Tiyeni tidziwe bwino za khansa ya m'matumbo: Musachite mantha, dziwani!

Ambiri aife timaopa tikamva mawu akuti khansa. Koma pali khansa zina zomwe, ngati titazidziwa bwino ndikuyesedwa nthawi yake, tingathe kudziteteza kwathunthu ku khansa ndipo tingathe kuzizindikira ndikuzichiritsa pachiyambi. Khansa ya m'matumbo ndi imodzi mwa matenda otere. Imatha kukula mwakachetechete m'thupi popanda zizindikiro zilizonse pachiyambi. Chifukwa chake, lero tikambirana chilichonse chokhudza izi, mwachidule, m'njira yomwe mungamvetse.

Kodi khansa ya m'matumbo ndi chiyani?

Mwachidule, iyi ndi khansa yomwe imapezeka m'matumbo athu kapena m'matumbo. Zonsezi ndi ziwalo za dongosolo lathu logaya chakudya. Chakudya chomwe timadya chikadutsa m'mimba ndi m'matumbo ang'onoang'ono, chimafika m'matumbo akuluakulu. Pamenepo thupi limayamwa madzi ndi michere yomwe limafunikira kuchokera ku chakudyacho. Kenako zinyalala zotsalazo, zomwe ndi ndowe, zimasungidwa kwakanthawi m'matumbo kenako zimatulutsidwa m'thupi.

Khansa imachitika pamene maselo omwe ali mu matumbo kapena rectum ayamba kukula mopitirira muyeso. Izi nthawi zambiri zimakhala chotupa "chosamveka" chomwe chikukula pang'onopang'ono . Chifukwa chake simungazindikire zizindikiro zilizonse mpaka chotupacho chitakula kwambiri. Koma chabwino kwambiri ndichakuti kuyezetsa pafupipafupi kungathe kuzindikira khansa iyi kapena zotupa zazing'ono (polyps) zomwe zingakhale khansa msanga.

Kodi pali mitundu ina ya khansa ya m'matumbo?

Inde, pali mitundu ikuluikulu ingapo ya khansa iyi, kutengera mtundu wa selo komwe imayambira. Koma musaganize mopitirira muyeso ndi kusokonezeka. Dokotala wanu adzakufotokozerani izi.

Ndani ali pachiwopsezo chachikulu chotenga khansa iyi?

Aliyense akhoza kudwala matendawa, koma zinthu zina zingakuwonjezereni chiopsezo chanu. Onani ngati chilichonse mwa izi chikukukhudzani.

• Ngati inu kapena wina m'banja mwanu adakhalapo ndi khansa ya m'matumbo kapena ma polyps (zotupa zazing'ono) m'mbuyomu.
• Ngati mumadya nyama zokonzedwa kwambiri komanso nyama zofiira .
• Ngati muli ndi matenda otupa m'matumbo (IBD) , monga matenda a Crohn kapena ulcerative colitis.
• Ngati muli ndi matenda enaake obadwa nawo (monga Familyal Adenomatous Polyposis - FAP, HNPCC).
• Kunenepa kwambiri .
• Kusuta fodya .
• Kusachita masewera olimbitsa thupi .
• Kumwa mowa mopitirira muyeso .
• Kukhala ndi Matenda a Shuga a Mtundu wa 2 .

Kodi zizindikiro za izi ndi ziti?

Monga tanenera kale, sipangakhale zizindikiro kumayambiriro. Komabe, pamene khansa ikupitirira, zizindikirozi zingawonekere. Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi kwa nthawi yayitali, onetsetsani kuti mwaonana ndi dokotala .

• Kusintha kwa nthawi yayitali m'matumbo anu (monga kusinthana pakati pa kutsegula m'mimba ndi kudzimbidwa).
• Ngati mupitiriza kumva ngati m'mimba mwanu simunatulukemo konse mutapita ku bafa.
• Kutuluka magazi kuchokera m'matumbo kapena m'chimbudzi.
• Chimbudzi chopyapyala kuposa masiku onse.
• Kusamva bwino m'mimba kapena kupweteka m'mimba kosalekeza.
• Kuchepetsa thupi popanda chifukwa.
• Kutopa kwambiri ndi kufooka kwa thupi chifukwa cha kuchepa kwa maselo ofiira a magazi (anemia ).
• Kupeza chotupa m'mimba kapena m'matumbo.

Kodi mungazindikire bwanji matendawa? - Mayeso

Mukapita kukaonana ndi dokotala, adzakuyesani, adzakukhudzani pamimba, ndipo ngati pakufunika, adzakulangizani mayeso amodzi kapena angapo mwa awa.

• Colonoscopy: Iyi ndiye njira yabwino kwambiri yoyezera. Ndi njira yabwino kwambiri komanso yolondola kwambiri yoyezera. Chubu chopyapyala komanso chosinthasintha chokhala ndi kamera (colonoscope) chimayikidwa kudzera mu anus ndipo m'matumbo onse amawunikidwa. Ngati pali ma polyps (zomera), amatha kuchotsedwa nthawi yomweyo ndipo chidutswa chaching'ono (biopsy) chikhoza kutengedwa kuti chikaunikidwe.
• Kuyesa Chimbudzi: Kuyesa kumeneku kumachitika pofuna kuwona ngati pali magazi ochepa mu chimbudzi omwe ndi ochepa kwambiri moti sangaoneke ndi maso. Kuyesa kwa FIT ndi chimodzi mwa mayeso amenewa.
• Biopsy: Pa nthawi ya colonoscopy, chidutswa chaching'ono cha minofu chimatengedwa kuchokera pamalo okayikitsa ndikuwunikidwa pansi pa maikulosikopu kuti adziwe ngati maselo a khansa alipo.
• CT Scan: CT scan ikhoza kuchitidwa kuti muwone ngati khansa yafalikira ku ziwalo zina kunja kwa matumbo.

Kodi mankhwala ake ndi otani?

Ngati mwapezeka ndi khansa, musachite mantha. Masiku ano, pali njira zambiri zochizira khansa. Madokotala adzaganizira zinthu zambiri, monga momwe khansa yanu yayambira komanso thanzi lanu lonse, kuti adziwe chithandizo choyenera kwa inu.

Opaleshoni

Khansa ndi ma polyps oyambirira amatha kuchotsedwa panthawi ya colonoscopy. Ngati khansa ndi yayikulu, opaleshoni imachitika kuti achotse gawo la m'matumbo lomwe lili ndi khansa (partial colectomy).

Mankhwala a Chemotherapy

Izi zimaphatikizapo kupatsa thupi mankhwala omwe amapha maselo a khansa kapena kuwaletsa kukula. Mankhwalawa amaperekedwa ngati mapiritsi kapena kudzera mu IV. Mankhwalawa amagwiritsidwa ntchito kuchepetsa chotupa musanachite opaleshoni kapena kupha maselo ena otsala a khansa mutachita opaleshoni.

Chithandizo cha X-ray

Izi zimaphatikizapo kugwiritsa ntchito ma radiation amphamvu kwambiri (monga ma X-ray) kuti awononge maselo a khansa. Njirayi nthawi zambiri imagwiritsidwa ntchito limodzi ndi chemotherapy ya khansa ya m'matumbo.

Chithandizo Cholunjika ndi Chithandizo cha Immunotherapy

Izi ndi njira zatsopano komanso zothandiza kwambiri. Mankhwala ochiritsira omwe ali ndi cholinga amapereka mankhwala omwe amalimbana ndi zinthu zinazake zomwe zimapezeka pa maselo a khansa okha. Chithandizo cha immunotherapy chimalimbikitsa chitetezo chathu cha mthupi kuti chizilimbana ndi maselo a khansa.

Kodi mungapewe bwanji khansa?

Akuti “ndi bwino kupewa matendawa asanayambe kusiyana ndi kuchiza matendawa akayamba.” Choncho pali zinthu zingapo zomwe tingachite kuti tidziteteze ku khansa imeneyi.

1. Moyo Wathanzi:

• Pewani kusuta fodya ndi mowa.
• Chitani masewera olimbitsa thupi osachepera mphindi 150 pa sabata (monga kuyenda mwachangu, kuthamanga, kukwera njinga).
• Khalani ndi kulemera koyenera .

2. Zakudya zoyenera:

• Idyani zakudya zambiri zokhala ndi ulusi wambiri (zipatso, ndiwo zamasamba, nyemba, ndi tirigu wonse).
• Chepetsani kudya nyama yofiira ndi nyama yokonzedwa (monga masoseji, mipira ya nyama).

3. Kuwunika Kawirikawiri:

• Ichi ndiye chinthu chofunikira kwambiri . Tsopano tikukulangizani kuti ngati simuli pachiwopsezo, muyenera kuyamba kuyezetsa magazi nthawi zonse kuyambira muli ndi zaka 45 .
• Njira yabwino kwambiri ndikuchita colonoscopy zaka 10 zilizonse.
• Ngati wina m'banja mwanu wakhala ndi khansa iyi, mungafune kuyamba kuyezetsa matenda anu muli aang'ono kwambiri. Lankhulani ndi dokotala wanu za izi.