October 18th ndi "Tsiku Lopewa Khansa Yam'mawere" chaka chilichonse.
Imadziwikanso kuti-Pink Ribbon Care Day.
01 Dziwani khansa ya m'mawere
Khansa ya m'mawere ndi matenda amene m`mawere ductal epithelial maselo amataya makhalidwe awo yachibadwa ndi kuchulukitsa abnormally pansi pa zochita zosiyanasiyana mkati ndi kunja carcinogenic zinthu, kotero kuti upambana malire a kudzikonza okha ndi kukhala khansa.
02 Mkhalidwe wa khansa ya m'mawere
Kuchuluka kwa khansa ya m'mawere kumatenga 7-10% ya mitundu yonse ya zotupa zowopsa m'thupi lonse, zomwe zimayambira pakati pa zotupa zowopsa za akazi.
Makhalidwe a zaka za khansa ya m'mawere ku China;
* Mulingo wotsika pazaka za 0 ~ 24.
* Kuwonjezeka pang'onopang'ono pambuyo pa zaka 25.
*Gulu lazaka 50 ~ 54 lidafika pachimake.
* Pang'onopang'ono kuchepa pambuyo pa zaka 55.
03 Etiology ya khansa ya m'mawere
Choyambitsa khansa ya m'mawere sichikumveka bwino, ndipo amayi omwe ali ndi chiopsezo chachikulu cha khansa ya m'mawere amatha kudwala khansa ya m'mawere.
Zowopsa:
* Mbiri ya banja la khansa ya m'mawere
* Kusamba koyambirira (<12 zaka) ndi kusintha mochedwa (> zaka 55)
* Osakwatiwa, opanda mwana, obereka mochedwa, osayamwitsa.
* Kudwala matenda a m'mawere popanda matenda ake ndi mankhwala, akudwala atypical hyperplasia m'mawere.
* Kuwonekera pachifuwa pamilingo yambiri yama radiation.
* Kugwiritsa ntchito nthawi yayitali kwa exogenous estrogen
* kunyamula chibadwa cha khansa ya m'mawere
* Kunenepa kwambiri kwa pambuyo pa menopausal
*Kumwa mopitirira muyeso kwa nthawi yayitali, etc.
04 Zizindikiro za khansa ya m'mawere
Khansara ya m'mawere yoyambirira nthawi zambiri ilibe zizindikiro kapena zizindikiro zoonekeratu, zomwe zimakhala zosavuta kukopa chidwi cha amayi, ndipo n'zosavuta kuchedwetsa mwayi wozindikira msanga ndi chithandizo.
Zizindikiro zodziwika bwino za khansa ya m'mawere ndi izi:
* Chotupa chosapweteka, chomwe ndi chizindikiro chofala kwambiri cha khansa ya m’mawere, nthaŵi zambiri chimakhala chimodzi, cholimba, chokhala ndi m’mbali mwachisawawa ndiponso pamwamba pake sichisalala.
* kumaliseche kwa nsonga, unilateral single-hole wamagazi kumaliseche nthawi zambiri limodzi ndi mabere misa.
* Kusintha khungu, dimple chizindikiro cha m`deralo kuvutika maganizo "ndi chizindikiro oyambirira, ndi maonekedwe" lalanje peel "ndi kusintha zina ndi chizindikiro mochedwa.
* kusintha kwa nipple areola.Kusintha kwa eczematous mu areola ndikuwonetsa "khansa ya m'mawere ngati chikanga", yomwe nthawi zambiri imakhala chizindikiro choyambirira, pomwe kukhumudwa kwa nipple ndi chizindikiro chapakati komanso mochedwa.
* Zina, monga kukula kwa axillary lymph node.
05 kuyezetsa khansa ya m'mawere
Kuwunika pafupipafupi khansa ya m'mawere ndiye njira yayikulu yodziwira msanga khansa ya m'mawere ya asymptomatic.
Malinga ndi malangizo owunika, kuzindikira koyambirira komanso kuchiza khansa ya m'mawere:
* Kudziyesa m'mawere: kamodzi pamwezi utatha zaka 20.
* Kuwunika kwachipatala: kamodzi zaka zitatu zilizonse kwa zaka 20-29 komanso kamodzi pachaka pambuyo pa zaka 30.
* Kuwunika kwa Ultrasound: kamodzi pachaka atakwanitsa zaka 35, ndipo kamodzi pazaka ziwiri zilizonse akakwanitsa zaka 40.
*Kuyeza kwa X-ray: ma mammograms oyambirira ankatengedwa ali ndi zaka 35, ndipo mammograms ankatengedwa zaka ziwiri zilizonse kwa anthu wamba;Ngati muli ndi zaka zopitirira 40, muyenera kukhala ndi mammogram pazaka 1-2 zilizonse, ndipo mukhoza kukhala ndi mammogram zaka 2-3 zilizonse pambuyo pa zaka 60.
06 Kupewa khansa ya m'mawere
* Khazikitsani moyo wabwino: khalani ndi chizolowezi chodya bwino, samalani ndi zakudya zopatsa thanzi, limbikirani kuchita masewera olimbitsa thupi, pewani ndikuchepetsa kupsinjika kwamalingaliro ndi malingaliro, komanso khalani osangalala;
* Mwachangu kuchitira atypical hyperplasia ndi matenda ena m'mawere;
* Osagwiritsa ntchito exogenous estrogen popanda chilolezo;
* Osamwa mopambanitsa kwa nthawi yayitali;
* Kulimbikitsa kuyamwitsa, etc.
Njira yothetsera khansa ya m'mawere
Poganizira izi, zida zodziwira za carcinoembryonic antigen (CEA) zopangidwa ndi Hongwei TES zimapereka njira zothetsera matenda, kuyang'anira chithandizo ndi kuwunika kwa khansa ya m'mawere:
Carcinoembryonic antigen (CEA) assay kit (fluorescence immunochromatography)
Monga chozindikiritsa chotupa chachikulu, carcinoembryonic antigen (CEA) ili ndi phindu lofunikira pazachipatala pakuzindikira mosiyanasiyana, kuyang'anira matenda komanso kuwunika kwa zotupa zowopsa.
CEA kutsimikiza angagwiritsidwe ntchito kuona machiritso tingati, kuweruza matenda ndi kuwunika zisadzachitikenso zilonda chotupa pambuyo opaleshoni, komanso akhoza ziwonjezeke mu benign bere adenoma ndi matenda ena.
Mtundu wa zitsanzo: seramu, plasma ndi magazi athunthu.
Kuchuluka: ≤2ng/mL
Nthawi yotumiza: Oct-23-2023