Matenda a Paget a m'mawere

Matenda a Paget ndi mtundu wa matenda opweteka a m'mawere. Ndi matendawa, mbozi imakhudzidwa ndi kusintha kwa isola. Pakati pa odwala omwe ali ndi matendawa, omwe ali ndi zaka zoposa 50 amakhalapo.

Zimayambitsa

Zomwe zimayambitsa matendawa sizinayambe. Pankhaniyi, pali ziphunzitso ziwiri zofunikira: Paget maselo, omwe amapanga chotupa mu chifuwa, amasunthira ku msana, zomwe zimayambitsa kukula kwa khansa ya m'mawere Paget . Maselo ali m'dera la nkhono, amatha kukhala maselo a khansa, motsogoleredwa ndi ziwalo za tizilombo.

Zizindikiro

Kumayambiriro koyamba, zizindikiro za matenda a Paget, omwe amachititsa kuti thupi liwonongeke, lingakhale ngati laling'onong'onong'ono mu malo opweteka. Ndiye pamwamba pa khungu la khungu limapangidwa, kuyaka, kuyabwa, kupweteka kumawonjezeredwa. Nkhutsi zimakhala zovuta kwambiri. Ngati m "malo oyambirira ndondomekoyi imapezeka makamaka m'dera la nkhono, ndiye kuti ikhoza kupitilira kumtima.

Mawonetseredwe akunja a khansara ya Paget amafanana ndi kadzuwa, komwe kumapezeka pamtunda. Nthawi zambiri, matendawa amakhudza mawere. Pafupifupi theka la odwala, zisindikizo za palpation zingapezeke.

Zosokoneza

Chizindikiro chachikulu cha matendawa ndi ultrasound ya m'mawere . Kuti afotokoze momwe matendawa akuyendera, kufufuza mwatsatanetsatane kumachitika. Zimaphatikizapo kufufuza maselo otengedwa kuchokera pamwamba pa malo okhudzidwa omwe ali pachifuwa. Komanso, madokotala nthaŵi zambiri amagwiritsa ntchito kachidutswa kakang'ono kamene kakagwiritsidwa ntchito pojambula chithunzithunzi, chomwe chimapangitsa kuti malo oterewa akhalepo.

Chithandizo

Njira yabwino kwambiri yothandizira matenda a Paget, komanso khansa ya m'mawere, ndi njira yothandizira opaleshoni. Kumayambiriro kwa matendawa, kwambiri pachifuwa resection ndi imodzimodzi kuchotsa chotupacho, mbali ya mfupa kapena chabe msuzi ikuchitika.

Popanda kukula kosavuta, mastectomy yosavuta imayikidwa ndi dokotala. Pankhani ya mitundu yoopsya ya matenda, mastectomy yaikulu imalimbikitsidwa. Pachifukwa ichi, kuchotsedwa kwathunthu kwa m'mawere kumagwirizanitsidwa pamodzi ndi mitsempha ya pectoral ndi mitsempha yozungulira. Pamodzi ndi opaleshoniyi, radiotherapy, mankhwala a mahomoni ndi chemotherapy amachitika. Chofunika kwambiri pa zotsatira zabwino za matendawa amachitidwa ndi chithandizo cham'mbuyomu cha mayi ndi dokotala.