Kenza minyatso: zviratidzo, kurapwa

Cancer - ane dambudziko chairo mishonga ano. Harusati tawana mushonga kuti aigona kuva 100% kunyatsoshanda kumisa kukura masero nyanyisa. Muzvipatara, vanachiremba tichiisa anotyisa zvokuongorora kuti varwere vavo.

Pane zvakawanda kenza. Chero Nhengo uye chero zvinyama womunhu muviri anogona pakarepo vakambundirana pedyo pathological kwacho. Mumwe inobvira nzvimbo pakati localization - the munyatso pamusoro womukadzi mazamu. Izvi chirwere oncological mu mushonga unonzi chirwere Paget kuti.

General ruzivo pamusoro chirwere

mashoko wokutanga Paget nehosha akaonekwa XIX remakore. Zvinozivikanwa kuti muna 1856 pedyo chiremba French uye anatomist S. Velpeau akawana Kumwe kuchinja kunotanga yacho munyatso-areolar kunzwisisa. Muna 1874, J. Paget, chiremba anovhiya British uye pathologist, uwane kudzidza chirwere. Ndokusaka zita rake rakanzi chirwere.

J. Paget chirwere kudzidza akaratidza sangano pakati Kumwe kuchinja kunotanga yacho munyatso-areolar kunzwisisa uye zamu carcinoma. mhedziso akadaro akaita pamusoro migumisiro 15 zvaakacherechedza. Nyanzvi mune vakadzi vakaona asingafungi anogumbura kuchinja. Mugore, varwere vose vakanga vakava nekenza yemazamu munyatso. J. Paget zvakare akataura kuti zvachero kuzvimba kunokanganisa yakapoteredza zvinyama, uye chinopedza kuchinja mavari somugumisiro kukonzera kukura neoplasia.

Current umboo hunotsigira chirwere uye zviratidzo chirwere

Information pamusoro chirwere muna 2011, raunganidza Clinic "Mayo" (USA). Nyanzvi vangosarudza kuti chepakutanga kazhinji kacho, kuti Kumwe kuchinja kunotanga yacho munyatso pachena. Mimwe kuchiita hosha pakuitika kunosanganisira ganda. Uyewo kukurukurwa data, makiriniki, zvinogona kucherechedzwa kuti kenza nhoroondo wemabhuku Paget kuti zamu kuti inoshandiswa pakutsigira kwakarurama chirwere chinogona kutora kubva 6 kusvika 8 months.

Ndezvipi zviratidzo zviri hunhu kuti kenza ichi? Vakadzi vave kenza minyatso, mutambo panguva kuchinja aikanganiswa yacho. Kazhinji, varwere vanotsutsumwa yakafunuka, ichipfuta manyawi. Nemhaka nguo pamusoro munyatso uye areola kuitika munzvimbo akatsvuka. Munzvimbo iyi vanogona kutanga achingobuda ropa. In akazotevera matanho pane zvakawanda ropa kubva munyatso (kana kenza kwakajairika). The munyatso iri kudhonzwa. Kakawanda iri dzakaona flattening kwekuwedzera nyanyisa anomera.

Kuwanda uye zvinokonzera chirwere

Sechivako zvose zviripo neoplasias mammary Paget kenza mugove basa 0.5-5%. Sezvineiwo, zviri zvisingawanzoitiki zvirwere. Vechiduku, kakawanda hazvina dzakaonekwa. Most kazhinji chirwere nedzevakuru zvokurwara mu postmenopausal vakadzi (makore 50-60). Avhareji yezera vanhu vanorwara - 54 gore.

Zvinokonzera Paget kuti kenza haagoni kunzi. Kufanana nevamwe nekenza, havasi vachiri kunzwisisa. Zvisinei, pane zvekungofungira. Kare akaisa mberi dzidziso kuti kenza hwapedyo nokuda yokutama masero atypical achitevedza zimba Kamudzira kuti ducts vari munyatso Epiderme e.

Variants ose Kumwe kuchinja kunotanga

kenza munyatso anogona mberi rimwe inobvira nzira:

1. Musimboti yokutanga kuchengetwa chete panguva pathological pezvakaitwa ari munyatso uye areola. Other kuchinja hadzina dzakaonekwa.
2. Mune pachake kukura kenza rechipiri riri dzakaonekwa kufungira zviratidzo zviri munyatso-areolar kunzwisisa. Ndezvipi rinooneka zviratidzo zvingaratidza nekenza munyatso? Photos of chirwere, izvo zvinogona kuonekwa mumabhuku akasiyana-siyana uye dzokurapwa nyaya dzinoratidza akatsvuka, scaling, ulceration. Kuwedzera kune zviratidzo izvi, palpable induration, mukanyiwa ari zamu.
3. In wechitatu musimboti, ganda kuchinja havana kuchengetwa. Ari kurapwa kuongororwa kwakaratidza bundu iri nebandauko, panguva histological kuongorora kwakaratidza kenza Paget (sechinhu chero kuwanikwa).

Kenza munyatso: zviratidzo, zvichienderana siyana chirwere

akasiyana-siyana zviratidzo munogona kenza. Zvichienderana kunotoda mufananidzo, Paget kuti kenza zvinogona Classified sezvinotevera:

• chisingaperi eczematid;
• chenjera eczematid;
• psoriatic chimiro;
• pigmentary chimiro.

kuti munyatso mu kenza yemazamu sei? Mhinduro yomubvunzo uyu kunoenderana chimiro chirwere. In chisingaperi eczematid mukadzi kwenguva yakareba nguva pane munyatso eczema. On uye rakapoteredzwa crusts. Vakati kunyangarika, nzvimbo yavo anova kuoneka vachichema pemvura. In chenjera eczematid akacherekedza hyperemia. The wakanaka granularity pamusoro pemvura, oozing, ulceration zvakare runozivisa chirwere ichi, kufanana Paget nehosha (kana kenza munyatso). Zviratidzo psoriatic chimiro paganda kuonekwa sezvo exfoliated flakes, ukuwo ruvara fomu - muchimiro mavara mhiri areola.

Kuongorora chirwere chekenza

Kana vanofungidzirwa nyanyisa pezvakaitwa kuitika mammary shwanu, n'anga akarayira mammography. iyo X-ray, Ultrasound inogona kushandiswa iri non-invasive kudzidza kenza yemazamu,. Nokufamba inogona kuonekwa anomera. Chimwe nzira nechirwere - MRI. Nemhaka yake, nyanzvi dzinoratidza kuchinja ari munyatso, iyo akaora dzavaisakwanisa kuona.

vakadzi vaya vanofungidzirwa kenza yemazamu munyatso vakachengeta chirwere kunotoda mufananidzo Paget, ari basa kuti munyatso uye areola biopsy yose ukobvu. Kudzidza Izvi zvichaita kuti kuongororwa zvakarurama, kusimbisa kana kuramba kuvapo kenza.

Features kurapa kenza yacho munyatso

Kurapa nyanzvi anosarudza zvichienderana akagamuchira chirwere zvabuda. Kana biopsy akaipa, voitakura kunze simba richiona nezvezvabuda murwere. Kana chirwere chinoita pacharo akanzwa, akaratidza zviratidzo, mumwe biopsy wechipiri.

Pamusoro simbiso Paget nechirwere, kuvhiyiwa kubvisa bundu uye dzakapoteredza nyama, kana zvachose yose zamu. Naizvozvo basa mamwe kurapwa, vachibvumira pakupedzisira kuparadza masero mwero.

Kuti uwane mamwe mashoko pamusoro kuvhiya kurapwa

The oparesheni unokosha uye zvakakodzera danho iri pamwe mishonga kenza akadai nekenza yemazamu munyatso. Nyanzvi kwenguva refu vasingagoni kusvika chero mhedziso kuti chii kurapwa vari zvikuru. Aiitisa zvidzidzo siyana. The University of Michigan vakaongorora migumisiro yokurapa wevarwere 36. All Zvaiitirwa nhego kuvhiyiwa. Mune ramangwana, nokuti murwere akanga avhareji 113 mwedzi. Muna 11% yevakadzi vakanga dzokororo.

Uyewo, muchidzidza South Korea chaiitirwa. Results vakanga vakaongorora nokuda kurapwa vakadzi 104 nekenza munyatso. Nyanzvi Mastectomy basa varwere 92, vanhu 12 aipedza nhengo kushandiswa. Naizvozvo 3 dzokororo akanga dzakaonekwa pashure mastectomy uye mumwe pashure yechipiri kurapwa kuzvipedza. Ongororo dzakaratidza kuti nhengo akavhiyiwa regai kuwedzera mikana dzichiri kuitazve vakadzi. nzira iyi yokurapa wakapiwa varwere resection pamusoro munyatso-areola yakaoma.

nemwaranzi kurapa

Zvinobudirira pakurapa kenza - ndiko nemwaranzi mishonga. Basa racho kuparadza masero anoumba pathological pfungwa. Radiation jekiseni kutsungirira nayo, asi somugumisiro kurapa anotambura kwete chete bundu asiwo masero utano. Nokuda Migumisiro pamusoro muviri pane marwadzo:

• Local - zvakaumbwa nemwaranzi kutsva, pane duku zvatichiri ropa nokuda kuwedzera fragility rwengarava ropa;
• maitiro - varwere chokunyunyuta pamusoro kuda kurutsa, kurutsa, utera, kurukutika.

Mishonga nokuti nekenza munyatso

Mishonga kunosanganisira kwokubatsira yakananga anticancer zvinodhaka kuti kudzivisa kukura masero nyanyisa uye tigume pavo. kurapwa kwakadaro kenza yacho munyatso akagadzirirwa kuita zvinotevera mabasa:

• kudzivirira metastatic chirwere;
• zvinobudirira rokuchinja bundu kuti haizopereri kushanda omunzvimbo marapirwo (oparesheni kana mwaranzi).

Mishonga, nemwaranzi kurapa uyewo, achiperekedzwa nemishonga. Muna 80% kuti zviitiko svoto uye kurutsa. Uyewo, nokuda mishonga, bvudzi anotanga kuwa panze, kuva pfava zvipikiri, kushata kudya, kuravira kuchinja tsika.

kemikari kurapa

Kwakadaro kurapwa kubatsira pamberi kemikari-nemataundi mapundu mumuviri. Zvisinei, Paget kuti kenza kwenguva refu nguva isiri namamota dzakadaro. Muna 1949 kwaiva yokutanga nguva yakati kuti chirwere anogona kupindura kemikari kurapa, asi pasi zvimwe ezvinhu. Pashure tsvakurudzo akaratidza izvi. Hormone kurapa kwakadaro chirwere sezvo kenza teats rakaratidza zvinobudirira pamberi munhu akaipa neoplasm ane progesterone receptors uye inonzi estrogen.

Panguva ino, kudiwa hormone kurapa, varwere vari dzakabatwa "Tamoxifen", "Zitazonium ',' Nolvadex '. Ivo vanonzi "yemandorokwati" iri kurapa kwakadaro. Zvisinei, pane mamiriro ezvinhu umo zvinodhaka izvi zvinogona kushandiswa: bundu anofanira receptors kuti steroid mahormone (> 10 fmol / MG mapuroteni). Kudikanwa chidzore pakurapa hormone zvinodhaka nyanzvi.

The fungidziro kenza yacho munyatso

Kenza kwakakomba zvikuru uye ngozi zvirwere. Hakuna kusara uye kenza yemazamu minyatso. Chii chichava mugumisiro pakurapwa? Fungidziro kunotsamira mubatanidzwa zvinoita:

• pavaipfuura chirwere;
• makore munhu anorwara;
• Nhamba zvaisanganisira node midziyo;
• ukuru malignancy;
• kuvapo rwakashata morphological zvinhu.

Doctors vanoziva nyaya dzakawanda apo munyatso vanhu nekenza. Rufu, kazhinji kuwanika mukupera mumatanho, muna yepamusoro nguva zvipenyu sehasha uye malignancy. Saka, kana munhu kufungira zviratidzo haagoni kunonotsa kushanya kwachiremba. Nokukurumidza Paunoongorora nyanzvi, asi nokukurumidza zvichaita kuisa yakarurama zvokuongorora uye varayire anodiwa kurapwa.