Kodi mukudziwa za Peritoneal Carcinomatosis? Tiyeni tikambirane za izi!

Kodi nthawi zina mumamva kupweteka m'mimba, kudzimbidwa, kapena kupweteka m'mimba? Zizindikirozi ndizofala kwambiri, ndipo nthawi zina zimatha kuchitika chifukwa cha chakudya kapena kumwa, kapena matenda ang'onoang'ono. Komabe, nthawi zina pangakhale china chake chachikulu chomwe chimafunika chisamaliro. Ndicho chimene peritoneal carcinomatosis ili. Dzinalo lingamveke ngati lovuta pang'ono, koma tiyeni tikambirane mosavuta ndikumvetsa.

Kodi Peritoneal Carcinomatosis ndi chiyani?

Mwachidule, izi zikutanthauza kuti khansa yomwe yayamba kwina m'thupi lathu yafalikira ku nembanemba yotchedwa peritoneum . Tsopano mwina mukudabwa kuti peritoneum iyi ndi chiyani. Ndi nembanemba yopyapyala yomwe imazungulira mkati mwa mimba yathu, kutanthauza, m'mimba ndi m'chiuno. Ziwalo zingapo zamkati, monga matumbo athu, chiwindi, ndi m'mimba, zimaphimbidwa ndi nembanemba iyi.

Choncho, khansa ikayamba m'chiwalo china, mwachitsanzo, m'chiberekero kapena m'matumbo, ndipo maselo a khansawo amabwera ku peritoneum ndikupanga zotupa zatsopano pamenepo, timatcha peritoneal carcinomatosis . Izi ndizosiyana ndi khansa yoyamba ya peritoneal, yomwe imayamba mu peritoneum yokha, chifukwa pankhaniyi khansa imayamba kwina.

Mitundu iyi ya khansa imatchedwanso khansa yakumapeto kwa nthawi kapena khansa yofalikira . Zoona, iyi ndi yoopsa pang'ono kuposa khansa yoyambirira. Koma musadandaule. Ndi mankhwala atsopano omwe alipo, n'zotheka kuchepetsa kufalikira kwa matendawa ndikuthandiza wodwalayo kukhala ndi moyo wautali.

Ndi mitundu iti ya khansa yomwe nthawi zambiri imayambitsa vutoli?

Khansa iliyonse imatha kufalikira ku peritoneum, koma mitundu yotsatirayi ya khansa ndiyo imayambitsa vutoli:

• Khansa ya m'chiberekero (iyi ndi yofala kwambiri)
• Khansa ya m'matumbo
• Khansa ya m'mimba
• Khansa ya kapamba
• Khansa yowonjezera
• Khansa ya m'matumbo

Kodi zizindikiro za khansa ya m'mimba ndi ziti?

Nthawi zambiri, vutoli silimayambitsa zizindikiro zilizonse mpaka litakhudza dera lalikulu la peritoneum. Izi zikutanthauza kuti, zizindikiro zimayamba kuonekera matendawa atafalikira pang'ono. Izi zikachitika, chizindikiro chofala kwambiri ndi kuchulukana kwa madzi m'mimba (ascites) . Apa ndi pamene mimba imayamba kutupa modabwitsa.

Pakhoza kukhala zizindikiro zina zingapo zokhudzana ndi izi:

• Kutopa pafupipafupi
• Mimba yotupa ( chifukwa cha kusunga madzi m'thupi)
• Kupweteka m'mimba
• Mimba yolemera
• Kupweteka kwa msana
• Kusanza ndi kusanza
• Kudzimbidwa
• Kuchepetsa thupi kosayembekezereka kapena kuwonjezeka thupi

Tsopano, onani, zizindikiro zambirizi zimapezekanso m'matenda ena ofala. Mwachitsanzo, kupweteka m'mimba kumathanso kuchitika mu gastritis. Chifukwa chake, chifukwa chakuti muli ndi zizindikirozi, musachite mantha ndikuganiza kuti muli ndi vuto lalikululi. Komabe, ngati mupitiliza kukhala ndi zizindikirozi, ndi bwino kupita kwa dokotala ndikupita kuchipatala. Chifukwa dokotala yekha ndi amene angadziwe ngati ndi khansa kapena ayi.

Kodi n’chiyani chimayambitsa izi?

Kansa ya m'mimba imachitika, monga tafotokozera kale, pamene khansa yochokera mbali imodzi ya thupi imafalikira kupita ku peritoneum. Nthawi zambiri, khansa iyi imayambira m'mimba, m'chiwalo chomwe chili pafupi ndi peritoneum. Mwachitsanzo, mazira kapena m'matumbo.

Komabe, pafupifupi khumi pa zana (10%) ya milandu, khansa iyi imayamba m'chiwalo chomwe chili kunja kwa m'mimba. Zikatero, maselo a khansa amayenda kudzera m'magazi kapena m'thupi kuti akafike ku peritoneum. Taganizirani ngati dothi laling'ono lomwe limayenda m'madzi, maselowa amayendanso kudzera m'madzi amthupi.

Kodi matendawa amapezeka bwanji? (Kuzindikira)

Madokotala amagwiritsa ntchito mayeso angapo kuti adziwe vutoli. Ena mwa iwo ndi awa:

• Mayeso ojambulira: Izi zikuphatikizapo ma CT scan , ma MRI scan , ndi ma PET scan . Mitundu iyi ya ma scan ingapereke chithunzi chomveka bwino cha momwe khansa yafalikira mpaka ku peritoneum ndi komwe ili.
• Mayeso a magazi: Magazi anu amafufuzidwa kuti apeze mapuloteni apadera otchedwa zizindikiro za chotupa . Maselo ena a khansa amawatulutsa m'magazi. Kuchuluka kwa izi kungakhale chizindikiro cha matendawa.
• Paracentesis: Ngati muli ndi madzi m'mimba mwanu (ascites), dokotala wanu angatenge chitsanzo cha madziwo ndikuchiyesa mu labu. Izi zingathandize kudziwa mtundu wa khansa yomwe yafalikira, kapena khansa yoyamba ndi iti.
• Kufufuza za khansa: Izi zimaphatikizapo kutenga chidutswa chaching'ono kwambiri cha chotupacho ndikuchiyang'ana pansi pa maikulosikopu kuti muwone ngati pali maselo a khansa. Iyi ndi njira yokhayo yodziwira ngati ndi khansa kapena ayi.

Kodi Peritoneal Carcinomatosis Index (PCI) ndi chiyani?

PCI iyi ndi chida chofunikira kwambiri pofufuza matenda chomwe chimathandiza madokotala kukonzekera chithandizo. Pogwiritsa ntchito chiŵerengerochi, madokotala amakupatsirani zigoli kutengera komwe ndi kukula kwa maselo a khansa m'mimba mwanu ndi m'matumbo ang'onoang'ono.

Izi zingathandize dokotala kumvetsetsa ndikupeza lingaliro la ngati opaleshoni ingachotseretu zotupa izi kapena ayi.

Kodi mankhwala a izi ndi otani? (Chithandizo)

Chithandizo chachikulu komanso chokhazikika cha peritoneal carcinomatosis ndi chithandizo chotchedwa Hyperthermic Intraperitoneal Chemotherapy (HIPEC) chophatikizidwa ndi opaleshoni ya cytoreductive (CRS) .

Ngakhale kuti mawu awa angawoneke ngati ovuta kuwagwiritsa ntchito, amangonena motere:

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* CRS (Cytoreductive Surgery): Cholinga cha opaleshoniyi ndikuchotsa zotupa zonse za khansa zomwe zimawoneka mu nembanemba ya peritoneal.

* HIPEC (Hyperthermic Intraperitoneal Chemotherapy): Njirayi imagwiritsidwa ntchito kuwononga maselo onse a khansa otsala omwe ndi ang'onoang'ono kwambiri kuti asawonekere ndi maso amaliseche pambuyo pa opaleshoni ya CRS. Pachifukwa ichi, mankhwala a chemotherapy otenthedwa amabayidwa mwachindunji m'mimba, ndikusiyidwa pamalopo kwa kanthawi kochepa, kenako nkuchotsedwa. Chifukwa mankhwalawa amatenthedwa ndikuperekedwa mwachindunji ku khansa, ndi othandiza kwambiri kuposa mankhwala achikhalidwe a chemotherapy.

Chithandizo cha CRS ndi HIPEC ichi chimaperekedwa kuwonjezera pa chithandizo chomwe chimaperekedwa ku chiwalo chomwe khansa idayambira.

Nthawi zina, si aliyense amene angapatsidwe opaleshoni ya CRS. Izi zikutanthauza kuti, vuto la wodwalayo silingakhale loyenera kuchitidwa opaleshoni. Ngakhale kwa anthu otere, chisamaliro chochepetsa ululu chingathandize kuchepetsa zizindikiro ndikuchepetsa ululu. Chithandizo chochepetsa ululu ndi chithandizo chomwe chimathandiza wodwalayo kukhala womasuka momwe angathere, mosasamala kanthu za gawo la khansa.

Kodi pali zovuta zilizonse zokhudzana ndi chithandizochi?

Kafukufuku waposachedwa akusonyeza kuti CRS ndi HIPEC zonse ndi mankhwala otetezeka komanso ogwira mtima ngati odwala ayesedwa mosamala ndikusankhidwa moyenera. Zotsatira zake zimakhala zabwino kwambiri opaleshoni ikachitika ku chipatala chodziwa bwino ntchito chomwe chimachita chithandizochi nthawi zonse.

Komabe, monga momwe zimakhalira ndi opaleshoni iliyonse yayikulu, pali mavuto ena omwe angachitike. Ngakhale kuti ndi osowa kwambiri, awa akhoza kukhala oopsa ngati sathandizidwa mwachangu. Izi zikuphatikizapo:

• Kutuluka magazi ambiri
• Kuboola kwa chiwalo
• Kutuluka kwa madzi m'thupi pambuyo pa opaleshoni
• Matenda
• Chifuwa
• Sepsis ( vuto lalikulu lomwe limayamba chifukwa cha majeremusi omwe amalowa m'magazi)

Dokotala wanu adzakufotokozerani zonsezi pasadakhale. Chofunika ndichakuti mumvetse momwe ubwino wa chithandizo umaposera zoopsa zake.

Kodi chizindikiro cha khansa ya m'mimba ndi chiyani?

Matenda olakwika okhudzana ndi khansa ya m'mimba tsopano asintha kwambiri chifukwa cha kubwera kwa mankhwala a CRS ndi HIPEC. Ngakhale kuti palibe mankhwala a vutoli, mankhwala amenewa amathandiza odwala kukhala ndi moyo wautali .

Mwa iwo amene adachitidwa opaleshoni yochotseratu zizindikiro zonse za khansa (CRS), 45% amakhala ndi moyo patatha zaka zisanu. Izi zikutanthauza kuti, 45% ya iwo omwe adapambana CRS amakhala ndi moyo kwa zaka zisanu. Komabe, ngati opaleshoniyo singachotse khansayo kwathunthu, chiwerengero cha kupulumuka kwa zaka zisanu ndi chochepera 10%.

Pali zinthu zina zingapo zomwe zimakhudza momwe mumaonera zinthu:

• Mtundu wa khansa yoyamba
• Maselo a khansa amawoneka osazolowereka bwanji
• Zizindikiro zanu ndi zoopsa bwanji
• Chigoli chanu cha PCI

Dokotala wanu akhoza kufotokoza zambiri za zinthu izi zomwe zimakhudza vuto lanu.

Kodi ndimadzisamalira bwanji? (Kudzisamalira)

Kukhala ndi khansa yofalikira m'thupi, monga peritoneal carcinomatosis, kungakhale kovuta. Zizindikiro zakuthupi zimatha kukupangitsani kukhala kovuta kupirira tsiku lonse. Ndipo kusadziwa momwe thupi lanu lidzayankhira chithandizo kungakhale kovuta kwambiri.

Ichi ndichifukwa chake ndikofunikira kupeza chithandizo chonse chomwe mungapeze.

Izi zingaphatikizepo kulandira chithandizo chamankhwala chothandiza kuchepetsa zizindikiro. Ndibwinonso kupempha uphungu kuti akuthandizeni kuthana ndi malingaliro ovuta omwe amabwera chifukwa cha matenda. Ndikothandiza kwambiri kulowa nawo gulu lothandizira komwe mungalumikizane ndi ena omwe ali ndi matenda a khansa ngati inu. Izi zingakuthandizeni kuti musamadzimve kuti ndinu nokha komanso kuti muphunzire kuchokera ku zomwe ena akumana nazo.

Funsani dokotala wanu za zinthu zomwe zingathandize kukhala ndi moyo ndi peritoneal carcinomatosis kukhala kosavuta.

Ndiyenera kupita kwa dokotala liti?

Muyenera kupita kwa dokotala nthawi zonse kuti muwone momwe chithandizo chanu chikugwirira ntchito. Pakadali pano, ngati mukuyamba zizindikiro zatsopano kapena ngati zizindikiro zanu zikuipiraipira, uzani dokotala wanu nthawi yomweyo.Iye akhoza kukupatsani chithandizo china kapena kusintha kwa dongosolo lanu la chithandizo komwe kungakuthandizeni.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukakumana ndi dokotala wanu, ndi bwino kufunsa mafunso ngati awa:

• Ndi mayeso otani omwe ndiyenera kuchita?
• Kodi mukundilangiza chithandizo chamtundu wanji?
• Kodi ndi zotsatirapo zotani zomwe ndingayembekezere kuchokera ku mankhwala?
• Kodi ndi zotsatira zotani zomwe ndingayembekezere nditalandira chithandizo?
• Ndi zinthu ziti zomwe zilipo kuti zindithandize kuthana ndi zizindikiro ndi zotsatirapo zake?

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kale, munthu akapezeka ndi Peritoneal Carcinomatosis, ankaganiza kuti amakhala ndi moyo wautali kwambiri. Komabe, zinthu zasintha tsopano. Chifukwa cha mankhwala apamwamba omwe alipo masiku ano, nthawi yopulumuka ya anthu omwe ali ndi vutoli yawonjezeka kwambiri.

Komabe, zomwe mwakumana nazo zidzadalira matenda anu enieni. Dokotala wanu angakuuzeni ngati ndinu woyenera kulandira chithandizo monga CRS ndi HIPEC. Angakupatseninso chithandizo kuti akuthandizeni kuthana ndi vutoli.

Musataye mtima. Kupeza chidziwitso choyenera, kulandira chithandizo chamankhwala pa nthawi yake, komanso kupeza chithandizo chamaganizo ndi chakuthupi chomwe mukufuna ndikofunikira kwambiri pankhondoyi.

` Peritoneal Carcinomatosis, Peritoneal Carcinomatosis, Khansa, Peritoneum, Ascites, CRS, HIPEC, Zizindikiro za Khansa, Chithandizo cha Khansa