Chirwere chePaget ndechekudzivirira zvirwere. Kunyanya chirwere ichi chinokanganisa mazamu . Funga nezvekuputsa zvakadzama, kujekesa zvinokonzera, zvikamu, zviratidzo uye nzira dzokugadzirisa, nzira dzokurapa.
Paget's disease - chii ichocho?
Chirwere chePaget chezamu chinonzi zita rechiremba uyo akaongorora chirwere ichi. Pakarepo akatanga kusimbisa ukama huripo pakati pekugadzirisa mutsara unoitika nehosha iyi, nekenza yemvere. Muzviitiko zvakawanda, kukanganisa kworudzi urwu kunonyorwa panguva yekuchinja kwemasimoni - kubuda kwemwedzi , kuenda kumwedzi.
Kenza yePaget, zviratidzo zvayo zvinorondedzerwa pasi apa, inokura mumukono wechipfuva, semugumisiro wekenza zvirongwa mubhokisi. Iko kuchinja kunowedzera kune ganda rekoko. Muchiitiko ichi, chinangwa, chirwere chinouraya chingave chisingatauriki navanachiremba, murwere pachake. Dzimwe nguva, kukanganisa kunogona kunyorerwa mune dzimwe nhengo - kenza yemukiramende. Muchiitiko ichi, nzvimbo inogomera, mumukati, chikwata chinoshandiswa.
Paget's Cancer - Species
Kenza yePaget inorwara yakawanda yakasiyana-siyana ine zviratidzo zvakasiyana-siyana zvemakiriniki. Nemhaka yeizvi, kazhinji hazvikwanisi kuiongorora mumatangiro ekutanga. Zvichienderana nehutano hwehutano hunozviratidza sei, humwe hunyanzvi hwehutano hwahwo, zvinotevera zvirwere zvinoratidzika:
- Sharp exotation. Nechimiro ichi munharaunda iri pedyo-inomwa, mapoka maduku anoumbwa. Nokufamba kwenguva, vanova maronda.
- The Chronic Examoid. Pamusoro pevangara, maitiro akaumbwa. Apo pavanenge vabviswa, nzvimbo duku ye intertrigo maitiro inoitika.
- Psoriatic form. Iyo inoratidzirwa nekuvapo pahupamhi hwechiganda chediki, chivara chinopenya, papules. Kunze, ivo vakafukidzirwa ne-scaly, iyo inopedza nguva inopera.
- Chimiro chekuonda. Pamusoro pechityu, nerudzi urwu rwehutachiona, zvironda zvinoumbwa, uye kuora mwoyo mukati. Muchitarisiko iyo inofanana nemakomo anoputika.
- Tumor. Anozivikanwa nechitarisiko chemazino akaumbwa, chiremara chemavara. Iyo inowanikwa panzvimbo inonyanya munharaunda inoyamwa.
Maererano nemakiriniki anocherechedza, mumakumi mashanu ematambudziko, chirwere chePaget chinopindirana nechinjairo chinonzi nipple-alveolar complex. Mu 40% yevarwere vane chirwere uye kuongororwa, chirwere chinoputika chinokonzera mukati mechiratidzo chinowanikwa chinowanikwa. Chirwere chacho chinowanikwa kazhinji kacho nekudzivirira kudzivirira, nekuda kwekushayikwa kwechipatara chinyorwa.
Kenza yePaget - zvikamu
Chirwere (kenza) yePaget inokura zvishoma nezvishoma, ine kutanga kunotyisa. Nemhaka yeizvi, vakadzi vazhinji havaoni kuchinja kwenguva refu. Kenza yePaget, chikwata chekutanga chechirwere ichi, chinoratidzwa kuti hachina kunyanya, sezvo mukadzi asingatambudzi nechinhu. Muchikamu chechirwere chevanhu, zvinowanzosiyanisa zvikamu zvina:
- shanho 0 - chironda chacho chakavharidzirwa kune epidermal tissue, asi hukuru, hwakadzika, huri hutsinye huripo huripo. Mitemo inoramba ichichinjwa;
- Shandara 1 - pamwe chete neshoko rekenza yepazamu, chironda chemahara emuchero, izvi zvinoshandiswa zviri pedyo neyo mbiru;
- chikamu chechipiri - chinosanganiswa nekenza yepra-cellular breast;
- Chikamu chechitatu - chinoratidzirwa nechisimba, chekudzivirira kenza yepabonde, kukuvadza kwakanyanya kwemavara, multiple foci.
Chirwere chepaget chezamu - zviratidzo
Kenza yePaget yezamu, zviratidzo zvayo zvisiripo mumatanho ekutanga, zvinowanzova kushamisika kumukadzi pachake. Vakawanda varwere havaoni kuchinja mune zvehutano hwavo. Kushungurudzwa kunogona kuitika chete nekunyorova mubhokisi uye kuonekwa kwezvisimbiso. Mukuwedzera, munharaunda iri kune kusuruvara, kubwinya, kutarisa kweganda. Apo kenza yePaget inokura, mbungu inogona kunge isina kuonekwa - inowira mukati.
Nehutachiona hwakafanana nechirwere chePaget, zviratidzo zvinogona kupera kamwe kamwe, asi izvi hazvisi kuzorora. Nguva pfupi kusakanganiswa kwezviratidzo inoratidzirwa nechekuguma kwemafuta anonzi corticosteroid - madzimai ari kutora zviratidzo zvechirwere. Nekuwedzera kwehutachiona, kuwedzera kwekupinda, hutachiona hwemuganhu hunobuda. Somugumisiro wekushandura kwakadaro, kukanganiswa uye maronda zvinoumbwa pamusoro peganda, ipapo zviputi. Varwere vanonyora kuonekwa:
- itching;
- kupisa;
- tingle.
- kunzwisisika kwakanyanya munharaunda.
Paget's disease - kuongororwa
Kuongororwa kwe "kenza yemazamu ePaget" kunobudiswa pamagumisiro emigumisiro yeongororo ye laboratory, kliniki yemifananidzo. Kana iwe uchifungidzira chirwere, varwere vanopiwa:
- cytological examination (kupera kubva pamusoro peglanderedzwa)
- Histology - microcopy yenzvimbo yezvinhu zvinokuvadza
- mammography.
Kenza yePaget - kurapwa
Chirwere chepaget chezamu kazhinji chinowanikwa mukurapwa. Iyi ndiyo mhando huru yerapi. Kunyangwe musipo kwezvisimbiso zvinorema, vanachiremba vanoita basa rakakura rokuvhiya. Panguva imwecheteyo, zvakakosha kuongorora lymph nodes axillary. Apo chirwere chacho chinosanganiswa nekupinda mukati mechirwere cheprotocol, chirwere chekuita (kubviswa kweganda) kunoitwa.
Mimwe nzira yekurapa chirwere ichi hachina kugadzikana. Nemhaka yeizvi, zvinoshandiswa sezvewedzerwa. Pakati pavo pane:
- radiation therapy ;
- chemotherapy;
- antiestrogen hormone therapy.
Kenza yepaget yepamu - kufungidzira
Ane chirwere chakafanana nekenza yepaget yepamu, izvo zvataurwa nemukadzi hazvina kunaka. Mikana yekudzoka kwehutachiona, kudzoka kwechirwere ichi chinosara mushure mekushanda. Izvo zvinotaridzika zvinoenderana nekutsamwa kwekuora kwekukura. Ivhareji yekutarisira hupenyu hwePaget's disease makore 3. Kana pane zvikamu zvepiltrative, metastases, zvino nguva iyi yakaderera kusvika 1 gore.