Kodi gwero la khansa silingapezeke liti? Tiyeni tikambirane za (Carcinoma of Unknown Primary - CUP)

Nthawi zina, tikamamva kuti pali vuto linalake m'thupi mwathu, timapita kwa dokotala. Tikapita, nthawi zina timapeza kuti tili ndi khansa, ndipo yafalikira kuchokera mbali imodzi ya thupi kupita ku ina (khansa yofalikira). Komabe, madokotala amati n'zovuta kunena komwe khansa iyi inayambira, ndipo n'zosatheka kuipeza. Pamenepo ndi pomwe tidzakambirana za vutoli (Carcinoma of Unknown Primary) kapena CUP .

Kodi (Carcinoma of Unknown Primary - CUP) ndi chiyani? Tiyeni timvetse mosavuta.

Tsopano mwina mukuganiza kuti, 'Amati ali ndi khansa, koma sakudziwa komwe yachokera, zingatheke bwanji zimenezo?' Chabwino, tiyeni tifotokoze pang'ono izi.

Khansa nthawi zambiri imatanthauzidwa ngati kukula kosazolowereka komanso kosalamulirika kwa maselo m'thupi lathu. Malo omwe khansa imayambira koyamba amatchedwa 'khansa yoyamba' kapena 'chotupa chachikulu' . Tsopano, maselo ochokera ku khansa yoyamba iyi amatha kusweka ndikupita ku ziwalo zina za thupi kudzera m'magazi kapena dongosolo la lymphatic, komwe angayambe kukulitsa maselo atsopano a khansa. Ndicho chimene timachitcha 'khansa yofalikira' kapena 'kufalitsa khansa'. Madokotala ena amachitchanso 'khansa yachiwiri' .

Kotero, (Carcinoma of Unknown Primary) kapena CUP zikutanthauza kuti muli ndi khansa yachiwiri yomwe yafalikira motere m'thupi lanu, koma madokotala sangapeze komwe khansa yoyamba inayambira. Achita mayeso ambiri, koma sangapeze khansa yoyamba. Koma musadandaule, ngakhale atakhala kuti sangapeze khansa yoyamba, pali njira zochizira vutoli la CUP. Nthawi zina, kutengera ndi zomwe zapezeka kuchokera ku mayeso, amathanso kuchiza ndi mankhwala apadera oletsa khansa.

N’chifukwa chiyani khansa yoyamba iyi singapezeke? Kodi zifukwa zake ndi ziti?

Chabwino, tsopano mwina mwamvetsa tanthauzo la CUP. Koma n’chifukwa chiyani khansa yoyambirira iyi singathe kupezeka? Pakhoza kukhala zifukwa zingapo za zimenezo.

• Chifukwa khansa yoyamba ndi yaying'ono kwambiri: Nthawi zina khansa yoyamba imakhala yaying'ono kwambiri moti siipezeka ngakhale ndi "mayeso ojambula zithunzi" kutanthauza, ma scan. Zili ngati kufunafuna nsomba yaying'ono yomwe yasochera m'nyanja.
• Chifukwa chitetezo chanu cha mthupi chawononga: Thupi lathu lili ndi chitetezo champhamvu, chotchedwa chitetezo cha mthupi. Nthawi zina chitetezo cha mthupichi chingapeze khansa yoyamba ndikuiwononga. Koma panthawiyo, maselo ena a khansa amatha kufalikira ku ziwalo zina za thupi.
• Chifukwa chinachotsedwa pa nthawi ya opaleshoni:Tangoganizani kuti munayenera kuchitidwa opaleshoni ya matenda ena. Mwina popanda inu kudziwa, khansa yoyamba mwina inachotsedwa panthawi ya opaleshoniyo. Kenako, khansa yomwe yafalikira ikapezeka pambuyo pake, malo oyamba sangapezeke.

Kodi zizindikiro zomwe zingachitike mu CUP ndi ziti?

Pali zizindikiro zingapo zomwe zimabwera m'maganizo mwathu tikamaganizira za khansa. Zizindikirozi zitha kuchitikanso pa nkhani ya CUP. Koma chifukwa choti muli ndi zizindikirozi, kodi simuyenera kuopa kuti ndi khansa? Koma ngati muwona china chake chatsopano kapena chosiyana m'thupi lanu, ngati sichidzatha patatha masiku ochepa, kapena ngati chikuoneka kuti chikuipiraipira, muyenera kuonana ndi dokotala ndikukambirana za izi.

Nazi zizindikiro zina zomwe zingayambitsidwe ndi khansa:

• Chifuwa chosalekeza: Chifuwa chomwe chimakhala nthawi yayitali, chopanda chimfine.
• Mavuto a m'mimba: Ngati muli ndi zizindikiro zosatha monga mimba yotupa, kudzimbidwa, kapena kutsegula m'mimba.
• Kutopa: Kumva kutopa nthawi zonse popanda chifukwa.
• Kumva kukhuta ngakhale mutadya pang'ono kapena kutaya thupi popanda chifukwa: Ngati muli ndi njala yochepa, mvani kukhuta ngakhale mutadya pang'ono, kapena ngati mukuchepetsa thupi popanda kuyesetsa.
• Malungo osamveka: Kungomva kutentha komanso kutentha thupi.
• Chotupa kapena kutupa kulikonse pa thupi: Ngati muli ndi chotupa pakhosi, m'khwapa, m'mimba, kapena kwina kulikonse pa thupi lanu chomwe sichimatha, mwina ndi ululu.
• Thukuta la usiku: Ngati umachita thukuta kwambiri usiku popanda chifukwa chenicheni.
• Kupweteka pachifuwa kapena m'mimba: Kupweteka kosalekeza pachifuwa kapena m'mimba.
• Kukodza pafupipafupi: Ngati mukufuna kupita kuchimbudzi pafupipafupi kuposa masiku onse.
• Kutupa kwa ma lymph nodes: Ngati ma lymph nodes ozungulira khosi, m'mimba, kapena pansi pa makwapa akumva kutupa.

Kodi madokotala amazindikira bwanji vuto la CUP ili?

Kuzindikira matenda a CUP ndi njira yotengera nthawi komanso njira zambiri. Chinthu choyamba chomwe madokotala amayesa kuchita ndikupeza chotupa choyamba chomwe tidakambirana kale, chomwe khansa idayambira.

Gawo loyamba ndi kuyesedwa thupi . Adzakufunsani za zizindikiro zanu ndi mavuto ena aliwonse azaumoyo omwe mungakhale nawo. Angafunsenso ngati wina aliyense m'banja mwanu wakhala ndi matenda monga khansa. Adzakufunsaninso za mankhwala aliwonse, mavitamini, ndi zowonjezera zomwe mukumwa.

Pambuyo pake, n'zotheka kuchita mayeso oyambira.

• Kuchuluka kwa magazi (FBC)
• Gawo loyambira la kagayidwe kachakudya
• Kuyesa magazi m'chimbudzi
• Kusanthula mkodzo

Mayeso awa amafufuza kusintha kulikonse komwe kungachitike chifukwa cha khansa. Ngati pali kusintha kulikonse komwe kwapezeka, mutha kutumizidwa kwa katswiri wa khansa .

Kenako, dokotala wa khansa mwina adzalamula kuti apimidwe . Izi zikuphatikizapo kutenga chidutswa chaching'ono cha minofu kuchokera pamalo omwe akukayikiridwa kuti ali ndi khansa. Chitsanzo cha minofu iyi chimawunikidwa pansi pa maikulosikopu ndi katswiri wa matenda .

Mu mitundu ina ya khansa, mawonekedwe a maselo amasintha. Choncho katswiri wa matenda adzayang'ana kusintha kwa maselo anu kuti adziwe mtundu wa khansa. Angagwiritsenso ntchito chitsanzo ichi cha minofu kuti achite mayeso ena apadera. Mwachitsanzo:

• Kuyesa majini
• Kuchiza kwa thupi ndi histochemistry
• Kufufuza DNA ya maselo ndikuyesera kupeza komwe khansa inayambira.

Kuwonjezera pa izi, dokotala wa oncologist angachitenso mayeso ena:

• Mayeso ojambulira: Mayeso monga CT scan, MRI, ndi PET scan angathandize kudziwa momwe khansa yafalikira kapena komwe inayambira.
• Endoscopy: Izi zimaphatikizapo kulowetsa chubu chokhala ndi kamera kakang'ono m'thupi lanu kuti muwone ziwalo zanu zamkati ndi minofu.
• Kuyesa chizindikiro cha chotupa: Mitundu ina ya khansa imatulutsa zinthu zina m'magazi. Kuyesaku kumayang'ana kupezeka kwa zinthuzi.

Kodi khansa ya mtundu wa Carcinoma of Unknown Primary (CUP) imachiritsidwa bwanji?

Gulu lanu lachipatala lidzapanga dongosolo la chithandizo kutengera zomwe zapezeka mu mayeso anu a khansa.

Nthawi zina, akatswiri a matenda amatha kuzindikira khansa yoyamba, kutanthauza khansa yomwe idayamba. Ngati ndi choncho, amakonza chithandizo kutengera mtundu wa khansayo.

Komabe, ngati mayesowo sakutha kuzindikira khansa yoyamba, gulu lachipatala lingagwiritse ntchito njira zochiritsira zodziwika bwino. Pali njira zingapo zochiritsira zomwe mungapatsidwe:

• Opaleshoni: Ngati khansa yafalikira mbali imodzi ya thupi, opaleshoni ikhoza kuchitidwa kuti ichotse gawo limenelo la khansa.
• Chemotherapy: Ngati khansa ikuoneka kuti yafalikira m'malo osiyanasiyana m'thupi, chemotherapy ingakulimbikitseni. Izi zikuphatikizapo kupereka mankhwala omwe amapha maselo a khansa.
• Chithandizo cha mahomoni: Mitundu ina ya khansa imafuna mahomoni kuti ikule. Chithandizochi chimagwira ntchito poletsa maselo a khansa kupeza mahomoni omwe amafunikira.
• Chithandizo cha Immunotherapy:Izi zimalimbitsa chitetezo cha mthupi la thupi lanu, zomwe zimathandiza kuti lizitha kufufuza ndi kuwononga maselo a khansa.
• Chithandizo cha radiation: Chithandizochi chimagwiritsidwa ntchito ngati khansa ikuoneka kuti ili m'dera limodzi la thupi. Chimagwiritsa ntchito kuwala kwamphamvu kwambiri kuwononga maselo a khansa. Pali njira zomwe zimayang'ana kuwala kuchokera kunja (external beam radiation therapy) ndi njira zomwe zimayang'ana khansa kuchokera mkati (internal radiation).
• Chithandizo Cholunjika: Ngati mayeso angazindikire mtundu wa khansa, chithandizocho chingagwiritsidwe ntchito pa zofooka zinazake m'maselo a khansa. Izi zimatchedwa chithandizo cholunjika.

Chofunika kwambiri ndichakuti gulu lanu lachipatala lisankhe chithandizo chomwe chili choyenera kwa inu. Choncho lankhulani nawo mosamala ndipo muwafunse mafunso onse omwe muli nawo.

Kodi mwayi wochira ndi wotani ngati khansa ya CUP yapezeka?

Ichi ndi chinthu chomwe anthu ambiri amafuna kudziwa. Komabe, tikamalankhula za kuchuluka kwa anthu omwe ali ndi khansa omwe amapulumuka, tiyenera kumvetsetsa kuti zimasiyana kwambiri kuchokera kwa munthu ndi munthu. Pali zinthu zingapo zomwe zimakhudza khansa:

• Mtundu wa khansa: Ndi khansa yamtundu wanji, ngati yapezeka pambuyo pake.
• Kodi khansa yafalikira bwanji m'thupi.
• Kodi chithandizochi chapambana bwanji?
• Thanzi lanu lonse.

Chofunika kwambiri kukumbukira ndichakuti kuchuluka kwa anthu opulumuka kumeneku ndi kungoyerekeza chabe. Kutengera zomwe zinachitikira ena omwe adadwalapo khansa yamtunduwu kale. Mkhalidwe wanu ukhoza kukhala wosiyana kwambiri. Chifukwa chake, ndi bwino kufunsa dokotala wanu wa khansa zomwe mungayembekezere kutengera mkhalidwe wanu.

Khansa ya Unknown Primary ingabwerezedwenso mutalandira chithandizo. Pazochitika zotere, dokotala wanu angakulimbikitseni kuti mutenge nawo mbali mu mayeso azachipatala a mankhwala atsopano oyesera.

Tiyeneranso kuganizira za thanzi la maganizo.

Mukapezeka ndi matenda monga CUP, zingakubweretsereni kusatsimikizika ndi mantha ambiri. Nthawi zambiri mumakhala ndi maganizo monga akuti, 'Sindikudziwa komwe khansa yachokera, sindikudziwa ngati chithandizocho chidzapambana.' Kafukufuku wasonyeza kuti anthu omwe ali ndi CUP ali ndi mwayi waukulu wokhala ndi mavuto amisala monga kuvutika maganizo ndi nkhawa kuposa anthu omwe ali ndi mitundu ina ya khansa yofalikira.

Choncho, ngati mukumva choncho, musachite manyazi kapena kubisa chilichonse kwa inu nokha. Ndikofunikira kulankhula ndi munthu amene mumamudalira, monga mlangizi kapena katswiri wa zamaganizo, ndikupeza chithandizo. Gulu lanu lachipatala lidzamvetsanso izi.

Kodi khansa ya mtundu wa Unknown Primary (CUP) ingapewedwe?

Sitingathe kuletsa kwathunthu kukula kwa khansa yoyamba yomwe imayambitsa CUP, chifukwa khansa zina zimakhudzidwanso ndi majini.

Komabe, pali zinthu zingapo zomwe tingachite kuti tichepetse chiopsezo chathu chotenga khansa. Kutsatira njira izi kungatithandize kwambiri kutiteteza osati ku CUP yokha, komanso ku mitundu ina yambiri ya khansa.

• Ngati mukusuta, siyani: Kusuta ndi chinthu chomwe chimayambitsa khansa.
• Ngati mumwa mowa, chepetsani kapena siyani kwathunthu.
• Khalani ndi zakudya zabwino: Dzazani mbale yanu ndi ndiwo zamasamba, zipatso, masamba obiriwira, nyemba, nyemba, ndi nyama zopanda mafuta ambiri ndi nsomba. Chepetsani kudya zakudya zofulumira zomwe zili ndi mafuta ambiri, shuga, ndi mchere wambiri.
• Sungani kulemera koyenera kwa inu: Kusunga kulemera koyenera malinga ndi kutalika kwanu kumakuthandizani kuteteza ku matenda ambiri.
• Tetezani khungu lanu mukakhala padzuwa: Valani magalasi a dzuwa, chipewa, ndipo gwiritsani ntchito mafuta oteteza khungu lanu kuti lizioneka loyenera mtundu wa khungu lanu. Izi zingathandize kuchepetsa chiopsezo cha khansa ya pakhungu.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za (Carcinoma of Unknown Primary - CUP). Ndi vuto lovuta komanso losautsa. N'zomveka kuti aliyense amve kudabwa kwambiri komanso kusatsimikizika akauzidwa kuti ali ndi khansa, kuti yafalikira, koma chifukwa chake sichingapezeke.

Koma chofunika kwambiri ndichakuti simuli nokha. Pali gulu la madokotala aluso kuti akuthandizeni ndikukuchizani.

• Kambiranani nawo za mavuto anu onse ndi mantha anu. Musabise chilichonse.
• Dziwani zambiri za mankhwala ndi zotsatira zake.
• Mungafunike thandizo la maganizo ndi zakuthupi panthawi ya chithandizo ndi pambuyo pake. Lankhulani ndi madokotala anu za zinthu zimenezo.
• Kumbukirani, CUP si chilango cha imfa kwenikweni. Ndi kupita patsogolo kwa mankhwala amakono, pali mankhwala omwe angathandize kuthana ndi vutoli.

Choncho, yang'anani ndi vuto ili molimba mtima, tsatirani malangizo a dokotala, ndipo mukufunira kuti muchire mwachangu!

` CUP, Khansa Yosadziwika Yoyamba, Khansa, Khansa Yofalikira, Khansa Yofalikira, Khansa Yoyamba, Zizindikiro za Khansa, Chithandizo cha Khansa