Zomwe Muyenera Kufunsa Dotolo Wanu Pakuchiza Khansa Yapamwamba Chikhodzodzo

Zamkati

• Ndifunikira mayeso ati?
• Ndi chithandizo chanji chomwe chingandithandize?
• Chemotherapy
• Opaleshoni
• Chitetezo chamatenda
• Mayesero azachipatala
• Kodi zotsatira zoyipa za chithandizo cha khansa ya chikhodzodzo ndi ziti?
• Kodi chithandizo cha khansa ya chikhodzodzo chapamwamba chimatenga nthawi yayitali bwanji?
• Kodi mankhwala a khansa ya chikhodzodzo ndi othandiza bwanji?
• Kodi inshuwaransi imaphimba chithandizo chamankhwala chambiri chokhudza chikhodzodzo?
• Kodi kusintha moyo wanga kungandithandizire kuthana ndi khansa yayikulu ya chikhodzodzo?
• Kutenga

Malinga ndi American Cancer Society, anthu pafupifupi 81,400 ku United States apezeka ndi khansa ya chikhodzodzo mu 2020.

Urothelial carcinoma ndi khansa yodziwika kwambiri ya chikhodzodzo. Ikafalikira kupitilira chikhodzodzo, imatha kutchedwa metastatic urothelial carcinoma (mUC).

Kulandila khansa ya chikhodzodzo chapamwamba kumatha kumva kukhala kovuta. Kumbukirani kuti mankhwala amapezeka mgawo lililonse la khansa ya chikhodzodzo.

Njira zochiritsira khansa ya chikhodzodzo yayikulu zimatha kusiyanasiyana ndi za khansa yoyambirira.

Mankhwala omwe dokotala amalangiza nawonso amasiyanasiyana kutengera komwe khansa yasintha mthupi. Ndicho chifukwa chake kuli kofunika kukambirana zomwe mungachite ndi dokotala wanu.

Nawa mafunso omwe mungafunse dokotala wanu pankhani yokhudza khansa yayikulu ya chikhodzodzo.

Ndifunikira mayeso ati?

Ngati dokotala akukhulupirira kuti khansara yawonjezeka ndi ma lymph node kapena ziwalo zina, mwina angakulimbikitseni mayesero angapo kuti adziwe gawo la khansa ndikupeza komwe imafalikira.

Mukapezeka koyambirira, adokotala atha kuyitanitsa kapena kuyitanitsa mayeso, kuphatikiza:

• kuyezetsa thupi, kuwunika zotupa zilizonse kapena zovuta zina
• chitsanzo cha urinalysis, kuti muwone ngati pali khansa
• cystoscopy, kuti muwone mkati mwa urethra pazovuta
• biopsy, kuchotsa kachidutswa kakang'ono ka chikhodzodzo kuti ayese khansa
• pyelogram, kapena mtundu wa X-ray wothandizira kudziwa komwe khansayo ili

Khansara ya chikhodzodzo ikafalikira, dokotala wanu amatha kuyitanitsa mayeso ena, monga:

• zojambula zojambula, monga CT scan, MRI scan, kapena PET scan, kuti mudziwe komwe kuli maselo a khansa
• kusanthula mafupa, ngati mukumva kupweteka kwam'mapazi osadziwika, kuti muwone ngati khansara yafalikira m'mafupa
• X-ray, ngati mukukumana ndi zizindikiro za kupuma, kuti muyang'ane maselo a khansa m'mapapu

Ndi chithandizo chanji chomwe chingandithandize?

Dokotala wanu amalangiza dongosolo lamankhwala potengera gawo la khansa. Khansa ya chikhodzodzo yotsogola kapena yamatenda imakhala ndi njira zochepa zochiritsira kuposa magawo am'mbuyomu a khansa ya chikhodzodzo Zosankha zanu zingaphatikizepo:

Chemotherapy

Njira yoyamba yothandizira khansa ya chikhodzodzo ndi chemotherapy mankhwala cisplatin, yomwe ingathandize kuyimitsa maselo a khansa kuti asaberekane.

Dokotala wanu angakulimbikitseni chemotherapy nokha kapena kuphatikiza ndi opaleshoni kapena radiation. Chemotherapy imatha kupha ma cell ena a khansa ndikuchepetsa zotupa, zomwe zimapangitsa kuti zikhale zosavuta kuchotsa khansa panthawi yochita opareshoni.

Opaleshoni

Malingana ndi kukula kwa khansara, mukamaliza chemotherapy, dokotala wanu angakulimbikitseni kuchitidwa opaleshoni yotchedwa cystectomy kuchotsa zonse kapena gawo la chikhodzodzo.

Mu cystectomy, chikhodzodzo chitachotsedwa, dokotalayo adzachita njira ina yotchedwa kusokoneza mkodzo. Apanga malo mosungira thupi kuti atole mkodzo kenako ndikupanga chubu chatsopano kuti mkodzo utuluke mthupi.

Pambuyo pa opaleshoni, dokotala wanu angakulimbikitseni chemotherapy yowonjezera kuchotsa maselo otsala a khansa.

Chitetezo chamatenda

Pamodzi ndi chemotherapy ndi opareshoni, khansa yapamtima ya chikhodzodzo imatha kuyankha kuchipatala. Chithandizo chamtunduwu chimagwiritsa ntchito chitetezo chamthupi chanu polimbana ndi khansa.

Mayesero azachipatala

Kutenga nawo gawo pazoyeserera zamankhwala kumatha kukupatsani mwayi wopeza chithandizo chatsopano choyeserera. Komabe, mayesero azachipatala amakhalanso ndi zoopsa. Chithandizo choyesera chitha kukhala ndi zovuta zosadziwika, ndipo mwina sichingakhale chothandiza.

Ngati mukufuna kudziwa zambiri zamayesero azachipatala, funsani dokotala wanu. Atha kuyankhula nanu ngati mungakhale woyenera. Angakhalenso ndi chidziwitso cha momwe mungapezere mayesero azachipatala chifukwa cha matenda anu.

Kodi zotsatira zoyipa za chithandizo cha khansa ya chikhodzodzo ndi ziti?

Chithandizo cha khansa ya chikhodzodzo chili ndi maubwino ofunikira, kuphatikiza kutalikitsa moyo ndikukhalitsa moyo wabwino.

Komabe, chithandizo chamankhwala chimakhalanso ndi zovuta zina. Ndikofunika kudziwa zovuta zake ndikulankhula ndi dokotala za njira zothanirana nazo.

Chemotherapy sikuti imangopha ma cell a khansa. Imapheranso maselo athanzi. Zotsatira zake, zovuta zoyipa za chemotherapy ndi monga:

• kutayika tsitsi
• chiopsezo chowonjezeka cha matenda
• kuchepa kwa magazi m'thupi
• nseru
• kudzimbidwa
• kutopa

Opaleshoni imabwera ndi zoopsa zina, monga matenda ndi kutaya magazi.

Immunotherapy imatha kukhala ndi zovuta zingapo, kutengera mtundu wa immunotherapy womwe umagwiritsidwa ntchito. Zotsatira zoyipa kwambiri ndi izi:

• kutupa
• kuyabwa
• zidzolo
• ululu

Anthu ena amakhalanso ndi matenda ngati chimfine ndi immunotherapy.

Kodi chithandizo cha khansa ya chikhodzodzo chapamwamba chimatenga nthawi yayitali bwanji?

Njira zochiritsira khansa ya chikhodzodzo yayikulu zimasiyana malinga ndi munthu. Kutalika kwa chithandizo kumadalira zolinga zonse zamankhwala.

Kawirikawiri, anthu ambiri omwe ali ndi khansa ya chikhodzodzo amalandira chemotherapy kwa miyezi 6 mpaka 12, malingana ndi momwe amatenga nthawi yochepetsera maselo a khansa.

Kutalika kwa nthawi ya immunotherapy kumasiyananso kutengera gawo la khansa komanso momwe thupi lanu limachitira ndi mankhwala.

Mwachitsanzo, mutha kulandira chithandizo tsiku lililonse kwa milungu iwiri kapena itatu kenako mupuma kaye musanayambirenso mankhwala.

Chithandizo chitha kutalikitsa moyo wa anthu omwe ali ndi khansa yapachikhodzodzo. Komabe, nthawi zambiri, matendawa amapita patsogolo.

Dokotala wanu angakulimbikitseni kuti mupitilize kulandira chithandizo kuti mukhale ndi moyo wabwino.

Khansara ikamakulirakulirakulirakulakufikirani, adotolo angakuuzeni chisamaliro chochepa. Mutha kupitiliza kulandira chithandizo cha khansa komanso kulandira chithandizo chochepetsetsa, ikutero Bladder Care Advocacy Network (BCAN).

Chisamaliro chothandizira ndicholinga chothana ndi zakuthupi, zam'malingaliro, komanso chikhalidwe cha anthu.

Itha kuthana ndi zizolowezi zina zakuthupi, monga mseru komanso kutopa. Zitha kuthandizanso kukulitsa moyo wanu wonse komanso kukuthandizani kuthana ndi zovuta zokhudzana ndi vutoli.

Kodi mankhwala a khansa ya chikhodzodzo ndi othandiza bwanji?

Pakadali pano palibe mankhwala a khansa ya chikhodzodzo. Kwa khansa ya chikhodzodzo yomwe imafalikira kumadera akutali a thupi, zaka 5 zapulumuka ndi 5%, malinga ndi National Cancer Institute.

Zolinga zamankhwala panthawiyi nthawi zambiri zimakhala:

• kuchepetsa kufalikira kwa khansa
• kuchepetsa kukula kwa madera omwe akhudzidwa
• onjezani moyo wanu nthawi yayitali momwe mungathere
• kukupangitsani kukhala omasuka

Kodi inshuwaransi imaphimba chithandizo chamankhwala chambiri chokhudza chikhodzodzo?

Mwambiri, inshuwaransi yaumoyo imakhudza chithandizo cha khansa, koma mwina sichimalipira mtengo wonsewo. Mapulani osiyanasiyana atha kukhala osiyanasiyana, ndipo ena sangakwaniritse mitundu ina yamankhwala, makamaka njira zoyeserera.

Mwachitsanzo, inshuwaransi yaumoyo wanu itha kulipira mtengo wa:

• chemotherapy
• cheza
• opaleshoni

Mutha kukhala ndi deductible, yomwe ndi ndalama zomwe mumalipira mthumba inshuwaransi yanu isanamalize kulipira.

Ma inshuwaransi ena samaphimba ma immunotherapy.

Kuti mulandire chithandizo chotere, wopereka inshuwaransi angafunikire kuvomereza izi. Lankhulani ndi kampani yanu ya inshuwaransi yazaumoyo kuti mumvetsetse zomwe mumafotokoza.

Ngati mutenga nawo mbali pazoyeserera zamankhwala, kampani yanu ya inshuwaransi itha kuyika zinthu monga zomwe mumakonda kupita kukaonana ndi dokotala.

Mlanduwo umalipira ndalama zoyeserera zoyeserera, kupita kuchipatala kwina kulikonse, kapena kuyezetsa kulikonse komwe kuyenera kuchitidwa ngati gawo la kafukufukuyu.

Kodi kusintha moyo wanga kungandithandizire kuthana ndi khansa yayikulu ya chikhodzodzo?

Kuphatikiza pa kutsatira dongosolo lamankhwala, kusintha kwamachitidwe ena kumatha kupangitsa kuti khansa ya chikhodzodzo patsogolo isakhale yosavuta. Ngakhale mutakhala ndi mphamvu zochepa, pali zinthu zina zomwe mungachite kuti mukhale bwino.

Mwachitsanzo, kudya chakudya chopatsa thanzi komanso choyenera kungakuthandizeni kukhala ndi nyonga komanso kulimbitsa chitetezo chamthupi.

Chitetezo champhamvu chamthupi chimatha kuthandiza thupi lanu kuthana ndi matenda, zomwe ndizofunikira kwambiri mukamalandira chithandizo.

Anthu ena amapeza zowonjezera zowonjezera zothandiza akamalandira chithandizo cha khansa. Onetsetsani kuti mwalankhula ndi dokotala musanadye zakudya zowonjezera.

Kukhalabe olimba ndikofunikira. Kuchita masewera olimbitsa thupi kungathandize:

• sinthani malingaliro anu
• kusintha kugona kwanu
• onjezerani mphamvu yanu

Ngati mumasuta, ndipo simunatero kale, muyeneranso kusiya kusuta. Mankhwala omwe amapezeka mu ndudu ndi utsi wa fodya amatha kudziunjikira mumkodzo wanu ndikuwononganso chikhodzodzo chanu.

Kutenga

Matenda a khansa ya chikhodzodzo yayikulu amatha kudabwitsa.

Komabe, chithandizo chitha kuthandiza:

• kuchepetsa zotupa
• kutalikitsa moyo wanu
• sinthani moyo wanu

Ndikofunika kugwira ntchito ndi dokotala ndikukambirana zomwe mungachite. Onetsetsani kuti mukumvetsetsa zovuta zamankhwala aliwonse, komanso zomwe mungayembekezere musanalandire, mukamalandira, komanso mukalandira chithandizo.