Kodi munayamba mwaonapo kuti pali kachilonda kakang'ono pa chikope chanu komwe sikachira ndipo nthawi zina kamakula? Kapena kachilonda kakang'ono kachikasu pakona
pa diso lanu ? Nthawi zina sitisamala kwambiri ndi zinthuzi, koma nthawi zina zimakhala zodetsa nkhawa. Lero tikambirana za khansa ya pakhungu yomwe siidziwika bwino, koma
yokhudza mtundu wa khansa ya pakhungu.
Kodi Sebaceous Carcinoma ndi chiyani?
Mwachidule, `Sebaceous Carcinoma` ndi khansa yosowa yomwe imayamba
m'matenda opanga mafuta pakhungu lathu, `sebaceous glands`. Kodi mukudziwa kuti mawu oti `sebaceous` amatanthauza `opanga mafuta`. Khansa iyi
imakhudza kwambiri maso . Chifukwa chake ndi chakuti maso athu ali ndi ma glands ambiri opanga mafuta. Komabe, popeza maso athu amapezeka osati m'maso okha, komanso kulikonse mthupi lathu komwe kuli tsitsi, khansa iyi imatha kuchitika m'malo ena a thupi. Ma glands awa amapanga mafuta otchedwa
`sebum` . Sebum iyi imateteza khungu lathu ku majeremusi.
Kodi iyi ndi khansa yoopsa?
Inde, `Sebaceous Carcinoma` ndi
mtundu wa khansa yomwe imatha kufalikira mwachangu, ndipo ndi yoopsa . Imatchedwa choncho chifukwa imakonda kufalikira mwachangu kuchokera komwe idayambira kupita ku ziwalo zina za thupi. Khansa zomwe zafalikira kumalo ena ngati awa zimatchedwa `Metastatic cancer`.
Kodi mayina ena a izi ndi ati?
"Carcinoma" ndi dzina lachipatala la khansa. Chifukwa chake, madokotala angatchule izi kuti "sebaceous carcinoma" "sebaceous gland carcinoma" "sebaceous gland adenocarcinoma".
Kodi izi ndizofala bwanji?
Khansa ya pakhungu yotchedwa Sebaceous carcinoma ndi
khansa yosowa kwambiri . Taganizirani kuti 5% mpaka 10% ya khansa ya pakhungu ndi zotupa zomwe zimayamba m'maso. Pa zotupa zimenezo, pafupifupi 1% yokha ndi khansa ya pakhungu yotchedwa sebaceous carcinoma.
Imapezeka kwambiri mwa akazi komanso mwa anthu azaka zapakati pa 60 ndi 80. Komabe, imathanso kuchitika kwa achinyamata, okalamba, komanso nthawi zina ngakhale ana aang'ono.
Kodi ndi zifukwa ziti zomwe zimayambitsa khansa ya sebaceous?
Akatswiri sakudziwa chifukwa chake anthu ena amadwala khansa ya m'magazi. Komabe, monga mitundu ina ya khansa ya pakhungu,
kukhudzidwa ndi kuwala koopsa kwa ultraviolet (UV) padzuwa ndi chinthu chomwe chimayambitsa ngozi.Ichi chikuganiziridwa kuti ndi chimodzi mwa zifukwa. Komanso, anthu omwe adalandira chithandizo cha radiation kumutu kapena pakhosi, makamaka ali aang'ono, ali pachiwopsezo chachikulu chotenga khansa iyi.
Kodi zinthu zoopsa ndi ziti?
Anthu ena ali pachiwopsezo chachikulu chotenga khansa iyi. Mwachitsanzo:
- Anthu omwe ali ndi vuto lobadwa nalo lotchedwa Muir-Torre syndrome ali pachiwopsezo chachikulu chotenga sebaceous carcinoma . Alinso pachiwopsezo chachikulu chotenga khansa ya m'matumbo . Muir-Torre syndrome ndi mtundu wa Lynch syndrome, womwe umayambitsa zotupa m'maselo a sebaceous glands.
- Kafukufuku wina akusonyeza kuti chiopsezochi chilinso chachikulu pang'ono kwa anthu ochokera ku Asia .
Kuwonjezera pa ukalamba ndi kutentha padzuwa, palinso zinthu zina zomwe zingakuchititseni kudwala:
Kodi zizindikiro zake ndi ziti?
Kansa ya sebaceous
imapezeka kwambiri pa chikope chapamwamba , chifukwa apa ndi pomwe pali tinthu ta sebaceous glands. Komabe, imathanso kufalikira pa chikope chapansi. Nthawi zina mungafunike kutseka chikope chanu kuti muwone ngati muli nacho.
Zizindikiro zomwe zimawoneka pa chikope:
- Chotupa cholimba, chozungulira, chachikasu, chosapweteka chomwe chimaoneka ngati chiphuphu.
- Chilonda chomwe chimatuluka magazi, sichichira, kapena chimachira kenako chimabwereranso.
- Khungu lokhuthala, lachikasu kapena lofiira, lokhala ndi zilonda limatha kuwoneka m'makona a zikope, pafupi ndi nsidze.
Zizindikiro zomwe zingawonekere ngati matendawa akulirakulira:
Ngati "Sebaceous Carcinoma" iyi yasiyidwa yopanda chithandizo, vutoli likhoza kukulirakulira ndikuwonetsa zizindikiro monga izi:
- Nsidze zikugwa.
- Kupangidwa kwa ma cysts amadzimadzi m'zikope zonse zapamwamba komanso zapansi.
- Maso ake ndi ofiira, akuoneka ngati conjunctivitis .
- Kulephera kuona bwino.
Kodi zotupa zonse zomwe zili pa chikope ndi khansa?
Khansa ya m'mimba ya sebaceous si yofala kwambiri. Choncho,
musachite mantha ngati muwona chotupa pa chikope chanu . Koma onetsetsani kuti mwaonana ndi dokotala kuti akachiyeze. Nthawi zambiri, si khansa, koma vuto la khungu lofala monga ili:
- Kutupa kwa zikope `(Blepharitis)`
- Chalazion (yomwe imatchedwanso 'chiphuphu pa diso')
- Matenda a maso
- Chotupa m'diso , timachitcha kuti 'stye' (matenda a gland yamafuta)
Chofunika kwambiri ndikupempha upangiri kwa dokotala ngati mwawona chotupa chatsopano pa chikope chanu, chilonda chomwe sichikuchira, kapena china chilichonse chosiyana ndi chachizolowezi.
Kodi izi zingachitikenso kuti pathupi kupatulapo maso?
Khansa ya m'magazi (sebaceous carcinoma) ingathenso kufalikira
pamutu panu, m'makutu, kapena pakhosi . Nthawi zambiri, imathanso kufalikira kumbuyo kwanu, pachifuwa, m'mimba, m'mimba, kapena m'matako. Muyenera kuonana ndi dokotala ngati muwona chilichonse mwa izi:
- Ngati muwona kusintha kwa chizindikiro cha kubadwa kapena malo ena pakhungu lanu.
- Ngati zithupsa zatsopano zionekera pakhungu, ngakhale mkati mwa khutu.
- Ngati muwona ziphuphu pakhungu zomwe zikukulirakulira, pinki kapena chikasu, ndipo zikutuluka magazi mosavuta .
Kodi khansa ya sebaceous imafalikira bwanji?
Sebaceous Carcinoma nthawi zambiri imafalikira ku
ma lymph nodes . Awa ndi tinthu tating'onoting'ono tomwe ndi gawo la dongosolo lathu la lymphatic, lomwe limatsuka ndikuchotsa maselo owonongeka.
Kodi mumazindikira bwanji izi molondola? (Kuzindikira)
Ngati mukuganiza kuti muli ndi vuto lotere, choyamba muyenera kuonana
ndi dokotala wa khungu . Iye adzayang'ana chotupacho, kutenga chitsanzo chaching'ono, ndikuchiyang'ana pansi pa maikulosikopu kuti aone ngati pali maselo a khansa. Kuyesaku kumatchedwa
biopsy ya khungu . Ngati chotupacho chili pa chikope, mutha kuwonanso
dokotala wa maso . Iyenso akhoza kuchita biopsy iyi.
Kodi mumayesa bwanji ngati khansa yafalikira?
Ngati biopsy ya pakhungu ikutsimikizira kuti muli ndi khansa ya m'magazi, muyenera kuonana ndi gulu la madokotala kuti akupatseni chithandizo. Dokotala wanu adzakudziwitsani mbiri yanu yachipatala, adzakuyesani thupi lanu, ndikuwona ngati khansayo yafalikira ku ma lymph nodes anu kapena ziwalo zina. Dokotala wa maso adzakuyang'anirani maso anu kuti aone ngati chotupacho chafalikira m'diso.
Kodi mankhwala ake ndi otani?
Chithandizo chachikulu cha khansa ya m'magazi ndi opaleshoni.
Zosankha za opaleshoni:
- Kuchotsa m'malo osiyanasiyana:Izi zimaphatikizapo kudula chotupa cha khansa ndi kagawo kakang'ono ka khungu labwino mozungulira. Izi zimachitika kuti maselo onse a khansa achotsedwe.
- Opaleshoni ya Mohs: Iyi ndi mtundu wapadera wa opaleshoni. Khansa ndi minofu yozungulira yathanzi (malire) zimachotsedwa m'magawo angapo. Pamene gawo lililonse likuchotsedwa, limafufuzidwa pogwiritsa ntchito maikulosikopu kuti lione ngati pali maselo a khansa omwe atsala. Ngati alipo, amachotsedwanso. Njirayi imabwerezedwa mpaka maselo onse a khansa achotsedwa .
- Chithandizo cha radiation: Ngati simungathe kuchitidwa opaleshoni, chithandizo cha radiation chingaganizidwe.
Kutengera ndi kukula kwa opaleshoniyi, mungafunikenso kuchitidwa
opaleshoni yokonzanso khungu . Izi zimachitika kuti muchepetse zipsera zomwe zimachitika pambuyo pa opaleshoniyi komanso kuti mubwezeretse magwiridwe antchito a zikope ndi nkhope. Dokotala wanu wa khungu kapena dokotala wa opaleshoni ya oculoplastic, ngati kuli kofunikira, angachite izi nthawi yomweyo chotupacho chitachotsedwa.
Chithandizo cha khansa yopita patsogolo
Ngati khansa ya sebaceous yafalikira kumadera ena (yomwe yafalikira), chithandizo chimasiyana, kutengera komwe khansa yafalikira. Opaleshoni ingachitike kuti ichotse ma lymph nodes omwe akhudzidwa. Chithandizo cha radiation kapena mankhwala ena a khansa angagwiritsidwenso ntchito.
Kodi izi zitha kupha? Kodi mwayi wochira ndi wotani?
Nkhani yabwino ndi yakuti anthu opitilira 90% omwe ali ndi matendawa amapulumuka akalandira chithandizo. Anthu omwe amalandira chithandizo mkati mwa miyezi isanu ndi umodzi zizindikiro zikuyamba ali ndi mwayi waukulu wochira. Komabe, khansa ya sebaceous ikhoza kupha ngati ifalikira.
Kuchedwa kupeza chithandizo ndi kuchiza kungawononge zotsatira zake. Kodi chimachitika ndi chiyani mukalandira chithandizo?
Popeza khansa ya sebaceous ikhoza kukhala khansa yoopsa, ngakhale atalandira chithandizo, anthu ena,
pafupifupi m'modzi mwa anayi, ali ndi mwayi woti khansayo ibwererenso kapena kufalikira (metastasizing). Choncho, ndikofunikira kuonana ndi dokotala wanu kuti akuthandizeni panthawi yomwe yakonzedwa. Mwanjira imeneyi, madokotala amatha kuwona ngati matendawa abwereranso ndipo, ngati pali zizindikiro zilizonse za matendawa, yambani kulandira chithandizo nthawi yomweyo.
Kodi mungachite chiyani kuti mukhale ndi thanzi labwino?
Mukhoza kuwonjezera mwayi wanu wochira pochita zinthu izi:
- Yesani kudziyesa khungu lanu mwezi uliwonse. Izi zikuthandizani kuzindikira kusintha kwa khungu mwachangu.
- Pita kukayezetsa khungu nthawi zonse ku ofesi ya dokotala.
- Chitanipo kanthu kuti muchepetse kukhudzana ndi dzuwa. Izi zikutanthauza kuti,Kugwiritsa ntchito mafuta oteteza ku dzuwa, kuvala zipewa zazikulu, komanso kuvala magalasi oteteza ku dzuwa.
Kodi pali kusiyana kotani pakati pa khansa ya sebaceous, sebaceous hyperplasia, ndi sebaceous cysts?
Mayina awa akhoza kukhala osokoneza chifukwa amamveka mofanana, koma awa ndi osiyana atatu:
- Sebaceous hyperplasia: Iyi si khansa. Ndi chotupa chosaopsa chomwe chimayamba mu follicle ya tsitsi. Mutha kukhala ndi ziphuphu zofewa komanso zosunthika ngati izi. Izi nthawi zambiri zimapezeka pachibwano, masaya, pamphumi, mphuno, kapena pachifuwa, kumbuyo, ndi mapewa.
- Ma cysts a Sebaceous: Awa si khansa. Amapangika pansi pa khungu pamene sebaceous gland yatsekedwa ndi kuchuluka kwa maselo a khungu akufa ndi mafuta. Amatha kusunthidwa mosavuta pansi pa khungu. Kawirikawiri amapezeka pankhope, pakhosi, kapena pa thunthu. Ma cysts awa angafunike chithandizo ngati atakhala aakulu kapena otenga kachilomboka.
Kodi muyenera kupita kwa dokotala liti?
Ngati mukuona chinthu chonga ichi
, pitani kwa dokotala :
- Chotupa kapena chophuka pa chikope chanu.
- Chotupa chatsopano pakhungu kapena kusintha kwa zizindikiro zobadwa nazo kapena mawanga ena.
- Matumbo a pakhungu omwe amatuluka magazi mosavuta.
Zinthu zoti mufunse dokotala
Mukapita kwa dokotala, mukhoza kufunsa mafunso awa:
- N’chifukwa chiyani ndinadwala khansa ya pakhungu iyi?
- Kodi ndili pachiwopsezo chotenga mitundu ina ya khansa ya pakhungu?
- Kodi chithandizo chabwino kwambiri kwa ine ndi chiti?
- Kodi ndili pachiwopsezo chofalitsa khansa (khansa yofalikira)?
- Kodi ndiyenera kuyezetsa khansa kangati?
- Kodi ndili pachiwopsezo chotenga mitundu ina ya khansa m'thupi langa?
Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)
Ngati muwona kusintha kulikonse pakhungu lanu, ndi bwino kuuza dokotala wanu. Nthawi zambiri, kusinthaku sikuli koopsa. Ndipotu, zinthu monga ziphuphu ndi ziphuphu pa zikope zanu zimathanso kuchitika chifukwa cha matenda omwe si khansa.
Komabe, `Sebaceous Carcinoma` ndi matenda osowa koma oopsa omwe amatha kufalikira mwachangu. Kuzindikira msanga ndi chithandizo kungakuthandizeni kwambiri kuchira. Chifukwa chake, popanda kukayika kulikonse, funsani upangiri wa dokotala. Thanzi lanu ndiye lofunika!
Sebaceous Carcinoma, Khansa ya Pakhungu, Khansa ya Zikope, Khansa ya Pakhungu, Zizindikiro za Khansa, Chithandizo cha Khansa
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu