Kodi mudayamba mwachitapo mantha pamene mkodzo wanu wasintha mtundu mwadzidzidzi, umasintha kukhala pinki, kapena uli ndi magazi? Kapena mumamva ngati mukufunika kukodza pafupipafupi? Ndizachibadwa kuti aliyense amve mantha pang'ono akaona chizindikiro chonga ichi. Koma ngati timvetsetsa zonsezi molondola, titha kuthana ndi vutoli bwino. Lero tikambirana za nkhani yomwe anthu ambiri safuna kukambirana, koma tonsefe tiyenera kuidziwa, yomwe ndi khansa ya chikhodzodzo.
Kodi khansa ya chikhodzodzo ndi chiyani kwenikweni?
Mwachidule, khansa ya chikhodzodzo ndi pamene maselo a chikhodzodzo chathu amayamba kukula modabwitsa komanso mosalamulirika. Kodi mukudziwa kuti chikhodzodzo chathu ndi chiwalo chaching'ono chonga thumba? Mkodzo wopangidwa ndi impso zathu umasungidwa kwakanthawi mu chikhodzodzochi usanatuluke m'thupi.
Choncho, maselo omwe ali mkati mwa chikhodzodzochi amasintha mosazolowereka, ndipo amagawikana mosalamulirika ndikupanga chotupa. Ichi ndi chomwe timachitcha khansa ya chikhodzodzo. Pakapita nthawi, maselo a khansa awa amatha kufalikira ku ma lymph nodes apafupi ndi ziwalo zina. Nthawi zina zoopsa, pamakhala chiopsezo chofalikira ku ziwalo zakutali monga mafupa, mapapo, kapena chiwindi.
Kodi mitundu ikuluikulu ya khansa ya chikhodzodzo ndi iti?
Pali mitundu ikuluikulu ingapo ya khansa ya chikhodzodzo. Dokotala wanu adzasankha chithandizo chanu kutengera mtundu wa khansa yomwe muli nayo.
| Mtundu wa khansa | Kufotokozera kosavuta |
|---|---|
| Khansa ya Transitional Cell | Uwu ndi mtundu wofala kwambiri. Umachokera ku maselo otchedwa urothelial cells omwe ali mkati mwa chikhodzodzo. Popeza maselowa amapezekanso m'mbali zina za mkodzo, dokotala adzafufuza mkodzo wonse. |
| Khansa ya Cell Squamous | Izi zimachitika kawirikawiri. Nthawi zambiri, mtundu uwu umayamba chifukwa cha matenda a chikhodzodzo kwa nthawi yayitali kapena kukakamizidwa ndi kugwiritsa ntchito catheter ya mkodzo nthawi zonse. |
| Adenocarcinoma | Mtundu uwu ndi wosowa kwambiri. Khansa iyi imayambira m'maselo a glandular a chikhodzodzo. |
| Khansa ya Cell Yaing'ono | Mtundu wa khansa womwe umakula mofulumira kwambiri komanso wosowa kwambiri womwe umayamba m'maselo a mitsempha ndipo nthawi zambiri umachiritsidwa ndi chemotherapy. |
| Sarcoma | Iyi ndi khansa yosowa kwambiri yomwe imayambira m'maselo a minofu ya chikhodzodzo. |
Kodi ndi zinthu ziti zomwe zingachititse khansa ya chikhodzodzo?
Ngakhale kuti n’zovuta kudziwa chomwe chimayambitsa khansa, madokotala apeza zinthu zingapo zomwe zimawonjezera chiopsezo chotenga matendawa.
Chofunika kwambiri ndi kusuta fodya. Kafukufuku wasonyeza kuti kusuta fodya ndiko kumayambitsa 50% ya khansa ya chikhodzodzo. Nthawi iliyonse mukasuta fodya, mankhwala ambiri oopsa amalowa m'thupi lanu.
Zina mwa zinthu zomwe zingakubweretsereni chiopsezo ndi izi:
- Zaka ndi jenda: Amuna azaka zopitilira 55 ali pachiwopsezo chachikulu chotenga matendawa.
- Mbiri ya banja: Ngati munthu wapafupi nanu, monga makolo anu kapena abale anu, wakhala ndi khansa ya chikhodzodzo kapena khansa ya mkodzo, inunso muli pachiwopsezo chachikulu.
- Kukumana ndi mankhwala owopsa: Anthu ogwira ntchito zina, monga makampani opanga utoto, makampani osindikiza, akatswiri okongoletsa, ndi oyendetsa magalimoto akuluakulu, ayenera kukhala ndi mankhwala owopsa kwa nthawi yayitali. Izi ndi zoopsanso.
- Matenda opatsirana m'mitsempha ya mkodzo pafupipafupi: Kukhala ndi matenda a chikhodzodzo kapena matenda ena otupa kwa nthawi yayitali kumawonjezera chiopsezo.
- Mankhwala ena a shuga: Pali umboni wina wosonyeza kuti kugwiritsa ntchito mankhwala ena a shuga kwa nthawi yayitali, monga pioglitazone, kungawonjezere chiopsezo cha matendawa pang'ono.
- Chithandizo cha khansa chomwe mudalandira kale: Ngati mudalandirapo chithandizo cha radiation m'chiuno kapena mankhwala a chemotherapy monga cyclophosphamide, chiopsezo chanu chikhoza kuwonjezeka.
Kodi zizindikiro zake ndi ziti? Kodi mungazindikire bwanji msanga?
Zizindikiro za khansa ya chikhodzodzo zimatha kusiyana malinga ndi gawo la matendawa. Chofunika kwambiri ndikuonana ndi dokotala mukangozindikira zizindikirozi.
| Zizindikiro za khansa ya chikhodzodzo | |
|---|---|
| Zizindikiro zoyambirira (Gawo I) | |
| Mbali yaikulu | Magazi mu mkodzo (hematuria). Mkodzo ukhoza kukhala wa pinki, lalanje, kapena wofiira wakuda. Izi sizingawonekere nthawi zonse. |
| Zina mwazinthu |
|
| Zizindikiro zomwe zimachitika matendawa akapitirira (Advanced Stages) | |
| |
Makamaka akazi, anganyalanyaze magazi omwe ali mu mkodzo, poganiza kuti ndi msambo chabe kapena vuto lina la amayi. Chifukwa chake , ndikofunikira kulankhula ndi dokotala za kutuluka magazi kosazolowereka.
Kodi khansa imapezedwa bwanji?
Ngati muli ndi zizindikiro, dokotala wanu adzakulamulani kuti muyesedwe kangapo kuti atsimikizire ngati muli ndi khansa ya chikhodzodzo.
- Kusanthula mkodzo: Kufufuza ngati magazi ali mu mkodzo kapena matenda.
- Cytology: Chitsanzo cha mkodzo chimayesedwa pogwiritsa ntchito maikulosikopu kuti chione ngati pali maselo a khansa.
- Cystoscopy: Iyi ndi njira yofunika kwambiri komanso yolondola yoyezera. Mu izi, chubu chopyapyala chokhala ndi kamera chimayikidwa kudzera mu mkodzo ndikulowa mwachindunji mu chikhodzodzo. Ngati pali chotupa, chimawoneka bwino.
- Biopsy: Pa nthawi ya cystoscopy, chidutswa chaching'ono cha minofu yokayikitsa chimatengedwa kuti chitsimikizire ngati ndi khansa.
Ngati khansa yatsimikizika, mayeso monga CT scan , MRI scan , kapena chifuwa X-ray angafunike kuti adziwe momwe yafalikira (staging).
Kodi mankhwala ake ndi otani?
Musadandaule, khansa ya chikhodzodzo ndi matenda ochiritsika kwambiri , makamaka ngati yapezeka msanga. Chithandizo chimadalira mtundu wa khansa, gawo lake, komanso thanzi lanu lonse.
Opaleshoni
Uwu ndiye mankhwala omwe amagwiritsidwa ntchito kwambiri.
- TURBT (Transurethral Resection of Chikhodzodzo): Mofanana ndi cystoscopy, chipangizo chimayikidwa kudzera mu urethra kuti chichotse chotupa cha khansa chokha chomwe chili pakhoma la chikhodzodzo. Izi zimachitika pa khansa yoyambirira.
- Kuchotsa Khansa Yochepa: Ngati khansayo yangochitika pa gawo limodzi la chikhodzodzo, gawo lokhalo la chikhodzodzo ndi lomwe limachotsedwa.
- Kuchotsa Mitsempha Yaikulu: Ngati khansa yafalikira mpaka ku minofu ya chikhodzodzo, chikhodzodzo chonse chingafunike kuchotsedwa. Pankhaniyi, njira yochotsera mkodzo imapangidwa kuti mkodzo utuluke m'thupi.
Mankhwala ena
- Chemotherapy: Kupereka mankhwala ophera maselo a khansa. Nthawi zina, pambuyo pa TURBT, mankhwala amaperekedwa mwachindunji mu chikhodzodzo kudzera mu chubu (intravesical chemotherapy) kuti aphe maselo ena onse a khansa.
- Chithandizo cha Radiation: Kuwononga maselo a khansa pogwiritsa ntchito kuwala kwamphamvu kwambiri.
- Chithandizo cha Immunotherapy: Chimalimbikitsa chitetezo cha mthupi lathu kuti chilimbane ndi maselo a khansa.
- Chithandizo Cholunjika: Kugwiritsa ntchito mankhwala omwe amalimbana ndi malo enieni ofunikira kuti maselo a khansa akule.
Uthenga Wopita Nawo Kunyumba
- Choopsa chachikulu cha khansa ya chikhodzodzo ndi kusuta fodya.Ngati ndinu wosuta fodya, yesani kusiya lero.
- Magazi mu mkodzo ndiye chizindikiro chofala kwambiri komanso choyambirira cha matendawa. Ngati muwona chilichonse chonga ichi, musachedwe ndipo pitani kwa dokotala nthawi yomweyo.
- Ngati matendawa atapezeka msanga, amatha kuchiritsidwa bwino kwambiri. Chiŵerengero cha kupulumuka kwa zaka 5 ndi chokwera kufika pa 77%.
- Imwani madzi ambiri ndipo idyani zakudya zokhala ndi zipatso ndi ndiwo zamasamba zambiri. Izi zingathandize kuchepetsa chiopsezo cha matendawa.
- Ngati pali vuto lililonse la thanzi, ndi bwino kufunafuna upangiri wa dokotala popanda mantha kapena kukayikira.

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