Une kenza mudumbu here? Ngatidzidzei nezve Duodenal Cancer!

Nhasi tichataura nezvechirwere chisingawanzonzwikwa, asi dzimwe nguva chinogona kuva chakakosha zvikuru. Wakambonzwa nezvechimwe chinhu chinonzi 'Duodenal Cancer' here ? Pamwe wagara uchirwadziwa mudumbu, kuzvimba, uye kurutsa, uye hauzive kuti chii. Muchinyorwa chino, tichatarisa kuti kenza iyi yemudumbu chii, kuti inokura sei, kuti tinoiziva sei, uye kuti mishonga yayo ndeipi.

Unoziva here kuti Duodenal Cancer chii?

Zvichitaurwa zviri nyore, Duodenal Cancer bundu rinokura kana masero ari muchikamu chekutanga cheura hwedu hudiki , duodenum , achikura zvisina kujairika uye nekukurumidza. Kana rudzi urwu rwebundu rukatanga, ura hwedu hunogona kutadza kugaya chikafu zvakanaka, uye hunogonawo kuvhara nzira yekuti chikafu chifambe muura.

Fungidzira, pakutanga, ungasaona zviratidzo zvegomarara iri. Asi bundu parinokura, zviratidzo zvine chekuita nekugaya chikafu , zvakaita sekuda kurutsa, kurwadziwa mudumbu, uye kuvimbiwa, zvinotanga kuoneka.

Duodenum iri kupi mumuviri wedu? Chii chinoitika mairi?

Tine ura hudiki mukati medumbu redu, handiti? Chikamu chekutanga charo chinonzi duodenum kana duodenum . Chikamu chidiki chakaita seshangu yebhiza. Mushure mekunge chikafu chatinodya chichibva mudumbu, chinopinda zvakananga muduodenum iyi.

Basa guru re duodenum nderekutanga kugaya chikafu nemazvo. Makemikoro akasiyana-siyana nema enzymes anobatsira mune izvi anoburitswa kubva mu duodenum. Izvi zvinopwanya chikafu zvakanaka uye zvinogadzirira mavhitamini nezvinovaka muviri zvirimo nenzira yekuti muviri ugone kuzviisa. Mushure meizvozvo, duodenum inotumira chikafu ichi chakagayiwa kuchikamu chinotevera cheura hudiki, chinova jejunum . Unonzwisisa here?

Kune mhando dzekenza yemudumbu here?

Ehe, nekuti kune marudzi akasiyana emasero mu duodenum, kune marudzi akati wandei ekenza anogona kukura ipapo. Vanachiremba vanonyanya kutaura nezvemarudzi mana:

• Adenocarcinoma: Iyi ndiyo mhando yegomarara remudumbu rinopararira zvakanyanya. Rinokura mumasero anogadzira makemikari nema enzyme anobatsira kugaya chikafu.
• Matumbu eCarcinoid: Aya rudzi rwebundu rinowanzo kukura zvishoma nezvishoma. Anowanzo tanga mudumbu redu (GI tract) , asi nekufamba kwenguva anogona kupararira kune dzimwe nhengo dzemuviri.
• Lymphoma: Rudzi urwu rwegomarara runotangira mumasero emuviri wedu wekudzivirira chirwere anorwisa hutachiona.
• Sarcoma:Zvinotanga mumapfupa edu, tsandanyama, uye munyama dzakapfava dzakadai setsinga dzeropa. Rudzi rwesarcoma rwakajairika rwunokura mudumbu rudzi runonzi gastrointestinal stromal tumor .

Ndiani ane mukana mukuru wekuwana kenza yemudumbu?

Vanachiremba havasati vanyatsogona kutaura kuti sei vamwe vanhu vachiwana gomarara iri asi vamwe vasingariwane. Zvisinei, kune zvimwe zvinhu zvinowedzera njodzi yekubatwa negomarara iri. Ngationei kuti chii:

• Zera: Gomarara iri rinowanzoonekwa muvanhu vane makore ari pakati pe60 ne80 .
• Rudzi: MuUnited States, tsvakurudzo yakawana kuti vanhu vatema vane mukana mukuru wekubata gomarara iri. MuSri Lanka, ruzivo rwakanangana neizvi ruchiri kushaikwa.
• Matambudziko ehutano: Vanhu vane mamwe matambudziko emudumbu, akadai sechirwere checeliac kana chirwere cheCrohn, vari panjodzi yakakura zvishoma.
• Maitiro ehutano: Kusvuta, kunwa doro, uye kudya chikafu chine munyu wakawanda nguva dzose zvinogonawo kukonzera kukura kwegomarara iri.
• Zvirwere zvenhaka: Zvimwe zvirwere zvemajini zvinogonawo kuwedzera njodzi yekubatwa nekenza yemudumbu. Semuenzaniso, zvirwere zvakaita seFamilial Adenomatous Polyposis (FAP) , Lynch syndrome , uye cystic fibrosis .
• Murume kana Mukadzi: Varume vane mukana wekubata gomarara iri zvishoma kupfuura vakadzi.

Ndezvipi zviratidzo zvekenza yeDuodenal?

Kazhinji, kana kenza iri diki, ingasaratidze zviratidzo . Ndiyo nzvimbo inotyisa zvikuru. Asi bundu richikura, unogona kuona zviratidzo zvakaita seizvi:

• Kurwadziwa kwemudumbu.
• Chirungurira (acid reflux).
• Ropa riri mutsvina yako.
• Kuzvimba.
• Kusvotwa kana kurutsa.
• Kudzikira uremu kusingatsananguriki.

Kuva nezviratidzo izvi hazvirevi kuti une kenza. Zvisinei, kana zviratidzo izvi zvikaramba zviripo, zvakanaka kuti unoona chiremba kuti akupe mazano.

Sei kenza ye duodenal ichikura?

Kutaura zvazviri, vanachiremba havasati vaziva kuti chii chinokonzera kenza yemudumbu. Vanofunga kuti imhaka yezvipuka zvidiki (zvinonzi mapolyps) dzimwe nguva zvinoumba mukati medumbu redu.(Kenza iyi inotanga muura.) Zvisinei, hapasati pave nekunzwisisa kwakajeka kwekuti nei ma polyps iwayo achiumbwa. Ndosaka zvichikosha kuziva zvinhu zvinokonzera njodzi.

Chiremba anoongorora sei kenza iyi? (Kuongororwa uye Kuongororwa kwechirwere)

Kana uine zviratidzo zvataurwa pamusoro apa, chinhu chekutanga chichaita chiremba wako ndechekukubvunza mibvunzo nekukuongorora. Kana paine zvinofungidzirwa kuti kenza, vanogona kuita bvunzo dzakawanda kuti vaone kuti yasvika papi.

Maitiro ekuziva danho rekenza (staging)

Vanachiremba vanoshandisa nzira inonzi "staging" kuongorora kenza:

• Matanho 0 kusvika 1: Izvi zvinoreva kuti kenza iri panzvimbo imwe chete mumuviri wako.
• Matanho 2 kusvika ku3: Izvi zvinoreva kuti kenza yapararira kuburikidza netsandanyama uye/kana kupinda munhengo/zvikamu zviri pedyo, zvakaita sema lymph nodes emunharaunda.
• Danho rechina: Izvi zvinoreva kuti kenza yapararira kusvika kunzvimbo dziri kure dzemuviri.

Kuongororwa kwezvirwere

Kuti azive kana une kenza uye kuti aone danho rayo, chiremba wako anogona kushandisa bvunzo dzakadai sedzinotevera:

• Kuongororwa kwemifananidzo: Semuenzaniso, MRI neCT scans . Izvi zvinogona kutora mifananidzo yakadzama yenzira yako yekugaya chikafu.
• Endoscopy yepamusoro: Izvi zvinosanganisira kuisa chubhu diki, inochinjika (ine kamera) nemuromo wako kuti uongorore chikamu chepamusoro chenzira yako yekugaya, inosanganisira gumbo, dumbu, uye duodenum.
• Kuongororwa kweBarium swallow: Mukuedzwa uku, unopiwa kemikari shoma inonzi barium kuti unwe. Nekuti inoonekwa zvakanaka paX-rays, inogona kutora mifananidzo yakadzama yechikamu chepamusoro chedumbu rako.
• Biopsy: Panguva yekuongororwa kwakadai se endoscopy, kanyama kadiki kanotorwa kubva panzvimbo inofungidzirwa kuti kanoongororwa murabhoritari kuti kuonekwe kana paine masero ekenza. Iyi ndiyo nzira chete yekusimbisa kana kenza iripo.

Ndeipi mishonga yekurapa kenza yeDuodenal?

Hurongwa hwekurapa hunosiyana zvichienderana nedanho regomarara. Chiremba wako anogona kukurudzira kurapwa kwakadai se:

• Kuvhiyiwa: Chiremba anovhiya anobvisa kenza yakawanda sezvinobvira, asi anongwarira kuti asakuvadze nyama ine hutano. Mune zvimwe zviitiko zvakakomba, kuvhiyiwa kukuru kunonzi Whipple procedure kunogona kuitwa. Izvi zvinosanganisira kubvisa duodenum yako, gallbladder, uye chikamu chidiki chepancreas yako .
• Kurapa nemakemikari:Izvi zvinosanganisira kupa mishonga yekuuraya masero ari kukura nekukurumidza, akadai semasero ekenza. Kurapa nemakemikari kunogona kuitwa muzvikamu zvakasiyana-siyana, uye pakati pazvo paine nguva yekuzorora.
• Kurapa nemwaranzi: Nyanzvi yemwaranzi inotungamira mwaranzi ine mwero wakakwira mugurokuro rako. Kurapa nemwaranzi uku kunodzikisa kana kuparadza masero ekenza.

Zvakakosha: Zvakakosha kukurukura zvakakwana uye kunzwisisa mishonga iyi yese, kusanganisira zvayakanakira nezvayakaipira, nachiremba wako.

Ndedzipi nzira dzekudzivirira gomarara iri? (Dziviriro)

Hapana nzira yakavimbiswa yekudzivirira zvachose kenza yemudumbu. Zvisinei, pane zvinhu zvakawanda zvaunogona kuita kuderedza njodzi yako yese yekubatwa nekenza yemudumbu:

• Kudya chikafu chine nyama tsvuku shoma uye chine mapuroteni akawanda asina mafuta akawanda, michero, miriwo, uye zviyo zvakakwana .
• Rega kusvuta zvachose uye kushandisa zvigadzirwa zvefodya.
• Kuderedza kunwa doro.

Zvinhu izvi zvinobatsira kukudzivirira kubva kukenza chete, asi kune zvimwe zvirwere zvakawanda.

Hupenyu hwakaita sei neDuodenal Cancer? (Outlook)

Sezvakaita chero kenza, kana ikaonekwa nekukurumidza, mikana yekuti irapwe uye irapwe inowedzera . Kana ikanyanya kuoma kurapa, mikana yekuti irapwe inowedzerawo.

Saka, zvakakosha kugara uchiongororwa nachiremba . Kana uine zviratidzo zvisingawanzoitika zvine chekuita nekugaya kwako, kana ukaona shanduko mumadyiro ako, enda kuna chiremba nekukurumidza . Kana mumwe munhu mumhuri mako akamborwara nekenza, chiremba wako anogonawo kukurudzira kuongororwa kunogona kubatsira kuona chirwere ichi nekukurumidza.

Zvinokwanisika here kurarama pasina duodenum?

Ehe, unogona kurarama. Kana ukaitwa Whipple procedure yambotaurwa, duodenum inobviswa. Asi kana duodenum yapera, zvinhu zvakaita sekugaya chikafu uye kunwa zvinovaka muviri zvinogona kukanganiswa zvishoma. Ipapo chiremba anogona kukupa zvekudya zvinovaka muviri, kana kuti pamwe kudya kwevabereki , kudzivirira kushaya chikafu chakakwana. Chikwata chekurapa chichakudzidzisa zvakanaka nezveizvi.

Ko kenza yemudumbu nekenza yepancreas zvakafanana here?

Ehe, idzi mhando mbiri dzakasiyana zvachose dzekenza . Kenza yeDuodenal inokura muduodenum, chikamu chekutanga cheura hwedu hudiki. Kenza yePancreaticInoumbwa mupancreas, nhengo iri kumashure uye pasi pedumbu redu. Zvisinei, nekuda kwekuti nhengo mbiri idzi dziri pedyo nepedyo, dzimwe nguva zviratidzo zvinogona kufanana. Ndosaka kuongororwa kwakarurama kuchikosha.

Mibvunzo ipi yaungabvunza chiremba wako?

Kana uchifungidzira kuti une kenza yemudumbu, kana kuti wakamboonekwa kuti unayo, unogona kubvunza chiremba wako mibvunzo yakaita seiyi:

• Chii chinonyanya kukonzera zviratidzo zvemudumbu mangu?
• Kenza iyi yemudumbu iri padanho ripi?
• Ndeipi nzira dzekurapa kenza yeDuodenal?
• Chii chingaitika kana ndikasawana mushonga?
• Ndezvipi zvandinofanira kuchinja mararamiro angu kuti ndideredze njodzi yangu yekubatwa nekenza yemudumbu?

Pamusoro pemibvunzo iyi, usatya kutaura nachiremba wako nezve chero chinhu chiri mupfungwa dzako.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Kenza yeDuodenal igomarara rinokura muchikamu chekutanga cheura hwedu hudiki. Rinogona kukanganisa kugaya chikafu uye kupinza kwezvinovaka muviri. Sezvo chirwere ichi chingasaratidze zviratidzo pakutanga , zvakakosha kutsvaga rubatsiro rwechiremba nekukurumidza kana ukaramba uine kurwadziwa kwemudumbu kusingawanzoitiki, kuvimbiwa, kuda kurutsa, kana kurutsa.

Nzira dzekurapa dzinosanganisira kuvhiyiwa, chemotherapy, kana kurapwa nemwaranzi. Kana zvikaonekwa nekukurumidza, mukana wekuti zvirapwe zvinobudirira ndewekuti zvirapwe. Saka, tarisira muviri wako uye ona chiremba kana ukaona chimwe chinhu chisingawanzoitiki. Dai tose tiine simba rekurarama hupenyu hune hutano!

` Kenza yeDuodenal, Kenza yeDuodenal, Kenza yeMatumbu Madiki, Zviratidzo zveKenza, Kurapwa kweKenza, Sisitimu Yekugaya