Yini eyenza ihluke kancane kathathu kwezinye i-Cancer Cancer?
Sibutsetelo
Ukutholakala ukuthi unesifo somdlavuza wesifuba kuyisenzakalo esesabekayo; lapho kutholakala ukuthi unomdlavuza wesifuba kathathu (TNBC) unomthwalo owengeziwe. Njengamanje asetshenziselwa ukwelapha okuthintekayo, okwenziwe iminyaka emihlanu kuya kweyengu-10 emva kokuphela kokwelashwa okusebenzayo ukunciphisa ingozi yokuphindaphinda, ayiphumeli njengokwelashwa kwe-TNBC. Nakuba abacwaningi bezama ukuthola ukwelashwa okuhlosiwe okuzosiza ukunciphisa ingozi yokuphindaphinda kulabo abatholwe nge-TNBC, omunye akakho ngalesi sikhathi.
Lokho Esikuziyo Nge-TNBC
- Njalo ngemizuzu engama-30, owesifazane wase-US uthola ukuthi unezintathu ezintathu
- Kuvame ukuba ngumdlavuza webele wesibindi
- Kungenzeka ukuthi ibuye iphinde futhi ibe nzima ukuphatha ngoba ayikho imithi ehlosiwe
- Uma kwenzeka, kuvame ukwenza kanjalo eminyakeni emihlanu yokuqala emva kokwelapha okusebenzayo.
- I-Chemotherapy iye yafakazela ukwelashwa okuphumelelayo kwamagciwane amaningi amancane webele webele.
Indlela i-INBC ehlukile ngayo kwezinye izifo zomdlavuza webele
Umdlavuza wesibeletho akusona isifo esisodwa. Eqinisweni, igama elithi umdlavuza webele luhlanganisa izinhlobo eziningana nezinhlobo ezincane zamanomdla okwenzeka ebelethweni; zitholwa ukuthi zikhona yini noma zine-receptors ezinika amakhemikhali amaningi asebele. Lawa ma-receptor afaka i- estrogen receptor, noma i-ER; i-progesterone receptor , noma i-PR ne-human epidermal ukukhula factor receptor 2, noma i- HER2
Uma lezi zitholampilo zikhona, zisiza ithimba lokwelashwa komdlavuza lithatha ukuthi lungcono kanjani ukwelapha uhlobo oluthile lomdlavuza.
Umdlavuza webele we-ER omuhle, umdlavuza webele we-PR omuhle kanye nomdlavuza webele we-HER2 omuhle, ukwelashwa kufaka imithi evimbela, ihamba kancane noma imise umdlavuza ukukhula ngokubhekisisa lawo ma-receptors. Le mithi inikezwa ngemuva kokuphela kokwelashwa okusebenzayo, okubandakanya ukuhlinzwa, ukwelashwa kwamakhemikhali kanye / noma ukwelashwa kwemisebe.
Izidakamizwa ezifana ne- tamoxifen , ne- aromatase inhibitors , zibhekene ne-estrogen receptor, umuthi ohlosiwe we-HER2 yi-Herceptin.
I-triple negative ingumuthi wesifo somdlavuza wesifuba ongenayo yalezi ezintathu zokutholwa ezibalulekile, ezisetshenziselwa ukubhekwa komdlavuza. Igama layo livela eqinisweni lokuthi akulungile ku-ER, PR, ne-HER2 receptors. Ngenxa yokuthi i-triple negative ayinayo yalezi zamukeli, lesi sigaba somdlavuza webele asiphenduli ku-tamoxifen no-Herceptin.
Amaphesenti angaba ngu-70 emdlavuza webele anesi-ER positive; Amaphesenti angu-15 emdlavuza webele anama-HER2 amahle, kanti amaphesenti angu-15 ekhanda lamabele aphansi kabi kathathu.
Ukwelapha
I-TNBC ijwayele ukuphathwa ngokuhlanganiswa kokuhlinzwa okulandelwa yimisebe kanye / noma i-chemotherapy. Izinketho zokuhlinzwa zifana nezinye ezinye izifo zomdlavuza. I-Lumpectomy kanye nokwelashwa kwe-radiation kungaba yisinqumo esekelwe ngobukhulu nendawo yesikhumba.
Izici eziningana zingenza ukuthi i-mastectomy ikhethe ukhetho olungcono noma ngaphandle kokuvuselelwa kwebele. Uma owesifazane ene-tumor enkulu, kungadinga ukuphathwa nge-chemotherapy ngaphambi kokuhlinzwa. I-Chemotherapy, evame ukunikezwa ngokulandela ukuhlinzwa, iyaqhubeka iyindlela yokwelapha ephumelela kakhulu ye-TNBC eminingi.
Ucwaningo lwe-TNBC olusha lwezokwelapha
Kuqhubeka ucwaningo oluqhubekayo lokuthola izindlela ezintsha zokwelapha. Engxoxweni noDkt. Marc Hurlbert, oyiPhini likaMongameli wezeMpilo , we-Breast Cancer Research Foundation, wathi, "Iphothifoliyo yokucwaninga ye-BCRF ibe nemithi emisha ihlanganisa izifundo eziningana zokuhlinzeka ngezokwelapha ezintsha ze-TNBC. Esinye isifundo esinjalo kuhilela ukuhlola i-PARP inhibitors ngezinhlanganisela nezinye izidakamizwa ku-TNBC. "
Izingozi Zezingozi
I-Triple negative ingenzeka kubafazi banoma yikuphi ubudala, ubuhlanga kanye neqembu lobuhlanga. Kodwa-ke, kuyenzeka ukuthi kwenzeke kaningi emadodeni ase-Afrika nase-Afrika aseMelika, kanye nalawo aseCaribbean naseSpanishi ababesifazane abangaphambi kokuhlukunyezwa kwamadoda, kanye nakwabesifazane abanezinguquko ze- BRCA.
Ukuvimbela
Ngelinye igama, cha, ukuhlukumeza kathathu akukwazi ukuvinjelwa. Ngalesi sikhathi, akukho umdlavuza webele ongavinjelwa. Kukhona izinto ezingenziwa ukunciphisa ingozi yokuthola umdlavuza webele, njengokugcina isisindo esinempilo, ukuzisebenzisa njalo, ukulandela ukudla okusekelwe esitshalweni, ukubukela ukudla okushukela, ukugcina utshwala obuncane futhi ugweme amafutha agcwele.
Ngisho nalapho ugcina impilo enempilo, into engcono kakhulu ongayenza wena ukujwayela ukutholakala ngokushesha, okungaholela ekutholeni umdlavuza webele ngesikhathi sokuqala lapho kulula ukuphatha.
Yazi umlando womndeni wakho wesifo somdlavuza webele, ukuxoxisana nodokotela wakho noma umjozi wezinzwa futhi, uma kukhona umdlavuza webele emndenini, landela iseluleko sodokotela wakho ukuhlolwa.
Kusukela amaphesenti angama-85 emdlavuza webele abonakala kubantu besifazane abangenawo umlando owaziwayo wesifo, kuwumqondo omuhle ukuqala ukuhlola lapho uneminyaka engama-40. Naphezu kwezinguquko zamuva mayelana nokuthi uzothola nini mammogram yakho futhi uhlele amakhompiyutha avamile ngemuva kwalokho, yazi ukuthi Ukuhlolwa kwamammogram kanye nesifuba sesifuba kudlala ingxenye ebalulekile ekutholeni kuqala.
I-Word Fron
Uma uthola ukuthi unomdlavuza wesifuba kathathu, kudingeka udinga ukwelashwa odokotela abenza kahle emdlalweni webele futhi njalo baphathe abesifazane abaye bathola ukuthi banomdlavuza wesifuba kathathu. Amabele akho adinga ukuhlolwa okuphelele futhi udinga ukwazi zonke izinketho zakho zokwelashwa ngaphambi kokuqala ukwelashwa. Uma uneminyaka engaphansi kwengu-60 ubudala, i-oncologist yakho yezokwelapha izofuna ukuthi ube nokuhlolwa kofuzo ukuze unqume ukuthi ungumuntu othintekayo we-BRCA, njengoba ezinye izindlela zokwelashwa zingasebenza kangcono kuwe.
Kubalulekile ukuba othile ahambe nawe ukuhlangabezana nodokotela wakho ohlinzayo kanye ne-oncologist yakho kanye nanoma yimuphi omunye umhlinzeki wezokwelapha. Ukusebenza njengezindlebe ezimbili, lo muntu udinga ukubhala izincazelo eziphelele zalokho udokotela akuchazela ngakho ukuthi yiyiphi into emithathu engalungile; izinketho zakho zokwelapha nokuthi kungani lezi ziyizinketho zakho. Ekuqaleni, kungaba nzima ukuyiqonda kathathu, ikakhulukazi unikeze izinga lakho lokucindezeleka. Uyojabula ukuthi unamanothi okubukeza elandela umhlangano ngamunye.
Unganqikazi ukubuza imibuzo eminingi yeqembu lakho lokwelapha njengoba kuthatha ukuba uqonde uhlelo lwakho lwezokwelapha. Thola umbono wesibili kwenye udokotela onolwazi olunzulu ekwelapheni iziguli ezine nomdlavuza wesifuba kathathu.
Finyelela ezinhlanganweni ezinolwazi, izinhlelo, nezinsizakalo zokusekela kulabo abanobunzima abathathu, njenge:
- Ukuphila Ngaphandle Kwezifo Zebele
- I-Foundation Triple Negative Breast Cancer Foundation
- CancerCare
> Imithombo:
> I-American Cancer Society. Kwenzeka kanjani ukuba umdlavuza webele webele?
> I-BREASTCANCERORG I-Triple Negative Breast Cancer.
> Isisekelo seCanscer Breast National. Iyini i-Triple Negative Breast Cancer?