Ukuxilongwa, Ukwelashwa, Amanani Okusinda
Isigaba sesi-4 yisimo esiphezulu kakhulu somdlavuza webele. Kuvame ukubizwa ngokuthi umdlavuza wesifuba we-metastatic ngoba usakaze (kufakwe emzimbeni) ngaphesheya kwesayithi langempela esifubeni kwezinye izitho emzimbeni. Izifo ze-Metastatic zingatholakala emathanjeni, emaphashini, esibindi, ebuchosheni nasesikhumba. Isigaba sesi-4 sivame ukutholakala ukuthi ukutholakala komdlavuza wesifuba kutholakala, kodwa kungase kube ukuthi umtholampilo utholakala kanjani ekuqaleni.
Izinjongo zokwelashwa zizohlanganisa ukulawula ukusakazeka komdlavuza nokukhuthaza izinga elihle lokuphila. Futhi kwezinye izimo, ukwelashwa kungenzeka.
Ukuchaza Isigaba 4 I-Cancer Breast
Umdlavuza wesifuba wesiteji sesine isifo esitholakala ngemuva kokuthi sesivele sisuke kude nesifuba siye kwezinye izindawo zomzimba. UDkt. Susan Love ubhala ukuthi indawo yokuqala lapho umdlavuza webele we -hormone ovame ukusabalalisa uvame ukusakaza amathambo . Lezo zinsalela zingase zilawulwe nge- bisphosphonates neminye imithi ebizwa ngokujwayelekile nge-osteoporosis; Amanani aphezulu angasebenza futhi ekulawuleni ukusakazeka emathanjeni. Amagciwane ebeletho e-Estrogen-negative angaya emathanjeni, kodwa ngokuvamile avame ukuboniswa emaphashini, isibindi , nobuchopho. Umdlavuza wesibeletho emaphashini nasesibindi kungase kuphendule kangcono izindlela zokwelashwa zesistimu ezifana nama-anti-hormone (uma kukhona ama-hormone receptors), ama-chemotherapy kanye nezinqubo ezintsha zokwelashwa kwe-biologic. Uma umdlavuza webele usitholakala kwezinye izitho, kusengumdlavuza webele.
Kungase kuhambise amathambo, kodwa akuyona umdlavuza wezinthambo; ngaphansi kwe-microscope, amaseli namanje umdlavuza webele.
Ukusinda Ngesiteji 4
Ukuthola ukuthi unomdlavuza webele we-metastatic kunzima kakhulu ukuwusebenza. Umgomo lapho ulawula isifo somdlavuza wesifuba sokuqala ukuthola ukuxolelwa okuhlala njalo, isibonelo, ukwelashwa.
Kodwa ngesigaba 4, ukushaya isilo kuyimpi yansuku zonke futhi yokuphila. Ngokuvamile akubhekwa njengokuphulukiswa, kodwa ngezokwelapha ezintsha, kungase kuphathwe njengesifo esingapheli. Izinga lokusinda iminyaka emihlanu yeziguli zamathambo yi-24.3%. Leyo nombolo isekelwe kudatha yesibalo se-SEER kusukela ngo-2003 kuya ku -9, futhi amazinga okusinda ahluka ngohlanga. Ezinye iziguli zamukela kahle ukwelashwa futhi zihlala iminyaka eminingi. UKatherine Russell Rich, owakhumbula impi yakhe ngomdlavuza webele eThe Red Devil, wahlala nesifo samathambo iminyaka eyishumi nesishiyagalolunye, emenza abe yilungu leqembu elikhethekile kakhulu. Umkhulumeli wephephandaba u-Molly Ivins uhamba iminyaka engu-8 nge- Inflammatory Cancer Breast , kodwa waqhubeka esebenza kuze kube amasonto amabili ngaphambi kokuba adlule.
Ukuqonda Ukuxilongwa Kwakho
Isiteji sesi-4 sinombono we-T (noma yikuphi), N (noma yimuphi), M1 ohlelweni lwe-TNM. Lezi zinombolo zibhekisela ezikoleni ze-Tumor, Status Noode , ne-Metastasis. I-tumor yakho ingaba yisayizi, ukubandakanyeka kwakho kwe-lymph node kungase kube yimbalwa noma inombolo enkulu yamanothi. Yingxenye yeMetasasis echaza umdlavuza webele wesifuba ngoba amaphuzu e-M1 asho ukuthi umdlavuza usakaze ngaphesheya kwesifunda se-lymph node zakho zendawo, futhi ubonakala emathanjeni nasezikhungweni ezinkulu.
Ukuxilongwa kwezifo ze-metastatic kuzofaka nokubandakanyeka kwe-hormone, isimo se-HER2 , ibanga le- tumor , usayizi we-tumor , nezinye izinto eziningi.
Ukwelapha
Icala ngalinye lomdlavuza wesifuba we-metastatic lizophathwa ngokuhlukile ngenxa yezinhlobonhlobo zamasayithi lapho umdlavuza ungasakazeka khona. Uhlelo lwakho lwezokwelapha luzohlelwa ngokwezifiso ukugxila ekunciphiseni ukusakazeka komdlavuza nokugcina izinga elihle lokuphila. Ungase ungadingi yonke imithi yokwelapha ejwayelekile, kodwa uzoba nokuningi okukhethwa kukho, kufaka phakathi ukubamba iqhaza ekuhlolweni komtholampilo. Uhlu oluphelele lwezokwelapha lungabandakanya izinketho ezihlosiwe ezifana nokuhlinzwa kanye nemisebe .
Ungase futhi udinga ukwelashwa okuhleliwe okufana ne- chemotherapy (okungaba yinkimbinkimbi noma ngomlomo), ukwelashwa kwe-hormone, kanye nemithi yokwelashwa ehlosiwe. Lezi zindlela zokwelashwa zingasetshenziswa ngokuhlanganiswa nezinye izindlela zokwelapha noma zingasetshenziswa emva komunye. Uma ukwelashwa okunye kungabi ngempumelelo, unganikezwa ithuba lokushintshela kwesinye isidakamizwa.
Ikhwalithi Yokuphila Phakathi Nokwelapha
Ezinye zezokwelapha zakho zingenza uzizwe ungcono - uma isisu esibuhlungu sishintsha ekuphenduleni imishanguzo noma ukwelashwa kwe-hormone - ungase uzwe ukukhululeka okukhulu. Kodwa kuyiqiniso lokuthi ukwelashwa kwe-oncology ukuthi izidakamizwa eziningi zizobangela imiphumela emibi emibi - isicanucanu, ukukhathala, ubuhlungu, i-neuropathy, i-mucositis, ukulahlekelwa izinwele, ukuqotshwa, nokuhuda. Zama ukugcina igalelo lemiphumela yakho emibi bese uletha nawe kudokotela wakho uvakashele. Lokhu kuzobasiza baqonde ukuthi yini osebenzelana nayo. Ungakwazi ukucela ukunakekelwa kokunciphisa ukusiza ukubhekana nalezi zinselele. Imithi, ukwelashwa ngokomzimba kanye nokunye ukululekwa kunganikezwa ukuthi kuzosiza.
Ukubhekana Nezimo Zakho
Kungokwemvelo ukuzizwa ucindezelekile , ukudabuka, ukukhathazeka noma ngisho nokuthukuthela uma kuthiwa unomdlavuza webele we-metastatic. Abaningi bethu bathanda ukuzwa ukuthi sinokulawula okunye impilo yethu nekusasa lethu, kodwa umdlavuza ungasusa ukuqiniseka kwethu, ukulinganisela izinhlelo zethu esikhathini esizayo, nokukhuthaza ukwesaba kithi nakwabo abathandayo. Uma lokho kwenzeka, donsela eduze nabathandekayo bakho bese uthole ukwesekwa. Amaqembu asekela ama-Stage 4 amukela amalungu amasha futhi ayaqonda kahle ubunzima bakho. Khuluma nodokotela wakho nabahlengikazi mayelana nemizwa yakho bese ucela usizo. Bangakwazi ukunquma izidakamizwa zokucindezeleka, bakusize uthole iqembu lokusekela , noma bakubhekisele ekwelapheni kokuziphatha okuqondayo noma ukululekwa. Uma unenkinga yokulala, funa iqembu le-yoga noma uzame ukulala kahle kokuhlanzeka .
Imithombo:
I-AJCC Manual Stage Manual Umshicileli wesi-6. I-Springer Verlag, eNew York, NY. 2002, iphe. 223-240.
Izinga lokusinda umdlavuza webele lomzimba ngesigaba. I-American Cancer Society. Kugcine ukubuyekezwa: 06/11/2012.
I-Surveillance Epidemiology and End Results (SEER) Ukubuyekezwa Kwemiphumela Ye-Cancer. I-National Cancer Institute. I-SEER Stat Fact Sheets Amashidi: Ubisi, Ukusinda & Isigaba. Novemba 2012.
Izigaba ze-Cancer Breast. Isigaba IV. I-National Cancer Institute. Kugcine ukulungiswa: 06/21/2012
Ukuphathwa Kwempawu ku-Canast Metastatic Breast Breast. U-William Irvin, uJr, u-Hyman B. Muss noDeborah K. Mayer. Oncologist . 2011 uSepthemba; 16 (9): 1203-1214. Ishicilelwe ku-intanethi ngo-2011 Agasti 31
Lapho I-Cancer Ibuyela emuva. Amakhasi 584-597. UDkt. Susan Love's Breast Book. USusan M. Love, uMqulu Wesihlanu we-MD, 2010.