Kodi khansa ingafalikire kumsana? (Spinal Metastasis) - Tiyeni tikambirane za izi

Aliyense amene wapezeka ndi khansa amamva mantha komanso kudabwa kwambiri. Komabe, zimakhala zovuta kwambiri kudziwa kuti khansayo yafalikira ku ziwalo zina za thupi pamene akulandira chithandizo. Lero tikambirana za vutoli. Izi zikutanthauza kuti, khansa yomwe ili m'thupi lina ikafalikira ku msana. Mu zamankhwala, timaitcha kuti 'Spinal Metastasis'.

Mwachidule, kodi metastasis ya msana ndi chiyani?

Tangoganizirani munthu amene ali ndi khansa ya m'mawere, khansa ya m'mapapo, kapena khansa ina iliyonse. Nthawi zina, maselo ena ochokera ku khansayo amatuluka, amayenda m'magazi mwathu, n'kufika pa msana (gawo lomwe timalitcha msana) n'kuyamba kukula pamenepo. Ndicho chimene timachitcha `Spinal Metastasis` kapena khansa yachiwiri mu msana.

Vutoli ndi vuto lofala kwambiri pakati pa odwala khansa. Nthawi zambiri, maselo a khansa amenewa amafalikira mpaka ku mafupa a msana omwe ali pakati pa msana (msana wachifuwa) ndi pansi pa msana (msana wachifuwa). Nthawi zina, khansa imatha kufalikira mpaka ku msana mwanjira imeneyi.

Kodi mumazindikira bwanji zizindikiro za izi?

Zizindikiro za khansa zomwe zimafalikira kumsana zimatha kusiyana malinga ndi komwe khansa ili (monga msana kapena msana). Tiyeni tiwone zizindikiro zazikulu zomwe mungakumane nazo.

N’chifukwa chiyani izi zimachitika? Ndi khansa ziti zomwe zimafalikira kwambiri kumsana?

Monga tanenera kale, apa ndi pamene maselo ochokera ku khansa yoyambirira amayenda m'magazi ndikufikira msana. Ngakhale khansa iliyonse imatha kufalikira motere, imapezeka kwambiri ndi mitundu ina ya khansa. Nayi mitundu ya khansa yomwe imapezeka kwambiri:

• Khansa ya m'mawere
• Khansa ya m'mapapo
• Khansa ya prostate
• Khansa ya impso
• Khansa ya m'mimba ndi matenda ena a m'mimba
• Khansa ya chithokomiro

Kodi dokotala amazindikira bwanji izi? (Kuzindikira)

Ngati muli ndi khansa ndipo muli ndi zizindikiro monga kupweteka kwa msana, chinthu choyamba chomwe dokotala wanu angachite ndikukuyang'anirani mosamala. Adzayang'ana momwe manja ndi miyendo yanu zilili zolimba. Adzafunsa za ululuwo. Ndiko kuti, ndi ululu wamtundu wanji, umayamba liti, komanso ngati ndi wokhazikika kapena ayi.

Kenako, adzakufunsani za mbiri yanu yachipatala ndipo adzakulangizani mayeso angapo kuti atsimikizire vutoli.

• Kuyezetsa magazi: Mafupa akamawonongeka chifukwa cha khansa, mankhwala monga calcium ndi alkaline phosphatase ochokera m'mafupa amenewo amalowa m'magazi. Choncho kuyezetsa kumachitika kuti aone ngati pali zinthu zambiri m'magazi.
• Mayeso ojambulira: Kujambula kwa MRI kungawonetse bwino kwambiri msana, mitsempha, ndi msana. Kujambula kwa CT kungazindikire mavuto ndi mafupa a msana (vertebrae). Ngakhale X-ray yokhazikika ingasonyeze kukula kosazolowereka kwa msana.
• Kujambula mafupa: Izi zimatha kuzindikira matenda aliwonse omwe ali mu msana, komwe kungakhale komwe khansa yafalikira.
• Kuchotsa singano pang'ono / Kufufuza: Nthawi zina, chitsanzo chochepa kwambiri cha chotupa kapena fupa la msana chimatengedwa kuti chikayesedwe. Izi zingathandize kudziwa mtundu weniweni wa khansa yomwe yafalikira kumsana.

Kodi mankhwala ochizira izi ndi otani?

Chinthu choyamba chomwe tiyenera kumvetsetsa ndichakuti kufalikira kwa msana ndi gawo lopita patsogolo la khansa. Izi zikutanthauza kuti n'zovuta kuchiza kwathunthu. Komabe, zolinga zazikulu za chithandizo chamakono ndikuletsa ululu, kusunga ntchito ya msana momwe zingathere, ndikuchepetsa kukula kwa khansa.

Chithandizo chomwe mudzalandira chidzadalira zinthu zingapo.

• Mtundu wa khansa yoyambirira: Mwachitsanzo, ngati khansa ya m'mapapo ifalikira kumsana, msana ulinso ndi maselo a khansa ya m'mapapo. Chifukwa chake, imachiritsidwa ndi mankhwala othandiza kwambiri a khansa ya m'mapapo.
• Thanzi lanu lonse: Khansa ikhoza kufalikira osati ku msana wanu wokha, komanso ku ziwalo zina za thupi lanu (monga ubongo wanu kapena chiwindi). Zinthu zonsezi zidzaganiziridwa posankha chithandizo.
• Kumene khansa ili: Chithandizo chingasiyane malinga ndi ngati khansa ili m'mafupa a msana kapena msana.

Njira zazikulu zochizira zomwe zimagwiritsidwa ntchito ndi izi:

• Chemotherapy: Izi zimaphatikizapo kupatsa thupi mankhwala opha maselo a khansa. Mankhwalawa angatengedwe ngati mapiritsi kapena jakisoni mumtsempha. Chifukwa mankhwalawa amayenda m'thupi lonse, angathandize kupha maselo a khansa m'msana komanso maselo a khansa m'mbali zina za thupi.
• Chithandizo cha radiation: Izi zimagwiritsa ntchito ma X-ray amphamvu kwambiri kuti awononge maselo a khansa kapena kuchepetsa zotupa. Izi zingathandize kwambiri ku ululu.
• Opaleshoni ya radioactive:Iyi si opaleshoni. Ndi njira yolondola kwambiri, yolunjika kwambiri yoperekera kuwala kwa dzuwa ku chotupa cha khansa chokha. Sichiwononga kwambiri minofu yathanzi yozungulira.
• Opaleshoni: Opaleshoni nthawi zambiri imachitika pokhapokha ngati njira zina sizinayende bwino. Nthawi zina, ngati pali kusweka kwa mafupa, opaleshoni yaying'ono monga `Vertebroplasty` kapena `Kyphoplasty` ikhoza kuchitidwa kuti kulimbitsa mafupa ndikuchepetsa ululu.
• Chisamaliro cha ululu: Ili ndi gawo lofunika kwambiri la chithandizo. Cholinga chachikulu cha izi si kuchiritsa matendawa, koma kukonza moyo wa wodwalayo. Zimaphatikizapo kuwongolera ululu, kuyang'anira zotsatirapo za chithandizo, ndikuwathandiza kuthana ndi vutoli.

Kodi pali zotsatirapo zilizonse pa mankhwala awa?

Inde, monga chithandizo chilichonse, pakhoza kukhala zotsatirapo zake.

• Pa nthawi ya chithandizo cha chemotherapy ndi radiation, zinthu monga kutopa, kutayika tsitsi, nseru, ndi kusanza zimakhala zofala.
• Pa opaleshoni ya radiotherapy ya stereotactic: Mungamve kutopa kwambiri.
• Pa opaleshoni ya Kyphoplasty kapena Vertebroplasty: Matenda, kutuluka magazi, kupweteka kwambiri, ndi dzanzi sizingachitike kawirikawiri.

Musamaope kulankhula ndi dokotala wanu za mavuto aliwonse omwe mumakumana nawo. Palinso mankhwala ochizira matenda amenewo.

Kodi mungadzisamalire bwanji?

Munthawi zovuta izi, ndikofunikira kwambiri kudzisamalira bwino komanso kupeza chithandizo.

• Idyani bwino: Khansa ndi mankhwala ake zingayambitse kulephera kudya. Koma yesani kudya zakudya zoyenera kuti mupeze mphamvu zomwe thupi lanu limafunikira. Ngati mukuvutika kudya, funsani upangiri kwa katswiri wa zakudya.
• Ganizirani za thanzi lanu la maganizo: N'zachizolowezi kukhala ndi nkhawa kapena kuvutika maganizo ndi vuto lamtunduwu. Ngati mukuvutika, kulankhula ndi mlangizi wa zaumoyo wamaganizo kungakuthandizeni kwambiri.
• Sinthani kupsinjika maganizo: Zinthu monga kusinkhasinkha ndi kuchita masewera olimbitsa thupi popuma zingathandize kuchepetsa kupsinjika maganizo.
• Funsani dokotala wanu mafunso: Lankhulani momasuka ndi dokotala wanu za matenda anu, chithandizo, zotsatirapo zake, komanso momwe mungathanirane ndi ululu. Mufunseni za mantha kapena nkhawa zilizonse zomwe mungakhale nazo.

Kodi ndi zinthu ziti zomwe zimafunika chisamaliro chachangu?

Muyenera kusamala kwambiri ndi zizindikiro izi. Ngati zizindikiro zilizonse zikuwonekera , muyenera kupita ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala nthawi yomweyo.

Ndizachibadwa kumva kutopa, mantha, kukwiya, komanso kusadziwa za tsogolo lanu mukalandira matenda ngati amenewa. Gulu lanu lachipatala limamvetsetsa malingaliro onsewa. Choncho gawani nawo malingaliro ndi nkhawa zanu. Iwo nthawi zonse amakhala okonzeka kukuthandizani.