Mesothelioma - Zizindikiro, Mavuto, Machiritso, ndi Mafupa

Tanthauzo, Zizindikiro, Kuchiza, ndi Kupewa kwa Mesothelioma

Mwachidule

Mesothelioma ndi khansara yosaoneka bwino, yomwe ili ndi pafupifupi 2,000 atsopano omwe amapezeka ku United States chaka chilichonse - koma chiwerengero chake chikuwonjezeka padziko lonse lapansi. Chomvetsa chisoni, matenda ambiri a matendawa ndi ofanana ndi ntchito yokhudzana ndi asibesitosi ndipo akhoza kutetezedwa kudzera mu kuzindikira ndi kuteteza kuntchito. Izi zimati, nthawi zambiri, mesothelioma sichikulirakulira mpaka zaka makumi anayi atatha kutuluka kwa asibesitosi, ndipo anthu ambiri amene amapezeka lero anali ndi zaka zambiri zapitazo.

Mesothelioma ndi chotupa cha khansa (choipa) chomwe chimayambira mu mesothelium . Mesothelium ndi memphane yomwe imateteza mapapu, mtima, ndi m'mimba. Pali mitundu itatu yaikulu ya mesothelioma:

• Pleural mesothelioma imayamba phokoso (mapaipi). Uwu ndiwo mtundu wambiri wa mesothelioma.
• Peritoneal mesothelioma imayambira mu peritoneum (chikhomo cha mimba yamimba).
• Pericardial mesothelioma imayambira mu pericardium (chigoba cha mtima).

Zimayambitsa

Matenda ambiri a mesothelioma ndi chifukwa cha kutuluka kwa asibesitosi pa ntchito. Zifukwa zina ndizo:

• Kutengera kwa chibadwa - Anthu ena amatha kukhala ndi mesothelioma kuposa ena
• Kuwonetsa kwa kachilombo kena - Vuto lotchedwa simian virus 40 (SV 40) yakhala ikugwirizana ndi ma mesothelioma ena
• Kuwonetsedwa kwa ma radiation

Zizindikiro

Anthu ambiri omwe ali ndi mawu odzitetezera a mesothelioma amalephera kupuma ndi kupweteka pachifuwa (makamaka pansi pa nthiti), koma zizindikiro zina zingaphatikizepo:

• Kupweteka kwa m'mimba ndi kuphulika (ndi peritoneal mesothelioma)
• Chifuwa chosatha
• Kuvuta kumeza (dysphagia)
• Kutaya kosawerengeka kosadziwika
• Anemia
• Zovuta kuzimitsa magazi
• Ululu wamtima - Phunziro limodzi, kupweteka kwapweteka kunali chizindikiro choyamba cha misozi ya mesothelioma mu 14 peresenti ya odwala.

Kudziwa

Kuzindikira mesothelioma kungakhale kovuta chifukwa pali zinthu zambiri zomwe zimayambitsa zizindikiro zomwezo.

Dokotala wanu ayambe kukumbukira mbiri yanu, makamaka ndikukufunsani za mbiri yanu ya ntchito, ndiyeno mukayezetse. Kafukufuku woganizira amachitika nthawi zambiri ndipo angaphatikizepo X-mazira a chifuwa ndi mimba, CT, ma MRI, kapena PET .

Ngati dokotala akudandaula kuti masiyolioma ali ndi kachilomboka, ayenera kuwonetsa zochitikazo. Malingana ndi malo a chotupa chanu, akhoza kupempha thoracoscopy kapena mavidiyo othandizidwa ndi thoracoscopy (VAT), njira yomwe mchere umachokera ku pleura, kapena peritoneoscopy, njira yofananira kuti mupeze minofu pamimba. Ngati chiwonetserochi chimawulula mesothelioma, kufufuza kwina kumayesetsedweratu kuti adziwe malo a khansara (momwe zilili).

Miyendo

Mesothelioma yagawidwa mu magawo awiri oyambirira:

• Zomwe zilipo (Gawo 1) - Ndi mesothelioma yeniyeni, khansara imangokhalira ku mesothelium - phokoso lokhala ndi misozi ya mesothelioma, kapena peritoneum ndi mesitoneoma mesothelioma
• Zopititsa patsogolo (Gawo 2, 3, ndi 4) - Mesothelioma imatengedwa ngati yapitirira kufalikira kwa maselo amphongo kapena ziwalo zina kuphatikizapo mapapo

Chithandizo

Malingana ndi kukula ndi malo a chotupa chanu, ndipo ngati chafalikira, njira zothandizira zikhoza kukhala:

• Opaleshoni - Opaleshoni ingaganizidwe, makamaka ngati chotupa chikugwidwa msinkhu. Mitundu ya opaleshoni ikuphatikizapo:
  • Pleurectomy - Ndi pleurectomy, gawo la pleura likuchotsedwa
  • Puloseonectomy yambiri - Gawo lina la pleura limachotsedwa, komanso gawo la pulojekiti (mtima wophimba), diaphragm (minofu yolekanitsa chifuwa ndi mimba) ndi mapapo

• Chemotherapy - Kuphatikiza mankhwala a chemotherapy ndi mankhwala opatsirana kungapangitse kukhala ndi moyo.
• Thandizo la ma ARV - Nthawi zina mankhwalawa amagwiritsidwa ntchito ngati mankhwala opatsirana a mesothelioma, mankhwala osachiza khansa, koma akhoza kukuthandizani kwambiri. Angagwiritsidwenso ntchito atatha opaleshoni kuti aphe maselo ena a khansa.
• Mayesero a Mchipatala - Zochitika zambiri zachipatala zikuchitika, kuyesa njira zatsopano zothandizira mesothelioma.

Kulimbana

Pamwamba pa kupwetekedwa mtima, matenda a khansa amachititsa, anthu ambiri omwe ali ndi mesothelioma alibe chithandizo cha maganizo ndi maganizo omwe anthu omwe ali ndi khansa ena amapezeka mosavuta.

Kuphatikizanso, nkhondo zokhudzana ndi mankhwala ndi zamilandu zokhudzana ndi chiwonetsero cha asibesitosi pa-ntchito chingathe kukhetsa maganizo. Kutenga nawo gulu lothandizira , kaya kudzera m'dera lanu la khansa, mderalo, kapena pa intaneti, lingakuthandizeni kuti mupitirize kupyolera mu njira ya chithandizo cha mankhwala, ndipo mupeze ena omwe akukhala ndi mesothelioma.

Kupewa

Chinthu chofunika kwambiri chomwe mungachite kuti muteteze mesothelioma ndi kugwiritsa ntchito njira zoyenera ngati mukupezeka ndi asibesito kuntchito. OSHA ali ndi malamulo a chitetezo cha asbestos kwa anthu omwe angawonekere kuntchito. Ngati mutagwira ntchito ndi asibesito, ndikofunika kutsatira zotsatirazi kuti muchepetse mabanja anu. Kusungunula kwa asibesitosi m'nyumba sikungakhale vuto popanda kuwonongeka kapena kusokonezedwa ndi kukonzanso mapulani. Ngati mungakhale ndi kusungunula kwa asibesitoti (nyumba zomangidwa patsogolo pa 1950) onetsetsani kuti mugule makontrakiti otsimikiziridwa mu kasamalidwe ka asibesitosi musanayambe polojekiti iliyonse yomanga nyumba.

Anthu ena omwe apezeka ndi asibesito angayambe kuganizira za kuyerekezera kwa khansara ya mapapo. Panthawiyi, ndondomeko zowunikira zikuphatikizapo anthu omwe ali ndi zaka 55 mpaka 74 omwe ali ndi mbiri ya zaka 30 za kusuta. Komabe kafukufuku amasonyeza kuti anthu ena omwe akhala akupezeka ndi asibesitoti akhoza kukhala pachiopsezo chachikulu kwambiri chokhala ndi khansa ya m'mapapo kusiyana ndi osuta kwambiri. Ngati mwapezeka ndi asibesitosi onetsetsani kuti mungalankhule ndi dokotala wanu za kansa ya mapapo .

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