Kuyerekeza Zochitika ndi Opaleshoni: Ndi Njira Yabwino Yotani?
Mu nthawi ya khansa yapamwamba yam'koloni , nthawi zina zimakhala zosalala. Ndizosautsa komanso zovuta ndipo nthawi zambiri zimakhala ndi maganizo ndi kusatsimikizika.
Aliyense yemwe akukumana ndi chotupa chosagwiritsidwa ntchito, nkofunika kukumbukira kuti anthu angathe kukhala ndi zaka zambiri ndi khansa yapamwamba . Sizitanthauza kuti aliyense ayenera kutaya mwadzidzidzi chifukwa chotupa sichingatheke.
Muzochitika zambiri kuposa ayi, ndizosiyana.
Cholinga chachikulu pa zochitika ngati izi ndikuonetsetsa kuti zizindikiro zikuyendetsedwa komanso kuti munthu akhoza kukhala ndi moyo wabwino kwambiri ngakhale khansayo isachiritsidwe.
Imodzi mwa zovuta zothetsera khansara yotsiriza ndizoti colon ikhoza kutsekedwa ndi chotupa. Izi zimatchedwa zododometsa zoipa . Mwamwayi, madokotala angathe kuthana ndi vutoli m'njira ziwiri:
- Amatha kuchitidwa opaleshoni kuti ayambe kusokoneza kapena kudutsa choletsedwa.
- Amatha kuika tizilombo toyambitsa matenda (tizilombo toyambitsa matenda) kuti tithandizire kutsegula ndime
Kulimbana ndi Opaleshoni ya Malignant Obstruction
Kwa munthu amene akulepheretsedwa kwambiri, kusankha pakati pa opaleshoni yonse kapena kusungidwa kwa malo opangidwa ndi stent kungakhale kovuta. Kwa ambiri, mbola idzawoneka ngati yosankha. Ndipotu, mbola imatha kuikidwa mosavuta, nthawi zambiri ndi opaleshoni yochepa ya laparoscopic ndi nthawi yowonjezera yayitali.
Koma kodi kuli kosavuta nthawi zonse yankho lolondola?
Phunziro la 2011 lomwe linatulutsidwa mu magazini ya Zachikumbutso la Endoscopy linafunsa funso ili. Malingana ndi lipotili, anthu 144 omwe ali ndi khansara yapamtunda ya mankhwala a coloni adalandira chithandizo kuti athetse vuto linalake lomwe lachitidwa opaleshoni; theka lina linali ndi stent.
Pokumbukira zotsatira zochepa ndi zautali, kusiyana kwakukulu kunayamba kuonekera:
- Zonsezi, chiwerengero chafupikitsa chafupipafupi cha opaleshoni yosavuta ndi yowonongeka sikunali yosiyana kwambiri. Njira ziwirizi zinagwira ntchito bwino pochiza colon yotsekedwa.
- Poyambanso kuchira, gulu lomwe linalandira mphuno linali ndi theka la kuchuluka kwa mavuto oyambirira mu gulu la opaleshoni (15.5 poyerekezera ndi 32.9 peresenti, motsatira).
- Komabe, pamene kupumula kwapita patsogolo, nthawi yomwe blockage idakali yomveka inali yayifupi mu gulu lolimba, ndi anthu ena ngakhale kufunika stent wachiwiri.
- Kwa nthawi yaitali, pamene vuto lalikulu la mavuto linali losiyana kwambiri ndi magulu awiriwa, gulu lolimba linali ndi mavuto aakulu mochedwa poyerekeza ndi gulu la opaleshoni.
Kupanga Kusankha Kwako Koposa Kwambiri
Ngati inu kapena wokondedwa wanu mukukumana ndi vuto losokoneza, mukhoza kukakamizidwa kusankha pakati pa opaleshoni kapena opaleshoni mwamsanga. Kulepheretsa monga chonchi ndi matenda aakulu omwe amafunikanso kusamala mwamsanga kupeĊµa kupweteka ndi vuto lina lililonse lomwe lingakhale loopsya.
Ndizinenedwa kuti, chisankho chofulumira sichiyenera kukhala chosadziwika. Mukungoyenera kufufuza ubwino ndi kudzipereka pogwiritsa ntchito kumvetsetsa kwina:
- Ngakhale kuti stent ingakhale yothetsera mwamsanga kwa colon yotsekedwa, mwayi wofuna wina ndi wapamwamba poyerekeza ndi opaleshoni.
- Ngakhale kuti opaleshoni imapereka zotsatira zokhutiritsa, imakhalanso ndi nthawi yochulukitsa nthawi yochiritsira yomwe ili ndi chiopsezo chachikulu cha zovuta zazing'ono.
Gwiritsani ntchito wanu oncologist ndi dokotala wa opaleshoni kuti mupeze njira yabwino kwa munthu amene akukhudzidwa. Izi zingaphatikizepo kubwereza za msinkhu wa munthu, thanzi labwino, chikhalidwe cha maganizo, ndi zina zomwe zingasonyeze momwe munthuyo angalolere ndondomeko ndikubwezeretsa.
Palibe chisankho cholakwika kapena cholakwika ngati mwapatsidwa zonse zomwe mukufunikira kuti musankhe mwanzeru.
> Chitsime:
> Lee, H ;; Hong, S .; Cheon, J .; et al. "Zotsatira Zakale za mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo oopsa omwe ali ndi odwala omwe ali ndi khansa yosavomerezeka ya Metastatic Colorectal Cancers: Endoscopic Stenting Vers Surgery." Matenda a m'mimba Endoscopy. 2011; 73 (3): 535-542.