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Wednesday, August 28, 2013

Breast Cancer





Cancer cells are abnormal cells. Cancer cells grow and divide more quickly than healthy cells. Some cancer cells may form growths called tumors. All tumors increase in size, but some tumors grow quickly, others slowly. Cancer cells can spread to other parts of the body through the blood and lymph systems. This is called metastasis.

Breast cancer is when cancer starts in the breast. Breast cancer can be found by mammogram, by a woman feeling a lump or by a doctors exam. To find breast cancer, it is important to:

    Do monthly self breast exams.

    Have a yearly exam by your doctor if you are over 40. These are done
less often for younger women.

    Have a mammogram each year after age 40.



Breast Tissue

A womans breasts may feel more firm and lumpy before menopause. A woman has less estrogen after menopause, so the breasts feel much softer and less lumpy.

The firm, lumpy tissue can hide a small lump making it hard to feel. By checking your breasts each month, you become familiar with your breast tissue and notice changes. Small lumps can also be found by a mammogram or by a doctor during your exam. Some lumps are so small that only a mammogram can find them.
 Lru dSalj


dSalj  okyh  dksf’kdk,a vlkekU; dksf’kdk,a   gksrh gSaA    dSalj  okyh  dksf’kdk,a LoLFk  dksf’kdkvksa  dh rqyuk esa    vf/kd rsth ls c<+rh  vkSj foHkkftr    gksrh gSaA    dSalj  okyh  dqN dksf’kdkvksa ds  dkj.k  ‘kjhj ds fdlh   vax esa  dksbZ     o`f) Hkh  gks    ldrh gS   ftls V~;wej  dgk tkrk gSA  lHkh    V~;wejksa dk vkdkj c<+rk  gS]   ysfdu dqN  V~;wej rsth ls c<+rs  gSa    tcfd vU; /khjs&/khjs c<+rs  gSaA    dSalj  okyh  dksf’kdk,a jDr vkSj  yfldk ra=ksa   ds  tfj,  ‘kjhj  ds vU;  fgLlksa  rd Hkh   QSy ldrh gSaA    bls  esVkLVSfVl dgk tkrk  gSA

Lru esa    dSalj   gksuk ‘kq:   gksus   ij Lru  dSalj gksrk   gSA Lru dSalj dk irk eSeksxzke  ls]  efgyk   dks xkaB  eglwl gksus   ds }kjk ;k  MkWDVj   dh tkap ls yxk;k  tk ldrk gSA   Lru  dSalj dk irk yxkus ds fy,]  fuEu    egRoiw.kZ gSa    %

  ekfld :i ls  Lo;a Lru  ijh{k.k djsaA

  ;fn vki  40 o”kZ   ls vf/kd  dh gSa    rks  vius MkWDVj   ls okf”kZd  tkap   djk,aA   ;qok efgykvksa esa    ;s dqN vf/kd  varjky  esa    djkbZ tkrh   gSA

  40 o”kZ   ds ckn  izfr  o”kZ   ,d eSeksxzke  djk,aA



Lru ds  Ård

jtksfuo`fÙk ds  igys  fdlh   efgyk ds Lru  vf/kd  Bksl  vkSj xBhys  eglwl gks   ldrs gSaA    jtksfuo`fÙk ds ckn efgyk  esa    de ,LVªkstsu    gksrs gSa]    blfy, Lru vf/kd uje vkSj  de xBhys  eglwl gksrs     gSaA

Bksl]  xBhys  Ård fdlh NksVh xkaB  dks   Nqikdj bls eglwl  djuk  dfBu  cuk ldrs gSaA    izR;sd ekg vius Lruksa  dh  tkap  djus  ds }kjk] vki   vius  Lru  ds Årdksa ls  ifjfpr gks   tkrh gSa    vkSj  buesa
vkus  okys  cnykoksa  dks  tku tkrh gSaA    dqN  xkaBsa eSeksxzke      }kjk  ;k MkWDVj   }kjk vkidh  tkap   ds  nkSjku
Hkh  ikbZ    tk ldrh gSaA    dqN  xkaBsa   bruh NksVh gksrh   gSa    fd mudk irk flQZ    eSeksxzke }kjk    gh  yxk;k tk ldrk gSA
 
Tests

If a lump is found, a F.N.A.C (fine needal aspiration ) or ultrasound will be done. A biopsy
is often done to check if the lump is cancer and if so, what type. A biopsy is a procedure to remove tiny pieces of tissue. The samples are then checked by a doctor. If the biopsy finds cancer, more tests may be done
to see if the cancer has spread to other parts of your body.



Types of Treatment

Based on your biopsy results and the type of cancer, you and your
doctor will decide the best treatment for your breast cancer. Here are the treatments that may be done:
 Chemotherapy

Treatment may be needed to target cancer cells that may be remaining in the body. It may be done before surgery to shrink a tumor or after surgery to kill cancer cells that may have spread or that remain in the body.

Radiation Therapy

When a lumpectomy is done, it is often followed by radiation therapy. Radiation therapy is done to treat the entire breast. Radiation therapy often begins 4 to 6 weeks after surgery.



Surgery

Surgery is done to remove as much of the cancer as possible. Either the whole breast is removed, called mastectomy, or a part of the breast is removed, called lumpectomy. With either surgery, lymph nodes under the arm are checked for cancer. You and your doctor may also talk about reconstruction surgery. This surgery is done to create the look of a normal breast.

You may still need to have more treatment. Having a mastectomy or lumpectomy does not guarantee that the breast cancer is gone from the entire body. Small cancer cells that are too small to detect may remain in the body.



ijh{k.k

;fn fdlh xkaB  dk irk pyrk gS  rks  F.N.A.C (fine needal aspiration );k vYVªklkmaM  djk;k tk,xkA ;g tkapus  ds  fy,
,d ck;ksIlh dh  tkrh   gS   fd D;k og  xkaB dSalj   okyh  gS  vkSj    ;fn ,slk gS]  rks   fdl izdkj dk
dSalj gSA   Ård ds  NksVs   VqdM+s   fudkyus  dh  izfØ;k ck;ksIlh gksrh   gSA blds  ckn MkWDVj   }kjk  uewuksa dh tkap dh tkrh  gSA   ;fn ck;ksIlh  esa    dSalj dk  irk pyrk gS]   rks ;g ns[kus ds  fy, vkSj  vf/kd ijh{k.k fd, tk ldrs gSa    fd dgha dSalj  vkids   ‘kjhj  ds vU;   fgLlksa  esa    rks  ugha   QSyk   gSA



mipkj ds  izdkj

vkids ck;ksIlh   ds  ifj.kkeksa vkSj dSalj   ds  izdkj    ds  vk/kkj  ij] vki vkSj  vkidk MkWDVj   vkids Lru dSalj  ds fy, loksZÙke  mipkj   dk  fu.kZ; djsaxsA tks  mipkj fd, tk ldrs gSa]  os    ;s  gSa    %

kY;fØ;k

;FkklaHko  vf/kd  ls vf/kd  dSalj dks fudkyus    ds  fy, ‘kY;fØ;k dh tkrh  gSA   ;k rks  iwjk  Lru  gh fudky fn;k tkrk gS]   ftls eSLVsDVkWeh  dgrs gSa]    ;k fQj Lru dk ,d fgLlk fudkyk tkrk  gS] ftls yaisDVkWeh  dgrs gSaA   nksuksa     esa   ls  izR;sd ‘kY;fØ;k  esa]   dSalj  ds fy, ckagksa   ds uhps dh  yfldk xzafFk;ksa   dh tkap dh tkrh  gSA   vki vkSj vkids   MkWDVj   iqufuZekZ.k  ‘kY;fØ;k ds  ckjs esa   Hkh    ckr dj ldrs gSaA    ;g ‘kY;fØ;k ,d lkekU; Lru  tSlk fn[kkbZ  nsus ds  fy, dh tkrh  gSA

blds  ckn Hkh   vkidks   vkSj vf/kd  mipkj  djkus dh vko’;drk gks   ldrh gSA   eSLVsDVkWeh   ;k yaisDVkWeh  bl ckr dh xkjaVh  ugha  nsrs  gSa    fd Lru  dSalj laiw.kZ  ‘kjhj ls nwj   gks  x;k gSA   dSalj  okyh NksVh  dksf’kdk,a ‘kjhj  esa    cph jg ldrh gSa    tks bruh  NksVh gksrh   gSa    fd budk irk yxkuk dfBu gksrk  gSA

fofdj.k Fksjsih

yaisDVkWeh  ds   iwjk  gks tkus   ds  ckn]   izk;% fofdj.k Fksjsih dh  tkrh   gSA   fofdj.k Fksjsih   laiw.kZ  Lru dk mipkj  djus  ds fy, dh tkrh  gSA   fofdj.k Fksjsih  izk;%  ‘kY;fØ;k ds 4 ls  6 lIrkg   ckn ‘kq: dh tkrh gSA

gkeksZu Fksjsih vkSj  dheksFksjsih

‘kjhj esa    cph jg ldus   okyh dSalj dh dksf’kdkvksa  dks  yf{kr djus ds  fy, mipkj dh vko’;drk gks   ldrh gSA   ;g ‘kY;fØ;k ls igys  V~;wej  dks  ladqfpr  djus  ;k  ‘kY;fØ;k ds ckn ‘kjhj esa    QSyh gks   ldus   okyh ;k  cph jg ldus   okyh dSalj dh dksf’kdkvksa  dks lekIr  djus ds  fy, dh tk
ldrh gSA
 
    Hormone therapy is medicine in pill form taken to work against estrogen in the body. The most common side effect is signs of menopause.

    Chemotherapy is medicine given in an IV (intravenous) tube in a vein or as a pill. The medicine kills cancer cells. Common side effects include feeling tired, hair loss and nausea. These side effects are often temporary.


  gkWeksZu Fksjsih    xksyh  ds  :i esa    nok gS   tks ‘kjhj  esa    ,LVªkstsu ds  f[kykQ   dke  djus  ds fy, yh tkrh gSA   bldk lokZf/kd lkekU;  nq”izHkko  jtksfuo`fÙk ds  y{k.k  gksuk   gSA

  dheksFksjsih fdlh ul esa    vkbZoh   ¼var%f’kjk½  V~;wc  ls  nok  nsuk ;k xksyh ds  :i esa    nsuk   gSA ;g nok dSalj   okyh   dksf’kdkvksa dks  lekIr djrh gSA   lkekU; nq”izHkkoksa     esa   Fkdku eglwl   djuk]  cky  >M+uk vkSj eryh   vkuk gSA   ;s  nq”izHkko  vDlj vLFkkbZ   gksrs  gSaA



;fn  vkids dksbZ  iz’u ;k fpark,a  gksa rks    vius MkWDVj  ;k ulZ ls ckr djsaA





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