Chithandizo cha Khansa ya M'matumbo Chimadalira Gawo la Matendawa: Tiyeni Tiphunzire za Izi

Ndizachibadwa kuchita mantha komanso kudabwa mukamadziwa kuti muli ndi khansa ya m'matumbo. Koma ndikofunikira kudziwa nthawi ngati izi. Kumvetsetsa chithandizo chomwe mudzalandire komanso zomwe mungayembekezere kungakhale kothandiza kwambiri. Chithandizo cha khansa ya m'matumbo chimadalira kwambiri "gawo" lake. Mwachidule, dongosolo la chithandizo limatsimikiziridwa ndi momwe khansayo yafalikira.

Gawo 0: Chiyambi chenicheni cha khansa

Izi zikutanthauza kuti khansa ili kumayambiriro kwenikweni. Izi zikutanthauza kuti maselo a khansa ali m'kati mwa matumbo anu kapena m'matumbo. Choncho nthawi zambiri siteji iyi imatha kuchiritsidwa kwathunthu ndi opaleshoni.

Mtundu wa opaleshoni yomwe mudzachite idzadalira kukula kwa chotupacho.

• Pa zotupa zazing'ono: Dokotala angachotse chotupa cha khansa chokha ndi kachidutswa kakang'ono kwambiri kozungulira. Izi zimatchedwanso "Polypectomy." Izi nthawi zambiri zimatha kuchitika panthawi ya colonoscopy, njira yomwe imagwiritsa ntchito kamera kuyang'ana m'matumbo.
• Pa zotupa zazikulu: Ngati chotupacho ndi chachikulu kwambiri, dokotala angafunike kudula gawo la khansa la m'matumbo ndikulumikizanso magawo awiri athanzi. Izi zimatchedwa anastomosis. Pambuyo pake, matumbo anu adzagwiranso ntchito bwino.

Nthawi zina dokotala angaganizirenso za chithandizo cha radiation.

Gawo Loyamba: Mulingo wodalirikabe

Pakadali pano, khansa yafalikira kupitirira chigawo cha m'matumbo, mpaka ku zigawo zachiwiri ndi zachitatu. Koma chofunika kwambiri n'chakuti khansayo sinafalikire kupitirira khoma la minofu ya m'matumbo, kapena kunja kwa m'matumbo.

Pakadali pano, chithandizo chachikulu chimakhala opaleshoni yochotsa khansa ndi minofu yochepa yozungulira. Nthawi zambiri, chithandizo china (monga chemotherapy) sichifunika.

Gawo Lachiwiri: Kufalikira kudzera m'matumbo

Mu gawo lachiwiri, maselo a khansa amakhala akuluakulu ndipo amakula kudzera mu khoma la minofu ya m'matumbo. Akhoza kufalikira ku ziwalo zapafupi monga chikhodzodzo, chiberekero (mwa akazi), kapena prostate gland (mwa amuna).

Koma nkhani yabwino apa ndi yakuti khansayo sinafalikire mpaka ku ma lymph nodes kapena ku ziwalo zakutali m'thupi.

Pa nthawiyi, chithandizo ndi:

• Khansa ndi minofu yozungulira yomwe yafalikira imachotsedwa opaleshoni.
• Mankhwala a radiation ndi chemotherapy angaperekedwe opaleshoni isanayambe kapena itatha . Mankhwalawa amaperekedwa opaleshoni isanayambe kuti chotupacho chikhale chochepa komanso chosavuta kuchotsa. Amaperekedwa opaleshoni itatha kuti awononge maselo otsala a khansa ndikuletsa kuti matendawa asabwererenso.

Gawo Lachitatu: Kufalikira ku glands za sebaceous

Gawo lachitatu ndi pamene khansa yafalikira ku lymph node imodzi kapena zingapo. Lymph nodes ndi kapangidwe kakang'ono kamene kamapanga maselo omwe amalimbana ndi matenda m'thupi lathu ndipo amachita ngati zosefera.

Gawo ili lagawidwanso m'magawo atatu: A, B, ndi C. Mwachidule:

• Gawo IIIA: Khansa ili mkati mwa khoma la m'matumbo ndipo yafalikira mpaka ku ma lymph nodes.
• Gawo IIIB: Khansa yakula kudzera m'khoma la m'matumbo ndipo yafalikira mpaka ku ma lymph nodes 1-4.
• Gawo lachitatu: Khansa yafalikira ku ma lymph nodes opitilira anayi ndipo mwina yafalikira ku ziwalo zapafupi.

Ndondomeko ya chithandizo pakadali pano nthawi zambiri imawoneka motere:

• Opaleshoni: Ngati n'kotheka, chotupa cha khansa ndi ma lymph nodes onse ogwirizana nacho amachotsedwa.
• Chemotherapy: Chemotherapy nthawi zambiri imaperekedwa pambuyo pa opaleshoni.
• Chithandizo cha radiation: Ngati khansa ndi yayikulu ndipo yafalikira ku minofu yozungulira, chithandizo cha radiation chingaperekedwenso.

Gawo Lachinayi: Khansa Yofalikira

Gawo lachinayi ndi pamene khansa yafalikira ku ziwalo zakutali m'thupi, makamaka chiwindi kapena mapapo . Madokotala amatchanso gawoli khansa ya "metastatic". Pakadali pano, cholinga chachikulu cha chithandizo ndikuwongolera matendawa, kuchepetsa zizindikiro, kutalikitsa moyo wa wodwalayo momwe angathere, komanso kukhala ndi moyo wabwino.

Tiyeni tiwone njira zazikulu zochiritsira zomwe zimagwiritsidwa ntchito panthawiyi mu tebulo ili m'munsimu.

Nanga bwanji ngati khansa yabwerera? (Khansa Yobwerezabwereza)

Nthawi zina, khansa imatha kubwereranso pambuyo pa chithandizo. Madokotala amatcha khansa iyi kuti "yobwerezabwereza." Imeneyi ikhoza kukhala pamalo omwewo pomwe khansa inalipo kale kapena mbali ina ya thupi. Chiwopsezochi chimakhala chokwera pang'ono mwa anthu omwe anali ndi khansa pamlingo wapamwamba (monga Gawo III).

Chithandizo ngati khansa yabwereranso:

• Opaleshoni: Kafukufuku wasonyeza kuti ngati khansa yobwereranso ikhoza kuchotsedwa kwathunthu ndi opaleshoni, ingathandize wodwalayo kukhala ndi moyo wautali.
• Mankhwala a chemotherapy ndi radiation: Mankhwalawa amagwiritsidwa ntchito ngati opaleshoni singathe kuchotsa khansa yonse. Nthawi zina mankhwala amenewa amatha kuchepetsa chotupacho kuti chichotsedwe pambuyo pake.
• Mayeso azachipatala:Izi ndi maphunziro okhudza mankhwala atsopano kapena njira zochiritsira. Nthawi zina, izi zingakupatseni mwayi woyesa mankhwala atsopano omwe sagwiritsidwa ntchito kawirikawiri. Lankhulani ndi dokotala wanu za izi.