Uri kunetsekawo here nezve appendix yako? Ngatitaurei nezvegomarara iri risingawanzoitiki (Appendix Cancer)!

Paunonzwa izwi rekuti kenza yeappendix, ungangotya zvishoma, handiti? Ichokwadi kuti chirwere chisingawanzoitiki. Asi zvakakosha kuti uzive zvishoma nezvacho. Ngatitarisei kuti kenza yeappendix chii, inokura sei, zviratidzo zvayo chii, uye marapirwo api.

Zvichitaurwa zviri nyore, kenza yeappendix inguva apo masero ari muappendix yako anochinja-chinja uye otanga kukura nekukurumidza uye zvisingadzoreki. Izvi zvinonziwo kenza yeappendix .

Zvino ungave uchishamisika kuti appendix chii. Ndiyo chikamu chegadziriro yako yekugaya chikafu . Kutaura chokwadi, ibhegi diki, rakaita sechubhu riri kurudyi rwedumbu rako, pedyo nepanobatana ura hudiki neura hukuru. Masayendisiti haasati anyatsoziva kuti appendix inoshanda sei. Vamwe vanofunga kuti inobatsira masoja edu emuviri . Vamwe vanoti ingori nhengo isingachatibatsiri zvakanyanya.

Ndeapi marudzi ekenza yeappendix?

Zvakanaka, ngatitarisei mhando dzegomarara dzinogona kukura mu appendix. Kutaura zvazviri, kune mhando dzakasiyana dzegomarara dzinogona kukura mu appendix, dzose dzisina njodzi nedzinouraya . Magomarara aya egomarara ndiwo ane njodzi huru nekuti anogona kukura nekupararira mumuviri wese. Vanachiremba vanoisa kenza dze appendix idzi mumapoka zvichienderana nerudzi rwemasero anotangira gomarara. Kune mhando mbiri huru:

• Appendiceal adenocarcinoma
• Matumbu eNeuroendocrine

Appendiceal Adenocarcinoma (Epithelial Bumor)

Mazhinji egomarara reappendix ndeerudzi rweadenocarcinoma . Aya anotangira munyama yeglandular inofukidza nhengo yedu. Kune mamwe marudzi akasiyana-siyana erudzi urwu:

• Mucinous adenocarcinoma: Rudzi urwu runotangira mukati mechikamu che appendix. Runoburitsa chinhu chakakora chinonzi mucin , chinowanikwa mu mucus. Kunyangwe bundu iri richigona kupararira, kazhinji haripararire kupfuura dumbu.
• Adenocarcinoma yerudzi rweColon (isiri mucinous): Mabundu aya anokura pedyo nemucheto wezasi weappendix. Anoita sekenza yemuura, uye zviratidzo zvakafanana zvikuru.
• Adenocarcinoma yemusero wemhete yechiratidzo:Izvi hazviwanzoitiki, asi dzimwe nguva zvinogona kukura mu appendix. Masero egomarara aya anoburitsa uye anochengeta mucin yakawanda. Anowana zita rawo nekuti kana akatariswa nemaikorosikopu, masero aya anoita semhete.
• Goblet cell adenocarcinoma: Iyi imhando yeadenocarcinoma isingawanzoitiki. Ine zvimwe zviratidzo zve neuroendocrine bundu.

Matumbu eAppendiceal Neuroendocrine (Carcinoid Bumor)

Matumbu eNeuroendocrine anokura mumhando chaiyo yemasero anonzi neuroendocrine cells . Masero aya anogamuchira zviratidzo kubva kuhurongwa hwedu hwetsinga uye anoburitsa mahormone. Kazhinji, mhando idzi dzematumbu dzinokura zvishoma nezvishoma .

Kenza yeappendix yakajairika zvakadii?

Kutaura zvazviri, kenza yeappendix chirwere chisingawanzoitiki . Semuenzaniso, muUnited States, chirwere ichi chinoitika mumunhu mumwe chete kana vaviri pavanhu miriyoni pagore. Izvi zvisingasviki 1% yevanhu.

Ndezvipi zviratidzo zvegomarara reappendix?

Dzimwe nguva, unogona kuva negomarara reappendix usina zviratidzo. Kana kuti, ungasaona zviratidzo kusvika bundu rapararira. Zviratidzo izvi zvinogona kusiyana kubva pamunhu kusvika pamunhu. Tarisa kana uine chimwe chezvizvi:

• Appendicitis (zvinoreva kuzvimba kana hutachiona hweappendix)
• Kuzvimba , kunzwa kuzara mudumbu
• MaAscites
• Kutenderera kwechiuno kwakawedzera
• Kurwadziwa mudumbu kana muchiuno
• Kuchinja kwekushanda kwemudumbu (kunyanya manyoka )
• Kusvotwa nekurutsa
• Kunzwa kuguta paunongotanga kudya ( Kuguta nekukurumidza )

Dzimwe nguva, kenza yeappendix inogona kuperekedzwa nechirwere chisingawanzoitiki chinonzi Pseudomyxoma peritonei (PMP) . MuPMP, masero ekenza anoburitsa chinhu chakaita sejelly chinonzi mucin, icho chinogona kukonzera kuti appendix izimbe. Nekufamba kwenguva, zviratidzo zvakaita sekuzvimba uye kurwadziwa mudumbu zvinogona kuitika.

Chii chinokonzera kenza yeappendix?

Kenza yemudumbu inotanga apo masero ari mudumbu anochinja-chinja uye otanga kukura zvisingadzoreki. Zvisinei, nyanzvi hadzisati dzaziva kuti chii chinokonzera izvi.

Zvinhu zvine njodzi

Zvisinei, zvimwe zvinhu zvinogona kuwedzera njodzi yekubatwa nekenza yeappendix. Izvi zvinosanganisira:

• Zera:Kunyange hazvo kenza yeappendix ichigona kuitika chero pazera ripi zvaro, inonyanya kuitika kuvanhu vane makore ari pakati pe40 ne60. Chirwere ichi chinowanzoonekwa nevanhu vane makore ari pakati pe50.
• Murume kana Mukadzi: Vakadzi vane mukana mukuru wekuva nebundu re neuroendocrine re appendix.
• Kusvuta kana kushandisa zvigadzirwa zvefodya: Kusvuta fodya kunowedzera njodzi yekubatwa nekenza yemhando dzese, kusanganisira kenza yeappendix.
• Nhoroondo yezvekurapa: Zvimwe zvirwere zvehutano, zvakaita se atrophic gastritis , pernicious anemia, uye Zollinger-Ellison syndrome, zvinogona kuwedzera njodzi yekenza ye appendix.
• Nhoroondo yekenza yemhuri: Ongororo yakaitwa munguva pfupi yapfuura inoratidza kuti vamwe vanhu vane kenza yeappendix vanogona kugara nhaka yemajini anowedzera njodzi yavo yekubatwa nekenza. Zvisinei, kutsvagurudza kwakawanda kunodiwa kuti zvionekwe kana izvi zviri zvenhaka.

Kenza yeappendix inoonekwa sei?

Kazhinji, vanhu vane kenza yeappendix vanoenda kuna chiremba vaine zviratidzo zveappendicitis. Kuongororwa kunowanzoitwa mushure mekuvhiyiwa kweappendix , iyo iri kubviswa kweappendix. Dzimwe nguva, bundu iri rinowanikwa netsaona panguva yekuongororwa kwechimwe chirwere kana panguva yekuvhiyiwa.

Kana chiremba wako achifungidzira kuti une kenza yemudumbu, achakumbira mimwe miedzo yakawanda. Izvi zvinogona kusanganisira:

• Kuongororwa kwemifananidzo: Chiremba wako anogona kukuraira CT scan kana MRI (magnetic resonance imaging) . Kuongororwa uku kunotora mifananidzo yenyama dziri mumuviri wako. Dzinogona kuratidza zviratidzo zvemamota uye kana kenza yapararira. Kana kenza yeappendix ikapararira, inogona kupararira kune nhengo dzedumbu dziri pedyo kana nyama inodzifukidza ( peritoneum ).
• Laparoscopy: Mukuita uku, chiremba anoisa chinhu chirefu, chakatetepa chinonzi laparoscope kuburikidza nekakuvara kadiki kari mudumbu mako. Kamera diki iri pairi inotora mifananidzo ye appendix uye inoiratidza pachiratidziro.
• Kuongororwa kwemuviri: Mukuita uku, chiremba anotora sampuli yenyama oitumira kurabhoritari yezvirwere kuti aongorore masero ekenza. Zvakaoma zvishoma kutora biopsy kubva muappendix. Saka, kana kenza ingave yakapararira kune imwe nzvimbo, chiremba anotora sampuli kubva munzvimbo iyoyo.
• Kuongororwa kweropa:Kana zvabuda mu biopsy zvikaratidza kuti une kenza ye appendix, chiremba wako acharaira bvunzo dzemu laboratory kuti aone huwandu hweprotein yako. Huremu hwemamwe mapuroteni hunogona kubatsira kuona kuti kenza yapararira kusvika papi.

Matanho ekenza yeappendix

Kuziva danho regomarara kunobatsira vanachiremba kuona kuti gomarara racho rakakomba zvakadii, kuti kurapa kwakanakisisa ndekupi, uye kuti mhedzisiro yekurapwa ichave ipi.

Vanachiremba vanoshandisa nzira dzakasiyana dzekuongorora chirwere zvichienderana nerudzi rwegomarara:

• Appendiceal adenocarcinomas: Vanachiremba vanoshandisa TNM staging system kuenzanisa appendiceal adenocarcinomas. Iyi system inotarisa saizi yebundu (T), kana kenza yapararira kusvika kuma lymph nodes (N), uye kana yapararira kusvika kunhengo dziri kure (M). Kenza yapararira nenzira iyi inonzi metastatic cancer . Zvinhu izvi zvese zvinotorwa pamwe chete uye danho kubva pane rimwe kusvika kune rechina rinopihwa. Danho rekutanga kenza yedanho rekutanga, uye danho rechina kenza yakakwira.
• Matumbu eAppendiceal neuroendocrine: Danho rematumbu aya rinoonekwa kana achigona kubviswa zvachose nekuvhiyiwa. Vanotarisawo giredhi rematumbu (kuti masero acho anotaridzika sei asina kujairika pasi pemaikorosikopu). Kana uine bundu remhando yakaderera (zvichireva kuti masero mashoma asina kujairika) uye chiremba achigona kuribvisa nekuvhiyiwa, fungidziro yako yakanaka.

Kutaura zvazviri, kuziva danho regomarara reappendix kwakaoma nekuti kune mhando dzakasiyana-siyana dzegomarara. Rudzi rumwe nerumwe rune hunhu hwarwo, izvo zvinosarudza nzira dzekurapa uye fungidziro yechirwere.

Asi usavhunduka. Kumbira chiremba wako kuti akutsanangurire kuti rudzi rwekenza yako uye danho rayo zvichakukanganisa sei.

Kenza yeappendix inorapwa sei?

Kune nzira dzakasiyana-siyana dzekurapa kenza yeappendix. Nzira huru ndeyekuvhiyiwa uye kurapwa nemishonga. Chiremba wako achafunga nezvezvinhu zvakati wandei asati aronga kurapwa kwako. Izvi zvinosanganisira saizi nedanho rebundu, hutano hwako hwese, uye zvaunoda iwe pachako.

Kuvhiya

Kurapa kukuru kwegomarara reappendix kuvhiyiwa . Kune nzira dzakasiyana siyana dzekuvhiya:

• Kubviswa kweAppendectomy: Kune bundu diki risingasviki 1 kana 2 centimeter (pasi pe inch), kubvisa appendix chete kunogona kukwana.
• Kubviswa kweropa: Kune bundu rakakura uye rakaipisisa, kubviswa kweropa ndikoKuvhiyiwa kwekuwedzera kungadiwa, senge laparotomy. Mukuita uku, pamusoro pekubvisa appendix, chikamu cheura uye ma lymph nodes akati wandei zvinobviswa.
• Kuvhiyiwa kweCytoreductive (kubvisa bulking): Kana kenza yapararira mudumbu rose, kuvhiyiwa kwakakura kungadiwa. Pakuita izvi, chiremba anobvisa bundu rakawanda sezvinobvira, izvo zvinogona kusanganisira kubvisa zvikamu zvenhengo dzemuviri dzakapararira kenza.

Kurapa Mishonga

Kana kuvhiyiwa kusingakwanise kubvisa kenza zvachose, ungangoda kurapwa nemishonga. Izvi zvinogona kusanganisira:

• Kurapa nemakemikari: Kurapa uku kunoshandiswa kuuraya masero ekenza akapararira kupfuura appendix. Kunourayawo masero ekenza angasara mushure mekuvhiyiwa. Mushonga uyu unogona kupiwa sejekiseni kana sepiritsi.
• Kurapa neHyperthermic Intraperitoneal Chemotherapy (HIPEC): HIPEC imhando yekurapa nechemotherapy. Inowanzoitwa panguva yekuvhiyiwa. Inosanganisira kupisa mishonga yechemotherapy uye kuitenderedza mudumbu. Kupisa uku uye kushandiswa kwayo zvakananga kunoita kuti chemotherapy ive nesimba uye ishande.
• Kurapa nemishonga yakanangwa: Chinangwa chekurapa uku ndechekungorwisa masero ekenza chete ukuwo kuchideredza kukuvara kwemasero ane hutano. Mishonga yakakosha inoshandiswa kurwisa mamwe majini kana mapuroteni anobatsira kukura kwekenza. Mishonga yakaita secetuximab , bevacizumab , ramucirumab, uye panitumumab inoshandiswa mukurapa kwekenza yeappendix.

Chii chaungatarisira kana uine kenza yeappendix?

Ruzivo rwako ruchaenderana nezvinhu zvakawanda, kusanganisira rudzi, saizi, uye giredhi rebundu racho. Hutano hwako hwese uye maitiro aunoita kana warapwa zvakakoshawo.

Mamwe marudzi egomarara reappendix anogona kurapwa zvachose . Semuenzaniso, magomarara eappendiceal neuroendocrine emhando yepasi anogona kurapwa nekuvhiyiwa. Kazhinji, gomarara diki, mukana wekuti gomarara ripere zvachose nekurapwa ndewekuti ripere. Magomarara makuru anopararira nekukurumidza uye anogona kusaita zvakanaka pakurapwa.

Chiremba wako anogona kukutungamira pane zvaunofanira kutarisira zvichienderana nechirwere chako.

Chii chinonzi kenza yeappendix inorarama?

Mwero wekurarama kwemakore mashanu nekuda kwegomarara reappendix risingakoshi uri pakati pe67% ne97%. Izvi zvinoreva kuti pakati pe67% ne97% yevanhu vane chirwere ichi vachiri vapenyu mushure memakore mashanu. Mwero uyu wekurarama unogona kuderera zvikuru kune bundu rakura kana kenza yeappendix iyo inozoonekwa gare gare.

Yeuka, huwandu hwevanhu vanorarama nechirwere ichi hahufanotaura kuti uchapindura zvakanaka sei kana ukarapwa kana kuti uchararama kwenguva yakareba sei. Nhamba idzi dzinoratidza zvakaitika kuvanhu vakamborwara nechirwere ichi munguva yakapfuura. Nekuti kenza yechivanhu haiwanzoitiki, ruzivo nezvenguva yekurarama ingasave rwechokwadi. Kana uine mibvunzo nezvehuwandu hwevanhu vanorarama nechirwere ichi, taura nachiremba wako.

Ndinofanira kuona chiremba rini?

Kana ukaona zviratidzo zvegomarara remudumbu, zvakaita seappendicitis, kuzvimba, kana kurwadziwa mudumbu , kurumidza kuonana nachiremba wako .

Kana wakaonekwa uine kenza yeappendix, taura nachiremba wako kana zviratidzo zvako zvikachinja kana kuti zvikanyanya kuipa. Muudze nezvechero migumisiro yauri kuwana kubva mukurapwa kwako. Anogona kukupa mazano ekuti ungabatsira sei kurarama nezviratidzo zvako. Anogonawo kukutumira kune masevhisi ekuchengetedza varwere vanorwara . Nyanzvi dzekuchengetedza varwere vanorwara vanobatsira vanhu vane zvirwere zvakasiyana-siyana (kusanganisira zvirwere zvisingaurayise) kugadzirisa zviratidzo zvavo.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kuziva zvakawanda nezvechirwere chako kuchakubatsira kuita sarudzo dzine ruzivo nezvehutano hwako. Heano mimwe mibvunzo yekubvunza chiremba wako:

• Ndine rudzii rweappendix?
• Bundu iri rakakura sei?
• Ndeipi danho uye giredhi rekenza yangu yeappendix?
• Ndedzipi nzira dzekurapa dzandinadzo?
• Ndinofanira kutanga rini kurapwa?
• Ndichakwanisa here kushanda panguva yekurapwa kwegomarara?
• Pane zvinhu zvekushandisa kana mapoka ekutsigira angandibatsira here?

Zvakajairika kunzwa kutya uye kusaziva kana ukaona kuti une kenza yeappendix. Taura nachiremba wako nezvekunzwa kwako. Iye anogona kupindura mibvunzo yako nezvechirwere chako uye kukuudza kwaunogona kuwana rubatsiro. Nekuti kenza yeappendix haiwanzoitiki, unganzwa uri wega nechirwere ichi. Asi hausi wega. Unogona kubatana nevamwe vakambosangana nedambudziko rakafanana. Munogona kubatsirana kuburikidza nekurapwa nekutarisira kenza yeappendix.

Mharidzo inonyanya kukosha kubva muchinyorwa chino ndeiyi:

Zvakanaka, saka tataura zvakawanda nezvegomarara reappendix, handiti? Kunyangwe iri rudzi rwegomarara rusingawanzoitiki, zvakakosha kuti uzive nezvaro.

• Gomarara remudumbu (appendix cancer) chirwere chisingawanzoitiki. Zvisinei, kana ukaona zviratidzo zvakafanana neappendicitis, kurwadziwa mudumbu kusingawanzoitiki, kana kuzvimba, unofanira kuona chiremba.
• Kune mhando dzakasiyana dzegomarara reappendix, rimwe nerimwe rine kurapwa kwakasiyana uye mwero wekupora.
• Kuonekwa kwechirwere nekukurumidza kwakakosha zvikuru, sezvo kurapwa kuchizobudirira.
• Kune mishonga iripo. Chirwere ichi chinorapwa nezvinhu zvakaita sekuvhiyiwa, chemotherapy, uye kurapwa kwakanangana.
• Usatya kubvunza mibvunzo. Bvunza chiremba wako chero mibvunzo yaunayo. Hausi wega, kune nzvimbo dzekuwana rubatsiro.

Chinhu chinonyanya kukosha ndechekuteerera shanduko dziri kuitika mumuviri wako. Kana ukaona chimwe chinhu chisingawanzoitika, kuchenjera kutsvaga mazano echiremba pane kungozvisiya.

` Kenza yeAppendix, appendicitis, zviratidzo zvekenza, kurapwa kwekenza, adenocarcinoma, neuroendocrine bundu, kuvhiyiwa