Vazhinji vedu tinotya patinonzwa izwi rekuti kenza. Asi kune mamwe magomarara, kana tikaaziva zvizere uye tikaongororwa nguva nenguva, tinogona kuzvidzivirira zvizere kubva maari uye tinogona kutoaziva nekurapa achiri mudiki. Gomarara remudumbu rimwe chete ndiro rimwe rezvirwere zvakadaro. Rinogona kukura zvinyoro nyoro mumuviri pasina zviratidzo pakutanga. Saka, nhasi tichataura nezve zvese nezveizvi, zviri nyore, nenzira yaunogona kunzwisisa.
Chii chinonzi kenza yemudumbu?
Zvichitaurwa zviri nyore, iyi igomarara rinoitika muura hwedu kana mudumbu. Zvese zviri zviviri zvikamu zvegadziriro yedu yekugaya chikafu. Mushure mekunge chikafu chatinodya chapfuura nemudumbu nemudumbu diki, chinosvika mudumbu guru. Ndipo apo muviri unotora mvura nezvinovaka muviri zvaunoda kubva muchikafu ichocho. Zvadaro tsvina yasara, inova tsvina, inochengetwa kwenguva pfupi mudumbu uye yozoburitswa mumuviri.
Kenza inoitika kana masero ari muura kana rectum atanga kukura zvisingadzoreki. Iri rinowanzova bundu "risinganzwiki" rinokura zvishoma nezvishoma . Saka ungasaona zviratidzo kusvika bundu racho rakura zvikuru. Asi chinhu chakanakisa ndechekuti kuongororwa nguva dzose kunogona kuona kenza iyi kana matumbu madiki (polyps) anogona kutanga kuva kenza.
Kune mhando dzekenza yemudumbu here?
Ehe, kune mhando dzakawanda dzegomarara iri, zvichienderana nerudzi rwesero rarinotangira. Asi usanyanya kufunga nezvazvo wobva wavhiringidzika. Chiremba wako achakutsanangurira izvi.
| Rudzi rwegomarara | Tsananguro iri nyore |
|---|---|
| Adenocarcinoma | Rudzi urwu ndirwo rwakanyanya kuwanda (runenge 96%). Runotanga mumasero anogadzira madzihwa muura. |
| Bundu recarcinoid | Kenza inotangira mumasero akakosha anogadzira mahormone. |
| Bundu remudumbu (GIST) | Inotangira mumasero ari mudumbu anotumira zviratidzo kumhasuru dzinobatsira kufambisa chikafu. |
| Lymphoma | Kenza inotangira mumasero emuviri wemuviri. |
Ndiani ari panjodzi huru yekubatwa negomarara iri?
Munhu wese anogona kubatwa nechirwere ichi, asi pane zvimwe zvinhu zvinogona kuwedzera njodzi yako. Ona kana chimwe cheizvi chichishanda kwauri.
- Kana iwe kana mumwe munhu mumhuri yako akambova nekenza yemuura kana ma polyps (mapundu madiki) munguva yakapfuura.
- Kana ukadya nyama dzakagadzirwa zvakanyanya uye nyama tsvuku .
- Kana uine chirwere chemudumbu chinozvimba (IBD) , chakadai sechirwere cheCrohn kana ulcerative colitis.
- Kana uine zvimwe zvirwere zvekuzvarwa nazvo (semuenzaniso Familyal Adenomatous Polyposis - FAP, HNPCC).
- Kufuta zvakanyanya .
- Kusvuta .
- Kusaita maekisesaizi emuviri .
- Kunwa doro zvakanyanya .
- Kuva nechirwere cheshuga cherudzi rwechipiri .
Chinhu chakakosha ndechekuti kunyangwe munhu asina kana chimwe chezvinhu izvi zvinogona kukonzera kenza anogona kubatwa nekenza iyi. Ndosaka kuongororwa nguva dzose mushure memakore makumi mana nemashanu kwakakosha.
Ndezvipi zviratidzo zveizvi?
Sezvambotaurwa, panogona kunge pasina zviratidzo pakutanga. Zvisinei, sezvo kenza ichienderera mberi, zviratidzo izvi zvinogona kuoneka. Kana uine chimwe chezviratidzo izvi kwenguva yakareba, iva nechokwadi chekuona chiremba .
- Kuchinja kwenguva refu mumaitiro ako emudumbu (semuenzaniso kuchinjana pakati pemanyoka nekuzvimba).
- Kana ukaramba uchinzwa sekuti mudumbu mako hamuna kubuda ropa zvachose mushure mekuenda kuchimbuzi.
- Kubuda ropa kubva mudumbu kana mutsvina.
- Zvitsiga zvakatetepa kupfuura zvakajairika.
- Kusanzwa zvakanaka mudumbu kana kurwadziwa nguva dzose.
- Kudzikira kwehuremu pasina chikonzero.
- Kuneta kwakanyanya uye kucheneruka kunokonzerwa nekudzikira kwemasero matsvuku eropa (anemia ).
- Kubata bundu mudumbu kana mudumbu.
Nzira yekuziva sei chirwere ichi? - Miedzo
Paunoenda kunoona chiremba, achakuongorora, obata dumbu rako, uye, kana zvichidikanwa, anokukurudzira imwe kana kupfuura yeiyi bvunzo.
- Colonoscopy: Iyi ndiyo nzira yakanakisisa . Ndiyo nzira yakanakisisa uye yakarurama yekuyedza. Chubhu yakatetepa, inochinjika ine kamera (colonoscope) inopinzwa nepaburi remudumbu uye ura hwese hunoongororwa. Kana paine ma polyps (mapundu), anogona kubviswa panguva imwe chete uye chidimbu chidiki (biopsy) chinogona kutorwa kuti chiongororwe.
- Kuongororwa kwetsvina: Kuongororwa uku kunoitwa kuti kuonekwe kana paine ropa diki riri mutsvina diki zvekuti harionekwe nemaziso. Kuongororwa kweFIT ndeimwe yenzira dzakadaro.
- Kuongororwa kwemuviri: Panguva yekuongororwa kwecolonoscopy, kanyama kadiki kanotorwa kubva panzvimbo inofungidzirwa uye kanoongororwa nemaikorosikopu kuti zvionekwe kana masero ekenza aripo.
- CT Scan: CT scan inogona kuitwa kuti ione kana kenza yapararira kune dzimwe nhengo dziri kunze kweura.
Ndezvipi zviri kurapwa?
Kana ukaonekwa uine kenza, usavhunduka. Nhasi uno, kune nzira dzakawanda dzekurapa dzinoshanda dzeizvi. Vanachiremba vachafunga nezvezvinhu zvakawanda, zvakaita sedanho rekenza yako uye hutano hwako hwese, kuti vasarudze mushonga wakakodzera iwe.
Kuvhiya
Makondombera ekutanga nemapolyps anogona kubviswa panguva yekuongororwa kwecolonoscopy. Kana kenza yakakura, kuvhiyiwa kunoitwa kubvisa chikamu cheura chine kenza (partial colectomy).
Kurapwa nemakemikari
Izvi zvinosanganisira kupa muviri mishonga inouraya masero ekenza kana kuamisa kukura. Iyi inopihwa semapiritsi kana kuburikidza neIV. Kurapa uku kunoshandiswa kuderedza bundu risati ravhiyiwa kana kuuraya chero masero ekenza asara mushure mekuvhiyiwa.
Kurapa Nemwaranzi
Izvi zvinosanganisira kushandisa mwaranzi ine simba guru (senge X-rays) kuparadza masero ekenza. Nzira iyi inowanzo shandiswa pamwe chete nechemotherapy yekenza yemudumbu.
Kurapa Kwakanangwa uye Kurapa Kwemuviri
Aya ndiwo marapirwo matsva uye anoshanda zvikuru. Mishonga yakanangana nechirwere ichi inopa mishonga inorwisa vanhu vanowanikwa pamasero ekenza chete. Kurapa nekudzivirira muviri kunokurudzira masoja edu ekudzivirira chirwere kuti arwise masero ekenza.
Ungadzivirira sei kenza?
Zvinonzi "zviri nani kudzivirira chirwere ichi chisati chatanga pane kuchirapa mushure mekunge chatanga." Saka pane zvinhu zvakati wandei zvatingaita kuti tizvidzivirire kubva kugomarara iri.
1. Mararamiro ane hutano:
- Dzivisa kusvuta nedoro.
- Ita maekisesaizi ane mwero kweinenge maminetsi zana nemakumi mashanu pasvondo (sekufamba nekukurumidza, kumhanya, kuchovha bhasikoro).
- Ramba uine huremu hwakanaka .
2. Kudya kwakakodzera:
- Idya zvekudya zvakawanda zvine fiber (michero, miriwo, nyemba, zviyo zvese).
- Deredza nyama tsvuku nenyama dzakagadzirwa (dzakadai semasoseji, meatballs).
3. Kuongorora Nguva Dzose:
- Ichi ndicho chinhu chinonyanya kukosha . Zvinokurudzirwa kuti kana usiri panjodzi, unofanira kutanga kuongororwa nguva nenguva kutanga wava nemakore makumi mana nemashanu .
- Nzira yakanakisisa ndeyekuita colonoscopy makore gumi ega ega.
- Kana mumwe munhu mumhuri mako akambova negomarara iri, ungangoda kutanga kuongororwa uri mudiki. Taura nachiremba wako nezvenyaya iyi.
| Ona chiremba wako nekukasika! | |
|---|---|
Kana ukaramba uchisangana nechimwe chezviratidzo zvataurwa pamusoro apa, kunyanya ropa mutsvina yako, kurwadziwa mudumbu, kana shanduko isina kutsanangurwa mumaitiro emudumbu, ndapota usazviregeredza. Kunyara kana kutya kunogona kuwedzera dambudziko racho. Enda kuna chiremba nekukasika kuti uwane mazano. |
Mharidzo Yekuenda Nayo Kumba
- Kenza yemudumbu inowanzova isina kutaurwa pakutanga kwayo. Usamirire kusvika zviratidzo zvaonekwa.
- Kuongororwa nguva dzose (kunyanya colonoscopy) mushure memakore makumi mana nemashanu ndiyo nzira yakanakisisa yekudzivirira kana kuona kenza nekukurumidza.
- Unogona kuderedza njodzi yako nekudya chikafu chine hutano, kurovedza muviri nguva dzose, uye kusasvuta.
- Kana ukaona ropa mutsvina yako kana kuti ukaona shanduko mumaitiro ako ekugezera, usatya kana kunyara, enda kuna chiremba nekukasika.
- Yeukai kuti kenza yemuura chirwere chinorapika zvachose kana chikaonekwa nekukasika . Saka musatya kuongororwa, kuziviswa, uye kuramba muine hutano hwakanaka.
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