Kutsutsa Ndilo Fomu Yowirikiza Kwambiri ya Opaleshoni Kwa Khansara ya Colon
Kupeza matenda a kansa ya coloni kumakhala kochititsa mantha ndipo kungakhale koopsa kwambiri. Khansara ya Colon ingaperekedwe ndi njira zosiyanasiyana, kuphatikizapo mitundu yambiri ya opaleshoni. Khansara ya Colon imakhala yogwirizana kwambiri ndi colostomy, koma opaleshoni ya colostomy sikugwiritsidwa ntchito nthawi zonse pochiza khansara ya colon. Ndipotu, ndi opaleshoni yomwe imatchedwa resection yomwe ndi mtundu wa opaleshoni yomwe imachitidwa kawirikawiri kuti ichite khansa yamtunda.
Opaleshoni ya resection imaphatikizapo kuchotsa mbali ya colon (yaikulu yamatumbo) koma imakhala yochepa kwambiri kuposa
Chithandizo chimene wodwala ndi dokotala amasankha kuti azichita khansa ya coloni chidzakhazikitsidwa pamtunda, kapena siteji, ya khansa . Pochotsa zotupa chifukwa cha khansa ya coloni, opaleshoni ya resection (yomwe nthawi zina imatchedwa nkhanza kapena hemicolectomy) ndiyo mankhwala ochiritsira kwambiri.
About Surgery Resection
A resection ndi opaleshoni yayikulu kumene dokotala wa opaleshoni, wotchedwa dokotala wamkulu, amalowa mimba kupyolera mu makina aakulu m'mimba. Gawo la matenda la colon kapena rectum limachotsedwa pamodzi ndi maselo am'mimba ndi gawo la tizilombo tomwe timakhala ndi tizilombo toyambitsa matenda. Kenaka, mapeto awiri a matumbowa amathandizanso. Cholinga cha opaleshoni chidzakhala cha wodwalayo kuti abwerere kuntchito yowoneka bwino kwambiri. Izi zikutanthauza kuti dokotalayo adzachotsa matumbo ambiri ngati momwe zingathere.
Zina mwa minofu yomwe imachotsedwa ku ma lymph nodes imatengedwa ku labu la matenda ndipo imayang'aniridwa ndi microscope ndi wodwalayo . Wodwala amayamba kufunafuna zizindikiro za khansa m'matumbo. Lymph nodes imayambitsa madzi otchedwa "lymph" ku maselo m'thupi. Maselo a kansa amatha kusonkhanitsa m'magulu a mitsempha, choncho ndi chisonyezero chabwino chodziwitsa kuti khansara yayamba kufalikira bwanji.
Kutulutsidwa kwa ma lymph nodes kumachepetsa chiopsezo cha khansa yowonjezera.
Nthawi zina pamene chiwerengero chachikulu cha colon kapena rectum ndi matenda, kubvomerezeka kwa matumbo abwino (omwe amatchedwanso anastomosis) sangakhale kotheka. Zikatero, colostomy ingakhale yofunikira. Nthaŵi zambiri dokotala wa opaleshoni adzadziwa bwino momwe opaleshoniyo idzayambe asanayambe, koma nthawizina pamene dokotalayo ali ndi mwayi wowona momwe khansara yakula, kusintha kungakhale kochitika panthawiyi. Odwala omwe ali ndi nkhaŵa zokhudzana ndi momwe opaleshoni yawo idzayendera ayenera kulankhula ndi a oncologist awo ndi opaleshoni awo opaleshoni ndikufunsa ngati pali mwayi woti opaleshoniyo ikhale yowonjezereka kusiyana ndi poyamba.
Colostomy Surgery
A colostomy imalengedwa pamene gawo la matumbo akulu amalowetsedwa kudzera mu khoma la m'mimba. Mbali ya coloni yomwe ili kunja kwa thupi imatchedwa stoma (Greek kuti "pakamwa"). Stoma ndi pinki, ngati minofu, ndipo samamva ululu. Chikwama cha kunja chomwe chimavala pa mimba ndichofunika kuti mutenge zinyalala. Thumba limachotsedwa kangapo patsiku ndikusintha nthawi zonse.
Mabala ambiri omwe amachitidwa kuti athetse khansa ya m'kamwa ndi yaifupi ndipo ndizofunikira kuti tizilombo tizitha kuchiritsidwa patatha opaleshoni.
Pa opaleshoni yachiwiri, mapeto abwino a colon amathandizana pamodzi ndipo stoma imatsekedwa. Chokhachokha chokhacho chimakhala chofunikira pafupi ndi 15 peresenti ya nthawiyo pa khansara ya colon.
Mankhwala ena monga chemotherapy kapena radiation angagwiritsidwe ntchito mogwirizana ndi opaleshoni. Pambuyo pa opaleshoni, kufufuza nthawi zonse kudzafunika kuonetsetsa kuti khansara siidakalipo.
Zotsatira:
American Cancer Society. "Kuchita opaleshoni ya khansa yofiira." Cancer.org. 30 Jul 2013. 26 Aug 2013.
National Cancer Institute. "Cancer Treatment (PDQ®)". National Institutes of Health. 16 May 2013. 26 Aug 2013.