Kodi mukudziwa za khansa ya m'mimba? Tiyeni tikambirane mwachidule!

Kodi nthawi zina mumamva kupweteka m'mimba, nseru, komanso kusowa chilakolako cha chakudya? Nthawi zambiri, sitisamala kwambiri zinthuzi, poganiza kuti ndi zachilendo, kapena mwina poizoni wa chakudya. Koma nthawi zambiri, zizindikiro zazing'onozi zimatha kukhala chizindikiro cha matenda aakulu m'matumbo athu. Lero, tikambirana za mtundu wosowa kwambiri wa khansa womwe aliyense ayenera kudziwa. Umenewo ndi khansa ya duodenal, kapena "Khansa ya duodenal".

Kodi Khansa ya Duodenal ndi chiyani?

Mwachidule, iyi ndi khansa yomwe imapezeka m'matumbo athu ang'onoang'ono. Mu dongosolo lathu logaya chakudya, chakudya chimayenda kuchokera m'mimba kupita kumatumbo ang'onoang'ono. Gawo loyamba la matumbo ang'onoang'ono awa limatchedwa duodenum . Kunena zoona, duodenum ndi malo akuluakulu komwe chakudya chochokera m'mimba chimasakanikirana ndi ma enzyme osiyanasiyana opangidwa ndi thupi lathu, monga ndulu, kuti ayambe kugaya chakudya.

Khansa ya m'mimba ndi vuto losowa kwambiri. Nthawi zambiri, tikamalankhula za khansa ya m'mimba, nthawi zambiri timamva za khansa yomwe imapezeka m'matumbo, m'mimba, ndi kapamba. Ndikofunikira kudziwa za vutoli chifukwa limatha kufalikira mwachangu kwambiri.

Kodi ndi zinthu ziti zomwe zimayambitsa khansa iyi komanso zomwe zimayambitsa matendawa?

Madokotala sakudziwabe chomwe chimayambitsa khansa iyi, koma monga khansa zina, amakhulupirira kuti kusintha kwina kwa majini a maselo a thupi (majini mutations) kungayambitse maselo amenewo kukula mopitirira muyeso, zomwe zimapangitsa kuti pakhale chotupa cha khansa.

Ofufuza apeza zinthu zina zomwe zimawonjezera chiopsezochi.

• Zaka: Khansa iyi imapezeka kwambiri mwa anthu okalamba, azaka zapakati pa 60 ndi 70. Izi zitha kukhala chifukwa chakuti zimatenga nthawi kuti kusintha kwa majini kuchuluke.
• Mbiri ya banja: Nthawi zina matenda a majini omwe makolo amalandira angapangitse kuti pakhale chiopsezo chotere. Zina mwa matenda amenewa ndi monga:
• Matenda a Fibrosis
• Familyal Adenomatous Polyposis (FAP)
• Matenda a Peutz-Jeghers (PJS)
• Ma polyposis okhudzana ndi MUTYH
• Matenda a Lynch
• Zakudya: Kudya nyama yofiira kwambiri, shuga, ndi chakudya chokonzedwa bwino monga buledi ndi pasitala, komanso kudya ndiwo zamasamba ndi zipatso zochepa, kungapangitsenso kuti munthu adwale matenda a shuga.
• Kusuta ndi mowa: Ngakhale kuti si maphunziro onse omwe akugwirizana pa izi, kafukufuku wina akusonyeza kuti kusuta kapena mowa, kapena zonse ziwiri, kungapangitse kuti munthu adwale khansa ya m'matumbo ang'onoang'ono.
• Zotupa zina zomwe zimachitika m'chiberekero:Ngati muli ndi chotupa chosakhala khansa (chosaopsa) kapena zotupa zazing'ono (polyps) m'chiberekero chanu, muli pachiwopsezo chachikulu chotenga khansa pamenepo.
• Matenda ena a m'mimba: Anthu omwe ali ndi matenda a m'mimba monga matenda a Crohn, matenda otupa m'matumbo, ndi matenda a celiac angakhalenso ndi chiopsezo chowonjezeka pang'ono cha khansa iyi.

Kodi zizindikiro zake ndi ziti? Kodi mumazindikira bwanji?

Vuto lalikulu ndi khansa iyi ndilakuti zizindikiro zake n’zosamveka bwino ndipo n’zosavuta kuzizindikira pachiyambi. Simungazindikire kusintha kulikonse mpaka khansayo itakhala ikukula m’thupi mwanu kwa miyezi ingapo.

Tiyeni tiwone tebulo ili kuti timvetse bwino zizindikirozi.

Kodi dokotala amazindikira bwanji matendawa molondola?

Khansa imeneyi nthawi zambiri imapezeka matendawa akafalikira pang'ono. Izi zili choncho chifukwa zizindikiro zomwe takambirana pamwambapa zimathanso kuyambitsidwa ndi matenda ena ambiri ofala.

Koma ngati khansa iyi yapezeka msanga , isanafalikire, pali mwayi waukulu wochira kwathunthu ndi chithandizo. Ichi ndichifukwa chake ndikofunikira kudziwa zizindikiro zake.

Kuti adziwe matendawa, dokotala wanu angakulangizeni mayeso angapo, monga:

Mayeso Ojambula

• Endoscopy (Esophagogastroduodenoscopy): Mu izi, chubu chopyapyala chokhala ndi kamera ndi kuwala chimalowetsedwa kudzera pakamwa ndipo m'mero, m'mimba, ndi duodenum zimafufuzidwa.
• Kujambula kwa Ultrasound: Izi zimathandiza kuona ngati chotupacho chatupa komanso momwe khansa yafalikira.
• Kujambula kwa CT (Kujambula kwa Computed Tomography): Izi sizingathe kuwona khansa mwachindunji, koma zimatha kuzindikira zinthu monga zolepheretsa zomwe zimachitika chifukwa cha chotupacho ndikuwona ngati khansayo yafalikira kumadera ena.

Mayeso a Laboratory

• Biopsy: Pa nthawi ya endoscopy, chidutswa chaching'ono cha minofu chimatengedwa kuchokera pamalo okayikitsa ndikuwunikidwa kuti atsimikizire ngati ndi khansa.
• Kuyezetsa magazi: Popeza khansa iyi ingayambitse kuchepa kwa magazi m'thupi, magazi amayezedwa kuti awone kuchuluka kwa maselo ofiira m'magazi. Kuyezetsa magazi kumachitikanso kuti awone momwe ziwalo za thupi, monga chiwindi ndi impso, zikugwirira ntchito.

Kodi mankhwala ake ndi otani?

Chithandizo chachikulu cha khansa ya m'chiberekero ndi opaleshoni .

• Njira Yochitira Opaleshoni ya Whipple: Iyi ndi opaleshoni yofala kwambiri. Ikuphatikizapo kuchotsa mutu wa kapamba, duodenum, gawo la m'mimba, ndulu, ndi ndulu. Iyi ndi opaleshoni yovuta pang'ono.
• Kuchotsa ma lymph nodes: Ngati khansa yafalikira ku ma lymph nodes, kuchotsa ma lymph nodes opangidwa ndi opaleshoni kumawonjezera mwayi wa wodwalayo wopulumuka.
• Opaleshoni yochepetsera zizindikiro: Ngati wodwalayo akumva kupweteka kwambiri chifukwa cha zinthu monga kutsekeka kwa matumbo, opaleshoni ingathenso kuchitidwa kuti athetse vutoli.
• Chemotherapy: Popeza khansa iyi ndi yosowa, chemotherapy sigwiritsidwa ntchito kawirikawiri. Komabe, kafukufuku akusonyeza kuti chithandizochi chingakhale chothandiza ngati opaleshoni singatheke.

Zinthu zomwe tingachite kuti tichepetse chiopsezochi

Palibe njira yotsimikizika yopewera khansa iyi, koma pali zinthu zingapo zomwe tingachite kuti tichepetse chiopsezo chathu chonse cha khansa.

• Khalani ndi zakudya zabwino: Idyani zipatso zatsopano, ndiwo zamasamba, ndi tirigu wathunthu. Zakudya, mavitamini, ndi ma antioxidants omwe ali muzakudya izi zimathandiza kuchepetsa chiopsezo cha khansa.
• Kuchita masewera olimbitsa thupi ndikukhala ndi kulemera kwabwino: Kuchepetsa thupi lanu momwe mungathere kungathandize kuteteza ku mitundu yonse ya khansa. Yesetsani kuchita masewera olimbitsa thupi kwa mphindi zosachepera 30 patsiku, monga kuyenda mwachangu, komwe kumabweretsa thukuta.
• Lankhulani ndi dokotala wanu: Ngati muli ndi vuto la majini lomwe limayambitsa kukula pang'ono (polyps) m'chiberekero chanu, opaleshoni yochotsa ikhoza kukhala lingaliro labwino kuti muchepetse chiopsezo chanu chokhala ndi khansa mtsogolo. Ndi bwino kulankhula ndi dokotala wanu za izi ndikupanga chisankho.