Mitundu / zofewa-sarcoma / wodwala / gist-chithandizo-pdq

Chithandizo cha m'mimba cha Stromal Tumors Treatment (®) -Patient Version

Zambiri Pazokhudza Kutupa Kwa m'mimba

Chotupa cham'mimba ndimatenda momwe maselo osakhazikika amapangika m'matumba am'mimba.

Thirakiti la m'mimba (GI) ndi gawo lam'magazi amthupi. Zimathandiza kugaya chakudya komanso kutenga zakudya zopatsa thanzi (mavitamini, mchere, chakudya, mafuta, mapuloteni, ndi madzi) pachakudya kuti thupi lizigwiritsa ntchito. Thirakiti la GI limapangidwa ndi ziwalo zotsatirazi:

• Mimba.

• Matumbo aang'ono.

• Matumbo akulu (colon).

Zotupa zam'mimba (GISTs) zitha kukhala zoyipa (khansa) kapena zabwino (osati khansa). Amakonda kupezeka m'mimba ndi m'matumbo ang'onoang'ono koma amapezeka kulikonse kapena pafupi ndi thirakiti la GI. Asayansi ena amakhulupirira kuti ma GIST amayamba m'maselo otchedwa interstitial cell of Cajal (ICC), pakhoma la thirakiti la GI.

Zotupa za m'mimba (GISTs) zimapezeka kulikonse kapena pafupi ndi thirakiti la m'mimba.

Onani chidule cha chokhudza Khansa Yachilendo ya Chithandizo cha Ana kuti mumve zambiri za chithandizo cha GIST mwa ana.

Zomwe zimayambitsa chibadwa zimatha kuwonjezera chiopsezo chokhala ndi chotupa m'mimba.

Chilichonse chomwe chimakulitsa chiopsezo chotenga matenda chimatchedwa chiopsezo. Kukhala ndi chiwopsezo sikutanthauza kuti udzakhala ndi khansa; kusakhala ndi zoopsa sikutanthauza kuti simudzakhala ndi khansa. Lankhulani ndi dokotala ngati mukuganiza kuti mutha kukhala pachiwopsezo.

Majini omwe ali m'maselo amanyamula choloŵa chololedwa kuchokera kwa makolo a munthu. Chiwopsezo cha GIST chimawonjezeka mwa anthu omwe adatengera kusintha kwa mtundu winawake. Nthawi zambiri, ma GIST amatha kupezeka mwa anthu angapo am'banja limodzi.

GIST itha kukhala gawo la matenda amtundu, koma izi ndizochepa. Matenda a chibadwa ndi zizindikiro kapena zochitika zomwe zimachitika palimodzi ndipo nthawi zambiri zimayambitsidwa ndi majini osazolowereka. Ma syndromes otsatirawa adalumikizidwa ndi GIST:

• Mtundu wa Neurofibromatosis 1 (NF1).

• Carney triad.

Zizindikiro za zotupa m'mimba zimaphatikizapo magazi m'mipando kapena masanzi.

Izi ndi zizindikilo ndi zina zimatha kuyambitsidwa ndi GIST kapena zina. Funsani dokotala ngati muli ndi izi:

• Magazi (mwina ofiira owala kapena amdima kwambiri) mu chopondapo kapena masanzi.

• Kupweteka m'mimba, komwe kumatha kukhala kovuta.

• Kumva kutopa kwambiri.

• Mavuto kapena ululu mukameza.

• Kumva kukhuta ndikangodya chakudya chochepa chabe chimadyedwa.

Kuyesa komwe kumayesa thirakiti la GI kumagwiritsidwa ntchito kuzindikira (kupeza) ndikuzindikira zotupa zam'mimba.

Mayeso ndi njira zotsatirazi zitha kugwiritsidwa ntchito:

• Kuwunika kwakuthupi ndi mbiri: Kuyesedwa kwa thupi kuti muwone zizindikiritso zaumoyo, kuphatikiza 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.

• 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.

• 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).

• Endoscopic ultrasound ndi biopsy: Endoscopy ndi ultrasound zimagwiritsidwa ntchito popanga chithunzi cha gawo lapamwamba la GI ndipo biopsy yachitika. Endoscope (chida chopyapyala, chonga chubu chokhala ndi kuwala ndi mandala owonera) imalowetsedwa pakamwa ndikufika kummero, m'mimba, ndi gawo loyamba la m'mimba. Kafukufuku kumapeto kwa endoscope amagwiritsidwa ntchito kuphulitsa mafunde amphamvu kwambiri (ultrasound) pamatumba amkati kapena ziwalo ndikupanga mawonekedwe. Zolembawo amapanga chithunzi cha matupi amthupi otchedwa sonogram. Njirayi imatchedwanso endosonography. Wotsogozedwa ndi sonogram, dotolo amachotsa minofu pogwiritsa ntchito singano yopyapyala. Wodwala amayang'ana minofu pansi pa microscope kuti ayang'ane maselo a khansa.

Ngati khansa ipezeka, mayesero otsatirawa angachitike kuti muphunzire za maselo a khansa:

• Immunohistochemistry: Kuyesa kwa labotale komwe kumagwiritsa ntchito ma antibodies kuti aone ngati ali ndi ma antigen (zolembera) muzitsanzo za minofu ya wodwala. Ma antibodies nthawi zambiri amalumikizidwa ndi enzyme kapena utoto wa fulorosenti. Ma antibodies atagwirizana ndi antigen inayake munthawi ya minofu, enzyme kapena utoto umayambitsidwa, ndipo antigen imatha kuwonedwa ndi microscope. Mayeso amtunduwu amagwiritsidwa ntchito pothandiza kuzindikira khansa ndikuthandizira kudziwa khansa yamtundu wina wa khansa.

• Mitotic mlingo: Muyeso wa momwe ma cell a khansa amagawira ndikukula. Mlingo wa mitotic umapezeka powerenga kuchuluka kwa maselo omwe amagawika munthawi inayake ya minofu ya khansa.

Ma GIST ochepa kwambiri ndiofala.

Nthawi zina ma GIST amakhala ocheperako kuposa cholembera pamwamba pensulo. Zotupa zimatha kupezeka pamachitidwe omwe amachitidwa pazifukwa zina, monga x-ray kapena opaleshoni. Ena mwa zotupa zazing'onozi sizimakula ndikupangitsa zizindikilo kapena zizindikilo kapena kufalikira pamimba kapena mbali zina za thupi. Madokotala sagwirizana ngati zotupa zazing'onozi ziyenera kuchotsedwa kapena ngati ayenera kuwayang'anira kuti awone ngati ayamba kukula.

Zinthu zina zimakhudzanso madandaulo (mwayi wochira) ndi njira zamankhwala.

Kulosera (mwayi wochira) ndi njira zamankhwala zimadalira izi:

• Maselo a khansa akukula ndikugawana mwachangu.

• Kukula kwa chotupacho.

• Komwe chotupacho chili mthupi.

• Kaya chotupacho chingachotsedwe kwathunthu ndi opaleshoni.

• Kaya chotupacho chafalikira mbali zina za thupi.

Magawo Amatumbo Am'mimba

MFUNDO ZOFUNIKA

• Pambuyo papezeka chotupa cha m'mimba, mayeso amachitika kuti apeze ngati maselo a khansa afalikira m'mimba mwa m'mimba kapena mbali zina za thupi.

• Pali njira zitatu zomwe khansa imafalikira mthupi.

• Khansa imatha kufalikira pomwe idayamba kupita mbali zina za thupi.

• Zotsatira zakuyesa ndikuwunika komwe kumagwiritsidwa ntchito pokonzekera chithandizo.

Pambuyo papezeka chotupa cha m'mimba, mayeso amachitika kuti apeze ngati maselo a khansa afalikira m'mimba mwa m'mimba kapena mbali zina za thupi.

Njira yomwe imagwiritsidwa ntchito pofufuza ngati khansa yafalikira m'matumba am'mimba (GI) kapena mbali zina za thupi imatchedwa staging. Zomwe amapeza kuchokera pakukonzekera zimatsimikizira gawo la matendawa. Mayeso ndi njira zotsatirazi zitha kugwiritsidwa ntchito pokonza:

• 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.

• 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.

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).

• 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.

• Kujambula mafupa: Njira yowunika ngati pali magawo omwe amagawa mwachangu, monga maselo a khansa, m'mafupa. Katundu wocheperako kwambiri wa jakisoni amalowetsedwa mumtsempha ndikuyenda m'magazi. Zinthu zowononga nyukiliya zimasonkhanitsa m'mafupa omwe ali ndi khansa ndipo imadziwika ndi sikani.

Pali njira zitatu zomwe khansa imafalikira mthupi.

Khansa imatha kufalikira kudzera mu minofu, ma lymph system, ndi magazi:

• Minofu. Khansara imafalikira kuchokera pomwe idayamba ndikukula kupita kumadera oyandikana nawo.

• Lymph dongosolo. Khansara imafalikira kuchokera pomwe idayamba polowa m'mitsempha. Khansara imadutsa m'mitsempha yamafuta kupita mbali zina za thupi.

• Magazi. Khansara imafalikira kuchokera pomwe idayamba ndikulowa m'magazi. Khansara imadutsa m'mitsempha yamagazi kupita mbali zina za thupi.

Khansa imatha kufalikira pomwe idayamba kupita mbali zina za thupi.

Khansa ikafalikira mbali ina ya thupi, imatchedwa metastasis. Maselo a khansa amachoka pomwe adayamba (chotupa choyambirira) ndikuyenda mumitsempha kapena magazi.

• Lymph dongosolo. Khansara imalowa mumitsempha, imadutsa m'mitsempha yamafuta, ndikupanga chotupa (chotupa cha metastatic) gawo lina la thupi.

• Magazi. Khansara imalowa m'magazi, imadutsa m'mitsempha yamagazi, ndikupanga chotupa (chotupa cha metastatic) gawo lina la thupi.

Chotupacho chimakhala chotupa chimodzimodzi. Mwachitsanzo, ngati chotupa cha m'mimba (GIST) chimafalikira mpaka pachiwindi, zotupa m'chiwindi ndimaselo a GIST. Matendawa ndi metastatic GIST, osati khansa ya chiwindi.

Zotsatira zakuyesa ndikuwunika komwe kumagwiritsidwa ntchito pokonzekera chithandizo.

Kwa khansa zambiri ndikofunikira kudziwa gawo la khansa kuti akonzekere chithandizo. Komabe, chithandizo cha GIST sichikhazikitsidwa pagawo la khansa. Chithandizochi chimakhazikitsidwa ngati chotupacho chitha kuchotsedwa ndi opaleshoni komanso ngati chotupacho chafalikira kumadera ena am'mimba kapena mbali zakuthupi.

Chithandizo chimatengera ngati chotupacho ndi:

• Zowoneka bwino: Zotupazi zimatha kuchotsedwa opaleshoni.

• Zosasinthika: Zotupa izi sizingachotsedwe kwathunthu ndi opareshoni.

• Metastatic and recurrent: Zotupa za metastatic zafalikira mbali zina za thupi. Zotupa zaposachedwa zabwereranso (kubwerera) atalandira chithandizo. Ma GIST aposachedwa amatha kubwerera m'mimba m'mimba kapena mbali zina za thupi. Nthawi zambiri amapezeka m'mimba, peritoneum, ndi / kapena chiwindi.

• Zosokoneza: Zotupa izi sizinakhale bwino ndi chithandizo.

Chithandizo Chosankha Mwachidule

MFUNDO ZOFUNIKA

• Pali mitundu yosiyanasiyana ya chithandizo cha odwala omwe ali ndi zotupa m'mimba.

• Mitundu inayi yamankhwala omwe amagwiritsidwa ntchito amagwiritsidwa ntchito:

• Opaleshoni

• Chithandizo chofuna

• Kudikira kudikira

• Chithandizo chothandizira

• Mitundu yatsopano yamankhwala ikuyesedwa m'mayesero azachipatala.

• Chithandizo cha zotupa za m'mimba chimatha kuyambitsa 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 odwala omwe ali ndi zotupa m'mimba.

Pali mitundu ingapo yamankhwala othandizira odwala omwe ali ndi zotupa m'mimba (GISTs). 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. Odwala angaganize zopita nawo kukayezetsa. Mayesero ena azachipatala ndi otseguka kwa odwala omwe sanayambe kulandira chithandizo.

Mitundu inayi yamankhwala omwe amagwiritsidwa ntchito amagwiritsidwa ntchito:

• Opaleshoni

Ngati GIST siinafalikire ndipo ili pamalo pomwe opareshoni imatha kuchitidwa bwino, chotupacho ndi ziwalo zina zozungulira zimatha kuchotsedwa. Nthawi zina opaleshoni imachitika pogwiritsa ntchito laparoscope (chubu chowonda, chowunikira) kuti muwone m'thupi. Tizidutswa tating'ono (todulira) timapangidwa pakhoma pamimba ndipo laparoscope imayikidwa mchimodzi mwazomwe zimapangidwazo. Zida zimatha kulowetsedwa mwanjira yomweyo kapena kudzera pazinthu zina kuti zichotse ziwalo kapena ziwalo.

Chithandizo chofuna

Chithandizo choyenera ndi mtundu wa mankhwala omwe amagwiritsa ntchito mankhwala osokoneza bongo kapena zinthu zina kuti azindikire ndikuukira maselo amtundu wa khansa osavulaza maselo abwinobwino.

Ma Tyrosine kinase inhibitors (TKIs) ndi mankhwala omwe amalimbana ndi zotupa kuti zikule. Ma TKI atha kugwiritsidwa ntchito pochiza ma GIST omwe sangachotsedwe ndi opareshoni kapena kufooketsa ma GIST kotero kuti amakhala ochepa kuti athe kuchotsedwa ndi opaleshoni. Imatinib mesylate ndi sunitinib ndi ma TKI awiri omwe amagwiritsidwa ntchito pochizira ma GIST. Nthawi zina ma TKIs amaperekedwa malinga ngati chotupacho sichikula ndipo zovuta zoyipa sizimachitika.

Onani Mankhwala Omwe Amavomerezedwa ndi Zotupa za M'mimba kuti mumve zambiri.

Kudikira kudikira

Kuyembekezera mwachidwi kumayang'anitsitsa matenda a wodwalayo osamupatsa chithandizo chilichonse mpaka zizindikilo kapena zizindikiritso zikuwoneka kapena kusintha.

Chithandizo chothandizira

Ngati GIST imakulirakulira panthawi yamankhwala kapena pali zovuta zina, chisamaliro chothandizira nthawi zambiri chimaperekedwa. Cholinga cha chisamaliro chothandizira ndikuteteza kapena kuchiza zizindikiro za matenda, zovuta zoyambitsidwa ndi chithandizo chamankhwala, komanso mavuto amisala, chikhalidwe, komanso uzimu wokhudzana ndi matenda kapena chithandizo chake. Thandizo lothandizira limathandizira kukonza moyo wa odwala omwe ali ndi matenda oopsa kapena owopsa. Thandizo la radiation nthawi zina limaperekedwa ngati chithandizo chothandizira kuthana ndi ululu wa odwala omwe ali ndi zotupa zazikulu zomwe zafalikira.

Mitundu yatsopano yamankhwala ikuyesedwa m'mayesero azachipatala.

Zambiri zamayeso azachipatala zimapezeka patsamba la NCI.

Chithandizo cha zotupa za m'mimba chimatha kuyambitsa zovuta.

Kuti mumve zambiri zamankhwala obwera chifukwa cha khansa, onani tsamba lathu la Zotsatira Zotsatira.

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 vuto lanu lasintha kapena ngati khansa yabwereranso (bwererani). Mayesowa nthawi zina amatchedwa kuyesa kutsata kapena kukayezetsa.

Kutsata kwa ma GIST omwe adachotsedwa ndi opaleshoni atha kuphatikizira CT scan ya chiwindi ndi m'chiuno kapena kuyembekezera mwachidwi. Kwa ma GIST omwe amathandizidwa ndi tyrosine kinase inhibitors, kuyesa kutsatira, monga CT, MRI, kapena PET scan, kumatha kuchitidwa kuti muwone momwe mankhwalawa akugwirira ntchito.

Njira Zothandizira Kuchiza Mimba Yamkati ya Stromal Tumors

M'chigawo chino

• Matenda Owoneka M'mimba Opunduka

• Matenda Osasunthika Am'mimba Amimba

• Metastatic and Recurrent Gastrointestinal Stromal Tumors

• Zotupa Zakumimba Zam'mimba Zotupa

• Zosankha Zamankhwala M'mayesero Achipatala

Kuti mumve zambiri zamankhwala omwe atchulidwa pansipa, onani gawo la Chisankho Chachidule.

Matenda Owoneka M'mimba Opunduka

Zotupa za m'mimba zowoneka bwino (GISTs) zitha kuchotsedwa kwathunthu kapena pafupifupi kwathunthu ndi opaleshoni. Chithandizo chingaphatikizepo izi:

• Opaleshoni yochotsa zotupa zomwe zili 2 centimeter kapena zokulirapo. Opaleshoni ya laparoscopic itha kuchitidwa ngati chotupacho chili ndi masentimita 5 kapena ocheperako. Ngati pali maselo a khansa otsalira m'mphepete mwa dera lomwe chotupacho chidachotsedwa, kuyembekezera mwachidwi kapena kuchiritsa ndi imatinib mesylate kumatha kutsatira.

• Kuyesedwa kwachipatala kwa mankhwala omwe ali ndi imatinib mesylate pambuyo pochitidwa opaleshoni, kuti muchepetse mwayi kuti chotupacho chibwererenso (kubwerera).

Matenda Osasunthika Am'mimba Amimba

Ma GIST osasunthika sangathe kuchotsedwa kwathunthu ndi opareshoni chifukwa ndi akulu kwambiri kapena pamalo pomwe pakhoza kuwonongeka kwambiri ziwalo zapafupi ngati chotupacho chichotsedwa. Chithandizochi nthawi zambiri chimayesedwa ngati mankhwala a imatinib mesylate kuti muchepetse chotupacho, kenako opaleshoni kuti achotse chotupacho momwe zingathere.

Metastatic and Recurrent Gastrointestinal Stromal Tumors

Chithandizo cha ma GIST omwe ali ndi metastatic (kufalikira mbali zina za thupi) kapena kubwereza (kubwerera pambuyo pothandizidwa) atha kuphatikizira izi:

• Chithandizo choyenera ndi imatinib mesylate.

• Chithandizo choyenera cha sunitinib, ngati chotupacho chikuyamba kukula panthawi ya imatinib mesylate therapy kapena ngati zovuta zake zili zoyipa kwambiri.

• Kuchita opaleshoni kuti achotse zotupa zomwe zathandizidwa ndi chithandizo chamankhwala ndipo zikuchepa, kukhazikika (osasintha), kapena zomwe zakula pang'ono. Chithandizo chomwe mukufuna chingapitirire pambuyo pakuchitidwa opaleshoni.

• Kuchita opareshoni kuti muchotse zotupa pakakhala zovuta zina, monga kutuluka magazi, kabowo m'matumbo (GI), thirakiti lotsekedwa la GI, kapena matenda.

• Kuyesedwa kwachipatala kwa chithandizo chatsopano.

Zotupa Zakumimba Zam'mimba Zotupa

Ma GIST ambiri omwe amathandizidwa ndi tyrosine kinase inhibitor (TKI) amakhala osakanikirana (siyani kuyankha) kwa mankhwalawa kwakanthawi. Chithandizo nthawi zambiri chimakhala kuyesa kwachipatala ndi TKI yosiyana kapena kuyesedwa kwachipatala cha mankhwala atsopano.

Zosankha Zamankhwala M'mayesero Achipatala

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 zotupa za m'mimba

Kuti mumve zambiri kuchokera ku National Cancer Institute yokhudza zotupa m'mimba, onani izi:

• Tsamba Lofewa la Tissue Sarcoma

• Khansa Yachilendo Ya Chithandizo Chaubwana

• Mankhwala Ovomerezeka Ku Mimba Yotupa M'mimba

• Njira Zochizira Khansa

• Angiogenesis Inhibitors

Kuti mumve zambiri za khansa ndi zinthu zina zochokera ku National Cancer Institute, onani izi:

• Za Khansa

• Kusinthana

• Chemotherapy and You: Kuthandiza Anthu Omwe Ali Ndi Khansa

• Thandizo la Radiation ndi Inu: Thandizo kwa Anthu Omwe Ali ndi Khansa

• Kulimbana ndi khansa

• Mafunso oti mufunse dokotala wanu za khansa

• Kwa Opulumuka ndi Owasamalira