Kodi khansa yafalikira ndipo yayambitsa zotupa m'ziwalo zina za thupi? Tiyeni tikambirane za vutoli, Carcinomatosis.

Mwina mukuganiza kuti, "O, ndili ndi khansa, ndipo tsopano yafalikira ku ziwalo zina za thupi langa." Kapena mwina dokotala wanu wakuuzani za vutoli. Iyi ndi nkhani yaikulu kwambiri, koma tiyeni timvetse bwino izi. Chifukwa, chidziwitso ndi mphamvu.

Mwachidule, kodi carcinomatosis ndi chiyani?

Tangoganizani kuti muli ndi khansa m'thupi lanu. Nthawi zina, maselo a khansa awa amachoka pamenepo, n'kupita ku thupi lina, n'kuyamba zotupa zatsopano kumeneko, ngati gulu la zomera zing'onozing'ono zomwe zimafalikira nthawi imodzi. Ndicho chimene timachitcha kuti carcinomatosis , nthawi zina carcinosis .

Izi nthawi zina zimakhala chizindikiro choyamba cha khansa. Izi zikutanthauza kuti, imayamba kupezeka ngati khansa yomwe yafalikira motere. Koma, nthawi zambiri, vutoli limachitika mutakhala kale ndi khansa kwa kanthawi.

Uwu ndi mtundu wa khansa yofalikira kwambiri . Mwachidule, zikutanthauza kuti khansa yafalikira. Khansa ya khansa ndi chizindikiro chakuti khansa yafalikira kwambiri . Nthawi zambiri zimakhala zovuta kuchiza kwathunthu. Koma musachite mantha. Madokotala anu angakulangizeni mankhwala ochepetsa zizindikiro zomwe zingachepetse zizindikiro zanu ndikukuthandizani kukhala mosangalala ndi okondedwa anu kwa nthawi yayitali momwe mungathere.

Kodi mitundu ikuluikulu ya khansa ya m'mawere ndi iti?

Tikuwona mitundu itatu ikuluikulu ya khansa imeneyi. Mitundu ya khansa yomwe imayambitsa mtundu uliwonse ndi yosiyana.

1. Leptomeningeal carcinomatosis: Apa ndi pamene khansa imafalikira ku nembanemba zomwe zimazungulira ubongo wanu ndi msana . Nthawi zambiri imagwirizanitsidwa ndi khansa ya m'mawere, khansa ya m'mapapo, ndi melanoma, mtundu wa khansa ya pakhungu.

2. Pulmonary lymphangitic carcinomatosis: Izi zimachitika pamene khansa yomwe inayamba m'mawere, m'mapapo, m'mimba, impso, chiwindi, kapena m'matumbo imafalikira ku dongosolo la lymphatic m'mapapu anu .

3. Peritoneal carcinomatosis: Apa ndi pamene khansa imafalikira mpaka pamimba, yotchedwa peritoneum . Matendawa nthawi zambiri amayamba chifukwa cha khansa ya mazira, khansa ya m'mimba, khansa ya m'matumbo, kapena khansa ya m'matumbo.

Kodi zizindikiro zake ndi ziti? Kodi ndi zofanana kwa aliyense?

Ayi, zizindikiro za khansa ya m'mapapo sizifanana kwa aliyense. Zimasiyana malinga ndi komwe khansa yafalikira . Taganizirani izi, zizindikiro sizimawonekera ikafalikira ku ubongo, koma ikafalikira ku mapapo.

Nazi zizindikiro zina zomwe zingatheke kutengera komwe chotupa cha khansa chili:

• Ubongo:
• Mutu
• Mavuto a chisokonezo ndi kukumbukira
• Mayina a mapapo (Mapapo):
• Kuvuta kupuma
• Kupweteka pachifuwa
• Chifuwa
• Kutsokomola magazi
• Mayina a mimba (mimba):
• Kutsegula m'mimba
• Kusanza ndi kusanza
• Kupweteka m'mimba
• Kuchepetsa thupi kosayembekezereka

Musaganize kuti chifukwa chakuti muli ndi chimodzi kapena ziwiri mwa zizindikirozi, ndiye kuti muli ndi vutoli. Komabe, ngati muli ndi khansa, ndikofunikira kwambiri kuuza dokotala nthawi yomweyo ngati mukuyamba zizindikiro zatsopano ngati izi.

N’chifukwa chiyani izi zimachitika? Kodi zimayambitsa khansa ya m’mawere ndi chiyani?

Mwachidule, khansa ya m'mawere imachitika pamene chotupa choipa chomwe chinayamba m'thupi lanu chikufalikira ku gawo lina la thupi lanu. Nthawi zambiri, zotupa zatsopano zambiri zimapangidwa m'malo angapo. Ndipotu, ngakhale akatswiri azachipatala sanganene chifukwa chake khansa imafalikira motere . Koma ikafalikira motere, imabweretsa mavuto atsopano okhala ndi khansa.

Kodi mumazindikira bwanji izi? Ndi mayeso amtundu wanji omwe amachitidwa?

Ngati muli ndi khansa ya m'mawere, mwina mukulimbana kale ndi khansa. Chifukwa chake, madokotala nthawi zina amafunsa kuti, "Kodi ubwino woyesa kuti mutsimikizire vutoli ndi wofunika kuposa ululu womwe mungakumane nawo mukamachita izi?"

Komabe, pali mayeso angapo omwe angathandize kuzindikira vutoli:

• Bronchoscopy: Pa njira iyi, dokotala amagwiritsa ntchito chubu chokhala ndi kamera kakang'ono kuti ayang'ane mkati mwa mapapo anu. Angatengenso chitsanzo cha minofu (biopsy) kuti aone ngati pali maselo a khansa.
• X-ray ya pachifuwa: Izi zitha kusonyeza zizindikiro za kutupa kwa mapapo.
• Kujambula pachifuwa panu pogwiritsa ntchito kompyuta (CT scan): Izi nthawi zambiri zimagwiritsidwa ntchito posonyeza zotupa m'mimba. Zingasonyezenso zizindikiro za zotupa m'mapapo.
• Electrocardiography ndi echocardiography: Mayeso awa amayang'ana momwe mtima wanu ukugwirira ntchito. Angathenso kuwona ngati mtima wanu wawonongeka ndi mavuto a m'mapapo.
• Kujambula kwa mapapo kwa V/Q: Izi zimayang'ana magazi omwe amaundana m'mapapo.
• Kujambula kwa MRI (Magnetic resonance imaging (MRI): Izi zitha kujambula zithunzi zomveka bwino za zotupa muubongo kapena m'mimba mwanu.
• Kujambula kwa positron emission tomography (PET):Pachifukwa ichi, madokotala amaika mankhwala owopsa m'thupi lanu ndipo amafufuza zizindikiro zosonyeza kuti khansa yafalikira mpaka m'mapapo kapena m'mimba.
• Kugwira msana: Dokotala wanu angatenge chitsanzo cha madzi a m'mitsempha yanu ya ubongo - madzi omwe amazungulira ubongo wanu ndi msana wanu - kuti aone ngati pali maselo a khansa.
• Ultrasound ya mimba yanu kapena chiuno: Izi zitha kuwona ngati madzi akuchulukana m'mimba mwanu (vuto lotchedwa ascites ). Anthu ambiri omwe ali ndi peritoneal carcinomatosis ali ndi vutoli.

Ndiye, kodi mankhwala ochizira izi ndi otani?

Kawirikawiri, khansa ya khansa ndi chizindikiro chakuti khansa yafalikira kwambiri kuposa momwe singachiritsidwirenso. Dokotala wanu adzaganizira izi akamapereka chithandizo. Nthawi zina, dokotala wanu angakulimbikitseni chithandizo chochepetsa ululu, chomwe chimachepetsa zizindikiro . Kapena, angakuuzeni za chisamaliro cha hospice, chomwe chimakupatsani chitonthozo kumapeto kwa moyo wanu.

Nazi njira zina zomwe zingathandize kuchepetsa zizindikiro za carcinomatosis ndikukuthandizani kukhala ndi moyo wautali:

• Opaleshoni: Dokotala wanu angachotse zotupa zomwe zili m'mimba mwanu (peritoneum) (opaleshoni ya cytoreductive) kapena zotupa m'mapapu mwanu. Ngati muli ndi madzi ambiri muubongo wanu, angaikenso chinthu chonga shunt kuti chitulutse madziwo ndikuchepetsa kuthamanga kwa magazi.
• Chithandizo cha radiation: Chithandizochi chimagwiritsa ntchito kuwala kwamphamvu kwambiri kuti chiphe maselo a khansa. Dokotala wanu angapereke chithandizo cha radiation ku zotupa zomwe zimayambitsa zizindikiro m'mapapo kapena muubongo.
• Chemotherapy: Chemotherapy imapha maselo a khansa m'thupi lonse. Madokotala amagwiritsa ntchito mitundu inayake ya chemotherapy ya khansa ya m'mimba (njira yapadera yotchedwa ``HIPEC'') ndi khansa ya muubongo (njira yapadera yotchedwa ``intrathecal chemo'').
• Chithandizo cholunjika ndi chithandizo cha chitetezo chamthupi: Ngati khansa yoyamba yayankha bwino ku mankhwala awa ndipo yafalikira ku ubongo kapena msana, dokotala wanu angakulangizeni mankhwala awa.

Kodi pali njira yopewera izi?

Palibe njira yopewera khansa ya m'mawere. Koma mutha kuchitapo kanthu kuti muzindikire msanga kuti dokotala wanu athe kuchiza khansa. Ngati muli kale ndi khansa yoopsa, lankhulani ndi dokotala wanu za zizindikiro za khansa ya m'mawere kuti mudziwe zomwe muyenera kuyang'anira.

Ndiye, kodi tikuyembekezera chiyani?

Mwatsoka, palibe mankhwala a khansa ya m'magazi pakadali pano. Komabe, nthawi yomwe mungadziwire matenda anu imadalira zinthu zambiri.Mwachitsanzo, zinthu monga komwe khansa inayambira (mtundu woyamba wa chotupa) ndi zaka zanu zingakhudze nthawi yomwe khansayo imayamba. Pakhoza kukhala mankhwala omwe angakuthandizeni kukhala ndi moyo wautali komanso wabwino .

Chofunika kwambiri: Ndi bwino kukambirana momasuka ndi dokotala wanu za momwe zinthu zilili mtsogolo kuti mudziwe njira zabwino zomwe mungasankhire.

Kodi mukudzisamalira bwanji? Kodi mungachite chiyani panthawiyi?

Mukakhala ndi khansa ya m'mawere, pali zinthu zomwe mungachite kuti mukhale ndi moyo wabwino:

• Funsani za njira zochiritsira: Ngakhale inu ndi dokotala wanu mutasankha kusalandira chithandizo champhamvu, pakhoza kukhala njira zochiritsira zomwe zingathandize kuchepetsa zizindikiro zanu ndikuletsa khansa.
• Uzani dokotala wanu za kusintha kwa zizindikiro zanu: Ngati zizindikiro zanu zisintha kapena zikuipiraipira, dokotala wanu adzakuuzani njira zothandizira kuthana nazo.
• Uzani okondedwa anu zomwe mukufuna: Nthawi zambiri, achibale ndi abwenzi amafuna kukuthandizani, koma sadziwa zomwe mukufuna. Mwina mungafune wina woti akuchitireni ntchito zapakhomo, akuphikireni chakudya, kapena kungocheza nanu.
• Pemphani thandizo pokonzekera tsogolo lanu: Funsani dokotala wanu za mapulogalamu omwe angakuthandizeni ndi njira zomaliza za ulendo wanu wa khansa.

Zimene tiyenera kukumbukira kuchokera pa zonsezi

Kwa anthu ambiri, khansa ya m'mawere ikhoza kukhala gawo lomaliza la ulendo wawo wokhala ndi khansa. Koma pali chiyembekezo chokhala ndi moyo wabwino ndi khansa kwa nthawi yayitali momwe mungathere. Pali mankhwala omwe angathandize kuchepetsa zizindikiro zanu ndipo, nthawi zina, kukupatsani nthawi yochulukirapo. Ngati muli ndi khansa ya m'mawere, dokotala wanu angakuuzeni za njira zomwe zingakuthandizeni kugwiritsa ntchito bwino thanzi lanu ndi nthawi yanu. Musavutike nokha, nthawi zonse pemphani thandizo . Gulu lanu lachipatala ndi okondedwa anu ali nanu.

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