Khansa Yotulutsa Mimba

Zamkati

• Mitundu ya cholangiocarcinoma
• Kodi zizindikiro za cholangiocarcinoma ndi ziti?
• Kodi chimayambitsa cholangiocarcinoma ndi chiyani?
• Ndani ali pachiwopsezo cha cholangiocarcinoma?
• Kodi cholangiocarcinoma imapezeka bwanji?
• Kodi cholangiocarcinoma imathandizidwa bwanji?
• Opaleshoni
• Kodi anthu okhala ndi cholangiocarcinoma amakhala ndi chiyembekezo chotani kwakanthawi?

Chidule cha cholangiocarcinoma

Cholangiocarcinoma ndi khansa yosawerengeka ndipo nthawi zambiri imapha yomwe imakhudza mitsempha ya bile.

Mipata ya bile ndi timachubu tambirimbiri tomwe timanyamula timadziti ta m'mimba totchedwa bile kuchokera m'chiwindi chanu (komwe amapangira) kupita ku ndulu yanu (komwe imasungidwa). Kuchokera pa ndulu, ma ducts amanyamula bile kupita m'matumbo anu, komwe kumathandizira kuwononga mafuta mu zakudya zomwe mumadya.

Nthawi zambiri, cholangiocarcinoma imachitika m'magawo am'mimba omwe amakhala kunja kwa chiwindi. Nthawi zambiri, khansara imatha kutuluka m'mitsempha yomwe ili mkati mwa chiwindi.

Mitundu ya cholangiocarcinoma

Nthawi zambiri, cholangiocarcinomas ndi gawo la banja la zotupa zotchedwa adenocarcinomas, zomwe zimayambira m'matumbo am'mimbamo.

Pafupifupi, ndi squamous cell carcinomas, omwe amakula m'maselo oopsa omwe amayenda m'mimba mwanu.

Zotupa zomwe zimayamba kunja kwa chiwindi chanu zimakhala zochepa kwenikweni. Omwe ali pachiwindi amatha kukhala ochepa kapena akulu.

Kodi zizindikiro za cholangiocarcinoma ndi ziti?

Zizindikiro zanu zimatha kusiyanasiyana kutengera komwe kuli chotupa chanu, koma zitha kuphatikizira izi:

• Jaundice, yomwe imakhala yachikasu pakhungu, ndiye chizindikiro chofala kwambiri. Izi zitha kuchitika koyambirira kapena mochedwa, kutengera chotupa.
• Mkodzo wamdima ndi mipando yotumbululuka imatha kukula.
• Kuyabwa kumatha kuchitika, ndipo kumatha kuyambitsidwa ndi jaundice kapena khansa.
• Mutha kukhala ndi ululu m'mimba mwanu womwe umalowera kumbuyo kwanu. Izi zimachitika ngati khansara ikupita.

Zowonjezera zosowa koma zoyipa zimatha kukulitsa chiwindi, ndulu, kapena ndulu.

Mwinanso mungakhale ndi zizindikiro zambiri, monga:

• kuzizira
• malungo
• kusowa chilakolako
• kuonda
• kutopa

Kodi chimayambitsa cholangiocarcinoma ndi chiyani?

Madokotala samvetsetsa chifukwa chake cholangiocarcinoma imayamba, koma amaganiza kuti kutupa kosalekeza kwamatope am'mimba komanso matenda opatsirana am'magazi kumatha kutenga nawo gawo.

Ndani ali pachiwopsezo cha cholangiocarcinoma?

Mutha kukhala ndi cholangiocarcinoma ngati ndinu amuna kapena achikulire kuposa zaka 65. Zinthu zina zitha kukulitsa chiopsezo cha khansa yamtundu uwu, kuphatikiza:

• Matenda a chiwindi (parasitic flatworm) matenda
• matenda a bile kapena kutupa kosatha
• anam`peza matenda am`matumbo
• kukhudzana ndi mankhwala omwe amagwiritsidwa ntchito m'mafakitale monga kupanga ndege
• zinthu zosowa, monga primary sclerosing cholangitis, hepatitis, Lynch syndrome, kapena biliary papillomatosis

Kodi cholangiocarcinoma imapezeka bwanji?

Dokotala wanu amamuyesa ndipo atenga magazi. Kuyezetsa magazi kumatha kuwona momwe chiwindi chanu chikugwirira ntchito ndipo chitha kugwiritsidwa ntchito kuyang'ana zinthu zotchedwa zotupa. Miyezo ya zotupa zitha kuwuka mwa anthu omwe ali ndi cholangiocarcinoma.

Mwinanso mungafunike kujambula zojambula monga ultrasound, CT scan, ndi MRI scan. Izi zimapereka zithunzi zamiyala yanu ya bile komanso malo owazungulira ndipo amatha kuwulula zotupa.

Kujambula zojambula kungathandizenso kuwongolera mayendedwe a dotolo wanu kuti achotse gawo lazinyama pazomwe zimatchedwa chithunzi chothandizidwa ndi kujambula.

Njira yotchedwa endoscopic retrograde cholangiopancreatography (ERCP) nthawi zina imachitika. Pakati pa ERCP, dokotalayo amadutsa chubu lalitali lokhala ndi kamera pakhosi panu ndikulowa nawo m'matumbo mwanu momwe mabowo amatseguka. Dokotala wanu akhoza kulowetsa utoto m'matope a bile. Izi zimathandiza kuti ducts iwoneke bwino pa X-ray, kuwulula zotchinga zilizonse.

Nthawi zina, adzapitanso kafukufuku yemwe amatenga zithunzi za ultrasound mdera lanu la ndulu. Izi zimatchedwa endoscopic ultrasound scan.

Pachiyeso chotchedwa percutaneous transhepatic cholangiography (PTC), dokotala wanu amatenga ma X-ray atalowetsa utoto m'chiwindi ndi bile. Zikatere, amalowetsa utoto m'chiwindi kudzera pakhungu la pamimba panu.

Kodi cholangiocarcinoma imathandizidwa bwanji?

Chithandizo chanu chimasiyana malinga ndi kukula kwa chotupacho, kaya chafalikira (metastasized), komanso thanzi lanu.

Opaleshoni

Chithandizo cha opareshoni ndiyo njira yokhayo yomwe imapereka chithandizo, makamaka ngati khansa yanu yakhala ikugwidwa msanga ndipo siyinafalikire kupitirira ziwindi kapena chiwindi. Nthawi zina, ngati chotupa chikadali chokhazikika m'mayendedwe a bile, mungafunike kuchotsedwa. Ngati khansara yafalikira kupitirira timadontho mpaka m'chiwindi, gawo kapena chiwindi chonse chiyenera kuchotsedwa. Ngati chiwindi chanu chonse chikuyenera kuchotsedwa, mufunika kumuika chiwindi kuti musinthe.

Ngati khansa yanu yalowa ziwalo zapafupi, njira ya Whipple itha kuchitidwa. Pochita izi, dokotala wanu akuchotsa:

• minyewa ya ndulu
• ndulu
• kapamba
• zigawo zam'mimba ndi m'matumbo

Ngakhale khansa yanu singathe kuchiritsidwa, mutha kuchitidwa opareshoni kuti muchepetse zotupa zotsekedwa za bile ndikuchepetsa zina mwazizindikiro zanu. Nthawi zambiri, dokotalayo amalowetsa chubu kuti atsegule ngalande kapena kuti adutse. Izi zitha kuthandiza kuthana ndi jaundice yanu. Gawo lotsekedwa m'matumbo limathanso kuchitidwa opaleshoni.

Mungafunike kulandira mankhwala a chemotherapy kapena mankhwala a radiation mukamachita opaleshoni.

Kodi anthu okhala ndi cholangiocarcinoma amakhala ndi chiyembekezo chotani kwakanthawi?

Ngati kuli kotheka kuchotsa chotupa chanu chonse, muli ndi mwayi wochiritsidwa. Maganizo anu amakhala abwinoko ngati chotupacho sichili m'chiwindi chanu.

Anthu ambiri sakhala oyenerera kuchitidwa opaleshoni yomwe imachotsa chotupacho pochotsa zonse kapena gawo la chiwindi kapena bile. Izi zikhoza kukhala chifukwa khansara yayamba kwambiri, yayamba kale kugwiritsidwa ntchito, kapena ili pamalo osagwira ntchito.