N’chifukwa Chiyani Khansa ya Chiwindi Imapezeka Mochedwa? Chizindikiro Cha Moyo Ichi Ndi “Chizindikiro Cha Chenjezo Loyambirira”

M'maganizo mwa anthu ambiri, khansa ya chiwindi nthawi zonse imawoneka ngati ikugunda "mosabisa" ndipo mwadzidzidzi—pomwe imapezeka, nthawi zambiri imakhala kuti yafika pamlingo wapakati kapena wapamwamba, ndipo nthawi yabwino kwambiri yochizira siikupezeka. Izi si chinyengo: m'chipatala, odwala khansa ya chiwindi opitilira 70% amapezeka pamlingo womwe opaleshoni yochiritsa singathekenso. Nchifukwa chiyani zili choncho? Kodi khansa ya chiwindi ndi "yobisika" kwenikweni?

Chifukwa Choyamba: Chiwindi ndi "Chiwalo Chosalankhula"

Chiwindi chili ndi mphamvu yaikulu yobwezera—ngakhale kuti maselo ake pafupifupi 30% okha ndi omwe akugwira ntchito bwino, chimathabe kusunga zosowa zofunika za thupi pa kagayidwe kachakudya. Komanso, palibe ululu womwe umakhalapo m'chiwindi. Chotupa cha chiwindi chomwe chimayamba msanga, chomwe nthawi zambiri chimakhala cha masentimita ochepa kapena chaching'ono, sichimayambitsa ululu kapena kusasangalala koonekera. Chotupacho chikakula mokwanira kulowa m'chiwindi kapena m'thupi lozungulira, odwala amamva kupweteka kapena kutupa—koma pofika nthawi imeneyo, matendawa nthawi zambiri amakhala atakula kwambiri.

Chifukwa Chachiwiri: Zizindikiro Zoyambirira Zimanyalanyazidwa Mosavuta

Ngakhale zizindikiro zoyambirira zikaonekera pang'ono—monga kutopa pang'ono, kusafuna kudya, kapena kumva kukhuta mutadya—anthu ambiri amaziona ngati “kungotopa” kapena “kuvutika m’mimba,” osazigwirizanitsa ndi chiwindi. Zizindikiro zikayamba kuonekera bwino, monga kuchepa thupi kwambiri, matenda a chikasu, ascites (madzi am’mimba omangika), kapena kutupa kwa miyendo, matendawa nthawi zambiri amakhala atakula kale.

Chida Chofunikira:AFP—“Woyang'anira Woyambirira” wa Khansa ya Chiwindi

Popeza zizindikiro sizingadaliridwe, n’chiyani chingatithandize kuzizindikira msanga? Yankho lake lili muAFP (alpha-fetoprotein)

AFPpakadali pano imadziwika kuti ndi imodzi mwa zizindikiro zofunika kwambiri za khansa ya chiwindi. Mwa akuluakulu athanzi,AFPMulingo m'magazi ndi wochepa kwambiri (nthawi zambiri pansi pa 20 ng/mL). Maselo a chiwindi akayamba kukhala ndi khansa, amayamba kupanga kuchuluka kwaAFPkachiwiri, zomwe zimayambitsa magaziAFPKafukufuku akusonyeza kuti pafupifupi 60–70% ya odwala khansa ya chiwindi awonjezekaAFPmilingo—ndipo kukwera kumeneku nthawi zina kungachitike ngakhale kumayambiriro.

Kodi Mungagwiritsire Ntchito Bwanji Chenjezo Limeneli Mwachangu?

Kwa anthu omwe ali pachiwopsezo chachikulu cha khansa ya chiwindi—kuphatikizapo omwe ali ndi matenda osathamatenda a chiwindi B or matenda a chiwindi Cmatenda, cirrhosis, kumwa mowa kwambiri kwa nthawi yayitali, kapena mbiri ya banja la khansa ya chiwindi—kulandira seramuMayeso a AFPKuphatikiza pa ultrasound ya chiwindi miyezi isanu ndi umodzi iliyonse, ndiye "muyezo wagolide" wodziwika padziko lonse lapansi woyezetsa msanga. Ngati khansa ya chiwindi yoyambirira (yosakwana 3 cm) yapezeka pagawoli, chithandizo kudzera mu opaleshoni kapena ablation chingapangitse kuti munthu apulumuke zaka zisanu ndi 70-80% kapena kupitirira apo. Mosiyana ndi zimenezi, kuchuluka kwa zaka zisanu za khansa ya chiwindi yotsogola nthawi zambiri kumakhala pansi pa 20%.

Musadikire mpaka mutamva kupweteka kuti mufufuzidwe

Vuto lalikulu la khansa ya chiwindi silakuti ndi yoopsa kwambiri, koma kuti nthawi zambiri imatha kuzindikirika msanga.Mayeso a AFPndi yosavuta, yachangu, komanso yotsika mtengo—komabe ikhoza kukhala njira yosinthira tsogolo lanu. Ngati inu kapena munthu wina wapafupi nanu ali m'gulu la anthu omwe ali pachiwopsezo chachikulu, onetsetsani kuti mwaphatikiza mayesowa poyezetsa matenda anu nthawi zonse. Tetezani chiwindi chanu, ndipo pewani kudzimvera chisoni chifukwa chopeza khansa ya chiwindi mochedwa.