Khansa ya Pancreatic: Zoyambitsa, Chithandizo chake ndi Momwe Mungakhalire ndi Khansa

Zamkati

• Chemotherapy ya khansa ya kapamba
• Mankhwala omwe amagwiritsidwa ntchito nthawi zambiri
• Zomwe zimayambitsa khansa ya kapamba
• Momwe mankhwala othandizira amathandizira
• Momwe Mungakhalire Ndi Khansa Ya Pancreatic
• Moyo wa anthu omwe ali ndi khansa ya kapamba
• Ufulu wa odwala khansa ya kapamba

Chithandizo cha khansa ya kapamba chimasiyanasiyana kutengera kutengera kwa ziwalo, kuchuluka kwa khansa komanso mawonekedwe a metastases, mwachitsanzo.

Chifukwa chake, mulimonsemo ayenera kuyesedwa ndi oncologist kuti asankhe imodzi mwanjira izi:

• Opaleshoni: kawirikawiri, zimachitika ngati khansa isanakule kunja kwa chiwalo. Pochita opaleshoni, dera lomwe lakhudzidwa ndi kapamba limachotsedwa, komanso ziwalo zina zomwe zili pachiwopsezo chachikulu chokhudzidwa, monga matumbo kapena ndulu;
• Mankhwala opatsirana: itha kugwiritsidwa ntchito isanachitike opaleshoni kuti muchepetse kukula kwa chotupacho, kapena mutachitidwa opaleshoni kuti muchepetse maselo otsala a khansa;
• Chemotherapy: imagwiritsidwa ntchito pazochitika zapamwamba kwambiri ndipo imagwiritsa ntchito mankhwala mwachindunji mumitsempha kuwononga maselo a khansa. Ngati pali metastases, mankhwalawa amatha kuphatikizidwa ndi radiotherapy kuti mupeze zotsatira zabwino.

Kuphatikiza apo, pali mitundu ina ya chithandizo chamankhwala chomwe sichingatsimikizire kuchira kwa matendawa, koma chomwe chingathandize kuthetsa zizindikilo zina kapena kusintha zotsatira zamankhwala.

Ngakhale pali njira zingapo zochiritsira khansa ya kapamba, chithandizo nthawi zambiri chimakhala chovuta kwambiri, chifukwa popeza matendawa samayambitsa zizindikiro kumayambiliro, nthawi zambiri zimangodziwika khansa ikafalikira kale ku ziwalo zina.

Ngati mankhwalawa alephera kulimbana ndi khansa, oncologist nthawi zambiri amalangiza chithandizo chothandizira, chomwe chimathandiza kuthetsa zizindikiritso ndikusintha chitonthozo m'masiku omaliza a munthuyo.

Chemotherapy ya khansa ya kapamba

Chemotherapy ndi imodzi mwanjira zomwe amagwiritsidwa ntchito kwambiri ndi khansa ya kapamba, makamaka ngati khansa ya exocrine, yomwe ndi yofala kwambiri komanso yovuta kwambiri.

Nthawi zambiri, chemotherapy imatha kugwiritsidwa ntchito munjira zitatu pochizira:

• Asanachite opaleshoni: Amathandiza kuchepetsa kukula kwa chotupacho, kuchititsa kuti chichotsedwe panthawi ya opaleshoni;
• Pambuyo pa opaleshoni: amalola kuthetsa maselo a khansa omwe sanachotsedwe ndi opaleshoni;
• M'malo opaleshoni: pamene opaleshoniyi sangagwiritsidwe ntchito chifukwa khansara yafalikira kale kapena munthuyo alibe zofunikira kuti achitidwe opareshoni.

Kuphatikiza apo, chemotherapy itha kuphatikizidwanso ndi radiotherapy, yomwe imagwiritsa ntchito radiation pochotsa ma cell a khansa, yogwira ntchito kwambiri mukamagwiritsa ntchito limodzi.

Nthaŵi zambiri, chemotherapy imachitika mozungulira, ndipo zimakhala zachilendo kukhala ndi chithandizo kwa milungu imodzi kapena iwiri, yolowetsedwa ndi nthawi yopumula kuti thupi lipezenso bwino.

Zotsatira zoyipa za chemotherapy m'thupi zimasiyanasiyana kutengera mankhwala omwe amagwiritsidwa ntchito ndi kuchuluka kwake, komabe, monga kusanza, kunyowa, kusowa kwa njala, tsitsi, zilonda mkamwa, kutsegula m'mimba, kudzimbidwa, kutopa kwambiri komanso kutuluka magazi. Kuphatikiza apo, anthu omwe amalandira chemotherapy amakhalanso pachiwopsezo chotenga matenda. Phunzirani zambiri za zovuta zamatenda am'mthupi komanso momwe mungathanirane nawo.

Mankhwala omwe amagwiritsidwa ntchito nthawi zambiri

Zina mwa mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza khansa ya kapamba ndi awa:

• Zamatsenga;
• Erlotinib;
• Phulusa;
• Irinoteki;
• Oxaliplatin;
• Wowonjezera;
• Paclitaxel;
• Zolemba.

Mankhwalawa atha kugwiritsidwa ntchito payokha kapena kuphatikiza, kutengera thanzi la wodwala aliyense.

Pakakhala khansa yotupa ya pancreatic, kumwa mankhwalawa sikofunikira, ndipo analgesics amphamvu okha ndi omwe amalimbikitsidwa kuti achepetse kupweteka kwa wodwalayo kumapeto kwa moyo.

Zomwe zimayambitsa khansa ya kapamba

Zina mwazomwe zimayambitsa khansa ya kapamba ndi:

• Kusuta mwachangu kapena mosasamala
• Kugwiritsa ntchito mafuta, nyama ndi zakumwa zoledzeretsa
• Kuwonetsedwa ndi mankhwala monga zopangira mafuta ndi zosungunulira utoto, mwachitsanzo
• Ngati mukudwala matenda opatsirana kapena matenda ashuga omwe samathandizidwa moyenera

Zonsezi zomwe zatchulidwazi ndizokhudzana ndi kuchuluka kwa kapamba ndi matenda ena aliwonse omwe angakhudze kutenga nawo mbali kwa ziwalozi amathanso kupanga khansa ya kapamba.

Anthu omwe ali ndi vuto lakugaya m'mimba monga matenda opatsirana kapenanso omwe adachitidwa opaleshoni kuti akonze zilonda zam'mimba, duodenum kapena omwe achotsedwa mu ndulu amatha kutenga khansa ya kapamba ndipo ayenera kudziwa zizindikilo zoyambirira za matendawa.

Kuyesa magazi, ndowe, mkodzo miyezi isanu ndi umodzi itha kukhala yothandiza ndipo ngati mayeserowa awonetsa kusintha kwakukulu, adokotala atha kupereka CT scan kapena MRI kuti ayang'ane ziwalo zamkati. Ngati, poyesedwa, dotoloyo apeza kuti kapamba kapena chiwindi zasokonekera, biopsy ya minofu imatha kuwonetsa kupezeka kwa maselo a khansa.

Momwe mankhwala othandizira amathandizira

Kuchiza mwachangu khansa ya kapamba kumawonetsedwa matendawa akapezeka kwambiri ndipo mwayi wakuchiritsidwa ndimankhwala ochepa. Chithandizo chamtunduwu cholinga chake ndikuchepetsa kupweteka kwa wodwalayo komanso kusapeza bwino, ndipo amatha kuchitika kuchipatala kapena kunyumba, pogwiritsa ntchito mankhwala opha ululu omwe angathetse ululu.

Mukazindikira msinkhu, mvetsetsani kutalika kwa moyo wa munthu yemwe ali ndi khansa ya kapamba.

Momwe Mungakhalire Ndi Khansa Ya Pancreatic

Kukhala ndi khansa ya kapamba sizovuta kwa wodwala kapena banja. Wodwala ayenera kuyamba kulandira chithandizo akakhala kuchipatala cha oncology akangodziwa kuti matendawa ayamba kumwa mankhwala msanga.

Kuyamba kumwa mankhwala mwachangu ndikofunikira chifukwa mankhwalawa akayambitsidwa, matendawa amafalikira komanso kufupikitsa moyo wawo komanso njira zochepa zochiritsira ndizotheka.

Moyo wa anthu omwe ali ndi khansa ya kapamba

Kuchuluka kwa odwala omwe ali ndi khansa ya kapamba kumasiyana pakati pa miyezi 6 mpaka zaka 5 ndipo zimadalira kukula kwake, malo ake komanso ngati chotupacho chasandulika kapena ayi.

Akayang'aniridwa ndi azachipatala komanso chifukwa chofufuza zamankhwala, wodwalayo atha kutumizidwa kunyumba, koma ayenera kubwerera masiku omwe madotolo atsimikiza kuti achite opaleshoni kuti achotse chotupacho kuti apitilize mankhwala osokoneza bongo ndipo, ngati kuli koyenera, azichita ma radiotherapy.

Ufulu wa odwala khansa ya kapamba

Kuonetsetsa wodwalayo komanso banja, wodwala khansa ali ndi ufulu monga:

• Kuchokera ku FGTS, PIS / PASEP;
• Zoyenda pagulu zaulere;
• Choyambirira pakupita patsogolo kwamalamulo;
• Thandizo la matenda;
• Mwa kupuma pantchito;
• Kuchotsera Misonkho;
• Phindu laubwino woperekedwa ndi INSS (landirani malipiro ochepa a 1 pamwezi);
• Mankhwala aulere;
• Landirani dongosolo lachinsinsi la penshoni.

Ufulu wina umaphatikizapo kulandira chindapusa chifukwa cha inshuwaransi ya moyo komanso kukhazikika kwa nyumbayo, kutengera mgwirizano womwe adasaina wodwalayo asanapezeke ndi matendawa.