Kodi iyi ndi khansa yomwe ili mumtima mwanu? Tiyeni tiphunzire za Cardiac Angiosarcoma

Kodi munayamba mwaganizapo za kudabwitsa kwa mtima wathu? Koma nthawi zina, ngakhale mtima uwu ukhoza kukhala ndi matenda m'njira zosayembekezereka. Lero tikambirana za matenda osowa koma oopsa kwambiri a khansa. Kumva izi kungakupangitseni kumva mantha pang'ono, koma ndikofunikira kwambiri kudziwa izi.

Kodi matenda otchedwa cardiac angiosarcoma ndi chiyani?

Mwachidule, cardiac angiosarcoma ndi chotupa choipa chomwe chimayamba mumtima mwanu. Chimayamba m'mitsempha yamagazi mumtima mwanu. Kuchokera pamenepo, chimafalikira ku minofu ya mtima.

Kawirikawiri, pafupifupi 80% ya milandu, chotupa chosowa ichi chimapezeka m'chipinda chakumanja chapamwamba cha mtima, chotchedwa atrium yakumanja . Nthawi zina chingachitikenso m'chipinda chakumanja chapansi, chotchedwa ventricle yakumanja , kapena m'thumba loteteza lozungulira mtima, lotchedwa pericardium . Nthawi zambiri, chingachitike kumanzere kwa mtima.

Khansa iyi ndi yoopsa kwambiri komanso imafalikira mofulumira. Imatha kutseka kapena kufinya madera ofunikira ozungulira mtima, monga mitsempha yamagazi ndi ma valve. Chifukwa cha mtundu wa khansa iyi, nthawi zina zimakhala zovuta kuichotsa kwathunthu ndi opaleshoni.

Kodi matendawa ndi ofala bwanji?

Ndipotu, angiosarcoma ya mtima ndi matenda osowa kwambiri. Malinga ndi malipoti a kafukufuku wa mtembo, milandu yochepera 0.03% ya matenda oyamba a mtima yanenedwapo. Ndiye tangoganizirani, mtundu uwu wa angiosarcoma ndi wosowa kwambiri.

Koma, modabwitsa, pa zotupa zoopsa zomwe zingapangidwe mumtima mwa munthu wamkulu, izi ndi mtundu wofala kwambiri .

Matendawa nthawi zambiri amapezeka mwa anthu osakwana zaka 65. Amafala kwambiri mwa anthu azaka zapakati pa 20 ndi 40. Akutinso amuna ali ndi mwayi wochuluka wopeza khansa iyi kuposa akazi kawiri kapena katatu.

Kodi zizindikiro za izi ndi ziti?

Zizindikiro za angiosarcoma ya mtima zimatha kusiyana kutengera komwe chotupacho chili. Anthu ena sangakumane ndi zizindikiro zazikulu poyamba. Komabe, pali zizindikiro zina zodziwika bwino zomwe zingawonekere:

• Kuvuta kupuma (madokotala amatchanso kuti "dyspnea"). Zingamveke ngati mukupuma movutikira mukangokwera masitepe.
• Kupweteka pachifuwa . Kumamveka ngati kukufinyidwa, ngati kukufinyidwa.
• Kutopa ndi kutopa . Kumva kutopa nthawi zonse popanda chifukwa.
• Kutaya mwadzidzidzi chidziwitso (syncope).
• Kumva ngati mtima wanu ukugunda mosagwirizana komanso mwachangu (timatcha izi kuti "kugunda kwa mtima").

Tangoganizani, pali wachinyamata dzina lake Nalini. Kwa nthawi ndithu, wakhala akumva kutopa ndipo wakhala akumva kupsinjika pang'ono pachifuwa pake. Amaganiza kuti mwina chifukwa chogwira ntchito mopitirira muyeso. Koma patatha masiku angapo, anapita kwa dokotala pamene anavutika kupuma. Mwina izi ndi zizindikiro zoyambirira za matenda ngati awa.

Ngati khansa yafalikira kupitirira mtima kupita ku ziwalo zina za thupi, zizindikiro zina zingawonekere, monga kuchepa kwa magazi m'thupi , kapena kuchepa thupi kosadziŵika bwino .

N’chifukwa chiyani zinthu ngati zimenezi zimachitika? Kodi zifukwa zake ndi ziti?

Palibe chifukwa chomveka bwino chomwe chimayambitsa matenda a mtima otchedwa cardiac angiosarcoma, koma madokotala amakhulupirira kuti zinthu zina zingathandize.

• Akuti anthu omwe ali ndi kusintha kwa majini awo , monga jini ya POT1, ali ndi mwayi waukulu wopeza khansa iyi.
• Chinanso chotheka n’chakuti anthu omwe adalandira chithandizo cha radiation pachifuwa monga chithandizo cha khansa ina ali aang’ono akhoza kukhala pachiwopsezo chachikulu chotenga matendawa mtsogolo.

Kodi zinthu zoopsa ndi ziti?

Pali zinthu zina zoopsa zomwe zingakhudze kukula kwa matendawa:

• Popeza kale adalandira chithandizo cha radiation ngati chithandizo cha khansa ina.
• Kukumana ndi mankhwala enaake omwe angayambitse khansa.
• Kwa iwo omwe ali ndi vuto lotchedwa lymphedema, lomwe ndi kutupa kwa dongosolo la lymphatic .

Kodi ndi mavuto otani omwe angayambitse matendawa?

Popeza angiosarcoma ya mtima ndi vuto lalikulu, lingayambitse mavuto osiyanasiyana.

• Kulephera kwa mtima : Kulephera kwa mtima kupopa magazi moyenera.
• Kutsekeka kwa Vena cava : Kutsekeka kwa mtsempha waukulu womwe umanyamula magazi kuchokera kumtunda kwa thupi kupita kumtima.
• Matenda a mtima (arrhythmia) : Kusintha kosazolowereka kwa kugunda kwa mtima.
• Kutuluka kwa madzi m'thupi : Madzi ngati madzi odzaza thumba lozungulira mtima.
• Kuthamanga kwa mtima : Kuchulukana kwa madzi komwe kwatchulidwa pamwambapa kumaika kupanikizika pamtima.
• Kubwerera kwa ma valve a mtima: Magazi amatuluka m'mbuyo kudzera m'ma valve a mtima osatseka bwino.
• Kugwedezeka koopsa: Matenda oopsa omwe amayamba chifukwa cha kutsekeka kwa magazi.

Kumva zonsezi kungakhale kosokoneza pang'ono, koma ndikofunikira kudziwa zinthu izi.

Kodi matendawa amapezeka bwanji?

Dokotala adzakuyesani kangapo kuti atsimikizire ngati muli ndi matendawa kapena ayi.

• Echocardiogram ya Transthoracic `(echocardiogram ya transthoracic)`: Izi zili ngati ultrasound scan ya mtima. Ndi mayeso osapweteka omwe amachitidwa pamwamba pa chifuwa.
• Kuyeza mtima kudzera mu chotupa cha m'mimba (Transesophageal echocardiogram ): Izi zimaphatikizapo kulowetsa chubu chaching'ono kudzera mu chotupa cha m'mimba kuti muwone bwino mtima.
• Kujambula kwa CT (computed tomography - CT scan) : Izi zingapangitse zithunzi za mtima ndi malo ozungulira kukhala zatsatanetsatane.
• Kujambula kwa mtima (MRI) (magnetic resonance imaging) : Kumagwiritsa ntchito mphamvu ya maginito ndi mafunde a wailesi kuti apange zithunzi zatsatanetsatane za mtima.
• Kujambula kwa positron emission tomography (PET) : Izi zimathandiza kuzindikira maselo ogwira ntchito, monga maselo a khansa.
• Kuyeza magazi m'mitsempha ya mtima : Kuyeza magazi pang'ono kudzera mu mtsempha wamagazi kupita mumtima kuti ayesere kuthamanga kwa magazi ndi kutenga zitsanzo.
• Kuyeza mtima : Kachidutswa kakang'ono ka minofu kamatengedwa kuchokera mumtima ndikuwunikidwa pogwiritsa ntchito maikulosikopu kuti atsimikizire khansa.

Kodi imachiritsidwa bwanji?

Kuchiza matendawa n'kovuta pang'ono. Njira zazikulu zochiritsira ndi izi:

• Opaleshoni : Ngati n'kotheka, kuchotsa chotupacho kwathunthu kumapereka mwayi wabwino kwambiri wopulumuka . Komabe, ngati khansa yafalikira kumadera ena a mtima, zingakhale zovuta kuichotsa kwathunthu. Ndikofunikira kwambiri kusankha dokotala wa opaleshoni yemwe ali ndi luso ndi zotupa izi zosazolowereka.
• Mankhwala a Chemotherapy : Izi zingathandize kuchepetsa zizindikiro ndi kuthandiza anthu ena kukhala ndi moyo wautali.
• Chithandizo cha radiation : Nthawi zina, izi zingathandizenso kukonza vutoli.

Kodi mavuto angabwere chifukwa cha chithandizo?

Inde, mankhwala ena angayambitse mavuto, makamaka pambuyo pa opaleshoni:

• Kutuluka magazi.
• Kusakhazikika kwa kayendedwe ka mtima (arrhythmia).
• Zofooka mu ntchito ya mtima.

Ndicho chifukwa chake madokotala amakonzekera chithandizo akaganizira zonsezi.

Kodi mungayembekezere chiyani ndi matendawa?

Kunena zoona, izi ndi zovuta pang'ono.

Ngakhale atalandira chithandizo , chotupacho chimatha kubwerera . Nthawi zambiri, nthawi yomwe angiosarcoma ya mtima imapezeka, imakhala itafalikira (yomwe yafalikira) kumadera ena, monga chiwindi, mapapo, ndi ubongo. Nthawi zina, imatha kufalikiranso ku mafupa ndi adrenal glands. Ichi ndichifukwa chake kuchiza khansa iyi ndikupulumutsa miyoyo kumakhala kovuta.

Kodi chiyembekezo cha matendawa ndi chotani? (Maganizo)

N'zomvetsa chisoni kunena izi, koma chiyembekezo cha angiosarcoma ya mtima sichabwino kwenikweni . Matendawa ndi oopsa kwambiri ndipo amafalikira ku minofu yozungulira.

Avereji ya nthawi ya moyo wa munthu amene ali ndi matendawa ndi pakati pa miyezi 10 ndi 16.Umu ndi momwe zimawerengedwera. Popanda opaleshoni, ngakhale ndi mankhwala ena, anthu ambiri amakhala ndi moyo kwa miyezi pakati pa 9 ndi 12. Ziwerengero zina zimati nthawi ino ikhoza kukhala yochepa ngati miyezi 5 kapena kuchepera.

Anthu 14% okha omwe amapezeka ndi matenda a mtima (cardiac angiosarcoma) ndi omwe amakhala ndi moyo zaka zisanu kuchokera pamene matendawa adapezeka. Matenda a mtima (cardiac angiosarcoma) omwe afalikira (omwe afalikira) ku ziwalo zina za thupi nthawi zambiri amakhala oopsa.

Ndizachibadwa kumva chisoni komanso mantha mukamva zinthu ngati izi. Komabe, kudziwa izi kudzakuthandizani kulankhula ndi madokotala anu ndikumvetsetsa njira zabwino zomwe mungasankhe.

Kodi pali njira zochepetsera chiopsezochi?

Ngakhale kuti palibe njira yopewera izi kotheratu, pali zinthu zomwe mungayesere kuchepetsa chiopsezo.

• Ndikofunikira kuchepetsa kukhudzana ndi mankhwala omwe angayambitse khansa.
• Ngati muli ndi vuto la majini lomwe limakuikani pachiwopsezo chachikulu cha khansa yamtunduwu, lankhulani ndi dokotala wanu za vutoli. Kenako, mutha kupeza mayeso omwe angakuthandizeni kuzindikira matendawa msanga.

Kodi mumadzisamalira bwanji?

Zinthu zofunika kwambiri zomwe mumachita mukakhala ndi thanzi labwino zimakhala zofunika kwambiri mukamalimbana ndi khansa.

• Kudya chakudya chopatsa thanzi kumapatsa thupi mphamvu zomwe limafunikira.
• Ngati mukumva kutopa chifukwa cha chithandizo, ndikofunikira kwambiri kupuma mokwanira .
• Yesani zinthu monga yoga, kusinkhasinkha, ndi kuchita masewera olimbitsa thupi opumira kwambiri kuti mupumule maganizo anu.
• Ndi bwinonso kulowa nawo gulu lothandizira (ngakhale litakhala pa intaneti) komwe mungauze ena zakukhosi kwanu.

Chisamaliro cha odwala okalamba chingakuthandizeni kukhala omasuka kumapeto kwa moyo wanu.

Kodi ndiyenera kupita kwa dokotala liti?

Musaiwale kuonana ndi dokotala nthawi iliyonse mukakumana ndi dokotala. Komabe, funsani dokotala nthawi yomweyo ngati:

• Ngati zizindikiro zanu zibwereranso.
• Ngati zizindikiro zikuipiraipira.
• Ngati mukufuna thandizo ndi zotsatirapo zoyipa kuchokera ku chithandizo.

Kodi muyenera kupita ku chipinda chodzidzimutsa liti?

Ngati muli ndi zizindikiro izi, funani chithandizo chadzidzidzi nthawi yomweyo:

• Ngati mukuvutika kupuma kwambiri .
• Ngati mukumva kupweteka kwambiri pachifuwa .
• Ngati mwalandira mankhwala a chemotherapy, mumayamba kutentha thupi kapena zizindikiro zina za matenda (monga kuzizira, chilonda chomwe chimawoneka ngati chikutupa).

Ndi mafunso ati omwe muyenera kufunsa dokotala wanu?

Popeza matenda a mtima otchedwa cardiac angiosarcoma ndi matenda osowa kwambiri, zimakhala zovuta kupeza zambiri zokhudza matendawa. Mutha kufunsa dokotala wanu mafunso monga:

• "Kodi khansa iyi yafalikira ku ziwalo zina za thupi langa?"
• "Kodi ndingathe kuchitidwa opaleshoni?"
• "Mukayang'ana ma scan, kodi zikuoneka kuti chotupa chonsecho chingachotsedwe?"
• "Mukundilangiza chithandizo chamtundu wanji?"
• "Kodi chiyembekezo cha munthu amene ali mu mkhalidwe wanga ndi chotani?"

Popeza anthu ambiri sanamvepo za matenda a mtima otchedwa cardiac angiosarcoma, zimakhala zovuta kufotokoza vuto lanu kwa achibale anu ndi anzanu. Musaope kufunsa dokotala wanu chilichonse chomwe simukumvetsa. Gwiritsani ntchito zinthu ndi mautumiki omwe alipo kuti akuthandizeni. Ngati malingaliro anu si abwino, lankhulani ndi munthu amene mumamudalira za zosowa zanu. Kulankhula ndi mlangizi ndikukonzekera chithandizo cha hospice kungakuthandizeni kukhala omasuka.

Pomaliza, zinthu zoti muzikumbukira

Matenda a mtima otchedwa Cardiac Angiosarcoma ndi khansa yosowa kwambiri komanso yoopsa. Ndikofunikira kudziwa izi ndikuzindikira zizindikiro zake. Matendawa akapezeka msanga, m'pamenenso amatha kuchiritsidwa.

• Iyi ndi khansa yosowa koma yoopsa.
• Ngati zizindikiro zikuwonekera, funsani upangiri wa dokotala nthawi yomweyo.
• Kambiranani momasuka ndi dokotala wanu za mankhwala ndi zotsatira zake.
• Musazengereze kufunafuna chitonthozo cha maganizo ndi chithandizo.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

Khansa ya mtima , angiosarcoma, matenda a mtima, zizindikiro za khansa, chithandizo cha khansa, thanzi la mtima, khansa zosowa