Chaka chino, amuna oposa 8,800 adzadabwa ndi matenda a khansa ya testicular. Ambiri mwa amunawa adzakhala aang'ono-15 mpaka 35-zaka pamene mavuto aakulu azachipatala sakuyembekezera. Uthenga wabwino ndi wakuti ambiri adzachiritsidwa.
Kukula
Zotsatira za khansara za testicular zikukula chifukwa cha zomwe sizikudziwika.
Matendawa amapezeka mwa amuna osakhala a ku Puerto Rico oyera kusiyana ndi amuna a mafuko ena kapena mafuko ena komanso ofala kwambiri mwa amuna obadwa ndi mayesero osayenerera.
Pali mgwirizano pakati pa khansa ya testicular ndi infertility yamuna, ndipo amuna ena amapezeka ndi khansara panthawi yoperewera.
Ndi 1 peresenti yokha pa 2 peresenti ya odwala khansa yowona amakhala ndi mbiri ya banja. Palibe amene akudziwa ngati zotsatira za majini zomwe anabadwa nazo zimayambitsa zochitika izi.
Zizindikiro
Chizindikiro chofala kwambiri cha khansara yowonongeka ndi misala yopanda phokoso. Unyinji ukhoza kupweteka ngati ukukula mofulumira, kutuluka magazi, kapena kuvulala ndi zoopsa zina.
Khansara yeniyeni yomwe yafalikira kupyolera mu magazi kapena maselo am'kati amachititsa zizindikiritso m'madera ena, nthawi zambiri kuwonetsa ngati ululu wammbuyo, kupweteka kwa m'mimba, kukopa, kapena kupuma pang'ono. Chotupacho chingapangitse mahomoni ochulukirapo, kuchititsa kutupa pachifuwa kapena misozi yachisoni.
Kudzifufuza
Chifukwa khansara ya testicular si yachilendo, kudzifufuza pamwezi sikukufunika.
Komabe, zingakhale zopindulitsa kudzipenda nokha nthawi ndi nthawi .
Ndi zachilendo kukhala ndi mayesero omwe si ofanana kukula. Mukufuna kumverera chifukwa cha kusintha komwe kumachitika. Izi zikutanthawuza kusintha kwa kukula, mawonekedwe, kapena kukhazikika.
Mufunanso kumverera chifukwa cha mitsempha (maphuphu), masses (makutu), ndi chifundo. Ngati wina wa iwo alipo, kapena muli ndi zizindikiro zina zotchulidwa pamwambapa, penyani dokotala wanu kapena urologist pomwepo.
Kudziwa
Kupezeka kwa khansa ya testicular imapangidwa ndi kuunika kwa thupi ndi kutsimikiziridwa ndi ultrasound.
Ngati chiyeso chopwetekachi chimaonetsa kupezeka kwa misa, dokotala wanu atenga chitsanzo cha magazi kuti afufuze chifukwa cha zotupa .
Chithandizo
Ndikoyenera kuti amuna omwe ali olimba atenge chidutswacho, ngakhale zizindikirozo ndi zachilendo, popeza kuti khansara imakhala yotsika kwambiri.
Lero, nyamayi imachotsedwa kudzera mu kamangidwe kakang'ono kamene kamakhala kosavuta. Ngati mukukhumba, dokotalayo akhoza kutenga malowa m'malo mwa opaleshoni yomweyo.
Zimene Tiyenera Kuyembekezera Patatha Opaleshoni
Nyamayi imatumizidwa ku matenda pofuna kukayezetsa atatha kuchotsedwa. Wodwalayo amadziwa mtundu wa khansa yomwe uli nayo, ndipo ngati pali umboni wa khansara ukhoza kufalikira kupyolera mu mitsempha ya magazi kapena maselo a mitsempha.
Pali mitundu isanu yosiyana ya khansara yamatsenga, malingana ndi maselo omwe akukhudzidwa.
Kusiyanitsa kwakukulu komwe timayang'ana ndi ngati khansara ndi seminoma kapena ayi-seminoma, monga momwe kulandira ndi chithandizo chikusiyana kwambiri.
Seminoma ndi yofala kwambiri. Non-seminoma ikhoza kukhala ndi mitundu yosiyanasiyana ya zotupa zisanu kapena kukhala ndi mtundu umodzi wa selo, koma si seminoma.
Ngati matendawa amatha, dzanja la urologist lidzabwereza kuyesera kwa magazi kuti ziwonongeke kuti zitsimikizidwe zikugwera.
Dokotala wanu nayenso adzalamula kuti pulogalamu ya tomography iwerengedwe pamimba ndi m'mimba ndi chifuwa cha X-ray kuti awone ngati khansara yayamba kufalikira.
Kuchiza Patatha Opaleshoni
Kufunika kwa chithandizo pambuyo pa opaleshoni kumadalira ngati khansa ndi seminoma kapena ayi-seminoma, ndipo ngati yayamba.
Chithandizo chovomerezeka cha seminoma chomwe sichinafalikire ndizowona. Odwala ena amatha kupatsidwa mankhwala amodzi a chemotherapy kapena ma radiation ochepa.
Ngati seminoma imafalikira pamimba, ikhoza kuyamba kuchiritsidwa ndi chemotherapy kapena radiation therapy, malingana ndi kukula kwa misa.
Masamba akuluakulu amachiritsidwa ndi chemotherapy, kawirikawiri amatsatira kuchotsedwa kwa misala, chifukwa maselo a khansa angakhalebe. Mitsempha yaing'ono m'mimba yomwe ikhoza kukhala ndi maselo a khansa ingapangidwe ndi ma radiation.
A non-seminoma omwe sanafalikire sangadye thandizo linalake, koma adzayang'anitsitsa.
Makhalidwe apadera a chotupacho akhoza kuonjezera chiopsezo chomwe chafalikira, ngakhale ngati CT ndi chifuwa X-ray zili zachilendo. Kwa odwalawa, akhoza kuchotsedwa kuchotsa opaleshoni ya mankhwala opatsirana kapena maselo awiri a chemotherapy.
Chemotherapy kawirikawiri amalimbikitsidwa kwa amuna omwe ali ndi umboni kuti khansara yayamba kufalikira, ngakhale kuti odwala ena omwe ali ndi mitsempha ya m'mimba yowonjezera ndi chizolowezi chokhala ndi chotupa choyenera akhoza kuchiritsidwa bwino ndi opaleshoni.
Kuchotsa opaleshoni ya maselo amphamvu kwambiri pambuyo pa chemotherapy kaŵirikaŵiri n'kofunika, chifukwa kuchepetsa maselo a khansa kungakhalepo mpaka theka la odwala.
Zomwe Zimakhudza Chiberekero ndi Zochita
Chemotherapy ndi ma radiation angayambitse matenda, koma vutoli ndilokhalitsa ndipo limatha zaka ziwiri kapena zitatu.
Kuchita opaleshoni zogwiritsira ntchito maselo am'mimba kumakhudza kuthekera kwina. Komabe, njira zatsopano zopangira opaleshoni zimatetezera mitsempha, kusiya kutsekemera sikukukhudzidwa mwa 95 peresenti ya amuna.
Kulimbana
Kutaya nthawi pozindikira kuti khansa ya testicular ndi yowonongeka, chifukwa anyamata amawoneka kuti sakufuna kupeza chithandizo chamankhwala.
Ngakhale atapempha thandizo kwa wothandizira wamkulu, kuthekera kwa khansa yowonongeka kungapangitse kusokonezeka kwa epididymitis, yomwe ma antibiotic amatha masabata anayi nthawi zambiri amalembedwa molakwika.
Mofanana ndi mtundu uliwonse wa khansara, poyamba amachiritsidwa, amatha kuchiritsidwa kwambiri.
Khalani mtsogoleri wanu. Chitani nthawi yodzipenda. Mukawona chizindikiro chilichonse chothetsera khansara, onani dokotala mwamsanga ndikupempha ultrasound, ngati sichiperekedwa.
Nkhani yabwino ndi yakuti 90 peresenti mpaka 95 peresenti ya amuna omwe ali ndi khansa yowonongeka amachiritsidwa.
Dr. Stephenson ndi Mtsogoleri wa Pulogalamu ya Urologic Oncology ku Glickman Urological and Kidney Institute, pulogalamu ya No. 2 urology ya dzikoli yomwe ikuyikidwa ndi US News & World Report.
> Zotsatira:
> Gulu lozindikira za khansa ya Testicular. Ziwerengero.