Grade 3 umhlaza webele: ebomini. Therapy komhlaza webele

umhlaza webele - ithumba olunokubatshayela nje impilo kunye nobuhle nabafazi, kodwa ubomi bakhe. Inani lezigulane abagulayo liyanda eRashiya ngu ephala. Ukuba nokuba 30 kwiminyaka eyadlulayo 6000 amatyala kwi zigaba yokugqibela oogqirha abhaliswe kulo nyaka, kodwa ngoku eli nani liye lonyuka laya kwi izihlandlo ezibini ezinesiqingatha. Kweli nqaku siza achaze yonke into esongela grade 3 umhlaza webele. Le lokuphila abafazi, unyango yayo, iimpawu apho yena uvakalelwa, yintoni na nokuthintela izifo ezinobungozi - konke oku, ufunde.

Njani yingozi umhlaza grade 3?

Okokuqala siza siqonde ukuba izifo. Oogqirha bathi umhlaza webele ngamnye kumanina angama-3 inqanaba - oku kakhulu ithumba enkulu. Ubukhulu bepali lufikelela iisentimitha ezintlanu, ngaloo zingasasazwa eluswini: sangaphandle mnyama, umlomo, kuthatha uhlobo lemon udiliza. Kwindawo nkovu kwi amakhwapha babe Ukudlulela: bona welding, kwaye ashinyeneyo, ukunyuka kakhulu ngobukhulu. Ukudumba phezu izigaba ezibini zokuqala zidla uhlala ngqalelo, ngoko ujika kwagqirha xa sifo ngenkuthalo phambili.

Umhlaza 3 degrees - isifo zenkqubo. Oku kuthetha ukuba akonelanga nje ukuba ukusika yobubi ukuluphatha. Kungenzeka, nethumba sele ke metastases obungabonakaliyo izibilini. Ngokomthetho, khondo kweziganeko esongela ukwenzeka, ukuphuhliswa zomhlaza kwezinye iindawo, mastectomy, kwiimeko ezinzima kakhulu esi sifo kuba siyabulala. Ukuba emva kotyando ukunyanga umhlaza ayinayo unyango, ukuphinda kwenzeka ngo-100% yamatyala.

ubungozi

Njengoko kubonakala, imiphumo vuhlayiseki kungabangela degree 3 umhlaza webele. Ixesha lokuphila lwabemi isigulane ixhomekeke zokwazisa yakhe: kokukhona yena uyayazi ngalo ukugula, kokukhona uqaphele iinkqubo ezingafanelekanga emzimbeni wakho. Kwangaxeshanye, oogqirha zigxininise izizathu enokukhokelela ithumba ukwakhiwa. Okokuqala, umfanekiso lomphefumlo mfazi. Ill emngciphekweni kumanenekazi amadala engenabantwana okanye abo, abamithiyo okokuqala emva kweminyaka engama-30, amanenekazi abaselula ukuqhakamshelana umthombo radiation ukuba bathanda ukutya ukutya okunamafutha rhoqo. izigulane ezisongela Ithumba ngaphezu kweminyaka engama-40, zemfuza kubuphepha sifo, kwakunye nabo eqalile ukuba sexesheni ekuqaleni (phambi kweminyaka 12) kwabadala kade beze.

Okwesibini, ukwakheka nethumba kuchaphazela umgangatho wezempilo. Umhlaza izigulane bangenwe amanqanaba estrogen egazini lakhe phezulu, kukho ukuphazamiseka pathways, ukutyeba, iingxaki ezidalwe, isifo lengqula. Phantsi kweliso ugqirha kufuneka oosisi owayefumene umhlaza angasese kunye nencum, kwakunye nezo uthatha kukhulelwa ngomlomo apho kukho utshintsho emabeleni.

ezinye izizathu

Disease, umhlaza webele kwenzeka ngenxa yesizathu. Usenokuba kwandulelwa ezahlukeneyo iinkqubo zophendlo lwezifo zomzimba. Umzekelo, ukuyilwa nakujoliso olutsha lwe mastopathy fibrocystic ngenxa hyperplasias dishormonal ngokuphindaphindiweyo. izizathu zazo zezi zilandelayo: zonke iingxaki ezidalwe efanayo ephuhlisa emva kokwenziswa isisu, ubungakanani esele ibele, ezithweni izifo, isondlo ngokungafanelekanga wosana kuzalwa.

Ngelishwa, ubungozi ukuba "imali" a sifo umlinganiselo ngqo kubungakanani webele. Le umhlola elikhulu, ngenyameko kokukhona kufuneka esweni imeko yakhe. Uphuhliso umhlaza kwakhona negalelo ezingaqhelekanga yokwakheka, ukuphazamiseka, kwakheka ngakumbi xa lo mfazi ndiseyimbumba, waye esibelekweni. Sithetha ubukho isithinzi ezongezelelweyo kwithishyu glandular, sifuze naso okanye ngezemvelo yamathumba ebubonisayo - fibroadenoma. Zonke ezi maziko kufuneka zisuswe intsumpa ngokuba kunzima ukwahlula ukususela ekuqaleni somhlaza.

iimpawu

Kubuhlungu, kodwa ngesiqhelo kwi zigaba kamva ziintombi isaziso nomhlaza webele. Iimpawu nemiqondiso kulo mzekelo ziboniswa ngokwahlukeneyo. Main - ngophawu nga obungqingqwa esifubeni ngexesha zokuhlola. Kuyinto ngokuyimfuneko yobubi, kodwa kutyelela akayi kuba akufuneki ekliniki. ithumba ingaba ezahlukeneyo: kwi ekhohlo kwi ibele. Kuphela 2.5% ye amatyala waphawula zomhlaza zokubonisana: indawo yesibini incum ingaba mhlawumbi ukuma eyahlukileyo kunye Ukudlulela. Isiqingatha izigulane ezinomhlaza "uyathanda" kwiziko ngaphandle kufutshane kwekhwapha.

umhlaza webele, iimpawu kunye nemiqondiso leyo ngeendlela wobulali isifo alibonakali ungenakuwuxhalabela umfazi zolwakhiwo lexinene kwinqanaba lesithathu. Abayi buhlungu, kodwa ukudala isimo: zokuntshulisa eludongeni esifubeni, izinto eziqinileyo njengoko lengxondorha, kwaye umhlola isoloko uguqulwe ube Umfanekiso umile. Ukuba ulusu achaphazelekayo, esi sifo buqapheleke ukuya ngeliso lenyama: sangaphandle kukugubungela deforms, etsala lo kwingono. Ukusuka kulo ukuya sokumbeka ibala okanye ukuchithwa ezimhlophe. Xa iindawo nkovu ochaphazelekayo ziphangalalisiwe nokuhlukunyezwa kwindawo ikhwapha.

iintlobo Nedlac zomhlaza

Ngokuqhelekileyo grade 3 umhlaza webele, ukuba ubomi obuphilwayo ukusukela ngexesha apho kuxhomekeke kumanyathelo abanobuchule yenkazana ugqirha uye iintlobo eziliqela. Ngaphandle umgangatho ngasentla umfanekiso lwezonyango, nethumba iza ngeendlela ezingaqhelekanga Nedlac:

1. Mastitopodobny umhlaza. Lubonakala yi yangoku okukhawulezayo, isisa isifuba, indyebo yalo. Isikhumba ebomvu, eshushu ukuya ngaphandle kwebala, wazolula nexesha. Esi sifo ifana kakhulu imastitis, ngoko iimpazamo ezibuhlungu ekufumaniseni eziqhelekileyo.
2. ifomu Rozhistopodobnaya. Anozizi eluswini umhlola, leyo waneka kude ngaphaya kwemida yayo, uye ezinemiphetho unamazinyo ezitsolo. Umntu obhinqileyo unakho kakhulu kuvuka iqondo lobushushu. Ithumba badideke lula erysipelas eziqhelekileyo.
3. umhlaza vehicles. A ngendlela eyingozi kakhulu. Oku kwenzeka ngenxa nathi afunxwe neentanda ulusu kunye iindawo nkovu, nto leyo zolwakhiwo sofele ashinyeneyo. Ebonakalisa ngokohlobo kwiqokobhe ukuba ligubungela inxalenye enkulu esifubeni.
4. Cancer Paget. Ubamba ingono yena bavele, ikhupha a ulwelo. Kudla ngokuphosakeleyo nerhashalala. Ukuba washiya lunganyangwa, umhlaza wama izihlunu olunzulu, ukwakha apho udumbo wolusu.

Zonke ezi fom abafani umhlaza zesiqhelo. Kodwa ukuba umsebenzi onamava ukuxilonga akuyi kuba nzima uhlobo oluthile lokugula.

Kwenzeka ntoni emzimbeni?

umhlaza webele kwabasetyhini isakhiwo histological ithetha adenocarcinomas okanye ekuthiwa-uhlobo obuphathekayo sifo kunye nobuninzi ngeendlela enguqu. Yamathumba abo lobular kunye wobisi, kuxhomekeka yakhiwe kunye nokwanda. Kubalulekile ukwazi ukuba ukongeza yamathumba amabi, eyayixhaphakile nencum zenzeka zomhlaza non-epithelial, ezifana nee-. Kwenzeka kakhulu kunqabile -% 1 kuphela amatyala. isifo zabo unyango ezifanayo ithumba eqhelekileyo.

umhlaza webele lungahlulwa-hlulwa ibe iintlobo ezimbini kuxhomekeke kubukho okanye ukungabikho kwimeko ethile estrogen receptor (ERZ). Kunokuba kakhulu ukutshintsha indlela esi sifo, ntonje kuxhomekeke yesicwangciso unyango kuye ukuba ugqirha ethanda. Abo yamathumba ukuba une ERZ uphawu ngakumbi ukuya exesheni. Kukwasebenza kwanjalo kuyo inani elikhulu zomhlaza samabanga - malunga ne-70%. ezinezigulo ezimbi-ERZ zixhaphake kakhulu kwabasetyhini phambi ukuya exesheni.

metastases

Kuyingozi kakhulu ubomi kunye nempilo zemfundo, nto leyo akholisa ukubakho ezi zigaba kade sifo xa owasetyhini kwafunyaniswa ukuba unomhlaza webele. Ukudlulela - iiseli efanayo ithumba, usebenzisa flow nkovu (yaye ziphuhliswa kakhulu inwebu incum) zisasazwa ukuya kwindawo nkovu. ezinezigulo lokuqala kakhulu kuchaphazela iindawo axillary, subscapular kunye subclavian umzimba. Ngoko ukukhasa Ukudlulela kwindawo entanyeni, incum yesibini kunye kwindawo ngeenxa zonke kuyo. Maxa wambi kuvela metastases phambi kokuba wafunyanwa somhlaza. Kulo mzekelo, kufuneka wenze zonke iimviwo ukwahlula umhlaza webele sisilonda esidumbileyoesingaphakathi ngoko nangoko.

indlela Hematogenous - ngokusebenzisa inkqubo yokujikeleza - ukufumana metastases kwamanye amalungu, apho aqale parasitize. Ngokuqhelekileyo, ukuba ibekwe kwizihlunu kwengqondo, isibindi, umphunga, pleura, ithambo. Ukuba imfundo ehlanganisiwe amathambo, inkoliso yabo bonke, bona 'bahlale "kwi isinqe, yaba lukakayi, emqolo, iimbambo, yifemur kunye ihumerus. Kulo mzekelo, lo mfazi kuba lusiva intlungu iqaqamba, nto leyo ngokulula zabhidaniseka ukuphazamiseka kwenkqubo musculoskeletal. Kwixesha elizayo baya kuba buhlungu, ezibukhali kwaye kunzima ukuba baphathwe ingcambu ubagwebele - umhlaza.

ekuxilongweni

Unyango umhlaza webele kunokuba kakhulu impumelelo, ukuba esi sifo kuphela ekuqaleni ukuphuhlisa. Kwezinye iimeko, badla ngokusebenzisa zonyango ndlongondlongo ngakumbi. Kodwa ngaphambi kokuba uthathe iindlela ezifanelekileyo, ugqirha unyanzelekile ukuba enze ukuxilongwa echanekileyo. Uya kufuneka uqinisekise okanye ukuveza Kwingcingane somhlaza, kwakunye ukujonga uhlobo ithumba, nto leyo uniphethe. Ukongeza, ugqirha imisela indawo ibakala nokubunjwa sifo. Kuba iindlela zokuxilonga ziquka: ultrasound, MRI (iinkcukacha ngemagnethi unyango livakale) kunye mammography - nencum x-reyi.

Kwakhona, lo mfazi wathi ukwenza biopsy - Histological uhlalutyo kummandla inyama ochaphazelekayo. ebuhlungu, ngoko, yenzelwa usebenzisa zomzimba lizwe qho kwesibhedlele. Ukongezelela, isigulane ngqo ultrasound esiswini, radioisotope ukufunda yomqolo X-ray emiphungeni. Ukongeza, imfuneko Kwathi zonke iimvavanyo kunye noviwo lokupasa umnwe jikelele ezalathelwe nkovu.

unyango

Kuya kuxhomekeka ubukhulu kunye nohlobo ithumba, phambi metastases. Ukuba umntu wasetyhini lowo kakhulu ixesha ukubona umhlaza webele, uqhaqho ayinakuphepheka. Oku kusebenza kwi zigaba kwesesithathu nakwesesine isizukulwana sifo. Ukuqalisa, ewayo, khawuzame "bulala" kunye ichemotherapy okanye unyango hormone. Ngokupheleleyo sizohlukana yobubi ayikwazi kuba, kodwa ungayenza kube operable kwaye ukufezekisa ukudiliza. Yona kotyando, oogqirha zama ukusika ngokupheleleyo nethumba neendawo nkovu zizifo. Umthamo umsebenzi zinokwahluka: kuxhomekeke kubungakanani ukwakheka. Ngamanye amaxesha kufuneka ukusika lonke ibele.

Emva kotyando somhlaza webele radiotherapy alawulwa. Injongo - ukuthintela likakade. Kwiminyaka yokuqala-5 emva kokuba ungenelelo kufuneka atyelele somdlavuza - qho ngekota. It ivavanye ukusebenza konyango, kwaye igade ubume umguli. Abafazi kuqesha unyango lwamayeza ebandakanya ukusetyenziswa kwekhosi amayeza.

uqikelelo

Ithumba akusoloko siyabulala. Ukuba ibonakele ngexesha ukuya kwibakala 3 umhlaza webele, sokuphila ukwandisa kakhulu. Isiphumo ezintle le ngxaki kunye negalelo olwazi lokufunda ugqirha kunye nokungabikho metastases. Ngelishwa, ukuba isigulo waqalisa, isigulana siya kudla ubomi iminyaka emithathu kuphela. Ke Kumanqanaba okuqala, lo nyaka emihlanu elingama 90%.

Ukuze ukuba zazise esi sifo kwi imeko a egrogrisayo enjalo, kwanele ukuba athobele imiqathango zokuthintela. Okokuqala, nangona eselula intombazana kufuneka iliso impilo yabo ukuqhomfa, uzale abantwana ngexesha, ekunene ukuncancisa nidle okulungileyo, uyigcine yonke imihla umsebenzi elungeleleneyo isimiso kanye. Okwesibini, emva kweminyaka engama-30, kufuneka uhlole amabele zabo rhoqo: kunokukhuthaza naye, befuna uphawu ekrokrisayo. Okwesithathu, kufuneka ibhunga eyondeleleneyo ingcali kunye indlela mammography: emva kweminyaka 40 - kanye ngonyaka. Ukuthintela lula. Gcina oku engqondweni ube kakuhle.