Kodi tikulankhula za khansa ya m'mawere yofalikira?

Tonsefe tikudziwa mantha ndi mantha omwe amabwera mukamva mawu akuti "khansa ya m'mawere." Koma n'zovuta kufotokoza m'mawu momwe mumamvera podziwa kuti khansa yafalikira ku ziwalo zina za thupi, kutanthauza kuti yasanduka 'metastatic.' Koma ndikofunikira kukumbukira kuti simuli nokha panthawiyi. Lero tikulankhula za vutoli, popanda kulemetsa mtima wanu, ngati kuti mukulankhula ndi mnzanu.

Mwachidule, kodi khansa ya m'mawere yofalikira kwambiri ndi chiyani?

Madokotala amatchanso izi kuti 'Metastatic Breast Cancer'. Ena amatchanso kuti 'Advanced Breast Cancer' kapena 'Stage IV Breast Cancer'.

Mwachidule, izi zimachitika pamene maselo a khansa omwe adayamba m'mawere amasweka, amayenda m'mitsempha yamagazi kapena m'mitsempha ya lymph, ndikupanga zotupa zatsopano m'mbali zina za thupi. Mwa kuyankhula kwina, maselo ena a khansa amathawa m'nyumba yawo yoyambirira, bere, ndikukhala ndi makoloni atsopano m'mbali zina za thupi.

Si aliyense amene ali ndi khansa ya m'mawere amene adzadwala matendawa. Malinga ndi deta, pakati pa 20% ndi 30% ya akazi omwe ali ndi khansa ya m'mawere yoyambirira adzadwala khansayi mwanjira imeneyi. Komanso, ngakhale khansa ya m'mawere ikapezeka koyamba, chiwerengero chochepa (pafupifupi 6%) chikhoza kukhala kuti chafalikira kale ku ziwalo zina za thupi.

Kodi zizindikiro za vutoli zingakhale zotani?

Ngati muli ndi vutoli, n’zachibadwa kuda nkhawa kuti ngakhale kusintha pang’ono m’thupi lanu kungakhale chizindikiro chakuti khansa ikufalikira. Koma kumbukirani kuti, si kusintha kulikonse kapena ululu uliwonse womwe umatanthauza kuti khansa ikukulirakulira.

Mwachitsanzo, kutopa ndi chizindikiro chofala cha vutoli. Komabe, kungakhalenso zotsatirapo zina za mankhwala monga chemotherapy. Komabe, ngati mukumva kutopa nthawi zonse, mukusowa chilakolako cha chakudya, kapena mukuchepetsa thupi popanda kuyesera, ndikofunikira kulankhula ndi dokotala wanu za vutoli.

Zizindikiro zinazake zimatha kuchitika kutengera chiwalo chomwe khansa yafalikira. Tiyeni tiwone zomwe zili.

N’chifukwa chiyani izi zimachitika? Kodi khansa imafalikira bwanji?

Vutoli nthawi zambiri limachitika ngati khansa ikubwereranso pambuyo poti khansa yoyambirira yachiritsidwa. Tangoganizani zomwe zingachitike ngati maselo onse a khansa sanawonongeke panthawi ya chithandizo?

Nthawi zina, maselo a khansa amakhala ang'onoang'ono kwambiri moti sapezeka ngakhale poyezetsa. Ngakhale khansa itachotsedwa kudzera mu opaleshoni, sigwira ntchito 100%. Izi zili choncho chifukwa, opaleshoni isanachitike, maselo ang'onoang'ono angapo a khansa amatha kufalikira ku minofu yapafupi, ma lymph nodes, kapena m'magazi.

Mwanjira imeneyi, maselo a khansa omwe apulumuka chithandizo ndipo afooka, pakapita nthawi, amayambanso kukhala amphamvu. Amakula, amagawikana, ndikuchulukananso. Kenako, amayenda m'mitsempha yamagazi ndi m'thupi, zomwe zili ngati misewu yayikulu m'thupi lathu, ndikukhazikika m'malo akutali a thupi. Nthawi zina maselowa amatha kukhala chete kwa miyezi kapena zaka kenako mwadzidzidzi amayamba kugwira ntchito. Ichi ndichifukwa chake vutoli limatha kuchitika ngakhale patatha zaka zambiri chithandizo chitatha.

Kodi mungazindikire bwanji vutoli?

Ngati muli ndi zizindikiro zomwe zili pamwambapa, dokotala wanu angakulangizeni mayeso ena, monga:

• Kufufuza za khansa: Izi zimaphatikizapo kutenga chidutswa chaching'ono cha minofu yokayikitsa ndikuchiyang'ana pansi pa maikulosikopu kuti muwone ngati pali maselo a khansa.
• Mayeso a magazi: Mayeso monga kuchuluka kwa magazi m'thupi lonse amapereka chithunzi cha thanzi la thupi lonse.
• Bronchoscopy: Ngati pali malo okayikitsa m'mapapo, chubu chaching'ono chokhala ndi kamera chimayikidwa kuti chione mkati mwa mapapo.
• Mayeso osiyanasiyana ojambulira: Mayeso monga ma scan a mafupa, ma X-ray pachifuwa, ma CT scan, ma MRI scan, ma PET scan, ndi ma ultrasound scan angathandize kudziwa komwe khansa yafalikira.
• "Mabomba": Njira yotengera madzi kuchokera pamalo pomwe pali zizindikiro ndikuyesa. Mwachitsanzo, kupopera m'mimba kapena kupopera msana.

Kodi njira zochiritsira ndi ziti?

Monga tanenera kale, palibe mankhwala a vutoli pakadali pano. Chifukwa chake, cholinga chachikulu cha madokotala ndikukuthandizani kukhala ndi moyo wabwino kwambiri, wopanda zotsatirapo zoyipa zambiri momwe mungathere, ndikuwonjezera moyo wanu.

Izi zikutanthauza kuti palibe chithandizo chimodzi chokha cha izi. Dokotala wanu adzakukonzerani dongosolo la chithandizo lomwe likukhudzana ndi inu. Izi zidzakhudzidwa ndi zinthu zotsatirazi:

• Mtundu wa khansa ya m'mawere: Mwachitsanzo, chithandizo cha khansa yokhala ndi mahomoni ndi chosiyana ndi chithandizo cha khansa yokhala ndi mahomoni atatu.
• Kumene khansa yafalikira: Chithandizo cha khansa yomwe yafalikira ku chiwindi chingakhale chosiyana ndi chithandizo cha khansa yomwe yafalikira ku mapapo.
• Mankhwala anu akale: Tikuganiziranso momwe khansa yanu inayankhira ku mankhwala akale komanso momwe mankhwalawo anakukhudzirani.
• Malipoti a mayeso: Chidziwitso kuchokera ku mayeso a labotale chokhudza mtundu ndi machitidwe a maselo a khansa n'chofunikanso.

Njira zazikulu zochizira zomwe zimagwiritsidwa ntchito ndi izi:

• Mankhwala a Chemotherapy
• Chithandizo cha mahomoni
• Chithandizo cha Immunotherapy
• Chithandizo cholunjika

Kodi chithandizo chimatenga nthawi yayitali bwanji?

Pochiza khansa yoyambirira, cholinga chinali kuchiritsa khansayo mwa kuichiza kwa nthawi yoikika. Koma tsopano, cholinga chake ndikuchepetsa zotupa zatsopano, kuwongolera kufalikira kwa khansa, komanso kuthana ndi zizindikiro. Chifukwa chake, mungafunike kupitiliza kulandira chithandizo kwamuyaya.

Za kukhala ndi vutoli

Kukhala ndi vutoli kungaoneke ngati kukuzolowera m'njira zina. Mukulandirabe chithandizo, kuthana ndi zizindikiro, komanso kukumana ndi mavuto a tsiku ndi tsiku a matenda aakulu. Kusiyana kwake ndi kwakuti tsopano khansa ili m'ziwalo zina za thupi lanu ndipo siitha mosavuta.

N'zomveka kuti zimakhala zovuta bwanji kumva chowonadi ichi. Mungamve ngati mulibe chochita, ngati kuti mwataya ulamuliro pa moyo wanu. Ngati mukumva choncho, pali zinthu zomwe mungachite kuti muthane ndi nkhawa ndi vutoli:

• Ganizirani za chisamaliro chochepetsa ululu: Chisamaliro chochepetsa ululu sichimangothandiza kuthana ndi zotsatirapo zoyipa ndi zizindikiro za chithandizo, komanso chimapereka zinthu zofunika komanso chithandizo chomwe mukufunikira kuti mukhale ndi thanzi labwino la maganizo.
• Idyani zakudya zopatsa thanzi zomwe zikukuyenererani: Chithandizo chingathandize kuchepetsa chilakolako chanu cha chakudya. Ngati muli ndi mafunso okhudza zakudya zanu, lankhulani ndi katswiri wa zakudya.
• Yesetsani kuchita zinthu pang'onopang'ono, pang'onopang'ono: Kukhala ndi vutoli kungamveke ngati kuthamanga marathon yosatha. Choncho yesetsani kuti musachite mantha, koma yesetsani kuchita zinthu tsiku ndi tsiku, vuto limodzi ndi limodzi.

Kodi vutoli silingathe kupewedwa?

Mwatsoka, palibe njira yopewera kufalikira kwa khansa ya m'mawere. Chofunika ndikumvetsetsa kuti izi sizichitika chifukwa cha chilichonse chomwe mudachita kapena chomwe simunachite. Chifukwa chake ndi chifukwa chakuti maselo ena a khansa omwe adapulumuka chithandizocho akuzungulira thupi lonse.

Chinthu chabwino kwambiri chomwe mungachite ndikudziwa zizindikiro zatsopano pamene mukusamalira thanzi lanu lonse. Ngakhale kuti chithandizo sichingathe kuchiza izi, kuchitapo kanthu msanga kungathandize kuchepetsa matendawa.