Kodi mwamvapo za khansa yachilendo iyi? Tiyeni tiphunzire za Signet Ring Cell Carcinoma

Kodi mudamvapo za mtundu wa khansa wotchedwa "Signet Ring Cell Carcinoma"? Mwina dzinali likumveka lachilendo pang'ono. Koma uwu ndi mtundu wa khansa womwe tonsefe tiyenera kudziwa. Chifukwa ndi mtundu wa khansa womwe umafalikira mofulumira pang'ono, kutanthauza kuti, waukali . Chifukwa chake, tiyeni timvetse izi mwatsatanetsatane lero, ngati kuti tikulankhula ndi mnzanu.

Kodi Signet Ring Cell Carcinoma ndi chiyani?

Mwachidule, Signet Ring Cell Carcinoma (SRCC) ndi mtundu wa khansa. Nthawi zambiri imayamba m'mimba mwanu, makamaka m'mimba mwanu. Imadziwika ndi dzina lake lachilendo chifukwa cha momwe maselo a khansa awa amaonekera pansi pa maikulosikopu. Amaoneka ngati mphete, koma mbali imodzi ili ndi kutalika pang'ono, ngati "mphete yosindikizira" yomwe imagwiritsidwa ntchito pomangirira zilembo zakale.

Khansa iyi, yotchedwa ``SRCC'', ili m'gulu la khansa yotchedwa ``Adenocarcinoma.'' Izi zikutanthauza kuti khansa iyi imachokera ku maselo omwe amapezeka m'ma glands a thupi lathu, omwe timawatcha ma glandular cells . Awa ndi mtundu wa selo wamba lomwe limapezeka m'minofu mkati mwa ziwalo zathu.

Komabe, kupezeka ndi SRCC kungakhale kovuta pang'ono. Iyi ndi khansa yomwe ikukula mofulumira kwambiri, kotero chithandizo chiyenera kuyamba mwamsanga. Komabe, ofufuza akugwirabe ntchito kuti apeze chithandizo chabwino kwambiri cha vutoli. Ngati muli ndi vutoli, muyenera kugwira ntchito ndi dokotala wanu wa khansa kuti mudziwe njira yabwino kwambiri yothandizira.

Kodi pali mitundu yosiyanasiyana ya khansa iyi?

Inde, madokotala amaika `(SRCC)` iyi malinga ndi chiwalo chomwe khansa imayambira. Nthawi zambiri, kutanthauza kuti, pafupifupi 90 peresenti ya `(SRCC)` imachitika ngati khansa ya m'mimba . Nthawi zambiri, imayamba m'malo ena a thupi komwe kuli maselo a glandular.

Mwachitsanzo, 1% kapena kuchepera ya khansa m'ziwalo zotsatirazi imapezeka kuti ndi ``(SRCC)'':

• Khansa ya m'matumbo
• Khansa ya m'matumbo
• Khansa ya kapamba
• Khansa ya chikhodzodzo
• Khansa ya ndulu
• Khansa ya m'mero
• Khansa yowonjezera
• Khansa ya prostate
• Khansa ya m'mawere

Kodi khansa iyi imatchedwa ``(SRCC)'' yofala bwanji?

Tsopano onani, 90-95 peresenti ya khansa ya m'mimba ndi ya mtundu wa ``Adenocarcinomas``. Mwa mitundu ya ``Adenocarcinomas`` ya khansa ya m'mimba , pakati pa 35% ndi 40% ndi ``SRCC``` .

Khansa ya m'mimba ndi khansa yachisanu yofala kwambiri padziko lonse lapansi. Komabe, kuchuluka kwa khansa ya m'mimba kwachepa poyerekeza ndi kale. Izi zikuchitika chifukwa cha kupezeka kwa mankhwala atsopano omwe angalepheretse zinthu monga matenda a Helicobacter pylori (H. pylori), omwe ndi chiopsezo cha khansa ya m'mimba.

Koma modabwitsa, chiwerengero cha khansa ya m'mimba yomwe yapezeka ngati ``(SRCC)`` chikuwonjezeka. Asayansi sakudziwabe chifukwa chake.

Kodi zizindikiro za khansa iyi ndi ziti? Kodi n'zovuta kuzizindikira msanga?

Nayi mfundo yofunika kuiganizira. Zizindikiro za SRCC nthawi zambiri zimawonekera khansa ikafalikira . Chifukwa chake, anthu ambiri sadziwa kuti ali ndi vuto kumayambiriro. SRCC yomwe imayamba m'mimba nthawi zambiri imafalikira ku peritoneum, mafupa, ndipo mwa akazi, m'mazira.

Zizindikiro za `(SRCC)` zitha kuphatikizapo:

• Kutupa, kusadya bwino
• Kupweteka m'mimba
• Kusanza ndi kusanza
• Kutsegula m'mimba
• Chimbudzi chodzaza ndi magazi
• Kutopa pafupipafupi
• Kupweteka kwa mafupa
• Kutupa kwa mtima, kugunda kwa mtima mofulumira, komanso kupuma movutikira

Tangoganizirani, mnzanuyo amamva kupweteka m'mimba nthawi zonse komanso m'mimba mwake movutikira akadya. Angaganize kuti, "Izi ziyenera kuti ndi matenda wamba a gastritis." Koma zizindikiro zambirizi zitha kuwonekanso m'matenda am'mimba osaopsa kwambiri monga khansa. Choncho musaope kuti ndi khansa chifukwa chakuti muli ndi zizindikirozi. Komabe, ngati muli ndi zizindikiro zosatha, nthawi zonse ndi bwino kupita kwa dokotala.

N’chifukwa chiyani khansa yamtunduwu imayamba? Kodi chifukwa chake n’chiyani?

SRCC imayamba pamene maselo osazolowereka a glandular amayamba kudzipanga okha. Maselo osazolowerekawa amatha kupanga zotupa, kufalikira, ndikuwononga minofu yathanzi. Komabe, ofufuza sakudziwabe chifukwa chake maselo omwe ali mu SRCC amakhala osazolowereka poyamba.

Kafukufuku wina wasonyeza kuti kusintha kwa jini yotchedwa CDH1, yomwe imapanga puloteni yofunika kwambiri m'maselo a glandular, kungathandize. Komabe, pali zambiri zomwe zikufunika kudziwika zokhudza momwe maselo a glandular (SRCC) amakhalira ndi khansa.

Kodi madokotala amazindikira bwanji khansa ya `(SRCC)` iyi?

Kuzindikira matenda (SRCC) nthawi zambiri kumayamba ndi dokotala kufunsa za zizindikiro zanu ndikukuyezani thupi. Izi zingawathandize kudziwa komwe vuto lili m'thupi lanu. Kenako amatha kusankha mayeso oti achite. Mayesowa angaphatikizepo:

• Mayeso ojambula zithunzi:Kujambula kwa computed tomography (CT) nthawi zambiri kumagwiritsidwa ntchito pozindikira zotupa m'mimba. Ngati dokotala wanu apeza chotupa chokayikitsa, angakupatseninso PET scan kuti awone ngati maselo a khansa afalikira.
• Kuyezetsa magazi: Kuyezetsa magazi anu kudzatengedwa ndipo mayeso angapo adzachitika. Izi zingaphatikizepo kuyezetsa thanzi lanu lonse, komanso kuyezetsa magazi kuti muwone ngati muli ndi zizindikiro za matenda monga khansa.
• Kuyeza kwa magazi: Iyi ndi njira yofunika kwambiri yoyezera . Dokotala adzafunika kutenga chitsanzo cha chotupa chonse kapena minofu yake ndikuchiyang'ana. Umu ndi momwe dokotala adzatsimikizire ngati ndi SRCC. Katswiri wa matenda adzayang'ana chitsanzocho pansi pa maikulosikopu kuti awone ngati pali maselo a "signet ring". Angathenso kuchita mayeso apadera otchedwa immunohistochemistry pa chitsanzocho kuti atsimikizire ngati maselowo ndi a khansa.

Kodi vutoli lingachiritsidwe bwanji? Kodi lingachiritsidwe?

Chithandizo chomwe mumalandira chimadalira zinthu zambiri. Chachikulu ndi komwe khansa inayambira (mtundu) ndi momwe yafalikira (gawo). Zonsezi zimasankhidwa mutakambirana ndi dokotala wanu. Anthu ambiri omwe ali ndi (SRCC) amafunikira chithandizo choposa chimodzi, kapena kuphatikiza mankhwala . Izi zitha kuphatikizapo:

• Opaleshoni ya Endoscopic: Ngati khansayo sinafalikire, opaleshoni ikhoza kuchitika pogwiritsa ntchito njira yotchedwa esophagogastroduodenoscopy. Izi zimaphatikizapo kuchotsa chotupacho kudzera mu chubu chomwe chimayikidwa kudzera pakamwa. Iyi ndi njira yosalowa m'thupi.
• Kuchotsa khansa ya m'magazi: Iyi ndi njira yodziwika kwambiri yochitira opaleshoni ya SRCC. Izi zili choncho chifukwa khansa nthawi zambiri imakhala itakula kale ikapezeka. Izi zimaphatikizapo kuchotsa chotupa chonse ndi minofu yozungulira. Popeza SRCC nthawi zambiri imafalikira ku ma lymph node, madokotala amachotsanso ma lymph node ena.
• Hyperthermic Intraperitoneal Chemotherapy (HIPEC): Iyi ndi njira yophatikiza opaleshoni ndi chemotherapy yochizira khansa yomwe yafalikira mkati mwa m'mimba. Dokotala akachotsa chotupacho, mankhwala a chemotherapy amabayidwa mwachindunji m'mimba. Kenako mankhwalawo amatenthedwa. Kutenthako kumapangitsa kuti mankhwala a chemotherapy akhale oopsa kwambiri ku maselo ena onse a khansa otsala.
• Mankhwala a chemotherapy: Dokotala wanu angakulangizeninso njira iyi. Apa, mumapatsidwa mankhwala a chemotherapy, kaya ngati mapiritsi kapena ngati IV. Mankhwalawa amayenda m'thupi lanu lonse ndikupha maselo a khansa. Ngakhale kuti chemotherapy ndi mankhwala ofala kwambiri a (SRCC), sangakhale othandiza kwambiri pakapita nthawi.
• Chithandizo cha radiation:Madokotala ena amalimbikitsa chithandizo cha radiation ndi chemotherapy kuti aphe maselo otsala a khansa pambuyo pa opaleshoni. Chithandizo cha radiation for (SRCC) chimagwiritsa ntchito makina omwe ali kunja kwa thupi kuti atsogolere mphamvu ku maselo a khansa.
• Mayeso azachipatala: Izi zapangidwa kuti ziyese chitetezo ndi kugwira ntchito kwa mankhwala atsopano a khansa. Asayansi akupitiliza kuphunzira kusintha kwa maselo komwe kumabweretsa (SRCC), ndi cholinga chopanga mankhwala omwe angaletse kusinthaku. Kutenga nawo mbali mu mayeso azachipatala kungakupatseni mwayi wopeza mankhwala atsopanowa.

Ngati ndili ndi `(SRCC)`, ndi zinthu zotani zomwe ndidzayenera kukumana nazo?

Ndipotu, palibe amene anganeneretu momwe munthu adzachitiridwe ndi SRCC. Koma chomwe tikudziwa ndichakuti poyerekeza ndi mitundu ina ya khansa, SRCC ndi khansa yoopsa kwambiri komanso yomwe ikukula mofulumira . Imatha kubwereranso pambuyo pa opaleshoni. N'kovutanso kulamulira nthawi yayitali ndi mankhwala wamba a khansa monga chemotherapy.

Zomwe mwakumana nazo zidzadalira kwambiri zolinga zanu. Ngati khansa yayamba msanga, cholinga chake chingakhale kuchiritsa khansa yonse ndikuyisunga "ikuchira." Ngati khansa yafalikira, monga momwe zimakhalira mu "Gawo 4," chithandizo chingakuthandizeni kukhala ndi moyo wabwino.

Funsani dokotala wanu zomwe mungayembekezere kutengera matenda anu.

Kodi ndingathe bwanji kudzisamalira ndekha? Kodi ndingachite chiyani?

Ndikofunikira kuphunzira zambiri momwe mungathere za matenda anu (SRCC). Ndi bwino kupeza mayankho a mafunso (ngakhale atakhala ovuta) kusiyana ndi kuda nkhawa ndi zomwe zikuchitika m'thupi lanu. Funsani dokotala wanu momwe matenda anu angakhudzire thanzi lanu lonse komanso moyo wanu watsiku ndi tsiku.

Komanso, funsani dokotala wanu ngati mungapindule ndi chithandizo chamankhwala ochepetsa ululu. Cholinga cha chithandizo chamankhwala ochepetsa ululu ndikuchepetsa zizindikiro. Kaya khansa yanu ili pamlingo wotani, chithandizochi chingathandize kuchepetsa zizindikiro za khansa komanso zotsatirapo zake.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro za m'mimba zosatha komanso zosamveka bwino - mwachitsanzo, kupweteka m'mimba kapena kutsegula m'mimba - pitani kwa dokotala. Nthawi zambiri, izi zitha kukhala zizindikiro za matenda osaopsa kwambiri. Nthawi zambiri , zimatha kukhala zizindikiro za chotupa m'mimba.

Kodi ndiyenera kupita liti ku Emergency Treatment Unit (ETU) ?

Ngati muli ndi zizindikiro monga chizungulire, kutentha thupi, komanso kupuma movutikira (dyspnea), pitani kuchipatala mwamsanga. Zizindikirozi ndizofala m'matenda ambiri omwe amafunika chithandizo chadzidzidzi, kuphatikizapo matenda oopsa (SRCC).

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ndikofunikira kumvetsetsa zonse zokhudza matenda anu, kuphatikizapo momwe zimakhudzira moyo wanu watsiku ndi tsiku. Mutha kufunsa mafunso monga:

• Ndi khansa yamtundu wanji yomwe ndili nayo?
• Kodi khansa yanga ili pamlingo wotani?
• Kodi mumalimbikitsa chithandizo chanji?
• Kodi ndi zotsatirapo zotani zomwe ndingayembekezere kuchokera ku chithandizochi?
• Kodi chiyembekezo changa cha matenda ndi chiyani (zotsatira zake ndi chithandizo)?
• Kodi ndi njira ziti zomwe ndingachite kuti ndikhale ndi moyo wosavuta ndi `(SRCC)`?

Pomaliza, zinthu zoti muzikumbukira

Kudziwa kuti khansa yanu ndi khansa ya m'manja (SRCC) ndikofunikira kwa madokotala omwe amalangiza chithandizo kutengera mtundu wa khansa. Koma funso lalikulu kwa anthu ambiri lingakhale lakuti: "Kodi izi zidzakhudza bwanji thanzi langa?" Yankho lake si lophweka. Kukhala ndi (SRCC) kumatanthauza kuti mungafunike kupanga zisankho zovuta pankhani ya chithandizo chanu. Mungafunike thandizo kumvetsetsa momwe matenda anu angasinthire moyo wanu watsiku ndi tsiku.

Musachite mantha, lankhulani ndi dokotala wanu ndipo pemphani thandizo. Iye ndiye munthu wabwino kwambiri woti akufotokozereni njira zomwe mungachite kuti muthane ndi zomwe zikubwera. Kumbukirani, simuli nokha.

` Mphete ya Selo ya Chizindikiro Khansa, SRCC, Khansa ya M'mimba, Zizindikiro za Khansa, Chithandizo cha Khansa, Adenocarcinoma, Khansa ya M'mimba