Kodi mukudziwa za chithandizo cha TACE (Transarterial Chemoembolization) cha khansa ya chiwindi?

Tikamva mawu oti "khansa," tonse timachita mantha pang'ono, eti? Zimenezo n'zachibadwa. Koma chifukwa cha kupita patsogolo kwa sayansi ya zamankhwala, tsopano pali njira zochizira khansa zopambana komanso zapamwamba kwambiri. Lero, tikambirana za chithandizo chapadera chomwe chimayang'ana makamaka zotupa za chiwindi ndipo chili ndi zotsatirapo zochepa kuposa mankhwala ochizira matenda a chemotherapy wamba. Izi zimatchedwa TACE. Tiyeni tiwone tsatanetsatane.

Kodi TACE imatanthauza chiyani kwenikweni?

Dzina lonse la TACE ndi Transarterial Chemoembolization . Ngakhale kuti dzinali likumveka ngati lovuta pang'ono, zomwe zimachitika mu njirayi n'zosavuta kwambiri. Mwachidule, ndi chithandizo chomwe chimatseka mitsempha yamagazi yomwe imapereka khansa, ndikuletsa magazi kulowa.

Taganizirani za udzu wosafunikira m'munda. Kodi chingachitike n'chiyani ngati titasiya madzi opita ku chomera chimenecho? Popanda madzi, chomeracho chingafe m'masiku ochepa. Ndicho chimene chimachitika ndi chithandizo cha TACE ichi. Chotupa cha khansa ndi chotupa chosafunikira chomwe chimakula mofulumira. Chimafunika magazi ambiri kuti chikule. Mu chithandizochi, madokotala amapeza mtsempha wamagazi womwe umapereka magazi ku chotupacho, amaikamo chinthu chapadera, ndikuchiletsa. Pankhaniyi, zinthu ziwiri zazikulu zimagwirizanitsidwa kuti zitumize mumtsempha:

• Mankhwala a Chemotherapy: Awa ndi mankhwala omwe amapha maselo a khansa.
• Mankhwala oletsa kutupa: Izi zili ngati tinthu tating'onoting'ono ta pulasitiki. Zimathandiza kuti mankhwala a chemo asungidwe mkati mwa chotupacho. Izi zimathandiza kuti mankhwalawa azitha kukhudza khansa mwachindunji, m'malo mopita ku ziwalo zina za thupi.

Kodi izi zikusiyana bwanji ndi mankhwala ochiritsira matenda a chemotherapy (Systemic Chemotherapy) wamba?

Mukamva mankhwala a chemotherapy, mwina mumamva za mtundu wa chithandizo chomwe chimaphatikizapo jakisoni wa mankhwala m'thupi. Timachitcha kuti `Systemic Chemotherapy`. TACE ndi mankhwala osiyana pang'ono, omwe cholinga chake ndi kusamala. Tiyeni tiwone kusiyana kwakukulu pakati pa awiriwa.

Kodi chithandizo cha TACE ndi choyenera kwa ndani?

Mankhwalawa amagwiritsidwa ntchito kwa akuluakulu ndi ana. Amagwiritsidwa ntchito makamaka pa khansa ya chiwindi (`Hepatocellular carcinoma`) . Makamaka, TACE nthawi zambiri imalimbikitsidwa ngati chithandizo choyamba kwa odwala omwe ali ndi zotupa zazikulu kwambiri kuti zisachotsedwe mwa opaleshoni.

Sikuti kokha, mankhwalawa amagwiritsidwanso ntchito pa khansa zomwe zafalikira (zosasinthika) kupita ku chiwindi kuchokera kwina. Mwachitsanzo:

• Khansa ya m'mawere
• Khansa ya m'matumbo
• `Matenda a khansa`
• `Matenda a Neuroendocrine`
• Khansa ya m'maso (khansa ya maso)
• `Sarcoma`

Kodi TACE ingawononge ntchito ya chiwindi?

Ili ndi vuto lomwe anthu ambiri ali nalo. Ndikoyenera kudzifunsa ngati kuchepetsa kuyenda kwa magazi kupita ku chiwindi kungachiwononge. Koma palibe chodetsa nkhawa. Chifukwa chake ndi chakuti pali mitsempha iwiri ikuluikulu yamagazi yomwe imapereka magazi ku chiwindi chathu.

1. Mitsempha ya chiwindi: Mitsempha iyi imapereka gawo laling'ono chabe la magazi onse a chiwindi. Chodabwitsa n'chakuti, zotupa za khansa m'chiwindi zimalandira pafupifupi magazi onse kuchokera ku mitsempha iyi.

2. Mtsempha wa m'mimba: Mtsempha waukulu uwu umapereka magazi ambiri omwe chiwindi chimafunikira.

Mu TACE, madokotala amangotseka mtsempha waung'onowo, womwe ndi mtsempha wa chiwindi . Ngakhale kuti magazi opita ku khansa atsekedwa, maselo a chiwindi athanzi amapitiriza kulandira magazi onse omwe amafunikira kuchokera ku mtsempha waukulu, womwe ndi mtsempha wa portal . Chifukwa chake, kugwira ntchito kwabwinobwino kwa chiwindi sikukhudzidwa kwambiri.

Momwe chithandizochi chimachitikira

Chithandizochi chimachitidwa ndi Interventional Radiologist . Ndiko kuti, katswiri amene amagwiritsa ntchito ukadaulo wojambula zithunzi monga X-ray ndipo amagwiritsa ntchito machubu ang'onoang'ono (catheters) kuti achiritse mkati mwa thupi popanda kuduladula kwakukulu m'thupi.

Nayi njira yotsatirira momwe chithandizochi chimagwirira ntchito:

1. Kukonzekera: Ana amapatsidwa mankhwala oletsa ululu. Akuluakulu amapatsidwa mankhwala oletsa ululu kuti azitha kugona tulo tochepa komanso omasuka.

2. Kuika catheter: Dokotala amadula khungu pang'ono pafupi ndi khosi lanu kapena dzanja lanu ndipo amaika chubu chopyapyala (catheter) kudzera mmenemo kupita mumtsempha wamagazi.

3. Kupeza njira: Kenako, pogwiritsa ntchito njira yapadera ya X-ray (fluoroscopy), chubucho chimatsogozedwa mosamala ku mtsempha womwe umapatsa magazi ku chotupa cha khansa m'chiwindi.

4. Kupaka utoto: Utoto wapadera (`utoto wosiyana`) umayikidwa kudzera mu chubu kuti muwone bwino chotupa ndi mitsempha yamagazi yozungulira.

5. Kupereka chithandizo: Kenako, mankhwala osakaniza a chemo ndi `embolic agent` omwe tidakambirana kale amalowetsedwa kudzera mu chubu mwachindunji mumtsempha womwe umatsogolera ku chotupa cha khansa.

6. Kumaliza: Chithandizo chikatha, dokotala adzachotsa chubucho ndikupaka pulasitala kakang'ono pamwamba pa chodulidwacho. Izi sizidzafuna kusokedwa.

Kodi mungayembekezere chiyani mutalandira chithandizo?

Pambuyo pa chithandizo cha TACE, anthu ambiri amatha kumva kupweteka, nseru, kusanza, komanso kutentha thupi pang'ono . Matendawa amatchedwa `postembolization syndrome`. Izi ndi zachilendo ndipo palibe chodetsa nkhawa nacho. Nthawi zambiri muyenera kukhala kuchipatala kwa tsiku limodzi kapena awiri mpaka zizindikirozi zitatha.

Ndikofunikira kupuma kwa milungu ingapo mutapita kunyumba.

• Gwiritsani ntchito mankhwalawa pa ululu ndi nseru monga momwe dokotala wanu wanenera.
• Mungakhale ndi malungo pang'ono kwa pafupifupi sabata imodzi.
• Mungamve kutopa komanso kutaya chilakolako kwa milungu ingapo.

Nthawi zina muyenera kuuza dokotala wanu nthawi yomweyo

Ngati zizindikiro zotsatirazi zikuwonekera, dziwitsani dokotala kapena chipatala chomwe chinakuthandizani mwamsanga.

• Ngati simungathe kuletsa kusanza ndi nseru ngakhale mutamwa mankhwala.
• Ngati mwadzidzidzi mwasokonezeka kapena mwalephera kudziletsa .
• Ngati muli ndi zizindikiro monga kutentha thupi kosalekeza, kuzizira, ndi thukuta .
• Ngati khungu lanu kapena maso anu akuda (jaundice), chizindikiro cha kulephera kwa chiwindi.