Carcinoid syndrome yog qhov xwm txheej tsis tshua pom tshwm los ntawm pab pawg ntawm cov tsos mob uas tshwm sim thaum mob qog noj ntshav carcinoid tso cov tshuaj hormones thiab cov protein rau hauv koj cov ntshav. Cov neeg feem coob tsis zoo li yuav ntsib nws, vim nws feem ntau tshwm sim los ntawm cov qog nqaij hlav siab, feem ntau nyob hauv txoj hnyuv lossis lub ntsws. Koj tuaj yeem kuaj mob carcinoid syndrome los ntawm kev saib xyuas cov tsos mob. Raws li cov tsos mob no tuaj yeem zoo ib yam rau lwm yam mob, koj yuav tsum tau mus kuaj mob ntxiv. Yog tias koj muaj nws, koj pab kws kho mob yuav kho nws los ntawm kev tawm tsam mob qog noj ntshav thiab daws koj cov tsos mob.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Paub txog Cov tsos mob ntawm Carcinoid Syndrome
Kauj Ruam 1. Saib kom yaug tawm ntawm koj lub ntsej muag thiab caj dab
Cov xim ntawm koj cov tawv nqaij tuaj yeem los ntawm lub teeb liab mus rau xim liab lossis ntshav, thiab koj cov tawv nqaij yuav sov. Qee tus neeg muaj kev yaug dej tsis muaj qhov laj thawj hlo li, tab sis nws kuj tuaj yeem ua rau. Cov tawv nqaij tuaj yeem yaug tau li ob peb feeb, tab sis nws kuj tseem tuaj yeem nyob ntev li ob peb teev.
Feem ntau ua rau yaug tawm suav nrog kev tawm dag zog, kev ntxhov siab, thiab haus dej cawv
Kauj Ruam 2. Saib rau qhov ua pa nyuaj, tshwj xeeb yog koj tsis muaj mob hawb pob
Cov neeg uas muaj kab mob carcinoid tuaj yeem muaj cov tsos mob zoo li mob hawb pob, txawm tias lawv tsis muaj nws. Qhov no tuaj yeem suav nrog ua pa nyuaj, ua tsis taus pa, thiab zoo li koj ua tsis taus pa.
- Koj tuaj yeem ntsib qhov no thaum ntu ntawm daim tawv nqaij yaug. Yog tias muaj qhov no tshwm sim, tham nrog koj tus kws kho mob kom sai li sai tau txhawm rau txiav txim siab qhov ua rau muaj peev xwm ua tau.
- Nrhiav kev kho mob xwm txheej ceev yog tias koj ua tsis taus pa.
Kauj Ruam 3. Tshaj tawm ntau zaus ntawm kev mob plab raws qhov tsis paub meej
Zawv plab yog cov tsos mob uas muaj ntau yam ua rau. Yog tias koj muaj kab mob carcinoid syndrome, nws tuaj yeem ua rau cov kua dej, cov quav xoob uas ua rau mob plab. Thaum nws yog cov tsos mob tshwm sim ntawm cov neeg muaj tus mob, raws plab ib leeg tsis txhais tau tias koj muaj carcinoid syndrome.
Tham nrog koj tus kws kho mob kom txiav tawm lwm yam ua rau mob raws plab ua ntej txiav txim siab ntawm carcinoid syndrome
Kauj Ruam 4. Nrhiav cov hlab ntshav ntshav ntawm koj lub qhov ntswg thiab daim di ncauj sab saud
Cov hlab ntshav yuav zoo li kab laug sab-kab ntawm cov leeg ntshav uas kis thoob plaws qhov ntswg thiab qhov ncauj. Yog tias koj pom qhov no ntawm koj lub ntsej muag, koj yuav tsum hu rau koj tus kws kho mob tam sim kom kuaj koj cov tsos mob.
Kauj Ruam 5. Saib rau ntu ntu ntawm lub plawv dhia nrawm, nrog rau lwm cov tsos mob
Lub plawv dhia ceev tuaj yeem siv sijhawm luv lossis ncua sijhawm ntxiv. Thaum lub plawv dhia nrawm ib leeg tsis tau txhais hais tias koj muaj carcinoid syndrome, nws tuaj yeem yog qhov qhia txog tus mob yog tias muaj lwm cov tsos mob tshwm sim.
Kev poob ntshav siab tuaj yeem tshwm sim ua ke nrog kev hloov pauv hauv koj lub plawv dhia
Kauj Ruam 6. Tshaj tawm qhov hnoos tsis tu ncua thaum koj tsis muaj mob ua pa
Yog tias qog nyob hauv koj lub ntsws, ces nws kuj tseem yuav ua rau hnoos tsis tu ncua. Qhov no feem ntau tsuas yog kev txhawj xeeb yog tias koj tsis tau kis tus kab mob ua ntej.
- Koj kuj tseem hnoos tau ntshav.
- Yog tias tus mob mus tsis tau tshawb pom ntxiv rau lub sijhawm ntev, koj tuaj yeem tsim kev mob ntsws.
Kauj Ruam 7. Saib xyuas qhov hnyav nce tsis tau piav qhia
Txij li cov kab mob carcinoid tuaj yeem ua rau muaj tshuaj lom ntxiv hauv koj cov ntshav, koj yuav hnyav dua yam tsis muaj lus piav qhia. Nws yog qhov zoo tshaj plaws kom taug qab qhov koj tab tom noj thiab ntau npaum li cas koj tawm dag zog kom koj tus kws kho mob tuaj yeem txiav txim siab tias qhov hnyav nce tuaj yeem tshwm sim los ntawm kev mob nkeeg.
Nco ntsoov, qhov hnyav nce ib leeg tsis txhais tau tias koj muaj carcinoid syndrome
Kauj Ruam 8. Txheeb xyuas kom pom cov plaub hau thiab lub cev ntau ntxiv
Zoo ib yam nrog qhov hnyav nce, tshuaj tso rau hauv koj cov ntshav tuaj yeem ua rau plaub hau loj hlob ntawm koj lub ntsej muag lossis lub cev, tshwj xeeb tshaj yog tias koj yog poj niam. Yog tias koj pom plaub hau ntxiv, nrog koj tus kws kho mob tham txog nws.
Kev nce plaub hau tuaj yeem muaj ntau yam ua rau. Koj tus kws kho mob tuaj yeem pab nrhiav qhov ua rau koj cov plaub hau loj hlob thiab txheeb xyuas qhov kev kho mob tau
Txoj Kev 2 ntawm 3: Nrhiav Kev Pom Kev Kho Mob
Kauj Ruam 1. Teem caij nrog koj tus kws kho mob
Nug kom teem sijhawm ntxov tshaj plaws tau. Nqa cov npe ntawm koj cov tsos mob, suav nrog cov uas koj tsis xav tias muaj feem cuam tshuam. Koj yuav tsum qhia rau kws kho mob paub yog tias muaj dab tsi hauv koj lub neej tau hloov pauv tsis ntev los no.
- Nug koj tus kws kho mob yog tias muaj kev txwv ua ntej teem sijhawm uas koj yuav tsum tau ua, xws li yoo mov.
- Yog tias koj tus kws kho mob xav tias mob carcinoid syndrome, lawv yuav xa koj mus rau tus kws tshaj lij, xws li kws kho mob oncologist, endocrinologist, lossis kws phais neeg.
Kauj Ruam 2. Cia koj tus kws kho mob ua qhov kev kuaj mob lub cev
Nov yog qhov txheej txheem tsis ua haujlwm hauv chaw ua haujlwm txhawm rau txiav tawm lwm qhov laj thawj. Koj tus kws kho mob yuav saib xyuas lwm yam mob, xws li mob hawb pob yam tsis tau kuaj pom. Lawv mam li txiav txim siab yog xav tau kev tshuaj ntsuam ntxiv txhawm rau txheeb xyuas qhov laj thawj.
Kauj Ruam 3. Ua ib qho kev kuaj zis txhawm rau nrhiav cov khoom uas tau tso tawm los ntawm cov tshuaj
Tus kws kho mob yuav saib xyuas qib siab ntawm qee yam tshuaj hormones lossis lawv cov khoom puas lawm. Qhov no yuav zoo li suav nrog tso zis 24 teev.
Thaum qhov kev sim no tsis mob heev, koj yuav tsis muaj teeb meem yog tias kws kho mob txiav txim siab sau koj cov zis ntau dua 24 teev. Koj yuav tsum tso zis hauv lub khob tshwj xeeb lossis lub lauj kaub txhawm rau txhawm rau khaws koj cov zis. Koj yuav txuag cov zis los ntawm tso rau hauv koj lub tub yees kom txog thaum nws txog lub sijhawm rov qab mus rau kws kho mob. Nws yog qhov zoo tshaj los ua qhov no nyob rau ib hnub koj yuav nyob hauv tsev
Kauj Ruam 4. Mus kuaj ntshav txhawm rau tshuaj xyuas cov tshuaj hauv koj cov ntshav
Txij li cov qog tau zais cov tshuaj rau hauv koj cov ntshav, kev kuaj ntshav yooj yim tuaj yeem qhia tus kws kho mob ntau yam txog koj cov tsos mob. Tus kws kho mob yuav tshuaj xyuas cov tshuaj xws li chromogranin A. Kev kuaj ntshav yuav tsis mob, tab sis koj yuav tsis xis nyob li ob peb feeb.
Kauj Ruam 5. Tau txais kev kuaj mob xws li CT, lossis MRI yog tias tus kws kho mob xav tias muaj qog
Kev kuaj pom lub ntsej muag tuaj yeem qhia tus kws kho mob pom cov qog thiab txiav txim siab yog tias nws loj tuaj. Koj tuaj yeem tau txais CT scan lossis MRI, nyob ntawm qhov koj tus kws kho mob pom zoo. Tus kws kho mob yuav muab radionuclide rau koj ua ntej ua qhov kev xeem kom lawv tuaj yeem nrhiav qog.
- Radionuclide yog cov tshuaj muaj kuab lom me me, yog li nws yuav tshwm rau ntawm CT lossis MRI. Qhov no tso cai rau tus kws kho mob tshuaj xyuas thaj tsam txawv txav lossis pawg, uas tuaj yeem qhia tias muaj qog.
- Tus kws kho mob yuav pib nrog koj lub plab, uas yog cov qog no feem ntau nyob qhov twg.
- Koj tus kws kho mob kuj tseem yuav xaj kom kuaj tus mob qog noj ntshav.
Kauj Ruam 6. Tso cai rau tus kws kho mob siv lub tshuab tsom iav txhawm rau txhawm rau nrhiav cov qog
Tus kws kho mob yuav tso lub koob yees duab nqes koj lub caj pas lossis hla koj lub qhov quav, nyob ntawm qhov lawv tab tom nrhiav qog. Lub koob yees duab endoscopic tso cai rau tus kws kho mob pom thiab ntsuas ib qho qog uas koj muaj.
Qhov kev xeem no yuav ua rau koj tsis xis nyob, tab sis nws yuav tsis mob li koj yuav nyob rau hauv sedation
Kauj Ruam 7. Pom zoo rau kev kuaj mob yog tias koj tus kws kho mob xav tias tsim nyog
Tus kws kho mob yuav ua qhov kev kuaj ntshav siv rab koob ntev uas tso rau hauv cov qog. Lawv yuav qhia cov koob siv CT scan lossis ultrasound.
- Koj tus kws kho mob tuaj yeem ua koj daim ntawv kuaj mob hauv tsev kho mob lossis hauv cov txheej txheem kho mob sab nrauv. Koj yuav zoo li tsis xis nyob ntau, tab sis tus kws kho mob yuav muab tshuaj rau koj kom txo qhov mob.
- Txog kev kuaj lub ntsws, tus kws kho mob tuaj yeem txiav txim siab xa lub koob yees duab endoscopic nqes mus rau koj lub caj pas kom rov mus kuaj dua. Kev kuaj lub cev kuj tseem tuaj yeem ua los ntawm sab nraum ntawm lub laj kab thaum koj nyob hauv kev tso tshuaj loog.
- Yog tias koj twb tau phais nyob ze thaj chaw ntawd, tus kws kho mob yuav kuaj lub cev tom qab ntawd.
Txoj Kev 3 ntawm 3: Kho Carcinoid Syndrome
Kauj Ruam 1. Rhais phais kom tshem cov qog thiab cov nqaij cuam tshuam
Kev phais feem ntau yog koj txoj kev kho mob zoo tshaj plaws. Yog tias muaj qog nyob hauv koj lub ntsws, tus kws kho mob yuav tshem nws thiab ib feem ntawm koj lub ntsws. Yog tias nws nyob hauv koj txoj hnyuv, tus kws kho mob yuav tshem tawm cov qog thiab cov qog ntshav nyob ib puag ncig nws.
Cov txheej txheem no yuav yog txheej txheem hauv tsev kho mob. Rau qee tus neeg, nws yuav daws cov tsos mob. Txawm li cas los xij, koj yuav xav tau kev kho ntxiv yog tias mob qog noj ntshav tau kis mus
Kauj Ruam 2. Siv octreotide lossis lanreotide rau cov tsos mob tshwm sim los ntawm carcinoid syndrome
Koj tus kws kho mob yuav sau ntawv tshuaj no los pab koj daws cov tsos mob ntawm yaug dej, raws plab, thiab teeb meem cuam tshuam. Nws ua haujlwm los ntawm kev tiv thaiv cov qog los ntawm kev tso tawm ntau cov tshuaj. Octreotide lossis lanreotide feem ntau muab nrog rau lwm yam kev kho mob, xws li kev phais.
- Cov tshuaj no feem ntau tau sau tseg thaum cov qog tau kis mus.
- Hauv qee kis, tus kws kho mob tseem yuav sau ntawv alpha-interferon, uas pab txhim kho koj lub cev tiv thaiv kab mob. Ua ke, cov tshuaj no tuaj yeem pab txo qis koj cov qog.
Kauj Ruam 3. Tau txais tshuaj kho mob lossis kho hluav taws xob yog tias mob qog noj ntshav tau kis mus
Carcinoid syndrome tsis teb zoo rau kev kho tshuaj, tab sis nws yuav tsim nyog yog tias mob qog noj ntshav tau kis mus. Kev kho hluav taws xob thiab kev kho tshuaj tiv thaiv kuj tseem tuaj yeem siv los kho tus mob qog noj ntshav uas tab tom loj hlob. Tus kws kho mob yuav txiav txim seb nws puas yog txoj kev kho mob zoo tshaj rau koj.
Koj tus kws kho mob yuav tsis pom zoo kho tshuaj yog tias koj tseem tsis xis nyob
Lub tswv yim
- Mus ntsib koj tus kws kho mob sai li koj xav tias muaj qee yam tsis raug. Yog tias koj cov tsos mob carcinoid raug ntes thaum ntxov, koj qhov kev kwv yees rau kev rov zoo yuav zoo!
- Saib rau pab pawg mob qog noj ntshav hauv koj thaj chaw. Lub Carcinoid Cancer Foundation lub vev xaib teev qee qhov tshwj xeeb rau cov uas muaj mob carcinoid syndrome.
