Chithandizo cha Khansa ya M'mimba- Gawo 4

31 January 202212 October 2022 curebooking

Khansara ya m'mimba ndi mtundu wofunikira wa khansa yomwe imafuna chithandizo. Mutha kupitiliza kuwerenga zomwe zili patsamba lathu kuti mumve zambiri za khansa yamtunduwu, yomwe imafunikira maopaleshoni opambana a khansa kapena chithandizo chamankhwala.

Kansa ya m'mimba

Khansara ya m'mimba ndi khansa ya m'mimba yovuta kwambiri kuchiza. Nthawi zambiri, amatha kupezeka mochedwa kwambiri chifukwa sichimayambitsa zizindikiro zilizonse. Izi zikufotokozera kukhalapo kwa magawo omwe amasokoneza chithandizo cha khansa. Kuti athe kuchiza bwino khansa ya m'mimba, iyenera kuzindikirika adakali aang'ono ndikuchiza bwino ndi dokotala wa opaleshoni. Pofuna kupeza dokotala wochita bwino pochiza khansa ya m'mimba, anthu amatha kupeza chithandizo m'mayiko ena.

Kusaka uku nthawi zambiri kumabwera ku Turkey. Pazifukwa izi, zomwe zili mkati mwathu ndi zokhudzana ndi khansa ya m'mimba komanso chithandizo cha khansa ya m'mimba ku Turkey. Ngati mukufuna kulandira chithandizo cha khansa ya m'mimba ku Turkey, mutha kupeza zambiri za kupambana kwake ndi zabwino zake pazomwe zili.

Kodi khansa ya m'mimba ndi chiyani?

Khansara ya m'mimba, monganso khansa ina, imayamba chifukwa cha kusakhazikika kwa ma cell. Kusuntha kwa maselo osadziwika bwino, kulepheretsa maselo athanzi, kumabwera palimodzi ndikupanga zotupa. Kuchotsa kapena kuchiza zotupazi kumasiyananso kutengera zinthu zina. Pazifukwa izi, zomwe zili mkati mwathu zikuphatikiza zambiri zazizindikiro ndi chithandizo cha khansa ya m'mimba.

Zomwe Zimayambitsa Khansa ya M'mimba

Zomwe zimayambitsa khansa ya m'mimba sizidziwika. Mwa kuyankhula kwina, zifukwa zomwe zimapangitsa munthu kukhala ndi khansa ya m'mimba sizingatchulidwe momveka bwino. M'malo mwake, pali zinthu zomwe zimapangitsa kuti munthu adwale khansa ya m'mimba. Izi ndi zinthu zomwe zimachulukitsa chiopsezo cha anthu kudwala khansa ya m'mimba. Kumbali ina, anthu omwe ali ndi mbiri yakale ya khansa ya m'mimba amakhala ndi chiopsezo chachikulu. Anthuwa amayenera kukayezetsa magazi nthawi zonse.

Zowopsa za Khansa ya M'mimba

matenda amtundu wa gastroesophageal Reflux
kunenepa
Chakudya chokhala ndi mchere wambiri komanso zakudya zosuta
Zakudya zopanda zipatso ndi ndiwo zamasamba
mbiri ya banja la khansa ya m'mimba
Kutupa kwa m'mimba kwa nthawi yayitali (gastritis)
Kusuta
polyps m'mimba

Magawo a Khansa ya M'mimba

Khansara ya m'mimba imakhala ndi magawo anayi. Gawo 4 likufotokoza kuti pali kusintha kwachilendo kwa maselo koma palibe mapangidwe a khansa, pomwe siteji 0 ikufotokoza kuti khansa yafalikira ku ziwalo ndi ziwalo zapafupi. Mwa izi kuyambira 4 mpaka 0, chosavuta kuchiza ndi gawo 4, pomwe chovuta kwambiri ndi 0.

siteji 1	Khansa yoyambirira kapena yochepa	Zotupa zimapezeka kokha m'mimba khoma akalowa
magawo 2-3	Khansara yakutsogolo	Zotupa zafalikira mozama m'mimba ndi m'matumbo apafupi
4 internship	Metastatic kapena khansa yapamwamba	Zotupa zafalikira kupyola m'mimba kupita ku ma lymph nodes kapena mbali zina za thupi, kapena kumadera akutali a thupi.

Zizindikiro Za Khansa Ya M'mimba

Zitha kukhudza chimbudzi chanu, monga:

Kutentha kwa mtima kapena acid reflux
Mavuto omeza (dysphagia)
Ndi chimfine
Kuwotcha kwambiri
kutupa
Kumverera mwachangu kukhuta
Zizindikiro zina ndizo:
Anorexia
Kuonda popanda zakudya
Kumva chotupa m'mimba
Ululu m'mimba
Kutopa kapena kusowa mphamvu

Mitundu ya Khansa ya M'mimba

Mtundu wofala kwambiri wa khansa ya m'mimba ndi adenocarcinoma. Adenocarcinoma imapanga pafupifupi 90 peresenti ya khansa zonse zam'mimba.
Adenocarcinoma ndi mtundu wa khansa yomwe imachokera ku minofu ya glandular.
Adenocarcinoma ya m'mimba imachokera ku maselo omwe amapanga gawo lamkati la m'mimba m'maselo otulutsa ntchofu otchedwa mucosa.

Matenda a m'mimba: Khansa ya chitetezo chamthupi minofu yopezeka m'mimba. Chitetezo cha mthupi chimateteza thupi ku matenda ndi matenda.

Zotupa za m'mimba stromal: Amadziwikanso kuti GIST, chotupa cha m'mimba chamtunduwu chimapangidwa m'maselo apakati a Cajal. Komanso nthawi zambiri amakhala abwino.

Matenda a Carcinoid: Zotupa zam'mimba izi ndi khansa yachilendo, yomwe imakula pang'onopang'ono yomwe imachokera ku maselo amitsempha yamanjenje ndi dongosolo la endocrine.

Matenda a Khansa ya M'mimba

Kuyezetsa Magazi: Kuyeza magazi ndi kuyesa komwe kumapereka chidziwitso ngati pali vuto lililonse m'thupi. Pamodzi ndi mayeserowa, kuchuluka kwa zinthu zachilendo kungakhale chizindikiro cha matenda. Choncho, ngati wodwala akukayikira khansa ya m’mimba, dokotala amamufunsa kaye magazi. Choncho, zidzamveka ngati mayesero ena akufunika.

Endoscopy yapamwamba: Ngati pali vuto lililonse pakuyezetsa magazi, limodzi ndi zizindikiro zina, dokotala mwina angasankhe njirayi ngati akukayikira vuto la m'mimba; Zimaphatikizapo kuyang'ana mkati mwa mmero, m'mimba, ndi gawo loyamba la matumbo aang'ono. Endoscope imadutsa kuchokera mkamwa ndi mmero kupita kummero kotero kuti kamera yowunikira yomwe ili kumapeto kwa endoscope iwonetsedwe kwa polojekiti ndipo zidzamveka ngati pali vuto.

Kumeza kwa Barium: Zimaphatikizapo kutenga ma X-ray am'mero ndi m'mimba. Wodwala amapatsidwa madzi okhala ndi barium. Madziwo amaphimba kummero ndi m'mimba, ndiyeno ma X-ray amatengedwa.

CT scan: Njira imeneyi imadziwikanso kuti computed tomography. Zimaphatikizapo kujambula zithunzi za mimba kuchokera kumbali zosiyanasiyana. Izi zingaphatikizepo kubaya utoto mumtsempha kuti udziwe khansa ya m'mimba, kuti m'mimba uwoneke bwino.

Chisokonezo: Kukhalapo kwa zizindikiro za khansa m'mimba kumafuna biopsy kuti mudziwe zambiri. Njirayi, yomwe imaphatikizapo kufufuza maselo omwe amapezeka m'mimba pansi pa microscope, amachitidwa ndi njira ya endoscopy ndipo imaphatikizapo;
Kodi pali majini angati a HER2?
Kodi mapuloteni a HER2 amapangidwa bwanji?
Ngati pali majini ambiri a HER2 kapena kuchuluka kwa mapuloteni a HER2 kuposa momwe amakhalira, khansara imatchedwa HER2 positive.

Kodi Khansa ya M'mimba Ndi Yochiritsika?

Matenda ambiri a khansa ya m'mimba sachiritsika, komabe ndizotheka kuthetsa zizindikiro ndikuwongolera moyo pogwiritsa ntchito chemotherapy ndipo, nthawi zina, radiotherapy ndi opaleshoni.
Opaleshoni yochotsa mbali kapena m'mimba yonse imatchedwa gastrectomy. Maopaleshoniwa amatha kuchotsa khansa kwathunthu. Komabe, pambuyo pa maopaleshoni amenewa, mudzafunika kusintha zina ndi zina m’moyo wanu. Muyenera kuchepetsa malo anu ndikutsatira ndondomeko ya zakudya.

Mbali inayi, chithandizo chimene mudzalandira kuchokera kwa madokotala ochita bwino opaleshoni chikhoza kubweretsa zotsatira zabwino. Pachifukwa ichi, kungakhale koyenera kuonana ndi dokotala wina musanasankhe chithandizo.
Chemotherapy kapena radiotherapy ilinso imodzi mwa njira zochiritsira. Mankhwalawa alinso asanachite opaleshoni; kuchepetsa khungu la khansa ndikuthandizira kuchotsa
pambuyo pa opaleshoni; Itha kugwiritsidwa ntchito pochotsa ma cell a khansa otsala kapena ngati chithandizo chachikulu. Mutha kupitiliza kuwerenga zomwe zili patsamba lathu kuti mumve zambiri zamankhwala awa.

Kuchiza Khansa Kumimba

Chithandizo cha khansa ya m'mimba chimasiyana malinga ndi magawo ake. Ngakhale chemotherapy kapena radiotherapy ingagwiritsidwe ntchito m'magawo ena, opaleshoni imatheka nthawi zina. Mutha kupitiliza kuwerenga zomwe zili zathu kuti mumve zambiri za chithandizo cha khansa ya m'mimba molingana ndi magawo ake.

Gawo 0 Chithandizo cha Khansa ya M'mimba

Opaleshoni (yonse kapena subtotal gastrectomy)
Endoscopic mucosal resection

Gastrectomy yonse: Zimaphatikizapo kuchotsa kwathunthu m'mimba. Choncho, n'zotheka kuchotsa khansa yonse. Njira imeneyi, yomwe ingagwiritsidwe ntchito pa mitundu ya khansa yomwe imapezeka koyambirira, ikhoza kuphatikizidwa ndi mankhwala ena nthawi zina.

Subtotal gastrectomy: Zimaphatikizapo kuchotsa mbali ya mimba. N’kutheka kuti khansayo siingathe kuchotsedwa. Si kawirikawiri ntchito monga waukulu mankhwala. M'malo mwake, ndi mankhwala operekedwa kuti athetse ululu ndi kutaya magazi.

Endoscopic mucosal resection: Ndi njira ya edoscopy, njirayi imatha kuchitidwa ndi chubu chochokera mkamwa mwa wodwalayo mpaka m'mimba. Pofuna kuchotsa minyewa ya khansa ya m'mimba, kukwapula kumachitika pamalopo. Pambuyo pochotsa malo ndi maselo a khansa, madzi apadera amabayidwa pansi pa minofu. Pachifukwa ichi, singano imadutsa mu endoscope. Cholinga cha ndondomekoyi ndi ndondomeko ya embossing. Zimathandiza kulekanitsa minofu ya khansa ndi zigawo zina. Ndi njirayi, minofu yomwe malire ake amakhala omveka bwino sangathe kuchotsedwa mosavuta.
Zotsatira zoyipa

Matenda otaya: Ndiko kulephera kwa matumbo aang'ono kugaya zakudya zambiri nthawi imodzi. Izi zikachitika, mutha kusanza, nseru kapena kusanza. Izi nthawi zambiri zimayamba maola angapo mutatha kudya;
Ngati mukumva kudwala maola angapo mutadya, shuga wanu wamagazi akhoza kukwera ndi kutsika mofulumira kwambiri. Nthawi zambiri munthu amatuluka thukuta, kugunda kwa mtima, kumva kutopa kapena kusokonezeka maganizo.

Kusintha kadyedwe kanu kungakuthandizeni kuthana ndi zizindikiro izi. Pambuyo pa opaleshoni yam'mimba, muyenera kuzolowera mtundu uwu kwa miyezi 3-6. Ndiye zotsatira zambiri zidzadutsa.

Gawo 1 Chithandizo cha khansa ya m'mimba

Ntchito
Endoscopic mucosal resection
Chithandizo cha Chemoradiotherapy.

gastrectomy yonse: Zimaphatikizapo kuchotsa mimba yonse.
subtotal gastrectomy: Zimaphatikizapo kuchotsa mbali ya m’mimba.
Endoscopic mucosal resection: Zimaphatikizapo kuchotsa chotupa ndi khansa m'mimba. Izi zimachitika ndi njira ya endecopic.
Chithandizo cha Chemoradiotherapy: Zimaphatikizapo kuwongolera munthawi yomweyo ma radiation ndi chemorerapin pambuyo pa opaleshoni. Izi ndi kuwononga maselo onse osaoneka khansa m'chilengedwe.

Gawo 2 Chithandizo cha khansa ya m'mimba - Gawo 3 Chithandizo cha khansa ya m'mimba

Opaleshoni: Opaleshoni imaphatikizapo kuchotsa mbali ina kapena mimba yonse. Komabe, opaleshoni ikachitika panthawiyi, chithandizo chowonjezera chimafunika nthawi zambiri.
Chemoradiation: Zimaphatikizapo kupereka mankhwala a chemotherapy ndi ma radiation pambuyo pa opaleshoni. Izi ndi kuwononga maselo ang'onoang'ono a khansa omwe sangawonekere ndi luso lojambula zithunzi.
Chemotherapy: Thandizo la mankhwala ndi mankhwala operekedwa pambuyo pa opaleshoni.

Gawo 4 Chithandizo cha Khansa ya M'mimba

Tsoka ilo, sikutheka kuchiza khansa pazigawo izi. Pachifukwachi, mankhwala ochepetsa ululu angaperekedwe kuti achepetse ululu ndi kutalikitsa moyo wa wodwalayo pang'ono. Mankhwalawa akuphatikizapo:

mankhwala amphamvu monga chithandizo chothandizira kuthetsa zizindikiro ndikuwongolera moyo wabwino.
Njira yochiritsira ndi monoclonal antibody yokhala kapena popanda chemotherapy.
immunotherapy ndi pembrolizumab.
Endoluminal laser therapy kapena kuyika kwa endoluminal stent kuti muchepetse kutsekeka kwa m'mimba kapena gastrojejunostomy kuti mulambalale chotchingacho.
Kuchiza ma ARV monga mankhwala ochepetsa magazi, kuchepetsa ululu, kapena kuchepetsa chotupa chotsekereza m'mimba.
Opaleshoni monga chithandizo chochepetsera chotupa chotsekereza m'mimba kapena kusiya kutuluka magazi.

Chithandizo cha Khansa ya M'mimba ku Turkey

Kodi ndi zinthu ziti zomwe zidapangitsa dziko la Turkey, dziko lomwe nthawi zambiri limakonda kuchiza khansa, kuti lichite bwino pamankhwala a xr?
Dziko la Turkey ndi dziko lochita bwino kwambiri pochiza khansa. Ndi limodzi mwa mayiko oyamba kusankha odwala khansa ambiri m'zaka zaposachedwa. Nchiyani chimapangitsa Turkey kukhala yosiyana ndi mayiko ena?

Choyamba, m'pofunika kufufuza zinthu zomwe zili zofunika kwambiri pa chithandizo cha khansa. Pochiza khansa, chipatala chopereka chithandizocho chiyenera kukhala ndi zida zamakono kwambiri. Izi ndizofunikira kwambiri kuti muchepetse zotsatira za njira monga radiotherapy yomwe imagwiritsidwa ntchito pochiza khansa komanso kupereka chithandizo chokhazikika.

Kumbali ina, wodwala amene akufunika kuchitidwa opaleshoni pamankhwala a khansa ayeneranso kulandira chithandizo cha opaleshoni yopambana. Mankhwalawa adzakulitsa chiwongola dzanja cha munthuyo. Pomaliza, ngakhale tipenda zonsezi pansi pamutu wopitilira zomwe zili, chifukwa china chomwe dziko la Turkey limakondedwa kwambiri ndi chithandizo cha khansa ndi chithandizo popanda kudikirira. Matendawa, omwe amayenera kudikirira kwa nthawi yayitali m'maiko ambiri, amatha kuchiritsidwa ku Turkey osadikirira ngakhale tsiku limodzi. Chithandizo cha Khansa ku Turkey zikuphatikiza;

Madokotala Opambana Oncology
Chithandizo cha Khansa Popanda Kudikira
Chithandizo cha Khansa ndi Innovative Technology

Madokotala Opambana Oncology

Madokotala ochita opaleshoni opambana, omwe ndi chinthu chofunikira kwambiri pakuchiza khansa, ndi anthu omwe mungapeze mosavuta ku Turkey. Kuchiza kochitidwa ndi madokotala odziwa bwino komanso ochita bwino opaleshoni kumakhala ndi chipambano chachikulu. Pachifukwa ichi, munthuyo ayenera kupanga chisankho chabwino kwambiri pa chithandizo cha khansa ndikupeza chithandizo kuchokera kwa madokotala odziwa bwino opaleshoni. Kumasuka kwa madokotala ochita opaleshoni ku Turkey kumatsimikizira kuti izi zitha kuchitika mosavuta. Chifukwa chake, kulandira chithandizo cha khansa ku Turkey kumakulitsa chipambano chanu. Kumasuka kwa dokotala wodziwa bwino kudzakuthandizani kugawana mantha anu onse ndi dokotala panthawi ya chithandizo cha khansa.

Chithandizo cha Khansa Popanda Kudikira

Khansara ndi matenda omwe amatha kuwononga kwambiri sekondi iliyonse ikadutsa. Nthawi yofunikira pakuzindikira koyambirira komanso chithandizo ndi yofunika kwambiri. Pambuyo pa matenda a khansa, nthawi yomwe chithandizo chiyenera kuyambika chiyenera kukhala mofulumira kwambiri. Ngakhale titha kulandira chithandizo popanda kudikirira masiku angapo, chithandizo cha Khansa chimakhudza kwambiri zotsatira zake.

Pachifukwa ichi, wodwalayo ayenera kusankha yekha chithandizo chabwino kwambiri. Pachifukwa ichi, ayenera kulandira chithandizo chomwe sichikhala ndi nthawi yodikira. Apo ayi, n'zotheka kubweretsa mankhwala oipa kwambiri. Kumbali ina, wodwala amayenera kupita kudziko lina kuti akalandire chithandizo chomwe sichikhala ndi nthawi yodikira.

Chithandizo cha Khansa ndi Innovative Technology

Pazamankhwala a khansa, pali nthawi zina pomwe chithandizo chamakono chingagwiritsidwe ntchito kupatula njira zachikhalidwe. Njirazi zingagwiritsidwe ntchito nthawi zambiri pamene pali zipangizo zamakono zokwanira. Chifukwa chake, mutuwu ndi wa luso laukadaulo. Mwachidule, zida zamakono zamankhwala ziyenera kukhala bwino m'dziko lomwe mungasankhe.

Chifukwa cha ichi ndikofunika kuchepetsa zotsatira zomwe zimayambitsidwa ndi mankhwala, pamodzi ndi njira zina zomwe zimagwiritsidwa ntchito panthawi ya chithandizo. Ngati mukuganiza za chithandizo ku Turkey, musaiwale kuti chithandizo chomwe mudzalandira chidzabweretsa zotsatirapo zochepa. Ukadaulo wolunjika umagwiritsidwa ntchito pazithandizozi, zomwe zitha kukhala zovulaza, makamaka radiotherapy. Mwanjira imeneyi, kuwala koperekedwa ku maselo a khansa sikungawononge maselo athanzi a wodwalayo.

Kupulumuka kwa Khansa ya M'mimba

Gawo la SEER	5-zaka wachibale kupulumuka
Zapafupi	70%
dera	32%
Zachikale	6%
Magawo onse a SEER aphatikizidwa	32%

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