Chithandizo cha khansa yachiberekero

Ndani Akufunika Chithandizo cha Khansa Yachibelekero? 

Anthu amatha kupezeka ndi khansa ya pachibelekero mosasamala za msinkhu wawo kapena komwe akuchokera, ndipo amafunikira chithandizo. Anthu omwe amapezeka kuti ali ndi khansa ya pachibelekero, yomwe imatha kufalikira kumtunda kwa khomo lachiberekero, nthawi zambiri amapempha chithandizo. Mtundu weniweni ndi siteji ya khansa makamaka kudziwa njira. 

Anthu omwe ali ndi kusintha kwa khomo lachiberekero asanakhale ndi khansa omwe amapezeka kuti ali ndi vuto lapamwamba la chiberekero ayenera kupeza chithandizo chochotsa maselo osadziwika bwino komanso kupewa kukula kwa khansa. 

Anthu omwe ali ndi khansa ya pachibelekero yomwe yapita patsogolo kapena yobwerezabwereza ayenera kuthandizidwa mwamsanga kuti athe kuchepetsa kufalikira kwa khansa kupitirira khomo lachiberekero kupita kumadera ena monga mapapo, chiberekero, kapena ma lymph nodes. Pamafunika chithandizo chowonjezera kapena chapadera, monga chithandizo chamankhwala chomwe chimayang'aniridwa ndi chemotherapy ndi ma radiation. 

Mitundu ya Khansa Yachibelekero

Zina mwa mitundu ya khansa ya pachibelekero ndi: 

• Squamous Cell Carcinoma - Ndiwo mtundu wofala kwambiri wa khansa ya pachibelekero, yomwe imatenga 70-90% ya milandu. Zimayamba ndi maselo wamba, omwe amawonetsa mbali yakunja ya khomo lachiberekero yotchedwa ectocervix. Izi nthawi zambiri zimazindikirika kudzera mu mayeso a Pap. 
• Adenocarcinoma - Amatenga pafupifupi 10 mpaka 25% ya khansa ya pachibelekeropo ndipo imayamba ndi maselo a glandular omwe makamaka amatulutsa ntchofu mkati mwa khomo lachiberekero lotchedwa endocervix. Zitha kukhala zovuta kuzizindikira kudzera mu mayeso a pap chifukwa zimatha kuyamba munjira ya khomo lachiberekero. 
• Adenosquamous Carcinoma - Si mtundu wofala kwambiri wa khansa ya pachibelekero. Lili ndi maselo a khansa ya glandular ndi squamous ndipo amachiritsidwa mofanana ndi momwe khansa ina ya khomo lachiberekero imachitira, koma imatha kuchita mwaukali. 

Kuunika ndi Kuzindikira Matenda a Khansa Yachibelekero Asanayambe

Pre-therapy kuwunika ndi diagnostics ndi ofunika chifukwa kutsimikiza kwa mtundu, siteji, ndi kufalikira kwa khansa ya pachibelekero. Izi zimathandiza ku kuwongolera njira yothandiza kwambiri yamankhwala, ndipo is kuwunika kokwanira kuti kumaphatikizapo kuphatikiza mankhwala osiyanasiyana, ngati mayeso a labotale, ma biopsies, ndi kujambula. 

Mbiri Yachipatala ndi Kuzindikira Kwathupi

Kuyeza m'chiuno ndikofunikira kuti muwone zotupa zowoneka kapena zilizonse mtundu wa kusokonezeka kwa chiberekero, nyini, thumba losunga mazira, rectum, ndi chiberekero. Kuyeza kwa speculum kumagwiritsidwa ntchito poyang'ana khomo lachiberekero, palpation yamanja ya ziwalo za m'chiuno, pamodzi kumvetsetsa mbiri yachipatala yomwe imaphatikizapo zizindikiro, mbiri ya kugonana, kukhudzana ndi HPV, kapena zina zilizonse. 

Chiberekero cha Chiberekero

Pali mitundu ingapo ya ma biopsies, kuphatikiza biopsy yochokera ku Colposcopy yomwe imagwiritsa ntchito zida zokulirapo kuti muwone zovuta za khomo pachibelekeropo. Pali Endocervical curettage yomwe imathandizira kuchotsa ma cell kuchokera ku ngalande ya khomo lachiberekero, pamene Chinthu biopsy imathandiza kuchotsa chilichonse mtundu wa minyewa yapakhomo yooneka ngati cone yomwe imatha kukhala yochizira komanso yozindikira.

Mayeso a Laboratory

Izi zikuphatikizapo kuyezetsa HPV, CBC, impso ndi chiwindi kugwira ntchito, komanso kuyezetsa HIV. Maphunziro oyerekeza amaphatikizapo chifuwa cha X-ray, PET CT scan, ultrasound, ndi MRI ya m'chiuno ndi m'mimba. 

Kukonzekera Chithandizo cha Khansa Yachibelekero

Chithandizo cha khansa ya khomo pachibelekeropo chimaphatikizapo kupanga dongosolo lamankhwala lokhazikika malinga ndi momwe khansara ilili, thanzi lonse la wodwala, zaka, chonde, ndi maonekedwe a chotupacho. 

Multidisciplinary Team Planning

Izi zikuphatikizapo matenda achikazima radiation, ndi madokotala oncologists pamodzi ndi akatswiri ena azachipatala, akatswiri a chonde, ndi radiologists. 

Kufufuza kwa Pre-Procedural

Kujambula, kuyesa kwa labotale, kuyesa kwa anesthesia, ndi kutsimikizira kwa biopsy ndizofunikira pakufufuza koyambirira. 

Chithandizo cha Makhalidwe

• Kumayambiriro koyambirira, conization ndi hysterectomy yosavuta imaphatikizidwa.
• M'magawo a II mpaka IV A, Chemoradiation imaphatikizidwa, pomwe chithandizo chamankhwala chakunja chimaphatikizidwa pamodzi ndi chemotherapy. 
• Gawo IV B limaphatikizapo chemotherapy, chithandizo chamankhwala, ndi immunotherapy. Chisamaliro cha Palliative chimaphatikizidwanso, chomwe chimathandizira kuthana ndi zizindikiro ndikuwongolera moyo wabwino.

Zowopsa ndi Zovuta Zomwe Zingachitike pa Chithandizo cha Khansa ya Khomo la Khomo

Kufalikira mu Ziwalo Zapafupi

Khansara imatha kufalikira paliponse m'chikhodzodzo kapena m'chiberekero, zomwe zimapangitsa kuti mkodzo utsekeke kapena kutupa kwa impso. Zitha kufalikiranso ku rectum kumabweretsa kudzimbidwa kapena kutuluka magazi komanso kumaliseche ndi makoma a chiuno momwe munthu amamva kupweteka komanso kusapeza bwino. 

Metastasis

Khansara ya khomo lachiberekero imatha kufalikiranso m'chiwindi, mapapo, mafupa, ndi ma lymph nodes. Kulumikizana molakwika kumatha kupanga pakati pa ziwalo zomwe zingayambitse mkodzo kapena kutuluka kumaliseche. 

Mavuto Otengera Chithandizo

Izi zikuphatikizapo zovuta za opaleshoni monga matenda, kutuluka magazi, kusabereka, kapena kusamba msanga. Zovuta za chithandizo cha radiation zimaphatikizapo kutopa, kufupika ndi kuuma kwa nyini, kulephera kwa dzira, ndi kuthirira pakhungu. Mavuto a chemotherapy ndi monga nseru, kusanza, kusafuna kudya, kutopa, kuperewera kwa magazi m'thupi, chiopsezo chotenga matenda, ndi kuwonongeka kwa impso. 

Kupitilira apo, zimatha kusokoneza malingaliro ndi malingaliro a wodwalayo, zomwe zimatsogolera ku nkhawa komanso kukhumudwa. 

Kuchira Pambuyo pa Chithandizo cha Khansa Yachibelekero ndi Kusamalira Kwanthawi Yaitali

Kuchira ku chithandizo cha khansa ya pachibelekero sikungokhudza kupulumuka matendawa komanso kumakhudzanso maganizo, maganizo, ndi thupi zomwe zingapitirire ngakhale kutha kwa mankhwala. 

• Kuwunika kotsatira - Paulendo uliwonse, payenera kukhala a moyenera kufufuza ndi kuwunika kwa ndi zizindikiro ndi zotsatira zake. 
• Kuchira kwakuthupi ndikuyang'ana zizindikiro zina - Kuwongolera koyenera kwa kuchira komanso zizindikiro monga kutopa, zizindikiro za menopausal, lymphedema, ndi nkhani zokhudzana ndi matumbo. 
• Kuchira kwathunthu - Opulumuka ambiri amatha kukhala ndi nkhawa, kupsinjika maganizo, kapena mantha obwerezabwereza. Kukhala ndi moyo wabwino komanso kukhala ndi thanzi labwino m'maganizo ndikofunikira kuti odwala omwe atenga nthawi yayitali abwerere ku moyo wawo wamba, komanso kuyang'anira bwino nkhani za kugona komanso kutopa kwanthawi yayitali.

Kupambana Kwambiri kwa Chithandizo cha Khansa ya Khomo la Khomo ku India

Kupambana kwa chithandizo cha khansa ya khomo lachiberekero ku India kumadalira zinthu zosiyanasiyana, zomwe zimaphatikizapo siteji ya matenda, kupeza chithandizo pa nthawi yoyenera, komanso thanzi la wodwalayo. 

• Kwa gawo I, kuchuluka kwa moyo ndi 80 ku 90%, ndipo imachiritsika kwambiri ngati zitha kutero kudziwika msanga.
• Gawo II limaphatikizapo 60 mpaka 70% yochiritsidwa ndi chemoradiation ndi opaleshoni. 
• Gawo lachitatu lili ndi 42 mpaka 60 peresenti ya kupulumuka ndipo ndizovuta kuchiza, koma zotheka ndi chithandizo chaukali. 
• Gawo 4 lapita patsogolo, ndi 15 mpaka 30% kupulumuka, kumene chithandizo chothandizira chingaperekedwe pamodzi ndi chithandizo.

Mtengo wa Chithandizo cha Khansa Yachikhomo ku India

Chithandizo cha khansa ya khomo lachiberekero ku India chimasiyana kwambiri ndi mtengo malinga ndi siteji ya matendawa ndi mtundu wa chithandizo chofunikira. Pazonse, kukwanitsa ndi kupezeka kwa mautumiki kungathe zosiyana kwambiri potengera pa malo ndi zipatala. Choncho, odwala ayenera kukaonana ndi opereka chithandizo chamankhwala kuti amvetse zomwe angasankhe komanso ndalama zomwe zikugwirizana nazo.

Chifukwa Chiyani Musankhe India Kuti Mulandire Chithandizo Cha Khansa Ya Khomo la Khomo?

India yakhala malo opitira padziko lonse lapansi kulandira chithandizo cha khansa ya pachibelekero chifukwa dziko lino litha kupeza ukatswiri wamankhwala apamwamba padziko lonse lapansi komanso zomangamanga zapamwamba. 

• Opaleshoni ya Robotic komanso yocheperako pang'ono, kuwunika molondola, zolembera zotupa, chemotherapy, ndi immunotherapy, radiotherapy yapamwamba ngati IMRT, IGRT, ndi brachytherapy ndi zina mwa njira zamankhwala zapamwamba zomwe zimapezeka ku India. 
• M'malo aliwonse ochizira khansa ku India, odwala amatha kupezeka ndikupitilira ndi matenda, ma radiation, ndi kukonzanso, komanso chisamaliro chamalingaliro ndi kupuma, zonse pamalo amodzi.
• Zipatala za ku India zapereka madipatimenti odwala padziko lonse lapansi komanso thandizo loyenera la ma visa, kujambula pabwalo la ndege, omasulira, ndi malo ogona a mabanja.
• India imaperekanso othandizira azachipatala abwino monga Edha Care, omwe kupereka angakwanitse chithandizont kuposa ena Mayiko akumadzulo. 

Zolemba Zofunikira kwa Odwala Opita ku India Kuti Akalandire Chithandizo cha Khansa Yachikhomo

Kwa odwala apadziko lonse omwe akufuna chithandizo cha khansa ya khomo lachiberekero ku India, m'pofunika kupereka zolemba zina kuti mukhale ndi ulendo wopita kuchipatala. Izi zikuphatikizapo:

• Pasipoti Yovomerezeka: Ndilovomerezeka kwa miyezi isanu ndi umodzi kuchokera tsiku lomwe mwayenda.
• Medical Visa (M Visa): Zoperekedwa ndi Embassy / Consulate waku India pazifukwa zachipatala.
• Kalata Yoyitanira kuchokera ku Chipatala cha India: Kalata yodziwika bwino yofotokoza njira yamankhwala komanso kutalika kwake.
• Zolemba Zaposachedwa Zachipatala: Ma X-ray, ma MRIs, kuyezetsa magazi, ndi zolemba zotumizidwa ndi dotolo wakudziko lakwawo.
• Fomu Yofunsira Visa Yomalizidwa: Ndi zithunzi za kukula kwa pasipoti malinga ndi momwe zimakhalira.
• Umboni wa Njira: Malipoti aku banki a miyezi ingapo yapitayo kapena inshuwaransi yazaumoyo.
• Visa Wachipatala: Ndikofunikira kwa woyenda naye kapena wosamalira woyenda limodzi ndi wodwalayo.

Iwo m'pofunika kuti onetsani kazembe waku India kapena wotsogolera wanu zachipatala kuti mudziwe zaposachedwa komanso thandizani zolemba.

Madokotala Apamwamba Othandizira Chithandizo cha Khansa Yachibelekero ku India

Ena mwa madotolo apamwamba aku India omwe ali ndi ukadaulo wochiritsa khansa ya pachibelekero ndi awa:

1. Dr.Vinod Raina - Fortis Memorial Research Institute, Gurgaon
2. Prof Dr. Suresh H. Advani - Nanavati Max Super Specialty Hospital, Mumbai
3. Dr. SVSS Prasad - Apollo Cancer Institute, Chennai 
4. Dr. Rajendran B - KIMS Global Hospital, Trivandrum
5. Dr. Meghal Sanghavi - Wockhardt Hospital, Mumbai

Zipatala Zabwino Kwambiri Zochizira Khansa Yachikhomo ku India

Zina mwa zipatala zodziwika bwino ku India zodziwika bwino pakuchiritsa khansa ya khomo lachiberekero ndi: 

1. Apollo Hospital, Ahmedabad
2. Chipatala cha Manipal, Gurgaon
3. Fortis Hospital, Delhi
4. Chipatala Padziko Lonse, Chennai 
5. Nanavati Max Super Specialty Hospital, Mumbai

Mafunso Ofunsidwa Kawirikawiri 

Zomwe zimayambitsa khansa ya pachibelekero ndi chiyani? 

Choyambitsa chachikulu cha khansa ya pachibelekeropo ndi matenda osalekeza okhala ndi magulu oopsa a papillomavirus yamunthu. Zifukwa zina zowopsa ndi monga kusuta, kufooka kwa chitetezo chathupi, ndi kukhala ndi zibwenzi zambiri zogonana nazo. 

Kodi khansa ya pachibelekero ndi yochuluka bwanji? 

Khansara ya khomo lachiberekero ndi khansa yachinayi yomwe imapezeka mwa amayi padziko lonse lapansi, ndipo ndi imodzi mwa khansa yopewera komanso yochizira. 

Kodi mkazi ayenera kuyezedwa kangati? 

Akazi azaka zapakati pa 21 ndi 29 muyenera kutero muziyezetsa Pap zaka zitatu zilizonse. Amayi azaka zoyambira 30 mpaka 65 akuyenera kuyezetsa Pap limodzi ndi HPV zaka zisanu zilizonse, kapena makamaka zaka zitatu zilizonse. 

Zizindikiro zoyamba za khansa ya pachibelekero ndi chiyani? 

Zina mwa zizindikiro zoyamba ndi monga kukha mwazi kwa nyini komwe kumachitika pakati pa msambo kapena ngakhale pambuyo pa kutha kwa msambo, pamodzi ndi kukha magazi kokhuthala, konunkhiza, kapena kutulutsa magazi. 

Kodi khansa ya pachibelekero ingachiritsidwe? 

Inde, ndizotheka kuchiza khansa ya pachibelekero ngati yadziwika msanga ndikuchira msanga. Kuzindikiridwa koyambirira ndi chithandizo, kumapangitsa kuti mwayi wopeza zotsatira zabwino ukhale wapamwamba.