Zomwe Mungachite Kuti Muthane ndi Khansa ya Colon

Kutonthoza Chisamaliro cha Masefu Oposa Metastatic Colon Cancer

Mankhwala opatsirana, omwe amadziwikanso kuti akuyang'anira matenda kapena chisamaliro cha chitonthozo, akuwongolera kugonjetsa zizindikiro zovuta kudwala matenda aakulu. Mu khansa ya colon , mankhwala ochiritsira amatha kukuthandizani kuthana ndi thupi lanu, maganizo anu, ndi uzimu pamene mukulimbana.

Pamene anthu amalandira chithandizo chamankhwala, mankhwala, njira, kapena opaleshoni amasankhidwa kuti athandizidwe ndi kuthandizidwa ndi zizindikiro, kusiyana ndi kupereka chithandizo cha khansa.

Njira yosavuta kumvetsetsa mankhwala opatsirana: Ngati muli ndi pakhosi, mukhoza kutenga lozenge. Lozenge ndi yopweteka-si "kuchiritsa" chifukwa cha pakhosi, koma imathetsa chizindikiro cha vuto.

Kusamalidwa sikumangoyang'anira chipatala , ngakhale kuti chipatala chimagwiritsa ntchito njira zothandizira kuti munthu asamalimbikitse komanso athandizidwe. Mwinamwake mwalandira kulandira chithandizo kuyambira pachiyambi cha kansa yanu yopanda chithandizo ngakhale kuti simukudziwa kuti chithandizo chimene mukukumana nacho chinali ndi dzina.

Kaya mwapezeka ndi khansara yapamtunda yapamtunda kapena ngati mwakhala mukuchiritsidwa kale, njira zothandizira kuti munthu asamalidwe bwino zingakhale zovuta kuthetsa zizindikiro zomwe zimakhalapo komanso zovuta, kuphatikizapo:

• Nkhawa, kupanikizika, ndi chisokonezo
• Kuchepa kwa magazi, kupuma pang'ono ndi kutopa
• Anorexia ndi kuchepa
• Kutsekedwa, kutsegula m'mimba komanso kutsekera m'mimba
• Lymphedema
• Nsowa ndi kusanza

• Kusamalira ululu
• Zogonana

N'chifukwa Chiyani Muyenera Kusankha Thandizo Labwino?

Pali zifukwa zambiri zomwe zimachititsa kuti anthu omwe ali ndi khansa yapadera yosamalidwa ndi matenda a khansa pa chisamaliro chochizira. Nthawi zina, chisankhocho chili m'manja mwanu, monga pamene mukufuna kusankha opaleshoni kapena njira ina yothandizira. Komabe, kusamalidwa kwa chizindikiro kungakhale njira yokhayo yomwe mungagwiritsire ntchito ngati thanzi lanu, msinkhu kapena mavuto ochiritsira osagonjetsa sangathe kulimbana ndi matenda opatsirana a khansa.

Ngakhale pali njira zambiri zochiritsira zolimbitsa thupi zomwe zimapezeka, zomwe zimagwiritsidwa ntchito kwambiri kuti zithetse khansa yapakhungu yopanda matenda ndizo:

• Chemotherapy
• Kuchiza ma ARV
• Njira zothandizira opaleshoni
• Kusamalira ululu
• Mankhwala ogwiritsira ntchito

Chemotherapy

Malingana ndi thanzi lanu labwino, metastases ndi mbiri yakale ya chithandizo, wanu wa oncologist adzagwira ntchito ndi inu kuti mupange dongosolo lochizira mankhwala a chemotherapy. Mosiyana ndi mankhwala a chemotherapy omwe amawathandiza kuchiza khansa, mankhwala opatsirana amatha kupatsa mpumulo, monga kupweteka, pochepetsa matumbo kapena kuwasunga (osapitiriza kukula).

Kawirikawiri, ntchito yothandizira 5-FU, Adrucil, Efudex, kapena Fluoroplex (fluorouracil) imagwiritsidwa ntchito yokha kapena yogwirizana ndi mankhwala enaake. Maphunziro a zachipatala omwe amachititsa kuti anthu azisamalidwa bwino akupitirirabe pamene National Cancer Institute ikufuna kupeza mgwirizano womwe ukhoza kukhazikika kapena kutaya matumbo popanda kuwonjezera zotsatira zina ndi zovuta.

Mankhwala Opanga Mafuta

Mofanana ndi mankhwala a chemotherapy, mankhwala opatsirana pogwiritsa ntchito mankhwalawa amagwiritsidwa ntchito polepheretsa zotupa za pelvic ndi kuchepetsa kupweteka kwapweteka pakagwiritsidwe ntchito ngati njira yopatsa mphamvu. Njirayi imathandiza makamaka anthu omwe akuvutika ndi ululu chifukwa cha mitsempha ya mitsempha ya mitsempha (pamene khansara imafalikira kudzera m'mitsempha mumimba ndi m'mimba).

Ngakhale kuti zimakhala bwino kwambiri kwa zilonda zam'deralo, mankhwala opatsirana pogwiritsa ntchito ma radiation angathandize kuthetsa kapena kuchepetsa kutaya magazi kwakukulu kuchokera ku zotupa zam'mimba zovuta kwambiri.

Opaleshoni

Kuchotsa opaleshoni ya khansa ndi metastases sikuli nthawi zonse pofuna kuchiza matendawa. Kuchita opaleshoni kumatchedwa kuti "kupweteka" pamene cholinga chakumapeto ndikupanga kukhala omasuka, osati kuchiza khansa yanu. Pofuna kulimbikitsa ndi kutonthoza, dokotalayo amafunika kudula ndi kuchepetsa kukula kwa chifuwacho kuti asinthe ziwalo zoyambitsa zilonda (chikhodzodzo, m'mimba, chikazi), kutsegula matumbo ndikukonza chotsitsa, kapena ngakhale kutentha kwakukulu kutaya magazi.

Kuchita opaleshoni yokhala opaleshoni kungakhale:

• Ambiri - kutsegula mimba kutulutsa chiwalo chilichonse (kapena zonse).
• Laparoscopic - yopanda phokoso, zochepa zomwe zimagwiritsidwa ntchito pochotsa magawo kapena ziwalo zonse.
• Mderalo - zofuna zapanyumba zimakhala zovuta kwambiri kwa okalamba, odwala kwambiri, kapena munthu aliyense amene sangathe kulekerera anesthhesia ambiri pa opaleshoni yaikulu kapena laparoscopic.
• Laser - ikhoza kugwiritsidwa ntchito pomposcopically kuti iwononge magazi okhudzana ndi khansa.
• Phokoso - chimbudzi chokhazikika chikhoza kuikidwa pamtunda kuti chigwire chidebe chotsegulira kuzungulira chachikulu chotupa, kusunga njira yachitetezo kuti ituluke. Angasankhidwe m'malo opaleshoni yotseguka kuti zisawonongeke (zomwe zingathe kutha ndi colostomy ).

Dokotala wanu angaganizire zinthu zambiri musanayambe kukupatsani mankhwala opangira opaleshoni, koma chofunika kwambiri ndicho cholinga chanu cha mankhwala. Muyenera kusankha zomwe mukufuna kuchita kudzera opaleshoni ndikukambirana ndi dokotala wanu madandaulo onse. Kuchita opaleshoni, ziribe kanthu momwe kuliri kosawonongeka, sikuli koopsa. Musanapange chisankho chochita opaleshoni, mungakambirane za malangizo anu apamwamba ndi dokotala ndi banja lanu. Dokotala wa opaleshoni amayenera kudziwa zosankha zanu zomaliza (mukufuna kuti mutenge thupi lanu?) Kudyetsa chakudya?) Musanayambe kugwira ntchito pa inu.

Uphungu Wopweteka

Kusamalira ululu ndizofunika kwambiri pa chisamalidwe cha kupweteka. Mukhoza kulandira ululu wochokera kwa dokotala wanu wamkulu, oncologist kapena ngakhale katswiri wothandizira ululu. Zothandizira kuchepetsa kapena kuchepetsa ululu wanu wa khansa zingaphatikizepo izi:

• Mankhwala opweteka (mankhwala, mankhwala osokoneza bongo, ndi mankhwala othandizira)
• Tricyclic mankhwala opatsirana pogonana kapena mankhwala osokoneza bongo (chifukwa cha ululu wa mitsempha)
• Njira zothandizira (epidurals, mitsempha)
• Thandizo la thupi kapena ntchito
• Uphungu ndi biofeedback

Mu ma khansa apamwamba kwambiri, mankhwala opweteka kwambiri omwe amauzidwa ndi opioid mankhwala , omwe amaphatikizapo morphine. Kuvutika ndi ululu wa khansa ndi kosafunikira ndipo sikukutumikira. Madokotala anu amaphunzitsidwa kuyembekezera ndi kulandira ululu kuchokera ku chotupa chachikulu, metastasis, ndi mavuto omwe angakhale nawo kuchokera kumimba ndi mankhwala (lymphedema).

Gulu lanu la thanzi labwino lidzafunsa kawirikawiri za vuto lanu. Njira yogwiritsidwa ntchito kawirikawiri poyesa kupweteka kwanu ndi kugwiritsa ntchito 0-10 chiwerengero chapamwamba, pamene 0 sichiyimira kupweteka ndipo 10 chimayimiritsa ululu wowawa omwe mwakhala mukupirirapo. Popeza kupweteka ndi chizindikiro chodziwika (palibe njira yoyezera zomwe mukuzindikira), iyi ndi njira yabwino kwambiri yowonetsera.

Kugwiritsa Ntchito Mankhwala

Kuwonjezera pa kuyang'anira kupweteka, zizindikiro zambiri zimatha kulamulidwa kapena kuchepetsa kupyolera mwa mankhwala opatsirana. Wachikulire wanu angapereke mankhwala kuti athandize kuchepetsa kunyowa, kuwonjezera njala komanso kuwonjezera mphamvu zanu. Lankhulani ndi dokotala wanu zokhudzana ndi zizindikiro izi, kuti athe kugwira ntchito ndi inu kuti apange ndondomeko yothandizira kwa inu ndi inu nokha.

_Zotsatira:

_{American Cancer Society. (2006). Buku Lopatulika la American Cancer Society Loyamba kwa Khansa Yoyamba . Clifton Fields, NE: American Cancer Society.}

_{Dixon, MR & Stamos, MJ (2004). Ndondomeko Zopereka Chithandizo Chokhalitsa mu Khansara Yapamwamba Kwambiri. Opaleshoni Yamimba: 21.}

_{National Cancer Institute. (nd). Kusamalira Kachilombo ku Khansa.}