Kansa Yaikulu Ndiponso Yopadera
Mawu akuti "chotupa cha carcinoid" anakhazikitsidwa mu 1907 ndi Siegfried Oberndorfer, wasayansi amene ankafuna kutchula chotupa ngati khansa-ish. Sitiyenerera kukhala chotupa choyipa chifukwa chimatha kuchepetsa mphamvu, koma chimakula pang'onopang'ono ndipo nthawi zambiri sichitha kufalikira, zomwe zimapangitsa kuti zikhale zowononga kuposa khansa zambiri.
Carcinoma ndi chotupa cha khansa komanso cholemetsa "-id" chimagwiritsidwa ntchito kusonyeza kuti chinachake chikufanana ndi china.
Choncho, mawu akuti Oberndorfer anabwera ndi "chotupa chamagazi," anafotokoza chotupa chomwe chinali "khansa yonga khansara." Zoonadi, zotupa za carcinoid ndi khansa, koma dzina la "carcinoid" lakhazikika mpaka lero.
Matenda a carcinoid amayamba kuchokera ku mtundu wina wa seuroendocrine selo, yomwe imapangitsa mahomoni omwe amathandiza kuchepetsa chimbudzi. Ngakhale zotupa za carcinoid ndizofala kwambiri pamatenda a ubongo, iwo amawerengera osachepera limodzi mwa magawo atatu a khansa yambiri . Matenda ambiri a kachipatala a thirakiti la GI amapezeka m'mimba yaing'ono , m'magazi, ndi zowonjezereka . Zikafika pamtunda wambiri, zimakhala zovuta kawiri kuti zichitike mumtengowo kusiyana ndi mbeu .
Matenda a carcinoid amakula pang'onopang'ono ndipo amakhala ndi mwayi wokwana 1,000 mwa 300,000 wokha kuchepetsa matenda (kufalikira kumalo ena m'thupi).
Zizindikiro
Zizindikiro, ngati zilipo, kuti chotupa cha carcinoid chingayambe chidzadalira malo omwe ali ovuta kwambiri.
Ngati mu colon, munthu akhoza kumva kupweteka m'mimba ndi kuwonongeka kwa thupi popanda chifukwa. Ngati mu rectum, chotupa cha carcinoid chingayambe magazi mu mpando, ululu mu rectum, ndi / kapena kudzimbidwa .
Kawirikawiri, mavitamini a chiwindi m'magazi adzawononga mahomoni omwe angapangidwe ndi zotupa za GI carcinoid.
Komabe, ngati chotupacho chafalikira ku chiwindi ndi ma hormoni owonjezera sangathe kuwonongeka, kapena ngati mahomoni ambiri alowa m'magazi, chikhalidwe chomwe chimadziwika kuti matenda a carcinoid akhoza kukula. Matendawa amadziwika ndi magulu a zizindikiro, kuphatikizapo:
- Kufiira pamaso ndi m'khosi
- Kumverera kwachisomo mu nkhope ndi khosi
- Kupweteka m'mimba
- Kukumana kwatulidwa
- Kutsekula m'mimba
- Kupuma
- Kukukwa kwa mtima kofulumira
Kuzindikira ndi Chithandizo
Zakale zimagwidwa, zowonjezereka zotsatira zimakhalapo kwa odwala omwe ali ndi zotupa za thupi. Ndipotu, ngati atagwidwa asanafalikire, zotupa zapakhungu zimatha kuchotsedwa mwathunthu ndipo wodwalayo akhoza kuchiritsidwa. Komabe, chifukwa zotupa za carcinoid zimakhala pang'onopang'ono ndipo zimapangitsa zizindikiro zochepa ndi zosavuta, kuzigwira mofulumira ndizovuta. Pamene chotupacho chafalikira kumadera ena a thupi, opaleshoni, komanso mankhwala ena, angafunikire, kaya ali okha kapena osakaniza. Mankhwala ena amaphatikizapo mankhwala, chemotherapy, radiation, ndi ablation.
Zotsatira:
> Kufotokozera za Khansa ya Carcinoid. Gawo la Khansa ya Carcinino. Jan 2005. 5 Jul 2006
> Kufalikira, C. ndi Berkel, H. "Mapuloteni a Colonic Tumor. Matenda a Colon ndi Rectum 37.5 (May 1994): 482-491. Adasankhidwa . 5 Jul 2006.