Mitundu / mesothelioma / wodwala / mwana-mesothelioma-chithandizo-pdq
Chithandizo cha Childhood Mesothelioma Treatment (®) -Patient Version
Zambiri Zokhudza Ubwana Mesothelioma
MFUNDO ZOFUNIKA
- Mesothelioma ndi matenda omwe ma cell a khansa (khansa) amapangika m'matumba ochepa omwe amaphimba ziwalo m'chifuwa kapena pamimba.
- Kuchiza ndi mankhwala a radiation kumawonjezera chiopsezo cha mwana wa mesothelioma.
- Zizindikiro za mesothelioma zimaphatikizapo kupuma movutikira komanso kupweteka pachifuwa kapena pamimba.
- Mayeso omwe amafufuza pachifuwa, pamimba, ndi mtima amagwiritsidwa ntchito pothandiza kupeza mesothelioma.
- Zinthu zina zimakhudzanso madandaulo (mwayi wochira).
Mesothelioma ndi matenda omwe ma cell a khansa (khansa) amapangika m'matumba ochepa omwe amaphimba ziwalo m'chifuwa kapena pamimba.
Malignant mesothelioma ndi matenda omwe amapezeka m'maselo owopsa (khansa) chimodzi kapena zingapo zotsatirazi:
- Pleura: Thupi laling'ono lomwe limayendetsa chifuwa ndikuphimba mapapu.
- Peritoneum: Thupi laling'ono lomwe limayala pamimba ndikuphimba ziwalo zambiri zam'mimba.
- Pericardium: Thupi laling'ono lomwe lazungulira mtima.
Zotupazo nthawi zambiri zimafalikira pamwamba pa ziwalo popanda kufalikira kumalimba. Zitha kufalikira ku ma lymph node kapena mbali zina za thupi. Malignant mesothelioma amathanso kupanga machende, koma izi ndizochepa.
Kuchiza ndi mankhwala a radiation kumawonjezera chiopsezo cha mwana wa mesothelioma.
Chilichonse chomwe chimakulitsa mwayi wanu wodwala chimatchedwa chiopsezo. Kukhala ndi chiwopsezo sikutanthauza kuti udzakhala ndi khansa; kusakhala ndi zoopsa sikutanthauza kuti simudzakhala ndi khansa. Lankhulani ndi dokotala wa mwana wanu ngati mukuganiza kuti mwana wanu akhoza kukhala pachiwopsezo.
Kuchiza kwa khansa yapakale, makamaka mankhwala a radiation, kumawonjezera chiopsezo cha mesothelioma mwa ana.
Kwa akuluakulu, mesothelioma imagwirizanitsidwa kwambiri ndi kupezeka kwa asibesitosi, omwe agwiritsidwa ntchito popanga ndi nsalu. Kwa ana, palibe zambiri zokhudzana ndi chiopsezo chokhala ndi mesothelioma mutapezeka ndi asibesitosi.
Zizindikiro za mesothelioma zimaphatikizapo kupuma movutikira komanso kupweteka pachifuwa kapena pamimba.
Kwa ana, izi ndi zizindikiro zina zimatha kuyambitsidwa ndi mesothelioma kapena zovuta zina.
Funsani dokotala wa mwana wanu ngati mwana wanu ali ndi zotsatirazi:
- Kuvuta kupuma.
- Kukhosomola popanda chifukwa chodziwika.
- Kupweteka pansi pa nthiti kapena kupweteka pachifuwa ndi pamimba.
- Kuchepetsa thupi popanda chifukwa chodziwika.
- Kumva kutopa kwambiri.
Mayeso omwe amafufuza pachifuwa, pamimba, ndi mtima amagwiritsidwa ntchito pothandiza kupeza mesothelioma.
Mayeso ndi njira zotsatirazi zitha kugwiritsidwa ntchito:
- Kuyezetsa thupi komanso mbiri yaumoyo: Kuyesedwa kwa thupi kuti muwone zizindikiritso zaumoyo, kuphatikizapo kuyang'ana ngati pali matenda, monga zotupa kapena china chilichonse chomwe chikuwoneka chachilendo. Mbiri yokhudzana ndi thanzi la wodwalayo komanso matenda am'mbuyomu komanso chithandizo chamankhwala adzachitidwanso.
- X-ray pachifuwa : X-ray ya ziwalo ndi mafupa mkati mwa chifuwa. X-ray ndi mtundu wa mphamvu yamphamvu yomwe imatha kupyola thupi ndikupita mufilimu, ndikupanga chithunzi cha madera omwe ali mthupi.
- CT scan (CAT scan): Njira yomwe imapanga zithunzi zingapo zamatupi amthupi, zojambulidwa mosiyanasiyana. Zithunzizo zimapangidwa ndi kompyuta yolumikizidwa ndi makina a x-ray. Utoto ukhoza kulowetsedwa mumtsempha kapena kumeza kuti ziwalo kapena ziwalo ziwoneke bwino. Njirayi imatchedwanso computed tomography, kompyuta tomography, kapena kompyuta axial tomography.
- PET scan (positron emission tomography scan): Njira yopezera maselo oyipa mthupi. Gulu laling'ono la shuga (radio) limabayidwa mumtsempha. Chojambulira cha PET chimazungulira thupi ndikupanga chithunzi cha komwe glucose imagwiritsidwa ntchito mthupi. Maselo otupa owopsa amawonekera pachithunzichi chifukwa amakhala otanganidwa ndipo amatenga shuga wambiri kuposa momwe maselo amachitira.
- MRI (magnetic resonance imaging): Njira yomwe imagwiritsa ntchito maginito, mafunde a wailesi, ndi kompyuta kuti ipange zithunzi zingapo za malo amkati mwa thupi. Njirayi imatchedwanso nuclear magnetic resonance imaging (NMRI).
- Ntchito ya pulmonary test (PFT): Kuyesedwa kuti muwone momwe mapapo akugwirira ntchito. Imayeza kuchuluka kwa mapapo omwe mpweya ungasunge komanso momwe mpweya umalowera ndikutuluka m'mapapu. Imafotokozanso kuchuluka kwa oxygen yomwe imagwiritsidwa ntchito komanso kuchuluka kwa kaboni dayokisaidi popuma. Izi zimatchedwanso kuyesa kwa mapapu.
- Zabwino-singano aspiration (FNA) biopsy: Kuchotsa minofu kapena madzi pogwiritsa ntchito singano yopyapyala. Wodwala amayang'ana minofu kapena madzimadzi pansi pa microscope kuti ayang'ane maselo a khansa.
- Thoracoscopy: Njira yochitira opaleshoni yoyang'ana ziwalo zomwe zili mkati mwa chifuwa kuti muwone ngati sizili bwino. Chodulira (chodulidwa) chimapangidwa pakati pa nthiti ziwiri ndipo thoracoscope imayikidwa m'chifuwa. Thoracoscope ndi chida choonda ngati chubu chokhala ndi kuwala ndi mandala owonera. Ikhozanso kukhala ndi chida chothandizira kuchotsa minofu kapena ma lymph node, omwe amayang'aniridwa ndi microscope ngati ali ndi khansa. Nthawi zina, njirayi imagwiritsidwa ntchito kuchotsa gawo la m'mimba kapena m'mapapo.
- Bronchoscopy: Njira yoyang'ana mkati mwa trachea ndi mayendedwe akulu am'mapapo m'malo osazolowereka. Bronchoscope imayikidwa kudzera pamphuno kapena pakamwa mu trachea ndi mapapu. Bronchoscope ndi chida chochepa, chokhala ngati chubu chokhala ndi kuwala ndi mandala owonera. Ikhozanso kukhala ndi chida chothandizira kuchotsa minofu, yomwe imayang'aniridwa ndi microscope ngati ili ndi khansa.
- Laparoscopy: Njira yochitira opaleshoni yoyang'ana ziwalo zamkati mwamimba kuti muwone ngati sizili bwino. Tizinthu tating'onoting'ono (todulira) timapangidwa pakhoma pamimba ndipo laparoscope (yopyapyala, yoyatsira chubu) imalowetsedwa munthawi imodzi. Zida zina zitha kulowetsedwa mwanjira yomweyo kapena zina kuti achite njira monga kuchotsa ziwalo kapena kutenga zitsanzo zamatenda kuti zikawunikidwe ndi microscope ngati ali ndi khansa.
- Kuyeza kwa Cytologic: Kuyezetsa maselo pansi pa microscope (ndi wodwala matenda) kuti awone chilichonse chosazolowereka. Kwa mesothelioma, madzimadzi amatengedwa m'mapapu kapena pamimba. Katswiri wa matenda amayang'ana maselo amadzimadzi.
Zinthu zina zimakhudzanso madandaulo (mwayi wochira).
Kulosera kumatengera ngati khansara:
- zafalikira mu kansalu kakang'ono kapena ziwalo.
- wapezeka kumene kapena wabwereranso (kubwerera).
Mesothelioma nthawi zambiri imakula pang'onopang'ono, ndipo kupulumuka kwanthawi yayitali kumakhala kofala.
Magawo a Ubwana Mesothelioma
Njira yomwe imagwiritsidwa ntchito pofufuza ngati khansa yafalikira kuchokera pomwe idayambira imatchedwa staging. Mu ubwana mesothelioma, khansa imatha kufalikira ku ma lymph node apafupi kapena akutali. Palibe njira yokhazikika yolankhulira mesothelioma yaubwana. Zotsatira za mayeso ndi njira zomwe zachitika kuti apeze mesothelioma amagwiritsidwa ntchito kuthandizira kupanga zisankho zamankhwala.
Nthawi zina mesothelioma yaubwana imabwereranso (imabwerera) itatha.
Chithandizo Chosankha Mwachidule
MFUNDO ZOFUNIKA
- Pali mitundu yosiyanasiyana ya chithandizo cha ana omwe ali ndi mesothelioma.
- Ana omwe ali ndi mesothelioma ayenera kukonzekera kukonzekera ndi gulu la madokotala omwe ndi akatswiri othandiza khansa yaubwana.
- Mitundu itatu yamankhwala imagwiritsidwa ntchito:
- Opaleshoni
- Chemotherapy
- Thandizo la radiation
- Mitundu yatsopano yamankhwala ikuyesedwa m'mayesero azachipatala.
- Chithandizo chofuna
- Chithandizo cha mesothelioma yaubwana chingayambitse zovuta.
- Odwala angaganize zopita nawo kukayezetsa.
- Odwala amatha kulowa m'mayesero azachipatala asanayambe, asanayambe, kapena atayamba kulandira chithandizo cha khansa.
- Mayeso otsatirawa angafunike.
Pali mitundu yosiyanasiyana ya chithandizo cha ana omwe ali ndi mesothelioma.
Mankhwala ena ndi ofanana (mankhwala omwe akugwiritsidwa ntchito pano), ndipo ena akuyesedwa m'mayesero azachipatala. Kuyesedwa kwachipatala ndi kafukufuku wofufuza wothandizira kusintha chithandizo chamakono kapena kupeza zidziwitso zamankhwala atsopano kwa odwala khansa. Pamene mayesero azachipatala awonetsa kuti chithandizo chatsopano ndichabwino kuposa chithandizo chamankhwala, chithandizocho chitha kukhala chamankhwala wamba.
Chifukwa khansa mwa ana ndiyosowa, kutenga nawo mbali pakuyesa kwachipatala kuyenera kuganiziridwa. Mayesero ena azachipatala ndi otseguka kwa odwala omwe sanayambe kulandira chithandizo.
Ana omwe ali ndi mesothelioma ayenera kukonzekera kukonzekera ndi gulu la madokotala omwe ndi akatswiri othandiza khansa yaubwana.
Chithandizo chidzayang'aniridwa ndi oncologist wa ana, dokotala yemwe amadziwika bwino pochiza ana omwe ali ndi khansa. Katswiri wa oncologist amagwira ana ndi akatswiri ena azaumoyo a ana omwe ndi akatswiri pochiza ana omwe ali ndi khansa komanso omwe amadziwika bwino pamankhwala ena. Izi zingaphatikizepo akatswiri awa ndi ena:
- Dokotala wa ana.
- Dokotala wa ana.
- Wofufuza oncologist.
- Wodwala.
- Katswiri wa namwino wa ana.
- Wogwira ntchito.
- Katswiri wokonzanso.
- Katswiri wa zamaganizo.
- Katswiri wa moyo wa ana.
Mitundu itatu yamankhwala imagwiritsidwa ntchito:
Opaleshoni
Kuchita opaleshoni kuchotsa chotupacho kungagwiritsidwe ntchito pochiza mesothelioma yaubwana.
Chemotherapy
Chemotherapy ndi mankhwala a khansa omwe amagwiritsa ntchito mankhwala oletsa kukula kwa maselo a khansa, mwina popha ma cell kapena kuwaletsa kuti asagawane. Chemotherapy ikamamwa pakamwa kapena kulowetsedwa mumtsempha kapena minofu, mankhwalawa amalowa m'magazi ndipo amatha kufikira ma cell a khansa mthupi lonse (systemic chemotherapy).
Thandizo la radiation
Thandizo la radiation ndi chithandizo cha khansa chomwe chimagwiritsa ntchito ma x-ray amphamvu kapena mitundu ina ya radiation kuti iphe ma cell a khansa kapena kuti asakule. Thandizo la radiation lakunja limagwiritsa ntchito makina kunja kwa thupi kuti atumize cheza chakuthupi ndi khansa.
Mitundu yatsopano yamankhwala ikuyesedwa m'mayesero azachipatala. Gawo lachiduleli likufotokoza zamankhwala omwe akuwerengedwa m'mayesero azachipatala. Sizingatchule chithandizo chilichonse chatsopano chomwe akuphunzira. Zambiri zamayeso azachipatala zimapezeka patsamba la NCI.
Chithandizo chofuna
Chithandizo choyenera ndi mtundu wa chithandizo chomwe chimagwiritsa ntchito mankhwala osokoneza bongo kapena zinthu zina kuti ziwononge maselo a khansa. Njira zochiritsira zomwe zimayang'aniridwa sizimavulaza maselo wamba kuposa chemotherapy kapena radiation.
Chithandizo chofunikira chikuwerengedwa pochiza mesothelioma yaubwana yomwe yabwereranso (kubwerera).
Chithandizo cha mesothelioma yaubwana chingayambitse zovuta.
Kuti mumve zambiri zamankhwala oyambilira omwe amayamba mukalandira chithandizo cha khansa, onani tsamba lathu la Zotsatira Zotsatira.
Zotsatira zoyipa za mankhwala a khansa omwe amayamba atalandira chithandizo ndikupitilira kwa miyezi kapena zaka amatchedwa zotsatira zakuchedwa. Zotsatira zakumapeto kwa chithandizo cha khansa zitha kuphatikiza:
- Mavuto athupi.
- Kusintha kwa malingaliro, malingaliro, kuganiza, kuphunzira, kapena kukumbukira.
- Khansa yachiwiri (mitundu yatsopano ya khansa) kapena zovuta zina.
Zotsatira zina mochedwa zimatha kuthandizidwa kapena kuwongoleredwa. Ndikofunika kulankhula ndi madokotala a mwana wanu za zomwe zingachitike mochedwa chifukwa cha mankhwala ena.
Odwala angaganize zopita nawo kukayezetsa.
Kwa odwala ena, kutenga nawo mbali pakuyesa chithandizo chachipatala kungakhale njira yabwino kwambiri yothandizira. Mayesero azachipatala ndi gawo limodzi la kafukufuku wa khansa. Mayesero azachipatala amachitika kuti apeze ngati mankhwala atsopano a khansa ndi otetezeka komanso ogwira ntchito kapena abwinoko kuposa mankhwala wamba.
Njira zambiri zamankhwala zochiritsira khansa zimachokera kumayeso am'mbuyomu azachipatala. Odwala omwe amatenga nawo mbali pachipatala atha kulandira chithandizo chofananira kapena kukhala oyamba kulandira chithandizo chatsopano.
Odwala omwe amatenga nawo mbali pazoyeserera zamankhwala amathandizanso kukonza momwe khansa idzathandizire mtsogolo. Ngakhale mayesero azachipatala satsogolera kuchipatala chatsopano, nthawi zambiri amayankha mafunso ofunikira ndikuthandizira kupititsa patsogolo kafukufuku.
Odwala amatha kulowa m'mayesero azachipatala asanayambe, asanayambe, kapena atayamba kulandira chithandizo cha khansa.
Mayesero ena azachipatala amangophatikizapo odwala omwe sanalandire chithandizo. Mayesero ena amayesa chithandizo kwa odwala omwe khansa yawo sinakhale bwino. Palinso mayesero azachipatala omwe amayesa njira zatsopano zothetsera khansa kuti isabwererenso (kubwerera) kapena kuchepetsa zovuta zoyambitsidwa ndi khansa.
Mayesero azachipatala akuchitika m'malo ambiri mdziko muno. Zambiri zamayeso azachipatala othandizidwa ndi NCI zitha kupezeka patsamba lofufuza zamankhwala la NCI. Mayesero azachipatala othandizidwa ndi mabungwe ena amapezeka patsamba la ClinicalTrials.gov.
Mayeso otsatirawa angafunike.
Ena mwa mayesero omwe adachitika kuti apeze khansa kapena kuti adziwe momwe khansa iliri angabwerezedwenso. Mayesero ena adzabwerezedwa kuti awone momwe mankhwalawa akugwirira ntchito. Zisankho zakuti mupitilize, kusintha, kapena kusiya kulandira chithandizo zitha kutengera zotsatira za mayeso awa.
Kuyesaku kumangopitilira kuchitika nthawi ndi nthawi mankhwala atatha. Zotsatira zamayesowa zitha kuwonetsa ngati matenda a mwana wanu asintha kapena ngati khansa yabwereranso (kubwerera). Mayesowa nthawi zina amatchedwa kuyesa kutsata kapena kukayezetsa.
Chithandizo cha Ubwana Mesothelioma
Kuti mumve zambiri zamankhwala omwe atchulidwa pansipa, onani gawo la Chisankho Chachidule.
Chithandizo cha mesothelioma chatsopano mwa ana chingaphatikizepo izi:
- Opaleshoni yochotsa gawo la chifuwa chokhala ndi khansa ndi ziwalo zina zathanzi zozungulira.
- Chemotherapy.
- Thandizo la radiation, ngati mankhwala ochepetsa ululu, kuti muchepetse ululu ndikukhala ndi moyo wabwino.
Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.
Chithandizo cha Mesothelioma Wobadwa Mwana
Kuti mumve zambiri zamankhwala omwe atchulidwa pansipa, onani gawo la Chisankho Chachidule.
Chithandizo cha mesothelioma chokhazikika mwa ana chingaphatikizepo izi:
- Kuyesedwa kwachipatala komwe kumayang'ana chotupa cha wodwalayo ngati majini ena asintha. Mtundu wa mankhwala omwe akulimbikitsidwa omwe adzapatsidwe kwa wodwala umadalira mtundu wa kusintha kwa majini.
Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.
Kuti mudziwe Zambiri Zokhudza Ubwana Mesothelioma
Kuti mumve zambiri kuchokera ku National Cancer Institute yokhudza ana a mesothelioma, onani izi:
- Tsamba Loyipa la Mesothelioma
- Computed Tomography (CT) Zithunzi ndi Khansa
- Njira Zochizira Khansa
Kuti mumve zambiri za khansa yaubwana ndi zina zothandiza za khansa, onani izi:
- Za Khansa
- Khansa Za Ana
- Cure Search for Cancer ya Ana Tulukani Chodzikanira
- Zotsatira Zochedwetsa Khansa Yaana
- Achinyamata ndi Achinyamata Achikulire ndi Khansa
- Ana omwe ali ndi khansa: Upangiri wa Makolo
- Khansa mwa Ana ndi Achinyamata
- Kusinthana
- Kulimbana ndi khansa
- Mafunso oti mufunse dokotala wanu za khansa
- Kwa Opulumuka ndi Owasamalira
Thandizani kutsitsimutsa kwama ndemanga