Tiyeni tiphunzire za chithandizo cha TACE, chomwe chimachiritsa khansa yokha? (Transarterial Chemoembolization)

N'zovuta kufotokoza mantha ndi mantha omwe mumamva mukapezeka ndi khansa kapena munthu amene mumamukonda. Koma chifukwa cha kupita patsogolo kwa zamankhwala masiku ano, pali mankhwala ambiri ogwira mtima omwe amangokhudza maselo a khansa okha komanso kuchepetsa kuwonongeka kwa thupi. Chithandizo chimodzi chotere, makamaka khansa ya chiwindi, ndi TACE. Tiyeni tikambirane izi mwachidule lero.

Mwachidule, kodi chithandizo cha TACE n'chiyani?

Dzina lonse la TACE ndi Transarterial Chemoembolization . Ngakhale kuti dzinali ndi lovuta pang'ono, zomwe zimachitika pamenepa n'zosavuta. Ganizirani za khansa ngati malo omwe anthu oipa amabisala. Amafunika chakudya ndi madzi (monga magazi) kuti akhale ndi moyo. Mu chithandizochi, mumapeza mtsempha waukulu wamagazi womwe umapatsa magazi ku khansa, ndikulowetsa mankhwala ena oletsa khansa ( chemotherapy ) mwachindunji mu khansa kudzera mu mtsempha umenewo. Kenako, mtsempha wamagazi umatsekedwa ndi tinthu tating'onoting'ono.

Mwachidule, izi zimachita zinthu ziwiri nthawi imodzi:

1. Mankhwala omwe amapha maselo a khansa amaperekedwa mwachindunji ku chotupacho .

2. Chotupa chikasiya kulandira magazi, chimataya mpweya ndi zakudya zomwe chimafunikira, ndipo chotupacho chimakhala chofooka ndikuyamba kufa, ngati kuti "chagwidwa ndi chikomokere."

Kodi izi ndi zosiyana ndi mankhwala a chemotherapy wamba?

Inde, izi ndi zosiyana kwambiri ndi mankhwala a chemotherapy omwe timawadziwa nthawi zambiri. Tiyeni tiwone kusiyana kwakukulu komwe kuli.

Kodi chithandizo cha TACE ichi ndi choyenera kwa ndani?

Mankhwalawa amagwiritsidwa ntchito makamaka kwa anthu omwe ali ndi khansa ya chiwindi (hepatocellular carcinoma) , makamaka omwe ali ndi zotupa zomwe ndi zazikulu kwambiri moti sizingachotsedwe mwa opaleshoni.

Komanso, mankhwalawa amagwiritsidwa ntchito pa mitundu ingapo ya khansa yomwe yafalikira ku chiwindi (yomwe yafalikira) kuchokera kumalo ena.

• Khansa ya m'mawere
• Khansa ya m'matumbo
• Matenda a neuroendocrine (khansa zokhudzana ndi dongosolo la mitsempha)
• Sarcoma ( Sarcoma )
• Melanoma ya maso

Kodi izi zidzavulaza chiwindi?

Ichi ndi mantha oyenera kwa anthu ambiri. Koma chodabwitsa n'chakuti pali njira ziwiri zazikulu zoperekera magazi ku chiwindi chathu.

1. Mitsempha ya chiwindi: Mitsempha iyi imapereka magazi pang'ono ku chiwindi. Komabe, zotupa za khansa m'chiwindi zimalandira pafupifupi magazi onse kuchokera ku mitsempha iyi.

2. Mtsempha wa m'mimba: Apa ndi pomwe chiwindi chimalandira magazi ambiri.

Mu chithandizo cha TACE, mitsempha ya chiwindi yokha yomwe imapereka magazi ku khansa imatsekedwa. Popeza ziwalo zathanzi za chiwindi zimapitiriza kulandira magazi kuchokera ku mtsempha wa portal, palibe kuwonongeka kwakukulu pa ntchito ya chiwindi.

Kodi pali anthu omwe sayenera kulandira chithandizo cha TACE?

Inde, chithandizochi sichili choyenera aliyense. Dokotala wanu adzakuyang'anirani ndikusankha ngati chili choyenera kwa inu. Nthawi zambiri sichili choyenera kwa anthu omwe ali ndi matenda awa:

• Ngati njira zotulutsira ndulu zatsekedwa
• Ngati muli ndi vuto la magazi kuundana
• Ngati muli ndi matenda a impso
• Ngati khansa yafalikira ku ziwalo zingapo m'thupi
• Ngati muli ndi matenda ena akuluakulu a chiwindi (hepatic encephalopathy, portal vein thrombosis)
• Ngati muli ndi vuto lalikulu la ziwengo ku utoto winawake womwe umagwiritsidwa ntchito pochiza

Chabwino, tsopano tiyeni tiwone momwe chithandizo cha TACE ichi chimagwirira ntchito.

Chithandizochi chimachitidwa ndi Interventional Radiologist . Ndiko kuti, dokotala amene amagwiritsa ntchito makina apadera ofanana ndi X-ray kuti ayang'ane thupi ndikuyika machubu ang'onoang'ono (catheters) mmenemo.

Kodi mumatani musanalandire chithandizo?

Dokotala wanu adzachita mayeso angapo kuti akonze chithandizo chanu.

• Kujambula kwa CT kapena MRI
• Mayeso a magazi kuti aone momwe impso zimagwirira ntchito komanso momwe magazi amaundana

Komanso, musanalandire chithandizo, mungapatsidwe mankhwala opha majeremusi kuti mupewe matenda, mankhwala ochepetsa nseru, ndi mankhwala oteteza impso zanu ku zinthu zomwe zimatulutsidwa maselo a khansa akamwalira.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Iyi si ntchito yaikulu. Izi ndi zomwe zimachitika:

1. Ana aang'ono amapatsidwa mankhwala oletsa ululu . Izi zikutanthauza kuti ali mtulo wonse. Akuluakulu amapatsidwa mankhwala oletsa ululu okha, zomwe zimawapangitsa kugona pang'ono .

2. Dokotala adzadula pang'ono kwambiri mtsempha wamagazi pafupi ndi khosi lanu kapena dzanja lanu.

3. Chubu chopyapyala chotchedwa catheter chimayikidwa kudzera mu mng'aluwo.

4. Kenako, poyang'ana makina apadera ofanana ndi X-ray (`fluoroscopy`), chubucho chimapita mosamala ku mtsempha womwe umapatsa magazi ku chotupa cha khansa ya chiwindi.

5. Kenako, utoto wapadera umadutsa mu chubu. Khansa ndi mitsempha yamagazi yozungulira zimawonekera bwino.

6. Akapeza malo enieni, dokotalayo amabaya mankhwala osakaniza a chemotherapy ndi tinthu ting'onoting'ono (embolic agents) tomwe timatseka mtsempha wamagazi kulowa m'mitsempha.

7. Njira ikatha, catheter imachotsedwa ndipo bandeji imayikidwa pa chotupa chaching'ono. Popeza palibe chotupa chachikulu, palibe chifukwa chosokera.

Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?

Monga chithandizo chilichonse chamankhwala, TACE ili ndi ubwino ndi zoopsa zake.

Kodi chimachitika ndi chiyani munthu akalandira chithandizo? Zimatenga nthawi yayitali bwanji kuti achire?

Pambuyo pa chithandizo, anthu ambiri amamva kutentha thupi, nseru, kusanza, ndi kupweteka. Izi zimatchedwa postembolization syndrome . Izi zimachitika kawirikawiri. Muyenera kukhala m'chipatala kwa tsiku limodzi kapena awiri mpaka zizindikirozi zitatha.

Muyenera kupuma pang'ono mukapita kunyumba.

• Imwani mankhwala omwe dokotala wanu wakupatsani kuti muchepetse ululu ndi nseru.
• Pakhoza kukhala malungo pang'ono kwa pafupifupi sabata imodzi.
• Mungamve kutopa komanso kutaya chilakolako kwa milungu ingapo.

Zonsezi zimachepa pang'onopang'ono. Anthu ambiri amachira kwathunthu mkati mwa milungu ingapo ndipo amakhala ndi moyo wabwino. Komabe, muyenera kupitiliza kuyezetsa kuti muwone ngati zotupa zatsopano zayamba.

Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo!

Ngati mukukumana ndi zizindikiro zotsatirazi mutapita kunyumba mutalandira chithandizo, imbani dokotala wanu nthawi yomweyo kapena pitani kuchipatala komwe mudalandira chithandizo.

• Ngati simungathe kuletsa kusanza ndi nseru ngakhale mutamwa mankhwala.
• Ngati mukuvutika kuganizira bwino, mukusokonezeka maganizo, kapena mukuvutika kuyenda.
• Ngati muli ndi malungo, thupi lanu limakhala lozizira komanso lotuluka thukuta.
• Ngati maso kapena khungu likhala lachikasu (jaundice) - ichi chikhoza kukhala chizindikiro cha kuwonongeka kwa chiwindi.