Kodi muli ndi chotupa m'chiwindi chanu? (Chilonda cha Chiwindi) - Kodi muyenera kuda nkhawa? Tiyeni tidziwe bwino chomwe chili!

Tangoganizani kuti mwapita kukayezetsa matenda ena a m'mimba. Dokotala amene anayang'ana lipoti lanu mwadzidzidzi anati, "Pali chinthu chomwe chikuwoneka ngati chotupa chaching'ono m'chiwindi mwanu." Nthawi yomweyo, thupi lanu limasowa chochita, sichoncho? Tikamva mawu akuti 'chotupa cha chiwindi', mantha a 'khansa' amabwera m'maganizo mwathu ambiri. Koma kodi zotupa zonse zomwe zimayamba m'chiwindi ndi khansadi? Kapena kodi ichi si chinthu choopa? Lero, tikambirana izi mwatsatanetsatane kuti tithetse mafunso onse omwe ali m'maganizo mwanu.

Mwachidule, kodi zilonda za chiwindi zimenezi ndi ziti?

Chotupa cha chiwindi, kapena monga momwe madokotala amachitcha, "Chilonda cha Chiwindi," ndi kukula kosazolowereka kwa maselo mkati mwa chiwindi chanu. Chili ngati chizindikiro cha kubadwa kapena chotupa chaching'ono pakhungu lathu. Izi zimatchedwanso "misa" kapena "chotupa".

Chofunika ndichakuti, si mtedza wonsewu womwe ndi wofanana. Pali mitundu iwiri yokha:

1. Zotupa zosavulaza: Izi ndi zomwe zimapezeka kwambiri. Sizimayambitsa khansa. Izi zikutanthauza kuti sizifalikira ku ziwalo zina za thupi. Nthawi zambiri, sizimayambitsa vuto lililonse. Anthu ambiri amakhala ndi zotupa izi moyo wawo wonse popanda vuto lililonse.

2. Zotupa zoopsa: Izi ndi mtundu womwe tiyenera kuziopa. Izi zimatchedwa khansa ya chiwindi. Zitha kukula mosalamulirika ndikufalikira ku ziwalo zina za thupi. Uwu ndi matenda oopsa omwe amafunikira chithandizo chamankhwala.

Kawirikawiri, munthu amapeza kuti ali ndi chotupa chonga ichi mwangozi panthawi yochijambula pazifukwa zina. Choncho palibe chifukwa chochita mantha nthawi yomweyo. Chofunika ndikupeza kaye mtundu wake weniweni.

Zotupa zosaopsa zomwe siziyenera kuopedwa

Monga tanenera, izi si zotupa za khansa, kapena zopanda vuto, zomwe nthawi zambiri zimawoneka. Pakhoza kukhala zifukwa zosiyanasiyana zomwe zimachitikira. Tiyeni tiwone mitundu ikuluikulu.

Mitundu ya zotupa zoyipa zomwe muyenera kuzisamala nazo

Tsopano tiyeni tikambirane za zotupa za khansa zomwe tonse timaopa. Izi zitha kuchitikanso m'njira ziwiri zazikulu.

1. Khansa Yoyamba ya Chiwindi: Mwachidule, khansa iyi imayambira m'chiwindi chokha. Maselo a chiwindi amasintha modabwitsa ndipo amayamba kugawikana mosalamulirika. Mitundu iwiri yodziwika kwambiri ya khansa yamtunduwu ndi ``Hepatocellular carcinoma'' ndi ``Cholangiocarcinoma'' (khansa ya ndulu).

2. Khansa ya Chiwindi Yofalikira: Izi zimachitika pamene khansa yomwe yayamba kwina m'thupi, monga m'matumbo, m'mapapo, kapena m'mawere, imafalikira ku chiwindi kudzera m'magazi ndikupanga zotupa za chiwindi. Imeneyi ndi vuto lalikulu.

Kodi zizindikiro za izi zingakhale zotani?

Zizindikiro zimasiyana kwambiri kutengera ngati chotupacho sichili khansa kapena khansa.

Zizindikiro za zotupa zopanda khansa (zosavulaza)

Izi nthawi zambiri sizimayambitsa zizindikiro zilizonse.Koma nthawi zambiri, ngati chotupa ngati chomwe chatchulidwa pamwambapa chikula kufika pa masentimita 30 (pafupifupi phazi limodzi), chikhoza kukanikiza ziwalo zapafupi monga m'mimba ndi ndulu. Ngati zimenezo zitachitika,

• Kusamva bwino m'mimba kapena kupweteka
• Kumva kukhuta

Mungamve zinthu ngati zimenezo. Koma izi ndi zochitika zachilendo kwambiri.

Zizindikiro za zotupa zoyipa

Zizindikiro za khansa zimakhala zoonekeratu komanso zoonekeratu. Ngati muli ndi chimodzi kapena zingapo mwa izi, muyenera kupita kwa dokotala nthawi yomweyo.

• Kumva ngati chotupa pansi pa nthiti yakumanja.
• Kupweteka mbali yakumanja ya m'mimba kapena pansi pa phewa lakumanja.
• Kuyera kwa maso ndi khungu (Jaundice).
• Kuchepetsa thupi popanda chifukwa.
• Chakudyacho sichikoma.
• Kutopa ndi kufooka kosalekeza.
• Kutupa m'mimba.

N’chifukwa chiyani matenda a chiwindi amenewa amachitika?

Choyambitsa chenicheni cha zotupa zomwe si khansa sichikudziwikabe, koma akatswiri amakhulupirira kuti pali zinthu zina zomwe zingayambitse izi.

• Mapiritsi oletsa kubereka kapena mankhwala a mahomoni: Homoni ya estrogen yomwe ili m'mapiritsiwa ingakhale ndi mphamvu.
• Chiwindi cha Fibrosis: Kutupa kwa chiwindi chifukwa cha matenda a chiwindi kwa nthawi yayitali.
• Kusuta: Kusuta kumaika chimfine pa chiwindi.

Matenda a khansa amachitika pamene DNA ya maselo a chiwindi yawonongeka ndikuyamba kukula modabwitsa komanso mosalamulirika. Pali zinthu zingapo zazikulu zomwe zimawonjezera chiopsezochi.

• Matenda a chiwindi: Matenda omwe chiwindi chimafooka kwathunthu ndi kudzaza ndi zipsera chifukwa cha zinthu monga kumwa mowa mopitirira muyeso ndi chiwindi chonenepa.
• Matenda a Hepatitis B ndi C Osatha: Matenda awiriwa a mavairasi ndi omwe amachititsa khansa ya chiwindi.

Kodi dokotala amapeza bwanji izi?

Ngati mukuganiza kuti muli ndi chotupa cha chiwindi, dokotala wanu adzakuyesani kangapo kuti atsimikizire mtundu wake weniweni.

1. Kukufunsani zambiri: Choyamba, dokotala adzakufunsani mosamala za zizindikiro zanu, mbiri ya banja lanu, mankhwala omwe mumamwa, komanso ngati mumamwa mowa.

2. Kuwunika thupi: Mimba imagundidwa kuti ione ngati chiwindi ndi chotupa chatupa.

3. Mayeso Ojambula: Mayesowa amathandiza kuona bwino mkati mwa chiwindi.

• Kujambula kwa Ultrasound
• Kujambula kwa CT
• Kujambula kwa MRI

4. Kuyezetsa Magazi: Kuyezetsa kumeneku kumachitika kuti aone momwe chiwindi chikugwira ntchito komanso kuti aone zinthu zotchedwa ``Tumor Markers'' zomwe zimakhala zambiri m'magazi mwa mitundu ina ya khansa.

5. Kufufuza Chiwindi: Ichi ndi chitsimikizo chotsimikizika komanso chomaliza. Apa, chidutswa chaching'ono kwambiri cha minofu chimatengedwa kuchokera ku chotupa cha chiwindi pogwiritsa ntchito singano yopyapyala ndikuwunikidwa pansi pa maikulosikopu kuti chione ngati chili ndi maselo a khansa kapena maselo abwinobwino.

Kodi mankhwala ake ndi otani?

Njira zochiritsira zimadalira ngati muli ndi chotupa chosakhala khansa kapena khansa.

• Kwa zotupa zomwe si khansa (zosavulaza):

Nthawi zambiri , palibe chithandizo chomwe chikufunika. Dokotala wanu angangochita scan nthawi ndi nthawi kuti aone ngati chikukulirakulira. Koma pokhapokha ngati chotupacho chili chachikulu kwambiri ndipo chikuyambitsa zizindikiro monga kupweteka m'mimba, opaleshoni ingachitike kuti chotupacho chichotsedwe .

• Kwa zotupa zoopsa:

Pali njira zingapo zochizira izi. Dokotala adzasankha chithandizo chabwino kwambiri kutengera kukula kwa chotupacho, kufalikira kwake, komanso thanzi la wodwalayo.

• Kuchotsa chiwindi: Kuchotsa chiwindi ndi opaleshoni mbali ya chiwindi yomwe ili ndi chotupa.
• Chithandizo cha Ablation: Chimawononga maselo a khansa potumiza kutentha kwambiri, kuzizira kwambiri, kapena mankhwala mu chotupacho.
• Chemotherapy: Kupereka mankhwala amphamvu owononga maselo a khansa.
• Kuika chiwindi m'malo okhudzidwa: Kuchotsa chiwindi chonse chomwe chili ndi matenda ndikuchiika m'malo okhudzidwa ndi chiwindi chathanzi.

Kodi chiwindi chingachiritse chotupachi chokha?

Chiwindi ndi chimodzi mwa ziwalo zodabwitsa kwambiri m'thupi lathu. Chili ndi mphamvu zodabwitsa zodzikonzanso mwa kupanga maselo atsopano. Mwachitsanzo, ngakhale theka la chiwindi litachotsedwa opaleshoni, gawo lotsalalo limatha kukulanso kufika pakukula kwa chiwindi chonse.

Komanso, chiwindi chili ndi mphamvu yokonza kuwonongeka komwe kumachitika chifukwa cha matenda ena a chiwindi. Chifukwa chake, ndizotheka kuti kuwonongeka komwe kumachitika chifukwa cha zotupa zina zomwe si khansa kungachiritsenso.

Kodi pali njira yopewera izi kuti zisapangidwe?

Palibe njira yotsimikizika yopewera zotupa zomwe si khansa. Komabe, pali zinthu zambiri zomwe tingachite kuti tichepetse chiopsezo chathu chokhala ndi zotupa za khansa, zomwe ndi vuto lalikulu kwambiri. Mwachidule, izi zikutanthauza kuti chiwindi chathu chikhale chathanzi.

• Pewani mowa ndi kusuta: Awa ndi adani awiri akuluakulu omwe amaika nkhawa komanso kuwononga chiwindi.
• Dzitetezeni ku kachilombo ka chiwindi: Pezani katemera wa chiwindi B. Pewani kugonana mosadziteteza komanso kugawana singano.
• Idyani zakudya zopatsa thanzi: Idyani ndiwo zamasamba, zipatso, ndi mapuloteni ambiri opanda mafuta ambiri (nsomba, nkhuku). Chepetsani kudya zakudya zokhala ndi mafuta ambiri ndi shuga wambiri.
• Khalani ndi kulemera kwabwino: Kulamulira kulemera kwa thupi kungalepheretse kuwonongeka kwa chiwindi chifukwa cha kuchulukana kwa mafuta (Fatty Liver).

Ndizachibadwa kuchita mantha ukazindikira kuti uli ndi chotupa cha chiwindi. Koma chofunika kwambiri si kuchita mantha, koma kuchita mayeso oyenera ndikupeza mtundu weniweni wa chotupacho. Kambiranani momasuka ndi dokotala wanu za mantha anu onse ndi mafunso anu. Kupeza chidziwitso choyenera ndiyo njira yabwino kwambiri yochotsera mantha osafunikira.