazamu nekenza yemudumbu. CDH1 inobatanidzwa zvakanyanya nechirwere chinonheredzwa chinonzi hereditary diffuse gastric cancer syndrome.
• Hormone therapy ye menopause. Kutora mishonga yekurapa hormone kuti udzivise zviratidzo zve menopause kunogona kuwedzera njodzi yekenza yemazamu. Njodzi yacho inobatanidzwa nemishonga yekurapa hormone inosanganisa estrogen ne progesterone. Njodzi yacho inodonha kana uchimira kutora mishonga iyi.
• Kutaura. Vanhu vane hutaura vane njodzi yakawedzera yekenza yemazamu.
• Zera guru. Njodzi yako yekenza yemazamu inowedzera sezvaunokura. Invasive lobular carcinoma inowanzoitika iwe uri mukuru zvichienzaniswa nedzimwe mhando dzekenza yemazamu.
• Kuonekwa ne radiation. Kana wakagamuchira kurapwa kwe radiation pachipfuva chako uri mwana kana uri mudiki, njodzi yako yekenza yemazamu yakakwira.

Kuita shanduko muhupenyu hwako hwezuva nezuva kunogona kubatsira kuderedza njodzi yako ye invasive lobular carcinoma nemhando dzakasiyana dzekenza yemazamu. Edza ku: Taura nachiremba wako kana mumwe mushandi wehutano nezvekuti ungatanga rini bvunzo yekenza yemazamu. Bvunza nezvemabhenefiti nenjodzi dzekuongororwa. Pamwe chete, munogona kusarudza kuti ndedzipi bvunzo dzekuongorora kenza yemazamu dzakakunakira. Ungasarudza kuziva mazamu ako nekutarisa dzimwe nguva panguva yekuzviongorora mazamu kuti uzive nezvemazamu ako. Kana paine shanduko itsva, chidumbu kana chimwe chinhu chisingawanzoitika mumazamu ako, riudze mushandi wehutano nekukurumidza. Kuziva nezvemazamu hakungagone kudzivirira kenza yemazamu. Asi zvinogona kukubatsira kunzwisisa zviri nani chitarisiko nekunzwa kwemazamu ako. Izvi zvinogona kuita kuti zvive nyore kuti uone kana chimwe chinhu chichichinja. Kana ukasarudza kunwa doro, deredza huwandu hwunonwa kusvika pane imwe chete pazuva. Pakudzivirira kenza yemazamu, hapana huwandu hwakachengeteka hwedoro. Saka kana uchitya zvikuru nezvenjodzi yako yekenza yemazamu, ungasarudza kusadya doro. Chinangwa chemaminitsi anenge 30 ekurovedza muviri pazuva mazhinji evhiki. Kana usati wamboita basa munguva pfupi yapfuura, bvunza mushandi wehutano kana zvakakodzera uye tanga zvishoma nezvishoma. Kugadzirisa mishonga yehomoni kunogona kuwedzera njodzi yekenza yemazamu. Taura nemushandi wehutano nezvemabhenefiti nenjodzi yemishonga yehomoni. Vamwe vanhu vane zviratidzo panguva yekuchembera kunoita kuti vasanzwe zvakanaka. Vanhu ava vangasarudza kuti njodzi yemishonga yehomoni inogamuchirwa kuti vagare zvakanaka. Kuderedza njodzi yekenza yemazamu, shandisa huwandu hwakaderera hwemishonga yehomoni sezvinobvira kwenguva pfupi. Kana uremu hwako hwakakodzera, shanda kuchengetedza uremu ihwohwo. Kana uchida kuderedza uremu, bvunza mushandi wehutano nezve nzira dzakakodzera dzekuderedza uremu. Dya macalorie mashoma uye wedzera zvishoma nezvishoma huwandu hwekurovedza muviri. Kana uine nhoroondo yemhuri yekenza yemazamu kana uchifunga kuti ungave une njodzi yakawedzera yekenza yemazamu, taura nezvazvo nemushandi wehutano. Mishonga inodzivirira, kuvhiya uye kuongororwa kazhinji kunogona kunge kuri sarudzo kune vanhu vane njodzi yakakwira yekenza yemazamu.

Kuongorora kenza ye lobular inopinda uye mamwe marudzi ekenza yemukaka kazhinji kunotanga nekuongororwa uye kukurukura zviratidzo zvako. Kuongorora kwemifananidzo kunogona kutarisa tishu yemukaka chero chinhu chisingawanzoitika. Kusimbisa kana paine kenza kana kwete, sampuli yetishu inobviswa kubva mumukaka wekuyedza.

Mukuyedzwa kwemukaka wekurapa, mushandi wehutano anotarira mazamu chero chinhu chisingawanzoitika. Izvi zvinogona kusanganisira kuchinja paganda kana ku nipple. Zvadaro mushandi wehutano anonzwa mazamu kuti aone kana paine zvimba. Mushandi wehutano anonzwawo pamativi emapfudzi uye kumativi emapapiro kuti aone kana paine zvimba.

Mukuyedzwa kwemammogram, iwe unomira pamberi pe muchina we-X-ray wakagadzirirwa mammography. Munyanzvi anoisa mukamu wako papuratifomu uye anoisa puratifomu kuti ienderane neurefu hwako. Munyanzvi anokubatsira kuisa musoro wako, maoko nemuviri kuti ubvumire kuona kwakajeka kwemukaka wako.

Mammogram ndiyo X-ray yetishu yemukaka. Mammograms anoshandiswa kazhinji kuongorora kenza yemukaka. Kana mammogram yekuongorora ikawana chimwe chinhu chinotyisa, ungave une imwe mammogram yekutarisa nzvimbo yacho zvakanyanya. Iyi mammogram yakadzama inonzi diagnostic mammogram. Kazhinji inoshandiswa kutarisa mazamu ese. Kenza ye lobular inopinda haina mukana wekuonekwa pane mammogram kupfuura mamwe marudzi ekenza yemukaka. Zvisinei, mammogram ndiyo bvunzo inobatsira yekuongorora.

Ultrasound inoshandisa mafungu ekuita mifananidzo yezvikamu zviri mukati memuviri. Ultrasound yemukaka inogona kupa timu yako yehutano ruzivo rwakawanda nezve zvimba zvemukama. Semuenzaniso, ultrasound inogona kuratidza kana zvimba iri masero akaomarara kana cyst yakazara nemvura. Timu yehutano inoshandisa ruzivo urwu kusarudza bvunzo dzaunoda zvakare. Kenza ye lobular inopinda inogona kuoma kuona ne ultrasound kupfuura mamwe marudzi ekenza yemukaka.

Kuita breast MRI kunosanganisira kurara nechiso pasi patafura yakapfava yekuongorora. Mazamu anokwana munzvimbo yakasviba patafura. Nzvimbo yakasviba ine ma coils anowana masaini kubva ku MRI. Tafura inosvetuka muhomwe hombe yemuchina we MRI.

Michina ye MRI inoshandisa magnetic field nema radio waves kuita mifananidzo yemukati memuviri. Breast MRI inogona kuita mifananidzo yakadzama yemukaka. Dzimwe nguva nzira iyi inoshandiswa kutarisa zvakanyanya chero mamwe ma nzvimbo ekenza mumukaka wakabatwa. Inogona kushandiswawo kutsvaga kenza mumukaka mumwe. Pamberi pe breast MRI, kazhinji unowana jekiseni re dye. Dye inobatsira tishu kuoneka zviri nani mumifananidzo.

Core needle biopsy inoshandisa chubhu refu, yakasviba kuti uwane sampuli yetishu. Pano, biopsy ye zvimba zvemukama zvinotyisa iri kuitwa. Sampuli inotumirwa ku laboratori kuti iongororwe nevashandi vezvekurapa vanonzi pathologists. Vanonyanya kuongorora ropa netishu yemuviri.

Biopsy ndiyo nzira yekubvisa sampuli yetishu yekuyedza mu laboratori. Kuti uwane sampuli, mushandi wehutano kazhinji anoisa tsono kuburikidza neganda uye mukati metishu yemukaka. Mushandi wehutano anotungamira tsono achishandisa mifananidzo yakagadzirwa ne X-rays, ultrasound kana imwe mhando yekuongorora. Kana tsono yasvika panzvimbo yakakodzera, mushandi wehutano anoshandisa tsono kubudisa tishu kubva mumukaka. Kazhinji, chiratidzo chinoiswa panzvimbo iyo sampuli yetishu yakabviswa. Chiratidzo chidiki chesimbi chichaonekwa pane bvunzo dzemifananidzo. Chiratidzo chinobatsira timu yako yehutano kutarisa nzvimbo inotyisa.

Sampuli yetishu kubva ku biopsy inoenda ku laboratori yekuyedza. Kuongorora kunogona kuratidza kana masero ari musampuli ari kenza. Mamwe bvunzo anopa ruzivo nezve rudzi rwekensa uye nekukurumidza kwainokura. Mhedzisiro yebvunzo idzi inoudza timu yako yehutano kana une kenza ye lobular inopinda.

Kuongorora kwakakosha kunopa ruzivo rwakawanda nezve masero ekensa. Semuenzaniso, bvunzo dzinogona kutsvaga hormone receptors pamusoro pemasero. Timu yako yehutano inoshandisa mhedzisiro yebvunzo idzi kuita chirongwa chekurapa.

Kana timu yako yehutano yaongorora kenza yako ye lobular inopinda, ungave une mamwe bvunzo kuti uone huwandu hwekensa. Izvi zvinonzi nhanho yekenza. Timu yako yehutano inoshandisa nhanho yekenza yako kunzwisisa prognosis yako.

Ruzivo rwakakwana nezve nhanho yekenza yako harigone kuwanikwa kusvika wapedza kuvhiya kwekensa yemukaka.

Kuongorora uye nzira dzinoshandiswa kuisa nhanho kenza ye lobular inopinda zvinogona kusanganisira:

• Kuongorora ropa, sekukwana kwe ropa uye bvunzo dzekuratidza kuti itsvo nechiropa zviri kushanda zvakanaka sei.
• Bone scan.
• CT scan.
• MRI.
• Positron emission tomography scan, inonziwo PET scan.

Havasi vese vanoda bvunzo idzi dzese. Timu yako yehutano inosarudza bvunzo dzakakodzera zvichienderana nemamiriro ako chaiwo.

Nhanho dzekensa ye lobular inopinda dzakaenzana nenhambo dzemarudzi mamwe ekensa yemukaka. Nhanho dzekensa yemukaka dzinosvika kubva pa 0 kusvika ku 4. Nhamba shoma inoreva kuti kenza haina kukura uye ine mukana wekurapwa. Kensa ye stage 0 ndeyekenza iri mukati memukaka duct. Haisati yabuda kuti ipinda mutishu yemukaka. Sezvo kenza ikakura mukati metishu yemukaka uye ichikura, nhanho dzinoenda kumusoro. Kensa ye stage 4 inoreva kuti kenza yakapararira kune dzimwe nzvimbo dzemuviri.

Kurapa kenza ye invasive lobular carcinoma kazhinji kunotanga nekuvhiya kuti ubvise kenza. Vanhu vakawanda vane kenza yemukaka vachava nemamwe kurapwa mushure mekuvhiya, akadai sekuvhiya kwemwaranzi, chemotherapy uye hormone therapy. Vamwe vanhu vangave ne chemotherapy kana hormone therapy usati wavhiya. Mishonga iyi inogona kubatsira kudzikisa kenza uye kuita kuti ive nyore kubvisa. Kurapwa kwe invasive lobular carcinoma kwakafanana chaizvo nekurapwa kwemamwe marudzi ekenza yemukaka. Zvimwe zvinhu zvingave zvakasiyana nemarudzi aya ekenza zvinosanganisira: - Kazhinji invasive lobular carcinomas inonzwa mahormone. Kenza yemukaka inonzwa mahormone inogona kupindura kurapwa kunovhara mahormone. Rudzi urwu rwekurapa runonzi hormone therapy kana endocrine therapy. - Kazhinji invasive lobular carcinomas haigadzire HER2 yakawanda. HER2 ndiyo protein iyo mamwe masero ane hutano emukaka anoita. Mamwe masero ekenza yemukaka anokura kuchinja kunovakonzera kuti vagadzire yakawanda HER2. Kurapwa kunogona kunangana nemasero ari kugadzira HER2 yakawanda. Invasive lobular carcinomas haina mukana wekugadzira HER2 yakawanda, saka haina mukana wekupindura kurapwa uku. Chirongwa chako chekurapa chichaenderana nezvinhu zvakawanda. Timu yako yekuchengetedza utano inofunga nhanho yekenza nekukurumidza kwainokura. Timu yako yekuchengetedza inofungawo nezveutano hwako hwese nezvaunoda. Lumpectomy inosanganisira kubvisa kenza nemamwe matishu ane hutano anoiyengera. Mufananidzo uyu unoratidza kucheka kumwe kunogona kushandiswa mune ino nzira, kunyange chiremba wako achazotsanangura nzira iri nani kune mamiriro ako chaiwo. Panguva yekubviswa kwese kwemukaka, chiremba anobvisa tishu yemukaka, nipple, areola neganda. Nzira iyi inozivikanwawo se simple mastectomy. Mamwe maitiro ekubvisa mukaka anogona kusiya zvimwe zvikamu zvemucheka, senge ganda kana nipple. Kuita kuvhiya kuti uite mucheka mutsva kunosarudzwa. Zvinogona kuitwa panguva imwe chete yekuvhiya kwemukaka kana zvichiitwa gare gare. Sentinel node biopsy inotsanangura ma lymph nodes ekutanga ayo tumor inoyerera. Chiremba anoshandisa dye isina ngozi uye mhinduro isina simba ye radioactive kuti awane sentinel nodes. Nodes inobviswa uye inoyedzwa kuti ione kana paine kenza. Kuvhiya kwe invasive lobular carcinoma kazhinji kunosanganisira nzira yekubvisa kenza yemukaka uye nzira yekubvisa mamwe lymph nodes ari pedyo. Sarudzo dzinosanganisira: - Kubvisa kenza yemukaka. Lumpectomy kuvhiya kubvisa invasive lobular carcinoma nemamwe matishu ane hutano ari kumativi ayo. Mamwe matishu emukaka haabviswe. Mazita mamwe ekuvhiya uku ndeaya breast-conserving surgery uye wide local excision. Vanhu vakawanda vane lumpectomy vanewo radiation therapy. Lumpectomy inogona kushandiswa kubvisa kenza diki. Dzimwe nguva unogona kuve ne chemotherapy usati wavhiya kuti udzikise kenza kuitira kuti lumpectomy ikwanise. - Kubvisa tishu yese yemukaka. Mastectomy kuvhiya kubvisa tishu yese yemukaka kubva mumukaka. Nzira yakajairika yemastectomy ndiyo total mastectomy, inonziwo simple mastectomy. Nzira iyi inobvisa zvakawanda zvemucheka, kusanganisira lobules, ducts, mafuta matishu nemamwe maganda, kusanganisira nipple neareola. Mastectomy inogona kushandiswa kubvisa invasive lobular carcinoma huru. Inogona zvakare kudiwa kana paine nzvimbo dzakawanda dzekensa mukati memukaka mumwe. Ungave une mastectomy kana usingakwanisi kana usingadi radiation therapy mushure mekuvhiya. Mamwe marudzi matsva emaitiro ekubvisa mukaka anogona kusabvisa ganda kana nipple. Semuenzaniso, skin-sparing mastectomy inosiya ganda. Nipple-sparing mastectomy inosiya nipple neganda riri kumativi ayo, rinonzi areola. Aya maitiro matsva anogona kuvandudza chitarisiko chemucheka mushure mekuvhiya, asi haasi sarudzo kune munhu wese. - Kubvisa lymph nodes shoma. Sentinel node biopsy kuvhiya kubvisa mamwe lymph nodes kuti aongororwe. Kana invasive lobular carcinoma nemamwe marudzi ekensa yemukaka ikapararira, kazhinji inonanga ku lymph nodes iri pedyo kutanga. Kuti uone kana kenza yakapararira, chiremba anobvisa mamwe lymph nodes ari pedyo nekenza. Kana pasina kenza inowanikwa mu lymph nodes idzodzo, mukana wekuwana kenza mune chero imwe lymph nodes unenge uri mudiki. Hapana mamwe lymph nodes anoda kubviswa. - Kubvisa lymph nodes dzakawanda. Axillary lymph node dissection kuvhiya kubvisa lymph nodes dzakawanda kubva mu armpit. Kuvhiya kwako kwekenza yemukaka kunogona kusanganisira kuvhiya uku kana bvunzo dze mifananidzo dzikaratidza kuti kenza yakapararira ku lymph nodes. Inogona zvakare kushandiswa kana kenza ikawanikwa mu sentinel node biopsy. - Kubvisa mazamu ese. Vamwe vanhu vane invasive lobular carcinoma mumukaka mumwe vangasarudza kubvisa mucheka wavo mumwe, kunyangwe usina kenza. Nzira iyi inonzi contralateral prophylactic mastectomy kana risk-reducing mastectomy. Inogona kuva sarudzo kana uine mukana mukuru wekuwana kenza mumukaka mumwe. Njodzi ingave yakakura kana uine nhoroondo yemhuri ine simba yekenza kana uine kuchinja kweDNA kunowedzera njodzi yekenza. Vanhu vakawanda vane kenza yemukaka mumukaka mumwe havazovi nekenza mumukaka mumwe. Kubvisa kenza yemukaka. Lumpectomy kuvhiya kubvisa invasive lobular carcinoma nemamwe matishu ane hutano ari kumativi ayo. Mamwe matishu emukaka haabviswe. Mazita mamwe ekuvhiya uku ndeaya breast-conserving surgery uye wide local excision. Vanhu vakawanda vane lumpectomy vanewo radiation therapy. Lumpectomy inogona kushandiswa kubvisa kenza diki. Dzimwe nguva unogona kuve ne chemotherapy usati wavhiya kuti udzikise kenza kuitira kuti lumpectomy ikwanise. Kubvisa tishu yese yemukaka. Mastectomy kuvhiya kubvisa tishu yese yemukaka kubva mumukaka. Nzira yakajairika yemastectomy ndiyo total mastectomy, inonziwo simple mastectomy. Nzira iyi inobvisa zvakawanda zvemucheka, kusanganisira lobules, ducts, mafuta matishu nemamwe maganda, kusanganisira nipple neareola. Mastectomy inogona kushandiswa kubvisa invasive lobular carcinoma huru. Inogona zvakare kudiwa kana paine nzvimbo dzakawanda dzekensa mukati memukaka mumwe. Ungave une mastectomy kana usingakwanisi kana usingadi radiation therapy mushure mekuvhiya. Mamwe marudzi matsva emaitiro ekubvisa mukaka anogona kusabvisa ganda kana nipple. Semuenzaniso, skin-sparing mastectomy inosiya ganda. Nipple-sparing mastectomy inosiya nipple neganda riri kumativi ayo, rinonzi areola. Aya maitiro matsva anogona kuvandudza chitarisiko chemucheka mushure mekuvhiya, asi haasi sarudzo kune munhu wese. Matambudziko ekuvhiya kwekenza yemukaka anotsamira pane maitiro aunosarudza. Kuvhiya kwese kune njodzi yekurwadziwa, kubuda ropa nehutachiona. Kubvisa lymph nodes mu armpit kunounza njodzi yekuzvimba kwemaoko, inonzi lymphedema. Hormone therapy, inonziwo endocrine therapy, inoshandisa mishonga kuvhara mamwe mahormone mumuviri. Iyo kurapwa kwekenza yemukaka inonzwa mahormone estrogen ne progesterone. Vashandi vekuchengetedza utano vanoti kenza iyi estrogen receptor positive uye progesterone receptor positive. Kenza inonzwa mahormone inoshandisa mahormone semafuta ekukura kwayo. Kuvhara mahormone kunogona kukonzera kuti masero ekensa adzikire kana kufa. Kazhinji invasive lobular carcinomas inonzwa mahormone, saka inogona kupindura kurapwa uku. Hormone therapy kazhinji inoshandiswa mushure mekuvhiya nemamwe kurapwa. Inogona kudzikisa njodzi yekenza kudzoka. Kana invasive lobular carcinoma ikapararira kune dzimwe nzvimbo dzemuviri, hormone therapy inogona kubatsira kuichengeta. Kurapwa kunogona kushandiswa mu hormone therapy kunosanganisira: - Mishonga inovhara mahormone kubva pakubatanidza kumasero ekensa. Mishonga iyi inonzi selective estrogen receptor modulators. - Mishonga inomisa muviri kubva pakugadzira estrogen mushure memenopause. Mishonga iyi inonzi aromatase inhibitors. - Kuvhiya kana mishonga yekumisa maovari kubva pakugadzira mahormone. Dzimwe nguva mishonga ye hormone therapy inosanganiswa nemishonga ye targeted therapy. Musanganiswa uyu unogona kuita kuti hormone therapy ive inoshanda. Matambudziko e hormone therapy anotsamira pakurapwa kwaunowana. Matambudziko anogona kusanganisira hot flashes, night sweats uye vaginal dryness. Matambudziko akakomba anosanganisira njodzi yekutonhora kwemapfupa nekuvhara kweropa. Kupararira kwemwaranzi kunoshandisa ma beam ane simba re simba kuuraya masero ekensa. Ma beam emwaranzi anorongedzerwa zvakanaka pakenza uchishandisa muchina unofamba-famba mumuviri wako. Radiation therapy inorapwa kenza nemabhemu ane simba re simba. Simba rinogona kubva ku X-rays, protons kana mamwe masosi. Mwaranzi inoshandiswa kurapa invasive lobular carcinoma nemamwe marudzi ekensa yemukaka kazhinji ndiyo external beam radiation. Panguva yekurapa uku, unovata patafura apo muchina unofamba-famba pauri. Muchina unotungamira mwaranzi kunzvimbo dzakakosha mumuviri wako. Zvishoma, mwaranzi inogona kuiswa mukati memuviri. Rudzi urwu rwemwaranzi runonzi brachytherapy. Radiation therapy kazhinji inoshandiswa mushure mekuvhiya. Inogona kuuraya chero masero ekensa anogona kushiiwa mushure mekuvhiya. Mwaranzi inodzikisa njodzi yekenza kudzoka. Matambudziko e radiation therapy anosanganisira kunzwa kuneta kwazvo uye kuva nerash yakafanana ne sunburn uko mwaranzi inorongedzerwa. Tishu yemukaka inogonawo kutaridzika yakazvimba kana kunzwa yakasimba. Zvishoma, matambudziko akakomba anogona kuitika. Izvi zvinosanganisira kukuvara kwemoyo kana mapapu. Zvishoma, kenza itsva inogona kukura munzvimbo yakarapwa. Chemotherapy inorapwa kenza nemishonga ine simba. Mishonga yakawanda ye chemotherapy iripo. Kurapwa kazhinji kunosanganisira musanganiswa wemishonga ye chemotherapy. Kazhinji inopiwa kuburikidza ne tsinga. Zvimwe zviripo mune fomu yepiritsi. Chemotherapy ye invasive lobular carcinoma nemamwe marudzi ekensa yemukaka kazhinji inoshandiswa mushure mekuvhiya. Inogona kuuraya chero masero ekensa anogona kushiiwa uye kudzikisa njodzi yekenza kudzoka. Dzimwe nguva chemotherapy inopiwa usati wavhiya ye invasive lobular carcinoma nemamwe marudzi ekensa yemukaka. Chemotherapy inogona kudzikisa kenza yemukaka kuitira kuti ive nyore kubvisa. Chemotherapy usati wavhiya inogona zvakare kudzora kenza inopararira ku lymph nodes. Kana lymph nodes isingaratidzi zviratidzo zvekenza mushure me chemotherapy, kuvhiya kubvisa lymph nodes dzakawanda kungasave kudikanwa. Maitiro ekupindura kenza ku chemotherapy usati wavhiya anobatsira timu yekuchengetedza utano kuita sarudzo pamusoro pekurapwa kunogona kudiwa mushure mekuvhiya. Kana kenza ikapararira kune dzimwe nzvimbo dzemuviri, chemotherapy inogona kubatsira kuichengeta. Chemotherapy inogona kubvisa zviratidzo zvekenza yakakomba, senge kurwadziwa. Matambudziko e chemotherapy anotsamira pane mishonga yaunowana. Matambudziko akajairika anosanganisira kurasikirwa nevhudzi, kusvotwa, kurutsa, kunzwa kuneta kwazvo uye kuva nenjodzi yakawanda yekuwana hutachiona. Matambudziko asingawanzoitika anogona kusanganisira menopause isati yasvika uye kukuvara kwetsimba. Zvishoma, mamwe mishonga ye chemotherapy inogona kukonzera kenza yesero re ropa. Targeted therapy inoshandisa mishonga inorwisa zvinhu zvakakosha mu masero ekensa. Nekuvhara zvinhu izvi, kurapwa kwakatarwa kunogona kukonzera kuti masero ekensa afe. Mishonga yakajairika ye targeted therapy ye kenza yemukaka inonangana ne protein HER2. Mamwe masero ekensa yemukaka anoita HER2 yakawanda. Iyi protein inobatsira masero ekensa kukura uye kurarama. Mishonga ye targeted therapy inorwisa masero ari kugadzira HER2 yakawanda uye haikuvadzi masero ane hutano. Kazhinji invasive lobular carcinomas haigadzire HER2 yakawanda, saka hazvina mukana wekupindura kurapwa kunonangana ne HER2. Mishonga yakawanda ye targeted therapy iripo yekurapa kenza yemukaka. Masero ako ekensa anogona kuyedzwa kuti aone kana mishonga iyi ingakubatsira. Mishonga ye targeted therapy inogona kushandiswa usati wavhiya kudzikisa kenza yemukaka uye kuita kuti ive nyore kubvisa. Zvimwe zvinoshandiswa mushure mekuvhiya kudzikisa njodzi yekenza kudzoka. Zvimwe zvinoshandiswa chete kana kenza ikapararira kune dzimwe nzvimbo dzemuviri. Nyorera mahara uye uwane zvakanyanya pamusoro pekurapwa kwekenza yemukaka, kuchengetedza uye manejimendi. kero link yekubvisa kunyorero mu email. Uchakurumidza kutanga kugamuchira ruzivo rwehutano rwakanyanya rwaukumbira mubhokisi rako. Hapana kurapwa kwemishonga yekurapa kwakawanikwa kunorapwa invasive lobular carcinoma kana mamwe marudzi ekensa yemukaka. Asi kurapwa kwakawedzerwa uye kwakasiyana-siyana kunogona kukubatsira kubata nematambudziko ekurapwa. Hot flashes ndidzo nguva dzinopisa zvakanyanya dzinogona kukusiya uchibuda zvimwe uye usinganzwi zvakanaka. Inogona kuva chiratidzo chemenopause yakajairika kana chiratidzo che hormone therapy ye kenza yemukaka. Hormone therapy, inonziwo endocrine therapy, kazhinji inoshandiswa kurapa invasive lobular carcinoma. Taura nachiremba wako kana uine hot flashes. Kurapwa kwakawanda kwakajairika kuripo kwe hot flashes, kusanganisira mishonga. Kana kurapwa kwe hot flashes kuchishanda zvakanaka sezvaunoda, zvinogona kubatsira kuwedzera kurapwa kwakawedzerwa uye kwakasiyana-siyana kukubatsira kunzwa zvakanaka. Sarudzo dzinogona kusanganisira: - Acupuncture. - Hypnosis. - Meditation. - Relaxation techniques. - Tai chi. - Yoga. Kunyangwe hapana kurapwa uku kwakasiyana-siyana kwakaratidzwa kubatsira kudzora hot flashes, humbowo hunoratidza kuti vamwe vanopona kenza yemukaka vanozviwana zvichibatsira. Kana uchifarira kuyedza kurapwa kwakasiyana-siyana kwe hot flashes, taura nechikwata chako chekuchengetedza utano nezve sarudzo dzako. Vamwe vanopona kenza yemukaka vanoti chirwere chavo chakaita sechinotyisa pakutanga. Zvinogona kunetsa kunzwa uchityisidzirwa panguva yaunoda kuita sarudzo dzakakosha nezve kurapwa kwako. Panguva yakati, uchawana nzira dzekubata nemanzwiro ako. Kusvikira wawana zvinokushandira, zvinogona kubatsira ku: Kana uchida kuziva zvakawanda nezvekenza yako, bvunza timu yako yekuchengetedza utano kuti uwane ruzivo. Nyora rudzi, nhanho uye mamiriro e hormone receptor. Bvunza nezvemisoro yakanaka yeruzivo kwaunogona kudzidza zvakawanda nezve sarudzo dzako dzekurapa. Kuziva zvakawanda nezvekenza yako nesarudzo dzako kunogona kukubatsira kunzwa wakavimbika kana uchiita sarudzo dzekurapa. Zvisinei, vamwe vanhu havadi kuziva ruzivo rwekenza yavo. Kana iri nzira yaunonzwa nayo, udza timu yako yekuchengetedza izvozvowo. Paunotanga kutaura nevanhu nezve chirwere chako chekenza yemukaka, iwe ungawana zvipo zvakawanda zve kubatsira. Funga usati watanga nezvinhu zvaunoda kubatsirwa nazvo. Mienzaniso inosanganisira kuteerera kana uchida kutaura kana kukubatsira kugadzirira zvokudya. Ungawana zvichibatsira uye zvichikukurudzira kutaura nevamwe vakarwara nekenza yemukaka. Taura nesangano rekutsigira kenza munharaunda yako kuti uwane mamwe mapoka ekutsigira ari pedyo newe kana online. MuUnited States, unogona kutanga neAmerican Cancer Society. Tsvaga shamwari kana nhengo yemhuri iri muteereri akanaka. Kana kutaura nemumwe wekereke kana mushandi wepfungwa. Bvunza timu yako yekuchengetedza kuti ikutumire kumushandi wepfungwa kana mumwe munhu anoshanda nevanhu vane kenza. Panguva yekurapwa kwako, zvibvumire nguva yekuzorora. Chenjera muviri wako nekugara uchivata zvakakwana kuitira kuti umuke uchizorora uye nekutora nguva yekuzorora. Sarudza kudya kwakazara ne michero nemiriwo uye gara uchishanda muviri sezvaunokwanisa. Edza kuchengetedza zvimwe zvezviitiko zvako zvezuva nezuva, kusanganisira mabasa enharaunda.

Vamwe vakapona kurwisa ganda rechipfuva vanoti pakutanga, chirwere chacho chakaita sekunge chakanyanya kuwanda. Zvinogona kunetsa kunzwa uchinyanya kuwanda panguva chaiyo yaunoda kuita zvisarudzo zvikuru pamusoro pekurapwa kwako. Panguva yakakodzera, uchawana nzira dzekukurira manzwiro ako. Kusvika wawana chinokushandira, zvinogona kubatsira kuti: Dzidza zvakakwana pamusoro pekenza inopinda mukati melobular kuti uite zvisarudzo pamusoro pekurapwa kwako Kana uchida kuziva zvakawanda pamusoro pekenza yako, bvunza timu yako yekuchengetedza utano kuti ikupiye ruzivo. Nyora rudzi, nhanho uye mamiriro e hormone receptor. Kumbira masosi akanaka eruziro kwaunogona kudzidza zvakawanda pamusoro pezvinhu zvako zvekurapa. Kuziva zvakawanda pamusoro pekenza yako nezvinhu zvako zvinogona kukubatsira kunzwa uchivimba zvakanyanya paunoita zvisarudzo zvekurapa. Zvisinei, vamwe vanhu havadi kuziva zvakadzama pamusoro pekenza yavo. Kana iri nzira yaunonzwa nayo, udzawo timu yako yekurapa izvozvo. Chengeta shamwari dzako nemhuri yako pedyo Shamwari dzako nemhuri yako vanogona kupa network yekutsigira inokosha kwauri panguva yekurapwa kwako kenza. Paunotanga kutaurira vanhu nezve chirwere chekenza ye ganda rechipfuva, ungawana zvipo zvakawanda zve kubatsira. Funga usati watanga nezvinhu zvaunoda kubatsirwa nazvo. Mienzaniso inosanganisira kuteerera paunoda kutaura kana kukubatsira pakugadzirira zvokudya. Batana nevamwe vanhu vane kenza Ungawana zvinobatsira uye zvinokurudzira kutaura nevamwe vakarwara nekenza ye ganda rechipfuva. Taura nesangano rekutsigira kenza munzvimbo yako kuti uwane mamwe mapoka ekutsigira ari pedyo newe kana ari online. MuUnited States, ungatanga neAmerican Cancer Society. Tsvaga munhu wokutaura naye nezvemanzwiro ako Tsvaga shamwari kana nhengo yemhuri iri muteereri akanaka. Kana kutaura nemumwe wekereke kana mushandi wekurapa. Kumbira timu yako yekuchengetedza utano kuti ikupiye mushandi wekurapa kana mumwe munyanzvi anoshanda nevanhu vane kenza. Tarisa iwe pachako Panguva yekurapwa kwako, zvibvumire nguva yekuzorora. Tarisa muviri wako zvakanaka nekwanisa hope dzakakwana kuitira kuti umuke uchizorora uye nekutora nguva yekuzorora. Sarudza kudya kwakazara nemiriwo nemiti uye gara uchishanda muviri sezvaunokwanisa. Edza kuchengetedza zvimwe zvezviitiko zvako zvezuva nezuva, kusanganisira mabasa enharaunda.