Kodi munayamba mwachitapo mantha mukaona magazi m'chimbudzi chanu kapena mukaona madontho a magazi papepala lanu la chimbudzi? Kapena nthawi zonse mumakhala ndi ululu wachilendo m'mimba mwanu, kumva kukhuta? Anthu ambiri m'dziko lathu amaganiza kuti zizindikirozi ndi zachilendo ngati "matupi" ndipo samazilabadira kwambiri. Koma nthawi zina izi sizingakhale zazing'ono monga momwe timaganizira. Izi zitha kukhalanso zizindikiro zoyambirira za khansa ya m'matumbo. Musachite mantha kapena kuchita mantha tsopano. Chofunika kwambiri ndikudziwa bwino za matendawa ndikukhala maso. Tiyeni tikambirane chilichonse momveka bwino komanso mosavuta.
Mwachidule, kodi khansa ya m'matumbo ndi chiyani?
Khansa ya m'matumbo, kapena m'mawu azachipatala, khansa ya m'matumbo, ndi khansa yomwe imayamba m'matumbo kapena m'matumbo, gawo lomaliza la dongosolo lathu logaya chakudya. Si chinthu chomwe chimayamba mwadzidzidzi.
Tangoganizirani, pa khoma lamkati la m'matumbo mwathu, timabowo tating'onoting'ono, monga tinthu tating'onoting'ono, timayamba kuoneka. Timatcha izi kuti "Polyps". Sizibowo zonse zimenezi zomwe zimakhala khansa. Komabe, mitundu ina ya zobowola imatha kusintha pang'onopang'ono pakapita zaka zambiri (nthawi zambiri pafupifupi zaka 10) n'kukhala maselo a khansa.
Chabwino kwambiri n’chakuti ngati zotupa zimenezi zingapezeke ndikuchotsedwa zisanakhale khansa, khansa ikhoza kupewedwa konse. Komanso, ngati khansa yapezeka msanga, mwayi woti ilandire chithandizo ndi kuchira kwathunthu ndi wokwera kwambiri.
Dziwaninso zizindikiro izi!
Chifukwa khansa ya m'matumbo imakula pang'onopang'ono, singasonyeze zizindikiro zilizonse kumayambiriro. Zizindikiro zikaonekera, zimatha kufanana ndi matenda ena ofala. Chifukwa chake ndikofunikira kudziwa zizindikirozi.
| Chizindikiro | Zambiri pang'ono za izi |
|---|---|
| Kusintha kwa machitidwe a m'mimba | Kutsegula m'mimba kapena kudzimbidwa komwe kumatenga masiku angapo. Chimbudzi chomwe chimakhala chopyapyala kuposa kale, ngati pensulo. |
| Magazi mu chopondapo | Magazi ofiira kapena akuda mu ndowe. Kuona madontho a magazi m'mbale ya chimbudzi kapena pa pepala la chimbudzi. |
| Kusasangalala m'mimba | Kupweteka m'mimba pafupipafupi, kudzimbidwa, komanso kusasangalala m'mimba. |
| Kumva ngati pali chopondapo mukapita kuchimbudzi | Ngakhale mutachotsa matumbo, mumamvabe ngati matumbo anu sanatuluke konse. |
| Kutopa ndi kufooka popanda chifukwa | Kumva kutopa kwambiri ngakhale mutapuma mokwanira. Izi zili choncho chifukwa khansa ingayambitse kutaya magazi ambiri m'thupi, zomwe zimapangitsa kuti munthu asamakhale ndi magazi okwanira m'thupi. |
| Kuchepetsa thupi popanda chifukwa | Ngati kulemera kwa thupi lanu kukuchepa mosayembekezereka popanda kudya bwino kapena kuchita masewera olimbitsa thupi, samalani. |
Kumbukirani, si aliyense amene ali ndi zizindikiro zimenezi amene ali ndi khansa. Kusakhazikika m'mimba ndi kutsegula m'mimba kungayambitsidwe ndi kachilombo kakang'ono ka m'mimba. Koma ngati zizindikirozi zimatenga masiku opitilira angapo, makamaka ngati muli ndi magazi m'chimbudzi chanu, chonde musanyalanyaze ndipo pitani kwa dokotala nthawi yomweyo.
N’chifukwa chiyani khansa imeneyi imayamba? Kodi zinthu zoopsa zake ndi ziti?
Palibe chifukwa chimodzi chokha chomwe chimayambitsa khansa ya m'matumbo. Komabe, zimachitika pamene kusintha kwina kwa majini a maselo athanzi m'matumbo kumachitika (Majini Mutations), zomwe zimapangitsa kuti maselowo agawikane ndikuchulukana mosalamulirika. Maselo a khansa omwe amapangidwa mwanjira imeneyi amasonkhana pamodzi kuti apange ma polyps ndi zotupa.
Kafukufuku wa zachipatala wapeza zinthu zingapo zomwe zimawonjezera chiopsezo chotenga khansa iyi. Tiyeni tiwone zomwe zili.
| Choopsa | Kufotokozera |
|---|---|
| Kukhala ndi zaka zoposa 50 | Matendawa nthawi zambiri amapezeka mwa anthu azaka zopitirira 50. Komabe, posachedwapa, chiwerengero cha milandu yomwe yanenedwa pakati pa anthu azaka zochepera pamenepo chawonjezeka. |
| Mbiri ya banja | Ngati m'modzi mwa achibale anu apamtima (amayi, abambo, abale, ana) ali ndi khansa ya m'matumbo kapena ma polyps akuluakulu, inunso muli pachiwopsezo chachikulu. Izi ndi zoona makamaka ngati adadwala matendawa asanakwanitse zaka 45. |
| Matenda a majini | Matenda a majini monga Lynch syndrome ndi Familyal Adenomatous Polyposis (FAP) amawonjezera chiopsezo chotenga khansa iyi. |
| Kunenepa kwambiri | Kafukufuku wasonyeza kuti anthu omwe ali ndi BMI yoposa zaka 25 ali pachiwopsezo chachikulu. |
| Kusuta ndi kumwa mowa | Kusuta fodya ndi kumwa mowa pafupipafupi (ngakhale pang'ono) kumawonjezera kwambiri chiopsezo. |
Kodi mwapeza bwanji izi, Dokotala?
Mukapita kwa dokotala yemwe ali ndi zizindikiro zanu, choyamba adzakufunsani za zizindikiro zanu mwatsatanetsatane. Kenako adzafufuza thupi lanu. Kuphatikiza apo, adzakulangizani mayeso angapo kuti adziwe chomwe chimayambitsa matenda anu.
- Kuyezetsa Magazi: Magazi anu adzayezetsa magazi anu ngati ali ndi vuto la kuchepa kwa magazi mwa kuchita mayeso athunthu a magazi (CBC). Mayeso apadera, monga chizindikiro cha khansa (CEA assay), angachitikenso.
- Mayeso Ojambula: Mayeso monga CT scans (Computed Tomography) ndi MRI scans (Magnetic Resonance Imaging) angagwiritsidwe ntchito kuona ngati pali zotupa za khansa mkati mwa thupi komanso momwe zafalikira.
- Kuzindikira Colonoscopy: Iyi ndi njira yabwino komanso yolondola kwambiri yodziwira khansa ya m'matumbo. Mu mayesowa, dokotala wa gastroenterologist amaika chubu chopyapyala komanso chosinthasintha (chokhala ndi kamera yolumikizidwa) kudzera mu anus ndikuyang'ana m'matumbo onse kudzera pa sikirini.
- Pa nthawiyi, ngati pali chotupa chokayikitsa (polyp), chingachotsedwe kwathunthu kapena chidutswa chaching'ono (biopsy) chingatengedwe ndikutumizidwa ku labotale kuti akatsimikizire ngati pali maselo a khansa.
Matendawa akatsimikizika kudzera mu mayesowa, gawo la khansa limatsimikiziridwa kutengera komwe khansa ili, ngati yafalikira ku ma lymph nodes, komanso ngati yafalikira ku ziwalo zina. Chithandizo chimakonzedwa kutengera gawoli.
Kodi mankhwala ake ndi otani?
Musadandaule, tsopano pali njira zochizira matenda amenewa zothandiza kwambiri komanso zapamwamba. Njira yochizira imadalira gawo la khansa yanu, komwe ili, komanso thanzi lanu lonse.
Chithandizo chachikulu ndi opaleshoni .
- Kuchotsa ma polyp: Kuchotsa ma polyp omwe angayambitse khansa (nthawi zina khansa) panthawi ya colonoscopy.
- Kuchotsa khansa m'matumbo (Colectomy): Kuchotsa mbali ya m'matumbo momwe khansa ilili pa opaleshoni.
Kuwonjezera pa opaleshoni, kapena opaleshoni isanachitike komanso itatha, mankhwala awa angafunikenso:
- Chemotherapy: Kupereka mankhwala owononga maselo a khansa.
- Chithandizo cha Radiation: Kuwononga maselo a khansa pogwiritsa ntchito kuwala kwamphamvu kwambiri.
- Thandizo Lolunjika: Kupereka mankhwala omwe amakhudza mamolekyu enaake omwe amakhudza kukula kwa maselo a khansa.
Dokotala wanu adzakambirana nanu ndikusankha njira yothandizira yomwe ili yoyenera kwa inu.
Kodi matendawa angachiritsidwe bwanji?
Funso limene anthu ambiri amaliganizira ndi ili. "Chiwerengero cha Kupulumuka" ndi chiwerengero cha odwala omwe amakhala ndi moyo zaka 5 atapezeka ndi matendawa. Izi zimadalira kwambiri siteji yomwe matendawa amapezeka.
- Poyamba (Kuchokera kumadera ena): Ngati khansa imapezeka m'matumbo okha, kuchuluka kwa moyo wa zaka 5 kumakhala kwakukulu mpaka 91% .
- Zachigawo: Ngati khansa yafalikira ku minofu yozungulira kapena ma lymph nodes, chiwerengerochi ndi pafupifupi 73% .
- Kutali: Ngati khansa yafalikira ku ziwalo zakutali monga chiwindi ndi mapapo, chiwerengerochi chimatsika kufika pa 13% .
Musachite mantha ndi ziwerengerozi. Izi ndi ziwerengero wamba zochokera ku deta yochokera kwa odwala masauzande ambiri. Mkhalidwe wanu ukhoza kukhala wosiyana kwambiri. Chofunika kwambiri ndikupeza matendawa msanga ndikuyamba kulandira chithandizo choyenera. Kenako mwayi wochira umakhala waukulu kwambiri.
Kodi tiyenera kuchita chiyani kuti tipewe khansa?
Ngakhale palibe njira yodzitetezera khansa 100%, pali zinthu zambiri zomwe tingachite kuti tichepetse chiopsezochi.
- Zakudya zabwino: Chepetsani kudya mafuta, shuga, ufa, nyama yofiira (ng'ombe, nkhumba), ndi nyama yokonzedwa (masoseji, nyama yankhumba). M'malo mwake, idyani zakudya zambiri zokhala ndi ulusi monga ndiwo zamasamba, zipatso, nyemba, ndi tirigu wonse .
- Pewani kusuta: Ngati mukusuta, pemphani thandizo kuti musiye. Ichi ndi chimodzi mwa zinthu zabwino kwambiri pa thanzi lanu lonse.
- Chepetsani kumwa mowa: Ndikofunikira kusiya kumwa mowa kotheratu kapena kugwiritsa ntchito mowa pang'ono.
- Khalani ndi kulemera kwabwino: Yesetsani kulemera kwa thupi lanu mwa kuchita masewera olimbitsa thupi nthawi zonse komanso kudya zakudya zopatsa thanzi.
- Yesani Kuyezetsa Matenda Pazaka Zoyenera: Ichi ndiye chinthu chofunikira kwambiri. Ngakhale mutakhala kuti mulibe zizindikiro zilizonse, ndikofunikira kuti muyezetse khansa ya m'matumbo muli ndi zaka zapakati pa 45-50. Ngati wina m'banja mwanu ali ndi matendawa, dokotala wanu angakulangizeni kuti muyambe kuyezetsa matenda msanga.
Mayeso amenewa amatha kuzindikira ndikuchotsa ma polyps omwe angakhale khansa msanga, motero amaletsa kukula kwa khansa.
Uthenga Wopita Nawo Kunyumba
- Musanyalanyaze zizindikiro monga kusintha kwa chizolowezi cha m'mimba, kupweteka m'mimba, komanso makamaka magazi m'chimbudzi. Ngati zikupitirira kwa masiku opitilira angapo, onetsetsani kuti mwaonana ndi dokotala.
- Khansa ya m'matumbo ndi matenda ochiritsika kwathunthu ngati yapezeka msanga. Musazengereze kuyezetsa chifukwa cha mantha.
- Ngati muli ndi zinthu zomwe zingakuchititseni mantha kapena muli ndi zaka zoposa 45, lankhulani ndi dokotala wanu za kuyezetsa khansa, ngakhale mutakhala kuti mulibe zizindikiro.
- Moyo wathanzi (kudya bwino, kuchita masewera olimbitsa thupi, komanso kupewa kusuta fodya ndi kumwa mowa) kungachepetse chiopsezo cha khansa.
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