Chotupa mkamwa? Kodi mukudziwa za khansa yosowa iyi (Adenoid Cystic Carcinoma)?

Tangoganizani kuti mwapeza chotupa chaching'ono mkamwa mwanu, mwina pansi pa lilime lanu kapena mkati mwa tsaya lanu. Sichikupweteka konse, kotero simungachisamale kwambiri. Koma ngakhale chinthu chaching'ono ngati ichi ndi chofunikira kudziwa. Lero tikambirana za mtundu wa khansa womwe ungayambe ndi zizindikiro ngati izi, zomwe sizichitika kawirikawiri koma tiyenera kudziwa. Ndi Adenoid Cystic Carcinoma, kapena ACC.

Kodi adenoid cystic carcinoma (ACC) ndi chiyani kwenikweni?

Mwachidule, ACC ndi mtundu wa khansa wosowa kwambiri. Nthawi zambiri imayambira m'malovu mkamwa mwathu. Kodi mukudziwa kuti pali mitundu itatu ikuluikulu ya malovu mkamwa mwathu?

1. Ma glands a Parotid: Awa ali pafupi ndi makutu, mbali zonse ziwiri za masaya.

2. Ma glands a pansi pa ntchafu: Awa ali pansi pa nsagwada yathu yapansi.

3. Ma glands a sublingual: Awa ali pansi pa lilime.

Khansa ya ACC nthawi zambiri imayamba m'ma glands awa, koma nthawi zina imatha kufalikira m'mbali zina za pakamwa, pakhosi, m'ma glands a thukuta, kapena ngakhale m'ma glands a misozi.

Kodi zizindikiro za izi ndi ziti?

Chizindikiro chachikulu komanso choyambirira cha khansa ya ACC chingakhale chotupa chosapweteka chomwe chimatuluka mkamwa, pansi pa lilime, kapena mkati mwa tsaya. Ziphuphu zimenezi zimakula kwambiri. Kuwonjezera pa chizindikiro chachikuluchi, zizindikiro zina zingapo zingaonekere.

Ngati muli ndi zizindikiro izi, chonde musanyalanyaze. Pitani kwa dokotala wa banja lanu nthawi yomweyo. Iye adzatha kudziwa chomwe chimayambitsa vutoli.

Kodi mwapeza bwanji izi, Dokotala?

Mukapita kwa dokotala, adzakufunsani kaye za zizindikiro zanu. Ndiye kuti, munaona liti chotupacho, ngati chikukulirakulira, ngati chikupweteka, ngati mukumva dzanzi, ndi zina zotero. Kenako adzafufuza mosamala pakamwa panu, nkhope yanu, ndi khosi lanu. Adzafufuzanso ngati pali ma lymph nodes otupa m'khosi mwanu.

Kuphatikiza apo, mayeso angapo angapangidwe kuti atsimikizire matendawa.

• Mayeso Ojambula: Ma scan amenewa amathandiza kudziwa kukula kwenikweni kwa chotupacho, komwe chili, komanso ngati khansayo yafalikira.
• MRI (Magnetic Resonance Imaging): Imagwiritsa ntchito mphamvu ya maginito kuti ipeze zithunzi zatsatanetsatane.
• Kujambula kwa CT (Computed Tomography): Ma X-ray angapo amasonkhanitsidwa kuti apange zithunzi zatsatanetsatane.
• Kujambula kwa PET (Positron Emission Tomography): Kumathandiza kuzindikira madera a maselo a khansa pogwiritsa ntchito zithunzi zamitundu.
• Kufufuza za khansa: Iyi ndi njira yoyesera yomwe imachitika kuti itsimikizire 100% ngati ndi khansa kapena ayi. Apa, minofu yaying'ono kwambiri imatengedwa kuchokera ku chotupacho ndikuwunikidwa pansi pa maikulosikopu. Izi zimawunikidwa ndi katswiri wa matenda.

N’chifukwa chiyani khansa yamtunduwu imayamba?

Madokotala sakudziwabe chomwe chimayambitsa ACC, koma amakhulupirira kuti khansa iyi imayamba chifukwa cha kusintha kwina (kusintha kwa majini) m'majini athu.

Kodi mankhwala ake ndi otani?

Chithandizo chachikulu cha ACC ndi kuchotsa chotupa ndi minofu yozungulira opaleshoni.

1. Opaleshoni

Mtundu wa opaleshoni yomwe imachitika imadalira malo omwe chotupacho chili. Chotupa cha malovu chomwe chakhudzidwacho chimachotsedwa pamodzi ndi chotupacho, kaya chonse kapena mbali yake. Chifukwa khansa ya ACC imatha kufalikira kudzera m'mitsempha, madokotala amafufuza mosamala mitsempha yozungulira panthawi ya opaleshoni. Nthawi zina mitsempha yomwe imalamulira mayendedwe a nkhope imatha kuwonongeka. Komabe, ngati izi zitachitika, njira zapamwamba zopangira opaleshoni monga kubwezeretsanso nkhope zingagwiritsidwe ntchito kubwezeretsa mitsemphayo kuti igwire bwino ntchito.

2. Chithandizo cha Radiation

Pambuyo pa opaleshoni, chithandizo cha radiation nthawi zambiri chimaperekedwa kuti chiphe maselo otsala a khansa. Nthawi zina, chithandizochi chimagwiritsidwa ntchito pamene opaleshoni siingatheke. Komabe, chithandizochi chingayambitse mavuto monga kuuma pakamwa, kuvutika kumeza, komanso kuwonongeka kwa dzino. Chifukwa chake, ndikofunikira kugwira ntchito limodzi ndi dokotala wanu komanso dokotala wa mano panthawi ya chithandizo.

3. Mankhwala ena

Nthawi zina zikafika poipa, madokotala angaganizirenso zinthu monga chemotherapy kapena chithandizo chamankhwala cholunjika. Izi ndi njira zomwe zidakali mu gawo lofufuza.

Kodi chimachitika ndi chiyani mukalandira chithandizo?

ACC ndi khansa yomwe imayamba kubwereranso. Chifukwa chake, ndikofunikira kupita kukayezetsa ndi kusanthula nthawi zonse mukalandira chithandizo. Malinga ndi dokotala, poyesa izi panthawi yake, ngati khansayo yabwereranso, imatha kupezeka ndikuchiritsidwa msanga.

Ndikofunikira kumvetsetsa kuti ngakhale pali ziwerengero za kuchuluka kwa anthu omwe akupulumuka, ndi ziwerengero chabe. Wodwala aliyense ndi wosiyana, komanso momwe amayankhira chithandizo. Chifukwa chake, chidziwitso chabwino kwambiri chokhudza vuto lanu chingapezeke kwa dokotala amene akukuchizani.