Chifukwa Chake Ndikoyenera Kuganizira Zake
Pambuyo pa matendawa ndi kupindula bwino ndi khansa yamtunda, sizingatheke kuti munthu azingokhala ndi maganizo obwerezabwereza (kubwerera kwa khansara). Kuwoneka apa, ululu pamenepo - ndithudi izi ndi zizindikiro kuti kansa yabwerera?
Kuopsa kwanu kuti mubwererenso kumadalira zinthu zambiri , monga masitepe ndi kalasi ya khansa yanu yamtunduwu ndi mankhwala omwe munalandira.
Kuganizira za kubwerera kwa khansa ya colon ndi kuganizira za izo ndi zinthu ziwiri zosiyana. Onetsetsani kuti chikumbumtima chanu sichilowetsa gawo lodziwika bwino podziwa zenizeni zokhudza kubwereza.
Mitundu
Ngakhale dokotala wanu atanena mawu amatsenga "mukuchiritsidwa ndi khansara," palibe chitsimikizo. Pamene mayesero anu amasonyeza kuti mulibe khansa pambuyo pa chithandizo , muli mu chikhululuko. Kukhululukidwa ndi mawu omwe amagwiritsidwa ntchito pofotokoza kusapezeka kwa maselo a khansa m'thupi lanu, omwe madokotala ena amapereka chizindikiro cha "kuchiritsidwa."
Asayansi amati pamene khansara imatha, pali mwayi womwe sunachotsedwepo konse kapena kuti wayamba kufalikira kumalo akutali , omwe sanawoneke pa kuyesedwa koyesa (PET scan, mwachitsanzo). Kugonana kwa khansa ya Colon kumadziwika monga:
- Mderalo - mumtunda kumene kansa yoyamba inalipo
- Chigawo - chomwe chimapezedwa m'matenda am'mimba pafupi ndi malo oyambirira
- Kutalika - kumayambanso kugwiritsidwa ntchito, monga khansa yapita kupyola thupi kupita kumalo akutali
Ziwerengero
Ichi ndi chinthu chofunika kukumbukira pa ziwerengero, khansa, ndi kupulumuka: Ambiri mwa mawerengero samaganizira zochitika za munthu aliyense, monga matenda ena omwe opulumuka angakhale nawo, njira zothandizira, kapena sitepe ya kansa - zonse zomwe zimakhudza kupulumuka . Kafukufuku wa 2008 ku Sloan-Kettering Cancer Center yomwe cholinga chawo chinali kukonzanso deta komanso ziwerengero zokhudzana ndi matenda a kansa.
Phunziroli linaphatikizapo odwala 1,320 opanda matenda a metastatic. Pamapeto pa phunziroli, 243 mwa odwalawo anavutika mobwerezabwereza - kapena pafupifupi 18 peresenti ya odwala.
Kupulumuka ndi Gawo
Miyezi isanu ya kupulumuka kwa khansa ya coloni ndi yosachepera, zaka zisanu m'mbuyo mwazimene zikuchitika komanso mankhwala opatsirana. Deta imasonkhanitsidwa nthawi yambiri - anthu omwe anawerengedwawo amamaliza mankhwala awo a khansa zaka zisanu zapitazo (chitukuko chochuluka cha mankhwala chikuchitika pasanathe zaka zisanu). Tengani chiwerengero cha moyo ndi mchere wa mchere. Iwe ndiwe munthu amene sangayenerere bwino mu phukusi la chiwerengero. Malinga ndi American Cancer Society, zaka zisanu zomwe zimapulumuka khansa ya coloni ndi izi:
- Gawo I - 74 peresenti
- Gawo IIA - 67 peresenti
- Gawo IIB - 59 peresenti
- Gawo IIC - 37 peresenti
- Gawo IIIA - 73 peresenti
- Gawo IIIB - 46 peresenti
- Gawo IIIC - 28 peresenti
- Gawo IV - 6 peresenti
Zizindikiro ndi Zizindikiro
Pambuyo pa chithandizo cha khansa , dokotala wanu amasonyeza kuti kawirikawiri kuyezetsa kuyesa kumayambitsa kubwereza. Zomwe mukutsatira pafupipafupi zikhoza kukhala mobwerezabwereza monga miyezi itatu iliyonse - ndizofunikira nthawi yomwe yatha. Ambiri amayamba khansa yapakatikati pa zaka ziwiri kapena zitatu pambuyo pa khansa yaikulu, malinga ndi American Cancer Society.
Mumadziwa thupi lanu bwino kuposa aliyense. Ngati muwona chinachake chiri "kuchoka," lankhulani ndi dokotala wanu za chizindikiro chimenecho. Zizindikiro zina zoti muziyang'ane zikuphatikizapo:
- Chilakolako chokhazikika kuti musunthe matumbo anu
- Magazi mu mpando
- Sinthani kukula kwa sitolo (riboni kapena zochepa )
- Fever
- Kusinthika kwafupipafupi kusintha
- Kupweteka kwa m'mimba, kutsekemera kapena kutaya kwambiri mafuta
- Kuchepetsa kudya
- Kufooka kapena kutaya mtima
- Kutaya thupi
- Chifuwa chimene sichichoka
- Maso a khungu kapena khungu
Kuchiza
Njira zosankhira zomwe zimapezeka zimadalira mtundu wa kubwereza (kumalo, m'dera, kapena kutali). Ngati matenda a khansa ali m'deralo, dokotala angapereke chithandizo cha opaleshoni , chomwe chimaphatikizapo kuchotsa gawo la matumbo omwe ali ndi khansara.
Ngati khansara yayitali kapena metastatic, dokotala akhoza kupereka opaleshoni kumalo osokoneza bongo (ablation wa zilonda za chiwindi, kuchotsa opaleshoni ya matenda a ovari kapena mapapo) pamodzi ndi mankhwala opatsirana ndi mankhwala ndi chemotherapy. Dokotala wanu ndi a oncologist adzagwira ntchito ndi inu kupereka chithandizo chabwino kwambiri cha chithandizo pa zochitika zanu.
Kulimbana
Kuwopa kubwereza ndizomwe zimalimbikitsa kwambiri anthu opulumuka ku khansa ya colon. Zingasinthe moyo ndi kusintha kwa zakudya, zosankha zabwino, ndi mayesero owonetsera nthawi zonse, monga colonoscopy kapena colonoscopy . Komabe, mantha awa akhoza kukhala olumala ndi kulamulira lingaliro lanu lonse - ngati muloleza. Ganizirani njira izi kuti zikuthandizeni kuthetsa mantha:
- Lankhulani ndi okondedwa za izo
- Ndondomeko zoyezetsa zochitika nthawi zonse - ziyikeni pa kalendara ndikuiwala
- Pezani chithandizo kuchokera kwa opulumuka monga inu nokha
- Funsani dokotala wanu kuti afotokoze zomwe mukuganiza
- Ganizirani kuona mlangizi ngati mantha akuphatikiza maganizo anu
- Pitirizani kusamalitsa maphunziro atsopano ndi njira zamankhwala zothandizira khansa
- Pangani chisankho chabwino pa thanzi lanu ndi moyo wanu
- Tengani moyo tsiku limodzi panthawi
Ino ndi nthawi yolandirira ku thanzi lanu ndi moyo wanu. Simungathe kunena kapena kuteteza mwayi umene khansara yanu idzabwerere. Komabe, mungathe kulamulira zakudya zanu, kuchita masewera olimbitsa thupi, ndi kufufuza.
Zotsatira:
American Cancer Society. (2006). Buku Lopatulika la American Cancer Society Loyamba kwa Khansa Yoyamba . Clifton Fields, NE: American Cancer Society.
American Cancer Society. (nd). Kodi Key Statistical About Colorectal Cancer ndi chiyani?
American Cancer Society. (nd). Kodi Kupulumuka kwa Khansa Yoyamba Ndi Chiyani?
Weiser, MR, Landmann, RG, Kattan, MW, ndi al. (January 2008). Kulankhulidwa payekha kwa Khansara ya Colon Kugwiritsa Ntchito Nomogram . Journal of Clinical Oncology, 26: 3.
National Cancer Institute. (nd). Gawo lachinayi ndi khansa yowonongeka.