Dokotala akakupatsani lipoti la mayeso nati, “Nayi lipoti lanu la biopsy ,” sizachilendo kumva mantha pang'ono, chidwi, komanso mafunso ambiri. Tikawona mawu azachipatala ndi manambala ake, sitingathe kumvetsetsa bwino. Chifukwa cha izi, nthawi zina timachita mantha mosafunikira. Chifukwa chake, lero tikambirana momwe mungamvetsetse lipoti lofunika kwambiri lomwe mumapeza lokhudza khansa, Pathology Report, popanda mantha.
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Choyamba tiyeni tiwone, kodi lipoti la matenda ndi chiyani?
Mwachidule, chidutswa chaching'ono cha minofu, kaya mwa opaleshoni kapena kudzera mu biopsy, chimatengedwa kuchokera kumalo omwe akukayikiridwa kuti ndi a thupi lanu ndikutumizidwa ku labu kuti akafufuzidwe. Pali dokotala yemwe ndi katswiri pa minofu iyi. Timamutcha Pathologist . Amayang'ana chidutswa ichi cha minofu pansi pa maikulosikopu, amachita mayeso ena, ndikukonza chikalata chotchedwa Pathology Report chomwe chili ndi chidziwitso chofunikira kwambiri monga ngati pali maselo a khansa , ngati ndi choncho, mtundu wake, komanso ngati afalikira.
Dokotala amene akukuthandizani adzasankha chithandizo chabwino kwambiri kwa inu kutengera zomwe zili mu lipotili. Ichi ndichifukwa chake ndikofunikira kwambiri.
Kodi lipotilo lili ndi chiyani?
Malipoti awa amatha kusiyana pang'ono kutengera mtundu wa khansa. Koma pali zinthu zina zomwe zimapezeka kawirikawiri m'malipoti onse. Tiyeni tikambirane za iwo chimodzi ndi chimodzi.
1. Chidziwitso chanu chaumwini ndi chitsanzo (Chidziwitso Chodziwira)
Izi zikuphatikizapo dzina lanu, tsiku lobadwa, nambala yolembetsera kuchipatala, komanso tsatanetsatane wa dokotala wanu, katswiri wa matenda omwe adachita mayeso a minofu, ndi labotale. Imafotokozanso komwe chitsanzocho chinatengedwa m'thupi komanso ngati chinapezeka kudzera mu opaleshoni kapena biopsy.
2. Kufotokozera Konse
Izi n'zosavuta kwambiri. Katswiri asanayang'ane chidutswa cha minofu pansi pa maikulosikopu, amalemba tsatanetsatane wa minofu yomwe ingawonekere ndi maso. Mwachitsanzo, kukula kwake (nthawi zambiri mu masentimita), kulemera, mtundu, ndi mawonekedwe . Koma kumbukirani, kukula kwa chotupa cha khansa ndi gawo chabe la nkhaniyi. Nthawi zina, zotupa zazikulu zimatha kukula pang'onopang'ono kuposa zotupa zazing'ono.
3. Kufotokozera kwa Microscopic
Apa ndi pomwe pali tsatanetsatane wofunikira komanso wovuta kwambiri wa lipotilo. Apa ndi pomwe katswiri wa matenda amalemba zomwe akuwona atadula minofuyo m'zidutswa zoonda kwambiri, kuyika utoto wapadera pa iyo, ndikuiyang'ana pansi pa maikulosikopu yamphamvu kwambiri. Gawoli lili ndi zambiri zambiri, monga momwe maselo a khansa amaonekera, momwe amafananira ndi maselo abwinobwino, komanso ngati afalikira ku minofu yozungulira.
Pali mawu ofunikira kwambiri m'gawoli omwe angakuthandizeni kupeza matenda ndi chithandizo. Tiyeni timvetse bwino.
| Mawu omwe atchulidwa mu lipotilo | Tanthauzo losavuta |
|---|---|
| Giredi | Izi zikutanthauza kusiyana (kosayenera) kwa maselo a khansa ndi maselo athanzi. Kaya maselo a khansa ali ndi kachulukidwe kakakulu, khansayo imakula ndikufalikira.
|
| Zowononga / Zosawononga | Yosavulaza (yomwe ili pamalo): Izi zikutanthauza kuti khansayo imangokhala m'minofu yomwe idayambira. Izi zikutanthauza kuti sinafalikire m'malo ozungulira. Ili ndi vuto labwino. Wolowa m'thupi: Izi zikutanthauza kuti khansa yafalikira kupitirira pomwe inayambira, mpaka ku minofu yathanzi yozungulira. |
| Malire a Chotupa | Dokotala akachotsa chotupa cha khansa, amachotsa kachigawo kakang'ono ka minofu yathanzi yozungulira. Minofu yathanziyo imatchedwa malire. Malire amawunikidwa ngati pali maselo a khansa.
|
| Ma Lymph Nodes | Zotupa ndi mbali ya chitetezo chathu chamthupi. Kuti tiwone ngati khansa yafalikira, timachotsa zotupa zingapo pafupi ndi chotupacho ndikuziyesa.
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| Chiŵerengero cha Mitotic | Izi zimayesa momwe maselo a khansa akugawikirana ndikukula mofulumira. Kuchuluka kwa maselo a khansa kumatanthauza kuti khansa ikukula mofulumira. |
4. Gawo la Khansa
Ichi ndi chinthu chomwe anthu ambiri akufuna kudziwa. Gawo la khansa ndi chithunzi chonse cha kukula kwa khansa komanso momwe yafalikira. Izi zimatsimikiziridwa pogwiritsa ntchito njira yotchedwa TNM system .
- T (Chotupa): Kukula ndi mtundu wa chotupa choyambirira cha khansa.
- N (Ma Node): Kaya khansa yafalikira ku ma lymph node apafupi kapena ayi.
- M ( Metastasis ): Ngati khansa yafalikira ku ziwalo zina (monga chiwindi , mapapo , ubongo) kutali ndi komwe inayambira.
Kutengera ndi ma TNM awa, khansa imapatsidwa gawo lonse pogwiritsa ntchito manambala achiroma I, II, III, ndi IV. Gawo I ndi gawo loyambirira. Gawo IV ndi gawo lotsogola kwambiri, pamene khansa yafalikira kwambiri. Ma khansa ena alinso ndi gawo lotchedwa Gawo 0. Izi zikutanthauza kuti khansa sinafalikire ndipo ili pagawo loyambirira.
5. Kuzindikira matenda komaliza ndi ndemanga zina zowonjezera
Pamapeto pa lipotilo, katswiri wa matenda adzafotokoza mwachidule zonse zomwe zili pamwambapa ndikupereka mfundo zake zomaliza. Izi zimatchedwa matenda . Izi zidzafotokoza momveka bwino mtundu wa khansa, mtundu wake, momwe lymph node ilili, momwe mtunda ulili, komanso gawo la khansayo.
Nthawi zina, ngati matendawo ndi ovuta pang'ono, lipotilo likhozanso kukhala ndi gawo la Ndemanga kuti lifotokoze kapena kupereka malingaliro ena.
Chofunika kwambiri ndichakuti, musamangowerenga lipotili nokha ndikuyamba kuganiza mwachangu. Dokotala wanu adzakufotokozerani mawu onse ndi chidziwitso chilichonse chomwe chili mmenemo. Mufunseni za mafunso, nkhawa, kapena kukayikira kulikonse komwe mungakhale nako.
Uthenga Wopita Nawo Kunyumba
- Lipoti lanu la matenda a khansa ndi chikalata chofunikira kwambiri chomwe chimakuthandizani kupanga zisankho zokhudzana ndi matenda anu komanso chithandizo chamtsogolo.
- Mawu monga Giredi, Gawo, Margin, ndi Lymph Node Status amafotokoza mtundu, kukula, ndi kuopsa kwa khansa.
- Ngati lipotilo likunena kuti Negative Margin (palibe maselo a khansa m'malire) ndi Negative Lymph Nodes (palibe maselo a khansa m'ma nodes), imeneyo ndi nkhani yabwino kwambiri.
- Ngati muli ndi kukayikira kapena mafunso okhudza chilichonse chomwe chili mu lipotili, chonde funsani dokotala wanu kuti akufotokozereni. Palibe chifukwa chochita mantha kapena kuchita manyazi. Chofunika kwambiri ndikudziwa bwino zomwe zikuchitika.
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