Opaleshoni, Chemotherapy, Radiation ndi Inu
Kuzindikira koyamba ndi chithandizo cha kansa ya colon kungakuthandizeni kuti mukhale ndi moyo wathanzi (zotsatira za mankhwala) ndi khalidwe la moyo. Akadziwika ndi kuchiritsidwa msanga, anthu omwe amapezeka ndi khansa yamtundu wa khansa amakhala ndi zaka 93 zomwe zimakhalapo pakatha mankhwala asanu. Komabe, musanati mumadziŵerengedwe, tengani kamphindi kuti mudziwe za mankhwala omwe akuphatikizapo.
Pali mitundu iwiri ikuluikulu ya chithandizo cha khansa yamtunda. Mankhwala am'deralo amapanga malo amodzi, monga opaleshoni kapena ma radiation. Zakudya zowonongeka, kapena thupi lonse, zothandizira zili ndi ukonde wochulukitsa ndipo zimaphatikizapo mankhwala a chemotherapy kapena mankhwala okhudza biologic .
Malingana ndi thanzi lanu, malo a kansa, ndi kusankha kwanu, mungasankhe mankhwala amodzi kapena mankhwala ena, monga opaleshoni, chemotherapy, radiation, ndi mankhwala othandizira.
Njira Zothandizira
Kutulutsira opaleshoni ndi mankhwala oyamba opanga chisankho pafupipafupi 0 colon khansa . Opaleshoni ya khansa ya Colon ingaphatikizepo njira yosavuta yochotsera kansalu yokhayokha ya khansa , kapena opaleshoni yayikulu yotchedwa colectomy, yomwe imachotsa gawo (kapena magawo) a m'matumbo. Dokotalayo amatha kuchotsa kapena kuwononga ziwalo za khansa kuchokera ku ziwalo zina, monga chiwindi kapena mapapo ngati kansa yafalikira.
Malinga ndi kukula ndi malo a khansa yanu, dokotala angapereke colectomy laparoscopic ndi colectomy .
Njira ya laparoscopic imafuna kutengeka kochepa kwambiri kuposa colectomy yotseguka, yomwe ikhoza kubweretsa zofiira zisanu ndi chimodzi mpaka zisanu ndi zitatu pambuyo pa opaleshoniyo.
Ngati muli ndi mbiri ya mavuto a m'mapapo ndi m'mtima, dokotala wanu angagwirizane ndi akatswiri, monga madokotala kapena mapulitsi a moyo, kuti asankhe ngati opaleshoni ndi yabwino kwambiri kwa inu.
Njira zopanda opaleshoni zingagwiritsidwe ntchito kuwononga kapena kuchepetsa metastase pamodzi ndi opaleshoni - kapena standalone ngati simungathe kulekerera opaleshoni.
- Cryosurgery amapha maselo a khansa powawombera .
- Kugwiritsa ntchito mphamvu zamagetsi kumagwiritsa ntchito mafunde amphamvu kuti awononge (kutentha) maselo a kansa omwe agwiritsidwa ntchito ndi ziwalo zina, monga chiwindi kapena mapapo.
- Kutaya kwa Ethanol kumawononga maselo a kansa ndi jekeseni wa mowa.
Chemotherapy
Mankhwala ambiri a chemotherapy amagwira ntchito popha maselo omwe amagawanika mofulumira. Mwa munthu yemwe ali ndi khansa, maselo opitirira mofulumira kwambiri ndi maselo a khansa; Komabe, zotsatira zitha kuchitika m'magulu ena omwe akugawanika mofulumira. Pali njira zingapo zothandizira mankhwala a chemotherapy. Mankhwala anu angaphatikize kuwatenga pakamwa pa mapiritsi, mwachangu, kapena kudzera mu jekeseni mwachindunji mumtsinje womwe uli pafupi kwambiri ndi chotupacho.
Chemotherapy imaperekedwa chisanafike kapena chitatha chithandizo cha opaleshoni ndipo nthawi zambiri imagwiritsidwa ntchito pochizira khansa ya II, III ndi IV khansa. Mankhwala osaperekedwa opaleshoni asanayambe opaleshoni amagwiritsidwa ntchito kuchepetsa matumbo asanachotsedwe. Nthaŵi zina amatha kugwiritsa ntchito mankhwala am'mimba m'kati mwa thupi pamene mankhwala a metastasis amachitidwa (siteji IV). Dokotala wanu angakulimbikitseni kuti mutenge mankhwala a chemotherapy musanachitidwe opaleshoni kuti muphe maselo otsala a khansa ndi kuchepetsa mwayi wakubwereranso.
Zida Zenizeni kwa Khansara ya Colon
Mankhwala otchedwa Chemotherapy omwe amagwiritsidwa ntchito nthawi zambiri m'matenda a khansa ndi awa:
- 5-FU (fluorouracil)
- Eloxatin (oxaliplatin)
- Xeloda (capecitabine)
- Camptosar (irinotecan)
Pali mitundu yambiri yosiyanasiyana ya ogwira ntchitowa, omwe nthawi zambiri amathandizidwa pakapita masabata awiri kapena anai (mankhwala ozungulira) a mankhwala a chemotherapy, otsatiridwa ndi nthawi yokhala ndi mpumulo. Capecitabine ndi mapiritsi, pamene enawo amaperekedwa ndi kulowetsedwa m'mimba.
Zotsatira zofala za chemotherapy za khansa ya colon zili zambiri, koma zambiri zimachepetsa ndi mankhwala. Mutha kuwona:
- Kusuta, kusanza, ndi kusowa kwa njala
- Kutaya tsitsi
- Zilonda zamkati
- Kujambula khungu
- Kuwala kwa dzuwa
- Kutsekula m'mimba
- Nthenda ya magazi yochepa ( neutropenia )
- Kunjenjemera kapena kugwedeza manja kapena mapazi
Mwinanso mumatopa kwambiri ndikudwala mosavuta. Izi kawirikawiri zimachitika mogwirizana ndi dontho la chiwerengero cha magazi . Muyenera kupuma mokwanira ndi kukhala ndi ukhondo wabwino (monga kutsuka kwa manja) kuti muteteze chitetezo chanu m'thupi lanu monga matenda, monga chimfine.
Mafunde
Mankhwalawa amagwiritsira ntchito mtundu wina wa x-ray kuti aphe maselo a khansa ndipo angagwiritsidwe ntchito mogwirizana ndi mankhwala a chemotherapy ndi opaleshoni ya khansa yamtunda. Katswiri wa zachipatala amapereka mankhwala othandizira kuchepetsa mazira kuti athetse zizindikiro zilizonse zopweteka za khansa, kupha maselo otsala a khansara pambuyo poti opaleshoni kapena kubwereranso, kapena ngati njira ya chithandizo ngati simungathe kulekerera opaleshoni.
Mankhwalawa amatha kutuluka kunja (monga x-ray) kapena mkati mwake (mkati mwa thupi lanu).
Mapulogalamu opangira ma radiation akunja amapezeka masiku asanu pamlungu kwa milungu ingapo ndipo ali ndi njira zopweteka. Mutha kukhala ndi ululu wa khungu (kuganiza kuti dzuwa likuwombera dzuwa) pamalo otsekemera, kutsekemera, kapena kusanza panthawi ina panthawi ya chithandizo.
Njira yothandizira mazira , yomwe imatchedwanso brachytherapy , imafuna kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Brachytherapy kawirikawiri imamaliza ulendo umodzi.
Thandizo Lolinga
Mankhwala operekedwa kwa khansa ya colon amaperekedwa nthawi yomweyo ndi chemotherapy, makamaka intravenously, kamodzi pa masabata atatu.
Mankhwalawa nthawi zambiri amadziwa kuti mapuloteni amakula chifukwa cha maselo othandiza khansa, monga maselo otchedwa endothelial growth factor kapena epidermal kukula factor receptor. Popeza mankhwalawa ndi ma antibodies, omwe amamenyana ndi mapuloteni omwe amamanga, amapha maselo omwe amapezeka pazifukwazi ndipo amakhala ndi zotsatira zochepa kusiyana ndi mankhwala a chemotherapy. Zitsanzo za mankhwala opatsirana okhudzidwa ndi awa:
- Erbitux (ceuximab)
- Avastin (bevacizumab)
- Vectibix (panitumumab)
Zotsatira Zotsatira ndi Ngozi
Mankhwala onse ali ndi chiopsezo cha zotsatirapo. Mapindu a chithandizo chanu ayenera kupitirira zoopsa. Dokotala wanu azigwira ntchito ndi inu mwakuya ndikukonzekera pulogalamu yanu yothandizira pa zosowa zanu.
Zilibe masiku omwe dokotala wabwino amakwaniritsa zosowa zanu zonse zaumoyo. Mapulani anu azachipatala adzaphatikiza gulu la azachipatala, kuphatikizapo madokotala odziwika bwino - monga oncologists ndi radiologists - anamwino, ndi odwala, kuti akuthandizeni kuti muyambe kulandira chithandizo chabwino. Yambani nyuzipepala ndipo musunge mndandanda wa foni ya akatswiri anu azachipatala kotero kuti mudziwe yemwe angayanjane naye.
Zotsatira:
American Cancer Society. (2008). Khansa yolondola. Zimene Mukuyenera Kudziwa - ZOCHITA. Atlanta: American Cancer Society Health Promotions.
American Cancer Society. (nd) Khansa yolondola. Chemotherapy.
National Comprehensive Cancer Network. (nd) NCCN Chithandizo Chachidule. Maphunziro a khansa yotsimikizika 0, I, II, ndi III.
Laibulale ya National National Medicine. (nd) Kutsekula Kwambiri Kwambiri.