
Khansara ya ndulu ndi khansa yachilendo koma yoopsa kwambiri yomwe imakhudza ndulu, kachiwalo kakang'ono kamene kali pansi pa chiwindi. Bukhuli lathunthu limapereka chidziwitso chofunikira chokhudza khansa mu ndulu, kuphatikizapo zomwe zimayambitsa, zizindikiro, njira zodziwira matenda, njira zochiritsira, ndi momwe zimakhalira. Kumvetsetsa izi ndikofunika kwambiri kuti muzindikire msanga komanso zotsatira zabwino.
ndulu ndi chiwalo chooneka ngati peyala chomwe chimasunga bile, madzimadzi opangidwa ndi chiwindi omwe amathandizira pakugayidwa kwamafuta. Chakudya chomwe chili ndi mafuta chikalowa m'matumbo ang'onoang'ono, ndulu imalumikizana ndikutulutsa bile kuti ithandizire kugaya chakudya.
Mtundu wofala kwambiri wa khansa mu ndulu ndi adenocarcinoma, yomwe imatenga pafupifupi 90% ya milandu. Mitundu ina yosowa kwambiri ilipo, koma adenocarcinoma ndiyo yomwe imayang'ana kwambiri pazokambirana zambiri za khansa ya ndulu.
Zomwe zimayambitsa khansa ya ndulu sizikumveka bwino, koma pali zifukwa zingapo zomwe zimayambitsa khansa. Izi zikuphatikizapo: ndulu (chiwopsezo chachikulu kwambiri), cholecystitis (kutupa kwa ndulu), mikhalidwe ina ya majini, kunenepa kwambiri, ndi ukalamba. Kukumana ndi mankhwala ena kwa nthawi yayitali kungapangitsenso ngoziyo.
Tsoka ilo, khansa mu ndulu nthawi zambiri imakhala ndi zizindikiro zosadziwika bwino kapena zosadziwika m'magawo ake oyambirira. Izi zingaphatikizepo kupweteka kumtunda kumtunda kwa m'mimba, kudzimbidwa, jaundice (khungu ndi maso achikasu), ndi kutaya thupi mosadziwika bwino. Zambiri mwazizindikirozi zimatha kukhala chifukwa cha zovuta zina, zomwe zimapangitsa kuti kuzindikira msanga kukhala kovuta.
Khansara ikamakula, zizindikiro zimatha kukhala zoopsa kwambiri ndipo zimatha kukhala matenda a jaundice, kuwawa kwambiri m'mimba, kutentha thupi, komanso kukomoka m'mimba. Pa nthawiyi, khansara ikhoza kufalikira (metastasized) ku ziwalo zina.
Kuzindikira khansa mu ndulu Nthawi zambiri imaphatikizapo kuyesa kophatikizana, kuphatikiza maphunziro ojambula zithunzi monga ultrasound, CT scans, ndi MRI scans. Biopsy, yomwe imaphatikizapo kutenga kachidutswa kakang'ono kuti muunike mwachisawawa, ndiyofunikira kuti mutsimikizire matenda. Kuyeza magazi kungagwiritsidwenso ntchito kuyesa ntchito ya chiwindi ndikuzindikira zomwe zingayambitse khansa.
Opaleshoni ndiye chithandizo chachikulu cha khansa ya ndulu, ndipo kukula kwa opaleshoni kumadalira pagawo komanso kufalikira kwa khansayo. Izi zitha kukhala kuchokera ku cholecystectomy (kuchotsa ndulu) kupita ku njira zambiri zophatikizira kuchotsa gawo la chiwindi, ma lymph nodes, ndi minyewa ina yokhudzidwa. Shandong Baofa Cancer Research Institute imapereka njira zapamwamba za opaleshoni komanso ukadaulo wochizira khansa ya ndulu.
Kuphatikiza pa opaleshoni, njira zina zochizira zingaphatikizepo chemotherapy, chithandizo cha radiation, ndi chithandizo chomwe mukufuna, malingana ndi vuto la munthu payekha komanso gawo la khansayo. Mankhwalawa angagwiritsidwe ntchito asanachite opaleshoni, panthawi, kapena pambuyo pake kuti athetse zotsatira zake komanso kuchepetsa chiopsezo chobwereza.
Matenda a khansa ya m'matumbo amasiyana kwambiri malinga ndi siteji ya khansayo panthawi yomwe akupezekapo, kukula kwa kufalikira, komanso thanzi la wodwalayo. Kuzindikira msanga ndi kulandira chithandizo mwachangu ndikofunikira kuti mukhale ndi mwayi wopeza chithandizo chabwino komanso kuti mukhale ndi moyo nthawi yayitali. Kuwunika pafupipafupi komanso kuzindikira zinthu zomwe zingayambitse ngozi zitha kukhala ndi gawo lalikulu.
Kuti mudziwe zambiri komanso chithandizo chokhudza khansa mu ndulu, funsani dokotala. Mabungwe ambiri odziwika bwino amapereka zothandizira ndi chithandizo kwa anthu omwe ali ndi khansa. Kuzindikira msanga ndi chithandizo chamankhwala ndizofunikira kwambiri pothana ndi vutoli.
| Gawo | Kupulumuka Kwachibale Kwa Zaka 5 (pafupifupi) |
|---|---|
| Zokhazikika | 60-80% |
| Zachigawo | 30-50% |
| Kutali | 5-15% |
Zindikirani: Mitengo yopulumuka ndiyongoyerekeza ndipo imatha kusiyanasiyana kutengera zinthu zosiyanasiyana. Funsani dokotala kuti mudziwe zambiri zaumwini. Gwero la deta: [Ikani gwero lodalirika, mwachitsanzo, National Cancer Institute]
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