Tonsefe timachita mantha pang'ono tikamva mawu oti "khansa," sichoncho? Ndi zachilendo kwambiri. Koma pali mitundu yambiri ya khansa, ndipo ngati tadziwitsidwa bwino za iliyonse mwa iyo, sitiyenera kusunga mantha amenewo m'maganizo mwathu mosafunikira. Lero tikambirana za mtundu umodzi wofala kwambiri wa khansa. Umenewo ndi Adenocarcinoma. Mwina munamvapo dzina ili kale. Tiyeni tiwone mosavuta chomwe chili.
Kodi Adenocarcinoma ndi chiyani?
Mwachidule, adenocarcinoma ndi mtundu wa khansa yomwe imayambira m'ma gland m'thupi lathu. Tangoganizirani, pali maselo a gland omwe ali mkati mwa ziwalo zosiyanasiyana m'thupi lathu. Ma gland awa amatulutsa zinthu monga ntchofu (madzimadzi ngati ntchofu) ndi madzi osakaniza m'mimba. Ngati pazifukwa zina maselo a gland awa ayamba kukula modabwitsa komanso mosalamulirika, zotupa zimatha kupangika pamenepo. Ndicho chomwe timachitcha adenocarcinoma, khansa yomwe imayamba motere.
Ndipotu, iyi ndi khansa yofala kwambiri yomwe imapezeka m'ziwalo. Pali ziwalo zingapo zomwe khansa iyi ingakhudze kwambiri:
- Chifuwa
- M'matumbo/m'matumbo
- Mitsempha ya m'mimba
- Mapapu
- Pancreas
- Prostate
- Mimba
Kodi khansa iyi ingafalikire ku ziwalo zina za thupi?
Inde, mwatsoka zimatha kuchitika. Ngakhale khansa ya adenocarcinoma imayamba m'maselo a m'mimba, imatha kufalikira ku ziwalo zina za thupi pakapita nthawi. Mwachitsanzo, imatha kufalikira ku ubongo, chiwindi, ma lymph nodes, mafupa, komanso ngakhale m'mafupa.
Madokotala amafotokoza kufalikira kumeneku m'njira ziwiri zazikulu:
1. Invasive adenocarcinoma: Apa ndi pamene maselo a khansa afalikira kuchokera komwe adayambira kupita ku minofu yozungulira ndi ma lymph nodes apafupi, mofanana ndi mizu ya chomera chomwe chimafalikira pansi.
2. Metastatic adenocarcinoma: Izi zimachitika pamene maselo a khansa amachoka pa chotupa choyambirira, amayenda m'mitsempha yamagazi kapena m'thupi, ndikupanga zotupa zatsopano m'madera akutali a thupi. Zili ngati mbewu yomwe ikuyandama mumphepo, ikukula kukhala chomera chatsopano.
Kodi zizindikiro za khansa ya adenocarcinoma ndi ziti?
Zizindikiro za izi zimasiyana kwambiri kutengera komwe khansa ili, koma pali zizindikiro zina zodziwika bwino.
- Kupweteka m'dera lomwe khansa ili.
- Kupezeka kwa magazi m'madzi amthupi (monga mkodzo, ndowe, malovu).
- Kusintha mwadzidzidzi kwa chilakolako cha chakudya kapena kulemera kwa thupi.
- Kutupa.
Tsopano tiyeni tiwone zizindikiro zenizeni za khansa iyi zokhudzana ndi chiwalo chilichonse. Chidziwitsochi chidzakhala chosavuta kumvetsetsa ndi tebulo.
| Malo omwe khansa ili | Zizindikiro zodziwika bwino |
|---|---|
| Mapapu | Zizindikiro zoyamba ndi chifuwa chosatha. Chifuwacho chingabweretse ntchofu ndi magazi pang'ono. Kuphatikiza apo, pakhoza kukhala vuto lopuma, kupweteka pachifuwa, kupuma movutikira, komanso kusanza. |
| Chifuwa | Kawirikawiri zimazindikirika ndi mammogram zizindikiro zisanawonekere. Komabe, muyenera kudziwa zinthu monga kusintha kwa mawonekedwe kapena kukula kwa bere, kusintha kwa mtundu wa khungu la bere kapena nsonga ya mbolo, kusintha kwa khungu (monga khungu la lalanje), kapena kutuluka magazi kuchokera ku nsonga ya mbolo. |
| M'matumbo/m'matumbo | Chotupacho sichingasonyeze zizindikiro zilizonse mpaka chitakula. Ngakhale ngati pali kutuluka magazi m'chimbudzi, chikhoza kukhala chaching'ono kwambiri moti sichingaoneke ndi maso. Zizindikiro monga kupweteka m'mimba, kutsegula m'mimba, kapena kudzimbidwa zingachitikenso. |
| Pancreas | Anthu ambiri amayamba zizindikiro kumapeto kwa matendawa. Zizindikiro zoyamba ndi kupweteka m'mimba komanso kuchepa thupi kosaneneka. Zizindikiro zina zingaphatikizepo kupweteka msana, kupweteka pachifuwa, nseru ndi kusanza, komanso ndowe zamadzi. |
| Prostate | Nthawi zambiri palibe zizindikiro kumayambiriro kwa matendawa. Pamene matendawa akupitirira, angayambitse vuto la kusowa kwa maliseche kapena kufunikira kukodza pafupipafupi kuposa masiku onse. |
| Mitsempha ya m'mimba | Zizindikiro zake zingakhale monga kuvutika kumeza, kusadya bwino, chifuwa, mawu opweteka, komanso kulimba pachifuwa kapena kutentha. |
| Mimba | Zizindikiro monga kumva kukhuta, kuvutika kumeza, nseru, ndi kusagaya bwino chakudya zingachitike ngakhale mutadya pang'ono. |
Kodi n’chiyani chimayambitsa adenocarcinoma?
Khansa iyi imayamba pamene maselo m'matenda athu akuyamba kugawikana mosalamulirika. Akatswiri sanganene nthawi zonse chifukwa chake izi zimachitikira anthu ena. Komabe, apeza zinthu zingapo zomwe zingayambitse izi.
- Kusuta: Kusuta fodya ndiye chifukwa chachikulu cha khansa zambiri, kuphatikizapo adenocarcinoma.
- Mbiri ya banja: Ngati amayi anu, abambo anu, mchimwene wanu, mlongo wanu, kapena agogo anu aakazi adadwala khansa iyi, inunso muli pachiwopsezo chachikulu chotenga khansayi.
- Kumwa Mowa: Kumwa mowa nthawi zonse, makamaka ngati m'banja mwanu muli khansa, kumawonjezera chiopsezo cha matendawa.
- Kukumana ndi poizoni: Kukumana ndi mankhwala oopsa a poizoni kunyumba kapena kuntchito kungakhalenso chifukwa.
- Kunenepa kwambiri (BMI) kuposa 25: Izi zikutanthauza kuti kunenepa kwambiri ndi chinthu chomwe chimayambitsa mitundu ina ya khansa.
- Chithandizo cha radiation cham'mbuyomu: Ngati mudalandirapo chithandizo cha radiation kale pazifukwa zina, chiopsezo chanu chokhala ndi adenocarcinoma chikhoza kuwonjezeka pang'ono.
Kodi khansa imeneyi imapezeka bwanji?
Ngati muli ndi zizindikiro, dokotala wanu adzayamba kaye wakuyezani thupi. Kenako, akafunsa za zizindikiro zanu, adzakulangizani kuti muyesedwe zina zofunika.
- Kuyezetsa magazi: Kuchuluka kwa ma enzyme ena m'magazi ndi kuchepa kwa kuchuluka kwa maselo ofiira m'magazi kungapereke chidziwitso chokhudza khansa.
- Kujambula kwa CT: Izi zingapangitse zithunzi za mwatsatanetsatane za minofu mkati mwa thupi. Izi zingathandize kuona ngati pali chinthu chachilendo.
- Kujambula kwa MRI: Izi zimagwiritsa ntchito maginito ndi mafunde a wailesi kuti apange zithunzi za ziwalo ndi minofu.
- Kuyesa kwa Biopsy: Iyi ndiye mayeso ofunikira komanso otsimikizika kwambiri.Izi zimaphatikizapo kutenga minofu yaying'ono kwambiri kuchokera ku chiwalo chokhudzidwacho ndikuchiyang'ana pansi pa maikulosikopu ndi katswiri wa matenda kuti awone ngati pali maselo aliwonse a khansa. Kuyesa kumeneku kungathe kudziwa ngati khansa ili pamalo amodzi, yafalikira, komanso kuchuluka kwa kukula kwake.
Chofunika kwambiri ndichakuti ngati muli ndi zizindikiro zomwe tatchula pamwambapa, musaope kuti ndi khansa. Zizindikirozi zitha kuchitikanso m'matenda ena ambiri. Chifukwa chake, chinthu chabwino kuchita ndikuwonana ndi dokotala ndikupempha upangiri.
Kodi siteji ndi mulingo wa khansa zimatsimikiziridwa bwanji?
Akapezeka ndi khansa, madokotala amafufuza kuchuluka kwake ndi siteji yake. Izi ndizofunikira kwambiri pokonzekera chithandizo.
Kuyesa Khansa
Chomwe tikuyang'ana apa ndi momwe maselo a khansa amakhalira osazolowereka akamawonedwa pogwiritsa ntchito maikulosikopu.
- Osiyana bwino (Ochepa): Maselo a khansa ndi ofanana ndi maselo athanzi ndipo nthawi zambiri amakula ndi kufalikira bwino.
- Kusiyanitsa pang'ono (Gawo lapakati): Maselo awa ndi osazolowereka pang'ono ndipo amakula mofulumira kuposa mitundu yomwe ili pamwambapa.
- Maselo a khansa ndi osiyana kwambiri (Osasiyana kwambiri): Maselo a khansa ndi osiyana kwambiri ndipo ndi osazolowereka ndi maselo athanzi. Amatha kukula ndi kufalikira mwachangu kwambiri.
Kusanthula kwa khansa
Chomwe tikuyang'ana apa ndi momwe khansa yafalikira.
- Gawo 0: Khansa siinafalikire kupitirira pomwe inayambira.
- Gawo Loyamba (1): Maselo a khansa afalikira pang'ono ku minofu yozungulira, koma sanafalikire ku ma lymph nodes kapena ziwalo zina.
- Gawo Lachiwiri (2): Khansa yafalikira pang'ono m'minofu yozungulira. Ikhozanso kufalikira ku ma lymph nodes apafupi.
- Gawo Lachitatu (3): Khansa ikhoza kufalikira mpaka ku zigawo zakuya za minofu, pafupi ndi kutali ndi ma lymph nodes, ndipo chotupacho chikhoza kukhala chachikulu pa siteji iyi.
- Gawo Lachinayi (4): Khansa yafalikira kuchokera komwe inayambira kupita ku ziwalo zakutali m'thupi. Iyi ndi khansa yomwe timaitcha kuti khansa yofalikira .
Kodi mankhwala a adenocarcinoma ndi ati?
Chithandizo chimadalira mtundu wa khansa, komwe ili, kukula kwake, komanso ngati yafalikira. Pali njira zitatu zazikulu zochizira.
1. Opaleshoni: Iyi nthawi zambiri imakhala njira yoyamba yothandizira. Cholinga chake ndi kuchotsa chotupa cha khansa ndi minofu yathanzi yozungulira.
2. Chemotherapy: Izi zimaphatikizapo kupereka mankhwala amphamvu omwe angaphe maselo a khansa. Mankhwalawa angaperekedwe kudzera mu jakisoni kapena ngati mapiritsi.
3.Chithandizo cha radiation: Izi zimagwiritsa ntchito ma radiation amphamvu kwambiri (monga ma X-ray) kuti awononge maselo a khansa komanso kuchepetsa kuwonongeka kwa minofu yathanzi.
Kawirikawiri, njira imodzi kapena zingapo mwa izi zimagwiritsidwa ntchito pamodzi kuti zitheke bwino. Dokotala wanu adzakufotokozerani izi mwatsatanetsatane.
Kodi tingatani kuti tichepetse chiopsezochi?
Ngakhale kuti palibe njira yopewera kwathunthu adenocarcinoma, pali zinthu zingapo zomwe tingachite kuti tichepetse chiopsezo chotenga adenocarcinoma.
- Pewani fodya kotheratu.
- Khalani otanganidwa. Ndikofunikira kwambiri kuchita masewera olimbitsa thupi tsiku lililonse.
- Idyani zakudya zopatsa thanzi. Idyani ndiwo zamasamba, zipatso, ndi masamba ambiri.
- Khalani ndi kulemera koyenera kwa inu.
- Pita kukayezetsa kuchipatala nthawi zonse. Ndikofunikira kuti muyezedwe motsatira malangizo a dokotala wanu, makamaka ngati muli ndi mbiri ya khansa m'banja mwanu.
Kodi muyenera kupita kwa dokotala liti?
Ngati muli ndi chimodzi kapena zingapo mwa zizindikiro zomwe takambirana kale zomwe zimapitirira milungu iwiri , onetsetsani kuti mwawonana ndi dokotala. Komanso, ngati zizindikirozi zikusokoneza zochita zanu za tsiku ndi tsiku, funsani upangiri wa dokotala nthawi yomweyo. Kumbukirani, matendawa akapezeka msanga, chithandizo chimayenda bwino.
Maganizo omwe amabwera chifukwa chopezeka ndi khansa ndi ovuta. N'zachibadwa kukhala ndi mantha, kukwiya, komanso chisoni. Kumbukirani kuti simuli nokha. Gulu lanu lachipatala, banja lanu, ndi anzanu alipo kuti akuthandizeni. Kudziwa bwino za matenda anu ndi chithandizo chanu kungakuthandizeni kuthana ndi vutoli.
Uthenga Wopita Nawo Kunyumba
- Adenocarcinoma ndi khansa yofala kwambiri yomwe imayambira m'maselo a thupi.
- Khansa imeneyi imapezeka kwambiri m'ziwalo monga mapapo, mawere, m'matumbo, kapamba, ndi m'mimba.
- Dziwani zizindikiro monga chifuwa chosatha, kuchepa thupi, magazi m'chimbudzi, komanso kuvutika kumeza.
- Chiopsezochi chingachepe ngati tipewa kusuta fodya ndi kumwa mowa komanso kukhala ndi moyo wathanzi.
- Ngati mukukayikira zizindikiro zilizonse, musachite mantha kapena kuchedwa, koma funsani dokotala nthawi yomweyo. Kuzindikira msanga ndikofunikira kwambiri kuti chithandizo chikhale chopambana.
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