Dambudziko regomarara repazamu
Gomarara remazamu imota yakajairika yevakadzi inouraya iyo inotyisidzira zvakanyanya hutano hwemuviri uye hwepfungwa hwevakadzi, saka inozivikanwawo se "muurayi mutsvuku". Nhamba dzinoratidza kuti gomarara rezamu rinokonzera ndufu 458,000 12.2 gore rega rega, uye chirwere charo chiri kuramba chichiwanda pasi rose. Mumakore achangopfuura, chiitiko chegomarara rezamu muIndia chakawedzera nekukurumidza, uye kune maitiro evechidiki. Gomarara repazamu rave gomarara rinonyanyozivikanwa pakati pevakadzi vekuIndia. Huwandu hwegomarara idzva remazamu nenzufu muIndia gore rega rega dzinosvika 9.6% uye XNUMX% yehuwandu hwenyika.
Kurapa kenza yemazamu
Gomarara rezamu harisi rakaipa. Kurapa kenza yemazamu kwave kufambira mberi nekukurumidza. Chirwere chegomarara rezamu nderimwe remishonga yakanakisa yegomarara rezamu. Maererano nehuwandu, makore mashanu ekupona kwegomarara rezamu muUnited States i89%, uye makore mashanu ekupona kwevarwere vegomarara rezamu muChina i73.1%. Tinogona kubata gomarara rezamu sechirwere chisingaperi, kwete chirwere chinouraya.
Kurapwa kwegomarara rezamu kunonyanya kuvhiya + chemotherapy kana radiotherapy. Mushonga wenguva dzose ndeyekubvisa ronda rebundu zvakanyanya sezvinobvira. Mushure mekuvhiyiwa, radiotherapy uye chemotherapy zvinoshandiswa kuuraya asara bundu masero uye kudzivirira bundu kudzoka. Nekudaro, tsvakiridzo yesainzi inoratidza kuti havasi vese varwere vegomarara rezamu vanoda chemotherapy, uye chemotherapy haina basa kune vamwe varwere vegomarara rezamu. Isingadiwe chemotherapy inourayawo nhamba huru yemasero evanhu akajairwa, ayo anokuvadza zvakanyanya kuvakadzi. Ongororo dzegomarara rezamu dzakagadzirwa nemasaenzi eAmerica dzinogona kubatsira varwere vegomarara remazamu kudzivirira chemotherapy isina kufanira. Kuitika, kukura, uye metastasis yegomarara rezamu zvine hukama nekuchinja kwemajini. Gomarara remazamu 21 gene kuongororwa kunogona kuwana aya anochinja majini, kufanotaura mukana wekudzokazve kwevarwere vegomarara rezamu, uye kubatsira varwere vegomarara rezamu kusarudza kana kudzivirira chemotherapy. Yese-gene cancer bvunzo inogona kuongorora yakanangwa mishonga yekurapa iyi shanduko, kuwana yakakura kurapa mhedzisiro uye diki muchetura uye mhedzisiro, uye kuwana chaiyo yemunhu kurapwa.
Genetic kuyedza mukenza yemazamu
Breast 21 oncogene test inogona kubatsira vanachiremba nevarwere kusarudza nzira dzekurapa dzakanakisa. Kuburikidza neiyo 21-gene test, tarisa kudyidzana kuri pakati pemajini kuona maitiro ebundu, kuitira kufanotaura mukana wekudzoka kwegomarara rezamu uye mukana wekubatsirwa kunobvira kubva kuchemotherapy. Nemamwe mashoko, varwere vanogona kuziva kana gomarara ravo rezamu richizodzokazve kuburikidza nokuongororwa magene, mukana wokuzovapozve, kuona kana varwere vekenza yemazamu vachida chemotherapy yepashure, uye nzira yokudzivisa nayo chemotherapy yakanyanyisa. Kuti uone dzimwe nzira dzekurapa dzinoshanda dzevarwere vekenza yemazamu, kuwana kurapa kwakaomarara kwega kwega.
Kenza yemazamu 21 gene test inobatsira kune varwere vane yekutanga estrogen receptor positive (ER +), negative lymph node metastasis, uye vachangoonekwa varwere vekenza yemazamu vanozorapwa netamoxifen. Inogona kufanotaura mukana wekudzoka kwegomarara rezamu uye mukana wechemotherapy Benefit mukana. Mushure mekuenda kumwedzi, lymph node-positive uye estrogen receptor-positive invasive kenza yemazamu varwere vanogona zvakare kuongororwa majini kuti vaone kana murwere achida chemotherapy.
Mumakore achangopfuura, kuburikidza nekuongororwa kwemajini kutungamira kurapwa kwakaringana, chiyero chemakore mashanu ekupona uye chiyero chekugara kwenguva refu kwevarwere vegomarara rezamu zvakavandudza zvakanyanya. Gomarara rezamu rave rimwe remamota akasimba ane kurapa kwakanyanya.
