Mawu oti "khansa" amatiopseza tonse pang'ono, sichoncho? Koma kodi mukudziwa kuti mitundu ina ya khansa, makamaka khansa ya m'matumbo, yomwe tikambirane, imatha kuchiritsidwa kwathunthu ngati itapezeka msanga ? Anthu ambiri amachita manyazi kapena amaopa kulankhula za kusintha kwa zizolowezi zawo za chimbudzi, kapena za magazi omwe ali m'chimbudzi chawo. Koma kusiya manyazi ndi mantha amenewo ndikuyankhula ndi dokotala kungakhale chifukwa chomwe mungapulumutsire moyo wanu. Choncho tiyeni tikambirane za izi poyera komanso mosavuta lero.
Kodi khansa ya m'matumbo ndi chiyani?
Mwachidule, m'mimba mwathu muli dongosolo lalitali longa chubu lomwe limagaya chakudya chomwe timadya ndikuchitulutsa m'thupi ngati zinyalala. Khansa iyi imapezeka m'gawo lachiwiri la izi, kutanthauza, matumbo akulu (omwe amatchedwanso 'colon') ndi rectum ('rectum'). Nthawi zina zotupa zazing'ono, zokhala ndi minofu zimapangidwa pakhoma lamkati la chubu ichi. Malinga ndi zamankhwala timatcha ma polyps awa kuti ``Polyps``.
Tangoganizirani, munthu mmodzi mwa akuluakulu anayi azaka zopitirira 50 akhoza kukhala ndi polyp imodzi kapena zingapo. Koma musadandaule, si ma polyp onsewa omwe ndi khansa. Ambiri ndi osavulaza. Komabe, ena mwa mitundu iyi, makamaka mtundu wotchedwa adenomatous polyps, amatha kusanduka khansa pakapita nthawi.
Ngati polyp ndi yayikulu, chiopsezo chake chokhala ndi khansa chimakhala chachikulu. Mwachitsanzo, polyp yochepera 1 cm ili ndi mwayi wa 1% wokhala ndi khansa, pomwe polyp yoposa 2 cm ili ndi mwayi wa 40% wokhala ndi khansa.
Nayi mfundo yofunika: Ngati khansa iyi yapezeka ndi kuchiritsidwa msanga, pamene chotupacho chikadali pa khoma la matumbo , mwayi wochira kwathunthu ndi wokwera kufika pa 90%. Izi zikutanthauza kuti anthu asanu ndi anayi mwa khumi adzachiritsidwa!
Koma ngati chithandizo chachedwa, maselo a khansa amenewa amatha kuswa khoma la matumbo ndikufalikira m'thupi lonse kupita ku ma lymph nodes apafupi, minofu ina, ziwalo monga chiwindi, kapena magazi. Akafalikira, chithandizo chimakhala chovuta kwambiri. Kutengera kukula kwa matendawa, mwayi wopulumuka ukhoza kuchepa kuchoka pa 11% mpaka 72%.
Kodi ndi zinthu ziti zomwe zingachititse kuti munthu adwale khansa imeneyi?
Ngakhale kuti sizingatheke kunena motsimikiza kuti ichi ndi chomwe chimayambitsa khansa iyi, madokotala apeza zinthu zingapo zomwe zimayambitsa chiopsezo chotenga matendawa. Tiyeni tiwone zomwe zili.
| Zoopsa | Kufotokozera kosavuta |
|---|---|
| Zaka | Chiwopsezochi chimawonjezeka kwambiri munthu akakwanitsa zaka 50. Chiwopsezochi chimawonjezekanso munthu akamakula. |
| Mbiri ya Banja | Ngati m'modzi mwa achibale anu apamtima (amayi, abambo, m'bale, mwana) ali ndi khansa iyi, inunso muli pachiwopsezo chachikulu. Ngati achibale angapo adadwala khansayi, chiopsezo chake chimakhala chachikulu. |
| Matenda Ena | Ngati inu kapena wina m'banja mwanu mudadwalapo matenda a m'matumbo kapena khansa m'mbuyomu, kapena ngati muli ndi matenda otupa m'matumbo (ulcerative colitis) kapena matenda a Crohn, chiopsezo chanu chimakhala chachikulu. |
| Matenda a majini omwe amapatsirana kuchokera ku mibadwomibadwo kupita ku mibadwomibadwo (Heredity) | Anthu ena ali ndi chibadwa chotengera matendawa. Anthu omwe ali ndi matenda monga Familyal Adenomatous Polyposis (FAP) amakhala ndi ma polyps ambiri ali aang'ono kwambiri. Anthuwa ali pachiwopsezo chachikulu chotenga khansa. |
| Zakudya | Kafukufuku akupitirirabe pankhaniyi. Komabe, anthu omwe amadya ndiwo zamasamba ndi zipatso zambiri akuoneka kuti ali ndi chiopsezo chochepa. Kafukufuku wina akusonyeza kuti anthu omwe amadya mafuta ambiri a nyama ndi mapuloteni, makamaka nyama yofiira (ng'ombe, nkhumba), ali pachiwopsezo chachikulu. Palinso chikhulupiriro chakuti zinthu zomwe zimayambitsa khansa zimatha kupangika, makamaka zikaphikidwa kutentha kwambiri (monga nyama yowotcha). |
| Moyo | Kusuta ndi kumwa zakumwa zoledzeretsa zoposa 4 pa sabata kumawonjezera chiopsezo. |
| Maopaleshoni Akale ndi Kutulutsa Ma radiation | Ngati munakhalapo ndi khansa iyi kale (makamaka musanakwanitse zaka 60), pali chiopsezo choti ibwererenso. Komanso, ngati munalandira chithandizo cha radiation m'mimba, chiopsezo cha khansa m'derali chikhoza kuwonjezeka. |
Siyani manyazi anu pambali ndipo mukakumane ndi dokotala.
Uthenga wofunika kwambiri womwe ndili nawo kwa inu mukuwerenga nkhaniyi ndi uwu: Ngati muwona kusintha kwadzidzidzi kwa matumbo anu (monga kuyenda mobwerezabwereza m'mimba, kudzimbidwa, kapena kusintha kwa mayendedwe a matumbo), magazi m'chimbudzi chanu, kupweteka m'mimba pafupipafupi kapena kupweteka, kapena kuchepa thupi kosazolowereka, chonde musanyalanyaze.
Musaganize kuti, "O, mungamuuze bwanji dokotala izi?" Dokotala wanu ndi munthu amene amalankhula ndi odwala za zinthuzi tsiku lililonse ndipo amawachiza. Ndi gawo la ntchito yake. Moyo wanu ndi wamtengo wapatali kuposa manyazi anu.
Ngati mupita kukawonetsa izi kwa dokotala msanga, mwina mayeso osavuta (monga endoscopy) angapeze chinthu chonga polyp ndikuchichotsa, zomwe zingapewe vuto lalikulu. Choncho musachite mantha kapena kuchita manyazi kuonana ndi dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Khansa ya m'matumbo nthawi zambiri imayamba ndi tinthu tating'onoting'ono tomwe timatchedwa ma polyps.
- Kuzindikira ndi kuchotsa ma polyps amenewa msanga kungalepheretse khansa kukula.
- Chiwopsezo chotenga khansa iyi chimawonjezeka kwambiri munthu akakwanitsa zaka 50.
- Zakudya zanu, moyo wanu (kusuta fodya/mowa), ndi mbiri ya matenda a m'banja mwanu ndi zinthu zazikulu zomwe zingakuike pachiwopsezo.
- Ngati mukukumana ndi zizindikiro zachilendo, monga kusintha kwa chimbudzi kapena kutulutsa magazi m'chimbudzi chanu, musachite manyazi ndipo pitani kwa dokotala nthawi yomweyo. Kumbukirani, kuzizindikira msanga kungapulumutse miyoyo!
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