Ho tšoaroa ke kankere ea matsoele ho mosali ea nang le molekane ho hloka ho nahanisisa haholo ka bophelo bo botle ba mokuli le lesea.
Mona, ho senyeha ha mefuta e fapaneng ea phekolo.
Ho buuoa
Hangata ho buuoa ke khetho ea pele ea phekolo bakeng sa basali ba nang le kankere ea matsoele. Lumpectomy kapa mastectomy le lymph node removal, tsohle tse etsoang ka anesthesia, li ka etsoa ho tlosa hlahala.
Hobane lefu la anesthesia le ka beha likotsi tse ling ho lesea, lingaka tsa hau li tla lokela ho sebetsa hammoho ho fumana nako e ntle nakong ea bokhachane ba hao ho hlophisa ho buuoa.
Ho buuoa ka letsoele, ho kang ho ba le lumpectomy le ho itšireletsa ka mokhoa o itseng, ho ka 'na ha hloka phekolo ea mahlaseli e le tlhahiso-pele. Empa seo se ke ke sa etsoa nakong ea bokhachane. Litlhare tsa meriana li fuoa meriana e phahameng; e ka senya lesea ka nako leha e le efe ea bokhachane, esita leha ho sebelisoa tšireletso ea pele.
Chemotherapy
Likhoeling tse tharo tse qalang tsa bokhachane, chemotherapy ha e fanoe, hobane e ka lematsa litho tsa lesea la hao ho ntshetsa pele. Haeba chemo e hlokahala, e tla fanoa nakong ea libeke tse peli tse fetileng tsa bokhachane. Liphuputso tse ngata ka FAC chemotherapy (motsoako oa fluorouracil, Adriamycin, le cyclophosphamide) li bontšitse hore ho sireletsehile bakeng sa lesea la hau. Lintho tsa ho senyeheloa ke mpa, ho tsoaloa pele ho nako, ho tsoala pele, kapa bothata ba ho tsoaloa bo bakoang ke phekolo ea FAC ha bo fumanehe.
Leha ho le joalo, tsoalo ea hau ea bokamoso e tla ameha ka mofuta ona oa chemotherapy.
Lithethefatsi tse sebelisetsoang chemo nakong ea bokhachane li tla itšetleha ka trimester eo u leng eona ha phekolo ea hau e qala. Ho sebelisa lithethefatsi tse ling ho na le kotsi nakong ea li-trimester tse ling ho feta tse ling.
- E kotsi haholo: Methotrexate - e tla baka ho senyeheloa ke mpa le litsietsi tsa tsoalo
- Khohlano: 5-FU (fluorouracil) - lithuto tse ling li bontšitse hore ha li na kotsi, ha tse ling li hlokomela hore li ka baka phaello le ho fokola ha tsoalo
- E sireletsehile haholo: Cytoxan (cyclophosphamide) - e sireletsehile haeba e sebelisoa nakong ea likhoeli tse tšeletseng tsa bokhachane; kotsi e ikhethang ha e sebelisoa nakong ea likhoeli tse tharo tsa pelehi
- Sireletsehile: Velban (vinblastine) le Adriamycin (doxorubicin) - e sireletsehile ha e sebelisoa likhoeling tse 6 tse fetileng tsa bokhachane
- Boitsebiso bo lekaneng: Taxol (paclitaxel) le Taxotere (docetaxel) - liphuputso tse 'maloa feela li shebile phello ea chemotherapy ea taxane ho lesea le ntseng le hōla. Mofuputsi e mong o ile a tlaleha hore ho tšoara mosali ea nang le moimana ka likhoeli tse 3 tse fetileng tsa bokhachane ho entse hore ngoana ea tloaelehileng a fihle nako e tletseng, empa ho hlokahala lipatlisiso tse eketsehileng.
Hlokomela Tsamaiso ea hau ea ho itšireletsa mafung
Chemo e fokotsa palo ea lisele tsa lisele tsa mali 'me e siea uena le lesea la hao kotsing ea ho fumana tšoaetso nakong ea phekolo. Hase tsamaiso ea 'mele ea ho itšireletsa mafung e' ngoe le e 'ngoe e tla ameha nakong ea chemo Empa haeba e sekiselitsoe mme e lula e le tlase kamora' tsoalo, netefatsa hore o fumana phekolo. Lingaka li lumela hore li bonahala li sireletsehile ho fana ka liente tsa Neupogen kapa Neulasta nakong ea bokhachane ho hlahisa lisele tse tšoeu tsa sele.
Phekolo ea Meriana ka mor'a Boimana
Kalafo ena e sebelisoa feela ka mor'a hore u belehe.
E sebelisoa ho thusa ho bolaea lisele tse ling tsa kankere tse ka 'nang tsa e-ba teng ka har'a sefuba le ho thibela ho khutlela morao. (Mahlaseli a kotsi a utloisa ngoana bohloko ka ho baka mpa, ho holofala ha lesea, kapa ho hōla butle.) Ha ho na lipatlisiso tse ngata tse entsoeng ka mahlaseli a matsoele kapa li-radiation tse teng sebakeng sena le phello ea tsona ho lifuba tse fetohileng ka lebaka la bokhachane. Ka lebaka leo, ha re tsebe hore na ho lieha ho phekoloa ho tla ba le katleho ka mor'a ho beleha joalokaha ho ne ho tla ba joalo. Lingaka, ka kakaretso, lia lumela hore mahlaseli a kankere ea matsoele ha a bolokehe nakong ea bokhachane.
Hormonal Therapy Ka mor'a Boimana
Tamoxifen ke phekolo ea hormone e thibelang estrogen ho tloha maotong a matsoele.
Hangata ho fuoa basali ba nang le kankere ea matsoele ea estrogen-receptor. Leha ho le joalo, ho kotsi ho nka nakong ea bokhachane. Tlhahlobo ea Hormone e ka fuoa ka mor'a tsoalo ea lesea la hao ho fokotsa kotsi ea ho khutlela morao.
Liqeto Tse Boima
Nakong eo u ka 'na ua tsepamisa maikutlo haholo bophelong bo bocha ka hare ho uena, u ka' na ua kōptjoa hore u etse liqeto tse thata tsa botho. Ho itšetlehile ka sethaleng sa bokhachane, bophelo bo botle ba bophelo bo botle, le ho hlahlojoa, u ka 'na ua kōptjoa hore u nahane ka ho khaotsa ho ima.
Lipatlisiso ha li bontšitse hore ho felisoa ho na le phello e ntle litabeng tsa kankere ea matsoele, 'me hangata ha ho nkoe e le khetho ea phekolo. Leha ho le joalo, haeba kankere ea hao e le mabifi, e ile ea fumanoa morao, 'me u hloka chemo e phahameng ea dose le mahlaseli a kotsi, u ka' na ua tlameha ho bua ka ho khaotsa ho ima ha hao e le hore u lumelle phekolo e nepahetseng. Ntho e 'ngoe eo u ka e khethang e ka ba ha lesea le hlaha pele le qeta nako ea bokhachane mme monyetla oa lesea oa ho phela o molemo.
Bua le lelapa la hau, setsebi sa likokoana-hloko, le setsebi sa setsebi ho hlahloba ka botlalo lintho tseo u li khethang.
> Mehloli:
Mokhatlo oa Kankere oa Amerika. Bokhachane le Kankere ea Bokhachane, Phekolo ea Kankere ea Lebese Nakong ea Bokhachane. Tlhahlobo ea ho qetela: 08/08/2007 Phekolo ea kankere ea matsoa nakong ea bokhachane
National Cancer Institute. Kankere ea Lebese le Boimana - Health Professional Version. E fetotsoe ho qetela: 12/09/2004. Kankere ea Lebese le Bokhachane