Kenza yemazamu Danho 4: tsananguro, zvinokonzera, zviratidzo, chirwere uye kurapwa mamiriro

kenza yemazamu chirwere chakakomba zvikuru. Zamu kenza Danho 4 kunoratidzwa yokuti metastases vari kuchengetwa kwete chete panzvimbo paiva nebundu, asiwo pedyo nhengo. The fungidziro chirwere ichi vanoshorwa, mikana kunaya zvakakwana murwere zvishoma. Metastases Kazhinji kunokanganisa mapfupa, mapapu, chiropa.

Kuti kuwedzera upenyu hunotarisirwa kuti kenza pane kunonoka Danho, zvakakodzera kuenda akasiyana nzira kenza kurapwa.

Unoziva sei kuti iwe uri pangozi?

Vamwe vakadzi, pane zvakawanda mukana dzichiri zvirwere zamu oncology. Izvi zvirwere vakadzi vafanorongerwa vane anogumbura zvachinja dumbu uye ovaries. High ngozi zvirwere varwere chiropa chirwere uye atherosclerosis. Bad Miitiro uyewo kukanganisa zamu ezvinhu.

Women vane hama pedyo pachake akasangana kenza yemazamu, unofanira kungwarira zvikuru. Hatifaniri kukanganwa kuti chityu chinhu precancerous mamiriro saka rinofanira kukurumidza kurapwa.

In chii Muzviitiko vanofanira kuva vasingafariri?

Unoziva sei kana uine kenza yemazamu (Danho 4)? Zviratidzo zvacho zvingasanganisira:

• Kuneta, utera, murombo kudya.
• Kurwadziwa zvikuru mafupa nzvimbo. Muchiitiko ichi kusagadzikana zvikaramba pamusoro nguva uye zvishoma nezvishoma vawedzere.
• Huchaita svoto.
• Aichinja uremu (kunoshamisa uremu).
• Kusagadzikana mune hypochondrium.
• The chidzoke munhu simba chikosoro.
• The panowanikwa migraine.

Sei kubvuma zvokurwara kuti kuonekwa?

Mukadzi ungacherechedza zvinotevera rwakashata zviratidzo chirwere:

1. Minyatso changed ruvara uye tora pamusoro yakasiyana chimiro.
2. Zamu ganda edema kuitika.
3. Unogona kusarudza kuti kuwana bundu munharaunda zamu.

chirwere chirwere

zamu kenza Danho 4 - iri akura chaizvo siyana chirwere. Kuti varege kusvika ezvinhu akadaro, matanho anofanira kugara kupedzwa. Inokosha yokudzivisa chiyero anoita dzose kuzvidzora mazamu: zvinofanira kutakurirwa kunze pazuva 5-11 zuva fung kumwedzi.

mashoko akarurama pamusoro utano hwavo chinzvimbo chingawanikwa mammography. Nzira iyi chirwere yakarurama uye nyarara zvikuru.

Kuitira kuti kuongororwa zvakarurama, zvinokosha kuti kuitisa X-ray, MRI, CT scan, mapfupa scan. In Oncological zamu chirwere, chipfuva biopsy rinoitwa uye murwere anotumwa kuti bvunzo ropa. Kana metastases dzinotambura chiropa kana nomumapapu, zvinokosha kuita biopsy nhengo idzi.

Shandisa uye Ductography: nzira iyi Detective zvokurwara ndechokuti mukaka ducts akatanga rinokosha chete musiyano.

Vakadzi vasina asvika makore 40, akataura Ultrasound pakuongorora mammary mumasero. The rakavimbika chirwere nzira inenge 70 muzana. Kana nyanzvi iri vanofungidzirwa chakaremara kukura kwacho mubhokisi nzvimbo, zvinoita kuti ibasa chakavanzika pachisara wobudiswa munyatso.

raramo fungidziro

upenyu womukadzi anochinja zvikuru kana akaisa nechirwere "kenza yemazamu rwakazara 4". Wokurarama mumakore achangodarika yawedzera zvishoma, nokuti kuti mumakore achangopfuura neindasitiri inogadzira mishonga unobereka yakawanda unhu mishonga kurapa chirwere, kune nzira itsva pakurapa chirwere. Nemhaka iyi mufananidzo akatonyanya hwakanaka: makore 20 apfuura, vakadzi nechirwere chimiro ichi chirwere, haana kurarama gore.

Asi, zvinosuruvarisa kuti zvakakodzera kare kugadzirira akaipisisa: ruzhinji varwere vanofa mukati namasere mwedzi kubva musi nechirwere. Vangani vari kurarama nekenza yemazamu Danho 4? It inobvawo pane mano nhengo kuramba zvichibvira matambudziko.

Kazhinji zvinokonzera rufu haisi bundu pachayo uye matambudziko kwahunokonzera. Vakadzi vazhinji vanofa zvatinosiita kufema chirwere sezvo kenza yemazamu muviri zvakaneta ungapikisa chirwere chipi nechipi; fair pabonde kunoderedza zvikuru kutapata.

10 chete% wevarwere kurarama kupfuura gore. Veukama wevarwere ngatichenjererei uye kunzwisisa: mukadzi anofanira kuva vakakodzera kupedza okupedzisira mwedzi hwake. Murwere anofanira kudzivirirwa kubva rekusuwa, zvakakodzera kudzivirira pazvirwere, saka zvinokosha kuti ndikusungei nechishwe kushanyirwa mhuri. Kurema murwere zvinofanira nokungwarira kuongororwa: Kazhinji varwere kufa vaneta.

kenza yemazamu (Danho 4): Zviratidzo neMarapirwo

Zvinobvira sei kurapa chirwere? Chinangwa yokurapa ndiko kuvandudza zvakanaka vakadzi. Zvakakosha kudzivisa kumwe kuparadzirwa metastases, kuderedza chirwere zviratidzo. Pakusarudza marapirwo nzira inoenderana zvinhu zvinotevera:

• Kuvapo murwere aikanganiswa zvinokonzerwa mahormone.
• Nomumwe mufananidzo chirwere (kuchirapa kubudirira yapfuura mapoka).
• Nemakore murwere.
• metastasis nzvimbo.
• General nemamiriro mukadzi.
• Personal pfungwa zvikuru murwere. Zvakakosha kunzwisisa nei kuda kuzadzisa.

Sei kurapa kenza yemazamu Danho 4? The nzira chikuru pakurapa chirwere - iri kunzwisisa chinodhaka mishonga. Ropa zvinofanira kucheneswa kubva zvinokuvadza. Kuburikidza nzira iyi, murwere chirwere akavandudzika yekudyidzana. kuisira ropa kunogona kubatsira kupererwa, akaderedza platelet Counts.

Varwere vazhinji pane kuperevedza sealbumin, sezvo chiropa iri kuderera mune kenza yemazamu. Mune mamwe mamiriro ezvinhu, murwere anogona kuita pasina kushandisa yevanorwara zvikuru.

Kazhinji kuvhiya pamusoro nhengo nokubviswa, nekuti pasina kuvhiya zvisingaiti kuderedza zvinonyatsorehwa toxicity muviri.

kuvhiya kurapwa nzira

Pari, Kuvhiya rinoitwa uye, kana kenza yemazamu (Danho 4). Treatment ine pakuti chityu iri surgically kubviswa. nzira iyi yokurapa mutungamiri pakurapa chirwere. Kana mastectomy mune zvimwe zviitiko pane kubviswa chityu uye node nodes pedyo breastbone.

Vavariro kukuru sectoral resection pakati chityu - nhego kuchengetedzwa. Ichishanda ichi, akapora chikamu pechipfuva tsandanyama, dzakanga kutsikwa bundu. oparesheni ichi hachisi kwekuva inoshanda chaizvo, sezvo zvakakodzera nokugadzwa radiotherapy.

Metastases tiri complicating chinokonzera chirwere, uye anogona kuitika kana kuona zamu kenza rwakazara 4. Metastases kunobva malignancy ari mammary shwanu, inogona yaishora kuburikidza mishonga. It akazoita kwokuomerwa zviratidzo. Kuwanda mishonga ezvidzidzo pakutsvaga chiremba. Avhareji nguva imwe kosi mishonga - kwete mazuva asingasviki 10.

kutapata

Kuitira kusimbisa muviri, simba chirwere kushandiswa immunotherapy. Zvaanopa simba muviri kuzvidzivirira. Naizvozvo, prescribers, kuvandudza kutapata.

Rehabilitation rinoshandiswa pashure pokuvhiyiwa, kutevera ayo chinangwa mupfungwa kwadzakabva vakadzi. epurasitiki Kuvhiya kunogona kuitwa pachipfuva yokuvakazve kana achida.

Sei kuderedza kurwadziwa?

Kana "Codeine" uye "Tramadol" huru mishonga havana kubatsira kurarama nemarwadzo nezvekufadza, kushandisa mishonga simba pamwe marwadzo kushanda. Sarudza kana ravo kushandiswa anofanira kutora mishonga kubvunza.

Kakawanda, kana kenza yemazamu Danho 4, rinogona kushandiswa "Morphine". Zvakanaka anobvisa marwadzo chiratidzo, asi mushonga uyu ane contraindications zhinji. At paro, chinhu simba zvinodhaka uye kunokonzera zvakawanda vasingadiwi nemishonga. Ane rwakashata zvainoita kufema hurongwa, anotyora kwemwoyo, saka apo kutora mushonga uyu ashandise "Naloxone". Iye achaunzira murwere kudzokera dzose, nemishonga havazodi kuoneka. "Morphine" riri muropa, saka nguva nenguva vachafanira kuwedzera uwandu husingakuvadzi. Saka, tinofanira kushandiswa muzviitiko apo marwadzo anova sabvumika.

At kushandisa inonyaradza marwadzo omusoro uye sedatives zvakakodzera kushandisa mishonga, sezvo kenza yemazamu Danho 4 anogona nokudzungudza uye tsinga. "Imipramine" runogonesa kuti marwadzo mugumisiro analgesics, anonyaradza tsinga. Izvi zvichaita kuderedza dose kuti marwadzo zvinodhaka.

Kana uri kusangana kurwadziwa pfupa rinenge kuti kenza yemazamu, murwere ichidzikira kudya, inofanira kushandiswa "Prednisolone".

Anoshandiswa kenza Danho 4 uye mishonga ukama neuroleptics ( "droperidol"). Ane akanaka antiemetic Chaizvoizvo, anovandudza utano nevakadzi.

Zamu kenza kurapwa kunze

MuIsraeri, pachiyero mishonga zvakakwirira. In kiriniki siyana munyika ino inogona kuwana yepamusoro kurapwa. It inoshanyirwa chirwere mabasa ose anodiwa kuti kenza yemazamu. Available kuongorora iri mudziyo ano RUTE. MuIsraeri, unogona kuita biopsy nezvezvikwata zvose, kusanganisira Vacuum uye stereotactic.

Nzira inokosha kurapwa kenza yemazamu iri kunonoka padanho kuvhiyiwa. Pashure mastectomy (kubviswa chityu) inogona rakapinzwa chityu anodyara dzakagadzirwa silicone. Rinoitwa uye kuderedzwa simbi achishandisa vakadzi pachake tishu.

Kana kunzwisisa pakurapa chirwere rinoitwa mishonga uye radiotherapy. Basa zvakasiyana uye kurapwa nemishonga (zvinodhaka "Herceptin").

Zvakakodzera tariro zvakanakisisa, kunyange kana uine kenza yemazamu (Danho 4). Kufembera Kupona zvinokurudzira, nekuti vanenge 10% wevarwere kurarama nechechina kenza Danho yemazamu makore mashanu pamusoro. Tinofanira kushandisa zvose zvinobvira marapirwo kuti chirwere.