kuvura kanseri y'ibere

Umuti wa kanseri y'ibere ni umuntu ku giti cye kandi biterwa nimpamvu nyinshi, zirimo urwego nicyiciro cya kanseri, imiterere ya reseptor ya hormone, imiterere ya HER2, hamwe nubuzima bwumurwayi muri rusange. Bisanzwe kwivuza amahitamo arimo kubaga, kuvura imirasire, chimiotherapie, kuvura imisemburo, kuvura intego, hamwe na immunotherapie, bikunze gukoreshwa hamwe. Aka gatabo gatanga incamake irambuye yibi kwivuza uburyo, iterambere rya vuba, nicyo abarwayi bashobora kwitega. Kumva Kanseri yamabere nuburyo bwo kuvuraKanseri y'ibere ni indwara igoye, kandi ifite akamaro kwivuza bisaba kumva neza ibiranga. Ibintu byinshi bigira uruhare muguhitamo ibikwiye kwivuza gahunda.Ibintu bigira ingaruka kumyemezo yo kuvura Icyiciro cya Kanseri: Ibi byerekana intera kanseri imaze gukwirakwira. Urwego rwa Kanseri: Ibi bivuga uburyo ingirabuzimafatizo za kanseri zisa na microscope nuburyo zishobora gukura vuba no gukwirakwira. Imiterere ya Hormone (ER / PR): Niba kanseri ya kanseri ifite reseptor ya estrogene (ER) na / cyangwa progesterone (PR). HER2 Imiterere: Niba kanseri ya kanseri ifite proteine nyinshi za HER2, zitera kanseri gukura. Muri rusange Ubuzima: Ubuzima rusange bwumurwayi nubundi burwayi ubwo aribwo bwose. Ibyifuzo by'abarwayi: Indangagaciro z'umurwayi n'ibyifuzo bijyanye kwivuza amahitamo.Ubuvuzi bwo kubaga Kubaga akenshi ni umurongo wambere wa kuvura kanseri y'ibere, cyane cyane ku ndwara zo hambere. Ubwoko bwo Kubaga Kanseri y'ibere Lumpectomy: Kurandura ikibyimba hamwe nuduce duto duto dukikije. Akenshi hakurikiraho kuvura imirasire. Kwikinisha: Gukuraho amabere yose. Ubwoko butandukanye burahari, harimo: Mastectomy yoroshye cyangwa Yuzuye: Gukuraho amabere yose. Yahinduwe na Mastectomy ya Radical: Gukuraho amabere yose na lymph node munsi yukuboko. Kwirinda uruhu: Gukuraho ibice byamabere, insipo, na areola, ariko bikabika ibahasha yuruhu. Amaberebere ya Nipple-Sparing Mastectomy: Gukuraho ibice byamabere mugihe urinze uruhu, insina, na areola. Lymph Node Biopsy: Gukuraho lymph node kugirango barebe ko kanseri ikwirakwira. Ibi birashobora gukorwa nka sentinel lymph node biopsy (ikuraho gusa lymph node ya mbere) cyangwa gutandukana kwa lymph node (gukuraho lymph node nyinshi) .Ubuvuzi bwa RadiyoyasiRadiation ivura ikoresha imirasire yingufu nyinshi cyangwa ibice byica kanseri ya kanseri. Bikunze gukoreshwa nyuma yo kubagwa kugirango isenye kanseri zose zisigaye.Uburyo bwo kuvura imirasire Ubuvuzi bwo hanze bwimirasire (EBRT): Imirasire itangwa mumashini hanze yumubiri. Brachytherapy (Imirasire y'imbere): Imbuto cyangwa amaradiyo ashyirwa mubibyimba cyangwa hafi yacyo.ChemotherapyChemotherapie ikoresha imiti yica kanseri ya kanseri mumubiri. Bikunze gukoreshwa kuri kanseri zateye imbere cyangwa mugihe hari ibyago byinshi byo kongera kubaho. Kubuvuzi buhanitse hamwe nubushakashatsi muriki gice, tekereza gushakisha imisanzu yinzego nka Shandong Baofa Ikigo Cyubushakashatsi Kanseri, ikigo kiyobora kanseri kwivuza guhanga udushya.Iyo Chimiotherapie ikoreshwa ryari? Mbere yo kubagwa (neoadjuvant chemotherapy) kugabanya ikibyimba. Nyuma yo kubagwa (chimiotherapie adjuvant) kugirango yice selile zose zisigaye. Kuri metastatike kanseri y'ibere kugenzura ikwirakwizwa ryindwara. Nibyiza kuri hormone reseptor-nziza (ER + na / cyangwa PR +) kanseri y'ibere.Uburyo bwo kuvura Hormone Tamoxifen: Ifunga reseptor ya estrogene kuri selile ya kanseri. Inhibitori ya Aromatase (AI): Urwego rwo hasi rwa estrogene mubagore batangiye gucura. Ingero zirimo anastrozole, letrozole, na exemestane. Guhagarika intanga ngore cyangwa gukuraho: Ihagarika intanga ngore kubyara estrogene, haba mumiti yigihe gito cyangwa kubagwa burundu kubagwa cyangwa imirasire. Byakoreshejwe kuri kanseri y'ibere zifite ihinduka ryimiterere yihariye cyangwa protein ikabije.Urugero rwubuvuzi bugenewe Ubuvuzi bwa HER2: Trastuzumab (Herceptin), pertuzumab (Perjeta), ado-trastuzumab emtansine (Kadcyla), na lapatinib (Tykerb) bikoreshwa kuri HER2-nziza kanseri y'ibere. CDK4 / 6 Inhibitor: Palbociclib (Ibrance), ribociclib (Kisqali), na abemaciclib (Verzenio) bikoreshwa hamwe no kuvura imisemburo ya hormone reseptor-nziza, HER2-mbi yateye imbere kanseri y'ibere. Inhibitor ya PI3K: Alpelisib (Piqray) ikoreshwa ifatanije na fulvestrant ya hormone reseptor-nziza, HER2-mbi yateye imbere kanseri y'ibere hamwe na mutation ya PIK3CA.ImmunotherapyImmunotherapy ifasha sisitemu yumubiri yumubiri kurwanya kanseri. Nibishya kwivuza ihitamo Kuri Ubwoko Bya kanseri y'ibere.Urugero rw'ibiyobyabwenge bya Immunotherapy Pembrolizumab (Keytruda): Birashobora gukoreshwa kubintu bitatu-bibi kanseri y'ibere ibyo ni PD-L1 nziza. Ibigeragezo bya Clinical Ibigeragezo bya kliniki ni ubushakashatsi bwubushakashatsi bugerageza ibishya kuvura cyangwa uburyo bushya bwo gukoresha ibihari kuvura. Kwitabira igeragezwa rya clinique birashobora guha abarwayi uburyo bugezweho kuvura mbere yuko ziboneka henshi. Amakuru yerekeye ibizamini bya kanseri y'ibere murashobora kubisanga kurubuga rwikigo cyigihugu cya kanseri hamwe nandi masoko azwi. Guhangana ningarukaUmuti wa kanseri y'ibere birashobora gutera ingaruka. Gucunga izo ngaruka ni igice cyingenzi cyo kwita kuri kanseri.Ingaruka zisanzwe hamwe ningamba zo gucunga Umunaniro: Kuruhuka, imyitozo yoroheje, nimirire myiza. Isesemi no Kuruka: Imiti irwanya isesemi. Gutakaza umusatsi: Gukonjesha umutwe birashobora gufasha kugabanya umusatsi. Wigs hamwe nigitwikiro cyumutwe birashobora gutanga ihumure nicyizere. Lymphedema: Ubuvuzi bwumubiri hamwe n imyenda yo kwikuramo. Ububabare: Kubabara imiti nubundi buryo bwo kuvura. Gukurikirana-Gukurikirana Nyuma kuvura kanseri y'ibere, gahunda yo gukurikirana buri gihe ningirakamaro mugukurikirana ibyagarutsweho no gucunga ingaruka zose zigihe kirekire.Incamake yuburyo bwo kuvura uburyo bwo kuvura Ibisobanuro rusange Gukoresha Kubaga Gukuraho ikibyimba hamwe nibishobora kuba bikikije tissue / lymph node. Kanseri y'ibere hakiri kare, igabanya ubunini bw'ikibyimba. Imiti ivura imishwarara ikoresha imirasire yingufu nyinshi kugirango yice selile. Nyuma yo kubagwa, kubigenzuzi byaho. Chimiotherapie Ibiyobyabwenge byica kanseri umubiri wose. Kanseri yateye imbere, ibyago byinshi byo kongera kubaho. Ubuvuzi bwa Hormone Buhagarika cyangwa bugabanya urugero rwa hormone. Kanseri yakira kanseri nziza. Ubuvuzi bugamije Intego yibiranga kanseri yihariye. Kanseri ya HER2-nziza, kanseri hamwe na mutation yihariye. Immunotherapy Ifasha umubiri wumubiri kurwanya kanseri. Ubwoko bumwe na bumwe bwa kanseri y'ibere yateye imbere. Inshingano Aya makuru ni kubumenyi rusange nintego zamakuru gusa, kandi ntabwo bigize inama zubuvuzi. Ni ngombwa kugisha inama inzobere mu by'ubuzima zujuje ibisabwa ku bibazo byose by'ubuzima cyangwa mbere yo gufata ibyemezo byose bijyanye n'ubuzima bwawe cyangwa kwivuza. Gahunda yo kuvura igomba kwihererana hashingiwe ku miterere yihariye ya buri murwayi n'ibyifuzo by'itsinda ryabo ryita ku buzima. Reba Ikigo cy'igihugu gishinzwe kanseri: https://www.cancer.gov/ Umuryango w'Abanyamerika Kanseri: https://www.cancer.org/