Ukuxilongwa, unyango, iRhafu yokuPhila
Isigaba sesi-4 sisona sifo esiphezulu kakhulu somhlaza webele. Ngokuqhelekileyo kuthiwa ngumhlaza wesifo se-metastatic ngenxa yokuba sele isasazeka (i-metastasized) ngaphaya kwesiza sokuqala kwisifuba kwezinye izitho zomzimba. Izifo zeMetastatic zifumaneka kumathambo, imiphunga, isibindi, ingqondo kunye nolusu. Isigaba sesi-4 sisoloko sifunyenwe xa kuphinda kufumaneke umdlavuza wesifuba, kodwa kusenokwenzeka nokuba umhlaza usufumana njani ekuqaleni.
Iinjongo zonyango ziza kubandakanya ukulawula ukusasazeka komhlaza kunye nokukhuthaza umgangatho omhle wobomi. Kwaye kwezinye iimeko, unyango lunokwenzeka.
Ukuchaza iSigaba 4 somhlaza webele
Isigaba se-4 sesifo sesifo sesifo sesifo sifumaneka emva kokuba sele sishiye kude nesifuba siye kwezinye iindawo zomzimba. UDkt. Susan Love ubhala ukuba indawo yokuqala edlalwa ngumhlaza wesifo se -hormone isasazeka ngamathambo . Ezi zidibeneyo zinokulawulwa kunye ne- bisphosphonates kunye namanye amayeza asemiselweyo kwi-osteoporosis; Amanani aphezulu angasebenza kwakhona ekulawuleni ukusasazeka amathambo. I-Estrogen-negative cancer yebele ihamba ngamathambo, kodwa ngokuqhelekileyo ibonakala kwimiphunga, isibindi kunye nengqondo. Umhlaza wesifuba kwimiphunga kunye nesibindi unokusabela ngokuthe ngqo kwiindlela zokwelapha ezinjenge-anti-hormones (ukuba zilungile kwiimitholampilo ze-hormone), i-chemotherapy kunye neyeza eziphilayo ezintsha. Xa umhlaza wesifuba ufumene kwezinye izitho, isengumdlavuza webele.
Ingatyelela emathanjeni, kodwa ayikho umdlavuza wesifuba; phantsi kwe-microscope, iiseli zisengumdlavuza webele.
Ukusinda ngeSigaba 4
Ukufunyaniswa ukuba nomhlaza wesisu se-metastatic kunzima ukuyisebenzisa. Injongo xa ulawula isifo somhlaza wesifuba sokuqala ufumana ukuxolelwa ngokusisigxina, umzekelo, unyango.
Kodwa kwinqanaba le-4, ukubetha inkomo iyimfazwe yansuku zonke. Ngokuqhelekileyo ayithathwa njengento ephilisayo, kodwa ngeendlela ezintsha zokwelashwa, unokuphathwa njengesifo esingapheliyo. Umlinganiselo weminyaka emihlanu wokusindisa izigulane zeemetastatic i-24.3%. Lelo nani li sekelwe kwi-ISER data data ukususela ngo-2003-2009, kwaye amazinga okusinda ahluka ngohlanga. Ezinye izigulane zisabela kakuhle kunyango kwaye zihlala iminyaka emininzi. UKatherinerine Rich Rich, owakhupha imfazwe yakhe ngomhlaza wesifuba e -Red Red, wayehlala nezifo zemitha iminyaka eyi-18, emenza abe ilungu leqela elikhethekileyo. Kwaye umongameli wephephandaba le-liberal u-Molly Ivins wahamba iminyaka eyi-8 ngeCreater Breast Cancer , kodwa waqhubeka esebenza de deive ezimbini ngaphambi kokuba adlule.
Ukuqonda ukuxilongwa kwakho
Isigaba sesi-4 sifunjwe T (nayiphi na), N (nayiphi na), M1 kwindlela ye-TNM. Ezi manani zibhekiselele kumanqaku kwi-Tumor, Status Status , kunye neMetastasis. Isisu sakho sinakho na ubukhulu, ukubandakanyeka kwakho kwe-lymph node kungabalwa kuphela okanye inani elikhulu lamanani. Ngumlinganiselo weMetastasis ochaza umdlavuza webele ngenxa yokuba amanqaku e-M1 athetha ukuba umhlaza usasazeke ngaphaya kommandla we-breast and local lymph nodes, kwaye ubonakalisa amathambo kunye namalungu amakhulu.
Ukuxilongwa kwezifo ze-metastatic kuya kubandakanya ukubandakanyeka kwe-hormone, isimo se-HER2 , ibanga le- tumor, ubungakanani besisu kunye nezinye izinto ezininzi.
Unyango
Icandelo ngalinye lomdlavuza webele le-metastatic liza kunyangwa ngokuhlukileyo ngenxa yeendidi ezahlukahlukeneyo zomhlaza. Isicwangciso sakho sonyango siya kulungiswa ukuze kugxininiswe ekunciphiseni ukusasazeka komhlaza nokugcina umgangatho wobomi obulungileyo. Akunakufunwa zonke izigulana eziqhelekileyo ezikhoyo, kodwa uya kuba neendlela ezininzi, kuquka ukuthatha inxaxheba kwilingo leklinikhi. Uhlobo olupheleleyo lwezonyango lungabandakanya ukhetho olujoliswe kuyo njengokuhlinzwa kunye nemitha .
Unokufuna kwakhona unyango lwenkqubo ezifana ne- chemotherapy (mhlawumbi i-intravenous okanye yomlomo), unyango lwe-hormone, kunye neyeza ezijoliswe kwi-biologic. Ezi zonyango zingasetyenziselwa kunye kunye nezinye izifo okanye zingasetyenziswa enye emva komnye. Xa elinye unyango lingasebenzi, unako ukhetho lokutshintshela kwesinye isiyobisi.
Umgangatho wobomi ngexesha lotyando
Ezinye zezonyango zakho zinokukwenza uzive ungcono - ukuba i-tumor ebuhlungu iyancipha ekuphenduleni i-radiation okanye unyango lwe-hormone - unokuziva ukhululekile. Kodwa yinyaniso yonyango lwe-oncology ukuba izidakamizwa ezininzi ziza kubangela iziphumo ezimbi ezingathandekiyo-izibilini, ukukhathala, intlungu, i-neuropathy, i-mucositis, ukulahleka kweenwele, ukuzitywa, kunye nohudo. Zama ukugcina igalelo leempembelelo zakho kwaye uze nazo kunye nogqirha wakho. Oku kuya kubanceda baqonde into ojongene nayo. Unokucela ukunyamekela ukunyamekela ukujongana nale mingeni. Uncedo, unyango lomzimba kunye nezinye iingcebiso ezinokuncediswa.
Ukujamelana Neemvakalelo Zakho
Kuyinto engokwemvelo ukuziva uxinezelekile , ukhathazekile, uxhalabile, okanye udibana nokuba unomdlavuza webele we-metastatic. Abaninzi bethu bathanda ukuziva ukuba sinokulawula ngokuphathelele impilo yethu nekamva lethu, kodwa umhlaza unokususa ukuqinisekiswa kwethu, ukuciphisa izicwangciso zethu ngekamva, nokukhuthaza ukwesaba kithi kunye nabo banomdla kuthi. Xa kwenzeka loo nto, yenza abahlobo bakho bavelele baze bafumane inkxaso. Amacandelo ama-4 enkxaso awamkela amalungu amatsha kwaye aqonda kakuhle ubunzima bakho. Thetha nodokotela wakho kunye nabahlengikazi malunga neemvakalelo zakho uze ucele uncedo. Basenokukwazi ukumisela abachasayo, bakuncede ufumane iqela lokuxhasa , okanye ukubhekiselele kwingcali yokuziphatha okanye ukucebisa. Ukuba unenkathazo yokulala, funa iqela le-yoga okanye uzame ukulala kakuhle .
Imithombo:
Umqulu we-AJCC weScanscer Staging Manual. Springer Verlag, eNew York, NY. 2002, iphepha 223-240.
Izinga lomdlavuza webele lomhlaza ngesigaba. American Cancer Society. Kugqitywe kwakhona: 06/11/2012.
Uvavanyo lwe-Epidemiology kunye nePhelo lokuPhepha (SEER) Ukuhlolwa kweSifo seNtsholongwane. National Cancer Institute. I-SEER Stat Fact Sheets: Ubisi, Ukusinda kunye neSigaba. Novemba 2012.
Izigaba zeCanscer Breast. Isigaba IV. National Cancer Institute. Kugqityiwe ngokugqibela: 06/21/2012
Ulawulo lweSimptom kwi-Canast Metastatic Breast Cancer. UWilliam Irvin, uJr, u-Hyman B. Muss, kunye noDeborah K. Mayer. Oncologist . 2011 ngoSeptemba; 16 (9): 1203-1214. Ishicilelwe ngekhompyutha ngo-Agasti 31.
Xa iCarcer ibuyela emva. Amakhasi 584-597. UDkt Susan Love's Breast Book. Susan M. Love, MD yoFihlanu, 2010.