Chithandizo cha khansara ya testicular chimasiyana mosiyana ndi mtundu ndi siteji ya khansa. Chithandizo chimaphatikizapo opaleshoni kuchotsa canceris testis, yomwe ikhoza kutsatiridwa ndi chemotherapy , mankhwala othandizidwa ndi ma radiation kapena opaleshoni yowonjezera kuti achotse maselo a mitsempha.
Chimene Chimachitika Patatha Chithandizo cha Khansa ya Testicular
Pambuyo pakatha mankhwala, kutsatila kumakhala ndi maulendo a maofesi komanso kuyesa magazi ndi kuganizira.
Cholinga chachikulu chotsatira ndondomeko ya khansa. Ngakhale khansara ya testicular ingathe kuchiritsidwa ngakhale pamayendedwe apamwamba, zotsatira zake zikhoza kukhala bwino ngati khansara ili yochepa.
Cholinga chachiwiri chotsatira ndondomeko iliyonse ndi mavuto omwe angakhalepo chifukwa cha chithandizo. Izi zingaphatikizepo zovuta kuchokera ku chemotherapy, monga matenda a m'mapapo, kuwonongeka kwa mitsempha m'manja ndi m'mapazi kapena m'mitsempha ya impso. Mwina pangakhale nkhani za kusabereka chifukwa cha chithandizo chomwe chimafuna uphungu, kutumiza kapena njira zina.
Ndemanga ya Kufufuza Zomwe Zimapangidwanso
Paulendo wa ofesi, mafunso ena amafunsidwa ndikutsatiridwa. Zonsezi zimatsogoleredwa pozindikira zizindikiro kapena zizindikiro zilizonse zomwe zingasonyeze kuti kachilombo kamatuluka.
- Ndondomeko ya machitidwe : Kuwongolera machitidwe ndi njira yofunsira mafunso enieni kuti aone kayendedwe ka thupi ndi zizindikiro zogwirizana ndi khansa kapena mankhwala ake. Mafunsowa amapangidwa kuti adziwe ngati pali chizindikiro chatsopano kapena chopita patsogolo chomwe chingakhale umboni wa khansa yowonongeka. Mwachitsanzo, kupweteka kwapweteka kumbuyo kungakhale chizindikiro kuti khansara yafalikira ku gulu la node lodziwika kuti retroperitoneal lymph nodes, kotero mukhoza kufunsidwa ngati muli ndi kupweteka kwa msana. Khansara yamatsenga imatha kufalikira m'mapapu omwe amachititsa chifuwa ndi mpweya wochepa, kotero mukhoza kufunsa mafunso awa. Mafunso enanso ambiri angapemphedwe, komanso pafupifupi onse amayenera kufufuza umboni wa khansa kapena zovuta kuchokera kuchipatala.
- Kuyezetsa thupi: Kuyezetsa thupi kumayesetsanso kufunafuna umboni wa khansa. Machitidwe ambiri ndi madera amapezeka kawirikawiri. Mimba imayesedwa kupyolera mu palpation (kupanikiza ndi kumverera ndi zala). Ngati maselo a retroperitoneal akwanira mokwanira, akhoza kumverera ngati mimba yamimba. Mapapu amafufuzidwa mwa kumvetsera ndi stethoscope kumvetsera mosamalitsa zochitika zonse zomwe zingasonyeze kuti mapapo ali ndi khansara. Masewera otsalawa ali ndi phokoso. Izi zachitika makamaka chifukwa chakuti kachiwiri kachiwiri ka khansa yowona ndi yofala kwambiri kwa munthu yemwe wakhala ndi khansa ya testicular. Mbali zina za kuunika kwanu zingaphatikizepo kuunika kwa zinthu monga kuyesa magulu ena am'mimba ndi kumvetsera mtima.
Kufufuza kwa Laboratory
Kuphatikiza pa ndondomeko ya machitidwe ndi kuunika kwa thupi, kuyesedwa muofesi kumaphatikizaponso kuyesera kwa magazi. Mayesero a magazi amachitikira makamaka kuti afufuze zizindikiro zowonongeka zomwe zingakwereke ngati khansayo akadakali pamalo ena monga amphine kapena mapapo. Mayesero a magazi angapangidwenso kuti aone zovuta monga mankhwala monga chemotherapy. Izi zikhoza kukhala mayeso a magazi kuti azindikire ntchito ya impso kapena mafuta, zomwe zingakhudzidwe ndi chemotherapy kwa madigiri ndi nthawi.
Zojambula Zoganizira
Mwinamwake gawo lotsimikizika kwambiri la chisamaliro chotsatira ndilo ntchito ya maphunziro ena ojambula zithunzi. Mtundu wa phunziro ndi nthawi zambiri zimadalira pa siteji ndi chithandizo cha khansa. Chimodzi mwa kafukufuku wojambula bwino kwambiri ndi chifuwa cha x-ray. Izi zachitika kuti muwone ngati pali khansa m'mapapo. Ngati khansa inali m'mapapu kale ndipo imachizidwa ndi chemotherapy kapena ngati pali zizindikiro zoopsa za pulmonary, nthawi zambiri chifuwa chachikulu cha CT chingachitike m'malo mwa x-ray. Kuyeza kwa CT kumakhala ndi chisankho chachikulu komanso kumakhala kosavuta, koma zimapangitsa ndalama zambiri komanso zimakhudza kwambiri ma radiation kusiyana ndi x-ray. Kafukufuku wa CT amachitidwa kawirikawiri pamimba ndi m'mimba kuti awonetsetse kuti thupi limakhala ndi khansa ya retroperitoneal.
Mafupipafupi ndi Nthawi Yowunika Zotsatira
Kawirikawiri komanso nthawi yayitali yotsatila yomwe ikuchitika ndi chigamulo chomwe chimachitika pakati pa wodwala ndi khansa yake. Malangizo ochokera kumadera osiyanasiyana amapereka maulendo oyendera mayezi 3-12 iliyonse kwa zaka 5. Kodi kuchuluka kwa CT ndi ma x-rays kumachitika kangati komanso mosiyanasiyana malinga ndi siteji, mtundu, ndi mankhwala a kansa ya testicular. Chiwerengero cha CT chimayambira pakati pa 2-10 kwa zaka zisanu zoyambirira kutsata mankhwala.