Wakambotya here paunoona ropa mutsvina yako kana kuona mavara eropa papepa rako rechimbuzi? Kana kuti unogara uine kurwadziwa kusinganzwisisike mudumbu mako, kunzwa kuguta? Vanhu vazhinji munyika medu vanofunga kuti zviratidzo izvi zvakajairika se "mapundu" uye havazviteereri zvakanyanya. Asi dzimwe nguva izvi zvingasava zvidiki sezvatinofunga. Izvi zvinogonawo kuva zviratidzo zvekutanga zvegomarara remudumbu. Usatya kana kutya izvozvi. Chinhu chakakosha ndechekuziva zvizere nezvechirwere ichi uye kugara wakangwarira. Ngatitaurei nezvese zvakajeka uye zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi kenza yemuura?
Kenza yemudumbu, kana kuti kenza yemudumbu, ikenza inokura muura kana mudumbu, chikamu chekupedzisira chegadziriro yedu yekugaya chikafu. Haisi chinhu chinokura neusiku humwe.
Fungidzira, pamadziro emukati meura redu, mapundu madiki, akaita semamota madiki, anotanga kuumbwa. Tinodaidza kuti "Polyps" idzi. Haasi mapundu ese aya anova kenza. Zvisinei, mamwe marudzi emapundu anogona kuchinja zvishoma nezvishoma mumakore mazhinji (kazhinji anenge makore gumi) ova masero ekenza.
Chinhu chakanakisa ndechekuti kana mapundu aya akakwanisa kuwanikwa uye kubviswa asati ava kenza, kenza inogona kudzivirirwa zvachose. Uyewo, kana kenza ikaonekwa nekukurumidza, mikana yekuti irapwe uye ipere zvachose yakakura zvikuru.
Zivawo zviratidzo izvi!
Nekuti kenza yemuura inokura zvishoma nezvishoma, inogona kusaratidza zviratidzo pakutanga. Kana zviratidzo zvikaonekwa, zvinogona kufanana nezvimwe zvirwere zvakajairika. Saka zvakakosha kuziva zviratidzo izvi.
| Chiratidzo | Zvimwe zvishoma nezveizvi |
|---|---|
| Kuchinja maitiro emudumbu | Manyoka kana kuzvimba kwemuviri kwemazuva akati wandei. Zvituru zvakatetepa kupfuura kare, zvakaita sepenzura. |
| Ropa muchigaro chetsvina | Ropa dzvuku kana dema mutsvina. Kuona mavanga eropa mundiro yechimbuzi kana papepa rechimbuzi. |
| Kusagadzikana kwedumbu | Kurwadziwa mudumbu nguva nenguva, kuzvimba, uye kusagadzikana mudumbu. |
| Kunzwa sekunge kuchine tsvina mushure mekuenda kuchimbuzi | Kunyangwe mushure mekuita zvekubvisa tsvina, uchiri kunzwa sekunge ura hwako husati hwapera zvachose. |
| Kuneta uye kushaya simba pasina chikonzero | Kunzwa kuneta zvakanyanya kunyangwe uchizorora zvakakwana. Izvi zvinokonzerwa nekuti kenza inogona kukonzera kurasikirwa neropa rakawanda mumuviri, zvichikonzera anemia. |
| Kuderedza uremu pasina chikonzero | Kana uremu hwemuviri wako huri kudzikira zvisingatarisirwi pasina kudya kana kurovedza muviri, funganya. |
Yeuka kuti havasi vese vane zviratidzo izvi vane kenza. Kushungurudzika kwemudumbu uye manyoka zvinogona kukonzerwa nekachikwe kadiki kemudumbu. Asi kana zviratidzo izvi zvikagara kwemazuva mashoma, kunyanya kana uine ropa mutsvina yako, ndapota usazviregeredza uye ona chiremba wako nekukasika.
Sei gomarara iri richikura? Ndezvipi zvinhu zvinokonzera njodzi?
Hapana chikonzero chimwe chete chaicho chekenza yemuura. Zvisinei, zvinoitika kana paine shanduko mumajini emasero ane hutano muura (Genetic Mutations), zvichiita kuti masero iwayo apatsanuke uye awedzere zvisingadzoreki. Masero ekenza anoumbwa nenzira iyi anoungana pamwe chete kuti aumbe mapolyps nemabundu.
Ongororo yezvekurapa yakaratidza zvinhu zvakawanda zvinowedzera njodzi yekubatwa negomarara iri. Ngationei kuti chii.
| Chinhu chine njodzi | Tsananguro |
|---|---|
| Kuva nemakore anopfuura makumi mashanu | Chirwere ichi chinowanzoonekwa muvanhu vane makore anopfuura makumi mashanu. Zvisinei, munguva pfupi yapfuura, kwave nekuwedzera kwenhamba yevanhu vane chirwere ichi pakati pevanhu vari pasi pegore iroro. |
| Nhoroondo yemhuri | Kana mumwe wehama dzako dzepedyo (amai, baba, vanun'una, vana) akambova nekenza yemuura kana kuti ma polyps makuru, iwe uri panjodzi huru. Izvi zvinonyanya kuitika kana vakawana chirwere ichi vasati vasvitsa makore makumi mana nemashanu. |
| Zvirwere zvemajini | Zvirwere zvemajini zvakaita seLynch syndrome neFamilial Adenomatous Polyposis (FAP) zvinowedzera njodzi yekubatwa negomarara iri. |
| Kufuta | Ongororo yakaratidza kuti vanhu vane body mass index (BMI) inodarika makore makumi maviri nemashanu vari panjodzi huru. |
| Kusvuta nekunwa doro | Kusvuta uye kunwa doro kakawanda (kunyangwe muhuwandu hushoma) zvinowedzera njodzi. |
Unoona sei izvi, Chiremba?
Paunoenda kunoona chiremba ane zviratidzo zvako, anotanga abvunza nezvezviratidzo zvako zvakadzama. Wobva aongorora muviri wako. Pamusoro pezvo, achakurudzira bvunzo dzinoverengeka kuti aone chikonzero chaicho chechirwere chako.
- Kuongororwa Kweropa: Ropa rako richaongororwa kuti harina anemia here nekuita bvunzo yeropa rose (CBC). Kuongororwa kwakakosha, kwakadai sekuongorora kenza (CEA assay), kunogona kuitwawo.
- Miedzo yeKufungidzira: Miedzo yakaita seCT scans (Computed Tomography) uye MRI scans (Magnetic Resonance Imaging) inogona kushandiswa kuona kana paine bundu regomarara mumuviri uye kuti rakapararira kusvika papi.
- Kuongorora Colonoscopy: Iyi ndiyo nzira yakanakisisa uye yakarurama yekuongorora kenza yemuura. Muongororo iyi, chiremba wezvekudya anoisa chubhu yakatetepa, inochinjika (ine kamera yakabatanidzwa) kuburikidza nepaburi remudumbu uye oongorora ura hwese kuburikidza nechidzitiro.
- Panguva ino, kana paine bundu rinofungidzirwa (polyp), rinogona kubviswa zvachose kana kuti chidimbu chidiki charo (biopsy) chinogona kutorwa choendeswa kurabhoritari kuti zviongororwe kana paine masero ekenza.
Kana chirwere ichi chasimbiswa kuburikidza nemiedzo iyi, danho regomarara rinoonekwa zvichienderana nekuti gomarara iri kupi, kana rapararira kusvika kuma lymph nodes, uye kana rapararira kune dzimwe nhengo dzemuviri. Kurapwa kunorongwa zvichienderana nedanho iri.
Ndezvipi zviri kurapwa?
Musazvidya moyo, ikozvino kune nzira dzekurapa dzinoshanda uye dzepamusoro dzechirwere ichi. Nzira yekurapa inoenderana nedanho regomarara rako, nzvimbo yaro, uye hutano hwako hwese.
Kurapa kukuru kuvhiyiwa .
- Kubviswa kwemasero eganda asati aita kenza (polyps) panguva yekuongororwa kwecolonoscopy.
- Kuvhiyiwa kwekubvisa chikamu cheura huri kenza.
Kuwedzera pakuvhiyiwa, kana kuvhiyiwa kusati kwaitwa uye kwapera, kurapwa uku kunogonawo kudiwa:
- Kurapa nemakemikari: Kupa mishonga inoparadza masero ekenza.
- Kurapa Nemwaranzi: Kuparadza masero egomarara uchishandisa mwaranzi ine simba rakawanda.
- Kurapa Kwakatarisirwa: Kupa mishonga inotarisa mamorekuru chaiwo anokanganisa kukura kwemasero ekenza.
Chiremba wako achakurukura newe uye achasarudza nzira yekurapa yakakunakira.
Chirwere ichi chingarapwa sei?
Uyu mubvunzo unowanzo fungwa nevanhu vazhinji. "Mwero wekurarama" ndiwo huwandu hwevarwere vanorarama makore mashanu mushure mekuonekwa vaine chirwere ichi. Izvi zvinoenderana zvikuru nedanho ravanowanikwa chirwere ichi.
- Mumatanho ekutanga (Localized): Kana kenza yakaganhurirwa muura, mwero wekurarama kwemakore mashanu wakakwira kusvika ku91% .
- Nzvimbo: Kana kenza yapararira kune dzimwe nhengo dzemuviri dzakapoteredza kana kuti lymph nodes, chikamu ichi chinenge 73% .
- Kure: Kana kenza yapararira kune nhengo dziri kure dzakadai sechiropa nemapapu, huwandu uhwu hunoderera kusvika pa13% .
Usavhunduke nenhamba idzi. Idzi ingori fungidziro dzakajairwa kubva padata kubva kuzviuru zvevarwere. Mamiriro ako ezvinhu anogona kunge akasiyana zvikuru. Chinhu chakakosha ndechekuongorora chirwere ichi nekukurumidza uye kutanga kurapwa kwakakodzera. Ipapo mikana yekupora inenge yakakura kwazvo.
Chii chatinofanira kuita kuti tirambe takachengeteka kubva kugomarara?
Kunyangwe pasina nzira yekudzivirira kenza zvizere, pane zvakawanda zvatinogona kuita kuderedza njodzi yacho.
- Kudya kwakanaka: Deredza kudya mafuta, shuga, hupfu, nyama tsvuku (nyama yemombe, nyama yenguruve), uye nyama dzakagadzirwa (masoseji, bhekoni). Pane kudaro, idya zvekudya zvakawanda zvine fiber zvakaita semiriwo, michero, nyemba, uye zviyo zvese .
- Dzivisa kusvuta: Kana uchisvuta, tsvaga rubatsiro rwekurega. Ichi chimwe chezvinobatsira zvikuru pahutano hwako.
- Deredza doro: Zvakakosha kurega kunwa doro zvachose kana kurishandisa zvishoma.
- Ramba uine huremu hwakanaka: Dzora huremu hwemuviri wako nekuita maekisesaizi nguva dzose uye kudya chikafu chakakwana.
- Ongororwa Pazera Rakakodzera: Ichi ndicho chinhu chakakosha. Kunyangwe usina zviratidzo, zvakakosha kuti uongororwe colonoscopy yekenza yemudumbu uri pakati pemakore makumi mana nemashanu kusvika makumi mashanu. Kana mumwe munhu mumhuri yako aine chirwere ichi, chiremba wako anogona kukurudzira kuti utange kuongororwa nekukurumidza.
Kuongororwa uku kunogona kuona nekubvisa ma polyps anogona kuita kenza nekukurumidza, nokudaro kudzivirira kukura kwekenza.
Mharidzo Yekuenda Nayo Kumba
- Usaregeredza zviratidzo zvakaita sekuchinja kwemaitiro emudumbu, kurwadziwa mudumbu, uye kunyanya ropa mutsvina. Kana zvikaramba zviripo kwemazuva anopfuura mashoma, iva nechokwadi chekuona chiremba.
- Gomarara remudumbu chirwere chinorapika zvachose kana chikaonekwa nekukasika. Usanonoka kuongororwa nekutya.
- Kana uine zvinhu zvinokonzera njodzi kana kuti une makore anopfuura makumi mana nemashanu ekuberekwa, taura nachiremba wako nezvekuongororwa kenza, kunyangwe usina zviratidzo.
- Mararamiro ane hutano (kudya zvakanaka, kurovedza muviri, uye kusaputa fodya nedoro) zvinogona kuderedza njodzi yekubatwa negomarara.
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