Khansa ya m'mimba: Tiyeni tikambirane mwachidule

Ambiri a ife nthawi zambiri timakumana ndi mavuto monga kutentha pamtima, kusagaya bwino chakudya, ndi gastritis, eti? Nthawi zambiri timayesetsa kupanga mankhwala kunyumba, kapena kumwa piritsi laling'ono kuti tichepetse ululu. Koma kodi mukudziwa kuti nthawi zina zizindikiro izi, zomwe timaganiza kuti ndi zazing'ono, zimatha kukhala chizindikiro choyambirira cha vuto lalikulu, lomwe ndi khansa ya m'mimba. Musadandaule, si mavuto onse am'mimba omwe ndi khansa. Komabe, ndikofunikira kwambiri kuti tidziwe izi. Chifukwa chake lero, tiyeni tikambirane za khansa ya m'mimba, kapena 'Khansa ya m'mimba'.

Mwachidule, kodi khansa ya m'mimba ndi chiyani?

Khansa ya m'mimba ndi pamene maselo m'mimba mwathu, kutanthauza m'mimba, amayamba kukula mosalamulirika. Monga udzu, maselo a khansa awa amagawikana mofulumira ndikufalikira, ndikuwononga maselo athanzi.

Khansa iyi imatha kufalikira kulikonse m'mimba. Koma imapezeka kwambiri m'dera lomwe chakudya chomwe timadya chimayenda, m'mero, komwe imalumikizana ndi m'mimba. Matendawa nthawi zambiri amayamba mkati mwa khoma la m'mimba. Amakula pang'onopang'ono poyamba. Koma ngati sanalandire chithandizo, maselo a khansa awa amatha kukula pamodzi ndikupanga chotupa , kukula mozama kudzera m'khoma la m'mimba, ndikufalikira (metastasize) ku ziwalo zapafupi monga chiwindi ndi kapamba.

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

Ngakhale kuti aliyense akhoza kudwala khansa ya m'mimba, anthu ena ali pachiwopsezo chachikulu.

• Kwa anthu opitirira zaka 65: Pamene tikukalamba, maselo a thupi lathu amatha kusintha.
• Kwa amuna: Amuna ali ndi mwayi wochuluka wopeza matendawa kuposa akazi.
• Mitundu ina ya anthu: Matendawa amapezeka kwambiri m'madera ena a dziko lapansi, monga kum'mawa kwa Europe. Izi zitha kukhala chifukwa cha zakudya zomwe amadya komanso majini awo.

Tiyenera kuda nkhawa ndi matendawa m'maiko ngati Sri Lanka. Khansa ya m'mimba ndi imodzi mwa mitundu yofala kwambiri ya khansa padziko lonse lapansi.

Kodi zizindikiro za matendawa ndi ziti? Kodi mungazindikire bwanji?

Vuto lalikulu apa ndilakuti khansa ya m'mimba nthawi zambiri siionetsa zizindikiro zilizonse kumayambiriro . Nthawi zina, khansayo imatha kukhala itakula kale pofika nthawi yomwe zizindikiro zimawonekera. Chifukwa chake ndikofunikira kudziwa zizindikirozi.

Tangoganizani kuti mukumva kukhuta mukatha kudya, kapena kuti muli ndi kutentha m'mimba mwanu. Timatcha izi "gastritis." Koma ngati zinthuzi zikupitirizabe kuchitika, ndipo ngati muchepetsa thupi popanda chifukwa , musanyalanyaze. Izi ndi zizindikiro ziwiri zoyambirira za khansa ya m'mimba.

Tiyeni tiphunzire bwino za zizindikiro izi kuchokera pa tebulo ili m'munsimu.

N’chifukwa chiyani khansa ya m’mimba imayamba? Kodi zinthu zoopsa ndi ziti?

Khansa ya m'mimba imayamba pamene kusintha kwa majini kumachitika mu DNA ya maselo am'mimba. Mwachidule, malangizo omwe amauza maselo kuti "nthawi yogawanikira ndi nthawi yofa" amasokonekera. Kenako maselo amenewo amagawikana mosalamulirika ndipo amakhala khansa.

Ngakhale kuti chifukwa chenicheni cha kusintha kwa majini sichinapezekebe, zinthu zingapo zapezeka zomwe zimawonjezera chiopsezo cha khansa.

• *Helicobacter pylori (H. pylori)* Matenda a bakiteriya: Ichi ndi chinthu chachikulu chomwe chimayambitsa khansa ya m'mimba. Bakiteriya iyi imakhala m'mimba mwathu ndipo imatha kuwononga khoma la m'mimba pakapita nthawi, zomwe zimayambitsa gastritis, zilonda zam'mimba, komanso khansa.
• Matenda a m'mimba ndi gastroesophageal reflux disease (GERD): Matenda a m'mimba omwe nthawi yayitali amachititsa kuti asidi m'mimba abwererenso m'mimba angayambitse kusintha kwa maselo a khoma la m'mimba.
• Zakudya Zosapatsa Thanzi: Anthu omwe amadya zakudya zamchere, mafuta, zosuta, komanso zokazinga nthawi zonse ali pachiwopsezo chachikulu. Komanso, kudya zipatso ndi ndiwo zamasamba zochepa kumawonjezera chiopsezo.
• Kusuta ndi mowa: Mankhwala omwe ali mu fodya amapita mwachindunji m'mimba ndikuwononga maselo. Izi zimachitikanso ndi kumwa mowa wambiri.
• Mbiri ya banja: Ngati wina m'banja mwanu (amayi, abambo, abale) adadwala khansa ya m'mimba, inunso mungakhale pachiwopsezo.
• Kunenepa Kwambiri: Kusintha kwa mahomoni ndi matenda otupa omwe amayamba chifukwa cha mafuta ambiri m'thupi kumawonjezera chiopsezo cha khansa.
• Matenda ena a majini: Anthu omwe ali ndi matenda obadwa nawo monga *Lynch syndrome* ndi *Li-Fraumeni syndrome* nawonso ali pachiwopsezo chachikulu cha khansa ya m'mimba.
• Mtundu wa magazi: Anthu omwe ali ndi mtundu wa magazi A apezeka kuti ali ndi chiopsezo chachikulu chotenga khansa iyi, koma chifukwa chake sichinadziwikebe.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira matendawa?

Ngati muli ndi zizindikiro zomwe tatchula kale, dokotala wanu adzakuyang'anirani ndikukutumizani kuti mukayesedwe ngati pakufunika kutero.

• Endoscopy (Endoscopy Yapamwamba):Iyi ndi njira yofunika kwambiri komanso yolondola yodziwira khansa ya m'mimba. Mu njira iyi, chubu chopyapyala, chosinthasintha chokhala ndi kamera chimayikidwa kudzera pakamwa ndipo m'mero, m'mimba, ndi gawo loyamba la matumbo ang'onoang'ono limafufuzidwa. Ngati pali malo okayikitsa, chida chaching'ono chimadutsa mu chubucho ndipo chidutswa chaching'ono cha minofu (biopsy) chimatengedwa ndikutumizidwa ku labotale kuti chikayang'ane maselo a khansa.
• Endoscopic Ultrasound: Izi zikufanana ndi endoscopy, koma imagwiritsanso ntchito ultrasound scanner pamodzi ndi kamera. Izi zingathandize kudziwa momwe khansa yafalikira mpaka m'mimba.
• Mayeso a Radiologic:
• Kujambula kwa CT: Izi zingatenge zithunzi za thupi lonse kuti zidziwe kukula kwa khansa komanso ngati yafalikira ku ziwalo zina.
• Kumeza kwa Barium: Mu mayeso awa, madzi otchedwa barium amamezedwa. Madzi awa akagwiritsidwa ntchito pakhoma la m'mimba, X-ray imatha kutengedwa kuti ione bwino mawonekedwe ndi zolakwika za m'mimba.
• Kuyezetsa Magazi: Izi zimatha kuzindikira ngati khansa yakhudza ziwalo zina monga chiwindi, kapena ngati pali kuchepa kwa magazi m'thupi.
• Laparoscopy: Nthawi zina, ngati ma scan sakutha kudziwa momwe khansa yafalikira, opaleshoniyi imachitika. Mu njirayi, mabala angapo ang'onoang'ono amapangidwa m'mimba, kamera imayikidwa, ndipo ziwalo zimawunikidwa mwachindunji.

Ngati mayesowa atsimikizira kuti pali khansa, dokotala adzazindikira siteji yake. Pali magawo kuyambira 0 mpaka IV (anayi). Mu gawo loyamba (Gawo 0), khansayo imakhala pamwamba pa khoma la m'mimba. Gawo IV limatanthauza kuti khansayo yafalikira ku ziwalo zakutali. Chithandizo chimatsimikiziridwa kutengera gawoli.

Kodi mankhwala a khansa ya m'mimba ndi ati?

Ndondomeko ya chithandizo imadalira gawo la khansa, thanzi lanu lonse, komanso zomwe mumakonda. Nthawi zambiri, dokotala wa khansa ndi dokotala wa matenda a m'mimba amagwira ntchito limodzi kuti apange njira yabwino kwambiri yothandizira khansa.

Opaleshoni

Chithandizo chachikulu cha khansa ya m'mimba ndi kuchotsa khansayo kudzera mu opaleshoni.

• Endoscopy: Ngati khansa ili kumayambiriro kwenikweni, kutanthauza kuti, pamwamba pa khoma la m'mimba, gawo la khansa likhoza kudulidwa ndikuchotsedwa panthawi ya endoscopy.
• Kuchotsa gawo kapena m'mimba yonse (Gastrectomy): Ngati khansa yafalikira kwambiri m'mimba, opaleshoni ingafunike kuchotsa gawo la m'mimba lomwe lili ndi khansa (subtotal gastrectomy) kapena m'mimba yonse (total gastrectomy). Ngati m'mimba yonse yachotsedwa, dokotalayo adzalumikiza m'mero ​​wanu mwachindunji ndi matumbo ang'onoang'ono.Musadandaule, ngakhale mimba yanu itachotsedwa kwathunthu, mutha kudya bwino, koma simungadye zambiri nthawi imodzi, muyenera kudya pang'ono kangapo patsiku.

Mankhwala ena

Chithandizochi chimagwiritsidwa ntchito kuwonjezera pa opaleshoni kapena pamodzi ndi opaleshoni.

• Chemotherapy: Izi zimaphatikizapo kupatsa thupi mankhwala opha maselo a khansa. Mankhwalawa amaperekedwa kuti achepetse chotupacho musanachite opaleshoni, kapena kupha maselo ena onse a khansa pambuyo pa opaleshoni.
• Chithandizo cha radiation: Izi zimaphatikizapo kugwiritsa ntchito ma radiation amphamvu kwambiri (monga ma X-ray) kuti awononge maselo a khansa. Izi nthawi zambiri zimaperekedwa limodzi ndi chemotherapy.
• Mankhwala Ogwiritsidwa Ntchito Mwapadera: Mankhwalawa amalimbana ndi zofooka zinazake m'maselo a khansa popanda kuvulaza maselo abwinobwino.
• Chithandizo cha Immunotherapy: Izi zimaphatikizapo kulimbikitsa chitetezo cha mthupi lathu kuti chizindikire ndikuwononga maselo a khansa.
• Chisamaliro Chochepetsa Kupweteka: Ichi ndi chinthu chomwe anthu ambiri sakumvetsa. Chisamaliro chochepetsa kupsinjika si chinthu chomwe chimaperekedwa kumapeto kwa chithandizo. Ndi chithandizo chapadera chachipatala chomwe chimaperekedwa kuti chiwongolere moyo wa wodwalayo mwa kuchepetsa mavuto monga kupweteka, nseru, komanso kusowa chilakolako chofuna kudya chifukwa cha matendawa pamene khansa ikuchiritsidwa.

Kodi khansa ya m'mimba ingachiritsidwe? Kodi ingapewedwe bwanji?

Inde, zingatheke! Khansa ya m'mimba imatha kuchiritsidwa kwathunthu ngati yapezeka msanga . Ndicho chifukwa chake timati musanyalanyaze ngakhale zizindikiro zazing'ono. Khansa ikakula kwambiri, imakhala yovuta kuchiza. Lankhulani ndi dokotala wanu kuti mudziwe zambiri zokhudza matenda anu.

Ngakhale kuti khansa singathe kupewedwa 100%, pali zinthu zambiri zomwe tingachite kuti tichepetse chiopsezo.

• Chithandizo cha matenda a H. pylori: Ngati muli ndi gastritis, funsani dokotala wanu kuti akuyeseni ngati muli ndi matenda a H. pylori. Ngati ndi choncho, chizani matendawa ndi maantibayotiki oyenera.
• Zakudya Zopatsa Thanzi:
• Phatikizani zipatso ndi ndiwo zamasamba zatsopano muzakudya zanu za tsiku ndi tsiku. Malalanje, mapeyala, ndi ndiwo zamasamba zobiriwira, zomwe zili ndi vitamini C wambiri, ndi zabwino kwambiri.
• Chepetsani kudya zakudya zamchere, mafuta, zosungidwa, zosuta (monga soseji, nyama yankhumba) ndi nyama yofiira (ng'ombe, nkhumba).
• Siyani kusuta konse: Ngati mukusuta, siyani lero. Ndi thandizo lalikulu kwambiri lomwe mungachite.
• Khalani ndi kulemera koyenera: Yesetsani kukhala ndi kulemera koyenera malinga ndi kutalika kwanu. Kuchita masewera olimbitsa thupi nthawi zonse n'kofunika kwambiri.