Khansara yeniyeni ndi khansayo yowopsa kwambiri pakati pa amuna a zaka zapakati pa 15 ndi 35 koma amakhala ndi 25 okha pakati pa khansa yonse ku United States, yomwe imakhala ndi chiwerengero cha chiwerengero cha khansa yatsopano ya 0,5%. Milandu yatsopano 8,430 idakonzedwa kuti ichitike mu 2015. Nthawi zambiri imakhudza amuna pakati pa 20 ndi 40 ndi 33 kukhala m'zaka zapakati pa matenda. Ndizovuta kwambiri kwa aliyense kuposa 50.
Pali vuto la 0.4% la khansa ya mtheradi pa nthawi ya moyo wanu wonse.
Ngakhale kuti mlingo wa khansa ya testicular yawonjezeka kawiri kawiri kuyambira m'ma 1970, chiŵerengero cha imfa chacheperapo ndi theka lachiwiri chifukwa cha chithandizo chabwino. Amakhala ndi mankhwala abwino kwambiri ochiza matenda opitirira 95% nthawi zambiri.
Mmene Khansa ya Testicular Inayambira
Maselo wamba amatsatira malamulo ena. Amagawanitsa ndikukula mkati mwazigawo zina, amafa pamene akuyenera kuti asagonjetse ziwalo zozungulira kapena ziwalo zina. Selo la khansa lataya lamuloli ndipo limakula kuchoka ku mphamvu zopanga zilonda. Maselowa akhoza kuwononga zida zozungulira ndi kufalikira ku ziwalo zina za thupi kudzera m'ziwiya zamagazi ndi zam'mimba.
Khansara yamatsenga imachokera m'matumbo, omwe amatchedwanso mayeso. Matendawa ali ndi ntchito zobereka komanso zotchedwa endocrine. Zimatulutsa testosterone, mahomoni omwe amachititsa kuti amuna azigonana, komanso umuna, womwe umathandiza kwambiri kubereka.
Mitundu
Khansara yeniyeni ndi khansara yosiyana ndi zambiri. Ambiri, pafupifupi 95%, a khansa ya testicular angagawidwe m'magulu akulu awiri: seminoma ndi nonseminoma. Mitundu yonseyi imadziwika kuti ziwalo zajeremusi. Magulu a majeremusi amachititsa maselo obereka ana, omwe amakhala ndi mazira a mazira ndi a umuna pakati pa amuna.
Zizindikiro ndi Zizindikiro
Khansara yamaphunziro imapereka ngati mtanda wopanda kupweteka pamatenda amodzi omwe nthawi zambiri amaphatikizidwa ndi kutupa kozizira. Zizindikiro zina zikhoza kukhalapo ngati khansara yayamba kufalikira m'madera ena. Pamene khansara yamatenda imafalikira, imakhala ndi ma lymph nodes mumseri kumbuyo kwa matumbo omwe amatchedwa retroperitoneum. Malo ena, omwe angakhale nawo mbali, kuphatikizapo mapapo, chiwindi, ubongo, ndi mafupa. Khansara yowona ndi yosiyana ndi khansa yambiri yomwe imafalitsa imakhalabe ndi chithandizo cha mankhwala oyenera.
Chithandizo
Kuchiza kumadalira makamaka mtundu wa matumbo ndi siteji. Njira yoyamba nthawi zambiri ndi opaleshoni yochotsa tizilombo toyambitsa khansa mu njira yotchedwa orchiectomy. Izi zikhoza kutsatiridwa ndi chemotherapy, radiation kapena opaleshoni kuchotsa mitsempha ya retroperitoneal.
Musanayambe kuchipatala, banki ya umuna iyenera kuganiziridwa chifukwa cha chiopsezo cha kusabereka.
Pambuyo pochiza chithandizo, CT imagwiritsidwa ntchito pafupipafupi pofunafuna khansa yowonongeka m'madera ena kuphatikizapo mapiritsi a retroperitoneal ndi mapapo. Palinso mayeso ambiri a magazi omwe ali ndi mavitamini ena, mapuloteni, ndi mahomoni omwe amadziwika ngati zotupa , zomwe zingawonjezeke ngati khansara yabwerera.
Ngati chibwererenso, nthawi zambiri zimakhala choncho mkati mwa chaka choyamba kapena ziwiri. Kubwereza kupitirira zaka zisanu ndizosawerengeka ndipo anthu ambiri amachiritsidwa pambuyo pa mfundoyi.
Ngati khansara ikhoza kubwerera, chithandizo chachikuluchi ndizochimake. Nthawi zina opaleshoni yachitidwa ngati ikufalitsidwa pa tsamba limodzi. Njira zamakono ndi mankhwala atsopano zingagwiritsidwe ntchito pa zomwe zimadziwika ngati mayesero a zachipatala, zomwe nthawi zambiri zimachokera ku malo apamwamba ndi mabungwe ena akuluakulu.
Izi ndizowunikira mwachidule ndipo cholinga chake ndi kupereka chidziwitso chachikulu pa ndime zingapo chabe. Khansara iliyonse ndi yapadera ndipo iyenera kuyang'aniridwa ndi akatswiri omwe ali ndi luso lozindikira ndi kuchiza khansa ya testicular.
Zopadera kwambiri zimaphatikizapo urology, mankhwala oncology, ndi radiation oncology.
> Chitsime:
> National Cancer Institute. "Mfundo za Khansa Stat: Kuyeza Kansera."