Ululu kawirikawiri uli ndi zizindikiro zomwe zimasiyanitsa
Si zachilendo kuti anthu amve ululu wammimba ndi khansara yamapapo kapena kukhala ndi ululu wammbuyo monga chizindikiro chawo choyamba. Ngakhale zikhoza kuwoneka ngati zachilendo-kuphatikizapo kumbuyo kumapapu-pali zofotokozera zomwe zikufotokozera momwe zilili zosiyana. Mmodzi mwa iwo ndi malo komanso mitundu ya ululu yomwe imakhalapo, yomwe ndi yosiyana kwambiri ndi yeniyeni yeniyeni, yopweteka kwambiri.
Zonse zanenedwa, pafupifupi 25 peresenti ya anthu omwe ali ndi khansara yamapapu adzanena ululu wammbuyo ngati chizindikiro pa nthawi ina mu matenda awo.
Mmene Khansara Yam'mimba ndi Mavuto Ammbuyo Amagwirira Ntchito
Tikamaganizira za ululu wammbuyo, nthawi zambiri chinthu chotsiriza chomwe chimabwera m'maganizo ndi khansara. M'malo mwake, timayanjana ndi zinthu monga kupsinjika kwa thupi (monga kupweteka kwa minofu kapena kupasuka) kapena matenda opweteka (monga nyamakazi kapena osteoporosis).
Ngakhale kuti kupweteka kumbuyo komwe kumayambitsa matenda a khansa yamapapo ndi zovuta zambiri, zimakhalanso kusiyana kwakukulu. Zambiri mwazi zimakhudzana ndi momwe khansara imawathandizira, komanso mwachindunji. Zina mwa njira zomwe kansa ya m'mapapo ikhoza kubweretsa ululu wammbuyo ndi awa:
- Kuthyola mwachindunji chilakolako chimatha kumangidwe ka msana, mobwerezabwereza, osati pakati, kupitirira mmbuyo
- Njira imene malungo angakwiyitse mitsempha yopangira mapaipi ndi khoma la chifuwa, kumapweteka kwambiri ndipo nthawi zina amamva ululu wambiri
- Kufalitsa (metastasis) ya malignancy kuchokera m'mapapu kupita kumsana ndi mafupa , zomwe zimachitika ndi anthu opitirira 30 peresenti ya anthu omwe ali ndi khansa ya m'mapapo
- Matenda a khansa ya khansa ya adrenal (yomwe imachitika 40 peresenti ya anthu omwe ali ndi khansara yamapapu), kuchititsa kupweteka kwadzidzidzi chifukwa cha malo ake pamwamba pa impso
Zizindikiro Zomwe Zimayambitsa Khansa Yam'mimba
Zizindikiro za ululu wammbuyo zokhudzana ndi khansa ya m'mapapo ndi zosiyana kwambiri ndipo zimagwirizana kwambiri ndi ululu wa m'mbuyo chifukwa cha zinthu zina. Ngati zimakhudza msana, zimatha kutsanzira zizindikiro zambiri za kuvulala kumbuyo. Khansa ya m'magazi yokhudzana ndi kupweteka kwapweteka ingapangidwe monga kupweteka kwa minofu kapena lakuthwa ngati mitsempha yambiri. Anthu omwe ali ndi vutoli amatha kudandaula za "ululu wa impso" kumbali imodzi ya msana wawo, kapena kufotokozera kumverera ngati kuti amangoti "amphyoledwa impso."
Izi zikuti, kupweteka kwakumbuyo komwe kumakhudzana ndi khansa ya m'mapapo ikhoza kukhala ndi zizindikiro zina. Mbendera zofiira zomwe zimapweteka kwambiri chifukwa cha khansa yamapapo zikuphatikizapo:
- Ululu wammbuyo umene uli pompumulo
- Kupweteka kumbuyo komwe kuli kovuta usiku
- Ululu wammbuyo umene umapezeka popanda ntchito iliyonse
- Kupweteka kumbuyo komwe kumakuipiritsani nthawi yayitali mukakhala pabedi
- Kupweteka kwakumbuyo komwe kumaipiraipira pamene iwe umapuma kwambiri
- Kupweteka kwakumbuyo komwe sikungakhudze mankhwala opatsirana kapena mankhwala ena
Komanso, kupweteka kumbuyo komwe kumaphatikizapo zizindikiro zina zowonjezereka monga chifuwa chosatha , kupuma pang'ono , kutaya kwadzidzidzi , kutopa kwachilendo , kapena kukhetsa magazi kungathandizenso kansalu yamapapo.
Ululu wam'mimba wogwirizana ndi kupweteka kwa msana umapangitsanso dokotala kuganiza za khansa ya m'mapapo.
Ndi khansa ya m'mapapo ya m'mapapo, mitsempha ya mafupa imapezeka pafupifupi 40 peresenti ya anthu. Malo ofala kwambiri kufalikira ndi msana ndi mafupa akulu a miyendo. Khansara yomwe inagonjetsa vertebrae imachititsa kuti munthu akhale wolephera komanso wofooka wa fupa ndi kupweteka kwapakhosi kungathe kuchitika. Mphuno imene imapezeka m'fupa lofooka ndi khansa imatchedwa kuti mafupa. Chizindikiro chomwe chimasonyeza kuti kupweteka kwapakati pa msana kumayenderana ndi khansara yamapapo (mmalo mwa osteoporosis) ndi kupasuka kumene kumachitika ndi vuto lochepa chabe.
Kuchepetsa Kubwezeretsa Kwa Anthu Amene Ali Ndi Khansa Yam'mimba
Chithandizo cha ululu wammbuyo mwa anthu omwe ali ndi kansa ya m'mapapo chimadalira makamaka chifukwa chomwe chimayambira.
Ngati ululuwu umagwirizanitsa ndi vuto la chifuwa, mankhwala angaphatikizepo opaleshoni, chemotherapy, kapena mankhwala ochepetsa mphamvu ya dzuwa kuti achepetse kukula kwake. Ngati mankhwala a mafupa amatha kukhalapo, kuphatikizapo mankhwala othandizira mankhwala omwe amatchedwa bisphosphonates (omwe amagwiritsidwa ntchito pochizira matenda a osteoporosis) komanso mankhwala a denosumab nthawi zambiri amapereka mpumulo wopweteka kwambiri (ndipo amachepetsa chiopsezo cha fractures kupyolera m'mafupa).
Pamapeto pake, pali njira zambiri zowononga ululu wa khansa ya m'mapapo. Mwamwayi, anthu ambiri amayesetsa kupirira kupweteka, mwina chifukwa chakuti amawopa kuti adzalandira mankhwala osokoneza bongo kapena kuti mankhwalawa sadzakhala othandiza "ngati akufunikiradi." Zonsezi ndizopanda chidziwitso ngati mankhwalawa amatengedwa monga momwe adalembedwera.
Mawu Ochokera
Kafukufuku amasonyeza kuti nthawi pakati pa kuyambira kwa zizindikiro ndi matenda a khansara yamapapo ali pafupi miyezi 12. Kawirikawiri, izi ndi chifukwa chakuti munthu sangathe kuzindikira zizindikirozo kapena amasankha kunyalanyaza mwatsatanetsatane, akuyembekeza kuti apita. Izi ndi zowona makamaka pankhani ya ululu wammbuyo, zomwe ambiri amaganizira ndi zenizeni za moyo zomwe tiyenera kuzimbana nazo.
Komabe, ngati ululu wammbuyo sukumveka kwa inu, ukupitirirabe, ndipo sungayankhe ndi mankhwala omwe amachiritsidwa, osachipirira. Onani dokotala ndikukambirana zizindikiro zina zomwe mukukumana nazo. Ngati ndi khansara, matenda opatsirana msanga amalola kuchiritsidwa msanga, kuwonjezera mwayi wanu wathanzi lathunthu.
> Zotsatira:
> Henson, L., Gomes, B., Koffman, J. et al. Zinthu zomwe zimagwirizana ndi kutha kwachisokonezo cha khansa ya moyo. Thandizo Lothandiza ku Khansa . 2016. 24 (3): 1079-89.
> Xiong, J., ndi P. Zhang. Matenda a Cauda equina omwe amapezeka m'mphepete mwa m'mphepete mwa mchere wam'mimba amatha kukhala ndi matenda a khansa. International Journal of Clinical and Experimental Medicine . 2015. 8 (6): 10044-50.