Ukuqonda I-Metastatic Breast Cancer in the Lungs

-Delile

• Usabalala kanjani umdlavuza wamabele emaphashini
• Izimpawu nezimpawu ze-metastasis yamaphaphu
• Ukuhlonza umdlavuza webele we-metastatic
• Ukwelapha umdlavuza webele we-metastatic
• Ukwelashwa ngamakhemikhali
• Izindlela zokwelapha zeHormonal
• Imithi ehlosiwe yomdlavuza webele we-HER2-positive
• Imisebe
• Izimpawu zokunciphisa
• Umbono
• Izindlela zokunciphisa ubungozi

Ukubuka konke

Umdlavuza webele we-Metastatic ubhekisa kumdlavuza webele osakazeka ngale kwendawo yendawo noma yesifunda lapho uvela khona endaweni ekude. Ubizwa nangokuthi umdlavuza webele wesigaba 4.

Yize ungasakazeka noma kuphi, umdlavuza webele usakazekela emathanjeni kubantu abacishe babe ngamaphesenti angama-70 abanomdlavuza webele we-metastatic, ulinganisela iMetastatic Breast Cancer Network.

Ezinye izingosi ezivamile amaphaphu, isibindi nobuchopho. Akunandaba ukuthi usakazeka kuphi, kusabhekwa njengomdlavuza webele futhi uphathwa kanjalo. Cishe amaphesenti ayisithupha kuya kwayishumi omdlavuza webele e-United States atholakala esigabeni sesi-4.

Kwezinye izimo, ukwelashwa kokuqala komdlavuza webele wesigaba sangaphambilini akuwaqedi wonke amangqamuzana omdlavuza. Kungaba namaseli omdlavuza omncane asele ngemuva, avumela umdlavuza ukuthi usabalale.

Isikhathi esiningi, i-metastasis yenzeka ngemuva kokuthi ukwelashwa kokuqala kuqediwe. Lokhu kubizwa ngokuthi ukuphindeka. Ukuphindaphinda kungenzeka ezinyangeni ezimbalwa zokuqeda ukwelashwa noma eminyakeni eminingi kamuva.

Alikho ikhambi lomdlavuza webele we-metastatic okwamanje, kodwa liyelapheka. Abanye besifazane bazophila iminyaka eminingi ngemuva kokutholakala komdlavuza webele wesigaba 4.

Usabalala kanjani umdlavuza wamabele emaphashini

Umdlavuza webele uqala ebeleni. Njengoba amangqamuzana angajwayelekile ehlukana futhi anda, akha isimila. Njengoba isimila sikhula, amangqamuzana omdlavuza angaqhamuka esihlahleni sokuqala futhi aye ezilwaneni ezikude noma ahlasele izicubu eziseduze.

Amaseli womdlavuza angangena egazini noma afudukele kuma-lymph node aseduze ngaphansi kwengalo noma eduze kwekhola. Uma sesisezinhlelweni zegazi noma i-lymph, amangqamuzana omdlavuza angahamba emzimbeni wakho futhi afike ezithweni ezikude noma ezicutshini.

Lapho amangqamuzana omdlavuza efika emaphashini, angaqala ukwakha isimila esisodwa noma eziningi ezintsha. Kungenzeka ukuthi umdlavuza webele usabalale ezindaweni eziningi ngasikhathi sinye.

Izimpawu nezimpawu ze-metastasis yamaphaphu

Izimpawu nezimpawu zomdlavuza emaphashini zingafaka:

• ukukhwehlela okuphikelelayo
• ubuhlungu besifuba
• ukuphelelwa umoya
• ukutheleleka okuphindaphindiwe kwesifuba
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba
• ekhwehlela igazi
• Ubuhlungu besifuba
• isisindo esifubeni
• uketshezi oluphakathi kodonga lwesifuba namaphaphu

Ungahle ungabi nezimpawu ezibonakalayo ekuqaleni. Noma ngabe wenza kanjalo, ungahle uthambekele ekuziboneni njengezimpawu zomkhuhlane noma umkhuhlane. Uma uke welashwa umdlavuza webele esikhathini esedlule, ungazinaki lezi zimpawu.

Ukuhlonza umdlavuza webele we-metastatic

Ukuxilongwa kuzoqala ngokuhlolwa komzimba, ukusebenza kwegazi, kanye ne-X-ray yesifuba. Okunye ukuhlolwa kwe-imaging kungadingeka ukuze unikeze umbono onemininingwane eminingi. Lezi zivivinyo zingafaka:

• Iskena se-CT
• Ukuskena kwe-PET
• I-MRI

I-biopsy ingadingeka futhi ukusiza ukunquma ukuthi umdlavuza webele unamathele emaphashini akho.

Ukwelapha umdlavuza webele we-metastatic

Lapho welapha umdlavuza webele we-metastatic, inhloso ukusiza ukunciphisa noma ukuqeda izimpawu nokwandisa impilo yakho ngaphandle kokunikela ngekhwalithi yakho yokuphila.

Ukwelashwa komdlavuza webele kuncike ezintweni eziningi, ezinjengohlobo lomdlavuza webele, ukwelashwa kwangaphambilini, nempilo yakho yonke. Okunye okubalulekile ukuthi umdlavuza usabalale nokuthi umdlavuza ususabalele ezindaweni eziningi.

Ukwelashwa ngamakhemikhali

I-Chemotherapy ingasebenza ekubulaleni amangqamuzana omdlavuza noma yikuphi emzimbeni. Lokhu kwelashwa kungasiza ekunciphiseni izicubu futhi kumise izimila ezintsha ekubunjweni.

I-Chemotherapy imvamisa ukuphela kwendlela yokwelashwa yomdlavuza webele we-metastatic webele (i-hormone receptor-negative ne-HER2-negative). I-Chemotherapy isetshenziswa futhi ngokubambisana nezindlela eziqondiswe ku-HER2 zomdlavuza webele we-HER2-positive.

Uma ngaphambilini uke welashwa ngamakhemikhali, umdlavuza wakho kungenzeka ukuthi wamelana naleyo mithi. Ukuzama ezinye izidakamizwa ze-chemotherapy kungasebenza kakhulu.

Izindlela zokwelapha zeHormonal

Labo abanomdlavuza webele one-hormone bazozuza emithini evimba i-estrogen ne-progesterone ekukhuthazeni ukukhula komdlavuza, njenge-tamoxifen noma umuthi ovela ekilasini elibizwa ngokuthi i-aromatase inhibitors.

Eminye imishanguzo, njenge-palbociclib ne-fulvestrant, nayo ingasetshenziselwa labo abane-estrogen-positive, isifo se-HER2-negative.

Imithi ehlosiwe yomdlavuza webele we-HER2-positive

Umdlavuza webele we-HER2 ungaphathwa ngemithi ehlosiwe efana nale:

• umabhebhana
• pertuzumab
• ado-trastuzumab emtansine
• lapatinib

Imisebe

Ukwelashwa ngemisebe kungasiza ekubhubhiseni amangqamuzana omdlavuza endaweni yasendaweni. Kungakwazi ukunciphisa izimpawu zomdlavuza webele emaphashini.

Izimpawu zokunciphisa

Ungase futhi ufune ukwelashwa ukunciphisa izimpawu ezibangelwa izicubu emaphashini. Ungakwazi ukwenza lokhu ngo:

• ukukhipha uketshezi oluqongelela iphaphu
• ukwelashwa komoya-mpilo
• i-stent yokuvula indlela yakho yomoya
• imithi yezinhlungu

Imithi ehlukahlukene iyatholakala ngemithi yokusiza ukusula imigwaqo yakho yomoya nokunciphisa ukukhwehlela. Abanye bangasiza ngokukhathala, ukulahlekelwa isifiso sokudla, nobuhlungu.

Ngayinye yalezi zindlela zokwelashwa inemiphumela emibi engaba khona eyehluka kuye ngomuntu. Kukuwe nodokotela wakho ukukala ubuhle nobubi bese unquma ukuthi iziphi izindlela zokwelapha ezizothuthukisa ikhwalithi yempilo yakho.

Uma imiphumela emibi iqala ukonakalisa izinga lakho lempilo, ungashintsha uhlelo lwakho lwezokwelapha noma ukhethe ukumisa ukwelashwa okuthile.

Abaphenyi bafunda izindlela zokwelashwa ezintsha ezingaba khona, kufaka phakathi:

• i-poly (ADP-ribose) polymerase (PARP) inhibitors
• i-phosphoinositide-3 (PI-3) kinase inhibitors
• i-bevacizumab (Avastin)
• i-immunotherapy
• ukujikeleza amaseli wesimila nokusabalalisa isimila se-DNA

Izilingo zomtholampilo zokwelapha umdlavuza webele we-metastatic ziyaqhubeka. Uma ungathanda ukubamba iqhaza esivivinyweni somtholampilo, cela udokotela wakho ukuthola eminye imininingwane.

Umbono

Kubalulekile ukukhumbula ukuthi akukho ukwelashwa okulingana nosayizi womdlavuza we-metastatic. Ngokusebenzisana eduze nethimba lakho lokunakekelwa kwezempilo, uzokwazi ukukhetha izindlela zokwelashwa eziqondene nezidingo zakho.

Abantu abaningi abanomdlavuza we-metastatic bathola induduzo emaqenjini okusekela lapho bekwazi ukukhuluma nabanye abanomdlavuza we-metastatic.

Kukhona nezinhlangano zikazwelonke nezesifunda ezingakusiza ngezidingo zakho zansuku zonke, njengemisebenzi yasendlini, ukukuyisa ekwelashweni, noma ukusiza ngezindleko.

Ukuthola eminye imininingwane ngezinsizakusebenza, shayela i-American Cancer Society's 24/7 National Cancer Information Center ku-800-227-2345.

Izindlela zokunciphisa ubungozi

Ezinye izinto ezinobungozi, njengokuguquka kwezakhi zofuzo, ubulili, nobudala, azikwazi ukulawulwa. Kodwa kukhona ezinye izinto ongazenza ukunciphisa ingozi yokuba nomdlavuza webele.

Lokhu kufaka phakathi:

• ukuzivocavoca umzimba njalo
• ukuphuza utshwala ngokulinganisela
• ukuba nokudla okunempilo
• ukugwema ukukhuluphala ngokweqile noma ukukhuluphala
• ukungabhemi

Uma wake welashelwa umdlavuza webele phambilini, lezo zinqumo zokuphila zingasiza ekunciphiseni ubungozi bokuphindeka.

Izincomo zokuhlolwa komdlavuza webele ziyahlukahluka kuye ngeminyaka yakho nezici zobungozi. Buza udokotela wakho ukuthi yikuphi ukuhlolwa komdlavuza webele okukulungele.

Thola ukwesekwa kwabanye abaphila nomdlavuza webele. Landa uhlelo lokusebenza lwamahhala lweHealthline lapha.