Tikamalankhula za khansa, nthawi zambiri timamva za khansa ya m'mawere, m'mapapo, kapena m'matumbo. Koma kodi mukudziwa kuti khansa imathanso kuchitika m'matumbo athu ang'onoang'ono? Ngakhale kuti vutoli ndi losowa, ndikofunikira kwambiri kulidziwa. Chifukwa kudziwa za matenda aliwonse kumathandiza kwambiri kuti mudziteteze ku matendawa ndikuzindikira nthawi yake. Chifukwa chake lero, tiyeni tikambirane za khansa ya m'matumbo ang'onoang'ono m'njira yosavuta.
Kodi khansa ya m'matumbo ang'onoang'ono ndi chiyani kwenikweni?
Mwachidule, khansa ya m'matumbo ang'onoang'ono ndi pamene maselo a m'matumbo athu ang'onoang'ono amasintha ndikuyamba kukula mosalamulirika. Maselo olekanitsa mosalamulirikawa amatha kukula pamodzi kuti apange chotupa, kapena chomwe timachitcha chotupa .
Mukudziwa, matumbo athu ang'onoang'ono ndi gawo lofunika kwambiri lomwe limalumikiza mimba ndi matumbo akuluakulu. Ndi ntchito yaikulu yogaya chakudya chomwe timadya ndikuyamwa mafuta, mavitamini, ndi michere ina yonse yomwe thupi limafunikira. Chifukwa chake ngati khansa yamtunduwu iyamba, matumbo ang'onoang'ono akhoza kutsekedwa ndi chotupa chomwe chimayamba.
Kodi mitundu ikuluikulu ya khansa iyi ndi iti?
Pali mitundu ingapo ya khansa ya m'matumbo ang'onoang'ono. Si yonse yomwe ndi yofanana. Tiyeni tiwone mitundu ikuluikulu. Ngakhale mayina awa angawoneke ovuta pang'ono, ndikofunikira kuwasunga mosavuta.
| Dzina la mtundu wa khansa | Kufotokozera kosavuta |
|---|---|
| Adenocarcinomas | Mtundu uwu ndi wofala kwambiri. Umayamba m'kati mwa matumbo ang'onoang'ono. Umayamba ngati kachidutswa kakang'ono, kosakhala khansa (polyp) ndipo pamapeto pake ukhoza kukhala khansa. |
| Sarcoma | Maselo a khansa amenewa amakula m'matumbo ofewa a m'mimba mwaing'ono. |
| Matenda a carcinoid | Izi ndi mtundu wa khansa womwe umakula mofulumira kwambiri. Nthawi zambiri umayambira m'mimba mwaing'ono. Zotupazi zimatha kupangitsa thupi kupanga mankhwala ambiri monga serotonin. |
| Matenda a m'mimba otchedwa Stromal Tumors (GISTs) | Uwu ndi mtundu wa khansa wosowa kwambiri. Oposa theka la khansa imeneyi imayambira m'mimba. Si zotupa zonse za GIST zomwe zimakhala khansa. |
| Matenda a m'mimba a lymphoma | Lymphoma ndi khansa yomwe imayambira m'malo olumikizirana mafupa. Anthu omwe ali ndi chitetezo chamthupi chofooka ali pachiwopsezo chachikulu chotenga khansa yamtunduwu. |
Kodi zifukwa ndi zoopsa za vutoli ndi ziti?
Madokotala sanganene motsimikiza chomwe chimayambitsa khansa iyi. Komabe, apeza zinthu zingapo zomwe zimawonjezera chiopsezo chotenga matendawa.
- Zaka: Chiwopsezo chimawonjezeka ndi zaka. Avereji ya zaka zomwe munthu amazindikira matendawa ndi pafupifupi zaka 60.
- Jenda: Amuna ali pachiwopsezo chachikulu kuposa akazi.
- Zifukwa za majini: Matenda ena a majini obadwa nawo angapangitse kuti pakhale chiopsezo.
- Kusuta ndi kumwa mowa: Zizolowezi zonsezi zimawonjezera chiopsezo cha khansa.
- Zakudya: Anthu omwe nthawi zambiri amadya zakudya zokhala ndi mafuta ambiri ali pachiwopsezo chachikulu.
- Mankhwala: Kukhala kapena kugwira ntchito pamalo omwe ali ndi mankhwala enaake ambiri, monga phenoxyacetic acid.
- Matenda ena: Chiwopsezo chanu chimakhala chachikulu ngati muli ndi matenda ena a m'mimba, monga matenda a Crohn, khansa ya m'matumbo, kapena matenda a celiac.
- Mavuto a dongosolo la mitsempha ya m'magazi: Kuwonongeka kwa mitsempha ya mitsempha ya m'magazi (Lymphedema) kungapangitsenso kuti chiopsezocho chiwonjezeke.
Kodi zizindikiro zake ndi ziti?
Chofunika ndichakuti chifukwa chakuti muli ndi zizindikirozi, simuyenera kuopa kuti ndi khansa. Zizindikirozi zithanso kuchitika chifukwa cha zifukwa zina zosavuta. Komabe, ngati vuto lotere likupitirira, ndi bwino kupita kwa dokotala mwamsanga ndikupita naye kuchipatala.
- Kupweteka kapena kupweteka m'mimba pakati pa mimba.
- Kuchepetsa thupi popanda chifukwa chomveka bwino.
- Chotupa kapena kutupa m'mimba komwe kungamveke ndi dzanja .
- Magazi mu ndowe . Magazi awa angawoneke ngati akuda kwambiri kapena ofiira kwambiri.
Kodi mungadziwe bwanji ngati iyi ndi khansa?
Mukapita kwa dokotala, adzakuyang'anirani mosamala, adzakufunsani za mbiri yanu yachipatala komanso mavuto omwe muli nawo panopa, kenako adzakulangizani kuti muyesedwe kangapo kuti mutsimikizire matendawa.
| Dzina la mayeso | Kufotokozera mwachidule |
|---|---|
| Mayeso ojambula zithunzi | Mayeso monga X-ray, CT scan, ndi MRIs amajambula zithunzi za matumbo ang'onoang'ono kuti awone ngati pali chotupa komanso ngati chafalikira. |
| Endoscopy | Chubu chopyapyala chokhala ndi kamera chimayikidwa kudzera pakamwa panu ndipo mkati mwa mmero, m'mimba, ndi gawo loyamba la matumbo anu ang'onoang'ono zimafufuzidwa. Mudzapatsidwa mankhwala oti akupatseni tulo, kotero simudzamva kupweteka kulikonse panthawiyi. |
| Kuyezetsa magazi | Mayeso amenewa amayesa kuchuluka kwa zinthu zina zomwe zimapangidwa m'thupi. Izi zikuphatikizapo mayeso okhudza momwe chiwindi chimagwirira ntchito. |
| Kuyesa magazi m'chimbudzi | Izi zitha kuzindikira ngati pali magazi obisika mu ndowe omwe sangawonekere ndi maso. |
| Kufufuza za thupi | Kachidutswa kakang'ono kwambiri ka minofu kamatengedwa kuchokera ku chotupa kapena lymph node ndikuwunikidwa pogwiritsa ntchito maikulosikopu kuti atsimikizire ngati pali maselo a khansa. |
| Laparotomy | Iyi ndi opaleshoni yaikulu. Amadula khoma la m'mimba ndikuyang'ana mkati kuti adziwe zambiri zokhudza matendawa. |
Mukuchita chiyani ngati chithandizo?
Chithandizo chomwe dokotala wanu akulangiza chimadalira zinthu zingapo, monga mtundu wa khansa yomwe muli nayo komanso momwe yafalikira (siteji).
Chithandizo chachikulu komanso chofala kwambiri ndi opaleshoni . Dokotala angachotse gawo la m'mimba mwaing'ono lomwe lili ndi khansa. Nthawi zina, ngati chotupacho sichingathe kuchotsedwa kwathunthu, opaleshoni ya bypass ingachitike kuti chotupacho chisadutse ndikulola chakudya kudutsa.
Ngakhale mutachita opaleshoni, dokotala wanu angakulangizeni chithandizo cha radiation kuti muphe maselo otsala a khansa. Mungapatsidwenso chemotherapy . Izi zitha kumwedwa ngati mapiritsi kapena kudzera mu mtsempha (IV). Mankhwalawa amapha maselo a khansa kapena kuwaletsa kukula.
Pakadali pano pali mayeso azachipatala omwe akuchitika kuti apeze njira zatsopano zochizira matendawa. Ngati mukufuna, mutha kulankhula ndi dokotala wanu ngati mungathe kutenga nawo mbali mu mayeso otere.
Uthenga Wopita Nawo Kunyumba
- Khansa ya m'matumbo ang'onoang'ono ndi vuto losowa koma loopsa, choncho ndikofunikira kudziwa za matendawa.
- Ngati muli ndi zizindikiro monga kuchepa thupi kosadziŵika bwino, kupweteka m'mimba, kapena magazi m'chimbudzi chanu, musanyalanyaze. Pitani kwa dokotala nthawi yomweyo.
- Zinthu monga kudya zakudya zopatsa thanzi, kupewa kusuta fodya, ndi kumwa mowa zimathandiza pa thanzi labwino komanso kuchepetsa chiopsezo cha khansa.
- Njira zochiritsira (opaleshoni, chemotherapy, radiation) zimasiyana malinga ndi wodwala aliyense. Dokotala wanu ndiye munthu wabwino kwambiri wokulangizani.
- Monga momwe zimakhalira ndi matenda ena aliwonse, kuzindikira msanga ndi njira yabwino yotsimikizira kuti chithandizo chapambana. Choncho dziwani kusintha kulikonse m'thupi lanu.
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