Khansara ya m'mimba, yomwe nthawi zina imatchedwa khansa ya m'mimba, ndi khansa yachisanu padziko lonse lapansi. Kukula kwa maselo a khansa ndi owopsa m'kati mwa m'mimba kumayambitsa matendawa. Khansara ya m'mimba sichitha msanga; m'malo mwake, imapita patsogolo pang'onopang'ono pakapita nthawi. Khansara yeniyeni isanayambike, kusintha kosiyanasiyana kowopsa kumachitika. Komabe, chifukwa kusintha koyambirira kumeneku sikumayambitsa zizindikiro, nthawi zambiri kumakhala kosazindikirika kumayambiriro, pomwe chithandizo chimakhala chothandiza kwambiri. Khansara ya m'mimba imatha kufalikira kudzera m'chipupa ndi ziwalo zoyandikana nazo. Ili ndi kuthekera kwakukulu pakufalikira ku mitsempha yamagazi ndi ma lymph nodes. Itha kusuntha kudzera m'magazi ndikufalikira kapena metastasis ku ziwalo monga chiwindi, mapapo, ndi mafupa pamlingo wapamwamba. Kawirikawiri, odwala omwe amapezeka ndi khansa ya m'mimbar adakhalapo kale kapena apanga metastasis.
Kodi Zizindikiro za Khansa Yam'mimba Ndi Chiyani?
Pali mitundu yosiyanasiyana yazizindikiro zoyambirira za khansa ya m'mimba. Komabe, zizindikiro za khansa ya m'mimba mwinanso chifukwa cha matenda ena. Tsoka ilo, ichi ndi chimodzi mwazifukwa zazikulu zomwe kuzindikira khansa ya m'mimba mutangoyamba kumene kumakhala kovuta. Zotsatirazi ndi zina mwa zizindikiro zoyambirira za khansa ya m'mimba: Kuthamangitsani Dyspepsia nthawi zonse Mseru pang'ono Kutaya zakudya Kuphulika pafupipafupi Kumva kutupa Komabe, chifukwa chakuti mumamva kusanza kapena kutentha pamtima mutatha kudya sizikutanthauza kuti muli ndi khansa. Koma, ngati muli ndi zambiri mwazizindikirozi, pitani kwa dokotala wanu, yemwe angasankhe ngati mukufuna kuyezetsa kapena ayi. Palinso zizindikiro zina zazikulu za khansa ya m'mimba. Tiyeni tionepo. Kutentha pamtima pafupipafupi, kupweteka m'mimba pafupipafupi kapena kuwawa, kusanza ndi magazi, kuvutika kumeza, kuwonda mwadzidzidzi ndikusowa chidwi ndi magazi m'chimbudzi.
Momwe Mungadziwire Khansa Yam'mimba?
Pali njira zambiri zodziwira khansa ya m'mimba. Tiye tikambirane mwatsatanetsatane. Upper endoscopy, biopsy, upper gastrointestinal (GI) x-ray test, CT kapena CAT scan, endoscopic ultrasound, positron emission tomography (PET) scan, magnetic resonance imaging (MRI) ndi chest x-ray ndi zina mwa zoyezetsa zam'mimba. khansa.
Mitundu ya Khansa Yam'mimba
Matenda ena a m'mimba kapena khansa ya m'mimba sayenera kusokonezedwa ndi khansa ya m'mimba. Khansa ya m'matumbo akulu ndi ang'onoang'ono, chiwindi, ndi kapamba zimatha kuchitika m'mimba. Zotupazi zimatha kukhala ndi zizindikilo, zodziwikiratu, komanso zosankha zamankhwala. Zotsatirazi ndi zina mwa Mitundu yodziwika kwambiri ya khansa ya m'mimba: Adenocarcinoma ndi mtundu wofala kwambiri wa khansa ya m'mimba, yomwe imatenga 90 mpaka 95 peresenti ya milandu yonse. Maselo amene amapanga mkatikati mwa m’mimba (mucosa) amakula kukhala khansa yamtundu umenewu. Lymphoma: Lymphoma ndi mtundu wachilendo wa khansa ya m'mimba yomwe imatenga pafupifupi 4% ya matenda onse am'mimba. Izi ndi matenda owopsa a chitetezo chamthupi omwe nthawi zina amatha kupezeka m'chipupa cham'mimba. Chotupa cham'mimba cham'mimba (GIST) ndi zachilendo mtundu chotupa chimene chimayamba mu magawo oyambirira kwambiri a maselo m`mimba khoma lotchedwa interstitial maselo a Cajal. Ma GIST amatha kupezeka mbali iliyonse ya m'mimba. Chotupa cha khansa: Zotupa za Carcinoid ndi mtundu wachilendo wa khansa ya m'mimba yomwe imakhala pafupifupi 3% ya matenda onse am'mimba. Matumbo a carcinino amayamba m'maselo am'mimba omwe amapanga mahomoni.
Kodi Khansa Yam'mimba Imawononga Ndalama Zingati ku Turkey?
Ku Turkey, mtengo wa Opaleshoni Yochizira Khansa ya M'mimba kuyambira $6500. Ngakhale kuli mabungwe angapo ku Turkey omwe amachiza khansa ya m'mimba, tidzakupatsani malo ovomerezeka a SAS, JCI, ndi TEMOS kuti mupeze zotsatira zabwino za khansa ya m'mimba.
Mtengo wa Phukusi la Chithandizo cha Khansa ya M'mimba ku Turkey zimasiyana malinga ndi bungwe ndipo zingaphatikizepo zabwino zosiyanasiyana. Zipatala zambiri zimaphatikizapo mtengo wa maphunziro a wodwalayo asanakhale opaleshoni m'mapaketi awo amankhwala. Kugonekedwa m'chipatala, opaleshoni, unamwino, mankhwala, ndi opaleshoni nthawi zambiri zimaphatikizidwa pamtengo wamankhwala. Zinthu zambiri, kuphatikizapo kukhala m'chipatala nthawi yayitali komanso mavuto otsatirawa opaleshoni, ikhoza kukweza mtengo wa khansa ya m'mimba ku Turkey.
Ndi Njira Zotani Zochizira Khansa Yam'mimba ku Turkey?
Zipatala zapadera ku Turkey tsopano zikupereka chithandizo chamakono kwambiri padziko lonse lapansi. Timasankha mosamala madotolo akuluakulu ndi zipatala zapamwamba kuti zikhale gawo lathuli kuti tiwonetsetse kuti odwala athu alandila chithandizo chodalirika komanso chothandiza. Opaleshoni, chemotherapy, ndi ma radiation njira zonse zochizira khansa ya m'mimba. Cholinga cha mankhwalawo ndicho kuchotsa matendawo ndi kuchepetsa zizindikiro zake. Tiyeni tione mwatsatanetsatane. Opaleshoni ya Khansa ya M'mimba ku Turkey: Wodwala akapezeka ndi khansa ya m'mimba, opaleshoni ku Turkey ndiye njira yodziwika bwino yochizira. Njira zopangira opaleshoni ya khansa ya m'mimba zimatsimikiziridwa ndi kalasi ya khansa. Kukula kwa chotupacho komanso ngati chafalikira ku ziwalo zina kumatanthawuza kalasi. Endoscopic mucosal excision angagwiritsidwe ntchito pochiza khansa yoyambirira kwambiri. Opaleshoni ya khansa ya m'mimba imaphatikizapo kuchotsa gawo la m'mimba lomwe lili ndi chotupacho (partial gastrectomy) komanso ma lymph nodes ozungulira (lymphadenectomy). Ngati chotupacho chafalikira kunja kwa m'mimba pakapita nthawi, wodwalayo angafunike kuchitidwa opaleshoni pang'ono. Kwa giredi 0 ndi 1, kuchotsedwa kwapang'onopang'ono kokha kumafunika, pomwe kwa odwala a giredi 2 ndi 3, kuchotsedwa kwa lymphadenectomy kumafunika.
Chemotherapy ya Khansa ya M'mimba ku Turkey:
chemotherapy, yomwe imangotanthauza “mankhwala,” imayesa kuchiritsa khansa kapena kuchepetsa zizindikiro zilizonse zimene ingayambitse. Chemotherapy ndi mankhwala omwe amagwiritsa ntchito mankhwala oletsa khansa kupha maselo a khansa. Mankhwalawa amazungulira m'magazi ndikupha maselo a khansa omwe akukula mwachangu ndikuwononga pang'ono ma cell athanzi. Chemotherapy ikhoza kugwiritsidwa ntchito pambuyo pa opaleshoni kupha maselo otsala a chotupa. Ngati histology ikuwonetsa kuti pali ngozi yobwereza kapena kufalikira, wodwalayo amapatsidwa adjuvant chemotherapy. Odwala nthawi zambiri amapatsidwa maulendo angapo a chemotherapy kuti athetse maselo ambiri a khansa momwe angathere. Nthawi iliyonse, wodwala amatha kulandira mankhwala amodzi kapena kuphatikiza mankhwala awiri kapena atatu oletsa khansa. Mseru, kutopa, kuthothoka tsitsi, ndi kusanza ndi zotsatira zoyipa za mankhwala amphamvu amphamvu. Chifukwa chake, chemotherapy kwa odwala khansa ya m'mimba ku Turkey atha kugwiritsidwa ntchito.
Radiography ya Khansa ya M'mimba ku Turkey:
Radiography ndi zina chithandizo cha khansa ya m'mimba ku Turkey. Ma radiation otsika kwambiri amagwiritsidwa ntchito mu radiotherapy, yomwe imadziwikanso kuti radiation chithandizo, kupha maselo a khansa. Nthawi zina, chithandizo cha radiation ndi chemotherapy chimagwiritsidwa ntchito kuwonjezera pa chithandizo china, kutengera mtundu wa opaleshoni yomwe wodwalayo adachitidwa komanso gawo la matendawa. Opaleshoni isanayambe kapena itatha, radiotherapy ingagwiritsidwe ntchito. Opaleshoni ikatha, ma radiotherapy (adjuvant radiation) atha kugwiritsidwa ntchito kuchotsa ma cell a chotupa otsala. Opaleshoni isanachitike, radiotherapy (neoadjuvant radiation) imagwiritsidwa ntchito kuchepetsa kukula kwa zotupa zazikulu, kulola dokotala kuti achotse chotupacho. Chida chotchedwa linear accelerator chimagwiritsidwa ntchito popereka chithandizo. Kwa masabata atatu kapena asanu ndi limodzi, amaperekedwa kamodzi patsiku ndi masiku asanu pa sabata (Lolemba mpaka Lachisanu). Zingotenga mphindi zochepa pa gawo lililonse. Kutopa, kufiira pakhungu, nseru ndi kusanza, ndi kutsekula m'mimba zonse ndi zotsatira zoyipa radiotherapy yochiza khansa ku Turkey.
Njira Zochizira Magawo a Khansa Yam'mimba ku Turkey?
Gawo 0 Khansa Yam'mimba: Chithandizo cha khansa ya m'mimba ya gawo 0 nthawi zambiri chimachitidwa ndi opaleshoni ya endoscopic. Gawo 1 Khansa Yam'mimba: Chithandizo cha khansa ya m'mimba ya gawo loyamba nthawi zambiri chimakhala ndi opaleshoni ya endoscopic yotsatiridwa ndi magawo angapo a chemotherapy. Dokotala wa opaleshoni angakulimbikitsenso kuti mutenge magawo angapo a chemotherapy musanachite opaleshoni. Gawo 2 Khansa Yam'mimba: Opaleshoni ndiye njira yoyamba yothandizira khansa ya m'mimba ya 2, ndikutsatiridwa ndi chemotherapy. Ngati mwasankha kusachitidwa opaleshoni, mutha kuthandizidwa ndi kuphatikiza kwa chemotherapy ndi radiation. Gawo 3 Khansa Yam'mimba: Chithandizo cha khansa ya m'mimba ya gawo 3 chimaphatikizapo magawo angapo a chemotherapy musanachite opaleshoni, ndikutsatiridwa ndi opaleshoni. Mankhwala angapo a chemotherapy amachitidwa pambuyo pa opaleshoni, kenako ndi chithandizo cha radiation. Gawo 4 Khansa Yam'mimba: Chemotherapy ndiye njira yayikulu yothandizira anthu omwe ali ndi khansa ya m'mimba ya siteji 4. Pofuna kuthana ndi zizindikiro, opaleshoni ikhoza kuchitidwa. Ngati ndi kotheka, radiotherapy ikhoza kuperekedwa kuti muchepetse zizindikiro.
Kodi Ubwino Wothandizira Khansa Yam'mimba ku Turkey Ndi Chiyani?
Kulandila chithandizo cha khansa ku Turkey ali ndi ubwino wambiri. Zimaphatikiza njira zotsogola ndi chindapusa choyenera komanso chotsika mtengo chamagulu azachipatala. Zipatala ku Turkey sizikweza chindapusa kwa odwala apadziko lonse lapansi. Malinga ndi ziwerengero za zaka khumi zapitazo, dzikolo linali m’gulu la anthu asanu otsogola padziko lonse pa zokopa alendo zachipatala, popeza lathandiza anthu masauzande ambiri akunja odwala khansa. Medical oncology malo anatha kupeza mlingo watsopano wa mankhwala ndi kukhutiritsa mfundo mayiko zikomo ndalama za boma (10% ya bajeti Turkey ndi odzipereka ku gawo la zaumoyo) ndi yogwira ntchito chitukuko cha mankhwala. Utumiki wapamwamba kwambiri pa chithandizo cha khansa ya m'mimba ku Turkey zomwe zikufanana ndi zomwe zili ku USA. Odwala amayendetsedwa motsatira zikhalidwe ndi machitidwe apadziko lonse lapansi, ndipo zofunikira zonse zilipo. Ndalama zolipirira chithandizo ndi mitengo yokhudzana ndi chithandizo yomwe ili yoyenera. Palibe cholepheretsa chinenero chifukwa zipatala zimalemba anthu ogwira ntchito olankhula zinenero zosiyanasiyana kapena omasulira. Mu Turkey, khalidwe la khansa mankhwala imayendetsedwa bwino. Panthawi ya matenda a khansa ndi chithandizo ku Turkey, odwala onse m'zipatala zaku Turkey amatetezedwa ndi malamulo a dzikolo.
Kodi Kuchira ku Khansa ya M'mimba ku Turkey kuli bwanji?
Zitha kutenga nthawi yayitali achire pambuyo pa chithandizo cha khansa ya m'mimba ku Turkey. Kuti muthetse zizindikiro zosasangalatsa, monga kupweteka kwakukulu, mungafunike chisamaliro chapadera chothandizira. Ndi chithandizo chanthaŵi zonse cha madokotala, mabwenzi, anamwino, ndi ziŵalo za banja, thanzi lanu lidzawongokerako pang’onopang’ono, ndipo mudzakhala wokhoza kusangalala ndi moyo wapamwamba. Mwina simungathe kudya bwino kapena kudzidalira mutangomaliza kumene. Komabe, m'masiku ochepa, mudzatha kuyambiranso zomwe mumachita nthawi zonse. Zitha kukhala zovuta kukonzekera ndikuyang'anira ma chemotherapy pamwezi pambuyo pa opaleshoni. Lankhulani ndi dokotala wanu za zotsatirapo zilizonse zomwe mungakhale nazo chifukwa cha mankhwala amphamvu. Anu dokotala wa khansa ya m'mimba ku Turkey adzakupatsani mankhwala a nseru, kupweteka, kufooka ndi mutu.
Ndi Dziko Liti Limene Lili Ndi Zipatala Ndi Madokotala Abwino Kwambiri a Khansa Yam'mimba?
Dziko la Turkey ndi limodzi mwa mayiko abwino kwambiri ochizira khansa ya m'mimba chifukwa lili ndi madotolo ambiri akatswiri komanso zipatala zapamwamba. Zipatala zomwe zimapereka chithandizo cha khansa ya m'mimba ku Turkey are more than 24. Pankhani ya Mimba Kuchiza Khansa, malowa ali ndi zomangamanga zabwino kwambiri ndipo amapereka chithandizo chapamwamba. Kupatula kupereka chithandizo chabwino kwambiri, zipatalazi zimazindikiridwa chifukwa chotsatira mfundo zonse zamalamulo zokhazikitsidwa ndi akuluakulu aboma kapena bungwe loona zachipatala.
Kodi Dziko Labwino Kwambiri Lopeza Chithandizo Cha Khansa Yam'mimba Ndi Chiyani?
Pali mayiko apamwamba chithandizo cha khansa ya m'mimba ndipo Turkey imatsogolera pakati pawo chifukwa cha zipatala zake zokhala ndi zida komanso zazikulu, kusamalira odwala padziko lonse lapansi, kukhutira kwakukulu kwa odwala, ndi luso la madokotala / opaleshoni. Chaka chilichonse, odwala ambiri amapita ku Turkey kuti akalandire chithandizo chapamwamba padziko lonse pamtengo wotsika. Dzikoli lili ndi mabungwe ambiri apamwamba padziko lonse lapansi omwe amapereka chithandizo chamankhwala chosayerekezeka chomwe chikuyenda bwino kwambiri, amatha kuthana ndi ntchito zambiri zapadera, komanso kuchita njira zingapo. Kusunga chithandizo chamankhwala ndi chitetezo cha odwala, zipatala zimatsatira malamulo okhwima azachipatala komanso miyezo yapadziko lonse lapansi. Mutha kulumikizana nafe kuti mudziwe zambiri mtengo wa chithandizo cha khansa ku Turkey.
