Tikamva mawu akuti khansa, tonse timachita mantha pang'ono, sichoncho? Pakati pawo, khansa ya m'matumbo ndi matenda ofala kwambiri m'dziko lathu. Tikamalankhula ndi dokotala kapena kuyang'ana lipoti lachipatala, timamva ndikuwona mawu ambiri osazolowereka. Mwachitsanzo, mawu monga Colonoscopy, Biopsy, Chemotherapy. Chifukwa sitikumvetsa bwino mawu awa, nthawi zina timamva kusasangalala, kusokonezeka, komanso mantha osafunikira. Chifukwa chake lero taganiza zolankhula nanu za tanthauzo losavuta la mawu ochepa awa. Monga ngati tikulankhula ndi bwenzi lapamtima, momasuka.
Choyamba tiyeni tiphunzire za khansa ndi mitundu ya zotupa.
Choyamba tiyeni tiwone chomwe khansa ndi. Mwachidule, matupi athu amapangidwa ndi mabiliyoni a maselo ang'onoang'ono. Khansa imachitika pamene maselowa amagawikana mofulumira komanso mosalamulirika. Maselo a khansa awa amasonkhana pamodzi kuti apange chotupa .
Mtedza uwu uli ndi mitundu iwiri makamaka:
- Chotupa Chosavulaza: Izi ndi zotupa "zabwino" zomwe sizili ndi khansa. Nthawi zambiri zimapezeka pamalo amodzi okha ndipo sizifalikira ku ziwalo zina za thupi.
- Chotupa Choopsa: Ichi ndi mtundu "woipa" wa chotupa, kutanthauza kuti ndi khansa. Chikhoza kuwononga minofu yozungulira ndikupita ku ziwalo zina za thupi kudzera m'magazi kapena m'thupi. Khansa ikafalikira motere, timaitcha kuti metastasizing .
Khansa ya m'matumbo nthawi zambiri imayamba ngati tinthu tating'onoting'ono totchedwa ma polyps . Ngakhale kuti izi sizimayambitsa khansa poyamba (monga ma adenomas), pamapeto pake zimatha kusanduka khansa. Ndicho chifukwa chake ndikofunikira kuzizindikira ndikuzichotsa msanga.
Tiyeni tiphunzire pang'ono za komwe matendawa amapezeka.
Mawu awiri akuti Colorectal Cancer amatanthauza khansa yomwe imayamba m'matumbo akulu (colon) ndi m'mimba (anus). Tiyeni timvetse bwino zomwe ziwalozi zili.
Iyi ndi njira yomaliza yomwe zinyalala zomwe zimatsala chakudya chomwe timadya chikagayidwa ndipo michere yake ikalowa m'thupi lathu.
- M'mimba mwathu / Matumbo Aakulu: Ichi ndi gawo la kugaya chakudya lomwe lili pafupi kwambiri ndi kumapeto, pafupifupi mamita 1. Ntchito yake yayikulu ndikuyamwa madzi ndi mchere kuchokera ku zinyalala kubwerera m'thupi ndikupanga ndowe.
- Rectum: Mainchesi 8 omaliza a matumbo akuluakulu amatchedwa rectum. Apa ndi pomwe ndowe zimasungidwa kwakanthawi musanatuluke.
- Mphuno: Mpata womwe ndowe zimatulukira m'thupi.
Zizindikiro ndi matenda ena ofanana omwe mungakumane nawo
Gome ili m'munsimu likuwonetsa zizindikiro ndi mawu azachipatala okhudzana ndi khansa ya m'matumbo. Ngati muli ndi zizindikiro izi, chonde pitani kwa dokotala.
| Mawu azachipatala / chizindikiro | Kufotokozera kosavuta |
|---|---|
| Kutuluka Magazi M'thupi | Magazi ofiira otuluka m'malungo ali ndi chopondapo kapena alibe. Izi zitha kukhala chifukwa cha matenda a hemorrhoids, koma siziyenera kunyalanyazidwa. |
| Kuchepa kwa magazi (kusowa kwa magazi) | Pamene khansa ikutuluka magazi pang'onopang'ono m'thupi, kuchuluka kwa magazi m'thupi kungachepe. Izi zingakupangitseni kumva kutopa kwambiri komanso kuoneka ngati wachikasu. |
| Kudzimbidwa | Chotupa cha khansa chachepetsa matumbo, zomwe zimapangitsa kuti zikhale zovuta kutuluka ndowe. |
| Kutsegula m'mimba | Nthawi zina, kutsegula m'mimba kumatha kuchitika chifukwa cha kusintha kwa ntchito ya m'matumbo. |
| Ma hemorrhoids | Kutupa kwa mitsempha yamagazi m'matumbo. Anthu ena amasokoneza izi ndi chizindikiro cha khansa chifukwa imathanso kutuluka magazi. Komabe, ndikofunikira kupita kwa dokotala kukayezetsa. |
| Matenda a Kutupa kwa Matumbo (IBD) | Imeneyi ndi matenda otupa m'matumbo omwe amatenga nthawi yayitali. Amaphatikizapo matenda a Crohn ndi Ulcerative Colitis . Anthu omwe ali ndi IBD ali pachiwopsezo chachikulu chotenga khansa ya m'matumbo. |
Chofunika kwambiri, ngati mukukumana ndi kusintha kwadzidzidzi kwa matumbo (monga kudzimbidwa ndi kutsegula m'mimba), kupweteka m'mimba, kapena kuchepa thupi kosayembekezereka, onetsetsani kuti mwalankhula ndi dokotala wanu za izi.
Kodi dokotala amazindikira bwanji matendawa?
Dokotala wanu atakufunsani za zizindikiro zanu, angakupatseni mayeso angapo kuti atsimikizire kuti mwapezeka ndi matendawa. Musachite mantha ndi izi. Zidzakuthandizani kwambiri kudziwa zomwe zili m'matendawa.
| Mayeso | Kodi chimachitika ndi chiyani? (Chimachitika ndi chiyani?) |
|---|---|
| Colonoscopy | Chubu chosinthasintha chokhala ndi kamera yolumikizidwa chimayikidwa kudzera mu anus kuti chione m'matumbo onse. Iyi ndi njira yabwino komanso yolondola kwambiri yodziwira khansa ya m'matumbo. Ngati pali zotupa zilizonse, monga ma polyps, zitha kuchotsedwa nthawi yomweyo. |
| Kufufuza za thupi | Pa nthawi ya colonoscopy, chidutswa chaching'ono cha minofu chimatengedwa kuchokera pamalo okayikitsa ndikuyang'aniridwa ndi maikulosikopu. Kuyesaku kumatsimikiza 100% ngati ndi khansa kapena ayi . |
| Kujambula kwa CT | Njira yapadera ya X-ray imatenga zithunzi zodutsa m'magawo (zithunzi zodulidwa) za mkati mwa thupi. Izi ndizofunikira kwambiri kuti muwone ngati khansa yafalikira kupitirira matumbo kapena kumadera ena, monga chiwindi kapena mapapo. |
| Kuyesa Magazi a Zamatsenga a Chimbudzi (FOBT) | Kuyeza kosavuta komwe kumafufuza magazi osaoneka mu ndowe. Izi zimagwiritsidwa ntchito ngati mayeso owunikira khansa. |
Kodi mankhwala a khansa ndi otani?
Matendawa akatsimikizika, chithandizo chimatsimikiziridwa kutengera gawo la khansa, kufalikira kwake, komanso thanzi la wodwalayo.
Opaleshoni
Uwu ndiye chithandizo chachikulu. Apa, chotupa cha khansa ndi gawo lina la minofu yathanzi yozungulira chimachotsedwa opaleshoni.
- Kuchotsa khansa m'matumbo: Kuchotsa gawo la khansa m'matumbo.
- Anastomosis: Gawo la m'mimba likachotsedwa, malekezero awiri otsalawo amalumikizidwanso.
- Kutsegula m'mimba: Nthawi zina, makamaka ngati khansa ili pafupi kwambiri ndi matumbo, sizingatheke kulumikiza malekezero awiri a matumbo pamodzi. Pazochitika zotere, chotsekera kwakanthawi kapena chokhazikika chimapangidwa pamwamba pa khungu la mimba kuti chopondapo chilowe. Izi zimatchedwa colostomy. Palibe chifukwa chodera nkhawa ndi izi, madokotala ndi anamwino adzakuphunzitsani momwe mungathanirane nazo.
Mankhwala a Chemotherapy
Mankhwalawa ndi apadera omwe amaperekedwa kuti aphe maselo a khansa kapena kuwaletsa kukula. Angaperekedwe ngati jakisoni kapena mapiritsi. Amagwiritsidwa ntchito kuchepetsa chotupa musanachite opaleshoni, kapena kupha maselo aliwonse a khansa omwe angatsale pambuyo pa opaleshoni.
Chithandizo cha X-ray
Kugwiritsa ntchito ma radiation amphamvu kwambiri (monga ma X-ray) kuwononga maselo a khansa. Mankhwalawa amagwiritsidwa ntchito kwambiri pa khansa ya m'matumbo.
Nthawi zina njira imodzi kapena zingapo mwa izi zingagwiritsidwe ntchito pamodzi. Mwachitsanzo, chemotherapy yomwe imaperekedwa kuwonjezera pa opaleshoni imatchedwa adjuvant therapy .
Uthenga Wopita Nawo Kunyumba
- Ngati simukumvetsa mawu amene dokotala akunena, musaope kufunsa. Ndi ufulu wanu kufotokoza momveka bwino za matenda anu.
- Musanyalanyaze zizindikiro monga kutuluka magazi m'matumbo kapena kusintha kwa matumbo. Zingakhale matenda a hemorrhoids, koma ndikofunikira kupita kwa dokotala kukamuona.
- Khansa ya m'matumbo ingachiritsidwe kwathunthu ngati yapezeka msanga. Chifukwa chake, anthu omwe ali pachiwopsezo (nthawi zambiri akatha zaka 45) ayenera kulankhula ndi dokotala wawo ndikuphunzira za mayeso monga colonoscopy.
- Ndi zachilendo kuchita mantha ukazindikira kuti uli ndi khansa. Koma kumbukirani kuti pali mankhwala ambiri othandiza omwe alipo masiku ano.
- Pa vuto lililonse la thanzi, musamangodalira chidziwitso chomwe chili pa intaneti, koma funsani upangiri kuchokera kwa dokotala wodziwa bwino ntchito (dokotala) .
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