Chiwindi metastases

Matenda a chiwindi amatanthauza khansa yomwe yafalikira pachiwindi kuchokera kwinakwake mthupi.

Matenda a chiwindi si ofanana ndi khansa yomwe imayamba m'chiwindi, yomwe imadziwika kuti hepatocellular carcinoma.

Pafupifupi khansa iliyonse imafalikira pachiwindi. Khansa yomwe imafalikira pachiwindi ndi iyi:

• Khansa ya m'mawere
• Khansa yoyipa
• Khansa ya Esophageal
• Khansa ya m'mapapo
• Khansa ya pakhungu
• Khansara ya pancreatic
• Khansa yam'mimba

Kuopsa kwa khansa kufalikira pachiwindi kumadalira malo (tsamba) la khansa yoyambirira. Matenda a chiwindi amatha kupezeka pomwe khansa yoyambirira (yoyamba) imapezeka kapena itha kuchitika miyezi kapena zaka chithunzicho chitachotsedwa.

Nthawi zina, sipakhala zizindikiro. Zizindikiro zikachitika, zimatha kuphatikiza:

• Kuchepetsa chilakolako
• Kusokonezeka
• Malungo, thukuta
• Jaundice (chikasu chachikopa ndi azungu amaso)
• Nseru
• Ululu, nthawi zambiri kumtunda chakumanja kwamimba
• Kuchepetsa thupi

Mayeso omwe angachitike kuti apeze metastases ya chiwindi ndi awa:

• CT scan pamimba
• Kuyesa kwa chiwindi
• Chiwindi
• MRI ya pamimba
• Kujambula PET
• Ultrasound pamimba

Chithandizo chimadalira:

• Malo oyambira khansa
• Kodi muli ndi zotupa zingati za chiwindi?
• Kaya khansara yafalikira ku ziwalo zina
• Thanzi lanu lonse

Mitundu yamankhwala omwe angagwiritsidwe ntchito afotokozedwa pansipa.

KUGWIDWA

Chotupacho chikangokhala gawo limodzi kapena angapo pachiwindi, khansayo imatha kuchotsedwa ndikuchita opaleshoni.

CHIWANDA

Khansara ikafalikira pachiwindi ndi ziwalo zina, thupi lonse (systemic) chemotherapy imagwiritsidwa ntchito. Mtundu wa chemotherapy womwe umagwiritsidwa ntchito umadalira mtundu woyambirira wa khansa.

Khansara ikafalikira m'chiwindi, systemic chemotherapy itha kugwiritsidwabe ntchito.

Chemoembolization ndi mtundu wa chemotherapy kudera limodzi. Thupi laling'ono lotchedwa catheter limalowetsedwa mumtsempha m'mimba. Catheter imalowetsedwa mumtsempha m'chiwindi. Mankhwala opha khansa amatumizidwa kudzera pamatope. Kenako mankhwala ena amatumizidwa kudzera pamatope kuti aletse magazi kulowa m'chiwindi ndi chotupacho. Izi "zimapha njala" ma cell a khansa.

CHithandizo CHINA

• Mowa (ethanol) wolowetsedwa mu chotupa cha chiwindi - Singano imatumizidwa kudzera pakhungu mwachindunji pachotupa cha chiwindi. Mowa umapha ma cell a khansa.
• Kutentha, pogwiritsa ntchito wailesi kapena mphamvu yama microwave - Singano yayikulu yotchedwa kafukufuku imayikidwa pakatikati pa chotupa cha chiwindi. Mphamvu imatumizidwa kudzera pamawaya ang'onoang'ono otchedwa maelekitirodi, omwe amalumikizidwa ndi kafukufukuyu. Maselo a khansa amatenthedwa ndikufa. Njirayi imatchedwa radiofrequency ablation pakagwiritsa ntchito mphamvu ya wailesi. Amadziwika kuti microwave ablation pomwe magetsi a microwave agwiritsidwa ntchito.
• Kuzizira, komwe kumatchedwanso cryotherapy - Kafukufuku amayikidwa pokhudzana ndi chotupacho. Mankhwala amatumizidwa kudzera mu kafukufuku yemwe amachititsa kuti makhiristo a ayezi apange kuzungulira kafukufuku. Maselo a khansa ndi oundana ndipo amafa.
• Mikanda yama radioactive - mikanda iyi imapereka radiation kuti iphe ma cell a khansa ndikuletsa mtsempha wopita ku chotupacho. Njirayi imatchedwa radioembolization. Zimachitidwa chimodzimodzi ndi chemoembolization.

Momwe mumakhalira bwino zimatengera komwe khansa yoyambirira idafalikira komanso momwe yafalikira ku chiwindi kapena kwina kulikonse. Nthawi zina, opaleshoni yochotsa zotupa za chiwindi imabweretsa kuchira. Izi zimatheka pokhapokha ngati pali zotupa zingapo m'chiwindi.

Nthawi zambiri, khansa yomwe yafalikira pachiwindi sichitha. Anthu omwe khansa yafalikira pachiwindi nthawi zambiri amamwalira ndi matenda awo. Komabe, chithandizo chamankhwala chitha kuthandiza kuchepetsa zotupa, kusintha chiyembekezo cha moyo, ndikuchepetsa zizindikilo.

Zovuta nthawi zambiri zimachitika chifukwa cha zotupa zomwe zimafalikira kudera lalikulu la chiwindi.

Zitha kuphatikiza:

• Kutsekedwa kwa kutuluka kwa bile
• Kuchepetsa chilakolako
• Malungo
• Kulephera kwa chiwindi (nthawi zambiri kumapeto kwa matenda)
• Ululu
• Kuchepetsa thupi

Aliyense amene ali ndi khansa yomwe imafalikira pachiwindi ayenera kudziwa zizindikilo zomwe zalembedwa pamwambapa, ndipo itanani dokotala ngati izi zitheka.

Kuzindikira mitundu ina ya khansa msanga kungalepheretse kufalikira kwa khansa iyi m'chiwindi.

Metastases pachiwindi; Khansa ya chiwindi; Khansa ya chiwindi - metastatic; Khansa yoyipa - metastases ya chiwindi; Khansa ya m'matumbo - metastases a chiwindi; Khansa Esophageal - metastases chiwindi; Khansa ya m'mapapo - metastases ya chiwindi; Melanoma - metastases a chiwindi

• Chiwindi
• Khansa ya hepatocellular - CT scan
• Chiwindi cha metastases, CT scan
• Zakudya zam'mimba ziwalo

Mahvi DA. Mahvi DM. Chiwindi metastases. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 58.