Kodi muli ndi chotupa mu impso yanu? (Chotupa cha impso) Musachite mantha, tiyeni tidziwe izi!

Kodi dokotala anakuuzapo kuti uli ndi chotupa chaching'ono mu impso yako? Kapena unauzidwapo kuti uli ndi vuto ndi impso yako chifukwa cha chinthu china chosiyana m'thupi lako, kapena panthawi yoyezetsa `scan` kuti upeze china chake? Ndizachibadwa kumva mantha pang'ono komanso nkhawa ukamva chinthu chonga ichi. Koma usadandaule. Lero tikambirana za zotupa za impso izi, kapena monga momwe madokotala amazitcha `(Impso Tumors)` kapena `(Renal Tumors)`, m'njira yosavuta.

Kodi chotupa cha impso kwenikweni n'chiyani?

Mwachidule, chotupa cha impso ndi gulu la maselo osazolowereka, kapena chomwe timachitcha kuti chotupa cha maselo, chomwe chimapangika pa impso yanu kapena mkati mwake. Izi nthawi zina sizingakhale khansa (zoipa) , kapena zimatha kukhala khansa (zoopsa) , zomwe zikutanthauza kuti zitha kukhala khansa.

Kodi izi ndi zowopsa bwanji? Kodi ndi nkhani yofunika kuiganizira?

Kuopsa kwa izi kumadalira mtundu wa chotupa. Kumbukirani, zotupa zina za impso si khansa. Nthawi zambiri zimakhala zazing'ono kuposa zotupa za khansa (zosakwana masentimita 4, kapena pafupifupi mainchesi 1.6, pafupifupi kukula kwa mtedza). Zotupa izi zopanda khansa sizifalikira ku ziwalo zina za thupi. Komabe, zotupa zazikulu za impso (zoposa masentimita 4) zimakhala ndi mwayi waukulu wokhala ndi khansa. Nthawi zambiri zimakula mofulumira ndipo zimatha kufalikira ku ziwalo zina za thupi.

Chofunika kwambiri ndichakuti kaya chotupa cha impso yanu ndi khansa kapena ayi, ndi bwino kupita kuchipatala mwamsanga . Chikapezeka msanga, chimakhala chosavuta kuchichiza.

Kodi zotupa za impso zimatha kukhala khansa bwanji?

Malinga ndi ziwerengero, pafupifupi 75% ya zotupa za impso ndi khansa . Komabe, zotupa zazing'ono nthawi zambiri sizimachita zinthu mwamphamvu choncho.

Kodi mtedza uwu umakula mofulumira bwanji?

Kafukufuku wasonyeza kuti zotupa za impso zimatha kukula pa avareji ya pafupifupi masentimita 0.3 pachaka . Izi zikutanthauza kuti zimakula pang'onopang'ono.

Ndani amene ali ndi mwayi waukulu wopeza izi?

Aliyense akhoza kudwala khansa ya impso. Komabe, anthu ena ali pachiwopsezo chachikulu. Mwachitsanzo:

• Kwa iwo omwe ali ndi zaka zoposa 65 .
• Kwa amuna .
• Kwa iwo omwe ali ndi matenda enaake a majini (nthawi zambiri izi zimagwirizanitsidwa ndi mbiri ya banja la matendawa).

Kodi miyala ya impso ndi yofala bwanji?

Matenda a khansa a impso ndi khansa yofala kwambiri m'maiko ena. Ndikofunikira kudziwa za matendawa ku Sri Lanka. Ichi ndichifukwa chake ndi bwino kudziwa izi.

Kodi zizindikiro za chotupa cha impso ndi ziti?

Poyamba anthu ambiri samva ululu kapena zizindikiro zina.Sichioneka. Nthawi zambiri, dokotala amapeza chotupa cha impso mwangozi pamene akuyesa vuto lina. Komabe, nthawi zina zizindikiro zimatha kuwoneka. Izi zikuphatikizapo:

• Mkodzo wanu ungawoneke ngati uli ndi magazi (madokotala amautcha kuti "hematuria"). Mkodzowo ukhoza kukhala wofiira, pinki, kapena bulauni.
• Kumva kupweteka m'dera la pakati pa nthiti ndi chiuno (malo a m'chiuno) , makamaka mukakhudzidwa.
• Ululu m'munsi mwa msana .
• Kusowa chilakolako cha chakudya .
• Kuchepa thupi popanda chifukwa.
• Malungo .
• Kuchepa kwa magazi m'thupi ndi vuto la kusowa kwa magazi m'thupi .

Kodi zimayambitsa khansa ya impso ndi chiyani?

Madokotala ndi ofufuza sakudziwabe chomwe chimayambitsa miyala ya impso. Komabe, zinthu zina zapezeka kuti zikuwonjezera chiopsezo cha miyala ya impso. Izi zikuphatikizapo:

• Kugwiritsa ntchito zinthu za fodya ( ndudu , maswiti, ndi zina zotero).
• Kumwa mowa woposa kuchuluka kwa mowa wamba pa sabata.
• Kunenepa kwambiri kumatanthauza kuti kulemera kwa thupi kumakhala kwakukulu kwambiri kuposa kuchuluka komwe kumalimbikitsidwa.
• Ngati wina m'banjamo ali ndi vuto la kuthamanga kwa magazi .
• Ngati wina m'banjamo wakhala ndi zotupa za impso kapena khansa .
• Kwa iwo omwe nthawi zambiri amakumana ndi mankhwala okhala ndi chlorine .

Ngati ndi khansa, imafalikira bwanji ku ziwalo zina za thupi?

Matenda a impso osavulaza safalikira mbali zina za thupi. Amapitirirabe pomwe ali. Komabe, matenda a impso owopsa amatha kufalikira ku minofu yamafuta yozungulira impso, mitsempha yamagazi, kapena gland ya adrenal pamwamba pa impso. Kenako amatha kuyenda kudzera m'magazi kapena m'thupi kupita ku ziwalo zina za thupi ndikupanga zotupa zatsopano. Madokotala amatcha njira imeneyi kuti metastasis .

Kodi mumadziwa bwanji ngati muli ndi chotupa cha impso kapena ayi?

Popeza kuti zotupa za impso nthawi zambiri sizimayambitsa zizindikiro, madokotala nthawi zambiri amazipeza akamayesedwa matenda ena. Ngati muli ndi zizindikiro, dokotala wanu adzachita kaye mayeso ozama. Adzakufunsaninso ngati inu kapena wina aliyense m'banja mwanu mudadwalapo zotupa za impso kapena khansa. Kuphatikiza apo, mayeso ena angachitike kuti athandize kudziwa ngati muli ndi khansa ya impso. Izi zikuphatikizapo:

• Mayeso osiyanasiyana a `scans`: Awa ndi mayeso osapweteka komanso osavulaza omwe angakupatseni mawonekedwe abwino a impso zanu. Mwachitsanzo, `CT. Scan (CT - computed tomography scan), `MRI. Scan (MRI - magnetic resonance imaging) scan` ndi `ultrasound scan` zitha kuchitika.
• Kusanthula mkodzo: Chitsanzo cha mkodzo chimatengedwa kuchokera kwa inu ndikutumizidwa ku labotale kuti akawone ngati pali magazi ochepa kwambiri omwe sangawonekere ndi maso.
• Kuyezetsa magazi: Kuyezetsa magazi pang'ono kumatengedwa ndi singano ndikuyesedwa mu labotale. Mitundu yosiyanasiyana ya maselo m'magazi imawerengedwa, kuchuluka kwa ma electrolyte osiyanasiyana m'thupi kumayesedwa, ndipo kuchuluka kwa creatinine (chomwe chimachokera ku ntchito ya minofu) kumayesedwa kuti muwone ngati impso zanu zikugwira ntchito bwino.
• Kuyeza impso: Dokotala amagwiritsa ntchito singano yopyapyala kuchotsa chitsanzo chaching'ono cha impso . Kenako imafufuzidwa pogwiritsa ntchito maikulosikopu mu labotale kuti aone ngati pali maselo a khansa. Komabe, kuyezetsa uku sikuli kolondola nthawi zonse 100%, kotero madokotala sangalimbikitse.

Chabwino, kodi chithandizo cha izi ndi chiyani?

Chithandizo cha chotupa cha impso chimadalira kukula kwa chotupacho, ngati ndi khansa, komanso ngati chafalikira mbali zina za thupi. Pali njira zingapo zochizira:

1. Kuyang'anira mwachangu

Pa matenda a impso ang'onoang'ono kwambiri omwe sanafalikire mbali zina za thupi, dokotala wanu angakulangizeni zomwe zimatchedwa active surveillance . Izi zikutanthauza kuti simukuchiza chotupacho, koma mumayang'anitsitsa ndi ma scans nthawi zonse. Chithandizo chimayamba pokhapokha ngati zotsatira za mayeso zasintha. Izi zitha kuchitika miyezi itatu iliyonse, miyezi isanu ndi umodzi iliyonse, kapena kamodzi pachaka.

2. Opaleshoni

Dokotala wanu angakulangizeni opaleshoni yochotsa gawo la impso yanu kapena impso yanu yonse. Pali mitundu ingapo ya opaleshoni:

• Kuchotsa ziwalo za impso pang'ono: Dokotala amachotsa gawo la impso lomwe lili ndi chotupacho, ndikusiya gawo lathanzi liri lonse. Izi nthawi zambiri zimachitika pa zotupa zazing'ono zomwe sizinafalikire.
• Kuchotsa impso yonse (Radical nephrectomy):Dokotala adzachotsa impso yanu yonse ndi minofu ina yozungulira impsoyo. Angathenso kuchotsa ma lymph nodes ozungulira impsoyo. Izi nthawi zambiri zimachitika pa zotupa zazikulu zomwe zili pafupi ndi mitsempha yayikulu yamagazi.

3. Chithandizo cha ablation

Pa matenda a impso ang'onoang'ono, dokotala wanu angakulangizeni kuti mugwiritse ntchito ablation therapy , yomwe imagwiritsa ntchito kutentha kwambiri kapena kuzizira kwambiri kuti muwononge maselo a chotupacho.

• Kuphimba: Dokotala amalowetsa singano pakhungu kupita ku chotupacho kenako n’kugwiritsa ntchito mpweya wozizira kwambiri kuti azimitse ndikuwononga maselo a chotupacho.
• Kuchotsa ma radiofrequency: Mu njira iyi, singano imalowetsedwa mu chotupacho ndipo magetsi amadutsamo kuti atenthe ndikuwononga maselo a chotupacho.

4. Chithandizo cha radiation

Ngati muli ndi impso imodzi yokha, kapena ngati opaleshoni siingatheke, dokotala wanu angakulangizeni chithandizo cha radiation . Izi zimagwiritsa ntchito radiation kuwononga maselo a chotupa cha impso.

5. Chithandizo cha mankhwala cholunjika

Mankhwalawa angagwiritsidwe ntchito pamene opaleshoni sizingatheke. Kapena angagwiritsidwe ntchito poletsa khansa kuti isabwererenso pambuyo pa opaleshoni. Mankhwalawa amathandiza kuletsa kukula ndi kufalikira kwa maselo a khansa ya impso.

6. Chithandizo cha Immunotherapy

Izi zikuphatikizapo kupatsa thupi lanu mankhwala oteteza thupi omwe amathandiza kuzindikira ndikuwononga maselo a khansa ya impso.

Kodi pali chilichonse chomwe tingachite kuti tipewe chotupa cha impso?

Ziphuphu zambiri za impso zimayamba popanda chifukwa chomveka. Komabe, kutsatira malangizo awa kungathandize kuchepetsa chiopsezo chanu chokhala ndi chotupa cha impso:

• Siyani kusuta fodya ndi kugwiritsa ntchito zinthu zopangidwa ndi fodya.
• Chepetsani kuchuluka kwa mowa womwe mumamwa.
• Kuchita masewera olimbitsa thupi nthawi zonse.
• Khalani ndi thupi labwino lomwe limakuyenererani.

Kodi chimachitika ndi chiyani ndikakhala ndi chotupa cha impso? Kodi ndiyenera kuyembekezera chiyani?

Ndondomeko yanu yochira ndi chithandizo idzadalira kukula kwa chotupa cha impso yanu, kaya ndi khansa, komanso ngati chafalikira ku ziwalo zina za thupi lanu. Izi zidzadaliranso zaka zanu komanso thanzi lanu lonse.

Kodi miyala ya impso ingachiritsidwe kwathunthu?

Matenda a impso amatha kuchiritsidwa ngati atapezeka msanga ndikuchiritsidwa bwino.

Chotupa cha impso chosaopsa nthawi zambiri sichimaika moyo pachiswe. Ngakhale chotupa cha impso choopsa, ngati chipezeka chisanafalikire pamwamba pa impso, pali mwayi waukulu wochira ndi kuchiritsidwa.

Kodi ndiyenera kupita kwa dokotala liti?

Muli ndi zizindikiro za chotupa cha impso, monga magazi mu mkodzo wanu, kupweteka m'mimba mwanu kapena m'munsi mwa msana, kapena kuchepa thupi kosayembekezereka.Ngati muwona chimodzi mwa zizindikirozi, pitani kwa dokotala nthawi yomweyo. Dokotala wanu akhoza kuchita mayeso kuti aone ngati chotupa cha impso chikuyambitsa zizindikirozi.

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Mukapeza kuti muli ndi chotupa cha impso, musaiwale kufunsa dokotala wanu mafunso awa:

• Kodi chotupa changa cha impso chili kuti?
• Kodi iyi ndi khansa kapena ayi?
• Kodi chotupa changa cha impso ndi chachikulu bwanji?
• Kodi izi zafalikira ku ziwalo zina za thupi langa?
• Kodi dokotala akuganiza kuti izi zifalikira kwambiri?
• Kodi ndi njira ziti zochiritsira zomwe mumalimbikitsa?
• Kodi chotupachi chingabwererenso mutalandira chithandizo?
• Ndiyenera kuchita chiyani ngati chithandizocho sichikuyenda bwino?
• Kodi mungandipangire dokotala wabwino wa urologist kapena oncologist?
• Kodi impso zanga zikugwira ntchito bwanji nditalandira chithandizo?

Pomaliza, kumbukirani izi ...

Ndizachibadwa kukhala ndi mantha komanso nkhawa mukazindikira kuti muli ndi chotupa cha impso, makamaka ngati ndi khansa. Popeza zotupa za impso nthawi zambiri sizimayambitsa zizindikiro, simungadziwe kuti muli nacho. Komabe, chofunika kwambiri ndikupeza matendawa msanga. Izi zimapangitsa kuti chithandizo chikhale chopambana. Dokotala wanu akhoza kufotokoza njira zonse zochiritsira, komanso kukuuzani komwe mungapeze thandizo. Iye akhozanso kuyankha mafunso aliwonse omwe mungakhale nawo ndikukuthandizani kukhala ndi chiyembekezo pamene mukuganizira za chithandizo. Choncho musadandaule ndi chilichonse ndipo lankhulani ndi dokotala wanu.

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