Malinga ndi deta ya Global Cancer Burden ya 2020 yomwe idatulutsidwa ndi International Agency for Research on Cancer (IARC),khansa ya m'mawerePadziko lonse lapansi, anthu 2.26 miliyoni ndi omwe ali ndi matendawa, ndipo anthu 2.2 miliyoni ndi omwe ali ndi matendawa.Ndi gawo la 11.7% la milandu yatsopano ya khansa, khansa ya m'mawere ili pamalo oyamba, zomwe zimapangitsa kuti ikhale khansa yofala kwambiri. Ziwerengerozi zapangitsa kuti akazi ambiri azidziwa bwino za ziphuphu za m'mawere ndi ziphuphu za m'mawere.
Zimene Muyenera Kudziwa Zokhudza Matumbo a M'mawere
Mafinya a m'mawere nthawi zambiri amatanthauza zotupa kapena machubu omwe amapezeka m'mawere. Ambiri mwa mafinya amenewa ndi abwino (osati a khansa). Zina mwa zifukwa zomwe zimayambitsa matenda a m'mawere ndi monga matenda a m'mawere, mafinya a m'mawere, mafinya osavuta, mafuta otupa, kusintha kwa mafinya, ndi ma papillomas a m'mimba.
Zizindikiro Zochenjeza:

Komabe, kuchuluka kochepa kwa timibulu ta m'mawere kungakhale koopsa (khansa), ndipo kungasonyeze zotsatirazizizindikiro zochenjeza:
- Kukula:Matizilombo akuluakuluamakonda kuyambitsa nkhawa mosavuta.
- Mawonekedwe:Ma nodule okhala ndi m'mbali zosasinthasintha kapena zopindikaali ndi mwayi waukulu wa khansa.
- Kapangidwe: Ngati pali nodulezimamveka zolimba kapena zimakhala ndi mawonekedwe osafanana zikakhudzidwa, kafukufuku wowonjezereka akufunika. Izi ndizofunikira makamaka kwa akazizaka zoposa 50, pamene chiopsezo cha khansa chikuwonjezeka ndi ukalamba.
Kufufuza Mafinya a M'mawere ndi Kufunika kwa Kuzindikira Khansa ya M'mawere Koyambirira
Kafukufuku wasonyeza kuti ngakhale kuti kuchuluka kwa anthu odwala khansa ya m'mawere kukuchulukirachulukira, chiwerengero cha anthu omwe amafa chifukwa cha khansa ya m'mawere chatsika m'maiko akumadzulo m'zaka khumi zapitazi.Chifukwa chachikulu cha kuchepa kumeneku chikhoza kukhala chifukwa cha kukonza bwino njira zodziwira matenda msanga komanso njira zochiritsira, ndipo kuyezetsa khansa ya m'mawere ndi gawo lofunika kwambiri.
1. Njira Zoyesera
- Pakadali pano, kafukufuku wokhudza kusiyana kwa kukhudzidwa pakati pa njira zosiyanasiyana zoyezera matenda amachokera makamaka kumayiko akumadzulo. Kuyezetsa mawere kuchipatala kuli ndi kukhudzidwa kochepa poyerekeza ndi njira zoyezera matenda. Pakati pa njira zoyezera matenda, magnetic resonance imaging (MRI) ili ndi kukhudzidwa kwakukulu, pomwe mammography ndi ultrasound ya m'mawere zili ndi kukhudzidwa kofanana.
- Mammography ili ndi ubwino wapadera pozindikira kuchuluka kwa calcium komwe kumakhudzana ndi khansa ya m'mawere.
- Pa zilonda zomwe zili m'mabere okhuthala, ultrasound ya m'mawere imakhala ndi mphamvu zambiri kuposa mammography.
- Kuwonjezera zithunzi za ultrasound za bere lonse ku mammography kungathandize kwambiri kuzindikira khansa ya m'mawere.
- Khansa ya m'mawere imapezeka kwambiri kwa amayi omwe ali ndi mawere ambiri asanakwane nthawi yopuma. Chifukwa chake, kugwiritsa ntchito mammography ndi ultrasound ya bere lonse ndikoyenera.
- Pa chizindikiro chenicheni cha kutuluka kwa machubu a m'mawere, endoscopy ya m'mimba ingapereke kuyang'ana mwachindunji kwa njira yolumikizira machubu a m'mawere kuti ione zolakwika zilizonse mkati mwa njira yolumikizira machubu.
- Kujambula zithunzi za maginito a m'mawere (MRI) pakadali pano kukulangizidwa padziko lonse lapansi kwa anthu omwe ali pachiwopsezo chachikulu chotenga khansa ya m'mawere moyo wawo wonse, monga omwe ali ndi kusintha kwa majini a BRCA1/2.
2. Kudziyesa Mabere Nthawi Zonse
Kudziyesa mabere kwakhala kukulimbikitsa kale, koma kafukufuku waposachedwapa akusonyeza kutisizichepetsa imfa za khansa ya m'mawereMalangizo a American Cancer Society (ACS) a mu 2005 sakulimbikitsanso kudziyesa nokha mabere mwezi uliwonse ngati njira yodziwira khansa ya m'mawere msanga. Komabe, kudziyesa nokha mabere nthawi zonse kumakhalabe kothandiza pankhani yozindikira khansa ya m'mawere mtsogolo ndikupeza khansa zomwe zingachitike pakati pa kuyezetsa kwachizolowezi.
3. Kufunika kwa Kuzindikira Matenda Oyambirira
Kuzindikira khansa ya m'mawere msanga kuli ndi ubwino wambiri. Mwachitsanzo, kuzindikira khansa ya m'mawere yosalowa m'thupi kungathandize kupewa kufunikira kwa mankhwala a chemotherapy. Kuphatikiza apo,Kuzindikira khansa ya m'mawere msanga kumapereka mwayi wochuluka wochizira matenda osungira mabere, zomwe zimasunga minofu ya m'mawere. Zimawonjezeranso mwayi wopewa opaleshoni yochotsa ma lymph node a m'khwapa, zomwe zingayambitse mavuto m'miyendo yakumtunda.Choncho, kupeza matenda pa nthawi yake kumalola njira zambiri zochiritsira komanso kuchepetsa zotsatira zomwe zingakhudze moyo wa munthu.
Njira ndi Zofunikira Zodziwira Matenda Oyambirira
1. Kuzindikira Koyambirira: Zilonda za M'mawere ndi Kutsimikizira Matenda
Zotsatira za kafukufuku waposachedwa zikusonyeza kuti kuyezetsa khansa ya m'mawere pogwiritsa ntchito mammography kungachepetse chiopsezo cha imfa ya khansa ya m'mawere chaka chilichonse ndi 20% mpaka 40%.
2. Kufufuza kwa Matenda
- Kuzindikira matenda kumaonedwa kuti ndi muyezo wabwino kwambiri.
- Njira iliyonse yojambulira zithunzi ili ndi njira zofananira zopezera zitsanzo za matenda. Popeza zilonda zambiri zomwe sizili ndi zizindikiro sizili zoopsa, njira yoyenera iyenera kukhala yolondola, yodalirika, komanso yosavulaza kwambiri.
- Njira yodziwika bwino yogwiritsira ntchito ultrasound-guided core needle biopsy ndiyo njira yomwe imagwiritsidwa ntchito kwambiri pa milandu yoposa 80%.
3. Zinthu Zofunika Kwambiri Pakuzindikira Khansa ya M'mawere Mosakhalitsa
- Maganizo abwino: Ndikofunikira kuti musanyalanyaze thanzi la bere komanso kuti musachite mantha. Khansa ya m'mawere ndi matenda osatha a chotupa omwe amayankha bwino chithandizo. Ndi chithandizo chogwira mtima, milandu yambiri imatha kukhala ndi moyo kwa nthawi yayitali. Chofunika kwambiri ndi ichikutenga nawo mbali mwachangu pozindikira matenda msanga kuti achepetse zotsatira za khansa ya m'mawere pa thanzi.
- Njira zodalirika zoyezera: M'mabungwe aukadaulo, njira yokwanira yophatikiza kujambula kwa ultrasound ndi mammography imalimbikitsidwa.
- Kuyezetsa magazi nthawi zonse: Kuyambira ali ndi zaka 35 mpaka 40, ndi bwino kuti muyezetse mabere chaka chilichonse kuyambira chaka chimodzi mpaka ziwiri.
Nthawi yotumizira: Ogasiti-11-2023


