Mukaganizira za khansa, chomwe chimabwera m'maganizo mwanu nthawi yomweyo ndi mankhwala a chemotherapy ndi radiation therapy, sichoncho? Zoona, njira zimenezo zimagwiritsidwabe ntchito polimbana ndi khansa. Koma chithunzicho chikusintha m'njira zosayerekezeka. Ndi kupita patsogolo kwa sayansi ya zamankhwala m'zaka zingapo zapitazi, odwala khansa ndi madokotala tsopano ali ndi njira zambiri zoti asankhe. Chifukwa chake, tiyeni tikambirane pang'ono za chiyembekezo chatsopanochi.
Kulimbana ndi khansa ndi gulu lankhondo la thupi lanu - Immunotherapy
Chifukwa chimodzi chomwe chimachititsa kuti kulimbana ndi khansa kukhale kovuta kwambiri ndichakuti maselo a khansa ndi adani ochenjera kwambiri. Ndi aluso kwambiri pobisalira chitetezo cha thupi lathu, chitetezo cha mthupi. Nthawi zina thupi lathu silizindikira ngakhale maselo a khansa ngati chiwopsezo. Kapena, chitetezo chathu cha mthupi sichili ndi mphamvu zokwanira zolimbana nawo.
Koma tsopano pali njira yabwino yothetsera vutoli. Umenewo ndi mankhwala otchedwa immunotherapy . Mwachidule, mankhwalawa "amaika" maselo obisika a khansa ku chitetezo chathu chamthupi. Kenako maselo athu oteteza thupi amatha kupeza mosavuta maselo a khansa awa ndikuwawononga. Komanso, mankhwalawa amalimbitsa chitetezo chathu chamthupi ndikuchithandiza kuukira zotupa.
Njira yochiritsira iyi ikugwiritsidwa kale ntchito bwino pa mitundu ingapo ya khansa, ndipo mankhwala ena ambiri ali mu gawo lofufuza.
Chithandizo chapadera: Chithandizo cha maselo a CAR T
Iyi ndi sitepe ina yopita patsogolo mu chithandizo cha immunotherapy. Iyi ndi njira yochizira majini. Taganizirani izi motere. Mumatenga mtundu wa selo loteteza thupi (ma T-cells) kuchokera m'magazi anu. Kenako, mu labu, mumawonjezera majini atsopano ku maselo amenewo, kuwasandutsa "asilikali apamwamba." Maselo ophunzitsidwa kumenewa amatha kuzindikira ndikuwononga maselo a khansa molondola kwambiri. Kenako, mumabwezeretsa maselo apamwambawa m'thupi lanu.
Pakadali pano, chithandizochi (`tisagenlecleucel` (Kymriah)) chimaperekedwa kwa ana ndi achinyamata osakwana zaka 25 omwe ali ndi mtundu wa leukemia (`B-cell acute lymphoblastic leukemia`) womwe sunayankhe mankhwala ena. Mankhwala ofanana (`Yescarta`, `Tecartus`) amavomerezedwanso pa mitundu ina ya lymphoma mwa akuluakulu (`B-cell lymphoma`, `mantle cell lymphoma`). Asayansi akupanga njira iyi ya mitundu ina ya khansa.
Chithandizo Choyenera - Mankhwala Oyenera Munthu
Kale, aliyense amene anali ndi khansa yamtundu winawake komanso gawo linalake la khansa ankapatsidwa chithandizo chofanana. Zinali ngati kupatsa aliyense shati yofanana. Anthu ena angapeze zotsatira zabwino, pomwe ena sangapeze.
Koma tsopano madokotala akudziwa kuti njira yothetsera vutoli yomwe ingagwire ntchito kwa munthu mmodzi singagwire ntchito kwa wina.
Ndi ukadaulo wamakono, madokotala amatha kudziwa molondola chithandizo chomwe chingakuthandizeni kwambiri pofufuza majini anu . Ichi ndi chomwe timachitcha mankhwala opangidwa payekha .
Komanso, pali mankhwala ena atsopano omwe amalimbana kwambiri ndi matendawa. Izi zikutanthauza kuti, m'malo mowononga maselo a khansa pamodzi ndi maselo athanzi monga mankhwala akale a chemo, mankhwala atsopanowa amalimbana ndi maselo a khansa okha . Izi zikutanthauza kuti zotsatira zake zimakhala zochepa kwambiri.
Chopereka chodabwitsa cha ukadaulo wamakono
Tsopano pali ukadaulo watsopano wojambulira zithunzi womwe ungatithandize kuona momwe khansa ikuonekera komanso momwe yafalikira. Izi zili ngati makamera apamwamba omwe amatha kuwona mkati mwa khansa.
| Ukadaulo | Mwachidule, kodi chidzachitike n’chiyani kuchokera pamenepa? |
|---|---|
| mp-MRI (Multiparametric-magnetic resonance imaging) | Izi zimathandiza madokotala kuona bwino ngakhale mitsempha yamagazi yomwe ili mkati mwa chotupa cha khansa ya prostate. Izi zimapangitsa kuti zikhale zosavuta kwa madokotala kusankha chithandizo chabwino kwambiri. |
| Kujambula zithunzi za moyo wonse wa Fluorescence (FLI) | Njira yothandizira akazi omwe ali ndi khansa ya m'mawere. Kujambula kumeneku kukuwonetsani ngati muli ndi mapuloteni ena m'thupi lanu omwe amathandiza maselo a khansa kukula. Ngati ndi choncho, dokotala wanu angakupatseni mankhwala omwe amaletsa kukulako. |
| Kuwotcha | Izi zimaphatikizapo kuziziritsa khansa ndikuiwononga poiziziritsa ngati ayezi. Izi zimathandiza kuti khansa nthawi zina ichiritsidwe popanda kuchotsa mapapo onse kapena gawo lawo. |
| Kuchotsa kwa laser yotsogozedwa ndi MRI | Kujambula kwa MRI kumasonyeza komwe khansa ili ndipo kumagwiritsa ntchito kuwala kwa laser kotentha kwambiri kuti kuwononge maselo a khansa. Izi zimagwiritsidwa ntchito pa khansa ya prostate. |
Pali mpumulo ngakhale popanda mankhwala...
Moyo ukhoza kukhala wovuta kwambiri panthawi ya chithandizo cha khansa chifukwa cha kupsinjika maganizo, nseru, ndi ululu. Mu nthawi ngati izi, pali njira zina zoperekera mpumulo kuwonjezera pa chithandizo chamankhwala .
Yoga, kutikita minofu, kusinkhasinkha, ndi hypnosis zingakuthandizeni kupumula ndikukonza momwe mukumvera. Acupuncture, mankhwala akale achi China, angathandize kuchepetsa zotsatirapo zina za chithandizo.
- Kusanza ndi kusanza
- Kutopa
- Thukuta la usiku
- Kutentha kwambiri
- Kuvutika maganizo
- Ululu
Chofunika kwambiri: Izi sizilowa m'malo mwa chithandizo choyamba chamankhwala. Cholinga chake ndi kukupatsani mpumulo pamene mukulandira chithandizo choyamba. Onetsetsani kuti mwalankhula ndi dokotala wanu musanayambe chilichonse chonga ichi.
Kufunika kwa kusintha moyo
Ngakhale tikulankhula za mankhwala onsewa, pali chinthu chimodzi chomwe sitingaiwale. Ndi moyo wathu. Zinthu monga kuchepetsa zakudya zamafuta, kukhalabe ndi zochita zolimbitsa thupi, komanso kuchepetsa kumwa mowa zingathandizenso kuchepetsa chiopsezo cha khansa.
Kafukufuku wapeza kuti kuchita masewera olimbitsa thupi nthawi zonse kungachepetse chiopsezo cha mitundu 13 ya khansa . Simuyenera kuthamanga marathon. Kungoyenda mwachangu kwa mphindi 30 patsiku kungathandize.
Ndi bwino kukhala ndi zosankha pa moyo. Zimakhala bwino kwambiri ngati pali njira zambiri zochiritsira anthu omwe akulimbana ndi khansa. Chiyembekezo chimenecho chikukulirakulira tsiku ndi tsiku.
Uthenga Wopita Nawo Kunyumba
- Ponena za chithandizo cha khansa, tsopano pali zambiri osati mankhwala a chemotherapy ndi radiation okha. Palinso njira zamakono zomwe zimagwiritsa ntchito chitetezo chamthupi, monga chithandizo cha immunotherapy.
- Njira ya 'kukula kumodzi kukugwirizana ndi zonse' yasintha. Tsopano, n'zotheka kuyesa majini anu ndikukupatsani chithandizo chapadera komanso cholunjika (Mankhwala Opangidwira Munthu Aliyense).
- Ukadaulo wamakono wojambula zithunzi ndi njira monga lasers ndi cryoablation zathandiza kuchepetsa opaleshoni ndikuwononga maselo a khansa molondola kwambiri.
- Mankhwala owonjezera monga yoga, kusinkhasinkha, ndi acupuncture angathandize kuchepetsa mavuto ena ndi kuvutika maganizo komwe kumachitika chifukwa cha chithandizo. Nthawi zonse funsani dokotala wanu za izi.
- Kukhala ndi moyo wathanzi (kudya bwino, kuchita masewera olimbitsa thupi) ndikofunikira kwambiri kuti muchepetse chiopsezo cha khansa komanso kuti mulandire chithandizo.
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