Mawu akuti khansa yachiwiri angagwiritsidwe ntchito kutanthauza khansara yachiwiri yoyamba kapena khansara yomwe yafalitsidwa kuchokera kumbali imodzi ya thupi kupita ku ina ( kansa ya metastatic ).
Pa zokambiranazi, sitidzayankhula za khansa ya metastatic, koma khansara yachiwiri yokha.
Mitundu
Ndikofunika kupatanso kusiyana ndi khansa yachiwiri. Ngati wina apanga khansara yachiwiri zikhoza kukhala zifukwa zingapo.
Chimodzi, ndipo chomwe tidzakambirana apa ndi khansa yachiwiri yomwe imabwera chifukwa cha zotsatira za khansa zomwe zimayambitsa matenda omwe timagwiritsa ntchito pa khansa.
Njira ina yomwe khansa yachiwiri kapena khansa yachiwiri yapamwamba imagwiritsidwa ntchito ndi pamene wina akukula khansa yachiwiri - kaya pamalo a khansa yoyamba kapena kwinakwake - yosagwirizana ndi mankhwala a khansa yoyamba. Izi zimakhala zachizolowezi ngati chirichonse chomwe munthu angapange khansara kumalo oyamba akhoza kukhala ndi udindo wotsatira khansara yachiwiri. Izi zimatchulidwa kuti ndizo "zifukwa zogawidwa zogawidwa."
Zokhudzana ndi Chithandizo cha Khansa Yakale
Kachiwiri ka khansa yokhudzana ndi chithandizo cha khansa yapitayi si yachilendo, koma ndithudi, zimachitika. Timadziŵa kuti mankhwala ambiri a mankhwala a khemotherapy, kuphatikizapo kupha maselo a khansa, amatha kuchititsa khansa kuwononga DNA m'maselo abwino. N'chimodzimodzinso ndi mankhwala a radiation.
Kuti mumvetse izi zingakuthandizeni kukambirana za momwe mankhwala a chemotherapy ndi ma radiation amagwira ntchito. Mankhwalawa nthawi zambiri amagwira ntchito mwa kuchititsa " zowononga zowonjezera " ku maselo m'maselo. Chifukwa chomwe amagwiritsiridwa ntchito ndi khansa ndikuti maselo a khansa, amagawana mofulumira kuposa maselo abwino, ndipo kuwonongeka koteroko kumawopsa kwambiri.
Mawu akuti oxidative amatanthauza kuti zomwe zimachitika zomwe zimafuna kukhalapo kwa mpweya.
Njira yowonjezeramo kumvetsa izi - komanso kumvetsa mmene kansa imayambira poyamba komanso poyang'anira matenda a kansa, ndikuyang'ana momwe izi zikuyendera. Timamva zambiri zokhudza antioxidants. Antioxidants amagwira ntchito poletsa izi. Pachifukwa ichi, anthu nthawi zambiri amalangizidwa kupeŵa antioxidants pa matenda a kansa - simukufuna kuteteza maselo a khansa kuwonongeka.
Kuwonongeka kwa mankhwala a chemotherapy ndi mankhwala a radiation kumakhudza DNA ya maselo abwino. Patapita nthawi, kuwonongeka kumeneku kungachititse kuti maselo achilendo akhale maselo a khansa. Izi zikachitika, khansa ina imayamba.
Pambuyo pa Chithandizo cha Ma Radiation
Tinayamba kuona umboni wa khansara yachiwiri kwa anthu amene adalandira mankhwala opatsirana. Kuopsa kwa khansa yachiwiri kumayendedwe kumadalira:
- Mlingo wa miyezi
- Chigawochi chikuwonekera poizoni
- Msinkhu wa wodwala
Kuopsa kwa khansa yachiwiri kuchokera kuchipatala kumakhala kosavuta ngati palibe "kusakaza" ndi njira zatsopano kusiyana ndi njira zamakono, kutanthauza kuti minofu yaing'ono ikuwonekera. Kwa omwe akuda nkhawa akamva izi omwe ali ndi khansa ya m'mawere, chiopsezo cha khansa yachiwiri ku mankhwala opatsirana pogwiritsa ntchito mankhwala omwe amachiza matendawa amachititsa kuti pakhale ngozi, koma zikuwoneka kuti palibe chiopsezo chowonjezereka kuchokera kuchipatala choperekedwa pambuyo pa lumpectomy.
Chemotherapy atatha
Khansa yachiwiri ikhoza kuchitika pambuyo chemotherapy, ndi khansa yowopsa kwambiri kukhala khansa ya m'magazi. Mankhwala omwe amachititsa kuti matenda a m'magazi akhale odwala matendawa amadziphatikizapo alkylating agents, mankhwala a platinum, ndi topoisomerase inhibitors.
Ena omwe amachiza mankhwala opatsirana mankhwala angapangitse chiopsezo chokhala ndi khansara yachiwiri.
Pambuyo pa Thandizo Labwino
Ena omwe amamwa mankhwalawa akhoza kuonjezera chiopsezo chokhala ndi khansa yachiwiri, makamaka omwe akukonzekera kuti awononge mapuloteni a BRAF.
Pambuyo pa Kusuntha kwa Cell Stem
Kulowetsa maselo a maselo ali ndi chiopsezo chachikulu cha khansa yachiwiri. Izi zingagwirizanitsidwe ndi mankhwala osokoneza bongo komanso mankhwala akuluakulu asanamwalire, komanso mankhwala osokoneza bongo omwe amafunika kuti asamalandidwe.
Zotsatira:
National Cancer Institute. Kusiyana kwa Cancer Epidemiology ndi Genetics. Matenda a Kachiwiri Oyambirira. https://dceg.cancer.gov/research/what-we-study/second-cancers