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Tiyeni tiphunzire zambiri zokhudza khansa ya pachibelekero. Tiyeni tikambirane za iyo popanda mantha!

Tiyeni tiphunzire zambiri zokhudza khansa ya pachibelekero. Tiyeni tikambirane za iyo popanda mantha!
Moni! Muli bwanji? Lero tikambirana za matenda omwe ndi ofunikira kwa akazi ambiri, ndipo ngakhale angamveke ngati oopsa pang'ono mukamva dzina lake, amatha kulamulidwa ndikuchiritsidwa kwambiri ngati atapezeka msanga. Imeneyo ndi khansa ya pachibelekero, kapena monga ena amaitcha `(Khansa ya pachibelekero)` . Ndizachilendo kudabwa pang'ono mukamva dzinali, koma ngati tikulimvetsa bwino, palibe chomwe tiyenera kuopa popanda chifukwa. Chifukwa chidziwitso ndiye mphamvu yayikulu, sichoncho? Tiyeni tiwone chomwe chili, momwe chimakulira, zizindikiro zake, momwe tingadzitetezere, komanso mankhwala ake.

Kodi khansa ya pachibelekero ndi chiyani?

Mwachidule, khansa ya pachibelekero ndi khansa yomwe imayamba m'munsi mwa chiberekero chanu, gawo lomwe limalumikizana ndi nyini, lotchedwa chiberekero . Kumbukirani, ichi si chinthu chomwe chimayamba mwadzidzidzi, usiku umodzi. Nthawi zambiri, maselo athanzi m'chiberekero amasintha pang'onopang'ono pakapita nthawi, kukhala maselo 'osayambitsa khansa' asanakhale khansa. Chifukwa chachikulu cha izi ndi kachilombo kotchedwa `HPV (Human Papillomavirus).` Iyi ndi kachilombo kopatsirana pogonana, ndiko kuti, kachilombo komwe kamafalikira kudzera mu kugonana. Koma nayi chinthu chofunikira. Si aliyense amene ali ndi kachilombo ka `HPV' amene amakhala ndi khansa ya pachibelekero. Ndipotu, mwa anthu ambiri, kachilomboka kamatha kokha mkati mwa miyezi ingapo popanda chithandizo chilichonse, chifukwa chitetezo chathu cha mthupi chimalimbana nako. Koma mwa akazi ena, kachilomboka kakhoza kukhalabe m'matupi awo ndikupangitsa kusintha kwa maselo omwe atchulidwa pamwambapa. Anthu amenewo ndi omwe ali pachiwopsezo chachikulu chotenga khansa ya pachibelekero. Ndicho chifukwa chake nthawi zonse timanena kuti ndikofunikira kwambiri kuyesedwa nthawi zonse, monga Pap smear ndipo, ngati kuli kofunikira, kuyezetsa HPV . Komanso, kulandira katemera wa HPV kungachepetse kwambiri chiopsezochi. Kumbukirani, khansa ya pachibelekero ndi matenda ochiritsika kwathunthu ngati atapezeka msanga .

Kodi mitundu ikuluikulu ya khansa ya pachibelekero ndi iti?

Pali mitundu iwiri ikuluikulu ya khansa ya pachibelekero. Iyi ndi:
  • Khansa ya Squamous Cell : Iyi ndi mtundu wofala kwambiri. Imayambira m'maselo athyathyathya omwe ali pamwamba pa chiberekero. Pafupifupi 80% mpaka 90% ya khansa ya chiberekero ndi yamtunduwu.
  • Adenocarcinomas : Mitundu iyi imachokera ku maselo a glandular omwe ali mkati mwa chiberekero . Amawerengera pafupifupi 10% mpaka 20% ya khansa ya chiberekero.
Nthawi zina khansa imatha kuchitika ngati mitundu yonse iwiri.

Kodi zizindikiro za khansa ya pachibelekero ndi ziti? Kodi ingathe kuzindikirika msanga?

Funso limene anthu ambiri amafunsa ndi ili, ndipo ndi chinthu chomwe chimawaopsa ambiri. Kunena zoona, khansa ya pachibelekero singasonyeze zizindikiro zilizonse pachiyambi chake.Zili ngati kuti zikukula mobisa. Ndicho chifukwa chake nthawi zonse timanena kufunika koyezetsa matenda pa msinkhu woyenera, nthawi yoyenera. Zizindikiro zimayamba kuonekera khansa ikakula pang'ono, ndipo mwina imafalikira ku minofu yozungulira.

Zizindikiro zomwe zingawonekere kumayambiriro (monga Gawo Loyamba):

  • Kutuluka magazi m'mimba mwa munthu wosazolowereka: Pakhoza kukhala kutuluka magazi ambiri, mwina ndi magazi pang'ono, komanso kungakhale ndi fungo loipa.
  • Kutuluka magazi kosakhazikika:
  • Kutuluka magazi pambuyo pa kugonana.
  • Kutuluka magazi pakati pa nthawi ziwiri za msambo.
  • Kutuluka magazi kachiwiri pambuyo pa kusamba (ndiko kuti, pambuyo poti msambo wa mwezi wonse watha).
  • Ululu panthawi yogonana: Mutha kumva ululu watsopano (dyspareunia) womwe sunalipo kale.
Chofunika: Kungoti muli ndi chimodzi kapena ziwiri mwa zizindikirozi sizikutanthauza kuti ndi khansa ya pachibelekero. Zinthuzi zitha kuchitika pazifukwa zina zosavuta. Komabe, ngati muli ndi vuto ngati ili, chonde musachite mantha kapena kuchita manyazi, ndipo pitani kwa dokotala nthawi yomweyo kuti akupatseni upangiri. Ndicho chinthu chabwino kwambiri chomwe mungachite.

Zizindikiro zomwe zingachitike pamene khansa ikufalikira kwambiri:

Ngati khansayo yafalikira kupitirira chiberekero, kupita ku minofu yozungulira kapena ziwalo zina, zizindikiro ngati izi zingawonekenso:
  • Kuvuta kukodza, kupweteka, ndipo nthawi zina magazi m'mkodzo.
  • Kusintha kwa machitidwe a m'mimba, kudzimbidwa kapena kutsegula m'mimba , kupweteka panthawi yoyenda m'mimba, kapena magazi m'chimbudzi (kuchokera ku rectum).
  • Kumva kutopa kwambiri komanso kutopa nthawi zonse.
  • Kutaya chilakolako cha chakudya ndi kuchepetsa thupi.
  • Kumva kudwala nthawi zambiri komanso kudwala nthawi zonse.
  • Kupweteka kwa msana kapena kutupa kwa miyendo kosalekeza.
  • Kupweteka m'chiuno/m'mimba.
Ngati muli ndi zizindikiro ngati izi, zikutanthauza kuti vutoli likhoza kukhala lalikulu pang'ono. Chifukwa chake, ndikofunikira kupeza upangiri wa dokotala nthawi yomweyo.

Kodi chifukwa chachikulu cha khansa ya pachibelekero ndi chiyani?

Monga tanenera kale, pafupifupi 99% ya khansa ya pachibelekero imayamba chifukwa cha kachilombo kotchedwa `HPV (Human Papillomavirus).`Pali mitundu yoposa 100 ya HPV. Si mitundu yonse yomwe imayambitsa khansa. Pali mitundu ingapo "yoopsa kwambiri" yomwe ingayambitse khansa. Kachiromboka kamafalikira makamaka kudzera mu kugonana (kugonana ndi mkazi, kumatako, kapena mkamwa). Taganizirani izi, HPV ndi kachilombo kofala kwambiri. Anthu ambiri ogonana amakhala ndi kachilombo ka HPV nthawi ina m'miyoyo yawo, koma sadziwa nkomwe. Izi zili choncho chifukwa chitetezo cha mthupi lathu chimatha kulimbana ndi kachilomboka ndikuchotsa. Komabe, nthawi zina, makamaka mitundu ya HPV yoopsa kwambiri, sichimatuluka m'thupi, ndipo chimakhala m'maselo a chiberekero kwa nthawi yayitali, kusintha pang'onopang'ono maselo amenewo mwanjira yosazolowereka, kenako n'kukhala khansa. Ndicho chifukwa chake katemera wa HPV ndi wofunikira. Katemera wa HPV angakutetezeni ku pafupifupi 90% ya mitundu ya HPV yomwe nthawi zambiri imayambitsa khansa ya chiberekero. Komanso, ngati matenda a HPV kapena matenda asanafike khansa apezeka msanga kudzera mu mayeso okhazikika, chithandizo chingayambe khansa isanayambe.

Ndani ali pachiwopsezo chachikulu chotenga khansa ya pachibelekero?

Anthu ena sangakhale ndi zinthu zomwe zimadziwika bwino zomwe zingawachititse kuti adwale khansa ya pachibelekero. Komabe, pali zinthu zina zomwe zimawonjezera chiopsezochi. Zina mwa izi tikhoza kuziletsa, ndipo zina sitingathe kuziletsa.

Zinthu zoopsa zomwe tingathe kuzilamulira:

  • Mbiri ya mayeso: Anthu omwe sachita mayeso a Pap nthawi zonse ali pachiwopsezo chachikulu chotenga khansa ya pachibelekero, chifukwa mayeso a Pap amazindikira maselo omwe asanafike khansa.
  • Matenda a HPV: Matenda a HPV omwe ali pachiwopsezo chachikulu ndiye chinthu chachikulu chomwe chimayambitsa chiopsezo. Kudziteteza ku HPV kungathandize kuchepetsa chiopsezo cha khansa ya pachibelekero.
  • Mbiri ya kugonana: Kugonana usanakwanitse zaka 18 komanso kukhala ndi zibwenzi zambiri zogonana kumawonjezera chiopsezo chotenga kachilombo ka HPV.
  • Kusuta: Kusuta fodya kumawonjezera kwambiri chiopsezo cha khansa ya pachibelekero.
  • Kutenga kachilombo ka HIV: Azimayi omwe ali ndi kachilombo ka HIV ali pachiwopsezo chachikulu chotenga khansa ya pachibelekero kuposa anthu onse.
  • Kukhala ndi chitetezo chamthupi chofooka: Chitetezo chamthupi chikakhala chofooka, mphamvu ya thupi yolimbana ndi matenda imachepa. Izi zimapangitsa kuti kachilombo ka HPV kakhalebe m'thupi.

Zinthu zoopsa zomwe sitingathe kuzilamulira:

  • `DES (diethylstilbestrol)`: Iyi ndi mankhwala omwe adaperekedwa kwa amayi ena apakati pakati pa 1938 ndi 1971 kuti apewe kupititsa padera. Ngati amayi anu adamwa `DES` panthawi yapakati, mungakhale ndi chiopsezo chowonjezeka pang'ono chotenga khansa ya pachibelekero.
  • Mbiri ya banja: Ngati wina m'banja mwanu (amayi, mlongo) adadwala khansa ya pachibelekero, mwina inunso muli ndi vuto la majini. Komabe, izi sizofala.

Kodi khansa ya pachibelekero imatha kufalikira mobisa kwa nthawi yayitali bwanji?

Nthawi zambiri zimatenga zaka 3 mpaka 7 kuti kusintha kosazolowereka kwa maselo a chiberekero (zochitika zosayenera khansa) kusanduke khansa.Nthawi zina zimatenga nthawi yayitali. Ngakhale kuti gawo ili loti khansa ikule pang'onopang'ono, likayamba kukhala khansa yokwanira, kukula kwake kumatha kukhala kofulumira. Ndicho chifukwa chake timati ngati mumachita mayeso a Pap nthawi zonse, mwayi wanu woti mudwale khansa ya pachibelekero ndi wochepa kwambiri. Chifukwa mayesowa amatha kugwira maselo oti khansa ikule asanakhale khansa.

Kodi ndi mavuto otani omwe angabwere chifukwa cha khansa ya pachibelekero?

Kuzindikira ndi kuchiza khansa ya pachibelekero msanga ndiyo njira yabwino kwambiri yopewera mavuto omwe angawononge moyo. Ngati khansa ikupita patsogolo kapena chithandizo chachedwa, mavuto monga:
  • Ululu: Khansa ikafalikira, makamaka ikakhudza mitsempha, ululu waukulu ukhoza kuchitika.
  • Kusintha kwa chikhodzodzo ndi matumbo: Ngati khansa yafalikira ku chikhodzodzo kapena matumbo, mavuto monga kuvutika kukodza ndi kudzimbidwa kungachitike.
  • Kuwonongeka kwa impso: Ngati khansa yatseka njira ya mkodzo, imatha kuwononga impso, zomwe pamapeto pake zimapangitsa kuti impso zilephere kugwira ntchito. Ichi ndi vuto lalikulu lomwe limapezeka mu khansa yopita patsogolo.
  • Magazi amaundana: Ukakhala ndi khansa, magazi amakhala "okhuthala" pang'ono, zomwe zimapangitsa kuti magazi aziundana.
  • Kutuluka magazi: Ngati khansa yafalikira ku nyini, m'matumbo, kapena m'chikhodzodzo, kutuluka magazi kungachokere m'ziwalo zimenezo.
  • Zotsatira pa kubereka kapena mimba: Kutengera mtundu wa chithandizo (monga kuchotsa mimba), kuthekera kobereka ana kungatayike. Ngati gawo la chiberekero litachotsedwa opaleshoni, chiopsezo chotaya mimba m'tsogolo chikhoza kuwonjezeka.
  • Zotsatira zoyipa za mankhwala a khansa: Mankhwala a chemotherapy ndi radiation angayambitse zotsatira zoyipa monga nseru, kusanza, kutopa, kutaya tsitsi, komanso kusagwira bwino ntchito pogonana.
Izi zingamveke zoopsa, koma kumbukirani kuti mavuto ambiriwa akhoza kupewedwa ngati khansa yapezeka msanga ndipo chithandizo chayamba.

Kodi khansa ya pachibelekero imapezedwa bwanji?

Khansa ya pachibelekero nthawi zambiri imayamba pang'onopang'ono kwa zaka zambiri. Maselo abwino amasanduka maselo osazolowereka (maselo asanakhale khansa) kenako n’kukhala maselo a khansa. Khansa ya pachibelekero nthawi zambiri imapezeka kudzera mu kuyezetsa khansa ya pachibelekero nthawi zonse. Cholinga chachikulu cha mayesowa ndikuwona kusintha kosazolowereka m’maselo a pachibelekeropo asanakhale khansa.
  • Kuyesa kwa Pap (Kuyesa kwa Pap / Kuyesa kwa Pap): Izi zimaphatikizapo kutenga maselo angapo pamwamba pa chiberekero, kuwayang'ana pogwiritsa ntchito maikulosikopu, ndikuyang'ana ngati pali zolakwika kapena zizindikiro zilizonse za khansa isanachitike.
  • Kuyezetsa kwa HPV: Nthawi zina, pamodzi ndi mayeso a Pap, kapena ngati mayeso a Pap ndi osazolowereka, maselo a chiberekero amayezetsanso kachilombo ka HPV komwe kali pachiwopsezo chachikulu.
Ngati zotsatira za mayeso anu a Pap ndi "zosazolowereka," musadandaule. Sizikutanthauza kuti muli ndi khansa. Komabe, mungafunike kuyezetsa kwina.

Mayeso otsimikizira khansa:

Ngati Pap smear si yachilendo, dokotala adzakutumizani kuti mukayesedwenso kangapo.
  • Colposcopy: Izi zimaphatikizapo kugwiritsa ntchito chida chapadera (colposcope) kuti chikulitse chiberekero ndikuzindikira bwino maselo aliwonse osazolowereka.
  • Kufufuza za khansa: Ngati malo okayikitsa apezeka panthawi ya colposcopy, chidutswa chaching'ono cha minofu chimatengedwa ndikutumizidwa ku labu kuti chikayang'ane maselo a khansa. Pali njira zingapo zochitira biopsy iyi:
  • `Kubaya biopsy`: Chida chaching'ono chimagwiritsidwa ntchito kuchotsa chidutswa cha minofu yokayikitsa.
  • Endocervical curettage (ECC): Maselo amakokedwa mkati mwa ngalande ya khomo lachiberekero.
  • Njira yochotsera chilonda pogwiritsa ntchito electrosurgical excision procedure (LEEP): Chingwe cha waya chamagetsi chimagwiritsidwa ntchito kuchotsa minofu yosazolowereka. Nthawi zina izi zimagwiritsidwa ntchito ngati chithandizo.
  • `Cone biopsy (conization):` Chidutswa cha minofu chooneka ngati cone, chachikulu pang'ono chimachotsedwa pa khomo lachiberekero. Izi zimagwiritsidwa ntchito pozindikira komanso kuchiza.
Ngati zotsatira za biopsy zikutsimikizira kuti muli ndi khansa ya pachibelekero, sitepe yotsatira ndikupeza momwe khansayo yafalikira (metastasized). Izi zingaphatikizepo mayeso monga:
  • Mayeso oyesa momwe chiwindi ndi impso zimagwirira ntchito.
  • Kuyezetsa magazi ndi mkodzo.
  • X-ray ya chikhodzodzo, rectum, matumbo, ndi mapapo.
  • "CT (Computed Tomography) scans".
  • "Kujambula kwa MRI (Magnetic Resonance Imaging)".
Dokotala amasankha siteji ya khansa kutengera zomwe zapezeka kuchokera ku mayesowa.

Kodi magawo a khansa ya pachibelekero ndi ati?

Gawo la khansa limadalira kukula kwa khansa komanso momwe yafalikira. Izi ndizofunikira kwambiri pokonzekera chithandizo. Pali magawo anayi akuluakulu a khansa ya pachibelekero (Gawo Loyamba mpaka Gawo Lachinayi).
  • Gawo Loyamba: Khansa imafika pa khomo lachiberekero lokha. Silinafalikire ku minofu ya mkati mwa khomo lachiberekero.
  • Gawo Lachiwiri: Khansa yafalikira kupitirira khomo lachiberekero ndi chiberekero, koma sinafalikire mpaka khoma la m'chiuno kapena pansi pa nyini.
  • Gawo Lachitatu: Khansa yafalikira mpaka pansi pa nyini. Ikhozanso kufalikira mpaka khoma la m'chiuno, mkodzo, ndi ma lymph nodes apafupi.
  • Gawo Lachinayi: Khansa yafalikira ku chikhodzodzo, rectum, kapena ziwalo zakutali monga mafupa ndi mapapo.
Dokotala wanu adzakufotokozerani mwatsatanetsatane za gawo la khansa yanu komanso tanthauzo lake.

Kodi khansa ya pachibelekero imachiritsidwa bwanji?

Chithandizo cha khansa ya pachibelekero chimadalira zinthu zingapo. Gawo la khansa, zaka zanu, thanzi lanu, komanso ngati mukuyembekeza kukhala ndi ana mtsogolo zimaganiziridwa. Njira zazikulu zochiritsira ndi izi:
  • Opaleshoni
  • Chithandizo cha X-ray
  • Mankhwala a Chemotherapy
  • Chithandizo Cholunjika
  • Chithandizo cha Immunotherapy
Nthawi zina njira imodzi kapena zingapo mwa izi zimagwiritsidwa ntchito pamodzi.

Opaleshoni:

Kwa khansa yoyambirira, maselo a khansa okha ndi omwe angachotsedwe.
  • Opaleshoni ya laser: Laser ray imagwiritsidwa ntchito kuwononga maselo a khansa.
  • Cryosurgery: Imagwiritsa ntchito kuzizira kwambiri kuti izizire ndikuwononga maselo a khansa.
  • `Cone biopsy` kapena `LEEP`: Izi zimagwiritsidwa ntchito pozindikira matenda komanso kuchotsa khansa zazing'ono kwambiri, zosaoneka bwino.
  • Kuchotsa mimba mwa njira ya trachelectomy: Izi zimaphatikizapo kuchotsa khomo lachiberekero ndi mbali ya pamwamba ya nyini, koma kusiya chiberekero chili chonse. Izi nthawi zina zimachitika kwa amayi achichepere obereka ana.
  • Kuchotsa mimba: Kuchotsa chiberekero ndi khomo lachiberekero kwathunthu.
  • Kutulutsa magazi m'chiuno: Iyi ndi opaleshoni yaikulu. Chiberekero, khomo lachiberekero, chikhodzodzo, nyini, rectum, ndi gawo la m'matumbo zimachotsedwa, kutengera momwe khansa yafalikira. Izi zimachitika pokhapokha ngati khansa yabwerera kapena yafalikira kwambiri.

Chithandizo cha X-ray:

Miyezi yamphamvu kwambiri imagwiritsidwa ntchito kuwononga maselo a khansa.
  • Chithandizo cha Kutulutsa Ma Radiation ya Kunja kwa Mtambo (EBRT): Makina omwe ali kunja kwa thupi amatsogolera kuwala kwa radiation kumalo omwe khansa yafalikira.
  • Brachytherapy: Chipangizo choyezera ma radiation chimayikidwa mkati kapena pafupi kwambiri ndi chotupacho.

Mankhwala a Chemotherapy:

Mankhwala opha khansa (mankhwala a chemo) amaperekedwa kudzera m'mitsempha (mwa jakisoni) kapena ngati mapiritsi. Mankhwalawa amalowa m'magazi ndikuyenda m'thupi lonse kuti aphe maselo a khansa. Mankhwala a chemotherapy nthawi zambiri amaperekedwa mozungulira. Nthawi zina chithandizo cha radiation ndi chemotherapy zimaperekedwa pamodzi (chemoradiation) kuti achepetse khansa isanachitike opaleshoni, kapena kupha maselo ena otsala a khansa atatha opaleshoni.

Chithandizo Cholunjika:

Mankhwalawa amapangidwira kuti awononge mapuloteni enaake omwe amathandiza maselo a khansa kukula ndi kufalikira, popanda kuvulaza maselo athanzi.

Chithandizo cha Immunotherapy:

Izi zikuphatikizapo kulimbikitsa chitetezo cha mthupi lanu kuti chizindikire ndikuwukira maselo a khansa. Gulu lanu lachipatala lidzasankha njira yabwino kwambiri yothandizira. Mungakhalenso ndi mwayi wochita nawo mayeso azachipatala omwe amayesa mankhwala atsopano.

Kodi khansa ya pachibelekero ingachiritsidwe kwathunthu?

Inde! Khansa ya pachibelekero ndi khansa yomwe imachiritsidwa kwambiri, makamaka ngati yapezeka msanga. Madokotala amagwiritsa ntchito mawu akuti "remission" m'malo mwa "wachiritsidwa." Izi zikutanthauza kuti maselo a khansa m'thupi ayang'aniridwa mpaka kufika poti sangapezekenso. Komabe, amatha kubwerera. Ndicho chifukwa chake muyenera kupitiliza kukayezetsa nthawi zonse. Pa khansa ya pachibelekero ya gawo loyamba , opaleshoni nthawi zambiri ndiyo njira yoyamba yothandizira. Chemotherapy singakhale yofunikira. Koma izi zimatengera zinthu zina zingapo. Ngakhale kuti n'zovuta kupeza machiritso athunthu mu gawo lachinayi , n'zotheka kulowa mu "remission", zomwe zikutanthauza kuti matendawa akhoza kulamulidwa. Pa gawoli, mankhwala (radiation, chemotherapy, therapy yolunjika) amaperekedwabe kuti atalikitse moyo ndikukweza moyo wabwino.

Kodi khansa ya pachibelekero ingapewedwe?

Nkhani yabwino ndi yakuti, inde, khansa ya pachibelekero imatha kupewedwa! Pali zinthu zingapo zomwe mungachite:
  • Pezani katemera wa HPV: Pezani katemera wa HPV ali ndi zaka zoyenera (nthawi zambiri zaka 9-26, nthawi zina mpaka zaka 45 mukalandira upangiri wa dokotala). Uwu ndiye chitetezo chachikulu.
  • Yesani mayeso a Pap ndipo, ngati kuli kofunikira, yesani mayeso a HPV nthawi ndi nthawi: Kuyambira mutakwanitsa zaka 21 (kapena zaka zitatu mutayamba kugonana), yesani mayesowa nthawi ndi nthawi zomwe dokotala wanu wakupatsani.
  • Kugonana kotetezeka: Kugwiritsa ntchito njira zotchinga monga makondomu panthawi yogonana kungakutetezeni ku matenda opatsirana pogonana, kuphatikizapo HPV. Chepetsani chiwerengero cha anthu ogonana nawo.
  • Pewani kusuta: Ngati mukusuta, siyani. Kwa iwo omwe sasuta, musayambe kusuta.

Kodi chiyembekezo cha khansa ya pachibelekero ndi chiyani?

Khansa ya pachibelekero ndi matenda oopsa, koma monga tafotokozera kale, imatha kuchiritsidwa bwino, makamaka ngati yapezeka msanga. Ndizachibadwa kumva chisoni, mantha, komanso kukwiya mukazindikira kuti muli ndi khansa. Pezani thandizo kuti muthane ndi malingaliro amenewa. Lankhulani ndi achibale anu ndi anzanu. Kulowa nawo gulu lothandizira khansa kungathandizenso kwambiri. Ngakhale chithandizo chitatha, dokotala wanu adzapitiriza kukuyang'anirani kuti awone ngati khansayo yabwerera. Ngakhale mutayamba kuchira, ndizachibadwa kukhala ndi mantha oti khansayo idzabweranso. Ndibwino kulankhula ndi mlangizi, wokondedwa wanu, kapena dokotala wanu za izi. Malinga ndi ziwerengero kuchokera ku National Cancer Institute, kuchuluka kwa anthu omwe apulumuka zaka zisanu ndi awa:
  • Ngati khansa ya pachibelekero sinafalikire (yomwe imapezeka m'dera lina): 91%
  • Ngati yafalikira ku minofu yapafupi (yachigawo): 60%
  • Ngati yafalikira ku ziwalo zakutali (kutali): 19%
Koma kumbukirani, izi ndi ziwerengero chabe.N'zosatheka kunena zomwe zidzakuchitikireni kuchokera ku izi. Dokotala wanu yekha ndi amene angakupatseni chidziwitso chabwino kwambiri chokhudza matenda anu komanso mwayi wanu wochira.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro zachilendo zomwe takambirana kale (kutuluka magazi mosakhazikika, kutuluka magazi mosazolowereka, kupweteka panthawi yogonana), pitani kwa dokotala nthawi yomweyo. Komanso, ngati simukukumbukira nthawi yomaliza yomwe mudachita mayeso a Pap smear, lankhulani ndi dokotala wanu za izi ndikuyamba kuyezetsa nthawi zonse. Ndizachilendo kuti mafunso ambiri abwere m'maganizo mwanu mukapezeka ndi khansa ya pachibelekero. "Ndi chithandizo chiti chabwino kwambiri kwa ine?" "Kodi khansayo idzabweranso?" Kambiranani mafunso ndi nkhawa zonsezi ndi gulu lanu lachipatala.

Uthenga Wopita Nawo Kunyumba

Chabwino, takambirana zambiri lero, sichoncho? Ndizachibadwa kumva mantha pang'ono mukadziwa za khansa ya pachibelekero. Koma chofunika kwambiri ndichakuti ndi matenda omwe amatha kupewedwa ndipo, ngati atapezeka msanga, amatha kuchiritsidwa kwathunthu.
Kumbukirani:
* Pezani katemera wa HPV (ngati mukuyenerera)
* Yesani mayeso anu a Pap ndi HPV pa nthawi yake. Ichi ndi chinthu chabwino kwambiri chomwe mungachite. Musachite manyazi kapena kuzengereza.
* Ngati muli ndi zizindikiro zachilendo (kutuluka magazi mosakhazikika, kutuluka magazi ndi fungo losazolowereka, kupweteka panthawi yogonana), pitani kuchipatala nthawi yomweyo.
* Pewani kusuta fodya.
* Chitani zogonana zodziteteza.
Thanzi lanu lili m'manja mwanu. Tikukhulupirira kuti izi zikuthandizani. Ngati muli ndi mafunso ena, musazengereze kufunsa dokotala wanu. Khalani ndi thanzi labwino!
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Tiyeni tiphunzire zambiri zokhudza khansa ya pachibelekero. Tiyeni tikambirane za iyo popanda mantha!
Thanzi la AkaziSeptember 12, 2025

Tiyeni tiphunzire zambiri zokhudza khansa ya pachibelekero. Tiyeni tikambirane za iyo popanda mantha!

Moni! Muli bwanji? Lero tikambirana za matenda omwe ndi ofunikira kwa akazi ambiri, ndipo ngakhale angamveke ngati oopsa pang'ono mukamva dzina lake, amatha kulamulidwa ndikuchiritsidwa kwambiri ngati atapezeka msanga. Imeneyo ndi khansa ya pachibelekero, kapena monga ena amaitcha `(Khansa ya pachibelekero)` . Ndizachilendo kudabwa pang'ono mukamva dzinali, koma ngati tikulimvetsa bwino, palibe chomwe tiyenera kuopa popanda chifukwa. Chifukwa chidziwitso ndiye mphamvu yayikulu, sichoncho? Tiyeni tiwone chomwe chili, momwe chimakulira, zizindikiro zake, momwe tingadzitetezere, komanso mankhwala ake.

Kodi khansa ya pachibelekero ndi chiyani?

Mwachidule, khansa ya pachibelekero ndi khansa yomwe imayamba m'munsi mwa chiberekero chanu, gawo lomwe limalumikizana ndi nyini, lotchedwa chiberekero . Kumbukirani, ichi si chinthu chomwe chimayamba mwadzidzidzi, usiku umodzi. Nthawi zambiri, maselo athanzi m'chiberekero amasintha pang'onopang'ono pakapita nthawi, kukhala maselo 'osayambitsa khansa' asanakhale khansa. Chifukwa chachikulu cha izi ndi kachilombo kotchedwa `HPV (Human Papillomavirus).` Iyi ndi kachilombo kopatsirana pogonana, ndiko kuti, kachilombo komwe kamafalikira kudzera mu kugonana. Koma nayi chinthu chofunikira. Si aliyense amene ali ndi kachilombo ka `HPV' amene amakhala ndi khansa ya pachibelekero. Ndipotu, mwa anthu ambiri, kachilomboka kamatha kokha mkati mwa miyezi ingapo popanda chithandizo chilichonse, chifukwa chitetezo chathu cha mthupi chimalimbana nako. Koma mwa akazi ena, kachilomboka kakhoza kukhalabe m'matupi awo ndikupangitsa kusintha kwa maselo omwe atchulidwa pamwambapa. Anthu amenewo ndi omwe ali pachiwopsezo chachikulu chotenga khansa ya pachibelekero. Ndicho chifukwa chake nthawi zonse timanena kuti ndikofunikira kwambiri kuyesedwa nthawi zonse, monga Pap smear ndipo, ngati kuli kofunikira, kuyezetsa HPV . Komanso, kulandira katemera wa HPV kungachepetse kwambiri chiopsezochi. Kumbukirani, khansa ya pachibelekero ndi matenda ochiritsika kwathunthu ngati atapezeka msanga .

Kodi mitundu ikuluikulu ya khansa ya pachibelekero ndi iti?

Pali mitundu iwiri ikuluikulu ya khansa ya pachibelekero. Iyi ndi:
  • Khansa ya Squamous Cell : Iyi ndi mtundu wofala kwambiri. Imayambira m'maselo athyathyathya omwe ali pamwamba pa chiberekero. Pafupifupi 80% mpaka 90% ya khansa ya chiberekero ndi yamtunduwu.
  • Adenocarcinomas : Mitundu iyi imachokera ku maselo a glandular omwe ali mkati mwa chiberekero . Amawerengera pafupifupi 10% mpaka 20% ya khansa ya chiberekero.
Nthawi zina khansa imatha kuchitika ngati mitundu yonse iwiri.

Kodi zizindikiro za khansa ya pachibelekero ndi ziti? Kodi ingathe kuzindikirika msanga?

Funso limene anthu ambiri amafunsa ndi ili, ndipo ndi chinthu chomwe chimawaopsa ambiri. Kunena zoona, khansa ya pachibelekero singasonyeze zizindikiro zilizonse pachiyambi chake.Zili ngati kuti zikukula mobisa. Ndicho chifukwa chake nthawi zonse timanena kufunika koyezetsa matenda pa msinkhu woyenera, nthawi yoyenera. Zizindikiro zimayamba kuonekera khansa ikakula pang'ono, ndipo mwina imafalikira ku minofu yozungulira.

Zizindikiro zomwe zingawonekere kumayambiriro (monga Gawo Loyamba):

  • Kutuluka magazi m'mimba mwa munthu wosazolowereka: Pakhoza kukhala kutuluka magazi ambiri, mwina ndi magazi pang'ono, komanso kungakhale ndi fungo loipa.
  • Kutuluka magazi kosakhazikika:
  • Kutuluka magazi pambuyo pa kugonana.
  • Kutuluka magazi pakati pa nthawi ziwiri za msambo.
  • Kutuluka magazi kachiwiri pambuyo pa kusamba (ndiko kuti, pambuyo poti msambo wa mwezi wonse watha).
  • Ululu panthawi yogonana: Mutha kumva ululu watsopano (dyspareunia) womwe sunalipo kale.
Chofunika: Kungoti muli ndi chimodzi kapena ziwiri mwa zizindikirozi sizikutanthauza kuti ndi khansa ya pachibelekero. Zinthuzi zitha kuchitika pazifukwa zina zosavuta. Komabe, ngati muli ndi vuto ngati ili, chonde musachite mantha kapena kuchita manyazi, ndipo pitani kwa dokotala nthawi yomweyo kuti akupatseni upangiri. Ndicho chinthu chabwino kwambiri chomwe mungachite.

Zizindikiro zomwe zingachitike pamene khansa ikufalikira kwambiri:

Ngati khansayo yafalikira kupitirira chiberekero, kupita ku minofu yozungulira kapena ziwalo zina, zizindikiro ngati izi zingawonekenso:
  • Kuvuta kukodza, kupweteka, ndipo nthawi zina magazi m'mkodzo.
  • Kusintha kwa machitidwe a m'mimba, kudzimbidwa kapena kutsegula m'mimba , kupweteka panthawi yoyenda m'mimba, kapena magazi m'chimbudzi (kuchokera ku rectum).
  • Kumva kutopa kwambiri komanso kutopa nthawi zonse.
  • Kutaya chilakolako cha chakudya ndi kuchepetsa thupi.
  • Kumva kudwala nthawi zambiri komanso kudwala nthawi zonse.
  • Kupweteka kwa msana kapena kutupa kwa miyendo kosalekeza.
  • Kupweteka m'chiuno/m'mimba.
Ngati muli ndi zizindikiro ngati izi, zikutanthauza kuti vutoli likhoza kukhala lalikulu pang'ono. Chifukwa chake, ndikofunikira kupeza upangiri wa dokotala nthawi yomweyo.

Kodi chifukwa chachikulu cha khansa ya pachibelekero ndi chiyani?

Monga tanenera kale, pafupifupi 99% ya khansa ya pachibelekero imayamba chifukwa cha kachilombo kotchedwa `HPV (Human Papillomavirus).`Pali mitundu yoposa 100 ya HPV. Si mitundu yonse yomwe imayambitsa khansa. Pali mitundu ingapo "yoopsa kwambiri" yomwe ingayambitse khansa. Kachiromboka kamafalikira makamaka kudzera mu kugonana (kugonana ndi mkazi, kumatako, kapena mkamwa). Taganizirani izi, HPV ndi kachilombo kofala kwambiri. Anthu ambiri ogonana amakhala ndi kachilombo ka HPV nthawi ina m'miyoyo yawo, koma sadziwa nkomwe. Izi zili choncho chifukwa chitetezo cha mthupi lathu chimatha kulimbana ndi kachilomboka ndikuchotsa. Komabe, nthawi zina, makamaka mitundu ya HPV yoopsa kwambiri, sichimatuluka m'thupi, ndipo chimakhala m'maselo a chiberekero kwa nthawi yayitali, kusintha pang'onopang'ono maselo amenewo mwanjira yosazolowereka, kenako n'kukhala khansa. Ndicho chifukwa chake katemera wa HPV ndi wofunikira. Katemera wa HPV angakutetezeni ku pafupifupi 90% ya mitundu ya HPV yomwe nthawi zambiri imayambitsa khansa ya chiberekero. Komanso, ngati matenda a HPV kapena matenda asanafike khansa apezeka msanga kudzera mu mayeso okhazikika, chithandizo chingayambe khansa isanayambe.

Ndani ali pachiwopsezo chachikulu chotenga khansa ya pachibelekero?

Anthu ena sangakhale ndi zinthu zomwe zimadziwika bwino zomwe zingawachititse kuti adwale khansa ya pachibelekero. Komabe, pali zinthu zina zomwe zimawonjezera chiopsezochi. Zina mwa izi tikhoza kuziletsa, ndipo zina sitingathe kuziletsa.

Zinthu zoopsa zomwe tingathe kuzilamulira:

  • Mbiri ya mayeso: Anthu omwe sachita mayeso a Pap nthawi zonse ali pachiwopsezo chachikulu chotenga khansa ya pachibelekero, chifukwa mayeso a Pap amazindikira maselo omwe asanafike khansa.
  • Matenda a HPV: Matenda a HPV omwe ali pachiwopsezo chachikulu ndiye chinthu chachikulu chomwe chimayambitsa chiopsezo. Kudziteteza ku HPV kungathandize kuchepetsa chiopsezo cha khansa ya pachibelekero.
  • Mbiri ya kugonana: Kugonana usanakwanitse zaka 18 komanso kukhala ndi zibwenzi zambiri zogonana kumawonjezera chiopsezo chotenga kachilombo ka HPV.
  • Kusuta: Kusuta fodya kumawonjezera kwambiri chiopsezo cha khansa ya pachibelekero.
  • Kutenga kachilombo ka HIV: Azimayi omwe ali ndi kachilombo ka HIV ali pachiwopsezo chachikulu chotenga khansa ya pachibelekero kuposa anthu onse.
  • Kukhala ndi chitetezo chamthupi chofooka: Chitetezo chamthupi chikakhala chofooka, mphamvu ya thupi yolimbana ndi matenda imachepa. Izi zimapangitsa kuti kachilombo ka HPV kakhalebe m'thupi.

Zinthu zoopsa zomwe sitingathe kuzilamulira:

  • `DES (diethylstilbestrol)`: Iyi ndi mankhwala omwe adaperekedwa kwa amayi ena apakati pakati pa 1938 ndi 1971 kuti apewe kupititsa padera. Ngati amayi anu adamwa `DES` panthawi yapakati, mungakhale ndi chiopsezo chowonjezeka pang'ono chotenga khansa ya pachibelekero.
  • Mbiri ya banja: Ngati wina m'banja mwanu (amayi, mlongo) adadwala khansa ya pachibelekero, mwina inunso muli ndi vuto la majini. Komabe, izi sizofala.

Kodi khansa ya pachibelekero imatha kufalikira mobisa kwa nthawi yayitali bwanji?

Nthawi zambiri zimatenga zaka 3 mpaka 7 kuti kusintha kosazolowereka kwa maselo a chiberekero (zochitika zosayenera khansa) kusanduke khansa.Nthawi zina zimatenga nthawi yayitali. Ngakhale kuti gawo ili loti khansa ikule pang'onopang'ono, likayamba kukhala khansa yokwanira, kukula kwake kumatha kukhala kofulumira. Ndicho chifukwa chake timati ngati mumachita mayeso a Pap nthawi zonse, mwayi wanu woti mudwale khansa ya pachibelekero ndi wochepa kwambiri. Chifukwa mayesowa amatha kugwira maselo oti khansa ikule asanakhale khansa.

Kodi ndi mavuto otani omwe angabwere chifukwa cha khansa ya pachibelekero?

Kuzindikira ndi kuchiza khansa ya pachibelekero msanga ndiyo njira yabwino kwambiri yopewera mavuto omwe angawononge moyo. Ngati khansa ikupita patsogolo kapena chithandizo chachedwa, mavuto monga:
  • Ululu: Khansa ikafalikira, makamaka ikakhudza mitsempha, ululu waukulu ukhoza kuchitika.
  • Kusintha kwa chikhodzodzo ndi matumbo: Ngati khansa yafalikira ku chikhodzodzo kapena matumbo, mavuto monga kuvutika kukodza ndi kudzimbidwa kungachitike.
  • Kuwonongeka kwa impso: Ngati khansa yatseka njira ya mkodzo, imatha kuwononga impso, zomwe pamapeto pake zimapangitsa kuti impso zilephere kugwira ntchito. Ichi ndi vuto lalikulu lomwe limapezeka mu khansa yopita patsogolo.
  • Magazi amaundana: Ukakhala ndi khansa, magazi amakhala "okhuthala" pang'ono, zomwe zimapangitsa kuti magazi aziundana.
  • Kutuluka magazi: Ngati khansa yafalikira ku nyini, m'matumbo, kapena m'chikhodzodzo, kutuluka magazi kungachokere m'ziwalo zimenezo.
  • Zotsatira pa kubereka kapena mimba: Kutengera mtundu wa chithandizo (monga kuchotsa mimba), kuthekera kobereka ana kungatayike. Ngati gawo la chiberekero litachotsedwa opaleshoni, chiopsezo chotaya mimba m'tsogolo chikhoza kuwonjezeka.
  • Zotsatira zoyipa za mankhwala a khansa: Mankhwala a chemotherapy ndi radiation angayambitse zotsatira zoyipa monga nseru, kusanza, kutopa, kutaya tsitsi, komanso kusagwira bwino ntchito pogonana.
Izi zingamveke zoopsa, koma kumbukirani kuti mavuto ambiriwa akhoza kupewedwa ngati khansa yapezeka msanga ndipo chithandizo chayamba.

Kodi khansa ya pachibelekero imapezedwa bwanji?

Khansa ya pachibelekero nthawi zambiri imayamba pang'onopang'ono kwa zaka zambiri. Maselo abwino amasanduka maselo osazolowereka (maselo asanakhale khansa) kenako n’kukhala maselo a khansa. Khansa ya pachibelekero nthawi zambiri imapezeka kudzera mu kuyezetsa khansa ya pachibelekero nthawi zonse. Cholinga chachikulu cha mayesowa ndikuwona kusintha kosazolowereka m’maselo a pachibelekeropo asanakhale khansa.
  • Kuyesa kwa Pap (Kuyesa kwa Pap / Kuyesa kwa Pap): Izi zimaphatikizapo kutenga maselo angapo pamwamba pa chiberekero, kuwayang'ana pogwiritsa ntchito maikulosikopu, ndikuyang'ana ngati pali zolakwika kapena zizindikiro zilizonse za khansa isanachitike.
  • Kuyezetsa kwa HPV: Nthawi zina, pamodzi ndi mayeso a Pap, kapena ngati mayeso a Pap ndi osazolowereka, maselo a chiberekero amayezetsanso kachilombo ka HPV komwe kali pachiwopsezo chachikulu.
Ngati zotsatira za mayeso anu a Pap ndi "zosazolowereka," musadandaule. Sizikutanthauza kuti muli ndi khansa. Komabe, mungafunike kuyezetsa kwina.

Mayeso otsimikizira khansa:

Ngati Pap smear si yachilendo, dokotala adzakutumizani kuti mukayesedwenso kangapo.
  • Colposcopy: Izi zimaphatikizapo kugwiritsa ntchito chida chapadera (colposcope) kuti chikulitse chiberekero ndikuzindikira bwino maselo aliwonse osazolowereka.
  • Kufufuza za khansa: Ngati malo okayikitsa apezeka panthawi ya colposcopy, chidutswa chaching'ono cha minofu chimatengedwa ndikutumizidwa ku labu kuti chikayang'ane maselo a khansa. Pali njira zingapo zochitira biopsy iyi:
  • `Kubaya biopsy`: Chida chaching'ono chimagwiritsidwa ntchito kuchotsa chidutswa cha minofu yokayikitsa.
  • Endocervical curettage (ECC): Maselo amakokedwa mkati mwa ngalande ya khomo lachiberekero.
  • Njira yochotsera chilonda pogwiritsa ntchito electrosurgical excision procedure (LEEP): Chingwe cha waya chamagetsi chimagwiritsidwa ntchito kuchotsa minofu yosazolowereka. Nthawi zina izi zimagwiritsidwa ntchito ngati chithandizo.
  • `Cone biopsy (conization):` Chidutswa cha minofu chooneka ngati cone, chachikulu pang'ono chimachotsedwa pa khomo lachiberekero. Izi zimagwiritsidwa ntchito pozindikira komanso kuchiza.
Ngati zotsatira za biopsy zikutsimikizira kuti muli ndi khansa ya pachibelekero, sitepe yotsatira ndikupeza momwe khansayo yafalikira (metastasized). Izi zingaphatikizepo mayeso monga:
  • Mayeso oyesa momwe chiwindi ndi impso zimagwirira ntchito.
  • Kuyezetsa magazi ndi mkodzo.
  • X-ray ya chikhodzodzo, rectum, matumbo, ndi mapapo.
  • "CT (Computed Tomography) scans".
  • "Kujambula kwa MRI (Magnetic Resonance Imaging)".
Dokotala amasankha siteji ya khansa kutengera zomwe zapezeka kuchokera ku mayesowa.

Kodi magawo a khansa ya pachibelekero ndi ati?

Gawo la khansa limadalira kukula kwa khansa komanso momwe yafalikira. Izi ndizofunikira kwambiri pokonzekera chithandizo. Pali magawo anayi akuluakulu a khansa ya pachibelekero (Gawo Loyamba mpaka Gawo Lachinayi).
  • Gawo Loyamba: Khansa imafika pa khomo lachiberekero lokha. Silinafalikire ku minofu ya mkati mwa khomo lachiberekero.
  • Gawo Lachiwiri: Khansa yafalikira kupitirira khomo lachiberekero ndi chiberekero, koma sinafalikire mpaka khoma la m'chiuno kapena pansi pa nyini.
  • Gawo Lachitatu: Khansa yafalikira mpaka pansi pa nyini. Ikhozanso kufalikira mpaka khoma la m'chiuno, mkodzo, ndi ma lymph nodes apafupi.
  • Gawo Lachinayi: Khansa yafalikira ku chikhodzodzo, rectum, kapena ziwalo zakutali monga mafupa ndi mapapo.
Dokotala wanu adzakufotokozerani mwatsatanetsatane za gawo la khansa yanu komanso tanthauzo lake.

Kodi khansa ya pachibelekero imachiritsidwa bwanji?

Chithandizo cha khansa ya pachibelekero chimadalira zinthu zingapo. Gawo la khansa, zaka zanu, thanzi lanu, komanso ngati mukuyembekeza kukhala ndi ana mtsogolo zimaganiziridwa. Njira zazikulu zochiritsira ndi izi:
  • Opaleshoni
  • Chithandizo cha X-ray
  • Mankhwala a Chemotherapy
  • Chithandizo Cholunjika
  • Chithandizo cha Immunotherapy
Nthawi zina njira imodzi kapena zingapo mwa izi zimagwiritsidwa ntchito pamodzi.

Opaleshoni:

Kwa khansa yoyambirira, maselo a khansa okha ndi omwe angachotsedwe.
  • Opaleshoni ya laser: Laser ray imagwiritsidwa ntchito kuwononga maselo a khansa.
  • Cryosurgery: Imagwiritsa ntchito kuzizira kwambiri kuti izizire ndikuwononga maselo a khansa.
  • `Cone biopsy` kapena `LEEP`: Izi zimagwiritsidwa ntchito pozindikira matenda komanso kuchotsa khansa zazing'ono kwambiri, zosaoneka bwino.
  • Kuchotsa mimba mwa njira ya trachelectomy: Izi zimaphatikizapo kuchotsa khomo lachiberekero ndi mbali ya pamwamba ya nyini, koma kusiya chiberekero chili chonse. Izi nthawi zina zimachitika kwa amayi achichepere obereka ana.
  • Kuchotsa mimba: Kuchotsa chiberekero ndi khomo lachiberekero kwathunthu.
  • Kutulutsa magazi m'chiuno: Iyi ndi opaleshoni yaikulu. Chiberekero, khomo lachiberekero, chikhodzodzo, nyini, rectum, ndi gawo la m'matumbo zimachotsedwa, kutengera momwe khansa yafalikira. Izi zimachitika pokhapokha ngati khansa yabwerera kapena yafalikira kwambiri.

Chithandizo cha X-ray:

Miyezi yamphamvu kwambiri imagwiritsidwa ntchito kuwononga maselo a khansa.
  • Chithandizo cha Kutulutsa Ma Radiation ya Kunja kwa Mtambo (EBRT): Makina omwe ali kunja kwa thupi amatsogolera kuwala kwa radiation kumalo omwe khansa yafalikira.
  • Brachytherapy: Chipangizo choyezera ma radiation chimayikidwa mkati kapena pafupi kwambiri ndi chotupacho.

Mankhwala a Chemotherapy:

Mankhwala opha khansa (mankhwala a chemo) amaperekedwa kudzera m'mitsempha (mwa jakisoni) kapena ngati mapiritsi. Mankhwalawa amalowa m'magazi ndikuyenda m'thupi lonse kuti aphe maselo a khansa. Mankhwala a chemotherapy nthawi zambiri amaperekedwa mozungulira. Nthawi zina chithandizo cha radiation ndi chemotherapy zimaperekedwa pamodzi (chemoradiation) kuti achepetse khansa isanachitike opaleshoni, kapena kupha maselo ena otsala a khansa atatha opaleshoni.

Chithandizo Cholunjika:

Mankhwalawa amapangidwira kuti awononge mapuloteni enaake omwe amathandiza maselo a khansa kukula ndi kufalikira, popanda kuvulaza maselo athanzi.

Chithandizo cha Immunotherapy:

Izi zikuphatikizapo kulimbikitsa chitetezo cha mthupi lanu kuti chizindikire ndikuwukira maselo a khansa. Gulu lanu lachipatala lidzasankha njira yabwino kwambiri yothandizira. Mungakhalenso ndi mwayi wochita nawo mayeso azachipatala omwe amayesa mankhwala atsopano.

Kodi khansa ya pachibelekero ingachiritsidwe kwathunthu?

Inde! Khansa ya pachibelekero ndi khansa yomwe imachiritsidwa kwambiri, makamaka ngati yapezeka msanga. Madokotala amagwiritsa ntchito mawu akuti "remission" m'malo mwa "wachiritsidwa." Izi zikutanthauza kuti maselo a khansa m'thupi ayang'aniridwa mpaka kufika poti sangapezekenso. Komabe, amatha kubwerera. Ndicho chifukwa chake muyenera kupitiliza kukayezetsa nthawi zonse. Pa khansa ya pachibelekero ya gawo loyamba , opaleshoni nthawi zambiri ndiyo njira yoyamba yothandizira. Chemotherapy singakhale yofunikira. Koma izi zimatengera zinthu zina zingapo. Ngakhale kuti n'zovuta kupeza machiritso athunthu mu gawo lachinayi , n'zotheka kulowa mu "remission", zomwe zikutanthauza kuti matendawa akhoza kulamulidwa. Pa gawoli, mankhwala (radiation, chemotherapy, therapy yolunjika) amaperekedwabe kuti atalikitse moyo ndikukweza moyo wabwino.

Kodi khansa ya pachibelekero ingapewedwe?

Nkhani yabwino ndi yakuti, inde, khansa ya pachibelekero imatha kupewedwa! Pali zinthu zingapo zomwe mungachite:
  • Pezani katemera wa HPV: Pezani katemera wa HPV ali ndi zaka zoyenera (nthawi zambiri zaka 9-26, nthawi zina mpaka zaka 45 mukalandira upangiri wa dokotala). Uwu ndiye chitetezo chachikulu.
  • Yesani mayeso a Pap ndipo, ngati kuli kofunikira, yesani mayeso a HPV nthawi ndi nthawi: Kuyambira mutakwanitsa zaka 21 (kapena zaka zitatu mutayamba kugonana), yesani mayesowa nthawi ndi nthawi zomwe dokotala wanu wakupatsani.
  • Kugonana kotetezeka: Kugwiritsa ntchito njira zotchinga monga makondomu panthawi yogonana kungakutetezeni ku matenda opatsirana pogonana, kuphatikizapo HPV. Chepetsani chiwerengero cha anthu ogonana nawo.
  • Pewani kusuta: Ngati mukusuta, siyani. Kwa iwo omwe sasuta, musayambe kusuta.

Kodi chiyembekezo cha khansa ya pachibelekero ndi chiyani?

Khansa ya pachibelekero ndi matenda oopsa, koma monga tafotokozera kale, imatha kuchiritsidwa bwino, makamaka ngati yapezeka msanga. Ndizachibadwa kumva chisoni, mantha, komanso kukwiya mukazindikira kuti muli ndi khansa. Pezani thandizo kuti muthane ndi malingaliro amenewa. Lankhulani ndi achibale anu ndi anzanu. Kulowa nawo gulu lothandizira khansa kungathandizenso kwambiri. Ngakhale chithandizo chitatha, dokotala wanu adzapitiriza kukuyang'anirani kuti awone ngati khansayo yabwerera. Ngakhale mutayamba kuchira, ndizachibadwa kukhala ndi mantha oti khansayo idzabweranso. Ndibwino kulankhula ndi mlangizi, wokondedwa wanu, kapena dokotala wanu za izi. Malinga ndi ziwerengero kuchokera ku National Cancer Institute, kuchuluka kwa anthu omwe apulumuka zaka zisanu ndi awa:
  • Ngati khansa ya pachibelekero sinafalikire (yomwe imapezeka m'dera lina): 91%
  • Ngati yafalikira ku minofu yapafupi (yachigawo): 60%
  • Ngati yafalikira ku ziwalo zakutali (kutali): 19%
Koma kumbukirani, izi ndi ziwerengero chabe.N'zosatheka kunena zomwe zidzakuchitikireni kuchokera ku izi. Dokotala wanu yekha ndi amene angakupatseni chidziwitso chabwino kwambiri chokhudza matenda anu komanso mwayi wanu wochira.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro zachilendo zomwe takambirana kale (kutuluka magazi mosakhazikika, kutuluka magazi mosazolowereka, kupweteka panthawi yogonana), pitani kwa dokotala nthawi yomweyo. Komanso, ngati simukukumbukira nthawi yomaliza yomwe mudachita mayeso a Pap smear, lankhulani ndi dokotala wanu za izi ndikuyamba kuyezetsa nthawi zonse. Ndizachilendo kuti mafunso ambiri abwere m'maganizo mwanu mukapezeka ndi khansa ya pachibelekero. "Ndi chithandizo chiti chabwino kwambiri kwa ine?" "Kodi khansayo idzabweranso?" Kambiranani mafunso ndi nkhawa zonsezi ndi gulu lanu lachipatala.

Uthenga Wopita Nawo Kunyumba

Chabwino, takambirana zambiri lero, sichoncho? Ndizachibadwa kumva mantha pang'ono mukadziwa za khansa ya pachibelekero. Koma chofunika kwambiri ndichakuti ndi matenda omwe amatha kupewedwa ndipo, ngati atapezeka msanga, amatha kuchiritsidwa kwathunthu.
Kumbukirani:
* Pezani katemera wa HPV (ngati mukuyenerera)
* Yesani mayeso anu a Pap ndi HPV pa nthawi yake. Ichi ndi chinthu chabwino kwambiri chomwe mungachite. Musachite manyazi kapena kuzengereza.
* Ngati muli ndi zizindikiro zachilendo (kutuluka magazi mosakhazikika, kutuluka magazi ndi fungo losazolowereka, kupweteka panthawi yogonana), pitani kuchipatala nthawi yomweyo.
* Pewani kusuta fodya.
* Chitani zogonana zodziteteza.
Thanzi lanu lili m'manja mwanu. Tikukhulupirira kuti izi zikuthandizani. Ngati muli ndi mafunso ena, musazengereze kufunsa dokotala wanu. Khalani ndi thanzi labwino!
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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