Kumvetsetsa Khansa ya m'mawere m'matumbo

Zamkati

• Kodi khansa ya m'mawere ndi chiyani?
• Zizindikiro za metastasis m'matumbo
• Kodi chimayambitsa metastasis ndi chiyani?
• Kuzindikira metastasis ku colon
• Zojambulajambula
• Kusintha sigmoidoscopy
• CT colonoscopy
• Kuchiza khansa ya m'mawere
• Chemotherapy
• Thandizo la mahomoni
• Chithandizo chofuna
• Opaleshoni
• Thandizo la radiation
• Kodi anthu omwe ali ndi khansa ya m'mawere ndi otani?

Kodi khansa ya m'mawere ndi chiyani?

Khansara ya m'mawere ikufalikira, kapena kufalikira, kumadera ena a thupi, imasunthira kudera limodzi kapena angapo otsatirawa:

• mafupa
• mapapo
• chiwindi
• ubongo

Sizingafalikire kawirikawiri kumtunda.

Pafupifupi azimayi opitilira 12 mwa amayi 100 aliwonse adzadwala khansa ya m'mawere m'moyo wawo. Mwa izi, kafukufuku akuti pafupifupi 20 mpaka 30 peresenti izikhala metastatic.

Khansara ikamafalikira, chithandizo chimayang'ana kwambiri kuteteza moyo wanu ndikuchepetsa kufalikira kwa matendawa. Palibe mankhwala a khansa ya m'mawere pakadali pano, koma kupita patsogolo kwamankhwala kumathandiza anthu kukhala ndi moyo wautali.

Zizindikiro za metastasis m'matumbo

Zizindikiro zokhudzana ndi khansa ya m'mawere yomwe imafalikira kumtunda ndi monga:

• nseru
• kusanza
• kuphwanya
• ululu
• kutsegula m'mimba
• kusintha kwa chopondapo
• kuphulika
• kutupa m'mimba
• kusowa chilakolako

Kuwunikiridwa kwa milandu yomwe idachitidwa ku Mayo Clinic kunapezanso kuti azimayi 26 pa 100 aliwonse omwe anali ndi ma metastases am'matumbo adatsekedwa m'matumbo.

Ndikoyenera kudziwa kuti muzokambiranazi, ma metastases am'matumbo awonongeka kuti aphimbe masamba ena asanu ndi atatu, kuphatikiza:

• m'mimba
• kum'mero
• matumbo aang'ono
• rectum

Mwanjira ina, kuchuluka kumeneku kumaphimba kuposa azimayi okha omwe ali ndi matenda opatsirana m'matumbo.

Kodi chimayambitsa metastasis ndi chiyani?

Khansa ya m'mawere nthawi zambiri imayamba m'maselo a lobules, omwe ndi mafinya omwe amatulutsa mkaka. Ikhozanso kuyambika mu ducts yomwe imanyamula mkaka kunsonga. Ngati khansara ikukhala m'malo amenewa, amawerengedwa kuti siwowopsa.

Ngati maselo a khansa ya m'mawere amachoka pachotupa choyambirira ndikuyenda kudzera m'magazi kapena ma lymphatic system kupita mbali ina ya thupi lanu, amatchedwa khansa ya m'mawere.

Maselo a khansa ya m'mawere akamapita m'mapapu kapena m'mafupa ndikupanga zotupa pamenepo, zotupa zatsopanozi zimapangidwanso ndi maselo a khansa ya m'mawere.

Zotupa izi kapena magulu am'magazi amawonedwa ngati ma metastases a khansa ya m'mawere osati khansa yamapapo kapena khansa ya mafupa.

Pafupifupi mitundu yonse ya khansa imatha kufalikira kulikonse m'thupi. Komabe, ambiri amatsata njira zina ku ziwalo zina. Sizikumveka bwino chifukwa chake izi zimachitika.

Khansa ya m'mawere imatha kufalikira kumtunda, koma sizotheka kutero. Zimakhala zosazolowereka kuti zimafalikira kumagawo am'mimba.

Izi zikachitika, khansa imapezeka m'minyewa ya m'mimba yomwe imayambira m'mimba, m'mimba, kapena m'matumbo ang'ono m'malo mwa matumbo akulu, omwe amaphatikizanso colon.

A mwa anthu omwe anali ndi khansa ya m'mawere amatchula malo omwe khansa ya m'mawere imafalikira poyamba.

Kafukufukuyu akulembanso malo anayi apamwamba omwe khansa ya m'mawere imafalikira:

• mpaka fupa 41.1 peresenti ya nthawiyo
• kwa mapapo 22.4 peresenti ya nthawiyo
• mpaka chiwindi 7.3 peresenti ya nthawiyo
• kupita ku ubongo 7.3 peresenti ya nthawiyo

Colon metastases ndizodziwika kwambiri kotero kuti samapanga mndandanda.

Khansara ya m'mawere ikafalikira ku khola, nthawi zambiri imachita ngati khungu lobular carcinoma. Uwu ndi mtundu wa khansa womwe umayambira mu lobes wopanga mkaka wa m'mawere.

Kuzindikira metastasis ku colon

Ngati mukukumana ndi izi, makamaka ngati mudalandilapo kale khansa ya m'mawere, lankhulani ndi dokotala.

Dokotala wanu akhoza kuyitanitsa mayeso amodzi kapena angapo kuti adziwe ngati khansa yafalikira m'matumbo.

Mukayang'ana m'matumbo anu, dokotala wanu adzafuna tizilombo tating'onoting'ono. Ma polyps ndi timatumba ting'onoting'ono tomwe timapanga m'matumbo. Ngakhale ambiri a iwo alibe vuto lililonse, ma polyps amatha kukhala ndi khansa.

Mukakhala ndi colonoscopy kapena sigmoidoscopy, dokotala wanu amachotsa tizilombo tomwe timapeza. Ma polyps awa adzayesedwa ngati ali ndi khansa.

Ngati khansa ipezeka, kuyezetsa kumeneku kudzawonetsa ngati khansara ndi khansa ya m'mawere yomwe imafalikira kumtunda kapena ngati ndi khansa yatsopano yomwe idayambira m'matumbo.

Zojambulajambula

Colonoscopy ndi mayeso omwe amalola dokotala wanu kuti ayang'ane mkatikati mwa matumbo anu akulu, omwe amaphatikizanso rectum ndi colon.

Amagwiritsa ntchito chubu chofewa, chosinthika chokhala ndi kamera yaying'ono kumapeto kotchedwa colonoscope. Izi chubu zimalowetsedwa mu anus wanu ndikukwera kudzera mumatumbo anu. Colonoscopy imathandiza dokotala kupeza:

• zilonda
• tizilombo ting'onoting'ono
• zotupa
• kutupa
• madera omwe akutuluka magazi

Kamera imatumiza zithunzi pazenera, zomwe zingathandize dokotala kuti adziwe. Nthawi zambiri, mumapatsidwa mankhwala oti akuthandizeni kugona pamayeso.

Kusintha sigmoidoscopy

Sigmoidoscopy yosinthasintha ndiyofanana ndi colonoscopy, koma chubu cha sigmoidoscopy ndi chachifupi kuposa colonoscope. Mbali yokhayokha komanso m'munsi mwa colon imayesedwa.

Mankhwala nthawi zambiri safunika pakuwunika uku.

CT colonoscopy

Nthawi zina amatchedwa colonoscopy, CT colonoscopy imagwiritsa ntchito ukadaulo wapamwamba wa X-ray kuti itenge zithunzi zoyang'ana mbali yanu. Iyi ndi njira yopweteka, yosasokoneza.

Kuchiza khansa ya m'mawere

Mukalandira matenda a khansa ya m'mawere yomwe yafalikira ku colon yanu, dokotala wanu atha kuyitanitsa mayeso ena kuti awone ngati khansayo yafalikira mbali zina za thupi lanu.

Mukadziwa bwino zomwe zikuchitika, inu ndi dokotala wanu mutha kukambirana njira zabwino zochiritsira. Izi zitha kuphatikizira imodzi kapena zingapo zamankhwala otsatirawa.

Chemotherapy

Mankhwala a chemotherapy amapha maselo, makamaka ma cell a khansa, omwe amagawika ndikuberekana mwachangu. Zotsatira zoyipa za chemotherapy ndi monga:

• kutayika tsitsi
• zilonda mkamwa
• kutopa
• nseru
• kusanza
• chiopsezo chowonjezeka cha matenda

Munthu aliyense amayankha mosiyana ndi chemotherapy. Kwa ambiri, zovuta zoyipa za chemotherapy zitha kupewedwa.

Thandizo la mahomoni

Khansa zambiri zam'mawere zomwe zafalikira kumtunda ndizomwe zimalandira estrogen. Izi zikutanthauza kuti kukula kwa maselo a khansa ya m'mawere kumayambitsidwa pang'ono ndi hormone estrogen.

Thandizo la mahomoni limachepetsa kuchuluka kwa estrogen m'thupi kapena limalepheretsa estrogen kuti isagwirizane ndi maselo a khansa ya m'mawere ndikulimbikitsa kukula kwawo.

Mankhwala a Hormone amagwiritsidwa ntchito mobwerezabwereza kuti achepetse kufalikira kwamaselo a khansa atalandira chithandizo choyambirira ndi chemotherapy, opaleshoni, kapena radiation.

Zotsatira zoyipa kwambiri zomwe anthu amakhala nazo ndi chemotherapy sizimachitika kawirikawiri ndi mankhwala a mahomoni. Zotsatira zoyipa za mankhwala a mahomoni atha kuphatikizira:

• kutopa
• kusowa tulo
• kutentha
• kuuma kwa nyini
• zosintha
• kuundana kwamagazi
• kuwonda kwa mafupa mwa azimayi asanakwane kusamba
• chiopsezo chowonjezeka cha khansa ya chiberekero kwa amayi omwe atha msinkhu

Chithandizo chofuna

Mankhwala othandiza, omwe nthawi zambiri amatchedwa mankhwala am'magulu, amagwiritsa ntchito mankhwala omwe amalepheretsa kukula kwa maselo a khansa.

Nthawi zambiri zimakhala ndi zovuta zochepa kuposa chemotherapy, koma zotsatirapo zake zimatha kukhala:

• zotupa ndi mavuto ena akhungu
• kuthamanga kwa magazi
• kuvulaza
• magazi

Mankhwala ena omwe amagwiritsidwa ntchito ngati mankhwalawa amatha kuwononga mtima, kusokoneza chitetezo chamthupi, kapena kuwononga ziwalo zina za thupi. Dokotala wanu adzakuyang'anirani kuti mupewe zovuta zilizonse.

Opaleshoni

Opaleshoni imatha kuchitidwa kuti ipewe zotsekezera matumbo kapena magawo ena am'matumbo omwe ali ndi khansa.

Thandizo la radiation

Ngati mwakhala mukutuluka magazi m'mimba, mankhwala a radiation angachiritse. Thandizo la radiation limagwiritsa ntchito X-ray, cheza cha gamma, kapena tinthu tating'onoting'ono tochepetsa zotupa ndikupha ma cell a khansa. Zotsatira zoyipa zingaphatikizepo:

• khungu limasintha pamalo a radiation
• nseru
• kutsegula m'mimba
• kuchuluka kukodza
• kutopa

Kodi anthu omwe ali ndi khansa ya m'mawere ndi otani?

Ngakhale kuti khansara yomwe imasungunuka sichingachiritsidwe, kupita patsogolo kwamankhwala kumathandiza anthu omwe ali ndi khansa ya m'mawere kukhala ndi moyo wautali.

Izi zikuthandizanso kuti anthu omwe ali ndi matendawa akhale ndi moyo wabwino.

Malingana ndi American Cancer Society, anthu omwe ali ndi khansa ya m'mawere ali ndi mwayi wokhala ndi zaka 27% atakhala ndi zaka 5 atapezeka.

Ndikofunika kukumbukira kuti ichi ndi chiwerengero chodziwika. Zilibe chifukwa cha mikhalidwe yanu.

Dokotala wanu akhoza kukupatsani malingaliro olondola kwambiri kutengera matenda anu, mbiri yazachipatala, ndi dongosolo lamankhwala.