Ko gomarara iri rapararira here uye rakakonzera bundu mune dzimwe nhengo dzemuviri? Ngatitaurei nezvechirwere ichi, Carcinomatosis.

Ungave uchifunga kuti, "Ndine kenza, uye ikozvino yapararira kune dzimwe nhengo dzemuviri wangu." Kana kuti pamwe chiremba wako akakuudza nezvenyaya iyi. Iyi inyaya yakakomba, asi ngative pachena nezvenyaya iyi. Nekuti, ruzivo isimba.

Zvichitaurwa zviri nyore, chii chinonzi carcinomatosis?

Fungidzira uine kenza mune imwe nhengo yemuviri wako. Dzimwe nguva, masero ekenza aya anobuda ipapo, oenda kune imwe nhengo yemuviri wako, otanga mabundu matsva ipapo, semiti midiki inopararira panguva imwe chete. Ndizvo zvatinodaidza kuti carcinomatosis , dzimwe nguva carcinosis .

Izvi zvinogona dzimwe nguva kuva chiratidzo chekutanga chegomarara. Kureva kuti, rinotanga kuonekwa segomarara rakapararira nenzira iyi. Asi, kazhinji, chirwere ichi chinoitika mushure mekunge wagara negomarara kwenguva yakati.

Iyi imhando yekenza inopararira mumuviri . Zvichitaurwa zviri nyore, zvinoreva kuti kenza yapararira. Carcinomatosis chiratidzo chekuti kenza yapararira kusvika padanho repamusoro . Kazhinji zvinonetsa kurapa zvachose. Asi, usatya. Vanachiremba vako vachakurudzira kurapwa kwezviratidzo izvo zvichadzora zviratidzo zvako uye kukubatsira kurarama zvakanaka nevadikanwi vako kwenguva yakareba sezvinobvira.

Ndeapi marudzi makuru ecarcinomatosis?

Tinoona mhando nhatu huru dzechirwere ichi checarcinomatosis. Mhando dzekenza dzinokonzera rudzi rumwe nerumwe dzakasiyanawo.

1. Leptomeningeal carcinomatosis: Apa ndipo apo kenza inopararira ichienda kumasero akakomberedza uropi hwako nemusana . Inowanzobatanidzwa nekenza yemazamu, kenza yemapapu, uye melanoma, rudzi rwekenza yeganda.

2. Pulmonary lymphangitic carcinomatosis: Apa ndipo apo kenza yakatanga muzamhu, mumapapu, mudumbu, muitsvo, muchiropa, kana muura inopararira kuenda ku lymphatic system mumapapu ako .

3. Peritoneal carcinomatosis: Apa ndipo apo kenza inopararira kusvika padumbu rako, inonzi peritoneum . Dambudziko iri rinowanzo kukonzerwa nekenza yemazamu, kenza yemudumbu, kenza yeura, kana kenza yemudumbu.

Zviratidzo zvacho zvakafanana here kune wese munhu?

Kwete, zviratidzo zvecarcinomatosis hazvifanani kune wese munhu. Zvinosiyana zvichienderana nekuti kenza yapararira kupi . Funga nezvazvo, zviratidzo hazvionekwe kana yapararira kuuropi, asi kana yapararira kumapapu.

Heano mamwe ezviratidzo zvinogona kuitika zvichienderana nenzvimbo yegomarara:

• Uropi:
• Musoro
• Matambudziko ekuvhiringidzika uye kurangarira
• Mazita emapapu (Mapapu):
• Kunetseka kufema
• Kurwadziwa kwechipfuva
• Kukosora
• Kukosora ropa
• Mazita edumbu (Dumbu):
• Manyoka
• Kusvotwa nekurutsa
• Kurwadziwa kwemudumbu
• Kuderedza uremu kusingatarisirwi

Usafunge kuti nekuda kwekuti une chimwe kana zviviri zvezviratidzo izvi, une chirwere ichi. Zvisinei, kana uine kenza, zvakakosha kuudza chiremba nekukurumidza kana ukaona zviratidzo zvitsva zvakaita seizvi.

Sei izvi zvichiitika? Ndezvipi zvinokonzera carcinomatosis?

Zvichitaurwa zviri nyore, carcinomatosis inoitika kana bundu rakaipa rakatanga mune imwe nhengo yemuviri wako rikapararira kune imwe nhengo yemuviri wako. Kazhinji, bundu idzva dzakawanda dzinoumbwa munzvimbo dzinopfuura imwe. Kutaura zvazviri, kunyange nyanzvi dzezvekurapa hadzigone kutaura kuti sei kenza ichipararira seizvi . Asi kana ikapararira seizvi, inokonzera matambudziko matsva mukurarama nekenza.

Unonyatsoona sei izvi? Ndedzipi mhando dzebvunzo dzinoitwa?

Kana uine chirwere chekenza, ungangove watove kurwisa kenza. Saka, vanachiremba dzimwe nguva vanobvunza kuti, "Kubatsirwa kwekuongororwa kuti usimbise chirwere ichi kwakakosha here kupfuura kusagadzikana kwaungasangana nako paunenge uchichiita?"

Zvisinei, kune mimwe miedzo inogona kubatsira kuona chirwere ichi:

• Bronchoscopy: Mukuita uku, chiremba anoshandisa chubhu ine kamera diki kuti atarise mukati memapapu ako. Vanogonawo kutora sampuli yenyama (biopsy) kuti vaone kana masero ekenza aripo.
• X-ray yechipfuva: Izvi zvinogona kuratidza zviratidzo zvekuzvimba kwemapapu.
• Kuongororwa kwechipfuva chako nekombiyuta (CT): Izvi zvinowanzo shandiswa kuratidza bundu mudumbu. Zvinogonawo kuratidza zviratidzo zvebundu mumapapu.
• Electrocardiography uye echocardiography: Miedzo iyi inotarisa mashandiro ari kuita mwoyo wako. Inogonawo kutarisa kana mwoyo wako wakakuvadzwa nematambudziko emapapu.
• Kuongororwa kweV/Q mumapapu: Izvi zvinoongorora ropa rakagwamba mumapapu.
• MRI scan (Magnetic resonance imaging (MRI): Izvi zvinogona kutora mifananidzo yakajeka yemamota ari muuropi kana mudumbu.
• Kuongorora kwePositron emission tomography (PET):Muizvi, vanachiremba vanobaya mushonga une radioactive mumuviri wako vobva vatarisa zviratidzo zvekuti kenza yapararira kumapapu kana mudumbu.
• Kupomba kwemusana: Chiremba wako anogona kutora sampuro yemvura yemusana wako - mvura inopoteredza uropi hwako nemusana - kuti aongorore masero ekenza.
• Ultrasound yedumbu rako kana chiuno: Izvi zvinogona kutarisa kana paine mvura yakaungana mudumbu rako (chirwere chinonzi ascites ). Vanhu vazhinji vane peritoneal carcinomatosis vane chirwere ichi.

Saka, ndeapi marapirwo eizvi?

Kazhinji, carcinomatosis chiratidzo chekuti kenza yapararira kupfuura payakanga isingachakwanisi kurapwa. Chiremba wako achafunga izvi paanokupa mushonga. Mune zvimwe zviitiko, chiremba wako anogona kukurudzira rubatsiro rwekurapa, izvo zvinoderedza zviratidzo . Kana, vanogona kutaura newe nezvekuchengetedzwa kwehospice, iyo inopa nyaradzo pakupera kwehupenyu hwako.

Heano mamwe marapirwo anogona kubatsira kuderedza zviratidzo zve carcinomatosis uye kukubatsira kurarama kwenguva yakareba:

• Kuvhiyiwa: Chiremba wako anogona kubvisa bundu riri mudumbu rako (peritoneum) (cytoreductive surgery) kana bundu riri mumapapu ako. Kana uine mvura yakawanda muuropi hwako, vanogonawo kuisa chimwe chinhu chakaita seshunt kuti ibvise mvura uye kuderedza kumanikidzwa kweropa.
• Kurapa nemwaranzi: Kurapa uku kunoshandisa mwenje ine simba guru kuuraya masero ekenza. Chiremba wako anogona kupa kurapa nemwaranzi kumabundu ari kukonzera zviratidzo mumapapu kana muuropi.
• Kurapa neKemotherapy: Kurapa neKemotherapy kunouraya masero egomarara mumuviri wese. Vanachiremba vanoshandisa mhando dzakasiyana dzekemotherapy yegomarara remudumbu (nzira yakakosha inonzi "HIPEC") uye gomarara remuuropi (nzira yakakosha inonzi "intrathecal chemo").
• Kurapwa kwakanangana nekudzivirira muviri: Kana kenza yekutanga ikapindura zvakanaka pakurapwa uku uye ikapararira kuuropi kana kumusana, chiremba wako anogona kukurudzira kurapwa uku.

Pane nzira yekudzivirira izvi here?

Hapana nzira yekudzivirira chirwere checarcinomatosis. Asi unogona kutora matanho ekubatsira kuchiziva nekukurumidza kuitira kuti chiremba wako agone kuchirapa. Kana watova nekenza yakakura, taura nachiremba wako nezvezviratidzo zvecarcinomatosis kuti uzive zvekutarisira.

Saka, chii chinotevera? Tinogona here kutarisira?

Zvinosuwisa kuti hapana mushonga wekurapa carcinomatosis parizvino. Zvisinei, fungidziro yako inoenderana nezvinhu zvakawanda.Semuenzaniso, zvinhu zvakaita sekuti kenza yakatanga kupi (rudzi rwebundu rekutanga) uye zera rako zvinogona kukanganisa fungidziro yako. Panogona kunge paine mishonga inogona kukubatsira kurarama kwenguva yakareba uye nehupenyu huri nani .

Zvakakosha: Zvakanaka kutaura pachena nachiremba wako nezveramangwana rako kuitira kuti uzive kuti ndeapi masarudzo akanakisa aungasarudza.

Uri kuzvitarisira sei? Chii chaunogona kuita panguva iyi?

Kana uchirarama necarcinomatosis, pane zvinhu zvaunogona kuita kuti urambe uine hupenyu hwakanaka:

• Bvunza nezvesarudzo dzekurapa: Kunyangwe iwe nachiremba wako mukasarudza kusatora mushonga wekurwisa, panogona kunge paine mishonga inogona kubatsira kuderedza zviratidzo zvako uye kudzora kenza.
• Udza chiremba wako nezvekuchinja kwezviratidzo zvako: Kana zviratidzo zvako zvikachinja kana kuti zvikanyanya kuipa, chiremba wako achakuudza nezvenzira dzekubatsira kuzvigadzirisa.
• Udza vadikanwi vako zvaunoda: Kazhinji, mhuri neshamwari vanoda kubatsira, asi havazivi zvaunoda. Pamwe ungade mumwe munhu kuti akuitire mabasa epamba, akugadzirire chikafu, kana kungopedza nguva newe.
• Kumbira rubatsiro pakuronga ramangwana: Bvunza chiremba wako nezvezvirongwa zvinogona kukubatsira nematanho ekupedzisira erwendo rwako rwekenza.

Zvatinofanira kurangarira kubva pane izvi zvese

Kune vanhu vazhinji, carcinomatosis inogona kuratidza danho rekupedzisira rerwendo rwavo nekenza. Asi pachine tariro yekugara zvakanaka nekenza kwenguva yakareba sezvaunogona. Kune mishonga inogona kubatsira kuderedza zviratidzo zvako uye, mune dzimwe nguva, kukupa nguva yakati wandei. Kana uine carcinomatosis, chiremba wako anogona kutaura newe nezvesarudzo dzinogona kukubatsira kushandisa hutano hwako nenguva yako zvakanaka. Usambotambura uri wega, gara uchikumbira rubatsiro . Chikwata chako chekurapa nevadikanwi vako vari newe.

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