
Kankere ea matsoele ke lefu le rarahaneng le nang le mekhoa e fapaneng ea kalafo ho latela sethala, mofuta le litšobotsi tsa motho ka mong. Tataiso ena e felletseng e hlahloba tse fapaneng phekolo ea phekolo ea kankere ea matsoele khetho, ho fana ka tlhahisoleseling ho u thusa ho utloisisa likhetho tsa hau le ho etsa liqeto tse nang le tsebo. Re tla fana ka opereishene, kalafo ea radiation, chemotherapy, hormonal therapy, targeted therapy, le tlhokomelo ea tšehetso, re totobatsa bohlokoa ba ho iketsetsa motho ka mong. phekolo ea phekolo ea kankere ea matsoele merero.
Pele le buisana phekolo ea phekolo ea kankere ea matsoele khetho, ho bohlokoa ho utloisisa mekhahlelo le mefuta e fapaneng ea mofetše oa matsoele. Sethala se bontša boholo ba ho ata ha kankere, ha mofuta o bolela lisele tse itseng tse amehang. Tlhahisoleseding ena e ama haholo khothaletso phekolo ea phekolo ea kankere ea matsoele leano. Tlhahlobo e nepahetseng le staging ke mehato ea pele ea ho theha moralo o hlophisitsoeng phekolo ea phekolo ea kankere ea matsoele rera. Bakeng sa tlhaiso-leseling e batsi mabapi le boemo ba mofetše oa matsoele, o ka sheba webosaete ea National Cancer Institute.1
Lumpectomy e kenyelletsa ho tlosa hlahala ea mofetše le karolo e nyane ea lisele tse phetseng hantle tse haufi. Mokhoa ona o boloka letsoele mme hangata o kopantsoe le kalafo ea radiation. Ke khetho e nepahetseng bakeng sa mofets'e oa pele oa matsoele.
Mastectomy e akarelletsa ho ntša letsoele kaofela ka ho buuoa. Ho na le mefuta e fapaneng ea mastectomies, ho kenyelletsa le mastectomies a bonolo, a fetotsoeng, le a radical, e 'ngoe le e' ngoe e na le mefuta e fapaneng ea ho tlosoa ha lisele. Khetho e itšetlehile ka lintlha tse kang boholo ba hlahala, sebaka, le khetho ea mokuli.
Mokhoa ona o thusa ho tseba hore na mofetše o nametse ho lymph nodes. E kenyelletsa ho tlosa li-lymph nodes tse seng kae ho hlahloba lisele tsa mofetše. Haeba mofets'e o sa fumanoe li-sentinel nodes, ho ka 'na ha se ke ha hlokahala hore ho tlosoe lymph node hape.
Kalafo ea radiation e sebelisa mahlaseli a matla a phahameng ho bolaea lisele tsa mofetše le ho honyela lihlahala. Hangata e sebelisoa ka mor'a ho buuoa ho felisa lisele tse setseng tsa kankere kapa pele ho buuoa ho fokotsa hlahala e kholo. Litla-morao li ka kenyelletsa ho halefa ha letlalo le mokhathala.
Chemotherapy e sebelisa lithethefatsi ho bolaea lisele tsa mofetše 'meleng oohle. Hangata e sebelisetsoa kankere ea matsoele ea metastatic kapa ho fokotsa kotsi ea ho ipheta ka mor'a ho buuoa. Litla-morao tse tloaelehileng li kenyelletsa ho nyekeloa ke pelo, ho lahleheloa ke moriri, le mokhathala.
Kalafo ea Hormonal e sebelisoa bakeng sa mofetše oa matsoele o amohelang li-hormone. E sebetsa ka ho thibela lihormone tse matlafatsang kholo ea mofets'e. E ka fanoa ka lipilisi, liente kapa li-implants. Litla-morao li fapana ho latela meriana e itseng.
Lithethefatsi tse reriloeng li shebana le limolek'hule tse itseng tse amehang kholong ea mofetše. Liphekolo tsena li etselitsoe liphetoho tse itseng tsa liphatsa tsa lefutso 'me li ka sebetsa hantle' me tsa ba le litla-morao tse fokolang ho feta chemotherapy ea setso. Mehlala e kenyelletsa Herceptin (trastuzumab) bakeng sa mofetše oa matsoele oa HER2-positive.
Tlhokomelo ea tšehetso e lebisa tlhokomelo ho ntlafatsa boleng ba bophelo ba mokuli nakong ea phekolo ea phekolo ea kankere ea matsoele le ho feta. Sena se kenyelletsa ho laola litla-morao, ho fana ka tšehetso ea maikutlo, le ho sebetsana le litlhoko tsa phepo e nepahetseng. Litsi tse ngata tsa mofetše li fana ka lisebelisoa le lihlopha tsa tšehetso bakeng sa bakuli le malapa a bona.
Molemo ka ho fetisisa phekolo ea phekolo ea kankere ea matsoele moralo o itšetlehile haholo ka motho ka mong 'me o itšetlehile ka lintlha tse fapa-fapaneng, ho kenyeletsa sethala le mofuta oa kankere, bophelo bo botle ba mokuli ka kakaretso, le likhetho tsa botho. Ho bohlokoa ho buisana ka likhetho tsohle tse fumanehang le ngaka ea oncologist ho theha tlhahlobo e felletseng le e ikhethileng phekolo ea phekolo ea kankere ea matsoele leano. Setsi sa Lipatlisiso sa Kankere sa Shandong Baofa (https://www.baofahospital.com/) e ikemiselitse ho fana ka tlhokomelo e tsoetseng pele le e nang le kutloelo-bohloko ho bakuli ba mofetše oa matsoele.
1 Setsi sa Naha sa Kankere. (n.d.). Kalafo ea Kankere ea Matsoele (PDQ?)—Health Professional Version. E ntšitsoe ho https://www.cancer.gov/types/breast/hp/breast-treatment-pdq
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