Kusintha kulikonse kwachilendo kumachitika m'chibelekero, chomwe chili kumunsi kwa chiberekero chimatchedwa khansa ya pachibelekero. Ndilofala kwambiri mwa amayi ndipo amayamba ndi kachilombo ka HPV. Pafupifupi akazi 660,000 akudwala khansa ya pachibelekero, ndipo chiwopsezo cha imfa chikuwonjezeka padziko lonse lapansi. Ikangoyamba kumene, imatha kuthandizidwa ndi njira zambiri monga kuyezetsa, kuchiza, ndi zina. khansa zingathandize amayi kukhala ndi moyo wabwino.
Mitundu ya Khansa Yachibelekero
Amagawidwa m'magulu otsatirawa omwe amadalira maonekedwe ake.
- Squamous Cell Carcinomas: Zimachitika chifukwa cha kuchuluka kwa ma cell a squamous, omwe amayambira m'mphepete mwa khomo lachiberekero.
- Adenocarcinoma: Zimachitika zomwe zimatulutsa ntchofu.
- Mixed Carcinomas: Ili ndi mitundu iwiri yosiyana, squamous cell carcinomas ndi adenocarcinomas.
Zomwe Zimayambitsa Khansa Yachibelekero
Ndizofala kwa odwala omwe ali ndi kachilombo ka HIV osati kwa amayi omwe alibe kachilombo ka HIV.
- Anthu omwe amagonana komanso omwe ali ndi zibwenzi zoposa m'modzi amatha kutenga kachilombo ka Human Papillomavirus. Zowopsa zake zimayambitsa kusintha kwachilendo kwa khomo pachibelekeropo.
- Munthu yemwe ali ndi chitetezo chofooka cha mthupi amatha kukhala ndi khansa iyi. Ndi chifukwa chakuti kachilombo ka HIV kamafooketsa chitetezo cha mthupi.
- Kusintha kwa DNA
- Kugwiritsa ntchito mapiritsi olerera pakamwa
- Kubereka ana angapo
- kusuta
- Fodya wotafuna
- Kumwa mowa
Zizindikiro za Khansa ya M'chiberekero
Zizindikiro zake sizidziwika kumayambiriro. Komabe, pali zizindikiro zina za khansa yoyambirira komanso yapamwamba:
- Kutaya magazi kwambiri panthawi ya msambo komwe kumakhala kwa nthawi yayitali.
- Kupweteka kwa chiuno ndi kusapeza bwino
- Kutupa kwa miyendo
- Ululu pa kugonana
- Kutuluka kumaliseche kosazolowereka kumaphatikizapo magazi okhala ndi fungo loipa.
- ululu m'mimba
- Zowawa m'matumbo
- Kuvuta mkodzo
Kodi Khansa Ya M'chiberekero Ingadziwike Bwanji?
Zoyezetsa zina zoyambilira ziyenera kuchitidwa kuti muzindikire ndikuchiza msanga.
- Chimake
- Kufufuza mwakuthupi
- MRI ndi PET-CT scan
- Colposcopy
- Pap kupaka
Zosankha Zochizira Khansa Yachikhomo
Pali zinthu zina zomwe ziyenera kuganiziridwa musanayambe chithandizo. Monga masiteji, zaka, thanzi, ndondomeko yothandiza yamankhwala, ndi zina zotero.
Magawo a Khansa Yachiberekero
- Gawo I: Maselo a khansa kapena minyewa imapezeka m'chibelekero chokha.
- Gawo II: Panthawi imeneyi, imafalikira pamwamba pa khomo lachiberekero, zomwe zimakhudza minofu yozungulira chiberekero.
- Gawo Lachitatu: Pa gawo lachitatu, imafika pakhoma la chiuno, lomwe limakhudzanso ma lymph nodes.
- Gawo IV: Ndi gawo lachinayi la khansa ya pachibelekero pomwe imayamba mosalamulirika kupitilira chiuno. Imafalikira mofulumira ku chikhodzodzo kapena rectum ndi mbali zina za thupi.
Mitundu Ya Chithandizo Cha Khansa Yachibelekero
Pali mitundu yosiyanasiyana yamankhwala omwe angagwiritsidwe ntchito pochiza khansa ya pachibelekero, awa ndi awa:
Mankhwala Opanga Mafuta
Pochiza ma radiation awa, ma radiation apamwamba amagwiritsidwa ntchito kupha maselo a khansa.
- Internal Radiation Therapy: Mankhwala otulutsa ma radio amapakidwa mu zida monga ma catheter, singano ndi zina zotere, zoyikidwa pamalo a khansa ya nyini kapena khomo pachibelekeropo.
- External Radiation Therapy: Ndi 3-D radiation therapy ya IMRT yomwe imagwiritsidwa ntchito popereka ma radiation akunja kuchokera kunja kwa thupi kupita kumalo otupa popanda kuwononga minofu ina yathanzi.
Opaleshoni
Amatengedwa ngati chithandizo chachikulu ngati khansa ya pachibelekero ipezeka isanayambike. Pali mitundu yosiyanasiyana ya maopaleshoni:
- Hysterectomy: Opaleshoni ya Hysterectomy amachitidwa kudzera mu nyini momwe opareshoni imafunika. Mu nyini, khomo pachibelekeropo, machubu, chikhodzodzo, rectum ndi madera minyewa yomwe imakhudzidwa ndi khansa.
- Kuchiza opaleshoni: In kulira, chitsulo chozizira chimagwiritsidwa ntchito chomwe chimayikidwa mu khomo lachiberekero kuti chiwononge kapena kuwononga maselo a khansa powazizira.
- Conization: Kusokonezeka kwa khomo lachiberekero ndi cone biopsy momwe kachidutswa kooneka ngati kondomu kamachotsedwa ku khomo lachiberekero pogwiritsa ntchito scalpel (cold mpeni conization). Ndizothandiza pochotsa makhansa oyambilira komanso ma pre-cancer.
Thandizo Lolinga
Mwa izi, mankhwala apadera amagwiritsidwa ntchito poyang'ana mapuloteni enieni ndi ma enzyme omwe ali ndi udindo wolimbikitsa kukula kwa maselo a khansa.
mankhwala amphamvu
Mankhwala amatengedwa pakamwa kapena kudzera m'mitsempha yomwe imalepheretsa kukula kwa maselo a khansa. Nthawi zina, mankhwala amphamvu imaperekedwa ndi mitundu ina ya chithandizo kuti ipeze zotsatira zake.
immunotherapy
Mankhwalawa amathandiza chitetezo cha mthupi cha munthu kuzindikira maselo a khansa ndi kuwawononga pamapeto pake. Zimathandizira chitetezo chamthupi cha wodwala kulimbana ndi khansa. Pali mphamvu ya mankhwala a immunotherapy, monga Pembrolizumab.
Kodi Khansa Yachibelekero Ingapewedwe Bwanji?
Njira zina ziyenera kuchitidwa kuti muchepetse chiopsezo cha khansa ya pachibelekero:
- Kuyeza mayeso
- Katemera wa HPV
- Kusamala pogonana
- Siyani kusuta, fodya, ndi mowa
chipatala Mayesero
Mayesero azachipatala ndi maphunziro ofufuza omwe ali ndi mphamvu yayikulu pakuwongolera chithandizo chaposachedwa. Zofufuza zosiyanasiyana zimachitika pamaziko a mtundu wa khansa, zaka za wodwalayo, ndi zina zotero. Kafukufuku wake akuwonetsa ngati mankhwalawa ndi othandiza komanso otetezeka kapena ayi.
Chisamaliro Chotsatira Panthaŵi ya Chithandizo ndi Pambuyo pa Chithandizo
Ndikofunikira kwambiri kuti wodwala azitsata zoyezetsa komanso kuyezetsa chifukwa ndikofunikira kudziwa matendawo, siteji yake komanso momwe mankhwala akugwirira ntchito moyenera. Zithandizanso kudziwa za kusintha ndi zisonyezo za kuyambiranso kwa khansa ya pachibelekero.
