Chithandizo cha khansa ya m'matumbo kunja
Chithandizo cha khansa ya m'matumbo / matumbo Amatha kutanthauzidwa kuti chithandizo chamankhwala am'maso am'maso, ndipo amaphatikizanso khansa yayikulu yamatumbo (khansa yam'matumbo) ndi khansa yakumbuyo (khansa ya m'matumbo). Kutchulidwako kumasintha kutengera komwe khansayo imayamba kufalikira. Matumbowa ndi gawo lam'magazi ndipo chimbudzi chikachitika chakudya chomwe tidadya chimasunthira matumbo akulu. Colon ndi gawo loyamba la matumbo akulu. Amapangidwa kuti amwetse madzi ndikusintha zinyalala zomwe thupi lathu silifunikira kukhala chopondapo. Matumbo akulu amagawika m'magawo anayi: kukwera koloni (kumanja kwamimba), koloni yopingasa (yoyikidwa pansi pamimba), yotsika m'matumbo (kumanzere kwa pamimba), koloni ya sigmoid yolumikiza koloni ndi thumbo.
kwambiri Khansa yoyipa yambani ngati polyp, yomwe ndi kakulidwe mkati mwa koloni kapena rectum. Pali mitundu iwiri ikuluikulu ya tizilombo ting'onoting'ono: tizilombo ting'onoting'ono adenomatous, wotchedwanso adenomandipo hyperplastic pol ndi polyps yotupa. Mitundu yotsika yamtunduwu imafala kwambiri, koma ambiri samakhala ndi khansa, pomwe yoyambayo imawerengedwa kuti ndiyoperewera. Kusintha kwa ma polyps kukhala khansa kumatha kutenga zaka zingapo. Kapangidwe kamatumbo kamapangidwa ndi zigawo, ndipo khansa yoyipa imayamba mu mucosa (mkatikati mwa chipinda) kenako pamapeto pake imafalikira kumagawo enawo.
Khansara ikafika pamatenda am'mimba omwe ali m'matumbo, imatha kufalikira kumatenda ena am'mimba, motero ziwalo zakutali za thupi. Khansa yamtunduwu imapezeka kwambiri kwa odwala azaka zopitilira 50, komabe imatha kupezeka kwa odwala achichepere nthawi zina. Pankhaniyi, odwala azaka zopitilira 50 akuyembekezeka kukayezetsa nthawi zonse ngati ali ndi khansa yoyipa.
Kuwonetsera uku kumaphatikizapo colonoscopy, kuti muwone ngati pali ma polyps kapena zovuta zina. Mtundu uliwonse wamtundu womwe wapezeka pazenera ukhoza kuchotsedwa mosavuta panthawiyi. Mitundu ina ya maopaleshoni omwe cholinga chake ndi kuchotsa polyps ndi awa: opareshoni ya laparoscopic kuchotsa ma polyps omwe sangachotsedwe pa colonoscopy, colectomy, ndi colostomy. Colectomy ndi njira yochitira opaleshoni yomwe cholinga chake ndi kuchotsa matumbo onse kapena gawo lalikulu.
A colostomy amachitidwa m'malo mojowina mbali imodzi yamatumbo akulu kupita ku stoma m'mimba, komwe ndi kutsegula komwe kumapangidwa m'mimba kuchotsa zinyalala zomwe zimasonkhanitsidwa m'thumba kunja kwa thupi. Njira yotsirizayi itha kuchitidwa kwakanthawi, kapena odwala ena angafune kuti ikhale yokhazikika (mwachitsanzo thumba la colostomy). Kuphatikiza pa chithandizo chamankhwala, chemotherapy imatha kuthandizidwa ndikuwonjezeranso, yomwe ndi kugwiritsa ntchito mankhwala kapena mankhwala omwe ali ndi mankhwala omwe amathandizira kuchiza khansa.
mankhwala amphamvu itha kugwiritsidwa ntchito limodzi ndi mankhwala omwe amagwiritsidwa ntchito omwe amagwiritsa ntchito mankhwala omwe amapangidwira kuti athane ndi zovuta zina za khansa, motero kulepheretsa kubereka kwa maselo achilendo. Radiotherapy, mbali inayi, ndi mankhwala amphamvu kwambiri a radiation omwe amagwiritsidwa ntchito pochiza khansa yomwe imagwiritsa ntchito matabwa a radiation omwe amaloza komwe akulowera kuti awononge maselo oyipa.
Pali zinthu zambiri zomwe zingakhudze mtengo
Pezani Kufunsira Kwaulere
Chithandizo cha khansa ya m'matumbo / m'matumbo, yomwe ingatchulidwenso kuti khansa yamtundu wamtundu wamtundu, imasiyana kutengera komwe khansayo ili. Khansa imachitika pakakhala zachilendo pakukula kwamaselo, zomwe zimapangitsa kuti maselo agawanike ndikukula msanga pomwe selo liyenera kufa kuti likhale ndi malo a maselo atsopano. Khansa ya m'matumbo / matumbo imatha kupezeka m'matumbo, m'matumbo ang'onoang'ono kapena m'matumbo akulu, komabe, imapezeka m'matumbo akulu. Khansa yamtunduwu imapezeka kwambiri kwa odwala azaka zopitilira 50, komabe itha kupezeka mwa odwala achichepere.
Ndikulimbikitsidwa kuti odwala azaka zopitilira 50 aziwunikidwa pafupipafupi ngati ali ndi khansa yoyipa, yomwe imaphatikizapo kupanga colonoscopy kuti aone ngati ali ndi polyp kapena zovuta zilizonse m'matumbo. Ma polyps ndimatenda osazolowereka, omwe atha kapena sangakhale owopsa. Nthawi zambiri amachotsedwa pakuwunika mwachizolowezi akapezeka. Odwala omwe anali ndi ma polyps amayeneranso kuwunika pafupipafupi. Odwala omwe ali ndi khansa ya m'matumbo / m'matumbo amatha kusintha matumbo, kudzimbidwa, magazi m'mipando, kutopa, kuchepa magazi, komanso kupweteka m'mimba. Komabe, si odwala onse omwe amakhala ndi zizindikiro.
Kuti adziwe matendawa, adokotala amatha kupanga anayankha kapena colonoscopy. Sigmoidoscopy ndi njira yomwe imakhudza kuyika sigmoidoscope mu rectum kuti muwone rectum ndi gawo la m'matumbo akulu. Colonoscopy ndiyofanana ndi sigmoidoscopy, komabe, imalola m'matumbo akulu onse kuti awunikidwe. Khansara ya m'matumbo / matumbo imachitikanso kwa odwala omwe ali ndi mbiri ya khansa iyi komanso mwa odwala omwe ali ndi ulcerative colitis kapena matenda a Crohn. Khansa ya m'matumbo / matumbo itapezeka, adotolo adzagawa magawo ndi khansa yake, zomwe zingathandize kupeza chithandizo chabwino kwambiri cha wodwalayo. Mankhwalawa ndi monga opareshoni, chemotherapy, radiotherapy, ndi mankhwala omwe amalimbana nawo. .
Kuchita opaleshoni ndiyo njira yodziwika bwino yothandizira ndipo nthawi zambiri imachitika limodzi ndi chemotherapy ndi / kapena radiotherapy. Pali mitundu yosiyanasiyana ya maopaleshoni yomwe imaphatikizapo colonoscopy (ngati khansara ili koyambirira, ma polyps amatha kuchotsedwa panthawi ya colonoscopy), opareshoni ya laparoscopic kuchotsa ma polyps omwe sangachotsedwe panthawi ya colonoscopy, colectomy, ndi colostomy. Colectomy ndi njira yochotsera m'matumbo akulu kapena gawo lililonse. Colostomy ndi njira yochitira opareshoni yophatikizira mbali imodzi yamatumbo akulu kupita ku stoma m'mimba, yomwe ndi kutsegula komwe kumapangidwa m'mimba kuchotsa zinyalala zomwe zimasonkhanitsidwa m'thumba kunja kwa thupi.
A colostomy itha kuchitidwa ngati kusintha kwakanthawi mthupi, kapena odwala ena angafunikire kusunga chikwama cha colostomy. Chemotherapy ndikugwiritsa ntchito mankhwala kapena mankhwala omwe ali ndi mankhwala ochizira khansa. Radiotherapy ndichithandizo champhamvu kwambiri cha radiation chomwe chimagwiritsidwa ntchito pochiza khansa yomwe imakhudza kuwongolera matabwa a radiation pamalo omwe akulowera kuti awononge ma cell. Chithandizo chamankhwala chomwe chikuyang'aniridwa chimaphatikizapo kupereka mankhwala omwe apangidwa kuti akwaniritse zolakwika zina m'maselo a khansa omwe amawapangitsa kuti akule ndikuchulukirachulukira, ndipo chithandizochi chimagwiritsidwa ntchito limodzi ndi chemotherapy.
Kutalika kwa nthawi yofunikira kuchipatala kumasiyanasiyana ndipo kumadalira siteji komanso kuchuluka kwa khansa komanso njira yothandizirayo. Akulimbikitsidwa khansa ya m'matumbo / matumbo Khansa yapakhungu Zofunikira nthawi Nthawi ya masiku kuchipatala masiku 3 - 10. Ngati mukuchitidwa opaleshoni. Komabe, nthawi yomwe amakhala mchipatala imasiyanasiyana kutengera mtundu wa chithandizo. Mankhwala nthawi zambiri amaphatikizidwa pochiza khansa ya m'matumbo / m'matumbo.
Odwala amakumana ndi adokotala kuti akambirane njira zochiritsira ndikukambirana za njira yothandizira. Odwala ayenera kukonzekera mafunso aliwonse omwe angakhale nawo ndikukweza nkhawa asanayambe kulandira chithandizo. Ngati colonoscopy ikuchitidwa, odwala adzafunika kumaliza "colon prep" yomwe imatsimikizira kuti matumbo awo alibe kanthu isanachitike. Ngakhale njira zochotsera matumbo zimasiyanasiyana, odwala ambiri amafunsidwa kuti azidya zakudya zamadzi zonse masiku 1 mpaka 2 asanachite izi ndikupewa chakudya kapena zakumwa zofiira kapena zofiirira m'masiku omwe asanachitike.
Wodwalayo nthawi zambiri amapatsidwa mankhwala otsegulitsa m'mimba kuti atenge tsiku lisanachitike, kuti athetse bwino matumbo. Kuchuluka kwa yankho lomwe angatenge, kumasiyanasiyana ndi wodwala aliyense ndipo nthawi zambiri amasakanizidwa ndi 3 mpaka 4 malita amadzi omwe amayenera kutengedwa kwa maola ochepa, kutengera kuchuluka kwa zomwe akuyenera kumwa. Pambuyo pa kukonzekera kwa m'matumbo, odwala amalangizidwa kuti apewe zakudya zolimba komanso kuti asiye kumwa mopitirira muyeso.
Ngati akuchitidwa opaleshoni, wodwalayo amapatsidwa mankhwala osokoneza bongo asanayambe opaleshoni. Ngati wodwalayo ali ndi colonoscopy, ndiye kuti amaperekedwa ndi kuwala pang'ono. Colonoscopy imaphatikizapo kuyika endoscope yokhala ndi kamera mu rectum kudzera m'matumbo akulu. Kamera imayendetsedwa kudzera m'matumbo akulu ndipo adotolo amayang'ana zithunzizo pazenera zikadutsa. Zida zing'onozing'ono zimalumikizidwa ndi endoscope ndipo zimagwiritsidwa ntchito kuchotsa polyps.
Mmodzi atachotsedwa, adotolo amachotsa endoscope. Colectomy imaphatikizapo kuchotsa gawo limodzi kapena matumbo onse, komabe matumbo onse angafunikire kuchotsedwa, ndipo njirayi imatchedwa proctocolectomy. Colectomy itha kuchitidwa ngati opaleshoni yotseguka kapena laparoscopically. Colectomy yotseguka imaphatikizapo kupanga tinthu tating'onoting'ono m'mimba kuti tifikire koloni. Dokotalayo amagwiritsa ntchito zida kuti atulutse m'matumbo, ndipo amadula gawo lomwe lili ndi khansa, kapena khola lonse. Colectomy ya laparoscopic imaphatikizapo kupangika pang'ono pamimba. Pogwiritsa ntchito kamera yaying'ono yolumikizidwa kamodzi kokha ndikugwiritsa ntchito zida zochitira opaleshoni kudzera munjira zina, colon imachotsedwa.
Izi zimalola dokotalayo kuti azichita opareshoni pamatumbo kunja kwa thupi popanda kudulira kwambiri. Khansayo ikachotsedwa, dokotalayo amalowetsanso m'matumbo kudzera mu chekecha. Dokotalayo amalumikizanso koloniyo ndi dongosolo lakugaya chakudya kuti abwezeretse ntchito yotaya zinyalala. Ngati colon yonse yachotsedwa, dokotalayo amalumikizana pakati pa anus ndi matumbo ang'onoang'ono, pogwiritsa ntchito kagawo kakang'ono ka m'matumbo kuti apange kulumikizana. Izi zimalola kuti anthu azichotsa zinyalalazi nthawi zonse. Colostomy imayendetsedwa kusunthira matumbo akulu kupita kukhoma lam'mimba, komwe kumapangidwa stoma ndikulumikizidwa ndi thumba, kuti zinyalala zithe kuchotsedwa. Zitha kuchitidwa ngati gawo lina la m'matumbo lalikulu lachotsedwa ndipo silingagwirizanenso.
Ngati ndondomekoyi ikuchitika koma idzasinthidwa, ndiye kuti colostomy imachitika, komabe, ngati ndiyokhazikika, ndiye kuti colostomy imachitika. Colostomy yolumikizira imaphatikizapo kutenga koloni ndikuikoka kupyola pamimba ndikuyiyika pakhungu, pomwe kumapeto kwa colostomy kumaphatikizapo kutenga mbali imodzi ya koloni ndikuyikoka kudzera pabowo pamimba ndikuyiyika khungu. Opaleshoni iyi imatha kuchitidwa ngati opaleshoni yotseguka kapena laparoscopic. Chemotherapy imagwiritsidwa ntchito popereka ma dugs intravenously (IV), intra-arterially (IA), kapena kudzera mu jakisoni wa intraperitoneal (IP) wowononga ma cell a khansa. Mankhwalawa amachitika kwa milungu ingapo. Radiotherapy imagwiritsidwa ntchito potsogolera ma radiation pamalowo, ndipo monga chemotherapy, chithandizochi chimafunikira magawo angapo omwe amachitika milungu ingapo.
Chithandizo chamankhwala chomwe chikuyembekezeredwa chimachitidwa popereka mankhwala angapo kwa odwala omwe angawongolere magawo ena am'magazi a khansa. Mankhwalawa amachitidwa limodzi ndi chemotherapy. Mankhwala amagwiritsidwa ntchito nthawi zambiri limodzi, makamaka ngati khansara yapita kale opaleshoni. Chemotherapy nthawi zambiri imatha kugwiritsidwa ntchito opaleshoni isanachitike kuti muchepetse chotupacho kapena pambuyo pa opareshoni kuti awononge khansa iliyonse yomwe singachotsedwe panthawi yochita opareshoni. Mankhwala oletsa kupweteka ambiri.
Kutalika kwa njira Kutalika kwa chithandizo kumadalira mtundu wanji wa opareshoni kapena chithandizo. Opaleshoni nthawi zambiri imachitidwa pa khansa ya m'matumbo / m'matumbo kuphatikiza ndi chemotherapy kapena radiotherapy.,
Kusamalira anthu pambuyo pa opaleshoniyi, odwala amadyetsedwa kaye chakudya cham'madzi asanasunthire zakumwa zoonekeratu moyang'aniridwa ndi chipatala. Kubwereranso ku chakudya choyenera kumatenga nthawi ndipo kuyenera kuyesedwa mothandizidwa ndi dokotala.
Pambuyo pa chithandizo, odwala amafunika kuwunika khansa pafupipafupi, nthawi zambiri amapangidwa ndi ma colonoscopies komanso ma CT scan, kuti khansa isabwerere.
Vuto lomwe lingakhalepo Kufooka ndi ulesi ziyenera kuyembekezeredwa kwa milungu ingapo atachitidwa opaleshoni.,
Zotsatirazi ndi zipatala zabwino kwambiri za 10 za Colon Cancer Treatment padziko lapansi:
| # | Hospital | Country | maganizo | Price | |
|---|---|---|---|---|---|
| 1 | Chipatala cha SevenHills | India | Mumbai | --- | |
| 2 | Chipatala cha Thainakarin | Thailand | Bangkok | --- | |
| 3 | Chipatala cha Medipol Mega University | nkhukundembo | Istanbul | --- | |
| 4 | Chipatala cha Canossa | Hong Kong | Hong Kong | --- | |
| 5 | Zipatala Zapadziko Lonse | India | Mumbai | --- | |
| 6 | KUCHITSA | Germany | Berlin | --- | |
| 7 | Manipal Hospital Varthur Road kale C... | India | Bangalore | --- | |
| 8 | NMC Healthcare - BR Medical Suites | United Arab Emirates | dubai | --- | |
| 9 | Chipatala cha As-Salam International | Egypt | Cairo | --- | |
| 10 | Chipatala cha Quironsalud Ciudad Real | Spain | Ciudad Real | --- |
Otsatirawa ndi madokotala abwino kwambiri a Chithandizo cha Khansa ya Colon padziko lapansi:
| # | DOTOLO | WAPADERA | KUCHipatala | |
|---|---|---|---|---|
| 1 | Dr. Rakesh Chopra | Oncologist Wachipatala | Chipatala cha Artemis | |
| 2 | Dr. Prabhat Gupta | Opaleshoni a Oncologist | Dharamshila Narayana Supe... | |
| 3 | Dr. Niranjan Naik | Opaleshoni a Oncologist | Kafukufuku wa Fortis Memorial ... | |
| 4 | Dr. Aruna Chandrasekhran | Opaleshoni a Oncologist | Chipatala cha Metro ndi Mtima ... | |
| 5 | Dr. KR Gopi | Oncologist Wachipatala | Chipatala cha Metro ndi Mtima ... | |
| 6 | Dr. Rajeev Kapoor | Gastroenterologist | Chipatala cha Fortis Mohali | |
| 7 | dr. Deni Gupta | Oncologist Wachipatala | Dharamshila Narayana Supe... | |
| 8 | Pulofesa Dr. med. Axel Richter | Opaleshoni Yaikulu | HELIOS Hospital Hildeshei... |
Khansara ya m'matumbo ndi chifukwa cha kukula kwachilendo kwa maselo a m'matumbo kapena mu rectum. Zizindikirozi zimawonekera pamene khansa yakula kwambiri.
Nthawi zina palibe chizindikiro ndi zizindikiro. Zizindikiro zodziwika za khansa ya m'matumbo ndizo - kusintha kwa matumbo, kuchepa kwa magazi m'thupi, kupezeka kwa magazi m'chimbudzi, kupweteka m'mimba, kupweteka m'chiuno, kuchepa thupi, kusanza.
Nthawi zambiri kuyezetsa matenda a khansa ya m'mimba ndi - • Kuyezetsa magazi • Proctoscopy • Colonoscopy pamene wodwala awonetsa zizindikiro zake • Biopsy • Kuyeza zithunzi monga X-rays, CT scan, PET scan, MRI, ultrasound, angiography.
Chithandizo cha khansa ya m'matumbo chimadalira momwe khansarayo ilili. Chithandizo chimaphatikizapo ma radiation, chemotherapy ndi opaleshoni.
Aliyense akhoza kukhudzidwa ndi khansa ya m'matumbo. Zina zomwe zimachulukitsa chiopsezo cha khansa ya m'matumbo ndi - • Zaka • Matenda enaake • Zomwe zimakhalira moyo • Mbiri yabanja
Khansara ya m'matumbo imatha kuchiritsidwa malinga ndi mbali ya matumbo yomwe yakhudzidwa komanso gawo la khansa.
Kumayambiriro kwa kachidutswa kakang'ono ka m'matumbo amachotsedwa, komwe kumatchedwa local excision. Khansara ikafalikira kutali ndi m'matumbo, gawo lonse la m'matumbo limachotsedwa. Izi zimatchedwa colectomy.
Opaleshoni ya khansa ya m'matumbo imaphatikizapo zotsatirapo monga matenda, kutuluka magazi, magazi kuundana m'miyendo, vuto la mtima, vuto la kupuma.
Chemotherapy ingagwiritsidwe ntchito kuthetsa zizindikiro za khansa ya m'matumbo. Thandizo limagwiritsidwa ntchito pamene gawo la colon silingathe kuchotsedwa opaleshoni.
Khansara mu gawo lokhazikika ili ndi 91% ya kupulumuka. Ngati khansa ifalikira kutali ndiye kuti kupulumuka ndi 14%. (Zimatengera zinthu zingapo)
Mtengo wochotsa opaleshoni ya khansa ya m'matumbo imayambira pa $3000, (Mtengo weniweni umadalira chipatala kapena dziko lomwe mwasankha)
Njira Zosakira ndi Chipatala
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Mukukonzekera moyo watsopano komanso wathanzi
Mozocare ndi njira yopezera zipatala ndi zipatala zothandiza odwala kupeza chithandizo chamankhwala chabwino pamitengo yotsika mtengo. Malingaliro a Mozocare amapereka Health News, Kukonzekera kwatsopano kwamankhwala, Udindo wa Chipatala, Zaukadaulo wa Makampani azaumoyo ndi kugawana kwa Chidziwitso.
Zomwe zili patsamba lino zidawunikiridwa ndikuvomerezedwa ndi Mozocare gulu. Tsambali lidasinthidwa pa 03 Apr, 2022.