Litaba
- Kankere ea matsoele ke eng likatseng
- Lisosa tsa mofetše oa matsoele likatseng
- Lisosa tsa Kotsi ea Kankere ea Lebese
- Matšoao a Kankere ea Lebese ho Likatse
- Tlhahlobo ea kankere ea matsoele ea feline
- Mekhahlelo ea mofetše oa matsoele likatseng
- Kankere
- Ho buuoa ka hlahala ea matsoele ho likatse ho joang?
- Chemotherapy bakeng sa mofetše oa matsoele likatseng
- Ho tsebahala ka kankere ea matsoele likatseng
- Thibelo ea mofetše oa matsoele likatseng
Na ua hlokomela hore katse ea hau e na le file ea matsoele a ruruhileng kapa a khutsitseng? E kanna ea ba sesupo sa mofetše oa matsoele, mofuta oa boraro oa mofets'e o atisang ho hlaha mofuteng ona. Ho lahla likatse pele ho nako ke mohato oa bohlokoa oa thibelo hobane bongata ba mofetše o matla haholo, o bitsoa adenocarcinomas. Ka hona, ho lemoha kapele kamoo ho ka khonehang, hammoho le ts'ebetso e felletseng ea ho ikoetlisa, ho bohlokoa ho lelefatsa bophelo ba kat.
Na u batla ho tseba haholoanyane ka mokhoa oa ho phekolakankere ea matsoele likatseng? Sehloohong sena sa PeritoAnimal, re tla hlalosa hore na kankere ea matsoele likatseng ke eng, matšoao a eona, tlhahlobo ea lefu lena, tšoaetso le menyetla ea kalafo.
Kankere ea matsoele ke eng likatseng
Kankere ea matsoele ke phetoho ea lisele tse tloaelehileng ho mammary gland ho lisele tsa hlahala tse nang le matla a maholo a ho ikatisa le ho hlasela lisele tse haufi kapa tse hole ka tsela ea hematogenous kapa lymphatic.
Ka kateng, hlahala ea matsoele e mofuta oa boraro oa mofets'e khafetsa, ea bobeli ho latela lymphoma le lihlahala tsa letlalo. Malignant li etsahala khafetsa ho feta tse mpe, ka liperesente tsa 90% le lefu le phahameng.
Adenocarcinomas ke lihlahala tse kotsi ka ho fetisisa likatseng tsa basali. Ho phaella moo, hoo e ka bang 35% ea lihlahala tsa matsoele ka nako ea tlhahlobo e se e ntse e metastasized ho lisele tse haufi. Metastasis ena e ka ama litho tse 'maloa, tse etsahalang ho feta 80% ea linyeoe tsa matšoafo.
Bakeng sa tlhaiso-leseling e batsi, u ka bala sengoloa sena se seng sa PeritoAnimal ka mofetše oa katse - mefuta, matšoao le kalafo.
Lisosa tsa mofetše oa matsoele likatseng
Har'a lisosa tse ka lebisang mofetseng oa matsoele likatseng re fumana liphatsa tsa lefutso, likokoana-hloko, livaerase tse ling le litšila tsa tikoloho. Leha ho le joalo, sesosa se ka bang teng ke lihormone, joalo ka ha lihlahala tsa matsoele li its'etleha holima li-hormone, ho bolelang hore bongata ba tsona li na le li-receptor khahlano le li-estrogen le progestins, ka hona, sterilization ea pele ke thibelo e ntle ka ho fetisisa.
Phekolo ea nako e telele e nang le progestogens e eketsa menyetla ea ho hlahisa, e le mokhoa o ka sehloohong oo progesterone kapa progestogens e hlohlelletsang lihlahala tlhahiso e fetelletseng ea kholo ea "hormone" ea mammary, e tla khothaletsa ka kotloloho kholo ea tšoelesa le ka kotloloho ka lebaka la kholo e amanang le insulin e phethang karolo ea bohlokoa ho ata ha sele le ho fetoha lisele tse nang le methapo.
Lisosa tsa Kotsi ea Kankere ea Lebese
Kotsi ea katse e nang le mofetše oa matsoele ea eketseha:
- Ha lilemo tsa hau li ntse li eketseha.
- Haeba e sa silafatsoe.
- Haeba li nonyetsoe morao haholo.
Mefuta efe kapa efe e ka ameha, empa liphuputso tse ling li bonts'a hore likatse tse tšehali tsa Siamese li na le kotsi ea ho tšoaroa ke lefu lena habeli. Ho likatse tsa mofuta oa Europe hangata ho etsahala khafetsa.
Matšoao a Kankere ea Lebese ho Likatse
Haeba u hlokomela ho ruruha sefubeng sa kat, ho hotle ho ela hloko. likatse li na le kakaretso ea matsoele a robeli arotsoe ka tse peli tse cranial le tse peli tse caudal lipara. Lihlahala tsa matsoele li ka hlaha ka thoko e le ntho e le 'ngoe, e khaotsoeng hantle, e tsamaeang ka bongata kapa kholo e kenang e kenang joalo ka libaka tse tebileng tse nang le monyetla oa ho tsoa seso le ho baka tšoaetso ea bobeli.
Ho boetse ho tloaelehile hore sefuba se tšoanang se amehang se hlahisoe maqhutsu a mangata, leha ho tloaelehile hore matsoele a mangata a amehe (o tla bona ho ruruha matsoeleng a feline). Mabapi le Likatse tse 60% li na le hlahala e fetang bonngoe ha e fumanoa. Hangata li-lymph node li boetse lia ameha.
Likatseng, bohale ba hlahala ea matsoele bo boholo haholo ho feta lintja tse tšehali, e le hore lisele tsa hlahala li hlasele potoloho ea lymphatic ka potlako ebe li fetisetsa litho tse hole. Uena matšoao a bongaka e bontšang hlahala ea matsoele likatseng ke:
- Ho phatloha ka letsoele le le leng kapa ho feta (ho ruruha ha letsoele ka kateng)
- Kholo ea maqhutsu ana.
- Ho ruruha ha hlahala.
- Ts'oaetso ea matsoele.
- Maloetse a matšoafo kapa a litho tse ling haeba hlahala e nametse.
- Ho fokotsa boima ba 'mele.
- Bofokoli.
Tlhahlobo ea kankere ea matsoele ea feline
Mokhoa o tloaelehileng oa ho hlahloba lefu lena o kenyelletsa mali, moroto le sefuba radiographs. Joalo ka ha hangata ho le joalo ho likatse tse tšehali tsa basali, ho bohlokoa hape ho lekanya T4 ho lekola boemo ba qoqotho.
Le ha boholo ba lihlahala tsa matsoele likatseng li le mpe, ha ho fanoa ka liso tsa matsoele tse hlalositsoeng kaholimo, a ho khetholla phapang le mafu a mang ao likatse tse se nang neutered li ka li hlahisang: fibroadenomatous hyperplasia, pseudopregnancy le bokhachane.
O hlahala sethaleng tsamaiso e khopo boikemisetso Kankere ea matsoele ea Feline e ipapisitse le boholo ba hlahala ea mantlha ka ho metha bophara ba boima (T), ho nka karolo ha li-lymph node (N) tse haufi le metastasis ho litho tse hole (M). Litšoelesa tsohle tsa mammary le lisele tse haufi li lokela ho otlolloa, ntle le palpation le cytology ea li-lymph node tsa sefuba, X-ray ea sefuba e nkuoeng ka bongata ho lekola metastasis ea pulmonary, le ultrasound ea mpa ho lekola metastasis ho litho tsa mpa.
Mekhahlelo ea mofetše oa matsoele likatseng
Mekhahlelo ea kankere ea matsoele likatseng ke:
- Ke: makumane a ka tlase ho 2 cm (T1).
- II: Makhopho a 2-3 cm (T2).
- III: makhopho a maholo ho feta 3 cm (T3) a nang le kapa a se na metastasis ea tikoloho (N0 kapa N1) kapa T1 kapa T2 e nang le metastasis ea tikoloho (N1).
- IV: metastasis e hōle (M1) le boteng kapa ho ba sieo ha metastasis ea tikoloho.
Kankere
Ha mammary adenocarcinomas likatseng tsa basali e hlasela ebile e na le sekhahla se phahameng sa ho nka karolo ha lymphatic, kalafo e mabifi. Haeba u batla ho tseba ho phekola mofetše oa matsoele likatseng, ho bohlokoa ho hlokomela hore kalafo ena e tla ba le ho buuoa ka matsoele, eo hape e bitsoang mastectomy, e ka tlatsetsoang ka chemotherapy le radiotherapy. Radiotherapy ke kalafo ea lehae eo likatse li ka atlehang ho thibela ho hlahala ha hlahala.
Ho buuoa ka hlahala ea matsoele ho likatse ho joang?
Mastectomy ho likatse e mabifi ho feta mefuta ea canine, joalo ka e tlameha ho etsoa ho pholletsa le ketane ea sefuba e amehileng. E thibetsoe feela ha lefu lena le se le tsoetse pele haholo 'me ho se ho ntse ho e-na le metastase ho litho tse hole, ka hona, mastectomy e felletseng ka lehlakoreng le leng haeba matsoele a anngoeng a le lethathamong le le leng kapa a kopantsoe ka ho felletseng haeba matsoele a amehileng a ajoa ka liketane ka bobeli tsa matsoele. Hape, e tlameha ho tlosoa ka botlalo margins a sephara tseo e leng tsa bohlokoa ho fokotsa ho iphetetsa ha mofetše sebakeng seo le ho eketsa nako ea ho phela.
Lisele tsa mmele tse amehileng e lokela ho kenyelletsoa ho mastectomy. Lymph node ea inguinal e tlosoa hammoho le tšoelesa ea mammary ea caudal mme lymph node ea axillary e tlosoa ha feela e holisitsoe kapa haeba metastasis e fumanoa ho cytology. Hang ha e ntšitsoe, ho lokela ho bokelloa mehlala ho e romella ho histopathology ho fumana mofuta oa hlahala eo kat e nang le eona.
Nakong ea kamora 'ts'ebetso ea mastectomy ho likatse, li-analgesics le lithibela-mafu lia hlokahala ho laola bohloko, ho ruruha le tšoaetso e ka bang teng. Beke ea pele ha e phutholohe ka ho fetesisa, haholoholo lipakeng tsa linaha tse peli. Ho ka nka matsatsi a 'maloa hore ntlafatso ea katse ea hau, takatso ea eona ea bophelo le matla a eona. E tlameha ho beoa Sefaha sa Elizabethan hore u se ke ua nyeka sebaka seo 'me litepa li bulehe. Ka lehlakoreng le leng, mathata a ka bang teng ke:
- Ache.
- Ho ruruha.
- Tšoaetso.
- Necrosis.
- Boiketsi ba ho koata.
- Ho senyeha ha li-suture.
- Leoto le ka morao la edema.
Chemotherapy bakeng sa mofetše oa matsoele likatseng
Mokhoa o motle oa ho phekola mofets'e oa likatse ke ho sebelisa metheo ea oncology. Chemotherapy e kopanetsoeng e khothaletsoa likatseng tsa basali tse nang le mekhahlelo ea bongaka ea III le IV kapa likatse tse nang le mohato II kapa III lihlahala tse kotsi. E etsoa kamora ho tlosoa ha hlahala ho liehisa ho pheta-pheta, ho lelefatsa nako ea tšoarelo le ho liehisa ponahalo ea metastasis. Hangata e tsamaisoa ho libeke tse ling le tse ling tse 3-4, Ho fana ka kakaretso ea lipotoloho tse 4-6. Litla-morao tse ka hlahang katse e kenang chemotherapy ke: anorexia le phokolo ea mali le ho fokotsa lisele tse tšoeu tsa mali ka lebaka la khatello ea maikutlo.
Ho ka ba monate ho eketsa sethethefatsi se seng sa steroidal se khahlanong le ho ruruha (NSAID) e thibelang cyclooxygenase mofuta oa 2 (COX-2), joalo ka firocoxib kapa meloxicam, kaha lihlahala tsena li bonts'itsoe ho hlahisa COX-2. Ka lehlakoreng le leng, ho fapane Mekhoa ea chemotherapy li hlalositsoe bakeng sa lihlahala tsa matsoele tsa feline:
- Haeba re sebetsana le kankere ea matsoele ea sethaleng sa III kapa IV: doxorubicin (20-30 mg / m2 kapa 1 mg / kg ka intravenously libeke tse ling le tse ling tse 3) + cyclophosphamide (100 mg / m2 matsatsi a 3 libeke tse ling le tse ling tse 3 bakeng sa tsela ea molomo).
- Ka ho buuoa + carboplatin (200 mg / m2 ka har'a methapo libekeng tse ling le tse ling tsa 3, litekanyetso tsa 4) li bonts'itse pholoho e bohareng ea matsatsi a 428.
- Likatse tse nang le opereishene le doxorubicin ka lihlahala tse nyane ho 2 cm li bonts'itse pholoho e bohareng ea matsatsi a 450.
- Ka ho buuoa le doxorubicin, ho phela matsatsi a 1998.
- Ka ho buuoa, doxorubicin le meloxicam ho phela matsatsi a 460 ho ile ha bonoa.
- Ka ho buuoa le mitoxantrone (6 mg / m2 e kenang ka methapo libekeng tse ling le tse ling tse 3, litekanyo tse 4) ho ile ha etsoa qeto ea ho phela matsatsi a 450.
Hangata e tsamaea le lisebelisoa tsa lijo, li-antiemetics le litakatso tsa takatso ea lijo bakeng sa ho thibela ho theola boima ba 'mele le ho lokisa matšoao. Ka nako e ts'oanang, haeba katse e na le mofuta ofe kapa ofe oa ho se sebetse, e tlameha ho phekoloa.
Hona joale kaha u tseba ho phekola kankere ea matsoele likatseng, re tla bua ka phatlalatso.
Ho tsebahala ka kankere ea matsoele likatseng
Nako e tloaelehileng ea ho pholoha ho tloha ts'ibollong ea mofets'e oa matsoele ho isa lefung la katse ke Likhoeli tse 10-12. Ho fumanoa kapele le mastectomy ea pele ke lintlha tsa bohlokoa tse eketsang nako ea ho phela.
Phatlalatso e tla lula e le teng hobe le ho feta bophara ba kholo ea hlahala, kahoo haeba hlama kapa makhopho a maholo haholo, ela hloko. Ba nang le bophara bo nyane ba ne ba na le linako tse telele tsa tšoarelo le nako e telele ea ho phela. Boteng ba metastasis e hole bo lula bo supa ho hlaseloa hampe.
Ka tsela ena, haeba u hlokomela liphetoho tse ling matsoeleng a katse ea hau, u lokela e-ea ho ngaka ea liphoofolo ho fumana kapele kamoo ho ka khonehang haeba re tobane le mofetše kapa mafu a mang a matsoele. Joalokaha re se re boletse, tsoelo-pele ea mofetše o bohloko oa matsoele e bohloko, joalo ka ha hangata e tla hlasela matšoafo a katse ea rona, e mo thatafalletse ho hema hantle, hammoho le likarolo tse ling tsa 'mele oa hae, mme qetellong e tla baka lefu la hao.
Thibelo ea mofetše oa matsoele likatseng
Thibelo e ntle ka ho fetisisa ea mofets'e oa katse ke ho hlapaoa pele ho nako, pele ho la pele mocheso, kaha e tla fokotsa haholo menyetla ea ho tšoaroa ke lefu lena, e leng ea bohlokoa, kaha tebello ea bophelo ea katse e nang le mofetše oa matsoele e tlase haholo, leha e le ka kalafo.
Haeba sterilized kamora selemo sa pele sa bophelo, leha ho se na phokotso ea monyetla oa mofetše oa matsoele, e ka thibela mafu a mang a kang pyometra, metritis le mae a bomme kapa lihlahala tsa popelo.
ho hlaba kapele fokotseha haholo nehelano ea nako e tlang ea mofets'e oa likatse, e le hore:
- E fokotseha ka 91% haeba e etsoa pele ho likhoeli tse 6, ke hore, ba tla ba le monyetla oa 9% oa mahlomola.
- Kamora 'mocheso oa pele, monyetla o tla ba 14%.
- Kamora mocheso oa bobeli, monyetla o tla ba 89%.
- Kamora mocheso oa boraro, kotsi ea mofetše oa matsoele ha e fokotsehe.
Sehloohong sena u bone hore na ke eng, matšoao le mokhoa oa ho phekola mofetše oa matsoele likatseng. Ka tlase re siea video ho tsoa kanaleng ea YouTube ea PeritoAnimal mabapi le mafu a atileng haholo likatseng a ka u khahlang:
Sengoloa sena se reretsoe ho fana ka tlhaiso-leseling feela, ho PeritoAnimal.com.br ha re khone ho fana ka kalafo ea bongaka ba liphoofolo kapa ho etsa mofuta ofe kapa ofe oa tlhahlobo. Re fana ka maikutlo a hore o ise phoofolo ea lapeng ho ngaka ea liphoofolo haeba e ka ba le boemo bofe kapa bofe bo sa thabiseng.
Haeba u batla ho bala lingoliloeng tse ling tse tšoanang le Kankere, re khothaletsa hore o kenye karolo ea rona ea Mafu a tšoaetsanoang.