Kodi muli ndi khansa m'mimba mwanu? Tiyeni tiphunzire za khansa ya m'mimba!

Lero tikambirana za vuto lomwe silimamveka kawirikawiri, koma nthawi zina limakhala lofunika kwambiri. Kodi mudamvapo za vuto lotchedwa 'Duodenal Cancer' ? Mwina nthawi zonse mumakhala ndi ululu m'mimba, kudzimbidwa, ndi kusanza, ndipo simukudziwa kuti ndi chiyani. M'nkhaniyi, tiwona khansa ya duodenal iyi ndi chiyani, chifukwa chake imayamba, momwe timaidziwira, komanso mankhwala ake.

Kodi mukudziwa kuti khansa ya duodenal ndi chiyani?

Mwachidule, khansa ya m'mimba ndi chotupa chomwe chimayamba pamene maselo a m'mimba mwathu ang'onoang'ono , duodenum , amakula modabwitsa komanso mwachangu. Chotupa chamtunduwu chikakula, matumbo athu sangathe kugaya chakudya bwino, ndipo chingatsekenso njira yoti chakudya chiziyenda m'matumbo.

Tangoganizirani, poyamba simungazindikire zizindikiro zilizonse za khansa iyi. Koma pamene chotupacho chikukulirakulira, zizindikiro zokhudzana ndi dongosolo lanu la m'mimba , monga nseru, kupweteka m'mimba, ndi kudzimbidwa, zimayamba kuonekera.

Kodi duodenum ili kuti m'thupi lathu? N'chiyani chimachitika mmenemo?

Tili ndi matumbo ang'onoang'ono m'mimba mwathu, sichoncho? Gawo loyamba limatchedwa duodenum kapena duodenum . Ndi gawo laling'ono lomwe limaoneka ngati nsapato ya akavalo. Chakudya chomwe timadya chikatuluka m'mimba, chimalowa mwachindunji mu duodenum iyi.

Ntchito yaikulu ya duodenum ndi kuyamba kugaya chakudya bwino. Mankhwala ndi ma enzyme osiyanasiyana omwe amathandiza pa izi amatulutsidwa kuchokera ku duodenum. Izi zimaswa chakudya bwino ndikukonza mavitamini ndi michere yomwe ili mmenemo m'njira yoti thupi lizitha kuyamwa. Pambuyo pake, duodenum imatumiza chakudya chogayidwachi ku gawo lotsatira la matumbo ang'onoang'ono, lomwe ndi jejunum . Kodi mukumvetsa?

Kodi pali mitundu ina ya khansa ya duodenal?

Inde, chifukwa pali mitundu yosiyanasiyana ya maselo mu duodenum, pali mitundu ingapo ya khansa yomwe ingayambike pamenepo. Madokotala makamaka amalankhula za mitundu inayi:

• Adenocarcinoma: Iyi ndi khansa yofala kwambiri ya duodenal. Imayamba m'maselo omwe amapanga mankhwala ndi ma enzyme omwe amathandiza kugaya chakudya.
• Matenda a carcinoid: Izi ndi mtundu wa chotupa chomwe nthawi zambiri chimakula pang'onopang'ono. Nthawi zambiri chimayambira m'mimba mwathu (GI tract) , koma pakapita nthawi chimafalikira ku ziwalo zina za thupi.
• Lymphoma: Khansa yamtunduwu imayamba m'maselo a chitetezo chamthupi chomwe chimalimbana ndi matenda.
• Sarcoma:Zimayambira m'mafupa athu, minofu, ndi minofu yofewa monga mitsempha yamagazi. Mtundu wofala kwambiri wa sarcoma womwe umayamba m'mimba ndi mtundu wotchedwa gastrointestinal stromal tumor .

Ndani ali ndi mwayi waukulu wopeza khansa ya duodenal?

Madokotala sakudziwabe chifukwa chake anthu ena amadwala khansa iyi pomwe ena sadwala. Komabe, pali zinthu zina zomwe zimawonjezera chiopsezo chodwala khansa iyi. Tiyeni tiwone zomwe zili:

• Zaka: Khansa iyi nthawi zambiri imapezeka mwa anthu azaka zapakati pa 60 ndi 80 .
• Mtundu: Ku United States, kafukufuku wapeza kuti anthu akuda ali ndi mwayi waukulu wopeza khansa imeneyi. Ku Sri Lanka, deta yeniyeni pa nkhaniyi ikusowekabe.
• Matenda: Anthu omwe ali ndi matenda ena a m'mimba, monga matenda a celiac kapena matenda a Crohn, ali pachiwopsezo chachikulu.
• Zizolowezi zaumoyo: Kusuta fodya, kumwa mowa, ndi kudya zakudya zokhala ndi mchere wambiri nthawi zonse kungathandizenso kukulitsa khansa imeneyi.
• Matenda obadwa nawo: Matenda ena a majini amathanso kuwonjezera chiopsezo cha khansa ya m'mimba. Mwachitsanzo, matenda monga Familyal Adenomatous Polyposis (FAP) , Lynch syndrome , ndi cystic fibrosis .
• Jenda: Amuna ali ndi mwayi wochuluka wopeza khansa iyi kuposa akazi.

Kodi zizindikiro za khansa ya duodenal ndi ziti?

Nthawi zambiri, khansa ikakhala yaying'ono, singasonyeze zizindikiro zilizonse . Ndiko kuopsa kwambiri. Koma pamene chotupacho chikukulirakulira, mungakumane ndi zizindikiro monga:

• Kupweteka m'mimba.
• Kutentha pamtima (acid reflux).
• Magazi mu chopondapo chanu.
• Kudzimbidwa.
• Kusanza kapena kusanza.
• Kuchepetsa thupi kosamveka bwino.

Kukhala ndi zizindikiro izi sizikutanthauza kuti muli ndi khansa. Komabe, ngati zizindikirozi zikupitirira, nthawi zonse ndi bwino kupita kwa dokotala kuti akakupatseni upangiri.

Chifukwa chiyani khansa ya duodenal imayamba?

Ndipotu, madokotala sakudziwabe chomwe chimayambitsa khansa ya duodenal. Amaganiza kuti ndi chifukwa cha zotupa zazing'ono (zotchedwa ma polyps) zomwe nthawi zina zimapangika mkati mwa matumbo athu.(Khansa iyi imayambira m'matumbo.) Komabe, palibe kumvetsetsa bwino chifukwa chake ma polyps amenewo amapangika. Ichi ndichifukwa chake ndikofunikira kudziwa zinthu zomwe zimayambitsa matendawa.

Kodi dokotala amazindikira bwanji khansa iyi? (Kuzindikira ndi Kukonza)

Ngati muli ndi zizindikiro zomwe zatchulidwa pamwambapa, chinthu choyamba chomwe dokotala wanu angachite ndikukufunsani mafunso ndikukuyesani. Kenako, ngati mukukayikira kuti khansa ikuchitika, angachite mayeso angapo kuti atsimikizire kuti ili ndi vuto lotani.

Momwe mungadziwire siteji ya khansa (kugawa magawo)

Madokotala amagwiritsa ntchito njira yotchedwa "staging" pozindikira khansa:

• Gawo 0 mpaka 1: Izi zikutanthauza kuti khansa ili pamalo amodzi okha m'thupi lanu.
• Gawo 2 mpaka 3: Izi zikutanthauza kuti khansa yafalikira kudzera mu minofu ndi/kapena m'ziwalo/zigawo zapafupi, monga malo olumikizirana mafupa .
• Gawo 4: Izi zikutanthauza kuti khansa yafalikira kumadera akutali a thupi.

Mayeso ozindikira matenda

Kuti adziwe ngati muli ndi khansa ndikudziwa momwe imakulira, dokotala wanu angagwiritse ntchito mayeso monga awa:

• Mayeso ojambulira: Mwachitsanzo, ma MRI ndi ma CT scan . Izi zimatha kujambula zithunzi za mwatsatanetsatane za njira yanu yogayira chakudya.
• Kujambula kwa endoscopy yapamwamba: Izi zimaphatikizapo kulowetsa chubu chaching'ono chosinthasintha (chokhala ndi kamera) kudzera pakamwa panu kuti muwone gawo lapamwamba la kugaya chakudya chanu, lomwe limaphatikizapo m'mero, m'mimba, ndi duodenum.
• Kuyesa kwa Barium: Mu mayeso awa, mumapatsidwa mankhwala ochepa otchedwa barium kuti mumwe. Chifukwa chakuti amaonekera bwino pa X-ray, amatha kujambula zithunzi za gawo lapamwamba la kugaya chakudya.
• Biopsy: Pa nthawi yoyezetsa monga endoscopy, chidutswa chaching'ono cha minofu chimatengedwa kuchokera pamalo okayikitsa ndikuyesedwa mu labu kuti aone ngati pali maselo a khansa. Iyi ndiyo njira yokhayo yotsimikizira ngati khansa ilipo.

Kodi mankhwala a khansa ya duodenal ndi ati?

Ndondomeko ya chithandizo imasiyana malinga ndi gawo la khansa. Dokotala wanu angakulangizeni chithandizo monga:

• Opaleshoni: Dokotala wochita opaleshoni amachotsa khansa yambiri momwe angathere, koma amasamala kuti asawononge minofu yathanzi. Nthawi zina zoopsa, opaleshoni yayikulu yotchedwa Whipple ikhoza kuchitika. Izi zimaphatikizapo kuchotsa duodenum, ndulu, ndi gawo laling'ono la kapamba wanu .
• Mankhwala a Chemotherapy:Izi zimaphatikizapo kupereka mankhwala ophera maselo omwe amakula mofulumira, monga maselo a khansa. Mankhwala a chemotherapy amatha kuchitika m'magawo angapo, ndipo nthawi zina pakati pake pamakhala nthawi yopumula.
• Chithandizo cha radiation: Katswiri wa radiation amatsogolera kuwala kwa radiation komwe kumalowa m'mimba mwanu. Chithandizo cha radiationchi chimachepetsa kapena kuwononga maselo a khansa.

Chofunika: Ndikofunikira kwambiri kukambirana bwino ndikumvetsetsa njira zonsezi, kuphatikizapo zabwino ndi zoyipa zake, ndi dokotala wanu.

Kodi njira zopewera khansa iyi ndi ziti? (Kupewa)

Palibe njira yotsimikizika yopewera khansa ya duodenal kwathunthu . Komabe, pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo chanu chokhala ndi khansa ya m'mimba:

• Kudya zakudya zokhala ndi nyama yofiira yochepa komanso zokhala ndi mapuloteni ambiri opanda mafuta ambiri, zipatso, ndiwo zamasamba, ndi tirigu wonse .
• Siyani kusuta fodya ndi kugwiritsa ntchito zinthu zopangidwa ndi fodya.
• Kuchepetsa kumwa mowa.

Zinthu zimenezi zimathandiza kukutetezani osati ku khansa yokha, komanso ku matenda ena ambiri.

Kodi moyo uli bwanji ndi khansa ya duodenal? (Outlook)

Monga momwe zimakhalira ndi khansa iliyonse, khansa ikapezeka msanga, imakhala ndi mwayi wochira . Ikakhala yochedwa, imakhala yovuta kuchiza ndipo imakhala ndi mwayi wochepa wochira.

Choncho, ndikofunikira kupita kukayezetsa kuchipatala nthawi zonse . Ngati muli ndi zizindikiro zachilendo zokhudzana ndi kugaya chakudya, kapena ngati muwona kusintha kwa kadyedwe kanu, pitani kwa dokotala mwachangu momwe mungathere . Ngati wina m'banja mwanu wakhala ndi khansa, dokotala wanu angakulangizeninso kuti muyezedwe matenda omwe angathandize kuzindikira matendawa msanga.

Kodi n'zotheka kukhala popanda duodenum?

Inde, mutha kukhala ndi moyo. Ngati mwachita opaleshoni ya Whipple yomwe tatchula kale, duodenum imachotsedwa. Koma duodenum ikatha, zinthu monga kugaya chakudya ndi kuyamwa kwa michere zimatha kusokonekera pang'ono. Kenako dokotala angakupatseni zakudya zowonjezera, kapena ngakhale zakudya zopatsa thanzi , kuti mupewe kusowa zakudya m'thupi. Gulu lachipatala lidzakuphunzitsani bwino za izi.

Kodi khansa ya duodenal ndi khansa ya kapamba ndi chinthu chimodzi?

Inde, awa ndi mitundu iwiri yosiyana kwambiri ya khansa . Khansa ya m'mimba imayamba mu duodenum, gawo loyamba la matumbo athu ang'onoang'ono. Khansa ya m'mimbaImapangidwa mu kapamba, chiwalo chomwe chili kumbuyo ndi pansi pa mimba yathu. Komabe, chifukwa ziwalo ziwirizi zili pafupi kwambiri, nthawi zina zizindikiro zimatha kukhala zofanana. Ichi ndichifukwa chake kuzindikira matenda molondola ndikofunikira.

Ndi mafunso ati omwe mungafunse dokotala wanu?

Ngati mukuganiza kuti muli ndi khansa ya m'mimba, kapena mwapezeka kuti muli nayo, mutha kufunsa dokotala wanu mafunso monga awa:

• Kodi ndi chifukwa chiyani chomwe chingayambitse zizindikiro za m'mimba mwanga?
• Kodi khansa ya duodenal iyi ili pa siteji iti?
• Kodi njira zochiritsira khansa ya duodenal ndi ziti?
• Kodi chingachitike n’chiyani ngati sindilandira chithandizo?
• Ndi kusintha kotani kwa moyo komwe ndiyenera kuchita kuti ndichepetse chiopsezo cha khansa ya duodenal?

Kuwonjezera pa mafunso awa, musaope kulankhula ndi dokotala wanu za chilichonse chomwe chili m'maganizo mwanu.

Zinthu zofunika kwambiri kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

Khansa ya m'matumbo ndi khansa yomwe imayamba m'mimba mwathu. Imatha kusokoneza kugaya chakudya komanso kuyamwa kwa michere. Popeza matendawa sangasonyeze zizindikiro zilizonse kumayambiriro , ndikofunikira kwambiri kufunafuna upangiri wa dokotala mwachangu ngati mukupitirizabe kukhala ndi ululu wosazolowereka m'mimba, kudzimbidwa, nseru, kapena kusanza.

Njira zina zothandizira zimaphatikizapo opaleshoni, chemotherapy, kapena radiation therapy. Zikapezeka msanga, zimakhala zosavuta kuti zithandizidwe bwino. Chifukwa chake, samalirani thupi lanu ndipo pitani kwa dokotala ngati muwona china chake chachilendo. Tiyeni tonse tikhale ndi mphamvu zokhala ndi moyo wathanzi!

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