Momwe opaleshoni ya khansa yamatumbo yachitidwira
Zamkati
Opaleshoni ndiyo njira yayikulu yothandizira khansa ya m'matumbo, chifukwa imagwirizana ndi njira yofulumira komanso yothandiza yochotsera ma cell ambiri a chotupa, kutha kuchiza khansa munthawi zovuta za grade 1 ndi 2, kapena kuchedwetsa kukula kwake, mu milandu yoopsa kwambiri.
Mtundu wa opareshoni womwe umagwiritsidwa ntchito umadalira komwe kuli khansara, mtundu wake, kukula kwake ndi kuchuluka kwake kufalikira mthupi, ndipo kungafunike kuchotsa kachigawo kakang'ono chabe ka khoma la m'mimba kapena kuchotsa gawo lonse.
Pa mtundu uliwonse wa maopareshoni, adotolo angavomereze njira zina zamankhwala, monga chemotherapy kapena radiation, kuti athetse ma cell a khansa omwe sanachotsedwe ndikupewa chotupacho. Milandu yovuta kwambiri, yomwe mwayi wochiritsidwa ndi wotsika kwambiri, mankhwalawa amathanso kuthana ndi zizindikilo. Onani zambiri za chithandizo cha khansa yamatumbo.
1. Opaleshoni yopanda khansa
Khansayo ikadali yoyamba, dokotala nthawi zambiri amalimbikitsa kuti achite opaleshoni yosavuta, chifukwa ndi gawo laling'ono lamatumbo lomwe lakhudzidwa, lomwe ndi vuto la tizilombo tating'onoting'ono. Pochita opaleshoniyi, adokotala amagwiritsa ntchito chubu chaching'ono, chofanana ndi kuyesa kwa colonoscopy, komwe kumapeto kwake kuli chida chothandizira kuchotsa zidutswa za khoma la m'mimba.
Chifukwa chake, adotolo amachotsa ma cell a khansa ndi maselo athanzi ozungulira dera lomwe lakhudzidwa kuti awonetsetse kuti khansayo isayambiranso. Maselo omwe amachotsedwa opaleshoni amatumizidwa ku labotale kuti akawunike.
Pambuyo pofufuza labotale, adotolo amawunika kuchuluka kwa kusintha kwa maselo owopsa ndikuwunika kufunikira kochitidwa opaleshoni yatsopano kuti achotse minofu yambiri.
Kuchita opaleshoniyi kumachitika ku ofesi ya adotolo, chifukwa chake, sikofunikira kugwiritsa ntchito mtundu uliwonse wa mankhwala oletsa ululu, ndipo kungogwiritsa ntchito sedation yofatsa. Chifukwa chake, ndizotheka kubwerera kunyumba tsiku lomwelo, osakhala mchipatala.
2. Opaleshoni ya khansa inayamba
Khansara ikafika kale patali, opareshoniyo imakula kwambiri, motero, ndikofunikira kuti zichitikire kuchipatala pansi pa oesthesia wamba, ndikofunikanso kuti munthuyo akhalebe mchipatala masiku angapo asanabwerere kunyumba kuyang'aniridwa. ndikuwonetsetsa kuti palibe zovuta.
Nthawi zina, asanachite opareshoniyo, pangafunike kuti munthuyo amuthandizire chemotherapy kapena ma radiotherapy kuti achepetse kukula kwa chotupacho, motero, sizotheka kuchotsa mbali zazikulu zamatumbo.
Malingana ndi kukula kwa khansa ya m'mimba, mitundu iwiri ya opaleshoni imatha kuchitidwa:
- Opaleshoni yotseguka, momwe mumadulidwa pamimba kuti muchotse gawo lalikulu lamatumbo;
- Opaleshoni ya laparoscopic, momwe timabowo ting'onoting'ono timapangidwira m'mimba momwe mumayikidwira chida chamankhwala, chomwe chimayang'anira kuchotsa gawo la m'matumbo.
Atachotsa gawo lomwe lakhudzidwa, dokotalayo amalumikiza mbali ziwirizo za m'matumbo, kulola kuti limba libwezeretse ntchito yake. Komabe, zikafunika kuchotsa gawo lalikulu kwambiri la m'matumbo kapena opaleshoniyi ndi yovuta kwambiri, adotolo amatha kulumikiza matumbo molunjika pakhungu, lotchedwa ostomy, kulola matumbo kuti achire asanagwirizane awiriwo maphwando. Mvetsetsani chomwe chiri komanso momwe muyenera kusamalira ostomy.