Khansara ya m'matumbo ndi vuto lalikulu lomwe limakhudza amuna ndi akazi. Nthawi zambiri zimachitika mu rectum kapena colon. Ndi a mtundu wa khansa zomwe zimayambira m'matumbo. Anthu omwe akudwala matendawa ayenera kufunafuna dokotala wodziwa bwino yemwe angathe kuchiza khansa ya m'matumbo. Khansara ya m'matumbo ndi vuto lomwe limapezeka m'matumbo akuluakulu a thupi. Amadziwikanso kuti khansa ya m'mimba kapena m'matumbo. Vuto lofalali limachitika pazaka zilizonse, zomwe zimaphatikizapo mankhwala osiyanasiyana monga mankhwala amphamvu, chithandizo chamankhwala, immunotherapy, etc.
Mitundu ya Khansa ya Colon
Pali mitundu yosiyanasiyana ya khansa ya m'matumbo. Izi zikuphatikizapo:
- adenocarcinoma: Ndi khansa yomwe imakhudza ziwalo zosiyanasiyana za amuna ndi akazi. Vutoli limapezeka m'matumbo otulutsa ntchofu.
- Lymphoma: Khansara yomwe imakhudza maselo a chitetezo cha mthupi ndi lymphoma. Vutoli nthawi zambiri limapezeka mu ma lymph nodes.
- Sarcoma: Sarcomas chotupa choopsa chomwe chimapezeka mu minofu, mafupa, cartilage, ndi zina.
- Zotupa Zam'mimba za Stromal (GISTs): Khansara yomwe imapezeka makamaka m'maselo a mitsempha ya khoma la m'mimba. Vutoli nthawi zambiri limachitika m'mimba ndi m'matumbo aang'ono.
Zizindikiro za Khansa ya Colon
Zizindikiro za khansa ya m'matumbo ndi monga:
- Mseru ndi kusanza: Khansara ya m'matumbo kapena rectum imatsekereza matumbo akulu ndikuyambitsa nseru ndi kusanza mwa anthu. Vutoli limayambitsanso kudzimbidwa kosatha. Ngati anthu akuvutika ndi chizindikirochi, ayenera kupita kuchipatala.
- Kupweteka kwa M'mimba ndi Kutupa: Ululu m'mimba kapena m'mimba, kutupa ndi chizindikiro ndi chizindikiro chomwe chimachitika chifukwa cha khansa ya m'matumbo. Munthu amatenga chithandizo chamankhwala kuti athetse chizindikirochi.
- Kuchepetsa Kunenepa Kosadziwika: Munthu sayenera kuonda popanda chifukwa chilichonse chifukwa thupi limagwiritsa ntchito mphamvu polimbana ndi khansa.
- Ululu Wa M'chiuno: Kupezeka kwa ululu wa m'chiuno kumabweretsa khansa yomwe imakhudza dera la chiuno cha thupi. Vutoli ndi lalikulu kwambiri kwa odwala omwe ali ndi khansa ya rectum kapena m'matumbo.
- Kutaya magazi m'matumbo: Kutuluka magazi mu rectum kapena m'matumbo kungakhale chizindikiro ndi chizindikiro cha khansa ya m'matumbo. Zimapezekanso chifukwa cha zotupa.
- Matenda a magazi: Anemia ndi matenda a magazi omwe amapezeka pamene thupi lanu lilibe hemoglobini. Kutaya magazi m'mimba kumayambitsa vutoli pamene akudwala khansa ya m'matumbo kapena yamatumbo. Matendawa amakhala ndi zizindikiro zosiyanasiyana monga kutopa, kuchuluka kwa mtima, etc.
- Magazi mu Chotupa: Magazi amatha kukhala ofiira kapena akuda, chimbudzi chochedwa, chomwe chingakhale chizindikiro cha khansa ya m'matumbo. Kutuluka magazi kumatha kukhala kosawoneka pa ski yanu, n koma kumatha kudziwika pakuyezetsa chimbudzi.
Kodi mungachiritse bwanji Khansa ya Colon?
Khansara ya m'matumbo imatha kuchiritsidwa m'njira zotsatirazi:
- Siyani Kusuta: Kusuta kumabweretsa mavuto ambiri kwa anthu, kuphatikizapo khansa ya m'matumbo. Ndi bwino kusiya kusuta zomwe zimachepetsa mwayi wa vutoli.
- Idyani Zakudya Zoyenera: Zakudya zokhala ndi zipatso zambiri, ndiwo zamasamba, ndi mbewu zonse ndizothandiza pa thanzi lanu. Pewani kudya kwambiri nyama yofiira ndi yophika, zomwe zimawonjezera chiopsezo cha khansa ya m'matumbo.
- Kuchita Zolimbitsa Thupi Nthawi Zonse: Kuchita masewera olimbitsa thupi nthawi zonse n'kofunika kwambiri kuti mukhale ndi thanzi labwino. Izi zimathandiza kuchepetsa zizindikiro zanu chifukwa cha khansa ya m'matumbo.
- Zochepa za Mowa: Khansara ya m'matumbo imakhala yowopsa pamene mowa wamwa mowa mopitirira muyeso. Choncho, munthu ayenera kumwa mowa mopitirira muyeso.
- Pitirizani Kunenepa Mwathanzi: Kunenepa kwambiri kapena kunenepa kwambiri kumapangitsa khansa ya m'matumbo kukhala yowopsa kwa abambo ndi amai. Ayenera kukhala athanzi, zomwe zimathandiza kuchepetsa chiopsezo chawo.
Chithandizo Chodziwika cha Khansa ya Colon
Khansara ya m'matumbo imaphatikizapo mankhwala ambiri, omwe ndi awa:
- Opaleshoni: Cholinga cha opaleshoni ndi kuchotsa zotupa ndi minofu ina ya thupi. Ndi chithandizo choyambirira cha vutoli.
- Chemotherapy: Mankhwala amphamvu omwe amapha maselo a khansa mwa odwala omwe ali ndi chemotherapy. Ndi njira ina pambuyo pa opaleshoni. Mankhwalawa amagwiritsidwa ntchito pochiza khansa yayikulu kapena khansa yomwe imakhudza ma lymph nodes. Zimathetsa zizindikiro za khansa ya m'matumbo, zomwe sizingatheke pambuyo pa opaleshoni.
- Chithandizo cha radiation: Chithandizo cha radiation chimapha maselo a khansa omwe ali ndi nthiti zamphamvu zamphamvu. Thandizoli limachiritsa khansa yayikulu mwa odwala. Zimathandiza kuthetsa zizindikiro za khansa ya m'matumbo monga ululu.
- Immunotherapy: Immunotherapy ndi chithandizo chodziwika bwino chomwe chimathandiza kulimbana ndi chitetezo chamthupi polimbana ndi majeremusi ndi ma cell ena a khansa m'thupi. Mankhwalawa ndi othandiza makamaka pa khansa ya m'matumbo.
- Chithandizo Chachindunji: Thandizo lokhazikika limatchinga mankhwala ena mothandizidwa ndi mankhwala. Zimathandiza kupha maselo a khansa komanso kupewa khansa ya m'matumbo mwa odwala. Thandizo limeneli, kuphatikizapo immunotherapy ndi zothandiza pa matenda a khansa ya m`matumbo.
Mayesero a Matenda a Khansa ya Colon
- Mayeso owonera: Kuyezetsa magazi ndikofunikira kwambiri kuti muzindikire msanga khansa ya m'matumbo. Mankhwalawa ndi othandiza kwa anthu azaka za 45 kapena pansi. Madokotala amagwiritsa ntchito colonoscopy kuyesa chotupa m'thupi. Ngati malo omwe akhudzidwawo apezeka, amagwiritsa ntchito biopsy poyezetsa matenda.
- Mbiri Yachipatala ndi Mayeso a Thupi: Madokotala amafunsa odwala za zomwe zingayambitse, zizindikiro, ndi mbiri yachipatala ya khansa ya m'matumbo. Amapanganso mayeso akuthupi kuti alandire chithandizo.
- Mayeso Ojambula: Madokotala amagwiritsa ntchito sikani ya PET, CT, kapena MRI kuti adziwe kukula kwa khansayo, kaya yafalikira ku ziwalo zina zathupi.
