Kupanga Kusankha ndi Kulimbana ndi Gawo 4 Khansara ya Colon
Kodi mungatani kuti mupirire bwino mukapeza kuti muli ndi khansa ya colon 4? Ndi zosankha ziti zomwe muyenera kuzichita komanso zomwe muyenera kudziwa kuti mupange zosankha zabwino koposa nokha? Tiyeni tiwone zomwe kukhala ndi khansa ya colon 4 imatanthawuza, nthawi yayitali yomwe anthu amakhala ndi gawoli la matenda, ndi zomwe muyenera kudziwa kuti musankhe mwanzeru pa nthawi yoopsya komanso yoopsa.
Kodi Khansara ya Colon 4 ndi yotani?
Khwerero 4 ya khansa yapamtunda ndiyo njira yopambana kwambiri ya matenda ndipo ingathenso kutchulidwa ngati khansara yamatumbo . Tisanayambe kunena chinthu china, tifunikira kunena kuti sikuti khansa yonse ya khansa yachinayi ndi yofanana. Mwa kutanthawuza, khansa ya khansa 4 ndizozimene zayenda kupyola phuloni (zowonongeka) koma pali madera osiyanasiyana omwe izi zimachitika. Pa chifukwa chimenechi, ziwerengero zokhudzana ndi kupulumuka zikhoza kusocheretsa. Khansara iliyonse yamtundu ndi yosiyana, ndipo thupi la munthu aliyense, kuphatikizapo matenda ena ndi thanzi labwino, ndilosiyana.
Kupanga Zosankha Zofunika Pakati pa Gawo Lanu Kusamalira Khansa ya Colon
Mwatsoka, kwa anthu ambiri, kansa ya khansa yachinayi siyikuchiritsidwa. Komabe, nthawi zambiri amatha kuchiritsidwa. Anthu akhoza kukhala miyezi yambiri komanso zaka zambiri ali ndi khansa ya colon 4. Kodi munthu amakhala ndi moyo kwa nthawi yaitali bwanji pamene matendawa akudalira zinthu zambiri, kuphatikizapo momwe maselo a kansa amatha kukhalira, kumene khansara yamatenda yakula, ndi momwe munthu amachitira ndi mankhwala omwe alipo.
Malo ambiri omwe khansara imafalitsidwa ndi chiwindi (chiwindi cha metastases) koma amatha kufalikira m'mapapu, ubongo, ndi peritoneum, nembanemba zomwe zimayang'ana pamimba pamimba, komanso m'madera ena.
Pamene mukupanga zisankho ndizofunika kuzindikira kuti pakhala njira yatsopano yothandizira khansa ya coloni m'zaka zaposachedwapa.
M'mbuyomu, ndondomeko ya khansa 4 yamtunduwu inkachitidwa chimodzimodzi. Mankhwala ankagwiritsidwa ntchito ndi khansa yambiri, ziribe kanthu kumene kansa yafalitsidwa. Izi, zowathokoza, zasintha. Tsopano, pamene munthu ali ndi zochepa chabe kapena zazing'ono za metastase, nenani chiwindi, chithandizo cha metastases chikhoza kuganiziridwa. Malinga ndi chithandizo chamankhwala, mankhwala amodzi kapena ochepa okha amatchulidwa kuti "oligometastatic" ndi mawu akuti "oligo" amatanthauza ochepa.
Kwa omwe ali ndi kansa ya m'matumbo yamatenda ndi masastases ochepa okha ku chiwindi kapena mapapu, kuchotsa metastases nthawi zina kungapangitse kukhalapo kwa nthawi yaitali. Kwa anthu ambiri, mankhwalawa sangatheke, ndipo chithandizo cha mankhwala chikuyesa kuyendetsa khansa kufalitsa moyo ndikugogomezera moyo.
Mungafune kudziwa zambiri zokhudza chithandizo cha matenda a chiwindi okhudzana ndi khansa yamtunda .
Kodi Ndi Zambiri Zomwe Mukufuna Zomwe Mukufuna Zomwe Mumayambitsa Khansa ya Colon?
Zina mwa zinthu zoyamba, mudzakambirana ndi gulu lanu la chisamaliro ndizolemba zambiri zomwe mukufuna pazochitika zanu. Kugonjetsa kumatanthawuza njira yothetsera matenda ndi nthawi yochuluka yomwe muli nayo. Anthu ena amafuna kudziwa zambiri za momwe angakhalire ndi khansa ya colon 4 yautali.
Anthu ena samakonda kudziwa izi.
Ngakhale mutakhala ndi chidwi chokwanira, kumbukirani kuti kufotokozera kuti munthu akhala ndi khansa yamtundu wachinayi nthawi yayitali sikunali yeniyeni. Dokotala wanu angakupatseni nthawi yambiri imene akuyembekeza kuti mukhale nayo. Uku ndiko kulingalira kwabwino kwake, komwe kumachokera pazochitika zanu komanso kuchipatala cha dokotala wanu. Aliyense ndi wosiyana.
Komanso kumbukirani kuti zinthu zimasintha. Anthu ena amakhala motalika kwambiri kuposa momwe amayembekezera. Ena amakhala ndi nthawi yochepa. Ndipo madotolo ena sangapereke chitsimikizo cha momwe munthu adzakhalira ndi khansa ya colon 4 chifukwa nthawi zambiri sakudziwa.
Chinthu chofunika kwambiri kuti mudziwe ndi chakuti mungathe kuphunzira zambiri kapena zochepa monga mukufunira zokhudzana ndi matenda anu. Ndi kwa inu. Onetsetsani kuti mupange zomwe mukufuna kudziwa (kapena musazidziwitse) kwa dokotala.
Kodi Banja Lanu Lifuna Kudziwa Chiyani?
Mukamapanga chisankho chokhudzana ndi zofunikira, ndithudi, zingakhale zofunikira kulingalira za iwo amene amakukondani ndipo angakuthandizeni kukusamalirani. Ambiri mwa mamembala amafuna zidziwitso zonse za momwe wokondedwayo angakhalire atakhala ndi matenda a khansa ya colon 4. Achibale ena angapeze mfundo izi zimakwiyitsa kwambiri. Mwina sangakonde kumva.
Onetsetsani kuti dokotala akudziwa yemwe m'banja mwanu akufuna (kapena akusowa) kuti adziwe zonse zomwe sangakwanitse. Dokotala wanu akhoza ngakhale kulembera kalata m'ndandanda yanu pofotokoza zolinga zanu za kugawidwa kwadzidzidzi za mankhwala anu a khansa. Mwanjira imeneyi, aliyense pa gulu la chithandizo chaumoyo adzakhala pa tsamba lomwelo pa nthawi yoikidwa.
Kupezeka ndi matenda a kansa ya colon 4 kungakupangitseni kudzimva kuti mulibe mphamvu. Kudziwa zomwe mungachite pokhudzana ndi kufotokozera za khansa yanu, zosankha zanu, ndi kutha kwa chisamaliro cha moyo wanu kukuthandizani kupita patsogolo pa nthawi yovuta.
Kodi Mungakhale Ndi Moyo Wautali Motani Pakati pa Khansa ya Colon 4?
Malingaliro onena za kupulumuka ndi khansa ya kondomu yachinayi ndi yowerengeka, ndipo anthu si nambala.
Kuwonjezera apo, ziŵerengero zopulumuka ziri, mwa kutanthawuza, nthawizonse zaka zingapo zakubadwa. Mzaka zisanu zapakati pa matendawa zidzakupatsani chiwerengero cha momwe munthu angakhalire atakhalapo zaka zisanu zapitazo. Chifukwa cha kupititsa patsogolo kwa khansa komanso mankhwala atsopano a khansa, monga mankhwala ochiritsira komanso odwala matenda opatsirana pogwiritsa ntchito mankhwala opatsirana, komanso mankhwala a oligometastatic (mwachitsanzo, khansa yamtundu wa khansa ku chiwindi) ziwerengerozi zikuyenera kusintha. Momwe wina amachitira lero ndi khansara yamtundu akhoza kukhala wosiyana kwambiri ndi momwe wina angapangire ngakhale zaka zisanu zapitazo.
Ndikofunika kumvetsetsa kusintha kumeneku kwa mankhwala a khansa mukamasankha zochita. Ngati mumalankhula ndi wina, mwinamwake mnzako kapena wachibale wina, amene adayambitsa matenda a khansa m'mbuyomu, njira yothandizira imakhala yosiyana kwambiri tsopano. Pamene anthu akunena za ena omwe ali ndi matendawa-omwe angawonekere-mukhoza kuwathandiza mwachikondi kuti mankhwala akusintha. Mankhwala abwino amapezeka pa khansara ya colon kuposa momwe tinakhalira zaka ziwiri zapitazo, ndipo nthawi yayitali matenda opatsirana-ngakhale pulogalamu yachinayi ikukula.
Pakalipano pangozi ya khansa ya colon 4, malinga ndi American Cancer Society ndi 11 peresenti. Izi zinati, kafukufuku wa 2017 anapeza kuti omwe ali ndi khansa ya pamtunda wa 4 ndi chiwindi metastases, omwe anali ofuna kuchotsedwa kwa chiwindi cha chiwindi nthawi imodzimodziyo ngati opaleshoni ya coloni, anali ndi zaka zisanu zapakati pa zaka zopitirira 70 peresenti. Pali anthu ambiri omwe amakhala ndi moyo wautali, ngakhale matenda osagwiritsidwa ntchito, ndi khansa yachitsulo yachinayi kuposa kale lonse. Ngati muli ndi khansa ya colon ndi metastases ya chiwindi yomwe imachiritsidwa, pali anthu ambiri, monga mimba ya kumadzulo kwa dziko la Wade Hayes, omwe akukhala ndi umboni wakuti nthawi zina zimakhala ndi khansa ya coloni 4 yomwe imatha kupulumuka.
Pulogalamu ya khansa ya MD Anderson ili ndi kachipatala yowononga khansa yomwe imaganizira osati msinkhu wokha, koma zaka, mtundu, kugonana, ndi kusiyana kwa maselo a khansa. Inde, ngakhale ndi zosiyana siyana, kupulumuka kungakhale kosiyana kwambiri ndi zochitika zina zamankhwala zomwe mungakhale nazo, mankhwala omwe mumalandira, ndi momwe maselo anu amachitira.
Kodi ndi liti pamene muyenera kusiya chithandizo ndi gawo 4 kansa ya colon?
Ngakhale kuti tili ndi mankhwala abwino kuposa kale, ndipo nthawi zina timatha kuchiza matenda a mitsempha, timadziwa kuti anthu ambiri omwe ali ndi khansara ya sitiroko 4 adzafika nthawi yomwe ziwopsezo ndi zotsatira za mankhwala zikhoza kupambana phindu.
Kubwera kwa mankhwala atsopano ndi lupanga lakuthwa konsekonse. Mankhwala atsopanowa akhoza kupititsa patsogolo moyo ndi kupereka zosankha zomwe sizipezeka zaka zingapo zapitazo. Komabe, poyambirira nthawi zambiri timangopereka chithandizo chamankhwala, takhala tikufika pamapeto pomwe chisankho chosiya mankhwalachi chiyenera kukhala chisankho chogwira ntchito.
Ngati muli paulendo uno, onetsetsani kuti mufunse mafunso ambiri, ndipo ganizirani mosamala zinthu 9 zomwe muyenera kuziganizira musanayambe chithandizo cha khansa .
Kulimbana ndi Khansa ya Colon Pamene Chithandizo Chachikulu Sichikuthandizani
Ngati mwaganiza kuti musiye kuchiza khansa yanu, sitepe yotsatira ndi iti?
Chifukwa chakuti chithandizo chogwira mtima cha khansara yanu imatha, sizikutanthauza kuti simudzakhala ndi chithandizo chilichonse. Kusamalira kansalu ya khansa kumalimbikitsa chitonthozo m'malo mochiza, koma nthawi zina kumaphatikizapo mankhwala opatsirana pogwiritsa ntchito mankhwala, chemotherapy, kapena opaleshoni. Mavuto oyendetsa ululu ndi ofunika kwambiri, komanso mankhwala omwe amathandiza kuchepetsa zizindikiro za m'mimba (monga kudzimbidwa kapena kutsegula m'mimba,) kusowa kudya, kuchepa kwa magazi, ndi nkhawa komanso kuvutika maganizo komwe kungayende ndi matenda a khansa.
Mungafune kuti muwone njira izi zothana ndi khansara yotha ; Malingaliro omwe ena omwe ali nawo pano akhala akugawanika pazokambirana kuchokera pakuchita mgwirizano ndi njira zopezera ndi kukonzanso chiyembekezo.
Kusankha Chokhudza Hospice Care
Palibe amene akufuna kukambirana zokambirana zachipatala . Odwala khansa ndi mabanja awo ali ndi chiyembekezo choteteza ena mwa kunyalanyaza zokambiranazi. Ngakhale madokotala akukayikira kuti abweretse vutoli. Chofunika kwambiri kudziwa, komabe, kusankha kusamalira alendo sikukutanthauza kuti mukusiya. Ndi chisamaliro cha chipatala, anthu amachiritsidwabe. Kusiyanitsa ndiko kuti mmalo moganizira za mankhwala omwe angakumane ndi khansa, chisamaliro cha odwala chimaphatikizapo mankhwala ochiza matenda a khansara, ndipo mwachiyembekezo ndikuwongolera umoyo wanu.
Anthu ambiri amavomereza kuti atasankha chisamaliro cha odwala omwe akufuna kuti iwo atero kale. Pofuna kulandira chisamaliro cha kuchipatala, mudzafuna kalata kuchokera kwa dokotala yemwe mukuganiza kuti muli ndi miyezi isanu ndi umodzi kapena osachepera kuti mukhale ndi moyo. Ngati mumakhala patatha miyezi isanu ndi iwiri, ndizodabwitsa! Simunayambe "kulangidwa" posankha chisamaliro posamalira odwala, ndipo panthawi imeneyo mungasankhe kukonzanso chithandizo chanu chakumwa kwa miyezi isanu ndi umodzi ngati mukufunikira. Chisamaliro chachipatala sichikutanthauza kuti mukusiya chiyembekezo , m'malo mwake, mukusankha chiyembekezo cha moyo wabwino koposa masiku omwe mwatsala.
Pansi pa Kulimbana ndi Gawo 4 Kansa ya Colon
Khansara yachitsulo ya khansa yachinayi ikuwopsya, ndipo mpaka posachedwa pangokhala ndi matenda oopsa kwambiri. Tili ndi mankhwala ena ambiri omwe alipo panthawiyi, ndipo pali zambiri zomwe zikupezeka m'mayesero a zachipatala. Izi ndi zodabwitsa m'njira zambiri, koma mosiyana ndi zakale, anthu amafunika kukhala mbali yogwira ntchito ya gulu lawo la chisamaliro cha khansa. Kuwonjezera pa kupanga zosankha zokhudzana ndi nthawi yothetsa chithandizo, anthu ayenera kuphunzira ndi kuganizira kutenga nawo mbali m'mayesero a kachipatala - zomwe zakhala zikusintha malingaliro a kansa ya khansa yachinayi kwambiri. Ndikofunika kuphunzira zonse zomwe mungathe pa khansara yanu.
Tengani nthawi kuti muphunzire za momwe mungafufuzire khansa yanu pa intaneti . Kukhala nawo m'dera lothandizira khansa ya kondomu, makamaka momwe mungalankhulire ndi anthu ena omwe akulimbana ndi khansa yachinayi-sikungowonjezera chithandizo koma zingakhale zopindulitsa pophunzira kafukufuku watsopano pa matendawa. Musanayambe "kutumiza", khalani ndi mphindi zochepa kuti muwone momwe mungagwiritsire ntchito chitukuko mosamala monga wodwala khansa . Oncology ikusintha mofulumira kwambiri ndipo ndi yovuta kwa dokotala aliyense-ngakhale yemwe ali mwapadera mu khansa ya coloni-kuti asamadziwe zowonjezereka zonse zomwe zapeza ndi njira zamankhwala. Anthu ena omwe akukhala ndi khansa ya sitiroko, ali ndi moyo chifukwa cha zomwe adapeza podziwa kuti ali mbali ya umodzi wa anthuwa.
Iyenso ndi nthawi yomwe mumasowa gulu osati dokotala mmodzi. Kwa omwe ali ndi nthenda yachinayi ndi oligometastatic, gulu lanu lingaphatikizepo dokotala wa opaleshoni ndi odwala oncologist pamodzi ndi odwala oncologist. Kafukufuku wothandizira anthu ambiri amathandiza anthu kuthana ndi zizindikiro za matendawa. Inde, membala wofunika kwambiri pa gulu lanu la chisamaliro cha khansa ndiwe.
Ngati mwasankha kuletsa chithandizo, yang'anani kuti anthu azilemekeza ulemu wanu. Ichi chiyenera kukhala chisankho chanu nokha, ndipo mwatsoka, anthu ambiri akupemphedwa ndi okondedwa kuti apitirize kuchipatala ngakhale mavutowa akuposa phindu lililonse. Izi zinati, yesetsani kuthandiza abwenzi anu ndi abambo kuti akuthandizeni. Osati aliyense amakhala omasuka kukhala pafupi ndi munthu yemwe ali ndi khansa yapamwamba, ndipo ubale wanu ungasinthe; anzanu apamtima akuyandikira patali, ndipo mabwenzi atsopano ayandikira.
Chofunika kwambiri, phunzirani momwe mungakhalire wanu woimira pa chisamaliro chanu cha khansa . Sikuti zimachepetsanso nkhaŵa zanu komanso zimakuthandizani kuti mukhale ndi mphamvu pakupanga zisankho zanu, koma nthawi zina zimatha kusintha zotsatira.
> Zosowa
- > Inoue, Y., Imai, Y., Osumi, W. et al. Kodi Optimal Timing ndi Chiyani Opaleshoni ya Chiwindi ya Matenda a Chiwindi Ogwiritsidwa Ntchito Ochokera ku Colorectal Cancer? . Annals of Surgery . 2017. 83 (1): 45-53.
- > National Cancer Institute. Chithandizo cha khansa ya Colon (PDQ) - Health Professional Version. Gawo lachinayi ndi Chithandizo cha khansa yatsopano. Kusinthidwa 04/21/17. https://www.cancer.gov/types/colorectal/hp/colon-treatment-pdq#section/_145
- > Nosher, J., Ahmed, I., Patel, A. et al. Mankhwala Osagwira Ntchito Othandizira Amtsika Opatsa Chiwindi. Journal of Zovomerezeka pa Oncology . 2015. 6 (2): 224-40.