Ndizachibadwa kuchita mantha komanso kudabwa pamene inu kapena munthu amene mumamudziwa ali ndi khansa ya m'matumbo kenako n’kupeza kuti yafalikira ku chiwindi. Madokotala amatcha khansa ya metastatic iyi, kapena khansa ya siteji yachinayi. Nthawi zina khansayo ikhoza kufalikira ku chiwindi ikapezeka koyamba. Kapena, khansayo ikhoza kubwerera ndikufalikira ku chiwindi mutalandira chithandizo. Ndizachibadwa kuchita mantha mukamva izi, koma musadandaule. Ndi mankhwala apamwamba amakono, mutha kuwongolera zizindikiro zanu, kukonza moyo wanu, ndikukuthandizani kukhala ndi moyo wautali. Lero, tikambirana izi mwatsatanetsatane.
Kodi zizindikiro za vutoli ndi ziti?
Zizindikiro zimatha kusiyana malinga ndi kukula kwa khansa komanso komwe yafalikira m'thupi. Chodabwitsa n'chakuti, anthu ena saona zizindikiro zilizonse ngakhale khansa yawo ya m'matumbo itafalikira ku chiwindi. Komabe, pali zizindikiro zina zomwe zimaonekera.
Chofunika kwambiri ndichakuti zizindikirozi zitha kuwonekanso m'matenda ena. Choncho musaope kukhala ndi chimodzi kapena zingapo mwa izi. Chinthu chabwino kwambiri choti muchite ndikuwonana ndi dokotala wanu ndikupeza upangiri.
Gome ili m'munsimu likuwonetsa zina mwa zizindikiro zodziwika bwino.
| Chizindikiro | Kufotokozera |
|---|---|
| Magazi mu chopondapo | Magazi akuda kapena ofiira osakanikirana mu ndowe. |
| Ululu m'mimba mwa dzanja lamanja | Popeza chiwindi chili pamwamba pa mimba, mungamve kupweteka kapena kusasangalala m'dera limenelo. |
| Kutupa | Mimba imatuluka patsogolo chifukwa cha kutupa kwa chiwindi kapena madzi m'mimba. |
| Kutopa kosalekeza komanso kutopa | Kumva kutopa kwambiri, kutopa, komanso kudwala popanda chifukwa. |
| Kuchepetsa thupi mwadzidzidzi | Kuchepetsa thupi mwachangu popanda khama lililonse. |
Kodi mungadziwe bwanji matendawa molondola?
Kuti adziwe ngati khansa ya m'matumbo mwanu yafalikira ku chiwindi chanu, dokotala wanu adzachita mayeso angapo. Choyamba, adzakufunsani mafunso angapo. Kenako, adzayitanitsa mayeso ena a magazi kuti awone momwe chiwindi chanu chikuyendera komanso ma scan ena kuti aone komwe khansayo ili komanso kukula kwake.
| Mayeso | Mwachidule... |
|---|---|
| Kujambula kwa CT (Kujambula kwa Tomografia) | Uwu ndi mtundu wamphamvu wa X-ray. Umatha kujambula zithunzi zomveka bwino komanso zatsatanetsatane za mkati mwa thupi. |
| Kujambula kwa MRI (Kujambula kwa Magnetic Resonance) | Imagwiritsa ntchito maginito amphamvu ndi mafunde a wailesi kuti ipange zithunzi zomveka bwino za ziwalo ndi minofu ya thupi. |
| Kujambula kwa PET (Positron Emission Tomography) | Mankhwala owopsa amalowetsedwa m'thupi kuti adziwe malo omwe maselo odwala, monga maselo a khansa, amapezeka. |
| Kufufuza chiwindi (kufufuza chidutswa chaching'ono cha chiwindi) | Dokotala amatenga kachidutswa kakang'ono kwambiri ka minofu kuchokera pachiwindi ndikukayang'ana pansi pa maikulosikopu kuti aone ngati kali ndi maselo a khansa. |
Kodi njira zochiritsira ndi ziti?
Chofunika kumvetsetsa apa ndichakuti ngakhale khansa itafalikira ku chiwindi, maselo a khansa amenewo akadali maselo a khansa ya m'matumbo , osati maselo a khansa ya chiwindi. Chifukwa chake, mudzalandira chithandizo chimodzimodzi monga momwe mungachitire ndi khansa ya m'matumbo. Mungafunike kulandira chithandizo chimodzi kapena zingapo nthawi imodzi.
Opaleshoni
Nthawi iliyonse ikatheka, chithandizo chachikulu ndi kuchotsa khansa pogwiritsa ntchito opaleshoni. Dokotala amayesetsa kuchotsa khansa yochuluka momwe angathere m'chiwindi ndi m'matumbo. Ngati pali khansa imodzi yokha m'chiwindi, mwayi wopulumuka pambuyo pa opaleshoni ndi wokwera kwambiri.
Mankhwala a Chemotherapy
Ichi ndi chomwe tonse timachidziwa kuti 'chemo'. Chemo ingaperekedwe musanachite opaleshoni kuti ichepetse maselo a khansa kuti athe kuchotsedwa mosavuta. Chemo ingaperekedwenso pambuyo pa opaleshoni kuti iphe maselo ena onse a khansa.
Chithandizo cha X-ray
Chithandizo cha radiation ndi kugwiritsa ntchito X-ray yamphamvu kwambiri kuti iwononge maselo a khansa. Imagwiritsidwa ntchito ngati opaleshoni singathe kuchotsa chotupacho kapena kuchepetsa zizindikiro.
- Kutulutsa kwa radioembolization: Mu izi, timikanda ting'onoting'ono tomwe timatumiza kudzera m'magazi kupita ku mitsempha yomwe imapereka magazi ku khansa ya chiwindi. Izi zimapita kumeneko ndi kutulutsa kuwala kokha komwe kuli khansa.
- Brachytherapy: Mu izi, zinthu zazing'ono zotulutsa ma radiation zimatumizidwa mwachindunji mu chotupacho pogwiritsa ntchito chubu ndikusiyidwa pamenepo kwa mphindi zochepa.
Mankhwala Oyenera
Mankhwalawa ndi atsopano komanso apamwamba. Mosiyana ndi mankhwala a chemotherapy wamba, mankhwalawa amakhudza mwachindunji mamolekyu enaake omwe amathandiza maselo a khansa kukula ndi kufalikira. Izi zimapangitsa kuti maselo athanzi asawonongeke kwambiri. Cetuximab (Erbitux) ndi Bevacizumab (Avastin) ndi mankhwala awiri otere.
Chithandizo cha Immunotherapy
Uwu ndi mankhwala apamwamba kwambiri. Mwachidule, mankhwala awa amathandiza chitetezo cha mthupi lanu kuzindikira ndi kuukira maselo a khansa. Nivolumab (Opdivo) ndi Pembrolizumab (Keytruda) ndi zitsanzo za mankhwala awa.
Kodi muyenera kudzisamalira bwanji?
Kukhala ndi khansa ndi nkhondo yaikulu, mwakuthupi komanso m'maganizo. Ndikofunikira kuti muzisamalira bwino panthawiyi.
- Pumulani ndi kugona: Pumulani mokwanira kuti muthane ndi kutopa.
- Zakudya: Pa nthawi ya chithandizo, zimakhala zovuta kuti thupi lanu lizilandira zakudya zopatsa thanzi. Chifukwa chake, funsani dokotala wanu kuti akaone katswiri wazakudya. Angakuthandizeni kupanga dongosolo la chakudya lomwe lingakupatseni ma calories ndi zakudya zomwe mukufuna.
- Thanzi la maganizo:Izi ndizofunikira kwambiri. Lankhulani ndi mnzanu wodalirika kapena wachibale wanu za momwe mukumvera, mantha anu, ndi nkhawa zanu. Mwina sangadziwe momwe angakuthandizireni. Choncho auzeni zomwe mukufuna. Afunseni kuti, "Ndikuvutika maganizo lero. Kodi mungakonde kundimvera?" Funsani dokotala wanu za alangizi ndi ogwira ntchito zachitukuko omwe angakuthandizeni.
Uthenga Wopita Nawo Kunyumba
- Ndizachibadwa kuchita mantha mukazindikira kuti khansa ya m'matumbo yanu yafalikira ku chiwindi chanu. Komabe, ndi mankhwala a masiku ano, pali chiyembekezo.
- Matendawa amachiritsidwa ngati khansa ya m'matumbo, osati ngati khansa ya chiwindi.
- Cholinga chachikulu cha chithandizo ndikuwongolera khansa, kuchepetsa zizindikiro, komanso kukuthandizani kukhala ndi moyo wautali ndi moyo wabwino .
- Kambiranani momasuka ndi dokotala wanu za chilichonse. Funsani mafunso ndi mantha anu.
- Pa nthawi ya chithandizo, ndikofunikira kudzisamalira bwino, mwakuthupi komanso m'maganizo. Yang'anani kwambiri zakudya, kupuma, komanso thanzi labwino la maganizo.
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