Olu vavanyo oluxabisekileyo lokuxilonga lunokukunceda uqonde isicwangciso sakho sokonyango
Ukufumanisa kwangaphambili umdlavuza webele kunceda ubomi kunye nokuxilongwa kwangaphambili kubhekiselele kunyango olunzima. Kodwa i-oncologist yakho ingazi njani ukuba unyango luya kuthintela ntoni ukubuyela komhlaza wakho? I-Oncotype DX luvavanyo oluxabisekileyo lokuxilonga olukunceda wena kunye ne-oncologist yakho ukuba unqume ukuba yeyiphi isicwangciso sonyango esiya kusebenza ngokubanzi ekukhuseleni ukuphindaphinda komhlaza okanye ukunceda ukulawula isifo sakho.
Uvavanyo lwe-Oncotype DX Uvavanyo lwe-Cancer
Ukuze lolu vavanyo lugcinwe, ugqirha uya kuhlola ukuba ungumviwa kulo vavanyo ngoku khangela ezi ndlela:
- I-Estrogen-receptor positive (isrogen-fuele) umdlavuza webele
- Isigaba 1 okanye iSigaba 2
- I-Node negative (i-lymph nodes ecacileyo kumhlaza)
Olu vavanyo luvavanya iisampulu zeesisu zakho kunye nezihlawulelo zeesethi zeegesi ezinokuthi zithintele ukuphindaphinda emva kweminyaka eyi-10 emva kokuxilongwa kwakho kwangaphambili. Eli nqanaba libizwa ngokuba ngumlinganiselo wakho wokuphindaphinda.
ImiGangatho yokuThengiswa kweCanscer Breast:
Igazi kunye nezicubu zakho ziya kuvavanywa ngemigangatho emininzi ukucacisa ukuxilongwa kwakho okuthe ngqo. Iziphumo zezi mvavanyo zichaphazela ukhetho lwakho lwezonyango. Iimvavanyo zi:
- Ubungakanani bomzimba
- Ibanga elixhamlayo (eliphantsi okanye elikhawulezayo)
- Isimo se-lymph node (metastasis)
- IHormone receptors
- HER2 isimo
- Isimo seMenaopausal
Zonke iziphumo zovavanyo zivelisa ukuxilongwa , kodwa ngaphandle kolwazi lwemizimba, ingozi yakho yokuphindaphinda kunzima ukuyiqonda.
Ulwazi lwakho lofuzo, ukongeza kuzo zonke izikolo zakho zokuvavanya, linika umfanekiso ocacileyo ukuba ingaba ungayifuni imithi ye-chemotherapy ukukhusela ukubuyela komhlaza wakho webele.
Ingozi yokuphindaphinda ngokusekelwe kwiNgcaciso yeGenesis
Umlinganiselo wakho wokuphindaphinda uzakusekelwe kwimbonakalo yezofuzo ezingama-21, ezingama-16 zazo ezihlobene nomhlaza kunye nezo-5 zazo ezibhekiselele kuyo.
Amajethi ahlanganiswe ngumsebenzi: ukwanda, ukuhlasela, i-hormone receptors (estrogen kunye neprogesterone) kunye nezinto zokukhula. Iziphumo zokuvavanywa komntu ngamnye ziya kuba zizodwa, kodwa ziza kuwela kwenye yeentlobo zintathu:
- Umngcipheko ophantsi
- Umngcipheko ophakathi
- Umngcipheko ophezulu
Ingozi Yokuphindaphinda ichaphazela njani izigqibo zonyango
Izigulane ezinomngcipheko omncinci wokuphindaphinda zingadingi naluphi na uhlobo lwe-chemotherapy kwaye lunako ukuthatha unyango lwe-hormone njengolu unyango olulandelayo emva kokuhlinzwa. Ukuba uphakathi kweemeko ezinobungozi obuphezulu, ungadinga i-chemotherapy kunye ne-hormone therapy ukuze uphucule umngcipheko wokuphindaphinda. Ezinye izinto ezinjengebudala, i-tumor grade kunye ne-hormone receptor imeko iya kuqwalaselwa ngaphambi kokuba unqume kwisicwangciso sonyango, kodwa uphando lubonisile ukuba iziphumo ezivela kwi-Oncotype DX vavanyo ziyiqhinga elinamandla lokuphindaphinda.
Olunye Utyando lweZonyango Izigqibo ezithinta wena
Olu vavanyo aluxeleli ugqirha wakho uhlobo oluthile lwezonyango zokusebenzisa i-chemotherapy ukusebenzisa, nokuba ungazifuni yini i- Herceptin okanye ukuba uya kufuna unyango lwe-radiation. Ezi zigqibo ziya kusekelwe kwiziphumo zenye iimvavanyo.
Ukumboza iindleko zovavanyo lwe-Genetic Assay
I-Medicare kunye neenkampani ze-inshurensi zempilo yabucala ziza kunceda ukugubungela iindleko zovavanyo lwe-Oncotype DX.
Hlola nomboneleli wakho we-inshorensi ukuba ufumene ukuba ufunyenwe kulo mvavanyo. Ukuze ufanele ukufumana olu vavanyo, kufuneka ube neNqanaba 1 okanye iSigaba 2 se-node-negative, umdlavuza webele wesisu se-receptor-positive. Uvavanyo luhlalutyiweyo kwaye luhlinzekwa yi-Genomic Health kwaye ukuba awuqinisekanga okanye ungaphantsi kwe-insured, ungafuna ukudibanisa nabo ngoncedo lwezemali.
Imithombo:
"I-Cancer Diagnostics: Ukwazisa ukuPhathwa kweTyrored Cancer Treatment". National Cancer Institute. 2006.
> IGenomic Health. Mayelana ne-Oncotype DX. IiNgcaciso zabaPhepha kunye nabanakekeli, ngo-2008.