Mmene khansara ya chiberekero imathandizidwira ndi mankhwala opatsirana
Thandizo la ma ARV limagwiritsa ntchito mphamvu zina kuti zisawononge matenda kapena kuthetsa maselo a khansa. Zimagwira ntchito powononga DNA ya selo ya khansa, zomwe zimalepheretsa kuchuluka. Ngakhale mankhwala opatsirana pogwiritsa ntchito ma radiation angasokoneze maselo a thanzi lapafupi, maselo a khansa ndi ofunika kwambiri poizoni komanso amafa akamapatsidwa mankhwala. Maselo abwino omwe amawonongeka pa nthawi ya ma radiation ndi othandiza komanso amatha kuchira.
Mankhwalawa angaperekedwe paokha kapena angaperekedwe ndi chemotherapy , opaleshoni kapena onse awiri. Chisankho chophatikiza chithandizo cha mankhwala ndi mitundu ina ya chithandizo chimadalira pa siteji ya khansara ya chiberekero ndi zina.
Mungaperekedwe mankhwalawa:
- Pokha palokha ngati njira yokhayo yothandizira
- Pambuyo pa opaleshoni
- Pambuyo kapena palimodzi ndi mankhwala a chemotherapy. Mankhwala enaake monga mankhwala a 5-FU ndi cisplatin, amachititsa maselo a khansa kukhala ovuta kwambiri. Mankhwalawa amachiza mankhwala a khansa ya chiberekero.
Mitundu ya Mankhwala Opatsira Mafuta Ankagwiritsidwa Ntchito Pochiza Khansa ya Chiberekero
Pali mitundu iwiri ya mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana khansa ya chiberekero: ma radiation ndi ma radiation mkati. Mmodzi kapena mitundu yonse ya chithandizo cha ma radiation angagwiritsidwe ntchito pochiza khansara ya chiberekero.
Mazira Akunja Kwambiri - Njira Yothandizira
Amatchedwanso systemic therapy, mtundu uwu wa ma radiation amaperekedwa pamtunda. Nthawi yothandizira mankhwala ndi masiku asanu pa sabata kwa masabata asanu ndi limodzi kapena asanu ndi awiri.
Amagwiritsa ntchito mphamvu ya X-ray kapena gamma ray yopereka mankhwala kuchigawo chokhudzidwa. Kwa amayi omwe ali ndi kansa ya pachibelekero, ma radiation akunja amatha kuperekedwa ndi makina omwe amafanana ndi makina a X-ray koma amapereka mphamvu yowononga kwambiri. Chithandizo chilichonse chimatenga mphindi zochepa chabe ndipo sizimayambitsa ululu uliwonse.
Kaŵirikaŵiri zimaphatikizapo mankhwala a chemotherapy, ndipo regimen imeneyi imatchedwa chemoradiation.
Mauthenga Amkati - Brachytherapy
Mtundu wa mankhwalawa umatchedwanso brachytherapy . Amagwiritsa ntchito mankhwala (mbewu, cathéter kapena ndodo) yomwe imasindikizidwa ndi mankhwala owonetsetsa. Kuyika kumeneku kumayikidwa mu chiberekero kupyolera mu umaliseche ndikuchiritsidwa. Mlingo wochepa wa mlingo wa brachytherapy wagwiritsidwa ntchito pafupipafupi, ndi zida zogwiritsidwa ntchito poizonika mmalo mwa masiku angapo. Wodwala amaloledwa kusiya mankhwala otsatirawa. Kuchuluka kwa mlingo wa mankhwala okhwima ndi mankhwala ochiritsira matendawa, ndi mankhwala ochiritsira. Zida zamagetsi zimayikidwa kwa kanthaŵi kenaka amachotsedwa ndipo wodwala amabwerera sabata kapena kupitilira mankhwala ena. Matenda a ubongo amayamba kawirikawiri pokhapokha atakhala ndi mazira.
Zotsatira Zotsata Mankhwala Opatsira Mafuta
Zotsatira za ma radiation zimasiyana ndi odwala mpaka opirira. Zonsezi zimadalira kuti nthawi zambiri mankhwala amaperekedwa komanso pa mlingo wotani. Zotsatira zitatu zomwe zimachitika kawirikawiri ndi izi:
- Kutopa
Odwala onse opatsirana pogwiritsa ntchito ma radiation amatha kutopa panthawi yachipatala . Ino ndiyo nthawi imene wodwala khansa ayenera kugwiritsa ntchito njira yake yothandiza kuthandizira ntchito zapakhomo, zolemba, kusamalira ana ndi ntchito zina zing'onozing'ono. Kufikira tsiku lonse ndikupeza tulo losasokonezeka usiku kumapangitsa kusiyana kwa mphamvu ya munthu.
- Mavuto a Khungu
Khungu lomwe lapezeka kuchipatala likhoza kuoneka lofiira, lopsa ndi dzuwa, kapena laukali. Khungu ndi lodziwika kwambiri ndi ma radiation ndipo liyenera kuchitidwa ngati choncho. Odwala ayenera kupewa zonunkhira kapena zofukiza zonunkhira, zovala zoyenera, ndi kuwonetsa dera lomwe likulowa dzuwa (pakapita mankhwala ndi kwa chaka chimodzi). - Kutaya Zakudya
Kutaya kwa njala kungabweretse kufooka ndi kufooka kwa zakudya. Ndikofunikira kwambiri kukhalabe olimba pa nthawi iliyonse yothandizira khansa, komanso zakudya zabwino ndizofunikira kwambiri.
Zotsatira:
"Kuchiza Mankhwala a Khansa ya Khansa." Tsatanetsatane wa Guide: Khansara ya chiberekero. 02/26/2015. American Cancer Society.
"Mankhwala Opanga Mafuta ndi Inu." 20 APR 2007. National Cancer Institute.