Khansa ya peritoneum ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse
• Mitundu yake ndi iti
• Momwe matendawa amapangidwira
• Njira zothandizira
• 1. Intraperitoneal chemotherapy
• 2. Chemotherapy m'mitsempha
• 3. Opaleshoni
• 4. Radiotherapy
• Kodi khansa ya peritoneum ingachiritsidwe?

Khansara ya Peritoneum ndi chotupa chosowa chomwe chimapezeka munyama chomwe chimayendetsa gawo lonse lamkati mwa pamimba ndi ziwalo zake, zomwe zimayambitsa zizindikilo zofananira ndi khansa m'mazira, monga kupweteka m'mimba, nseru, kutupa kwa m'mimba ndi kuwonda pang'ono chifukwa, mwachitsanzo.

Matenda a khansa ya peritoneum atha kuchitidwa ndi dokotala kapena oncologist kudzera m'mayeso ojambula, monga computed tomography ndi pet-scan, kuyesa magazi kuti muwone mapuloteni ena, omwe amadziwika kuti zotupa, ndipo makamaka, pochita biopsy. Chithandizocho chimakhazikitsidwa pagawo la chotupacho komanso thanzi la munthu ndipo zimapangidwa ndi opaleshoni, chemotherapy ndi mankhwala a radiation.

Khansara yamtunduwu nthawi zambiri imakhala yaukali komanso kutalika kwa moyo wa munthu yemwe ali ndi chotupa mu peritoneum sichimadziwika bwino, komabe, ndi opaleshoni komanso chemotherapy imatha kufikira zaka 5. Komanso, ngati khansa ya peritoneum ipezeka koyambirira, munthuyo amatha kukhala ndi moyo wautali, koma nthawi zonse kumakhala koyenera kuyesedwa chaka chilichonse.

Zizindikiro zazikulu

Khansara ya Peritoneum imafika pamizere yomwe imayang'ana pamimba ndipo imatha kuwonetsa zizindikilo monga:

• Kutupa kwa m'mimba;
• Kupweteka m'mimba;
• Kudzimbidwa kapena kutsegula m'mimba;
• Kutopa ndi kufooka kwakukulu;
• Kusowa kwa njala;
• Zovuta pakudya chakudya;
• Kuchepetsa thupi popanda chifukwa.

Kuphatikiza apo, ngati matendawa atapezeka kwambiri, ndikotheka kudziwa ascites, ndipamene madzi amadzipezera m'mimba, ndipo izi zitha kupondereza mapapu omwe amachititsa kupuma pang'ono komanso kupuma movutikira. Onani momwe mankhwala a ascites amachitikira.

Zomwe zingayambitse

Zomwe zimayambitsa khansa ya peritoneum sizikudziwika bwino, koma zimadziwika kuti, nthawi zina, khansa yamtunduwu imayamba chifukwa maselo a khansa ochokera ku ziwalo zina amafika pamimba, pamitsempha yamagazi, ndikuchulukitsa kutulutsa chotupacho .

Zina mwaziwopsezo zitha kukhalanso zokhudzana ndi mawonekedwe a khansa mu peritoneum, monga azimayi omwe amagwiritsa ntchito mahomoni atatha kusamba, omwe ali ndi endometriosis komanso onenepa kwambiri. Komabe, azimayi omwe amagwiritsa ntchito mapiritsi akulera, achita opaleshoni yochotsa m'mimba kapena omwe adayamwitsa samakhala ndi khansa ya peritoneum.

Mitundu yake ndi iti

Khansara ya Peritoneum imayamba kukula, makamaka, kuchokera m'maselo am'mimba kapena azimayi, kwa akazi, ndipo imagawidwa m'magulu awiri, omwe ndi:

• Khansa yoyamba ya peritoneum kapena mesothelioma: imachitika pomwe kusintha kwama cellular kumachitika makamaka munyama iyi yomwe imakwirira pamimba;
• Khansa yachiwiri ya peritoneum kapena carcinomatosis: imadziwika khansa ikabuka chifukwa cha khansa yapamimba yochokera ku ziwalo zina, monga m'mimba, m'matumbo ndi m'mimba mwake.

Komanso, azimayi omwe amapezeka kuti ali ndi khansa yamchiberekero omwe ali ndi majeremusi a BRCA 1 ndi BRCA 2 ali pachiwopsezo chachikulu chotenga khansa yachiwiri ya peritoneum, ndichifukwa chake amayiwa amayenera kuyesedwa nthawi zonse. Onani zambiri zamatenda a khansa yamchiberekero.

Momwe matendawa amapangidwira

Kuzindikira kwa khansa ya peritoneum kumatha kuchitidwa ndi dokotala wamba kudzera pakuyesa mayeso monga ultrasound, magnetic resonance, computed tomography ndi pet-scan, komabe, kuti mudziwe gawo la chotupacho m'pofunika kuchita biopsy, yomwe imatha kuchitidwa panthawi yofufuza laparoscopy. Pezani momwe opaleshoni ya laparoscopic yachitidwira.

Biopsy imachitika pochotsa kachidutswa kakang'ono kamene kamatumizidwa ku labotale ndikumayesedwa ndi wodwala. Wodwala amafufuza ngati minofu ili ndi maselo a khansa ndikudziwitsa mtundu wamaselowa, zomwe ndizofunikira kuti oncologist adziwe mtundu wa mankhwala. Kuphatikiza apo, kuyesa kowonjezera kwa magazi kumatha kuchitidwanso kuti muzindikire zolembera zotupa, zomwe ndi zinthu zomwe zimapezeka m'mitundu yosiyanasiyana ya khansa.

Njira zothandizira

Chithandizo cha khansa ya peritoneum chimatanthauzidwa ndi oncologist kutengera gawo la matendawa ndipo zotsatirazi zitha kuwonetsedwa:

1. Intraperitoneal chemotherapy

Intraperitoneal chemotherapy imaphatikizapo kugwiritsa ntchito mankhwala mkati mwa peritoneum ndipo ndi mtundu wamankhwala woyenera kwambiri kwa khansa ya peritoneum, chifukwa imalola kuti mankhwalawo azilowerera msanga. Nthawi zambiri, mankhwalawa amatenthedwa mpaka kutentha pakati pa 40 ° C mpaka 42 ° C kuteteza thupi kuti lisazizire ndikuti izi zitheke kuti mankhwalawo alowe m'maselo.

Chithandizochi chikuwonetsedwa pamankhwala omwe khansa ya peritoneum siinafalikire ku ziwalo zina, monga ubongo ndi mapapo, kuchitidwa limodzi ndi opaleshoni kuchotsa chotupacho ndikukhala ndi mwayi wokhoza kuchira msanga, osawonetsa zotsatirapo zake monga kutayika tsitsi ndi kusanza.

2. Chemotherapy m'mitsempha

Chemotherapy m'mitsempha imawonetsedwa ndi khansa ya peritoneum musanachite opareshoni, kuti chotupacho chichepetse kukula ndikosavuta kuchotsedwa. Chemotherapy yamtunduwu saigwiritsa ntchito ngati mankhwala ochiritsira khansa yamtunduwu, chifukwa maselo omwe ali ndi matenda, omwe amapezeka pachotupacho, amalimbana ndi mankhwala osiyanasiyana a chemotherapy omwe amagwiritsidwa ntchito pafupipafupi.

3. Opaleshoni

Opaleshoni yachitika kuti achotse chotupacho mu peritoneum pomwe khansara siinafike ziwalo zina m'thupi ndipo imawonetsedwa mwa anthu omwe amatha kulandira mankhwala ochititsa dzanzi. Ntchito yotereyi iyenera kuchitidwa ndi akatswiri odziwa za khansa, chifukwa ndizovuta ndipo nthawi zambiri zimakhudza kuchotsa ziwalo zina monga chiwindi, ndulu ndi matumbo.

Asanachite opaleshoniyi, dokotalayo amapempha kuti ayesedwe magazi angapo ngati kuyezetsa magazi komanso kuyeza magazi, ngati munthuyo angafunike kuthiridwa magazi chifukwa chakutaya magazi panthawi yochita opaleshoniyi. Dziwani zambiri za mitundu yamagazi ndi magwiridwe ake.

4. Radiotherapy

Radiotherapy ndi mankhwala omwe radiation imagwiritsidwa ntchito kuwononga maselo omwe amayambitsa khansa ya peritoneum ndipo imagwiritsidwa ntchito pamakina omwe amatulutsa ma radiation molunjika komwe kuli chotupacho.

Njira yothandizirayi imawonetsedwa ndi dokotala asanachite opareshoni, kuti achepetse kukula kwa chotupacho mu peritoneum, komabe, zitha kulimbikitsidwanso kuthana ndi maselo a khansa pambuyo pa opareshoni.

Kodi khansa ya peritoneum ingachiritsidwe?

Khansa yamtunduwu ndiyovuta kuchira ndipo cholinga chamankhwala ndikukulitsa moyo wa munthuyo, ndikupereka moyo wabwino komanso wathanzi, wamaganizidwe komanso chikhalidwe.

Pazovuta kwambiri, momwe khansa ya peritoneum ili patali kwambiri ndipo yafalikira ku ziwalo zina, ndikofunikira kutenga njira zothandizira odwala, kuti munthuyo asamve kupweteka komanso kusapeza bwino. Onani zambiri za chisamaliro chotsitsimutsa komanso nthawi yomwe chiwonetserochi chikuwonetsedwa.

Chithandizo cha khansa ya peritoneum chitha kukhala ndi zovuta, onani kanemayo kuti mupeze malangizo amomwe mungathetsere izi: