Pakadali pano, ambiri omwe amapezeka ndi khansa ya m'mimba, pafupifupi 95%, ndi adenocarcinoma. Matendawa ndi ovuta kufotokoza nthawi yoyamba, popeza nthawi yoyamba imakhala yovuta. Kutuluka kwa adenocarcinoma m'mimba, akatswiri ena amatsutsana ndi kukhalapo kwa Helicobacter pylori - mabakiteriya omwe amakhala m'mimba. Matendawa amatha kudziwonetsera motsutsana ndi chikhalidwe cha zilonda zam'mimba, zilonda za m'mimba, kufooketsa chitetezo cha m'mimba. Zakudya zopanda thanzi, ndi kuchuluka kwa zotetezera ndi nitrites, zingayambitsenso kuchitika kwa khansa. Chinthu chosiyana cha adenocarcinoma m'mimba ndi mawonekedwe a metastases pachiyambi.
Zinthu zomwe zili ndi adenocarcenoma
- zaka kuyambira zaka 40 mpaka 50;
- Matendawa amapezeka kwa amuna (2-3 nthawi zambiri kuposa akazi);
- kumwa mowa ndi kusuta;
- Matenda ndi mabakiteriya Helicobacter;
- chakudya chokhala ndi mchere wochuluka, mankhwala osuta, zosungira, chakudya chofulumira;
- chilengedwe choipa;
- choloŵa choloŵa chawo.
Zizindikiro za matendawa
Monga tafotokozera poyamba, nthawi yoyamba ya adenocarcinoma m'mimba ndi yokhayokha. Ngati matendawa athandizidwa panthaŵi yake, ndiye kuti mankhwala amatha kukhala otheka ndipo chiopsezo cha mavuto ndi chochepa kwambiri. Koma, mwatsoka, khansara pa siteji ya zero imapezedwa mwangozi ndipo kawirikawiri sichipezeka. Patapita nthawi, zizindikiro zotsatirazi zikuyamba kuonekera:
- kusintha mu zokonda zosangalatsa ndi zowawa;
- kulemera kwa thupi ndi kuchuluka kwa panthawi yomweyo m'mimba ya m'mimba;
- kufooka ;
- kunyoza ndi kusanza;
- kupweteka m'mimba kumadera a m'mimba;
- maonekedwe a magazi muchitetezo ndi kusanza pamapeto otsiriza a matenda.
Mitundu ya adenocarcinoma
Adenocarcinoma ya mmimba molingana ndi mtundu wa chigawo chachikulu kwambiri, monga lamulo, wagawidwa mu mitundu iwiri:
- Kusiyanitsa kwambiri adenocarcinoma m'mimba (m'mimba yamatenda a khansara) - ili ndi papillary, tubular kapena cystic;
- Matenda otchedwa differentiated adenocarcinoma m'mimba (scirrus) - zimakhala zovuta kudziwa momwe zimakhalira, chifukwa chotupa chimakula mkati mwa makoma a chiwalo.
Pali chinthu choterocho monga adenocarcinoma yosiyana kwambiri m'mimba. Mitundu imeneyi imakhala pamalo apansi pakati pa apamwamba ndi otsika.
Mpata wochira ndi mitundu yosiyana kwambiri ya khansara ndi yayikulu kwambiri kusiyana ndi mitundu yapamwamba.
Kuchiza kwa adenocarcinoma
Chithandizo chachikulu cha adenocarcinoma m'mimba ndi opaleshoni, momwe m'mimba mwachotsedwa. Mankhwala amphongo amatha kuchotsanso. Pambuyo pa opaleshoni, radiotherapy ndi chemotherapy zimagwirizananso.
Nthawi zina opaleshoni ya opaleshoni siimabweretsa zotsatira zake, mankhwalawa amalembedwa. Zidzathandiza kutonthoza mtima wodwalayo mwa kuchepetsa ntchito ya zizindikiro.
Kugonjetsa kwa kupweteka kwa adenocarcinoma m'mimba
Zimadalira payeso ya kuwonongeka ndi siteji ya matenda:
- Gawo 1 - kuchira mu 60-80%;
- Gawo 2 - kuchira 30-40%;
- Gawo lachitatu - kuchira kwa 12-20%;
- Gawo lachinayi - kuchira sikuliposa 5%.
Kuzindikira kwa matendawa, monga lamulo, kumachitika kale
Njira zothandizira
Madokotala amalangiza kuti azichita kafukufuku wamankhwala nthawi zonse komanso zaka 2-3 kuti azichita masewera olimbitsa thupi, ngakhale kuti palibe zizindikiro zovuta. Komanso, chisamaliro cha dokotala chiyenera kukhala ndi kafukufuku wambiri wa magazi, momwe kuchepa kwa magazi m'thupi kapena kuchepa kwa maselo ofiira a magazi kumatheka.