Matenda a shuga ndi khansa > Matenda a shuga

Padziko lonse lapansi, pofika chaka cha 2025, mliri wa matenda ashuga udzakhudza anthu opitilira 300 miliyoni, zomwe ndi chifukwa cha kuchuluka kosaneneka kwa kunenepa kwambiri komanso chidwi ndi zakudya zopatsa mphamvu. Mtundu wachiwiri wa matenda ashuga a mtundu wa 2 mtundu wa shuga ...

Zadziwika kuti pali anthu ambiri odwala matenda ashuga ochiritsidwa ndi khansa kuposa anthu omwe sanakumanepo ndi chotupa chovuta, ndipo pali amodzi mwa odwala matenda ashuga asanu omwe ali ndi khansa komanso matenda a shuga nthawi imodzi.

Kodi matenda ashuga amayambitsa khansa?

Kafukufuku wachipatala adatsimikizira kuti khansa ya pancreatic, uterine, ndi colon imatha kukhala ndi matenda ashuga. Aliyense wodwala matenda ashuga amatha kukhala ndi imodzi ya zotupazi pafupipafupi kuposa ena onse. Amadziwika kuti poyerekeza ndi mtundu wa matenda a shuga 1, kuchuluka kwa khansa yamchiberekero ndi m'mimba kumawonjezeka.

Ngati mwa anthu amisinkhu imodzimodzi ya anthu asanu ndi anayi athanzi pali wodwala mmodzi, ndiye kuti pakati pa odwala khansa ya kapamba pali anthu ena omwe akudwala matenda a shuga. Zinali zotheka kutsimikizira mgwirizano pakati pa matenda ashuga aposachedwa ndi khansa. Koma ngakhale matenda ashuga omwe amapangidwapo khansa kapena mosemphanitsa, ngakhale shuga atha kuwonedwa ngati vuto la khansa ya kapamba, sanathe kumvetsetsa.

Pali zinthu zitatu zomwe zimayambitsa ngozi kuyambira kale kuti zimayambitsa khansa ya muchiberekero: matenda ashuga, matenda oopsa komanso kunenepa kwambiri, zomwe mwachindunji kapena molunjika, palimodzi kapena mosasimbika, zimakulitsa milingo ya estrogen. Kuchuluka kwa mahoroniwo kumapangitsa chotupacho kukula komanso kuchuluka kwa ziwalo zomwe mukufuna.

Ubale wosangalatsa pakati pa matenda a shuga ndi khansa ya Prostate, womwe umayamba chifukwa cha mphamvu yamagonana. Munthu akamadwala matenda a shuga kwa nthawi yayitali, amachepetsa mwayi wokhala ndi khansa ya prostate.

Amakhulupirira kuti matenda a shuga samangopeza michere ya carbohydrate metabolism ndi zotsatira za antiproliferative, komanso amasintha kuchuluka kwa estrogens ndi androgens m'malo mwa zakale, zomwe sizimathandizira kusintha kwakukulu mu minofu ya prostate.

Palibe kuyanjana komwe kunapezeka pakati pa matenda a shuga ndi chifuwa, impso, ndi khansa yamchiberekero. Ofufuza amapeza kuphatikizika, ndiye kuti amakana kwathunthu. Palibe kukaikira gawo lodetsa nkhawa la kunenepa kwambiri, zomwe zimapangitsa kuti khansa ya m'mawere ituluke, zikuwoneka kuti matenda ashuga amatha kukankhira molakwika carcinogenesis kudzera kunenepa kwambiri, koma zotsatira zake sizinalembedwe. Ndipo gawo lamankhwala silinakhale lomveka bwino, ndizotheka kuti limalimbikitsa zina, zomwe zimayambitsa zotupa. Zakhala zikupezeka mobwerezabwereza kuti othandizira odwala matenda ashuga amachotsa chiwopsezo cha khansa ya m'mawere.

Asayansi akufunafuna mwachangu kulumikiza mitundu ya matenda ashuga ndi khansa. Matenda a shuga samangokulitsa chiwopsezo, koma amawonekera bwino pamankhwala ndi chithandizo cha khansa.

Kodi matenda ashuga amasokoneza chiwonetsero cha khansa?

Mosadabwitsa, kafukufuku wofunafuna nthawi yochepera, mwachitsanzo, endoscopy kapena ultrasound yochitika pamimba yopanda kanthu, zovuta zimabuka kwa odwala matenda a shuga. Kwakukulukulu, odwala matenda ashuga alibe zotsutsana pamayeso. Kupatula kokha ndi positron emission tomography (PET), komwe sikuloledwa kwa hyperglycemia ndi hypoglycemia.

Radiopharmaceutical fluorodeoxyglucose yoyambitsidwa pa PET ili ndi glucose, kotero ndi shuga wambiri m'mwazi ndizotheka kukwaniritsa zovuta, mpaka hyperglycemic coma. M'mabungwe ambiri, glucose wovomerezeka wam'magazi a positron emissions tomography ali mdera la 8 mmol / L. Ndi shuga wotsika wamagazi, PET siyotsutsa, koma ilibe ntchito: ma radiopharmaceutical samangotenga chotupa, komanso minofu yomwe ili ndi vuto la glucose, chotupa chonse ndi thupi lonse "zidzawala".

Vutoli limathetsedwa mothandizidwa ndi endocrinologist yemwe amawerengera mlingo woyenera wa wothandizila wodwala matenda ashuga komanso nthawi yakudya bwino kwa wodwala matenda ashuga.

Zokhudza matenda a shuga panjira ya chotupacho

Matenda a shuga samathandiza, ndiye kuti. Matenda a shuga samachulukitsa mwayi wokhala ndi khansa ya m'mawere, koma mwa amayi omwe ali ndi zaka zokhala ndi khansa komanso matenda a shuga, chotupacho sichikhala ndi progesterone receptors. Kuperewera kwa progesterone receptors sikukhudza chidwi cha mankhwala a mahomoni munjira yabwino kwambiri - izi ndizopanda malire zomwe zimangoletsa mwayi wa mankhwala, koma zimasintha matendawa kukhala abwino.

Zaka makumi atatu zapitazo, matenda ashuga sanawonedwe ngati chinthu chovuta kwa odwala khansa ya muchiberekero, maphunziro ena azachipatala adawonetsa kupitilira kwakanthawi kwamoyo komanso kuthekanso kuyambiranso. Malongosoledwe a izi adapezeka pakuwonjezeka kwa milingo ya estrogen, yofanana ndi khansa ya Prostate, yomwe ikadakhala ndi zotsatira zabwino pakumverera kwa chithandizo. Koma lero malingaliro awa ali mu kukaikira kwakukulu.

Chowonadi ndichakuti shuga imakhala ndi mavuto ambiri, kusanja mphamvu ya mahomoni. Mu shuga mellitus, chitetezo cha mthupi chimavutika, ndipo antitumor imodzi, nawonso, kusintha m'maselo kumakhala kofunikira kwambiri chifukwa cha kuwonongeka kwakukulu kwa DNA ya nyukiliya ndi mitochondria, yomwe imakulitsa kupsinjika kwa chotupa ndikusintha chidwi chake ku chemotherapy. Kuphatikiza apo, matenda a shuga ndi njira yofunika kwambiri yopezera matenda a mtima ndi aimpso omwe samakulitsa chiyembekezo cha moyo wa odwala khansa.

Magazi okwera m'magazi amalonjeza tsogolo labwino la matenda a khansa ya m'matumbo, chiwindi ndi chamba. Kafukufuku waposachedwa wazachipatala adawonetsa kuwonjezeka kwa kupulumuka kwa odwala omwe ali ndi khansa yapamtima ya cell pambuyo pochira kwambiri.

Sipangakhale mabodza, kudwala sikunathandizenso kuchira, koma kubwezeretsedwera kwa shuga ndikwabwino kuposa kuwalipitsa, chifukwa chake matenda a shuga ayenera kukhala "olamulidwa", ndiye kuti sangakhale osokoneza.

Momwe shuga imasokonezera ndi chithandizo cha khansa

Choyamba, matenda a shuga amakhudza impso, ndipo mankhwala ambiri a chemotherapy amawachotsa impso osati kungochotsa, komanso kuwononga impso panthawi ya chithandizo. Popeza mankhwala a platinamu ali ndi poizoni wabwino kwambiri wa impso, zingakhale bwino kuti musagwiritse ntchito iwo ndi matenda ashuga, koma ndi khansa yomweyo ya ovary kapena testicular, zotengera za platinamu zimaphatikizidwa mu "muyezo wagolide" ndikuwakana sizithandiza chithandizo. Kuchepetsa kwa mlingo wa mankhwala a chemotherapy amamuyankha pang'onopang'ono.

Matenda a shuga, monga tafotokozera pamwambapa, amathandizira kukulitsa matenda a mtima, ndipo mankhwala ena a chemotherapy amadziwika chifukwa cha kuwopsa kwawo. Palinso kuwonongeka kwa zotumphukira zamanjenje ndi chemotherapy ndi shuga. Zoyenera kuchita: chepetsani mlingo kapena pitani kukweza shuga - sankhani payekhapayekha. Perforce, munthu ayenera kusankha "chocheperako pang'ono": kuthana ndi chotupacho pogwiritsa ntchito njira zonse, kupangitsa zovuta za matenda ashuga, kapena kuchepetsa mapulani omenyera nkhondo pakulipirira chindapusa.

Bevacizumab woleredwa wodwala yemwe ali ndi matenda ashuga amathandizira kuyambitsa matenda a matenda ashuga, ndipo trastuzumab imathandizira mtima. Zotsatira zosasangalatsa kwambiri za ma tamoxifen omwe amatenga khansa ya m'mawere kumapeto kwa zaka zimakulitsidwa ndi matenda ashuga. Mankhwala ena amakono amafunikira kukonzekera koyambirira ndi mitundu yayikulu kwambiri ya corticosteroids, yomwe ingayambitse matenda a shuga, motero wodwala yemwe ali ndi matenda ashuga angafunikire kusinthira ku insulin kapena kuwonjezera kuchuluka kwa insulin, komwe kumakhala kovuta kwambiri kutsika pambuyo pake.

Mavuto onsewa, omwe oncologists amayesa kupewa posankha chithandizo cha anticancer, matenda a shuga amachepetsa chitetezo cha mthupi, kotero kutsika kwa mapangidwe a leukocytes ndi granulocytes chifukwa chemotherapy imatha kuyankha mosavutikira komanso kwa nthawi yayitali. Matenda a shuga samayenda bwino nthawi ya postoperative, pakakhala kuthekera kwakukulu kwa magazi kuchokera ku ziwiya zomwe zimakhudzidwa ndi matenda a shuga, kusintha kwa kutupa, kapena kulephera kwa impso. Ndi chithandizo cha radiation, matenda ashuga sangathe kunyalanyazidwa; kusokonezeka kwa kagayidwe kazachilengedwe kumatheka ndi zotsatirapo zonse zoyipa.

Chofunika kwambiri nthawi iliyonse ya mankhwala aanticancer wodwala yemwe ali ndi matenda ashuga, limodzi ndi chithandizo chapadera, ndikokwanira kupewa kuwonongeka kwa matenda ashuga moyang'aniridwa ndi endocrinologist.

Matenda a shuga ndi Oncology: mphamvu ya oncology pa matenda ashuga

Zachidziwikire, njira yochizira imadalira mwachindunji pamlingo ndi kuopsa kwa matenda osati shuga okha, komanso khansa. Popeza thupi la odwala matenda ashuga ali kale ofooka kwambiri poyambira, chithandizo chikuyenera kufikiridwa mosamala kwambiri.

Ngati pakufunika mankhwala a chemotherapy kapena radiotherapy, ndiye kuti, ayenera kukhazikitsidwa. Komabe, izi zidzafooketsanso chamoyo chofooka kale.

Njira yakuchiritsira payokha imakulanso chifukwa chakuti ndikofunikira kuchiza osati matenda okhawo, komanso khansa. Chifukwa chake, palimodzi ndi mankhwala a khansa, mankhwala amaikidwa omwe amapulumutsa thupi mu shuga.

Zolinga 1
2 Zotsatira za khansa pa matenda ashuga
3 Kupewa

Monga ziwerengero zamankhwala zikuwonetsa, odwala omwe ali ndi matenda ashuga ali ndi mwayi wotenga khansa kuposa anthu omwe alibe carbohydrate metabolism.

Izi zikusonyeza mgwirizano wapakati pa matenda owopsa awa. Kwa zaka zopitilira theka, madokotala akhala akuyesera kuti adziwe chifukwa chake kulumikizana kotero. Poyamba anthu ankakhulupirira kuti chifukwa cha khansa mu matenda ashuga mwina ndikugwiritsa ntchito mankhwala a insulin.

Komabe, kafukufuku wambiri pamunda uno watsimikizira kuti malingaliro ngati amenewo alibe maziko. Kukonzekera kwamakono kwa insulin ndikotetezeka kwa anthu ndipo sangathe kuyambitsa khansa.

Madokotala onse amakono amavomereza kuti odwala matenda ashuga atengeke kwambiri ndi khansa kuposa anthu ena. Mwazi wokwanira wamagazi wokwanira ndi 40% umawonjezera chiopsezo cha oncology, kuphatikizapo mawonekedwe aposachedwa.

Anthu omwe akudwala matenda a shuga ali ndi mwayi wopezeka kawiri ndi khansa ya kapamba, chifuwa ndi chikhodzodzo, chiwindi, matumbo ang'ono ndi akulu, chikhodzodzo, komanso khansa ya impso yakumanzere ndi impso yakumanja.

Izi zimachitika makamaka chifukwa chakuti maziko a khansa ndi mtundu wa matenda ashuga yachiwiri ndi njira yolakwika. Zinthu zomwe zitha kupangitsa kuti matendawa azikhala ndi:

Zakudya zopanda pake, zokhala ndi zakudya zamafuta, zotsekemera kapena zonunkhira. Mulibe masamba ndi zipatso zabwino zokwanira. Kudyetsa chakudya pafupipafupi, kudya zakudya zachangu komanso zakudya zosavuta,
Khalidwe labwino. Kupanda zolimbitsa thupi ndi mawonekedwe osayenera a masewera. Masewera, monga mukudziwa, amatenga gawo lofunika kwambiri pakukhalitsa thanzi la munthu. Sikuti imangolimbitsa minofu, komanso imathandizira kulimbikitsa njira zonse zamkati mthupi, kuphatikiza kuchepetsa shuga. Munthu amene amalephera kuchita masewera olimbitsa thupi amatha kuvutika ndi shuga wambiri m'thupi.
Kukhalapo kwa kunenepa kwambiri. Makamaka kunenepa kwam'mimba, komwe mafuta amadziunjikira pamimba. Ndi kunenepa kwamtunduwu, ziwalo zonse zamkati mwa munthu zimakutidwa ndi wosanjikiza wamafuta, zomwe zimapangitsa kuti pakhale shuga komanso oncology.
Mowa wambiri. Kumwa zakumwa zosamwa mosasamala nthawi zambiri kumabweretsa kukula kwa matenda ashuga. Nthawi yomweyo, anthu omwe amadalira mowa ali pachiwopsezo chachikulu cha khansa, makamaka matenda amisempha.
Kusuta fodya. Kusuta kumawononga thupi lonse, ndipo kumayambitsa khungu lililonse m'thupi ndi chikonga komanso ma alkaloids ena oopsa. Izi zimatha kupangitsa mapangidwe a maselo a khansa komanso kusokoneza kapamba.
Zaka zokhwima. Matenda a 2 a shuga ndi khansa nthawi zambiri amapezeka mwa anthu azaka zopitilira 40. Izi zikufotokozedwa mosavuta chifukwa chakuti mu mzere uwu momwe zotsatira za moyo wopanda thanzi zimawonekera. Pambuyo pa zaka 40, munthu nthawi zambiri amakhala ndi kulemera kwambiri, kuthamanga kwa magazi, cholesterol yayikulu m'magazi ndi zinthu zina zomwe zimakhudza kuwonongeka kwa thanzi lake komanso kukula kwa matenda oopsa monga matenda a shuga kapena khansa.

Pamaso pa zinthu zomwe zili pamwambazi, osati odwala matenda ashuga okha, komanso munthu wathanzi labwino kwambiri amatha kudwala oncology. Koma mosiyana ndi anthu omwe ali ndi shuga wabwinobwino, odwala matenda ashuga ali ndi kuchepa kwakukulu pakugwira ntchito kwa chitetezo chathupi.

Pachifukwa ichi, thupi lawo silitha kupirira ma bacteria ndi ma virus omwe tsiku lililonse amawopseza anthu. Matenda opatsirana pafupipafupi amachepetsa thupi ndipo amatha kupangitsa kuti minyemba ikhale yolakwika.

Kuphatikiza apo, mu matenda ashuga, gawo la chitetezo chathupi lomwe limayang'anira nkhondo ya khansa limakhudzidwa makamaka. Izi zimabweretsa kusintha kwakukuru m'maselo athanzi, zomwe zimayambitsa matenda ochulukitsa mu DNA.

Kuphatikiza apo, ndi matenda ashuga, mitochondria yamaselo imawonongeka, komwe ndi komwe kumangopanga mphamvu chifukwa chogwira ntchito bwino.

Pakadutsa matendawa, odwala matenda a shuga amakhala ndi matenda a mtima komanso ma genitourinary system, omwe amadetsa vuto la wodwalayo ndikuwonjezera kukula kwa khansa.

Mwa azimayi omwe amapezeka nthawi imodzi kuti ali ndi matenda ashuga ndi oncology, ma uterine ndi mammary gland zimakhala nthawi zambiri zimakhala zosagwirizana ndi progesterone ya mahomoni. Vuto lotere la mahomoni limayambitsa khansa ya m'mawere, yamchiberekero ndi chiberekero.

Komabe, kupweteka kwambiri kwa khansa ndi matenda ashuga kumayambitsa kapamba. Pankhaniyi, oncology imakhudza maselo a glandular a chiwalo, komanso epithelium.

Khansa ya pancreatic imadziwika chifukwa chakuti imafulumira kwambiri ndipo munthawi yochepa imagwira ziwalo zonse zoyandikana ndi munthu.

Anthu ambiri odwala matenda ashuga amawopa kuti angatenge khansa. Komabe, ambiri a iwo amangoganiza mwachidule momwe oncology imakhudzira njira ya matenda ashuga. Koma izi ndizofunikira kwambiri pakuyenda bwino kwa matenda onse awiri.

Odwala omwe ali ndi matenda ashuga nthawi zambiri amakhala ndi matenda a impso, omwe angayambitse matenda oopsa monga a impso cell carcinoma. Matendawa amakhudza ma epithelial cell a impso tubules, omwe mkodzo umachotsedwa m'thupi, komanso ndi zinthu zonse zovulaza.

Oncology yamtunduwu imawonjezera zovuta za odwala matenda ashuga, chifukwa ndi impso zomwe zimachotsa shuga wambiri, acetone ndi zinthu zina za metabolic m'thupi la wodwalayo, zomwe zimakhala zovulaza kwambiri anthu.

Chemotherapy yachikhalidwe imayambitsa chiwopsezo cha thanzi la odwala matenda ashuga, chifukwa mankhwalawa omwe amagwiritsidwa ntchito pa mankhwalawa amathandizidwanso kudzera mu impso.

Izi zimachulukitsa njira ya matenda a impso ndipo zimatha kuyambitsa matenda a impso.

Kuphatikiza apo, chemotherapy imatha kusokoneza dongosolo lonse la matenda a shuga, kuphatikizapo ubongo. Ndikudziwika bwino kuti shuga yayikulu imawononga minyewa yamanjenje ya anthu, komabe, chemotherapy imathandizira njirayi mwachidziwikire, ikukhudza ngakhale maselo amkati mwa dongosolo lamanjenje.

Panthawi ya chithandizo cha oncology, mankhwala owopsa a mahomoni, makamaka glucocorticosteroids, amagwiritsidwa ntchito kwambiri. Mankhwalawa amachititsa kukula kwambiri kwa shuga m'magazi, komwe kumatha kuyambitsa matenda a shuga a steroid ngakhale mwa anthu athanzi.

Mwa anthu odwala matenda ashuga, kumwa mankhwalawa kumayambitsa vuto lalikulu, lomwe limafunikira kuchuluka kwa insulini kuti aletse. M'malo mwake, chithandizo chilichonse cha oncology, kaya chemotherapy kapena radiation therapy, chimathandizira kukulitsa kuchuluka kwa glucose, komwe kumakhudza odwala omwe ali ndi vuto la shuga kwambiri.

Kupewa

Ngati wodwalayo anapezeka ndi khansa komanso matenda a shuga nthawi yomweyo, chinthu chofunikira kwambiri pochiza matenda operewera ndikuwonjezera msanga shuga.

Chofunikira kwambiri pakukhazikika kwa misempha ya glucose m'thupi ndikutsatira zakudya zolimbitsa thupi kwambiri. Kwa anthu omwe akudwala matenda ashuga, zakudya zamafuta ochepa ndi njira yoyenera kwambiri yachipatala.

Nyama yotsamira (mwachitsanzo, veal),
Nyama ya nkhuku ndi mbalame zina zonenepa kwambiri,
Nsomba yamafuta ochepa,
Zakudya zam'madzi zamitundu mitundu,
Tchizi cholimba
Masamba ndi batala,
Masamba obiriwira
Ziphuphu ndi mtedza.

Zogulitsa zoterezi zimayenera kukhala maziko a zakudya za odwala. Komabe, izi sizingabweretse zotsatirapo zake ngati wodwalayo sapatula zakudya zotsatirazi pazakudya zake:

Maswiti aliwonse
Mkaka watsopano ndi tchizi chanyumba
Mbewu zonse, makamaka semolina, mpunga ndi chimanga,
Mbatata yamtundu uliwonse
Zipatso zokoma, makamaka nthochi.

Kudya zakudya zamtunduwu kumakuthandizani kufikira kuchuluka kwa shuga m'magazi anu ndikuchepetsa kwambiri mwayi wokhala ndi matenda ashuga.

Kuphatikiza apo, kuchita masewera olimbitsa thupi nthawi zonse ndikofunikira kuti mukhale ndi matenda ashuga. Njira yamasewera imathandizira wodwala kuchepetsa magazi, kusintha chitetezo chokwanira komanso kutaya mapaundi owonjezera, omwe ndi ofunika kwambiri kwa matenda ashuga amtundu wa 2.

ntchito yachepetsedwa chifukwa cha shuga wambiri,
kutsika kwa kuchuluka kwa maselo oyera
kuthekera kwakukulu kwa kutupa,
nthawi yogwira ntchito kwambiri chifukwa cha shuga wambiri,
chiopsezo chotaya magazi
ngozi yakulephera kwa impso,
Kulephera kwamitundu yonse ya kagayidwe kachakudya pambuyo poyaka.

Zoyambitsa Khansa ya Matenda A shuga

Odwala ambiri omwe amapezeka ndi matenda a shuga ali ndi khansa. Kwa nthawi yoyamba, ubale woterewu udakambidwa kale zaka za 50s zapitazo. Malinga ndi madokotala ambiri, kugwiritsa ntchito mitundu inayake ya insulin yopanga mankhwala kumatha kuyambitsa khansa kwa wodwala. Komabe, izi pakadali pano ndizotsutsana kwambiri.

Kuti mudziwe zomwe zimayambitsa khansa ku matenda a shuga, zinthu zomwe zimayambitsa chiwopsezo cha insulin komanso kuchuluka kwa shuga m'magazi ziyenera kukumbukiridwa. Choyamba, izi ndi:

mowa
kusuta
zaka - zopitilira 40,
Zakudya zamagulu ochepa komanso zopanda chakudya, zopatsa mphamvu zamafuta,
kumangokhala.

Mosakayikira, zitha kulingaliridwa kuti kukhalapo kwa vuto limodzi la matenda ashuga kumathandizadi kukulitsa khansa kwa wodwala.

Kuphatikiza apo, asayansi ena ali ndi ufulu wotsutsa kuti chifukwa cha kuchuluka kwa ma insulin pamaselo a maselo okhala ndi matenda amtundu wa 2, zinthu zabwino zimapangidwa kuti pakhale khansa.

Odwala oterewa ali pachiwopsezo cha kupezeka kwa khansa ya kapamba, chikhodzodzo. Pali umboni wocheperako pakati pa ubale pakati pa insulin receptors ndikukula kwa khansa yamapapu ndi m'mawere.

Mulimonse momwe zingakhalire, munthu sayenera kuganiza kuti ndi matenda ashuga, khansa iyambika. Ili ndi lingaliro chabe ndi chenjezo la madotolo. Tsoka ilo, palibe aliyense wa ife amene sakhala ndi matenda oopsa.

Chiwopsezo cha khansa kwa odwala omwe amapezeka ndi matenda a shuga chikuwonjezeka. Ubale woterewu udakhazikitsidwa kalekale, koma palibe chitsimikizo chomaliza chomwe chidapezeka mpaka pano.

Momwe mungapewere matendawa.

Mndandanda wazinthu zomwe zingakulitse mwayi wopezeka ndi oncology mu matenda ashuga ukuphatikizapo:

kusuta
zaka zopitilira 40,
lembani matenda ashuga 1 omwe amakhala ndi zovuta pamaphunziro,
Chakudya chopatsa thanzi, zopatsa thanzi zambiri,
"Sedentary" moyo.

Odwala omwe ali ndi insulin yolandila mu mtundu 2 wa shuga amatha kukhala ndi khansa ya kapamba kuposa odwala ena. Mosakayikira, sikofunikira kunena kuti oncology imawonetsedwanso m'matenda a shuga, koma ndikofunikira kuyesa moyenera chiwopsezo chake ndikuwonetsa momwe angatetezere matendawa.

Chiwopsezo cha chiwonetsero cha chotupa cha pancreatic ndi chachikulu kwambiri kwa odwala omwe ali ndi matenda osokoneza bongo. Mapangidwe oterewa amapezeka m'maselo am'mimba mwa kapamba, omwe amayamba ntchito yogawa mwachangu. Maphunziro a oncological amakula kukhala minofu yapafupi.

Mndandanda wazinthu zomwe zingakulitse mwayi wopanga matenda operekera matenda zimaperekedwa motere:

chizolowezi cha chikumbumtima,
kumwa mowa
kudya zakudya zomwe zimakhudza minyewa ya kapamba,
adenoma
cystosis
kapamba

Chizindikiro choyamba cha njira ya oncological yokhudzana ndi kapamba ndi ululu. Zikuwonetsa kuti kusintha kumabweretsa mathero amitsempha. motsutsana ndi kumbuyo kwa kuponderezana, jaundice imayamba.

Mndandanda wazizindikiro zofunikira kuchipatala:

kuchuluka kwa kutentha kwa thupi kuzitsogolera,
kuchepa kwamtima
kuwonda mwadzidzidzi
mphwayi
kuledzera.

Zotsatira za mamina

Mankhwala amakono samatsimikizira mgwirizano pakati pa matenda ashuga ndi khansa ya m'mawere. Zambiri zofufuzira ndizotsutsana, mayeso ena amatsimikizira kupezeka kwa ulusi uliwonse womangiriza.

Zinthu zoyipa zimatha kukulitsa mwayi wokhala ndi khansa ya m'mawere azimayi panthawi yopuma. Izi ndi monga: kusuta fodya, kumwa mowa mwauchidakwa.

Chifukwa chake, titha kunena kuti kufafaniza kwazomwe zimayambitsa-provocateurs ndizomwe zimapangitsa kuti matendawa atukuke.

Cholangiocarcinoma

Cholangiocarcinoma ndi khansa ya bile ducts. Poyerekeza ndi matenda am'mbuyomu, chiwopsezo chake chimawonjezeka kuposa 60%.

Nthawi zambiri matendawa amapezeka mwa amayi achichepere. Akatswiri amati izi zimapangitsa kusinthasintha kwa mphamvu ya thupi m'thupi la mayi motsutsana ndi matenda ashuga.

Komanso, chomwe chimayambitsa matendawa ndi kupangidwa kwamiyala mumiyendo yolimbana ndi insulin.

Zomwe zimayambitsa matenda a pathological zitha kukhala motere:

kuledzera kwamthupi ndi mankhwala
matenda opatsirana
kuwonongeka kwa chiwindi kosatha,
Matendawa.

Khansa matenda ashuga mellitus: mawonekedwe a maphunzirowa, chithandizo

Ponena za chiwopsezo chachikulu cha azimayi, asayansi amawona kuti kugonana koyenera nthawi zambiri kumayamba kulandira chithandizo pambuyo pake, pafupifupi amakhala m'chipatala cha prediabetes kwa zaka ziwiri, ndipo nthawi iyi kuwonongeka kumachitika ndi majini a maselo awo.

Funso limakhala lotseguka, ndipo kuti muyankhe, amafunikira kufufuza kowonjezera. Pakadali pano, chinthu chimodzi chodziwikiratu: chiwopsezo cha khansa mu matenda ashuga chimatengera jenda, ndipo kusiyana kwake ndikofunikira kwambiri, zomwe zikutanthauza kuti sizinachitike mwangozi.

Mu shuga mellitus, chitetezo chamthupi chomwe chimalepheretsa chotupacho chimakhudzidwa kwambiri. Ndipo kukwiya kwake kumachitika chifukwa cha kusintha kwakukulu mu DNA ndi mitochondria.

Khansa ikuyamba kugonjetsedwa ndi chemotherapy. Matenda a shuga ndi omwe amathandiza kwambiri popanga matenda amtima ndi chithokomiro. Amakulitsanso khansa.

Maphunziro olipidwa a shuga amakhudza kwambiri kukula kwa matenda monga khansa. Ndipo mosinthanitsa, matenda osokoneza bongo omwe ali pachiwopsezo cha khansa ndi kuphatikiza khansa ndizopweteka kwambiri komanso zosagwirizana ndi matendawo.

Ndiye chifukwa chake ndikofunikira kuwongolera matendawa. Izi zimachitika bwino ndi zakudya zama carb otsika, zolimbitsa thupi, ndipo ngati ndi kotheka, ndi jakisoni wa insulin.

Nthawi zina, pamakhala chotupa chapakati cha dongosolo lamanjenje. Chithandizo cha chemotherapy chimapangitsa kwambiri kusintha koteroko.

Ndi matenda a shuga, chithandizo cha khansa ya m'mawere ndichovuta kwambiri. Izi ndizowona makamaka ku milandu ya Tamoxifen. Mankhwala ena amakono amafuna corticosteroid mankhwala.

Kugwiritsa ntchito corticosteroids mu khansa ya m'mawere, monga momwe zimakhalira pakuwunika kwa ziwalo zina, kumapangitsa kuti pakhale shuga wambiri. Odwala amatengedwa kupita ku insulin kapena amati awonjezera Mlingo wa mahomoni awa.

Kukhalapo kwa shuga kwa wodwala kumayika ma oncologists m'malo ovuta kwambiri posankha mankhwala a antitumor. Izi ndichifukwa cha:

kuchepa kwa chitetezo chamthupi mothandizidwa ndi shuga wambiri,
dontho la magazi oyera
kusintha kwina koyenera m'magazi,
chiopsezo chachikulu cha zotupa,
nthawi yayikulu yogwira ntchito limodzi ndi shuga wamagazi ambiri,
kuthekera kwakukulu kwa magazi kuchokera kumitsempha yamagazi odwala,
chiopsezo chachikulu chotenga matenda aimpso,
kuchuluka kwa kusokonezeka kwa mitundu yonse ya kagayidwe kazakudya kwa odwala omwe amathandizidwa ndi radiation.

Zonsezi zikuwonetsa kufunikira kosankha njira zoyenera zothandizira khansa kuphatikiza ndi matenda a shuga.

Zakudya zochepa zama carb odwala matenda a khansa ndizokhazo zomwe zingapangitse kuti shuga asayang'anirebe ndikuwongolera momwe thupi limagwirira ntchito.

Chofunika kwambiri pachakudyachi ndikuti kuchuluka kwa chakudya chambiri patsiku kumachepetsedwa kukhala magawo awiri a 2-2,5. Maziko a zakudya ndi nyama, nkhuku, nsomba, nsomba zam'madzi, tchizi, batala ndi masamba, mazira, masamba obiriwira, mtedza - ndiye zinthu zomwe zimachepetsa shuga la magazi.

Conf conferyery iliyonse, mkaka, kanyumba tchizi, chimanga, mbatata, ndipo, chofunikira kwambiri - zipatso - siziphatikizidwa. Zakudya zamtunduwu zimathandiza kuti shuga azikhala nthawi zonse, kupewetsa Hyper- ndi hypoglycemia, chifukwa chake, kulipira shuga.

Maphunziro akuthupi amatenga gawo lalikulu pothandizira thupi. Masewera olimbitsa thupi ayenera makamaka kusangalatsa munthu. Izi sizovuta kukwaniritsa - muyenera kuchita masewera olimbitsa thupi.

Katunduyo sayenera kuyambitsa vuto. Njira imeneyi imathandizira kukonza wodwalayo komanso imalepheretsa khansa kupita patsogolo. Kafukufuku wambiri akuonetsa kuti khansa, komanso kuchitira zinthu zolimbitsa thupi, ndizotheka kuchira.

Kumbukirani kuti khansa limodzi ndi matenda ashuga sikudzudzula. Mankhwalawa atangoyamba kumene, zotsatira zake zimakhala zabwino.

Kumwa mowa kumatha kupangitsa kuti maselo a khansa akule.

zizolowezi zoipa (kusuta, kumwa)
zaka zopitilira 40
Zakudya zopanda mafuta zopatsa thanzi
moyo wamakhalidwe
kunenepa
Kulephera kwa kagayidwe kachakudya ka thupi.

Chidziwitsocho chimaperekedwa kuti chizidziwitso chokha chokha ndipo sichingagwiritsidwe ntchito pakudzipangira nokha mankhwala. Osadzinyengerera, zitha kukhala zowopsa. Nthawi zonse funsani dokotala.

Njira yakuchiritsira imakhala yovuta ndi izi:

kutsika kwa chitetezo chifukwa cha kuchuluka kwa shuga m'magazi,
dontho ndende yoyera yamagazi,
kupezeka kwa zolunjika zingapo zamatumbo, zomwe zimaperekedwa ngati zovuta zingapo za matenda ashuga,
zovuta pambuyo pakuchita opaleshoni, kuwonekera chifukwa cha kuchuluka kwa shuga m'magazi,
kukula kwa aimpso kulephera,
Kulephera kwa kagayidwe kachakudya njira chifukwa cha irradiation.

Chemotherapy ya matenda a shuga ndi chiopsezo chomwe chimakhudzana makamaka ndi kuwonongeka kwa impso. Kusintha kwa ma pathological koteroko kumasokoneza njira yogwiritsira ntchito ndalama zomwe zimapangidwira chemotherapy.

Yang'anani! Mankhwala ambiri amatha kukhala owopsa pamtima.

Njira yoyenera yothanirana ndi matenda oopsa imatsimikiziridwa payekhapayekha ataphunzira momwe maphunziro a oncopathology ndi matenda ashuga amachitikira wodwala wina.

Dotolo ayenera kukumbukira kuti thupi la wodwalayo mwachidziwikire limafooka, chifukwa chake, njira zowonetsera ziyenera kusankhidwa mosamala kwambiri.

Sikokwanira kuchiritsa khansa. Buku lothandizira kuchira likuchenjeza kuti khansayo ikhoza kubwereranso mkati mwa kuwonjezereka kwa magazi ndi kulipidwa bwino.

Mtengo wa kukana chithandizo ukhoza kukhala wokwera kwambiri, matenda onse m'thupi la odwala matenda ashuga amapita patsogolo mwachangu.

Kuchiza khansa kwa odwala matenda ashuga kumafunikira chindapusa ndi kuchepetsedwa kwa shuga m'magazi kuti akhale ovomerezeka. Zinthu ngati izi ndi zomwe zimapangitsa mwayi wodwala.

Kulipira zokwanira matendawa kumatheka chifukwa chakuwona zakudya zomwe zimalimbikitsa kukana kudya zakudya zopatsa mphamvu. Osati gawo laling'ono pankhani ya chithandizo choyenera limaseweredwa ndi masewera olimbitsa thupi otheka.

Kanema yemwe ali munkhaniyi azithandiza owerenga njira zosavuta zochepetsera mwayi wopanga matenda owopsa.

Ndi zakudya ziti zomwe zingapezeke mu zakudya.

Zakudya zama carb ochepa zimathandiza kuti shuga wa wodwalayo azikhala ndi malire, ngakhale kuti thupi lake limagwira ntchito bwino. Mfundo ya chakudya choyenera ndikuti unyinji wazakudya zomwe zimadyedwa mu chakudya zimachepetsedwa kukhala 2-2,5.

Zakudya zoterezi zimathandizira kukhala ndi hypoglycemia ndi hyperglycemia pamlingo woyenera, kukulitsa chiphuphu cha matenda a shuga,

Maphunziro akuthupi ndiofunika kwambiri, koma ndikofunikira kumvetsetsa kuti masewera olimbitsa thupi omwe amayenera kuchitidwa ayenera kusangalatsa munthu. Kuchita masewera olimbitsa thupi sikuyenera kuyambitsa kutopa kwambiri, kutopa thupi, kapena kugwira ntchito kwambiri.

Matenda a shuga, monga tafotokozera pamwambapa, amathandizira kukulitsa matenda a mtima, ndipo mankhwala ena a chemotherapy amadziwika chifukwa cha kuwopsa kwawo.

Palinso kuwonongeka kwa zotumphukira zamanjenje ndi chemotherapy ndi shuga. Zoyenera kuchita: chepetsani mlingo kapena pitani kukweza shuga - sankhani payekhapayekha.

Perforce, munthu ayenera kusankha "chocheperako pang'ono": kuthana ndi chotupacho pogwiritsa ntchito njira zonse, kupangitsa zovuta za matenda ashuga, kapena kuchepetsa mapulani omenyera nkhondo pakulipirira chindapusa.

Bevacizumab woleredwa wodwala yemwe ali ndi matenda ashuga amathandizira kuyambitsa matenda a matenda ashuga, ndipo trastuzumab imathandizira mtima. Zotsatira zosasangalatsa kwambiri za ma tamoxifen omwe amatenga khansa ya m'mawere kumapeto kwa zaka zimakulitsidwa ndi matenda ashuga.

Mankhwala ena amakono amafunikira kukonzekera koyambirira ndi mitundu yayikulu kwambiri ya corticosteroids, yomwe ingayambitse matenda a shuga, motero wodwala yemwe ali ndi matenda ashuga angafunikire kusinthira ku insulin kapena kuwonjezera kuchuluka kwa insulin, komwe kumakhala kovuta kwambiri kutsika pambuyo pake.

Matenda a shuga samayenda bwino nthawi ya postoperative, pakakhala kuthekera kwakukulu kwa magazi kuchokera ku ziwiya zomwe zimakhudzidwa ndi matenda a shuga, kusintha kwa kutupa, kapena kulephera kwa impso.

Oncology mu shuga mellitus: mawonekedwe a maphunzirowa

Matenda a shuga amapangitsa kuti DNA iwonongeke, chifukwa chake maselo a khansa amakhala olimba kwambiri ndipo salabadira bwino mankhwala.

Mphamvu ya matenda a shuga pakukula kwa khansa imaphunziridwa. Kuphatikiza kwa ma pathologies awa kumatsimikiziridwa kapena kutsutsidwa. Nthawi yomweyo, matenda ashuga nthawi zonse amawonedwa kuti ndi chimodzi mwa zinthu zomwe zingayambitse khansa ya chiberekero, chifukwa shuga imayambitsa njira zomwe zimakulitsa kuchuluka kwa estrogen.

Nthawi yomweyo, zidapezeka kuti munthu amakhala ndi shuga wambiri, ndipo amachepetsa chotupa cha prostate.

Mwanjira yina, matenda a shuga angayambitse khansa ya m'mawere. Matenda onenepa kwambiri amachititsa matenda a chifuwa cha postmenopausal. Amakhulupirira kuti insulin yomwe imakhalapo kwa nthawi yayitali imawonjezera mwayi wokhala ndi khansa yomwe imayambira odwala matenda ashuga.

Ngati mwa anthu amisinkhu imodzimodzi ya anthu asanu ndi anayi athanzi pali wodwala mmodzi, ndiye kuti pakati pa odwala khansa ya kapamba pali anthu ena omwe akudwala matenda a shuga.

Zinali zotheka kutsimikizira mgwirizano pakati pa matenda ashuga aposachedwa ndi khansa. Koma ngakhale matenda ashuga omwe amapangidwapo khansa kapena mosemphanitsa, ngakhale shuga atha kuwonedwa ngati vuto la khansa ya kapamba, sanathe kumvetsetsa.

Atatu adadziwika kale kuti ndi zinthu zomwe zimayambitsa khansa ya chiberekero: matenda ashuga, matenda oopsa, komanso kunenepa kwambiri, komwe mwachindunji kapena m'njira, palimodzi kapena payekhapayekha, kumakulitsa kuchuluka kwa estrogen.

Ubale wosangalatsa pakati pa matenda a shuga ndi khansa ya Prostate, womwe umayamba chifukwa cha mphamvu yamagonana. Munthu akamadwala matenda a shuga kwa nthawi yayitali, amachepetsa mwayi wokhala ndi khansa ya prostate.

Ndipo gawo lamankhwala silinakhale lomveka bwino, ndizotheka kuti limalimbikitsa zina, zomwe zimayambitsa zotupa. Zakhala zikupezeka mobwerezabwereza kuti othandizira odwala matenda ashuga amachotsa chiwopsezo cha khansa ya m'mawere.

Asayansi akufunafuna mwachangu kulumikiza mitundu ya matenda ashuga ndi khansa. Matenda a shuga samangokulitsa chiwopsezo, koma amawonekera bwino pamankhwala ndi chithandizo cha khansa.

Mosadabwitsa, kafukufuku wofunafuna nthawi yochepera, mwachitsanzo, endoscopy kapena ultrasound yochitika pamimba yopanda kanthu, zovuta zimabuka kwa odwala matenda a shuga.

Kwakukulukulu, odwala matenda ashuga alibe zotsutsana pamayeso. Kupatula kokha ndi positron emission tomography (PET), komwe sikuloledwa kwa hyperglycemia ndi hypoglycemia.

Radiopharmaceutical fluorodeoxyglucose yoyambitsidwa pa PET ili ndi glucose, kotero ndi shuga wambiri m'mwazi ndizotheka kukwaniritsa zovuta, mpaka hyperglycemic coma.

Vutoli limathetsedwa mothandizidwa ndi endocrinologist yemwe amawerengera mlingo woyenera wa wothandizila wodwala matenda ashuga komanso nthawi yakudya bwino kwa wodwala matenda ashuga.

Kuperewera kwa progesterone receptors sikukhudza chidwi cha mankhwala a mahomoni munjira yabwino kwambiri - izi ndizopanda malire zomwe zimangoletsa mwayi wa mankhwala, koma zimasintha matendawa kukhala abwino.

Zaka makumi atatu zapitazo, matenda ashuga sanawonedwe ngati chinthu chovuta kwa odwala khansa ya muchiberekero, maphunziro ena azachipatala adawonetsa kupitilira kwakanthawi kwamoyo komanso kuthekanso kuyambiranso.

Malongosoledwe a izi adapezeka pakuwonjezeka kwa milingo ya estrogen, yofanana ndi khansa ya Prostate, yomwe ikadakhala ndi zotsatira zabwino pakumverera kwa chithandizo. Koma lero malingaliro awa ali mu kukaikira kwakukulu.

Kodi kulumikizana bwanji?

Popeza ma 50s a zaka za zana la makumi awiri, asayansi ali ndi nkhawa za kukula kwapafupipafupi kwa matenda amtundu wa khansa. Pambuyo pake, kulumikizana kwa njira za oncological ndi kukula kwa matenda a shuga kwa odwala kudawululidwa.

Matenda a shuga ndi khansa ya kapamba

Zomwe zimayambitsa chiopsezo cha pancreatic carcinogenesis ndi:

kumwa mowa
kusuta
kumwa kwa zakudya zomwe zimawononga minofu ya kapamba, wokhala ndi mafuta ndi zonunkhira.
kapamba wa adenoma,
kapamba
pafupipafupi kapamba.

Chizindikiro choyamba cha khansa ya pancreatic ndi ululu. Akuti matendawa amakhudza mathero a ziwalo. Chifukwa cha kupanikizika kwa kapamba wam'mimba wapakhungu ndi chotupa, wodwalayo amatulutsa jaundice. Muyenera kuchenjeza:

chikopa cha pakhungu, mucous nembanemba
chopanda chopanda utoto
mkodzo wakuda
Khungu.

Chifukwa cha kuola kwa chotupa cham'mimba komanso kuledzera kwa thupi, wodwalayo amakhala wopanda chidwi, wachepa, amakhala ndi nkhawa, amakhala wofooka, komanso amafooka. Kutentha kwamthupi nthawi zambiri kumakhala kotsika.

Kupewa

Kugwirizana pakati pa matenda ashuga ndi oncology akufotokozedwa mu kanema munkhaniyi.

Monga momwe zidakhalira, mwayi wopanga khansa yodwala khansa m'matenda a shuga ndiwokwera kwambiri, choncho funso lotsatira njira zodzitetezera ndilofunika. Wodwala ayenera kutsatira malangizo omwe akukambirana patebulopo.

Kufufuza kwamahomoni.

Moyo wathanzi.

Pokhapokha ngati nthawi zonse wodwalayo akuwona momwe wodwalayo angathandizire kuti athe kudwala matenda ashuga. Ndikofunikira kuyendetsa BMI ndikupewa kukula kwa kunenepa kwambiri.

Nthawi zambiri, atazindikira oncology mu shuga, odwala amakumana ndi zovuta zamaganizidwe, chifukwa cha ichi, amamva kutaya mphamvu kofunikira kumenyera nkhondo.

Odwala okhudzana ndi kupezeka kwa matenda ashuga amatha kukhala moyo wautali komanso wachimwemwe, ndipo njira zambiri za oncological zimathandizidwa bwino akapezeka m'magawo oyambira.

Matenda A shuga ndi Khansa ya M'mawere

Mankhwala amakono, pali zambiri zomwe zimatsimikizira mgwirizano pakati pa matenda a shuga ndi khansa ya m'mawere. Ndiye kuti, maphunziro ambiri amatsimikizira kapena amatsutsa.

Mosakayikira, kuperewera kwa zakudya m'thupi, mowa ndi kusuta kungayambitse khansa ya m'mawere Ndikupezeka kuti shuga wambiri amatha kupangitsa kuti minofu ya chiwalochi.

Shuga komanso kunenepa kwambiri mwanjira inayake kungayambitsenso kufooka kwa zimbudzi. Apanso, palibe ubale wolunjika womwe wakhazikitsidwa pakati pa mafuta ndi chifuwa chama carcinogene.

Ndizotheka kuti mafuta osunthika amathandizira kukhazikitsa njira za oncological mu gland ya mammary, komabe, madokotala sanapeze ndi kutsimikizira kulumikizana kotere.

Oncology mu shuga mellitus: mawonekedwe a maphunzirowa

Matenda a shuga amapangitsa kuti DNA iwonongeke, chifukwa chake maselo a khansa amakhala olimba kwambiri ndipo salabadira bwino mankhwala.

Nthawi yomweyo, zidapezeka kuti munthu amakhala ndi shuga wambiri, ndipo amachepetsa chotupa cha prostate.

Ngati mwa anthu amisinkhu imodzimodzi ya anthu asanu ndi anayi athanzi pali wodwala mmodzi, ndiye kuti pakati pa odwala khansa ya kapamba pali anthu ena omwe akudwala matenda a shuga.

Ubale wosangalatsa pakati pa matenda a shuga ndi khansa ya Prostate, womwe umayamba chifukwa cha mphamvu yamagonana. Munthu akamadwala matenda a shuga kwa nthawi yayitali, amachepetsa mwayi wokhala ndi khansa ya prostate.

Asayansi akufunafuna mwachangu kulumikiza mitundu ya matenda ashuga ndi khansa. Matenda a shuga samangokulitsa chiwopsezo, koma amawonekera bwino pamankhwala ndi chithandizo cha khansa.

Mosadabwitsa, kafukufuku wofunafuna nthawi yochepera, mwachitsanzo, endoscopy kapena ultrasound yochitika pamimba yopanda kanthu, zovuta zimabuka kwa odwala matenda a shuga.

Kwakukulukulu, odwala matenda ashuga alibe zotsutsana pamayeso. Kupatula kokha ndi positron emission tomography (PET), komwe sikuloledwa kwa hyperglycemia ndi hypoglycemia.

Radiopharmaceutical fluorodeoxyglucose yoyambitsidwa pa PET ili ndi glucose, kotero ndi shuga wambiri m'mwazi ndizotheka kukwaniritsa zovuta, mpaka hyperglycemic coma.

Vutoli limathetsedwa mothandizidwa ndi endocrinologist yemwe amawerengera mlingo woyenera wa wothandizila wodwala matenda ashuga komanso nthawi yakudya bwino kwa wodwala matenda ashuga.

Zaka makumi atatu zapitazo, matenda ashuga sanawonedwe ngati chinthu chovuta kwa odwala khansa ya muchiberekero, maphunziro ena azachipatala adawonetsa kupitilira kwakanthawi kwamoyo komanso kuthekanso kuyambiranso.

Kodi kulumikizana bwanji?

Yang'anani! Kafukufukuyu adawonetsa kuthekera kwakukulu kokhala ndi khansa ya m'matumbo mwa odwala omwe ali ndi matenda a shuga.

Zambiri zopanda umboni zimawonetsa kuti kugwiritsa ntchito insulin glargine, komwe kumadziwika kwambiri padziko lapansi, kumawonjezera pang'onopang'ono ngozi yopanga njira ya oncological.

N`zosatheka kutsutsa kuti shuga imayambitsa zovuta zambiri mthupi la munthu ndipo zimapangitsa kutsika kwamphamvu kwa chitetezo chathupi komanso kukhazikika kwa mphamvu yakakhazikika m'thupi.

Khansa yapakansa.

Titha kunena kuti chiopsezo chokhazikitsa njira zoopsa chitha kuchepetsedwa pokhapokha kubwezeredwa kwa shuga kumakhala kwakukulu, moyo wathanzi umawonedwa, ndipo malingaliro a akatswiri amatsatiridwa mosamalitsa.

Malingaliro oterowo si njira yodzitetezera yomwe imapereka chitsimikizo cha 100% kuti chotupacho chisawonekere, koma kutsatira zomwe zili pamwambazi nthawi zambiri kumathandizira wodwalayo ndipo kumachepetsa chiopsezo chokhala ndi zovuta za matenda ashuga.

Kuwopseza kawiri

Pangozi ndi azimayi omwe ali ndi matenda ashuga.

Tsoka ilo, pamakhala zochitika zina pomwe wodwala amapezeka nthawi imodzi kuti ali ndi khansa komanso matenda ashuga. Kuzindikira koteroko sikumangokhala kupsinjika kwa thupi, komanso kwamalingaliro.

Yang'anani! Kuzindikira kwa matenda ashuga nthawi zambiri kumawonjezera kudaliraku kwa kuchira kwa wodwala omwe ali ndi oncopathology ndipo pali zifukwa zambiri zothandizira izi: Mawonekedwe a mahomoni a wodwalayo sakhazikika, chitetezo cha antitumor chimavutika kwambiri, ndipo pamapeto pake chimalephera.

Chiwopsezocho chimakhala chochepa kwa odwala omwe ali ndi malipiro ochepa.

Kuwona njira zowonekera bwino kumakhala kusankha kovuta kwa katswiri.

Nthawi zambiri, kugwiritsa ntchito njira zamakolo kumayenera kusiyidwa.

Chemotherapy yokhala ndi chiphuphu chosakwanira sichichitika, izi zimachitika chifukwa chakuti mankhwalawa amapanga katundu wolimba pamiyendo, ndipo amatha kuyambitsa kusokonezeka kwa dongosolo lotere.

Chiwopsezo cha khansa kwa odwala omwe amapezeka ndi matenda a shuga chikuwonjezeka. Ubale woterewu udakhazikitsidwa kalekale, koma palibe chitsimikizo chomaliza chomwe chidapezeka mpaka pano. Madotolo amati kupanga kwa insulin komwe kumapangitsa kuti munthu akhale ndi khansa.

Za ubale

Titha kunena kuti chiopsezo chokhazikitsa njira zoopsa chitha kuchepetsedwa pokhapokha kubwezeredwa kwa shuga kumakhala kwakukulu, moyo wathanzi umawonedwa, ndipo malingaliro a akatswiri amatsatiridwa mosamalitsa.

Kugwirizana kwa matenda a shuga ndi khansa ya m'matumbo

Asayansi ochokera ku America ali ndi chidaliro chonse kuti iwo omwe ali ndi matenda monga matenda a shuga angathe kukhala ndi mwayi wokhala ndi khansa.

Asayansi samatchulapo umboni wotsimikizika komanso wowonekeratu kuti matenda a shuga amangokhala othandizira khansa ya colon, monga momwe zimayenderana ndi ziwalo zina.

Nthawi yomweyo, adazindikira kuti zinthu monga kufooka kwamafuta, kunenepa kwambiri, kukhala wachikulire, komanso kukhala ndi zizolowezi zoyipa - zonsezi zimakwiyitsa kupanga matenda omwe aperekedwa.

Sichinsinsi kwa aliyense kuti odwala matenda ashuga ambiri azikumana ndi kuchuluka kwa shuga m'magazi, omwe ayenera kuyang'aniridwa ndi insulin.

Chifukwa chake, ubale wotsimikizika pakati pa mawonetseredwe a shuga ndi kuyambika kwa khansa ulipo. Popeza chikhalidwe cha oncology palokha sichimamvetsetseka konse, ambiri mwa matembenuzidwewa ndi malingaliro.

Komabe, pankhani ya matenda ashuga, pali mwayi umodzi womwe aliyense amadziwa za matenda ashuga. Chifukwa chake, ndizotheka kulankhula za momwe tiyenera kuchitira, kuzindikira komanso kuteteza munthu ku matenda a khansa.

Kodi zikugwirizana bwanji?

Pazaka zambiri zofufuza za matenda a shuga ndi khansa, opangidwa ndi asayansi ochokera padziko lonse lapansi, atsimikizira kuti matendawa amawonjezera kwambiri mwayi wa mitundu yonse yamitsempha. Izi zimagwiranso ntchito chimodzimodzi kumaselo a khansa.

Mabuku asayansi atchula mobwerezabwereza za zotsatira za kafukufuku wolondola. Adalemba ma algorithm kuti apange zotupa mu matenda monga matenda ashuga. Powombera nkhaniyi, titha kunena kuti:

Matendawa ndi amphamvu kwambiri ndipo amafooketsa thupi,
kukanika kwa pancreatic komanso kudalira insulini kungakhudze kuchuluka kwa mahomoni,
kusowa kwa chithandizo chokwanira komanso chofunikira panthawi yake kungakhale chothandizira kukulitsa khansa.

Momwe mungadzitetezere

Pamenepa, anthu ambiri amasamala za funso loti angapewe bwanji khansa kwa iwo omwe ali ndi matenda ashuga. Pangani zotheka:

tikulimbikitsidwa kuwunika bwino kuchuluka kwa mahomoni,
khalani ndi mayeso ngati ziwonetsero zam'mimba monga chiwindi, m'mimba, impso komanso kapamba,
onjezerani,
pa matenda aliwonse, funsani katswiri.

Kuwongolera kwa ma shuga a shuga

Kuwunikira nthawi zonse kumathandizira kuti khansa ndi matenda ashuga sizigwirizana. Kuthandizanso chimodzimodzi pakuwongolera momwe mthupi lanu mulili, kutsogoza moyo wathanzi ndikuchita masewera.

Monga mukudziwa, matenda a shuga amatha kuima, komanso khansa, makamaka ngati apezeka koyambirira. Chifukwa chake, ndikofunikira kuchita bwino.

Kuchira kwamtsogolo

Momwe mungachiritsire khansa

Pakakhala chithandizo cha khansa, kuyang'anira matenda ashuga nthawi zonse kuyenera kuyiwalika. Ngati thupi silili bwino, oncology imatha kuchitika kachiwiri.

Chifukwa chake, akatswiri amalimbikitsa kuti, pamodzi ndi mankhwala a shuga, mukhale ndi moyo wathanzi, mutenge ndalama zoyenera popewa khansa.

Ndi njira iyi, kuchira kumachitika mofulumira. Chifukwa chake, kudziwika khansa ndi matenda monga matenda a shuga sikwachilendo.

Nthawi zambiri, zimakhudza kugaya chakudya, kapamba kapena impso. Kuchiza pamilandu imeneyi kumatheka mosiyana kapena kofanana, ndipo kupambana kumadalira yekha munthu. Malinga ndi akatswiri, ndizoposa 40% ndi chithandizo chokwanira.

Zimangonena kuti muyenera kuyang'anira thanzi lanu mosamala, kukhala ndi moyo wathanzi ndikutsatira malangizo onse azachipatala.

Stroke ndi matenda ashuga: zimayambitsa, Zizindikiro, chithandizo

Matenda a mtima (CVD) komanso matenda a stroke omwe ali m'magazi ndi zina mwazomwe zimayambitsa matenda ashuga komanso chomwe chimayambitsa matenda asanakwane odwala matenda ashuga - pafupifupi 65% ya iwo amafa ndi matenda a mtima komanso a stroke.

Wodwala kuchokera kwa achikulire amakhala ndi mwayi wodwala nthenda ya shuga kawiri kuposa anthu omwe alibe matendawa. Mafuta ochulukirapo m'magazi a anthu odwala matenda ashuga amawonjezera mwayi wokhala ndi vuto la mtima, sitiroko, angina pectoris, ischemia nthawi zambiri imayamba.

Anthu omwe ali ndi matenda a shuga a 2 amakhala ndi vuto lalikulu la kuthamanga kwa magazi, cholesterol komanso kunenepa kwambiri, zomwe zimapangitsa kuti pakhale matenda a mtima. Kusuta kumawonjezera chiopsezo chodwala matenda a shuga.

Palinso zifukwa zina zingapo zowopsa zomwe zimapangitsa izi. Zowopsa izi zitha kugawidwa ndikuwongolera komanso kusawunikira.

Zoyambirira ndi zinthu zomwe munthu amatha kuzilamulira. Izi zimaphatikizapo, mwachitsanzo, kukonza mkhalidwe waumoyo. Osalamulirika ali kunja kwa ulamuliro wa anthu.

Otsatirawa ndi mndandanda wazinthu zowopsa zomwe zimatha kuwongoleredwa ndikuisungidwa m'malo otetezeka kudzera mu chithandizo choyenera kapena kusintha kwa moyo, komanso zoletsa zakudya.

Kunenepa kwambiri: ndi vuto lalikulu kwa odwala matenda ashuga, makamaka ngati izi zitha kuwoneka mkati mwa thupi. Kunenepa kwambiri kumalumikizidwa ndi kuchulukana kwamafuta m'mimba.

Panthawi imeneyi, chiwopsezo cha kugwidwa ndi matenda a shuga komanso zotsatira zake zimamveka, chifukwa mafuta am'mimba ndi omwe amachititsa kukweza kolesterol yoyipa kapena LDL.

Cholesterol yachilendo: Kuchuluka kwa cholesterol kungakulitsenso chiwopsezo cha matenda amtima komanso sitiroko.

M'malo okwera a LDL, mafuta ochulukirapo amatha kukhalabe pamakoma amitsempha yamagazi, zomwe zimapangitsa kuti magazi azingoyenda bwino.

Nthawi zina, mitsempha imatsetseka kwathunthu, motero, kuthamanga kwa magazi kudera lino kumachepetsedwa kapena kuyimitsidwa kwathunthu. Nawonso cholesterol yabwino, kapena HDL, imayatsa mafuta m'thupi m'mitsempha.

Kusuta: shuga ndi kusuta ndi kuphatikiza koyipa. Kusuta kungachititse kuti mitsempha ya magazi ikhale yocheperako komanso kuwonjezera kuchuluka kwa mafuta. Chiwopsezo muzochitika zotere zimachuluka 2 times.

Ukalamba: mtima umafooka ndi ukalamba. Pakati pa anthu azaka 55 zakubadwa, chiwopsezo cha kubadwa ndi stroke chikuwonjezeka ndi 2 nthawi.

Mbiri ya banja: ngati pali matenda a mtima kapena stroke mu mbiri ya banja, ngozi imakulanso. Makamaka ngati wina m'banjamo adadwala matenda a mtima kapena matenda opha ziwalo asanakwane zaka 55 (abambo) kapena zaka 65 (akazi).

Popeza tsopano mwazindikira zofunikira zazikulu, mutha kuchita zofunikira kuthana nazo. Pali mankhwala angapo komanso kuchuluka kwa njira zodzitetezera.

IHD (matenda a mtima) ndi kusokonezeka kwa zochitika zamtima, zomwe zimatsogolera kusakwanira kwa magazi kwa minofu ya mtima. Choyambitsa chake ndi matenda a m'mitsempha yama coronary omwe amapereka magazi kumtima. Zombozi nthawi zambiri zimawonongeka ndi atherosulinosis. CHD ikhoza kukhala yovuta kapena yopweteka.

Ngati vuto la oxygen losakwanira ku minofu ya mtima ndi kusapezeka kwa zotumphukira kuchokera ku minofu iyi, ischemia (magazi osakwanira) ndipo, chifukwa chake, myocardial infarction (minofu yamtima) imabuka.

Ngati ischemia imakhalapo kwakanthawi kochepa, zosintha zomwe zimayambitsidwa ndi matendawa zimasinthidwanso, koma ngati zosinthazo zimakhala kwa nthawi yayitali, kusintha kumachitika m'misempha yamtima yomwe sibwerera mkhalidwe wawo wakale, ndikusintha kwa minofu ya mtima, amene amakhala osagwira ntchito, pang'onopang'ono amachiritsa ndi zipsera. Minofu yochepa imatha kugwira ntchito yofanana ndi minofu yamtima yathanzi.

Ngati kuwira kwa mitsempha ya coronary kuli "kokha", ndipo m'malo ena ali ndi chotupa, choteracho chimachepa pang'ono, kupindika kwa myocardial sikukukula, koma angina pectoris, komwe kumawonetsedwa ndi kupweteka kwa chifuwa chapakati.

Zikondwerero

Mndandanda wazinthu zomwe zingakulitse mwayi wopanga matenda operekera matenda zimaperekedwa motere:

chizolowezi cha chikumbumtima,
kumwa mowa
kudya zakudya zomwe zimakhudza minyewa ya kapamba,
adenoma
cystosis
kapamba

Chizindikiro choyamba cha njira ya oncological yokhudzana ndi kapamba ndi ululu. Zikuwonetsa kuti kusintha kumabweretsa mathero amitsempha. motsutsana ndi kumbuyo kwa kuponderezana, jaundice imayamba.

Mndandanda wazizindikiro zofunikira kuchipatala:

kuchuluka kwa kutentha kwa thupi kuzitsogolera,
kuchepa kwamtima
kuwonda mwadzidzidzi
mphwayi
kuledzera.

Chithandizo cha Khansa ya Matenda

Kuthamanga kwa shuga m'magazi kumapangitsa kuti wodwalayo achiritsidwe ngakhale njira yotupa itapezeka atangoyamba kumene. Chithandizo cha chemotherapy ndi radiation nthawi zambiri sichothandiza.

Njira yakuchiritsira imakhala yovuta ndi izi:

kutsika kwa chitetezo chifukwa cha kuchuluka kwa shuga m'magazi,
dontho ndende yoyera yamagazi,
kupezeka kwa zolunjika zingapo zamatumbo, zomwe zimaperekedwa ngati zovuta zingapo za matenda ashuga,
zovuta pambuyo pakuchita opaleshoni, kuwonekera chifukwa cha kuchuluka kwa shuga m'magazi,
kukula kwa aimpso kulephera,
Kulephera kwa kagayidwe kachakudya njira chifukwa cha irradiation.

Chemotherapy ya matenda a shuga ndi chiopsezo chomwe chimakhudzana makamaka ndi kuwonongeka kwa impso. Kusintha kwa ma pathological koteroko kumasokoneza njira yogwiritsira ntchito ndalama zomwe zimapangidwira chemotherapy.

Yang'anani! Mankhwala ambiri amatha kukhala owopsa pamtima.

Njira yoyenera yothanirana ndi matenda oopsa imatsimikiziridwa payekhapayekha ataphunzira momwe maphunziro a oncopathology ndi matenda ashuga amachitikira wodwala wina. Dotolo ayenera kukumbukira kuti thupi la wodwalayo mwachidziwikire limafooka, chifukwa chake, njira zowonetsera ziyenera kusankhidwa mosamala kwambiri.

Chithandizo cha poizoniyu.

Sikokwanira kuchiritsa khansa. Buku lothandizira kuchira likuchenjeza kuti khansayo ikhoza kubwereranso mkati mwa kuwonjezereka kwa magazi ndi kulipidwa bwino.

Mtengo wa kukana chithandizo ukhoza kukhala wokwera kwambiri, matenda onse m'thupi la odwala matenda ashuga amapita patsogolo mwachangu.

Udindo wazakudya pakuchiritsa

Kuchiza khansa kwa odwala matenda ashuga kumafunikira chindapusa ndi kuchepetsedwa kwa shuga m'magazi kuti akhale ovomerezeka. Zinthu ngati izi ndi zomwe zimapangitsa mwayi wodwala.

Kanema yemwe ali munkhaniyi azithandiza owerenga njira zosavuta zochepetsera mwayi wopanga matenda owopsa.

Ndi zakudya ziti zomwe zingapezeke mu zakudya.

Malonda otsatirawa atha kukhala maziko a menyu wa wodwala:

nyama yankhuku
nsomba
nsomba zam'nyanja
tchizi
batala
mafuta a masamba
chimanga
masamba
mtedza.

Zakudya zoterezi zimathandizira kukhala ndi hypoglycemia ndi hyperglycemia pamlingo woyenera, kukulitsa chiphuphu cha matenda a shuga,

Malamulo Oteteza

Momwe mungachepetse mwayi wokhala ndi khansa ndi matenda ashuga
Malangizo	Chithunzi pamakhalidwe
Kupimidwa pafupipafupi kwachipatala	Kuyang'ana wodwala.
Kupitiliza kosalekeza kwamawonekedwe a mahomoni	Kufufuza kwamahomoni.
Kugonjera kwathunthu	Ogulitsa.
Pafupipafupi ultrasound ya chiwindi, m'mimba, kapamba ndi impso	Ma Ultrasound diagnostics.
Moyo wathanzi	Moyo wathanzi.

Pokhapokha ngati nthawi zonse wodwalayo akuwona momwe wodwalayo angathandizire kuti athe kudwala matenda ashuga. Ndikofunikira kuyendetsa BMI ndikupewa kukula kwa kunenepa kwambiri. Ndikofunika kwa odwala kuchita masewera ndipo, ambiri, amakhala ndi moyo wathanzi.

Nthawi zambiri, atazindikira oncology mu shuga, odwala amakumana ndi zovuta zamaganizidwe, chifukwa cha ichi, amamva kutaya mphamvu kofunikira kumenyera nkhondo. Ndikofunika kukumbukira kuti oncologists ndi matenda a shuga ali oopsa, koma osati matenda owopsa.

Odwala okhudzana ndi kupezeka kwa matenda ashuga amatha kukhala moyo wautali komanso wachimwemwe, ndipo njira zambiri za oncological zimathandizidwa bwino akapezeka m'magawo oyambira.