Matenda a zamoyo, omwe amadziwika ndi kuchuluka kwa matumbo opanga pakhomopo, amatchedwa khansara yokha. Mtundu uwu wa oncology ndi wachisanu ndi chitatu wamba, womwe nthawi zambiri umapezeka mwa anthu a msinkhu, koma ukhoza kukhala ndi odwala achinyamata. Choncho, ndikofunikira kudziwa zomwe zizindikiro zoyambirira za khansa yofooka ndizo.
Kodi mungatani kuti muzindikire khansa yapachilendo?
Poyambira, timaphunzira chomwe chiricho ndi momwe ntchito yake iliri. Mphunoyi ndi chigoba chofanana ndi chubu chokhala ndi makoma ambiri omwe amagwirizanitsa pakamwa pamimba. Chiwalo ichi chimatengera chakudya m'mimba, chomwe chimathandizidwa ndi ntchentche yosungidwa ndi minofu yake, ndi kuteteza kubwerera kumbuyo kwa chakudya chokwanira kumalo othamanga ndi mpweya.
Chifukwa chosavuta kumva, chiwalocho chimafuna kukhala ndi mtima wosasinthasintha komanso pochita zinthu zosiyanasiyana zosasangalatsa, kuphatikizapo kusuta, kumwa mowa, zakumwa zoledzera komanso mbale, zimatha kugwira nawo ntchito zolimbitsa thupi. Matenda a khansa mkati mwake amayamba kukula ndi mawonekedwe a maselo osadziwika omwe akugwirizana ndi kusintha kwa DNA, komwe kumagawanitsa ndikukula. Zokometsera zoterezi zimangowononga ziwalo, koma zimatha kugwiranso zida zamkati zapafupi, kufalikira kumadera ena a thupi ndi magazi ndi kutuluka kwa mitsempha.
Khansara ya Esophageal zizindikiro zoyamba sizimatulutsidwa poyamba, koma kale ndi kukula kwa kukula kwakukulu kwa kukula kwake. Pachifukwa ichi, odwala angapo amalembetsa ziwonetsero, zomwe sizinali zofunikira ndipo nthawi zambiri zimayikidwa ndi matenda enaake - gastritis, reflux esophagitis, neurocirculatory dystonia, etc. Zowonetsera izi zikuphatikizapo:
- kusokonezeka mu sternum, okhudzana kapena osagwirizana ndi kudya;
- kutentha kotentha kudera lino.
Kodi mungatani kuti muzindikire kuti khansa yapachilendo isanayambe?
Anthu omwe ali ndi chidwi komanso atcheru thanzi lawo adzazindikira zizindikiro zoyambirira za khansa ya athayo kumayambiriro, zomwe zimachulukitsa mwayi wopambana kuchipatala. Zowonetseratu zazikulu, zomwe nthawi yomweyo zimayenera kulira ndi kutumiza kwa katswiri, zizindikiro za m'deralo zokhudzana ndi kugonjetsedwa kwa mitsempha yotere:
- Dysphagia , osati chifukwa cha makina, mankhwala kapena kutentha kwa thupi, ndizovuta kumeza, poyamba kusatchulidwe, ndiyeno kukakamiza kukana chakudya cholimba;
- chidziwitso chodziwika cha kudutsa mtanda wa chakudya kupyolera mu mimba, zosokoneza panthawi ya kudya kapena kumwa;
- mawu osasinthasintha, osagwirizana ndi matenda a catarral;
- salivation yowonjezereka;
- Kuphika chakudya pambuyo pa chakudya;
- kupweteka;
- chisokonezo;
- chowombera kawirikawiri;
- zoyenera kutsokomola, zomwe zimawonekera mukamwa;
- mpweya woipa.
Zizindikiro zoyambirira za khansa yofooka, yokhudzana ndi mawonedwe ofala omwe amapezeka ndi kuledzera kwa thupi ndi zotsatira za kuwonongeka kwa maselo owopsa, kuphatikizapo:
- kukhala wofooka nthawizonse;
- kutopa mwamsanga;
- kuwonjezera kulemera;
- kuperewera kwa magazi.
Amadziwika bwino kwambiri ndi squamous cell carcinoma a m'mimba
Malinga ndi maonekedwe ake a ziwalo m'thupili, amagawidwa m'mitundu yambiri. Zowonjezereka ndi squamous cell carcinoma, momwe maselo ophwima ndi ofooka omwe amapanga pamwamba pake amatha. Chotupa chotero nthawi zambiri chimakhudza mbali yapakati ya limba. Ngati chotupa cha squamous chosiyana kwambiri, sichikulira mofulumira, maselo ake amatha kukhala ndi keratinini. Pachifukwa ichi, zizindikiro zoyamba, zizindikiro za khansa yosatetezeka zimawonekera pang'onopang'ono, metastases amawonedwa pamasitepe.
Gulu la squamous cell carcinoma la ochepa kwambiri
Matendawa amadziwika ndi mapangidwe a maselo osakanizidwa, omwe amatha kuwonjezeka mofulumira. Ichi ndi mawonekedwe achiwawa, omwe amadziwika ndi kuwonjezereka kofulumira kwa mawonetseredwe ndi chiopsezo chachikulu cha kufalikira mofulumira m'thupi lonse. Mmene mungadziwire khansara ya m'mimba, kuzindikira momwe imaonekera ndi siteji pambuyo pozindikira zizindikiro zoopsa, akhoza kulangiza dokotala. Kawirikawiri, pakadali pano, kusankha X-ray kapena zofagoskopiya, kumadalira bwinobwino zizindikiro zovuta m'thupi.
Khansara yambiri ya mimba
Chotupa chimene chimayambitsa kukula kwake mumaselo achikunja chimatchedwa glandular, dzina lina ndi adenocarcinoma. Kawirikawiri mtundu uwu wa oncology umapangidwa m'munsi mwa chigawocho. Khansara ya Esophageal, zizindikiro zoyamba zomwe zimakhala zosavuta, nthawi zina zimayambitsa matenda monga Barrett's syndrome. Mawonetseredwe oyamba pa nkhaniyi angakhale: kupweteka kwa mtima, kusanza ndi magazi, kupweteka m'mimba.
Zizindikiro zoyamba za khansa yofooka m'mayi
Zizindikiro za khansa yochepa kwambiri ya amayi sizimasiyana ndi za amuna, komabe, malinga ndi chiwerengero, chiwerengero cha kugonana kwabwino ndi kochepa kangapo. Chifukwa cha zosaoneka bwino za maonekedwe oyambirira, matendawa amapezeka patapita miyezi ingapo kutuluka kwa chotupacho. Panthawi imeneyi, pangakhale kale kuphulika kwa mitsempha yambiri ya khansa kupitirira makoma osatetezeka, pamodzi ndi zizindikiro zoterezi:
- mpweya wochepa;
- ziwalo zowonjezera zowonjezereka;
- kusanza;
- sintha mawu ofanana a liwu;
- bradycardia, ndi zina zotero.
Khansara ya Esophageal - zizindikiro zoyamba, ndi angati akukhala?
Khansara ya Esophagus, yoyamba yomwe imawonekera kumayambiriro, ndipo ndi chithandizo choyenera nthawi yoyenera chimakhala ndi chithunzithunzi cholimbikitsa kwambiri. Choncho, oposa 90% mwa odwala omwe analandira chithandizo cha opaleshoni, mankhwala a chemo- ndi ma radiation , amakhala ndi zaka zisanu ndi zina zambiri. Kachilombo ka kanthawi kochepa kamene kamapezeka ndi matenda odwala matenda odwala matendawa amachititsa kuti anthu asagwiritsidwe ntchito mopanda chithandizo: popanda chithandizo kwa odwala ambiri, zotsatira zowonongeka zimachitika patapita miyezi 5-6, ndipo kuchipatala kwa zaka zisanu ndizo 10 peresenti ya odwalawa.