Zimene Muyenera Kuyembekezera Kuchiza Khansa ya Colon
Kodi muli ndi magazi muchitetezo chanu? Yang'anani . Kukwanira, kukhetsa, ndi mafuta owonjezera? Yang'anani, yang'anani, yang'anani . Mutha kukhala ndi zizindikiro zonse za khansa yamtunda - koma sizikutanthauza kuti muli ndi khansa yamtunda. Kupanga chiwombankhanga kuchokera ku zizindikiro kapena mbiri ya banja kupita kuchipatala kumafuna mayesero kuti atsimikizire kukhalapo kwa maselo a khansa, potsatira ziyeso zambiri kuti azindikire ngati khansara ili m'kati mwa coloni kapena ngati yafalitsidwa (yowonongeka) kumalo ena m'thupi lanu .
Katswiri wa khansa ya colon angadabwe kwambiri chifukwa cha kafukufuku wamakono, monga colonoscopy , popanda zizindikiro zilizonse.
Zimene Muyenera Kuyembekezera Pa Ulendo Wanu Woyamba
Pambuyo poyezetsa magazi bwino kapena kupezeka kwa zizindikiro, dokotala wanu adzalongosola matenda opatsirana pogonana a khansa. Adzapeza mbiri yakale ya zamankhwala ndi kufufuza komwe kungaphatikizepo mayeso a digito . Mayeso osavuta, opanda zopweteka amalola dokotala kuti ayang'ane rectum yanu kukula kapena masisimo. Dokotala angathenso kusonkhanitsa kafukufuku wamatsenga kuti awononge magazi amatsenga kapena masewero a immunochemical , omwe amadziwitsa momwe magazi amachitira muchitetezo. Dokotala wanu akhoza kuitanitsa mayeso ena, monga:
- Mayeso a magazi , kuphatikizapo kuchuluka kwa magazi , nthawi zowombera (makamaka ngati mutenga ochepa magazi) ndi gulu la electrolyte, thandizani dokotala wanu kupanga chithunzi cha thanzi lanu lonse. Ngati muli ndi mbiri ya khansa, dokotala akhoza kuitanitsa mayeso a carcinoembryonic antigen (CEA), omwe angathandize kuzindikira ngati matenda abwerera.
- Zojambula zojambula zamagetsi zimagwiritsa ntchito mitundu yosiyanasiyana ya x-ray kuti muwone matenda anu amtundu ndi oyandikana nawo. Mayeserowa kawirikawiri amamva mopweteka ndipo angaphatikizepo x-ray, computed tomography (CT), zojambula zamaginito (MRI), kapena machulukidwe a rectal. Dokotala akhoza kulamula chojambulira chosiyana, monga barium, kuperekedwa pamlomo, mwachindunji kapena mu mzere wotsatila chithunzi chisanachitike. Osiyanitsa amachititsa kuti colon yako ikuwoneke - ngati kutembenuzira nyali mukalowa mu chipinda chamdima.
- Colonoscopy ndi sigmoidoscopy ndi njira zomwe zimagwiritsa ntchito kafukufuku waung'ono ndi kamera, umayikidwa kupyolera mumtundu wanu, kuti muwone mkati mwa colon ndi rectum yanu. Ngati dokotala amapeza zipsyinjo zamtundu kapena zosafunika m'thupi lanu, akhoza kutenga kachilomboka panthawiyi.
- Chiwopsezo chimatanthawuza nthawi iliyonse dokotala atenga kachilombo kakang'ono ka thupi lanu. Colon biopsies ikhoza kumalizidwa panthawi ya colonoscopies, sigmoidoscopies kapena pa nyerere yosungidwa ndi sing'anga. Dokotala wodwala matenda, kapena dokotala wapadera yemwe angakhoze kusiyanitsa pakati pa maselo a khansa ndi osakhala ndi khansa, mosamala amayang'ana zitsanzo za minofu. Zotsatira za biopsy zingatenge kuyambira maola 72 mpaka pa sabata kukonzekera. Funsani dokotala wanu kuti akuyembekezere zotsatira.
Ndi Khansa ya Colon, Tsopano Chiyani?
Mudzafunsidwa kuti mubwerere ku ofesi ya dokotala kuti mukambirane zotsatira za mayesero anu ndi kuunika kwanu. Ganizirani kubweretsa wachibale kapena mnzanu wodalirika paulendo umenewu - iye angapereke chithandizo ndi makutu ena.
Kamodzi kafukufuku wa khansa ya coloni imapangidwa, sitepe yotsatira imaphatikizapo kudziwa ngati khansara yatayika (m'magazi) kumbali zina za thupi lanu. Njirayi, yomwe imatchedwanso kansa ya stage , idzafuna mayesero angapo musanapitirizebe kuchiza khansa .
Malo ofala kwambiri a khansa ya metastasis ya khansa ndi mapapu, chiwindi ndi peritoneum, kapena m'mimba. Dokotala wanu akhoza kulamula kuti:
- Chifuwa cha X-ray poonetsetsa kuti mapapu anu ali omveka komanso opanda mavitamini
- Mimba ya ultrasound kuti muwone ngati khansara yafalikira kumalo anu m'mimba, monga chiwindi, m'mimba kapena peritoneum
- Positron emission tomography (PET) fufuzani kuti muone kukula kwa khansa mu thupi lanu lonse
Kansalu ya kansa ya Colon
Pali njira ziwiri zothetsera kufalikira ndi kukula kwa khansara. Maphunziro a zachipatala ndi njira imene dokotala wanu amafanizira zotsatira za mayeso ndi kuwonetsera kwanu.
Maphunziro a pathologic, omwe ali olondola kwambiri, amagwiritsa ntchito machitidwe atatu kuti awonetse kukula kwa matenda. Machitidwe awa ndi awa:
- Komiti Yovomerezeka ya ku United States Yogulitsa Khansa (TNM)
- Astler-Coller
- Madontho
Pa zitatuzi, njira ya TNM ndiyo njira yogwiritsiridwa ntchito kwambiri kwa khansa ya m'magazi . Makalata atatuwa amagwiritsidwa ntchito poyesa kukula kwa chotupa (T), kufalikira ku maselo am'mimba (N), ndi kukula kwa metastasis (M). Kalata iliyonse imatsatiridwa ndi descriptor, kawirikawiri nambala, yomwe idzafotokozera kukula kwa khansa yanu yamtunda. Ziwerengero zochepa, monga 0, ndizofunikira pa stage pamene zikutanthauza kuti kansa ndi yaing'ono komanso yowona (in situ).
Mawu ena omwe mudzawapeza akutchedwa cholemba chotupa. Pamene katswiri wamatenda amadziwika kuti maselo a khansa , iye angathenso kudziwa momwe maselowo amaonekera, kapena momwe ziwonekedwe za khansa zimakhala zosawoneka poyerekeza ndi minofu yowonongeka. Mofanana ndi ma stage, khansa yokhala ndi kalasi yochepa (kaonekedwe kawirikawiri) kawirikawiri imawoneka msanga ndipo imakhala yosavuta kuchiza, pamene khansa yotembenuka kwambiri kapena yapamwamba imakhala ndi mwayi wapamwamba wokufalitsa mofulumira.
Chithandizo cha Kuchiza
Dokotala wanu adzagwira ntchito ndi inu kuti apange dongosolo la chithandizo cha khansa ya colon, yomwe ingaphatikize opaleshoni, chemotherapy, ma radiation kapena kuphatikiza mankhwala. Ndondomeko yanu idzakhala yogwirizana ndi zosowa zanu, koma makamaka makazikidwe pa kalasi ndi siteji ya khansa komanso thanzi lanu lonse.
Zotsatira:
American Cancer Society. (2008). Khansa yolondola. Zimene Mukuyenera Kudziwa - ZOCHITA. Atlanta: American Cancer Society Health Promotions.
National Cancer Institute. (2011). Khansa ya Metastatic.