Khansa ya m'matumbo: Kodi mukudziwa mdani wosalankhula uyu?

Mungathenso kukhala ndi vuto la m'mimba, kudzimbidwa, kapena kutsegula m'mimba nthawi ndi nthawi. Nthawi zambiri sitimayang'anira kwambiri izi, eti? Koma zizindikiro zosatha ngati izi nthawi zina zingakhale chizindikiro cha chinthu china choopsa kwambiri. Lero tikambirana za nkhani yomwe anthu ambiri sakonda kukambirana, koma tonsefe tiyenera kuidziwa. Imeneyi ndi khansa ya m'matumbo ndi m'matumbo, kapena matenda omwe timawatcha `(Khansa ya m'matumbo)`. Musadandaule, kudziwa izi ndiyo njira yabwino kwambiri yodzitetezera ku vutoli.

Mwachidule, kodi khansa ya m'matumbo iyi ndi chiyani?

Khansa ya m'matumbo ndi pamene maselo omwe ali mkati mwa matumbo kapena rectum amayamba kukula mosalamulirika. Izi nthawi zambiri zimakhala "chotupa chosamveka" chomwe chimakula pang'onopang'ono, popanda zizindikiro zilizonse. Ichi ndichifukwa chake khansayo mwina yayamba kale kukula pang'ono pofika nthawi yomwe zizindikiro zimawonekera.

Taganizirani za dongosolo lathu logaya chakudya. Chakudya chomwe timadya chimadutsa m'mimba ndi m'matumbo ang'onoang'ono, ndipo zakudya zikatha kuyamwa, zinyalala zotsalazo zimafika m'matumbo akuluakulu. Matumbo akuluakulu amayamwa madzi ndi zakudya zina zotsalazo. Kenako zinyalala zolimba zotsalazo, zotchedwa ndowe, zimasungidwa kwakanthawi mu rectum kenako zimatuluka m'thupi. M'matumbo akulu, kapena rectum, ndimo momwe maselo a khansa awa amayambira.

Kodi mitundu ikuluikulu ya khansa iyi ndi iti?

Pali mitundu ingapo ya khansa ya m'matumbo, koma mtundu umodzi ndi wofala kwambiri.

Kodi ziphuphu zonse ndi khansa?

Ayi. Ndipotu, pafupifupi khansa yonse ya m'matumbo imayamba ngati ma polyps , zomwe ndi tinthu tating'onoting'ono tomwe timamera mkati mwa m'matumbo. Si ma polyps onse omwe ali ndi khansa.

• Ma Adenoma: Awa ndi ma polyps omwe angayambitse khansa omwe, ngati sanalandire chithandizo, amakhala ndi mwayi waukulu wokhala ndi khansa pakapita nthawi.
• Ma polyps otupa kwambiri: Nthawi zambiri awa samakhala khansa. Komabe, nthawi zina akakula, dokotala wanu angakulangizeni kuti muwachotse.

Ndani ali pachiwopsezo chachikulu chotenga khansa iyi?

Ndipotu, aliyense akhoza kutenga matendawa. Koma anthu ena ali pachiwopsezo chachikulu. Ngati chimodzi mwa izi chikukukhudzani, ndi bwino kukhala maso pang'ono.

Kodi zizindikiro za matendawa ndi ziti? Dziwani izi!

Monga tanenera kale, nthawi zambiri, palibe zizindikiro kumayambiriro. Komabe, pamene khansa ikupitirira, zizindikirozi zingawonekere. Ngati chimodzi kapena zingapo mwa izi zikupitirira, onetsetsani kuti mwawonana ndi dokotala.

• Kusintha kwa machitidwe am'mimba: kudzimbidwa kosalekeza kapena kutsegula m'mimba.
• Kumva ngati m'mimba simunatulukemo konse: Kumva ngati mukuyenerabe kuchita chimbudzi mukapita kuchimbudzi.
• Kutuluka magazi m'thupi: Kutuluka magazi ndi chopondapo kapena popanda chopondapo.
• Kusintha kwa mawonekedwe a ndowe: Zoweta zoonda kuposa masiku onse, monga pensulo.
• Kupweteka m'mimba kapena kusapeza bwino: Zinthu monga kupweteka m'mimba, kudzimbidwa, ndi zina zotero.
• Kuchepetsa thupi popanda chifukwa.
• Kutopa ndi kufooka: Izi zitha kukhala chifukwa cha kuchepa kwa magazi m'thupi.
• Kumva chotupa m'mimba kapena m'matumbo.

Kodi mungazindikire bwanji matendawa? (Kuzindikira)

Dokotala wanu adzakufunsani za zizindikiro zanu ndikukuyesani thupi. Kenako, angachite chimodzi kapena zingapo mwa izi kuti adziwe ngati muli ndi khansa kapena ma polyps.

• Colonoscopy: Iyi ndi njira yodziwika bwino komanso yabwino kwambiri yoyezera. Chubu chopyapyala komanso chosinthasintha chokhala ndi kamera (colonoscope) chimayikidwa kudzera mu anus kuti chione matumbo onse akuluakulu. Ngati ma polyps apezeka, amatha kuchotsedwa nthawi yomweyo ndipo chitsanzo chaching'ono (biopsy) chikhoza kutengedwa kuti chikayesedwe.
• Sigmoidoscopy: Mofanana ndi colonoscopy, koma rectum ndi gawo lomaliza la matumbo akuluakulu ndi zomwe zimayesedwa.
• Mayeso a Chidendene:Pali mayeso omwe amafufuza magazi osaoneka mu ndowe (FIT, gFOBT) ndi mayeso omwe amafufuza kusintha kwa majini (DNA) m'maselo a khansa. Ngati izi zizindikira magazi kapena zolakwika zina, colonoscopy idzalamulidwa kenako.
• CT colonography: Iyi ndi njira yapadera yoyesera ya `CT scan`. Imatchedwanso `Virtual colonoscopy`.

Kodi mankhwala ake ndi otani?

Ngati mwapezeka ndi khansa, chithandizocho chimadalira zinthu zingapo. Dokotala wanu adzaganizira zinthu monga gawo la khansayo ndi thanzi lanu lonse kuti adziwe chithandizo chabwino kwambiri kwa inu.

1. Opaleshoni

Ziphuphu zazing'ono ndi ma polyp omwe ali kumayambiriro kwa matendawa amatha kuchotsedwa panthawi ya colonoscopy. Ngati khansa yafalikira pang'ono, gawo limenelo la m'matumbo limachotsedwa opaleshoni (partial colectomy).

2. Mankhwala a Chemotherapy

Mankhwalawa amaperekedwa kuti aphe maselo a khansa kapena kuwaletsa kufalikira. Mankhwalawa amaperekedwa kuti aphe maselo aliwonse a khansa omwe angakhalepo pambuyo pa opaleshoni, kapena kuchepetsa chotupacho musanachite opaleshoni.

3. Chithandizo cha Radiation

Izi zimaphatikizapo kugwiritsa ntchito ma radiation amphamvu kwambiri (monga ma X-ray) kuti awononge maselo a khansa. Mankhwalawa amagwiritsidwa ntchito kwambiri pa khansa ya m'matumbo.

4. Chithandizo Cholunjika

Izi zimaphatikizapo kupereka mankhwala omwe amakhudza majini kapena mapuloteni enaake m'maselo a khansa popanda kuvulaza maselo abwinobwino.

5. Chithandizo cha Immunotherapy

Uwu ndi mankhwala osangalatsa kwambiri. Chomwe mumachita apa ndikulimbikitsa chitetezo cha mthupi lanu ndikuchipangitsa kuti chizilimbana ndi maselo a khansa.

6. Chisamaliro Chochepetsa Kupweteka kwa Thupi

Cholinga chake si kuchiritsa khansa, koma kuwongolera ululu, kusapeza bwino, ndi zizindikiro zina zomwe zimayambitsidwa ndi khansa, ndikupatsa wodwalayo moyo wabwino kwambiri.

Kodi tingatani kuti tipewe khansa?

Ichi ndiye gawo lofunika kwambiri. Kusintha moyo wathu kungachepetse kwambiri chiopsezo cha khansa iyi.

• Zakudya zabwino: Idyani ndiwo zamasamba, zipatso, ndi nyemba zambiri zokhala ndi ulusi wambiri. Chepetsani kudya nyama yofiira ndi nyama zophikidwa (monga soseji).
• Maseŵero Olimbitsa Thupi: Chitani maseŵero olimbitsa thupi osachepera mphindi 150 pa sabata. Kuyenda, kuthamanga, kapena kukwera njinga ndi njira zabwino.
• Khalani ndi kulemera kwabwino: Kunenepa kwambiri ndi chinthu chomwe chimayambitsa khansa zambiri.
• Kusuta ndi kumwa mowa: Ndi bwino kusiya zizolowezi zonsezi kotheratu.
• Kuwunika: Izi ndizofunikira kwambiri. Nthawi zambiri akafika zaka 45-50, ngakhale iwo omwe sali pachiwopsezo amapitiriza kukhala ndiMuyenera kuyezetsa. Ndi bwino kuchita colonoscopy zaka 10 zilizonse. Ngati muli ndi zinthu zomwe zingakuike pachiwopsezo, dokotala wanu angakulangizeni kuti muyezedwe msanga komanso pafupipafupi.