Tonsefe timachita mantha pang'ono tikamva mawu akuti " khansa ya m'matumbo, " sichoncho? Koma chomwe anthu ambiri sadziwa n'chakuti khansa iyi nthawi zambiri siikula nthawi imodzi. M'malo mwake, isanakhale khansa, kusintha kwina kumachitika m'matumbo mwathu. Chabwino kwambiri n'chakuti ngati tingathe kuzindikira "matenda a khansa " awa msanga, tili ndi mwayi woletsa khansa kuti isakule. Chifukwa chake lero, tiyeni tikambirane za machenjezo awa omwe amaperekedwa kwa ife matenda oopsawa asanafike.
Kodi ndi matenda ati omwe amayamba khansa isanayambe?
Mwachidule, izi ndi maselo osazolowereka omwe amapangika m'makoma a m'matumbo athu. Izi si khansa pakadali pano, koma zimatha kusanduka khansa ngati sizichiritsidwa pakapita nthawi. Pali matenda akuluakulu angapo pakati pawo. Tiyeni tiwone chilichonse.
1. Adenomatous Polyps: Chiwopsezo Chofala Kwambiri
Mwina mwamvapo mawu akuti " ma polyps ." Awa ndi tinthu tating'onoting'ono tomwe timapangika pakhoma lamkati mwa matumbo. Tili ngati chiphuphu pakhungu, ngati chiphuphu. Pali mitundu ingapo ya ma polyps, koma mtundu wotchedwa adenomatous ndi womwe uli ndi chiopsezo chachikulu chokhala ndi khansa.
Chofunika kwambiri ndichakuti ma polyps amenewa sangasonyeze zizindikiro zilizonse zakunja. Ichi ndichifukwa chake mayeso azachipatala ndi ofunikira kwambiri.
Kodi izi zimapezeka bwanji ndikuchiritsidwa bwanji?
Njira yabwino yodziwira ma polyps awa ndi colonoscopy.Kuwunika. Pa izi, dokotala amawunika matumbo onse akuluakulu pogwiritsa ntchito chubu chaching'ono chokhala ndi kamera (scope) chomwe chimayikidwa kudzera mu anus. Kuwunika kumeneku kumatha kuwona bwino zinthu monga ma polyps.
Chithandizocho ndi motere:
- Kuchotsa ma polyp: Nkhani yabwino ndi yakuti ngati ma polyp apezeka panthawi ya colonoscopy, amatha kudulidwa ndikuchotsedwa nthawi yomweyo. Izi sizifuna opaleshoni yayikulu.
- Kutumiza ku labotale: Polyp yochotsedwayo imatumizidwa ku labotale kuti itsimikizire ngati ndi adenomatous kapena mtundu wina wosavulaza.
- Kuwunikanso : Ngati mwapeza polyp imodzi, dokotala wanu angakulangizeni kuti mufufuzenso colonoscopy yonse. Pambuyo pake, nthawi zambiri mumalimbikitsidwa kuti mufufuzenso pambuyo pa chaka chimodzi kapena zitatu , matumbo anu akakhala "oyera" kwathunthu. Ngati zotsatira zanu zikupitiliza kukhala zabwino, dokotala wanu adzasankha nthawi yoti mufufuzenso.
2. Familyal Adenomatous Polyposis (FAP)
Uwu ndi vuto losiyana pang'ono, komanso loopsa kwambiri. FAP ndi vuto lobadwa nalo, kapena la majini. Munthu amene ali ndi vutoli amakhala ndi ma polyps mazana ambiri, ngati si zikwizikwi, m'matumbo mwake.
Tangoganizirani, izi ndi zowopsa kwambiri kotero kuti ngati munthu amene ali ndi FAP sanalandire chithandizo, mwayi wokhala ndi khansa ya m'matumbo pofika zaka 40 umakhala pafupi ndi 100%.
Chifukwa chake, ngati FAP yapezeka, imafunika chithandizo cha opaleshoni. Njira zochitira opaleshoni ndi chithandizo cha izi zalembedwa mu tebulo ili m'munsimu.
| Mkhalidwe wa wodwala | Njira yothandizira ndi opaleshoni |
|---|---|
| Ngati palibe ma polyps mu rectum | Kuchotsa m'mimba konse: Mbali yaikulu ya m'mimba imachotsedwa opaleshoni, ndipo gawo lina la m'mimba mwaing'ono (ileum) limalumikizidwanso ndi rectum. Pambuyo pa opaleshoni, rectum imafufuzidwa miyezi 6 iliyonse (proctoscopy). |
| Ngati muli ndi ma polyps a m'matumbo kapena simukufuna kutenga chiopsezo cha khansa | Kuchotsa thumba la m'mimba la Ileal pouch-anal anastomosis: Matumbo akuluakulu ndi rectum onse amachotsedwa. Kenako, thumba laling'ono limapangidwa kuchokera ku matumbo ang'onoang'ono ndikulumikizidwa kumapeto kwa rectum. Izi zimathandiza wodwalayo kupitiriza kuyenda bwino m'matumbo. |
3. Matenda a Kutupa kwa Matumbo (IBD)
IBD ndi kutupa kosatha kwa matumbo. Zitsanzo za izi ndi matenda monga ulcerative colitis . Matumbo akatupa kwa nthawi yayitali, pali chiopsezo chakuti maselo m'zigawo zimenezo asinthe ndikukhala khansa .
Kodi mungamuthandize bwanji munthu amene ali ndi IBD?
- Kuyezetsa magazi nthawi zonse: Anthu omwe ali ndi IBD ayenera kuchitidwa opaleshoni ya colonoscopy nthawi zonse kuti aone ngati ali ndi zizindikiro za khansa. Izi zingathandize kuzindikira kusintha kulikonse msanga.
- Kuchotsa Khansa ya M'mimba: Odwala ena amasankha kuchotsa khansa ya m'mimba mwa opaleshoni asanayambe khansa, m'malo moyembekezera kuti iyambe. Apanso, opaleshoni ya ``ileal pouch-anal anastomosis`` yomwe yatchulidwa kale ikhoza kuchitidwa kuti moyo ukhale wabwino.
Zonsezi zikusonyeza bwino kuti khansa ya m'matumbo si chinthu chomwe chimachitika mwadzidzidzi. Thupi lathu limatipatsa zizindikiro zosiyanasiyana isanayambe. Chofunika kwambiri ndichakuti tizidziwa zizindikirozo, tizionana ndi dokotala panthawi yoyenera, ndikupeza mayeso ndi chithandizo chofunikira.
Uthenga Wopita Nawo Kunyumba
- Khansa zambiri za m'matumbo zimayamba ngati matenda ochiritsika, osati khansa (matenda asanafike khansa).
- Mayeso monga colonoscopy amatha kuzindikira matendawa msanga ndikuchotsa asanakhale khansa. Ngati dokotala wanu akulangizani, musasiye mayesowa.
- Ngati wina m'banja mwanu wakhala ndi matenda monga khansa ya m'matumbo, ma polyps, kapena FAP, ndikofunikira kudziwitsa dokotala wanu. Izi ziwathandiza kuwona chiopsezo chanu.
- Khansa ya m'matumbo ingapewedwe kwathunthu ngati itapezeka msanga komanso kulandira chithandizo choyenera. Choncho musachite mantha, dziwani.
Khansa ya M'matumbo, Matenda Osayambitsa Khansa, Adenomatous Polyps, Colonoscopy, FAP, Familyal Adenomatous Polyposis , IBD, Matenda Otupa a M'matumbo, Opaleshoni
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