Kukhululukidwa kwa khansara kumatanthauzidwa ngati kukhululukidwa kwa khansa popanda chithandizo, kapena mankhwala omwe sangayembekezere kuchititsa kuti chotupa chichepetse mochuluka monga momwe chimachitira. Kukhululukidwa kokha kungakhale kopanda phindu kapena kokwanira ndipo kungakhale kochepa kapena kosatha.
Katswiri wotchedwa "Peregrine wa St. Peregrine," kawirikawiri khansa yadziwika kuti imatheratu zaka zambiri.
Peregrine Laziozi anali wansembe wa m'zaka za m'ma 1300 ali ndi khansara (mwinamwake phokoso la fupa la tibia lake) amene khansara inatha pamene iye anachotsa chifuwa chokhala ndi chotupacho. Khansara inali itatha-panalibe chizindikiro cha chotupacho.
Ndithudi, kugwiritsidwa ntchito mosagwiritsidwa ntchito molakwa kungakhale kopangidwa m'zaka za zana la 13, koma m'zaka za zana la 21, tili ndi umboni wosatsutsika wakuti nthawi zina zosankha zimangokhalapo.
Zimachitika Kawirikawiri
Ngakhale takhala tikulemba momveka bwino zochitika zowonongeka, zimakhala zovuta kudziŵa momwe zochitikazi zimakhalira. Tikudziwa kuti si zachilendo, ndi maphunziro oposa chikwi m'mabuku. Kuwonjezera pa maphunziro omwe amalemba khansa yomwe imatha popanda chithandizo, sizikuwonekeratu kuti khansara imachokera kangati ngakhale chithandizo kapena kuchepa kukula kwake ngakhale chithandizo.
Ena amanena kuti pafupifupi pafupifupi 1 miliyoni mwa anthu 100,000, koma n'zovuta kudziŵa ngati nambalayi ili mu ballpark.
Zikuwoneka ngati zowonjezereka ndi zotupa m'malo mwa ena, ndi kuponderezedwa mwadzidzidzi kwa khansa zokhudzana ndi magazi monga lymphoma, ndi khansa ya khungu monga khansa ya khansa yomwe imapezeka kawirikawiri.
Ngakhale kuti kafukufuku wambiri wa kukhululukidwa mwachangu akuyang'ana mmbuyo mu nthawi kuyesa kudziwa chifukwa chake khansara yatha, phunziro la 2008 lomwe linakambidwa likusonyeza kuti kukhululukidwa mwadzidzidzi kumakhala kofala kwambiri kuposa momwe timaganizira.
Phunziroli poyang'ana kufufuza zojambulajambula, zinapezeka kuti khansa zina zapakhosi zosazindikirika ndi mammogram zimangobwerera mofulumira. Kafukufuku ameneyu anafalitsidwa mu Archives of Internal Medicine anapeza kuti 22 peresenti ya khansa ya m'mawere yosauka inachoka popanda mankhwala. Popeza kuti zotupazo zinali zowonongeka-akazi sakanakhala ndi mtanda-sakanakhala ndi njira iliyonse yodziwira kuti anali ndi khansara yoopsa popanda kuyang'ana. Popeza pali khansa zambiri zomwe tilibe njira zowunikira, zingakhale kuti khansa yoyamba yoopsa imabwera-ndipo imachoka musanayambe kuganiziridwa-nthawi zambiri kuposa momwe timaganizira.
Zimayambitsa
Sitili otsimikiza kotheratu kuti maselo a m'magazi ndi mabodza pansi pa kuponderezedwa kwadzidzidzi kwa khansara. Zolingalira zakhala zikufotokozedwa zomwe zakhala zikuchulukitsa zosiyana kuchokera ku zifukwa zauzimu zomwe zimayambitsa zifukwa za chitetezo cha mthupi. Izi zinati, chidziwitso cha immunologic chingakhale chopambana.
Matenda ndi Chitetezo cha Immune
Poyang'ana anthu omwe adzikhululukidwa mwachangu kwa khansa zawo, tazindikira mwamsanga kuti zambiri mwazirombozi zimakhudzana ndi matenda aakulu. Matendawa amachititsa kuti thupi likhale ndi malungo komanso kukondweretsa thupi.
Tikudziwa kuti ma chitetezo cha mthupi lathu amatha kulimbana ndi khansa.
Ndipotu, ndilo lingaliro lopangidwa ndi immunotherapy. Mankhwala a Immunotherapy , akadali akadakali aang'ono, adayambitsa matenda oopsa a khansara kwa anthu ena, ngakhale m'zaka zapamwamba za khansa. Mankhwalawa amagwira ntchito m'njira zosiyanasiyana, koma mutu wamba ndi wakuti amathandiza kwambiri kuti maselo athu a chitetezo cha mthupi azitha kumenyana ndi khansa.
Matenda omwe agwirizanitsidwa ndi kukhululukidwa mwadzidzidzi amaphatikizapo diphtheria, chikuku, chiwindi, chiwindi, malaria, nthomba, syphilis, ndi chifuwa chachikulu.
Zizindikiro Zoleza Mtima
Chodabwitsa n'chakuti, ngakhale kuti maphunziro oposa 1,000 akupezeka m'mabukuwa, palibe kafukufuku wochuluka amene akuyang'ana zomwe zimakhalapo chifukwa cha kukhululukidwa kokha kophatikizapo ndi matendawa.
Izi zikutanthauza kuti, kupatulapo mmodzi wophatikizapo pa oncologist ndi wophunzira wa Harvard yemwe adafalitsa buku lakuti "Kukhululukidwa Kwambiri: Kukhalitsa Khansa Kulimbana ndi Mavuto Onse , " kuyang'ana anthu omwe ali ndi khansara omwe ali ndi zotsatira zabwino kuposa zomwe zanenedweratu.
Yankho la zomwe zimapangitsa wodwalayo kukhala wapadera sizowona. Palibe njira zowoneka bwino, mwachitsanzo, zomwe anthu angathe kutsatira. Ndipo sizikuwoneka kuti zili zomangirizidwa poyesera mankhwala atsopano ogwirizana. Chodabwitsa n'chakuti ena mwa kafukufukuyu apeza-zizindikiro za anthu omwe ali ndi chikhululukiro chokha.
Chimodzi mwa zizindikirozo ndi kugwirizana-chinachake chomwe chimapezeka kuti chimapangitsa kusiyana kwa moyo, makamaka kwa iwo omwe ali ndi khansa. Izi zinaphatikizapo kugwirizana kwa Mulungu (kapena mphamvu yapamwamba), mwini, banja ndi abwenzi, madokotala ndi anamwino, ndi odwala ena. Mosakayikira kutenga nawo mbali m'dera lothandizira matenda a khansa wathandiza anthu ambiri kuthana ndi zochitika zapadera komanso kudzipatula kukhala ndi khansa. Palibe kanthu konga kulankhula ndi winawake yemwe wakhalapo. Pakhala pali maphunziro ambiri omwe amasonyeza kuti kupulumuka kuli bwino kwa iwo omwe ali okhudzana ndi abwenzi ndi abwenzi.
Chimodzimodzinso khalidwe losadabwitsa la iwo omwe awonapo kukhululukidwa mwachangu ndilo kulimbikitsa. Chifukwa cha kupita patsogolo kwa kafukufuku wa zachipatala wokhudzana ndi khansa, zomwe zimakhala zovuta kwa dokotala wina kukhalabe pamwamba, kukhala wovomereza kapena kulimbikitsa okondedwa anu ndi khansara ndizoyambira kuyamba, ndipo akhoza kusintha zotsatira.
A Report Report
Lipoti la 2010 la Opaleshoni lero linabweretsa zomwe ena adapeza m'mbuyomo, ndipo zomwe zatsimikiziridwa kuti ndi zowonongeka kuchokera kwa khansa ya m'mapapo.
Mayi wina wa zaka 69 anapezeka ali ndi mapapu adenocarcinoma , mawonekedwe a kansa yaching'ono yopanda maselo . Khansara yake inafalikira kwa adrenal glands- adrenal metastases -ndipo, inalembedwa ngati gawo lachinayi la kansalu ya mapapo . Khansara ya m'magazi ya m'magazi ndi gawo lalikulu kwambiri la matendawa ndi vuto losauka kwambiri.
Patatha mwezi umodzi ataphunzira, ndipo asanalandire chithandizo chilichonse, chotupa chake m'mapapu ake ndi metastasis kwa adrenal gland chake chinawonongeka kwambiri pa CT scan ndi PET . (PET kuyesa ndi kuyesa kugwiritsira ntchito mankhwala omwe amagwiritsira ntchito radioactive shuga, ndipo amalola madokotala kuti azindikire molondola za ntchito zotupa kusiyana ndi CT kapena MRI yekha.) Kenako anachitidwa opaleshoni ya khansa ya m'mapapo ndipo anali atachita bwino patapita miyezi 14.
Kodi Tingaphunzire Chiyani?
Ndithudi, kukhululukidwa kwachizolowezi sikungowonjezereka, ndipo kungakhale kuponyera chiyembekezo chonyenga chokhala ndi nthawi yochulukirapo poganizira izi. Komatu kukamba za kupeza kosavuta kukhululukidwa kumatsindika chinthu china chofunikira kwa aliyense amene ali ndi khansa. Masamba ndi manambala. Amatiuza momwe munthu "wamba" amachitira kale pa nthawi ya mankhwala. Iwo sali odalirika kwambiri polosera momwe munthu aliyense wosakwatira angachitire, kapena momwe wina angayankhire tsopano kuti mankhwala atsopano ndi abwino alipo.
Kuyang'ana zina mwa zizindikiro za "odwala apadera" omwe ali ndi khansara angatipatse zidziwitso zomwe tingachite kuti tiwonekere. Popeza kugwirizanitsa ndi dera ndikofunikira, ganizirani kulowetsa gulu lothandizira khansa . Funsani ndipo mulolenso kulandira chithandizo ndi thandizo kuchokera kwa abwenzi ndi abwenzi. Ndipo phunzirani momwe mungadzilimbikitsire nokha ngati wodwala khansa .
Kuwonekeranso kukhululukidwa kwachangu, ndipo vuto la munthu yemwe khansa yake yamapiko "yanyansidwa mozizwitsa" imatikumbutsa kuti tili ndi zambiri zoti tiphunzire ndipo mwachidwi, chidziwitso chatsopanochi chidzatitsogolera mu njira zatsopano komanso zabwino zomwe tikusamalira anthu omwe ali ndi khansa. tsogolo.
> Zotsatira:
> Engebretson, J., Peterson, N., ndi M. Frenkel. Odwala Odziwika: Nkhani Zogwirizana. Chisamaliro Chothandizira ndi Chothandizira . 12 (4): 29-276.
> Frenke, M., Lev Ari, S., Engebretson, J. et al. Kuchita Zochita Pakati pa Odwala Odziwika ndi Khansa. Thandizo Lothandiza ku Khansa . 2011. 19 (8): 1125-1132.
> Haruki, T., Makamura, H., Tanaguchi, Y. et al. Kugonjetsa Kwadzidzidzi kwa Lung Adenocarcinoma: Lipoti la Mlandu. Opaleshoni Masiku Ano . 2010. 40 (12): 1155-8.
> Jessy, T. Immunity pa Kulephera: Kugonjetsa Kwadzidzidzi kwa Khansa. Journal of Natural Science, Biology, ndi Medicine . 2011. 2 (1): 43-49.
> Zahl, P., Maehlen, J., ndi H. Welch. Mbiri Yachilengedwe ya Khansa Yopweteka ya M'mimba Yowonongeka ndi Kujambula Mamambula. Archives of Internal Medicine . 2008. 168 (21): 2311-6.