Khansa ya chiwindi: zizindikiro, zoyambitsa ndi chithandizo

Zamkati

• Zizindikiro zomwe zitha kuwonetsa khansa
• Zomwe mungachite ngati mukukayikira
• Ndani ali pachiwopsezo chachikulu
• Momwe mankhwalawa amachitikira
• Mitundu yake ndi iti

Khansara ya chiwindi ndi mtundu wa chotupa choyipa chomwe chimayambira m'maselo omwe amapanga chiwindi, monga ma hepatocyte, ma ducts kapena mitsempha yamagazi, ndipo nthawi zambiri amakhala owopsa. Zitha kuyambitsa zizindikilo, zomwe nthawi zambiri zimawoneka mgulu la matendawa, ndikuphatikizanso kupweteka m'mimba, nseru, kusowa chilakolako, kuonda ndi maso achikaso.

Anthu omwe ali ndi mafuta m'chiwindi, chiwindi cha chiwindi kapena omwe amagwiritsa ntchito anabolic steroids ali pachiwopsezo chachikulu chotenga khansa iyi, yomwe imadziwika ndi kuyesa m'mimba, monga ultrasound kapena tomography, yokhoza kuzindikira mutu umodzi kapena zingapo m'chiwindi.

Chithandizochi chimachitidwa ndi opareshoni komanso chemotherapy, kutengera kukula ndi kuopsa kwa mulimonsemo, ndipo mwayi woti akuchiritsidwe amakhala wokulirapo ngati chotupacho chimadziwika msanga, koyambirira kwambiri. Ngati sizingatheke kuchiza khansa ya chiwindi, nthawi yopulumuka ndi pafupifupi zaka 5, koma phindu ili limatha kusiyanasiyana kutengera kukula kwa matendawa ndi matenda ena a wodwalayo.

Zizindikiro zomwe zitha kuwonetsa khansa

Zizindikiro zomwe zimatha kupezeka ndi khansa ya chiwindi ndi izi:

1. Ululu m'mimba, makamaka kumanja kwamimba;
2. Kutupa kwa m'mimba;
3. Kuchepetsa thupi popanda chifukwa chomveka;
4. Kutaya njala;
5. Kutopa kwambiri;
6. Khungu lachikaso ndi maso;
7. Matenda apamadzi nthawi zonse.

Tsoka ilo, zizindikilo izi zimayamba khansara itayamba kale ndipo chifukwa chake, nthawi zambiri, khansa ya chiwindi imatha kupezeka patsogolo, zomwe zimachepetsa mwayi wanu wochiritsidwa.

Chifukwa chake, pakakhala zoopsa, monga kumwa mowa mopitirira muyeso kapena matenda a chiwindi, ndikofunikira kuti nthawi zonse tizikhala ndi nthawi yoonana ndi hepatologist kuti aziwunika chiwindi ndikuwona zosintha zilizonse zomwe zingachitike.

Zomwe mungachite ngati mukukayikira

Ngati zina mwazizindikirozi zikuwonekera, kapena pali zifukwa zambiri zoopsa, ndibwino kuti mukafunse katswiri wazachipatala kuti akayezetse matenda, monga m'mimba ultrasound, CT scan kapena MRI, kuti mutsimikizire ngati pali zosintha zina zomwe zingasonyeze kupezeka wa banga kapena nodule yemwe akuwonetsa chotupa.

Ndikofunika kukumbukira kuti sikuti chotupa chilichonse kapena chotupa chilichonse m'chiwindi chimawonetsa khansa, ndipo muyenera kudikirira kuti dokotala awunike mawonekedwe ake, ndipo mutha kudziwa ngati pali zoopsa kapena ayi. Ngati zosintha zokayikitsa zapezeka, adokotala amatha kuyitanitsa chidutswa cha chiwindi, kuti akawone mu labotale ngati pali maselo a khansa mthupi. Mvetsetsani pamene chotupa m'chiwindi ndi chowopsa.

Pazifukwa zochepa zokayikira, tikulimbikitsidwa kuti tizibwereza mayesowo nthawi ndi nthawi, chaka chilichonse kapena zaka zitatu zilizonse, malinga ndi vuto lililonse, kuti athe kuwunika ngati pali kukula kapena kukula kwa mikhalidwe yatsopano yomwe ingasonyeze khansa.

Ndani ali pachiwopsezo chachikulu

Ngakhale aliyense atha kukhala ndi khansa ya chiwindi, khansa yamtunduwu imafala kwambiri kwa anthu omwe ali ndi:

• Matenda opatsirana a Hepatitis B kapena Hepatitis C;
• Matenda enaake;
• Kugwiritsa ntchito anabolic steroids;
• Matenda ashuga;
• Chiwindi mafuta;
• Kumwa mowa kwambiri.

Kuphatikiza apo, matenda a ulcerative colitis kapena a sclerosing cholangitis amathanso kudwala khansa ya chiwindi mosavuta.

Momwe mankhwalawa amachitikira

Pafupifupi milandu yonse, chithandizo cha khansa ya chiwindi chimachitika ndikuchita opareshoni kuchotsa malo onse okhudzidwa. Komabe, pangafunike kukhala ndi chemotherapy kapena radiation pochita opaleshoni kuti muchepetse kukula kwa khansa ndikuthandizira kuti ichotsedwe.

M'mavuto ovuta kwambiri, momwe khansara imakulitsidwa kwambiri kapena kufalikira ku ziwalo zina, chemotherapy ndi radiation radiation itha kugwiritsidwanso ntchito pambuyo pochitidwa opaleshoni kuyesera kuchotsa maselo otsala a khansa.

Ngati pali matenda ena, monga chiwindi, kuchotsa gawo la chiwindi kumatha kukhala kovuta kwambiri, chifukwa chake dokotala angakulimbikitseni kumuika chiwindi kuti ayesere kuchira. Dziwani zambiri za mtundu uwu wamankhwala.

Mitundu yake ndi iti

Khansara ya chiwindi imatha kukhala yoyamba, ndiye kuti ikatuluka m'chiwindi, kapena ikhoza kukhala yachiwiri, mwa metastasis kapena kufalikira kwa khansa kuchokera ku ziwalo zina, monga mapapu, m'mimba, m'matumbo kapena m'mawere, mwachitsanzo.

Mtundu wodziwika bwino wa khansa yoyamba ya chiwindi ndi hepatocarcinoma kapena hepatocellular carcinoma, womwe ndiwowopsa kwambiri, ndipo umachokera m'maselo akulu omwe amapanga chiwindi, otchedwa hepatocytes. Chotupa china chofala kwambiri ndi cholangiocarcinoma, chochokera m'mabowo am'mimba. Phunzirani zambiri za zizindikilo ndi chithandizo cha khansa ya bile.

Mitundu ina yosawerengeka ya chotupacho ndi monga fibrolamellar variant carcinoma, angiosarcoma kapena hepatoblastoma, mwachitsanzo.