Mesothelioma: ndi chiyani, zizindikiritso ndi chithandizo
Zamkati
Mesothelioma ndi khansa yaukali, yomwe imapezeka mu mesothelium, yomwe ndi minofu yopyapyala yomwe imakhudza ziwalo zamkati za thupi.
Pali mitundu ingapo ya mesothelioma, yomwe imakhudzana ndi komwe imapezeka, chofala kwambiri ndi kupempha, komwe kumapezeka m'mapapo, ndi peritoneal, yomwe ili m'ziwalo zam'mimba, zizindikilo kutengera komwe kuli.
Nthawi zambiri, mesothelioma imayamba msanga kwambiri ndipo matendawa amapangidwa patadutsa nthawi yayitali yamatendawa, ndipo chithandizo chimakhala chothandiza kwambiri ngati matendawa ali koyambirira, ndipo amapangidwa ndi chemotherapy, radiotherapy, ndi / kapena opaleshoni.
Zizindikiro zake ndi ziti
Zizindikirozo zimadalira mtundu wa mesothelioma, womwe umakhudzana ndi komwe amapezeka:
Pleural mesothelioma | Peritoneal mesothelioma |
---|---|
Kupweteka pachifuwa | Kupweteka m'mimba |
Ululu mukamatsokomola | Nseru ndi kusanza |
Ziphuphu zazing'ono pakhungu la m'mawere | Kutupa m'mimba |
Kuchepetsa thupi | Kuchepetsa thupi |
Kuvuta kupuma | |
Ululu wammbuyo | |
Kutopa kwambiri |
Palinso mitundu ina ya mesothelioma yomwe imapezeka kawirikawiri ndipo, kutengera komwe amapezeka, imatha kuyambitsa zizindikilo zina, monga pericardial mesothelioma, yomwe imakhudza minofu yamtima ndipo imatha kubweretsa zizindikilo, monga kuchepa kwa kuthamanga kwa magazi, mtima kupweteka kwam'mimba ndi kupweteka pachifuwa.
Zomwe zingayambitse
Mofanana ndi mitundu ina ya khansa, mesothelioma imatha chifukwa cha kusintha kwa ma cell amtundu wa DNA, ndikupangitsa kuti maselo ayambe kuchulukana mosalamulirika, ndikupangitsa chotupa.
Kuphatikiza apo, pali chiopsezo chowonjezeka chovutika ndi mesothelioma mwa anthu omwe amadwala asbestosis, omwe ndi matenda am'mapapo amayamba chifukwa chopumira fumbi lokhala ndi asibesitosi, omwe nthawi zambiri amapezeka mwa anthu omwe agwira ntchito kwa zaka zambiri atakumana ndi izi. Umu ndi momwe mungazindikire zizindikiro za asbestosis.
Kodi matendawa ndi ati?
Matendawa amapangidwa ndi kuyezetsa komwe kumachitika ndi adotolo, komanso magwiridwe antchito amalingaliro, monga tomography ndi X-ray.
Pambuyo pake, potengera zotsatira zomwe zidapezeka pamayeso oyamba, adotolo atha kupempha kuti awone biopsy, momwe tinthu tating'onoting'ono tomwe timasonkhanitsidwa kuti tiwunikidwe mu labotale, ndikuwunika komwe kumatchedwa PET scan, komwe kumalola kutsimikizira Kukula kwa chotupacho komanso ngati pali metastasis. Dziwani momwe PET ikuyendera.
Momwe mankhwalawa amachitikira
Chithandizochi chimadalira komwe mesothelioma imapezeka, komanso gawo la khansa komanso thanzi la wodwalayo. Nthawi zambiri, khansa yamtunduwu imakhala yovuta kuchiza chifukwa, ikapezeka, ili kale pachimake.
Nthawi zina, zimalimbikitsidwa kuchita opaleshoni yomwe ingathe kuchiza matendawa, ngati sichinafalikire mbali zina za thupi. Kupanda kutero, zimangothana ndi zizindikirazo.
Kuphatikiza apo, adotolo amalimbikitsanso chemotherapy kapena radiotherapy, yomwe imatha kuchitidwa asanachite opareshoni, kuti athandize kuchotsa chotupacho, ndi / kapena atachitidwa opaleshoni, kuti asathenso kuyambiranso.