Kodi munakhalapo ndi chotupa chonga ichi? Tiyeni tikambirane za Desmoid Tumors!

Kodi munayamba mwaonapo chotupa chachilendo kapena kutupa kwinakwake m'thupi lanu ndipo munakhala ndi nkhawa? Nthawi zina zinthuzi sizingakhale zoopsa kwenikweni. Komabe, lero tikambirana za mtundu wa chotupa chomwe chili chapadera pang'ono ndipo chimayenera kusamalidwa mwapadera. Izi zimatchedwa zotupa za desmoid. Tiyeni tiwone zomwe zili, chifukwa chake zimapangidwira, momwe tingazizindikire, komanso momwe tingazichiritsire.

Kodi matenda a Desmoid Tumors ndi chiyani? Tiyeni tipeze yankho mosavuta!

Mwachidule, zotupa za desmoid si khansa . Koma zimatchedwanso aggressive fibromatosis. Izi zikutanthauza kuti nthawi zina zimatha kukula mwachangu komanso mwamphamvu. Zimapangidwa m'minofu yolumikizana m'thupi lathu. Taganizirani ngati guluu womwe umagwirira ziwalo zosiyanasiyana za thupi lathu pamodzi.

Ngakhale kuti zotupazi zimatha kufalikira kulikonse m'thupi, nthawi zambiri zimapezeka m'mimba, m'manja, m'miyendo, ndipo nthawi zina mutu ndi khosi .

Chofunika kwambiri ndichakuti zotupazi zisafalikire kuchokera pamalo amodzi m'thupi kupita kwina (sizifalikira) monga khansa.

Komabe, pali vuto limodzi. Zotupa zimenezi nthawi zambiri zimakula pang'onopang'ono . Komabe, zina zimatha kukula mofulumira kwambiri ndikufalikira m'minofu yapafupi (yomwe imalowa m'thupi). Zikatero, zimakhala zovuta kwambiri kuzichotsa ndi opaleshoni. Chinanso n'chakuti zimatha kubwerera (kubwereranso) ngakhale mutalandira chithandizo. Koma si vuto la aliyense lomwe lili lofanana, ndipo ndikofunikira kukumbukira zimenezo.

Kodi pali mitundu ina ya mtedza uwu?

Inde, zotupa za desmoid zitha kugawidwa m'mitundu ikuluikulu ingapo, kutengera komwe zimapangidwira:

• Ziphuphu za m'mimba zomwe zimatuluka m'makoma a m'mimba: Izi zimakula m'makoma a minofu (makoma a m'mimba) omwe amazungulira ziwalo mkati mwa mimba yathu (monga m'mimba).
• Zotupa za m'mimba zomwe zimatuluka m'matumbo: Izi zimamera m'kati mwa minofu yozungulira matumbo (mesentery).
• Zotupa za kunja kwa mimba: Izi zimakula kunja kwa mimba ndi khoma la m'mimba. Nthawi zambiri zimayambira m'mapewa, m'manja, pachifuwa, ndi m'miyendo. Zingathenso kukula m'mutu ndi m'khosi.

Kodi zizindikiro zake ndi ziti? Kodi tingadziwe bwanji ngati tili nazo?

Zotupa za Desmoid sizimayambitsa zizindikiro zazikulu nthawi zonse. Komabe, zizindikiro zimangowonekera pamene chotupacho chikukulirakulira mokwanira kuti chikakamize mitsempha kapena ziwalo zapafupi. Izi zingaphatikizepo:

• Chotupa kapena kutupa: Izi nthawi zambiri zimawoneka m'manja, miyendo, kapena m'mimba.
• Kusanza ndi kusanza: Zizindikiro izi zitha kuchitika ngati pali chotupa m'mimba.
• Ululu kapena dzanzi: Izi zitha kumveka pamene chotupacho chikukankhira mitsempha, ziwalo, kapena mitsempha yamagazi pafupi ndi chotupacho.
• N'zovuta kusuntha mkono kapena mwendo.

Chofunika: Si chotupa chilichonse chomwe chimapangika m'thupi chomwe ndi chotupa cha desmoid. Komabe, ngati muli ndi chotupa chomwe chili chachikulu kuposa mainchesi awiri (pafupifupi masentimita 5), ​​chikupitirira kukula, kapena chikupweteka , ndi bwino kuonana ndi dokotala kuti akupatseni upangiri.

Kodi n’chifukwa chiyani zotupa zimenezi zimapangika? Kodi zimayambitsa chiyani?

Ziphuphu zimenezi zimapangika pamene maselo omwe ali mu minofu yolumikizana amasinthidwa ndikuyamba kugawikana mofulumira komanso mosalamulirika. Pakapita nthawi, maselo ochulukirapowa amasonkhana ndikupanga chotupa.

Madokotala sakudziwabe chifukwa chake maselowa amasintha poyamba. Komabe, kafukufuku wapeza kusintha kwa majini angapo komwe kumakhudzana ndi zotupa za desmoid. Chidziwitsochi chingathandize kupanga mankhwala omwe amayang'ana kusintha kwa maselowo ndikulamulira kukula kwa zotupazo.

Ndani amene ali ndi mwayi waukulu wopeza izi? (Zinthu Zoopsa)

Anthu ena ali ndi mwayi waukulu wopeza zotupa za desmoid. Tiyeni tiwone omwe ali:

• Unyamata: Matendawa nthawi zambiri amapezeka mwa anthu azaka zapakati pa 30 ndi 40.
• Kukhala mkazi: Azimayi amakhala ndi mwayi waukulu wopeza zotupa zimenezi, makamaka panthawi ya mimba kapena atangobereka kumene. Nthawi zambiri zimawonekera pakhoma la m'mimba. Popeza kuchuluka kwa estrogen kumawonjezeka panthawi ya mimba, akatswiri ena amakhulupirira kuti pali mgwirizano pakati pa estrogen ndi zotupa za desmoid.
• Kukhala ndi vuto lotchedwa Familyal Adenomatous Polyposis (FAP): Ili ndi vuto lobadwa nalo. Pakati pa 5% ndi 10% ya anthu omwe ali ndi FAP amakhala ndi zotupa za desmoid. Nthawi zambiri, zotupazi zimayamba pomwe opaleshoni idachitidwa kale kuti ichotse chotupa chaching'ono (colon polyp) m'matumbo.
• Kuvulala: Kafukufuku wasonyeza kuti kuvulala kwambiri, kapena kuvulala mobwerezabwereza m'dera lomwelo (mwachitsanzo, kugunda mobwerezabwereza pamalo omwewo mukusewera masewera), kumawonjezera chiopsezo chokhala ndi chotupa cha desmoid.

Kodi madokotala amazindikira bwanji izi? (Kuzindikira)

Ngati muli ndi zizindikiro izi, dokotala wanu adzayamba kaye wakuyezani thupi lanu ndikufunsani za zizindikiro zanu. Kenako, angachite mayeso otsatirawa:

• Mayeso ojambulira: Odziwika kwambiri ndi ma CT scan ndi ma MRI. Izi zimatha kuona bwino chotupa mkati mwa thupi.
• Kuyeza kwa magazi: Iyi ndi njira yofunika kwambiri yoyezera . Izi zimaphatikizapo kutenga minofu yaing'ono kuchokera ku chotupacho ndikuyang'ana maselowo pogwiritsa ntchito maikulosikopu. Iyi ndiyo njira yokhayo yodziwira mtundu weniweni wa chotupacho.

Ngati dokotala wanu akukayikira kuti muli ndi FAP, angakuyezeninso. Si aliyense amene ali ndi desmoid cysts amene ali ndi FAP. Komabe, ndikofunikira kudziwa ngati muli nayo, chifukwa anthu omwe ali ndi FAP ali pachiwopsezo chachikulu chotenga khansa ya m'matumbo.

Kodi chithandizo ndi chiyani? (Chithandizo)

Matenda a Desmoid nthawi zambiri amachiritsidwa mofanana ndi matenda a khansa. Izi zikutanthauza kuti mwina mungagwire ntchito ndi gulu la madokotala ochokera kumadera osiyanasiyana, kuphatikizapo katswiri wa khansa.

Kale, opaleshoni inali njira yaikulu yochizira matenda a khansa. Komabe, popeza zapezeka kuti matendawa ali ndi mwayi waukulu wobwereranso pambuyo pa opaleshoni, chithandizo chamakono chimadalira kwambiri mankhwala. Mankhwala ena ndi awa:

• Kuyang'anira mwachangu (kapena kudikira mofatsa): Ngati chotupa chanu chikukula pang'onopang'ono ndipo sichikuyambitsa zizindikiro zazikulu, dokotala wanu adzakuyang'anirani nthawi zonse. Adzakujambulani nthawi zonse. Ngati vuto lanu lasintha, chithandizo chimayamba msanga momwe mungathere.
• Opaleshoni: Opaleshoni ingakhale yofunikira ngati chotupacho chikukula mofulumira kwambiri kapena chikuwonetsa zizindikiro zoopsa. Kapena, ngati chotupacho chili pachiwopsezo choyambitsa mavuto aakulu, monga kutsekeka kwa matumbo, opaleshoni ikhoza kuchitidwa.
• Chithandizo Cholunjika: Mankhwalawa amagwira ntchito poyang'ana majini kapena mapuloteni enaake omwe amathandiza kukula kwa zotupa za desmoid. Dokotala wanu angakulangizeni mtundu wa mankhwala otchedwa Tyrosine Kinase Inhibitor (TKI).
• Kuchotsa chotupa: Iyi ndi njira ina m'malo mwa opaleshoni. Imagwiritsa ntchito kuzizira kwambiri kuti iwononge chotupacho. Mankhwalawa angagwiritsidwe ntchito pa zotupa zazing'ono zomwe zili kunja kwa mimba (mwachitsanzo, m'manja ndi miyendo).
• Mankhwala a Chemotherapy: Mankhwalawa amagwiritsidwa ntchito kuchepetsa kapena kuthetseratu zotupa za desmoid. Komabe, pali malingaliro osiyanasiyana okhudza kupambana kwa chithandizochi.
• Chithandizo cha mahomoni: Mankhwala a mahomoni monga Tamoxifen angathandize kuletsa kukula kwa zotupa za desmoid.
• Chithandizo cha radiation: Radiation ingagwiritsidwe ntchito kuchepetsa kapena kuwononga chotupacho. Imagwiritsidwa ntchito yokha kapena kuphatikiza ndi mankhwala ena.

Kodi ndiyenera kupita kwa dokotala nthawi zonse? (Kutsatira malangizo)

Inde, ndithudi. Ngakhale mutalandira chithandizo, muyenera kupita kwa dokotala nthawi zonse chifukwa pali mwayi waukulu woti zotupa za desmoid zibwererenso.Kawirikawiri, mufunika kuyesedwa ndi kuyesedwa miyezi isanu ndi umodzi iliyonse kwa zaka zitatu zoyambirira. Pambuyo pake, ngati palibe vuto, muyenera kupita kukayezetsa kamodzi pachaka kapena zaka ziwiri zilizonse. Dokotala wanu adzasankha nthawi yomwe muyenera kubwera, kutengera matenda anu.

Kodi ndingayembekezere chiyani ndi vutoli? (Zomwe ndingayembekezere)

Matenda a Desmoid si ofanana kwa aliyense. Anthu ena ali nawo koma sasonyeza zizindikiro zilizonse. Pafupifupi anthu awiri pa khumi ali nawo ndipo amatha popanda chithandizo. Komabe, kwa ena, amatha kukula ndikukhala pachiwopsezo cha thanzi.

Kutengera ndi mtundu wa kusintha kwa majini mu chotupacho, madokotala amatha kuneneratu za momwe chotupacho chidzakhalire choopsa komanso momwe chingabwererenso pambuyo pa chithandizo. Koma palibe chomwe chinganenedwe motsimikiza.

Ngakhale kuti si khansa, sizikutanthauza kuti muyenera kungodikira. Chotupa cha desmoid ndi vuto lalikulu lomwe liyenera kuyang'aniridwa ndi dokotala wanu.

Kodi chiŵerengero cha kupulumuka chili bwanji? (Mitengo ya Kupulumuka)

Matenda a Desmoid nthawi zambiri samakhala oopsa, koma akhoza kukhala vuto lomwe simungathe kupitiriza kulithetsa.

Chofunika kwambiri apa ndi kuchuluka kwa kupulumuka kosabwereranso (`kupulumuka kosabwereranso`) . Pambuyo pa zaka zisanu, kuchuluka kumeneku kumatha kuyambira pa 23% mpaka 65%. Izi zimadalira kwambiri mtundu wa kusintha kwa majini mu chotupacho.

Dokotala wanu adzakufotokozerani zomwe mungayembekezere kutengera matenda anu.

Chofunika kwambiri: thandizo la akatswiri

Zotupa za Desmoid zimatha kukhala zosayembekezereka. Zingayambitse ululu, kuchepetsa kuyenda, kapena kukhudza ziwalo zapafupi. Kusatsimikizika kumeneku kungakhale kovuta kwambiri. Zotupa zina zimakula pang'onopang'ono ndipo sizingafunike chithandizo mwachangu, koma zina zimafunika kuyang'aniridwa mosamala kwambiri.

Popeza ma desmoid cysts ndi matenda osowa kwambiri ndipo amakhudza munthu aliyense mosiyana, ndikofunikira kupeza chithandizo kuchokera ku gulu la akatswiri omwe ali ndi luso lothana ndi mavuto ovutawa. Njira yogwiritsira ntchito mitundu yosiyanasiyana imapereka mwayi wabwino kwambiri wothana ndi zizindikiro ndikukweza moyo.

Zimene tifunika kuphunzira kuchokera pa izi (Uthenga Wopita Nawo Kunyumba)

Chabwino, kuchokera pa zomwe takambirana, pali zinthu zingapo zofunika zomwe muyenera kukumbukira:

• Ngakhale kuti chotupa cha desmoid si khansa, sichinthu choyenera kuonedwa mopepuka.
• Ngati muli ndi chotupa kapena kutupa kwachilendo m'thupi lanu, makamaka ngati chikupitirira kukula kapena kupweteka, musataye nthawi ndipo pitani kwa dokotala nthawi yomweyo.
• Vutoli likhoza kukhala lovuta pang'ono, kotero kupeza matenda olondola komanso thandizo la gulu lachipatala lodziwa bwino ntchito kudzakuthandizani kwambiri kukhala ndi moyo wabwino ndi vutoli.
• Musachite mantha, koma samalani. Chofunika kwambiri ndikutsatira malangizo oyenera a dokotala.

Ngati muli ndi mafunso ena okhudza izi, onetsetsani kuti mwalankhula ndi dokotala wanu. Khalani ndi thanzi labwino!

Zotupa zofooka , matenda oopsa a fibromatosis, zotupa za minofu yolumikizana, zotupa zopanda khansa, zizindikiro za chotupa, chithandizo cha chotupa, Sri Lanka Health