Wakamboona ropa shoma mutsvina yako paunoenda kuchimbuzi here? Kana kuti unowanzo sangana nekuchinja kamwe kamwe mukufamba kwemudumbu, kurwadziwa mudumbu, kana kuvimbiwa? Usazvitore sezvinowanzoitika. Nekuti izvi zvinogona kuva zviratidzo zvekutanga zvechirwere chakakomba senge kenza yemudumbu. Zvingaita sekunge zvakaoma kutaura nezvazvo, asi zvakakosha kuziva hutano hwako. Saka, ngatitaurei nezvazvo zvakadzama, nenzira iri nyore.
Zvichitaurwa zviri nyore, chii chinonzi kenza yemudumbu?
Kenza yemudumbu (colon cancer) kukura kusingadzoreki kwemasero asina kujairika mumadziro emudumbu, kusanganisira rectum. Iyi inowanzova mhando yekenza inokura zvishoma nezvishoma.
Kazhinji, inotanga semapundu madiki (polyps) anoumba pamadziro emukati me rectum. Tinodaidza mapundu aya kuti adenomas . Zvinogona kutora makore gumi kusvika gumi nemashanu kuti bundu diki rakadai rive kenza. Ehe, ichokwadi. Izvi zvinoreva kuti hazviitike kamwe kamwe.
Chinhu chakanakisa ndechekuti bvunzo dzakadai se colonoscopy dzinogona kuona nekubvisa ma polyps aya asati ava kenza. Nokudaro, kuita bvunzo idzi nenguva kunogona kuderedza zvikuru njodzi yekubatwa nekenza yemudumbu. Kunyangwe kana kenza yatanga, kana ikaonekwa nekukurumidza, inogona kurapwa zvachose nekuvhiyiwa kubvisa polyp.
Pakati pegomarara rinokura mudumbu redu, gomarara remudumbu ndiro rinonyanya kuwanda, mushure megomarara remuura negomarara repancreas.
Ziva zviratidzo izvi.
Kazhinji, gomarara iri rinogona kugara mumuviri kwemakore risingaratidzi zviratidzo pakutanga. Zvisinei, vamwe vanhu vanogona kuona zviratidzo zvinonyevera. Zvakakosha kuti uzvizive.
Yeuka kuti havasi vese vane zviratidzo izvi vane kenza. Asi kana zviratidzo izvi zvikaramba zviripo, iva nechokwadi chekuona chiremba wako kuti akupe mazano.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kubuda ropa mutsvina | Ropa dzvuku kana kuti rakasviba riri mutsvina. |
| Manyoka | Kuzvimba kwechifuva nguva dzose. |
| Kuzvimba | Kuoma kwekuita tsvina, kusaita tsvina kwemazuva akawanda. |
| Kuchinja kwemafambiro emudumbu | Kuchinja kamwe kamwe kwezvinhu zvakaita sekuwanda kwenguva uye nguva yekuenda kuchimbuzi. |
| Kuchinja chimiro chechigaro | Chitsiko chacho chakatetepa sepenzura uye chinobuda setambo. |
| Kuneta nekushaiwa simba kamwe kamwe | Kuneta kwakanyanya pasina chikonzero. |
| Kurwadziwa kwedumbu | Kurwadziwa kwemudumbu nekusagadzikana kwakadai sekuzvimba. |
| Kuderedza uremu pasina chikonzero | Kudzikira uremu kamwe kamwe pasina kudya zvishoma kana kurovedza muviri. |
Ndezvipi zvinhu zvinokonzera kenza yemudumbu?
Chikonzero chaicho chegomarara iri hachisati chawanikwa. Zvisinei, vanachiremba vakaona zvimwe zvinhu zvinowedzera njodzi yekubatwa nechirwere ichi. Ngationei kuti chii.
| Chinhu chine njodzi | Tsananguro |
|---|---|
| Zera | Sezvinoitawo kune dzimwe kenza, njodzi yacho inowedzera nekukura. Paavhareji, varwere vazhinji vanoonekwa vaine chirwere ichi vava nemakore makumi matanhatu nematatu. |
| Zvimwe zvirwere | Vanhu vane zvirwere zvemudumbu zvinozvimba, zvakaita sechirwere cheCrohn nechirwere chemudumbu chinonzi ulcerative colitis, vari panjodzi huru. |
| Ndiro dzenyama dzakagadzirwa | Vanhu vanogara vachidya nyama tsvuku nenyama dzakagadzirwa senge masoseji nebhekoni vari panjodzi huru. |
| Nhoroondo yemhuri | Kana mumwe munhu wemumhuri mako (amai, baba, vanun'una kana hanzvadzi) akamborwara negomarara iri, mukana wako wekubatwa naro wakapetwa kaviri. |
| Murume kana Mukadzi | Varume vane mukana wekubata gomarara iri zvishoma kupfuura vakadzi. |
| Zvirwere zvenhaka | Mamwe mamiriro ezvinhu emumajini anowedzera njodzi yekubatwa negomarara iri. Mienzaniso inosanganisira Lynch syndrome uye Familyal adenomatous polyposis (FAP) . |
| Kufuta | Vanhu vakafuta zvakanyanya vari panjodzi huru kupfuura avo vane huremu hwakajairika. |
| Kusvuta | Ongororo yakaitwa munguva pfupi yapfuura yakaratidza kuti vanoputa fodya vane mukana wakakura wekufa nekenza iyi kupfuura vasingasvuti. |
Gomarara iri rinoonekwa sei?
Kuongororwa kwechirwere kunowanzotanga nekuongororwa kwakajairika nachiremba, uye ipapo bvunzo dzakasiyana-siyana dzinorayirwa sezvinodiwa.
Miedzo yekutanga
Kutanga, chiremba wako achakubvunza nezvezviratidzo zvako uye achakuongororwa muviri, izvo zvinogona kusanganisira kuongororwa kwedhijitari rectal (DRE) .
Zvadaro, bvunzo inonyanya kukosha yekusimbisa chirwere ichi ndeye colonoscopy . Mubvunzo uyu, chubhu yakatetepa ine kamera inopinzwa nepaburi remudumbu uye mukati memudumbu neura hwemukati munoongororwa zvizere. Kana bundu risingafungidzike (polyp) rikaonekwa panguva iyi, chidimbu chidiki chenyama chinotorwa kuti chiongororwe. Tinoti izvi i biopsy .
Kuongororwa kunofanirwa kuitwa kana kenza yasimbiswa
Kana biopsy ikaratidza kuti kune masero ekenza, chiremba achakutumira kuna chiremba wekenza, uyo achaita mimwe miedzo yakati wandei kuti aone danho chairo rekenza.
Kuongororwa kweRopa
- Kuverengwa Kweropa Rakakwana (CBC): Izvi zvinobatsira kutarisa zvirwere zvakaita seanemia, izvo zvinogona kukonzerwa nekurasikirwa neropa nekuda kwegomarara.
- Comprehensive Metabolic Panel (CMP): Izvi zvinogona kukupa pfungwa yekushanda kwenhengo dzakadai seitsvo nechiropa.
- Kuongororwa kweEnzyme yeChiropa: Izvi zvakakosha kuti uone kana kenza yapararira kuchiropa.
- Kuongororwa kwezviratidzo zvegomarara: Izvi zvinoongorora huwandu hwezvimwe zvinhu (zviratidzo zvegomarara) zvinoburitswa muropa nemasero egomarara. Mugomarara remudumbu, chiratidzo cheCEA (Carcinoembryonic Antigens) ndicho chinonyanya kuongororwa.
Mimwe miedzo
- Proctoscopy: Ongororo inongotarisa mukati memudumbu chete.
- Kuongororwa kweCT (Computed Tomography scan): Izvi zvinobatsira kuona kana kenza yapararira kune dzimwe nhengo dziri mudumbu.
- Kuongororwa kweMRI (Magnetic Resonance Imaging): Kuongororwa kweMRI kwakakosha zvikuru kuti uone zvakajeka kuti kenza yapararira kusvika papi munyama dzakatenderedza huro.
- Ultrasound yePelvic: Izvi zvinoshandiswawo kuona kupararira kwegomarara mudumbu.
Matanho ekenza anoonekwa sei?
Zvichibva paruzivo rwakawanikwa kubva muongororo imwe neimwe iyi, vanachiremba vanoongorora danho regomarara. Izvi zvakakosha zvikuru pakuronga kurapwa. Pane matanho mashanu chete.
- Danho 0: Masero egomarara ari muchikamu chepamusoro chemadziro emukati me rectum.
- Danho rekutanga: Gomarara rakura kupfuura pamusoro pemadziro uye rakura zvishoma kusvika pamadziro.
- Danho rechipiri: Bundu iri rakura nepamadziro erectum uye rinogona kunge rapararira kune nyama yakakomberedza.
- Danho rechitatu: Kenza yapararira kusvika kuma lymph nodes ari pedyo nerectum.
- Danho rechina: Gomarara rapararira (rapararira) kunhengo dziri kure dzakadai sechiropa nemapapu.
Ndezvipi zvingasarudzwa pakurapa?
Kune nzira dzakasiyana-siyana dzekurapa kenza yemudumbu. Chikwata chenyu chekurapa chichasarudza kurapwa kwakanakira iwe zvichienderana nezvinhu zvakawanda, kusanganisira danho nehukuru hwekenza yako, uye hutano hwako hwese.
Kuvhiya
Kurapa kunonyanya kuitwa kubvisa bundu rekenza. Kune mhando dzakasiyana-siyana dzekuvhiya.
| Zita rekuvhiyiwa | Uri kuitei? |
|---|---|
| Kuvhiyiwa kweTransanal Endoscopic Microsurgery (TEMS) | Muizvi, chinhu chakakosha chinoiswa nepaburi remusana chinoshandiswa kubvisa mabundu madiki ane njodzi shoma ekenza. |
| Kubviswa Kwechipfuva Kwepamberi Kwakaderera (LAR) | Kana kenza yakakura zvakakwana, chikamu chemudumbu chiri pagomarara chinobviswa, kungave chose kana kuti chikamu charo. |
| Kubviswa kweBdominoperineal Resection (APR) | Kuvhiyiwa uku kunoitwa kana kenza iri pedyo nepaburi remudumbu uye bundu risingabviswe pasina kukuvadza tsandanyama dzinodzora kufamba kwedumbu. Mukuvhiyiwa uku, bundu remudumbu, rectum, nechikamu cheura zvinobviswa. Mudumbu munogadzirwa buri rekuti tsvina ipfuure nepaburi. Izvi zvinonzi colostomy . |
Kurapa kunze kwekuvhiyiwa
Dzimwe nguva mamwe marapirwo anoshandiswa vasati vavhiyiwa kuderedza bundu kana kuparadza chero masero ekenza asara mushure mekuvhiyiwa.
- Kurapa nemakemikari: Mushonga unoparadza masero ekenza.
- Kurapa Nemwaranzi: Kuparadza masero egomarara uchishandisa mwaranzi ine simba rakawanda.
- Kurapa Nezvirwere: Kukurudzira masoja emuviri kuti arwise masero egomarara.
- Kurapa Kwakanangana: Mishonga inorwisa mamorekuru chaiwo anokanganisa kukura kwemasero ekenza.
Kutarisirwa kwevarwere vane marwadzo emusana kunogona kuwanikwa kuti kubatsire kudzora migumisiro nezviratidzo panguva yekurapwa. Taura nachiremba wako nezveizvi.
Chii chatingaita kuti tizvidzivirire kubva kugomarara iri?
Kunyangwe pasina nzira yekudzivirira kenza iyi zvizere, pane zvakawanda zvatinogona kuita kuderedza njodzi yacho.
- Ramba uine huremu hwakanaka hunokunakira. Kana usina chokwadi, bvunza chiremba.
- Rovedza muviri nguva dzose.
- Dzivisa nyama dzakagadzirwa. Pane kudaro, idya chikafu chakakwana chine nyama dzisina mafuta akawanda, zviyo zvakakwana, uye miriwo nemichero yakasvibira.
- Dzivisa kunwa doro.
- Kana uchisvuta, rega.
Chinhu chinonyanya kukosha ndechekuongororwa kenza panguva yakakodzera. Nekuti kuburikidza neizvi, mapolyps anogona kuonekwa uye kubviswa asati ava kenza. Zvakare, kunyangwe kenza yatanga, inogona kuonekwa padanho rekutanga. Ipapo mikana yekurapwa nekurapwa yakanyanya.
Colonoscopy ndiyo bvunzo huru. Pamusoro pezvo, kune mimwe miedzo yakati wandei:
- Kuongororwa kweropa retsvina (FOBT): Kuongororwa kweropa riri mutsvina risingaonekwe neziso.
- Kuongororwa kweDNA yetsvina: Kuongorora shanduko dzemajini uye zvikamu zveropa zviri mutsvina zvine chekuita nekenza.
- Sigmoidoscopy: Kuongorora chikamu chezasi cheura nerectum.
- Colonoscopy yepamhepo: Kuongorora CT scan kunoongorora bundu riri muura nemurectum.
Kazhinji, munhu wese ane makore anopfuura makumi mana nemashanu ekuberekwa anofanira kuongororwa izvi. Taura nachiremba wako nezvebvunzo yakakunakira uye nguva yekuongororwa, zvichibva pane nhoroondo yemhuri yako nezvimwe zvinhu zvinogona kukonzera njodzi.
Ndirini paunofanira kuona chiremba nekukurumidza?
Kana uri kurapwa gomarara iri, tsvaga rubatsiro rwechiremba nekukasika kana ukaona chimwe chezviratidzo zvinotevera:Zivisa chiremba wako kana kuti enda kuEmergency Department (ETU) yechipatara.
- Fivha inosvika 38 degrees Celsius (100.4 Fahrenheit) kana kupfuura.
- Musoro wakanyanya.
- Kunzwa kutonhorera uye kudedera.
- Ropa muweti.
- Kurwadziwa kwechipfuva.
- Kutadza kufema zvakanaka.
- Kuvhiringidzika.
Mibvunzo yekubvunza chiremba wako
Kana ukaonekwa uine chirwere ichi, zvakajairika kuti uve nemibvunzo yakawanda mupfungwa dzako. Saka, usingatyi kana kuzeza, bvunza chiremba wako nezvezvinhu izvi wobva wawana mhinduro.
- Ndine nhanho ipi yekenza?
- Gomarara rapararira kusvika papi?
- Ndedzipi nzira dzekurapa dzandinadzo?
- Kana ndikavhiyiwa, ndichada colostomy here?
Gomarara remudumbu rinogona kuva nyaya yakaoma kutaura nezvaro. Uye bvunzo dzinogona kutyisa zvishoma. Asi yeuka, hupenyu hwako hunokosha kupfuura kunyara kana kusagadzikana kwako. Usafuratira zviratidzo. Kana ukaibata nekukurumidza, mikana yako yekurapwa uye kupora inowedzera. Kana uine mibvunzo kana zvinokunetsa, taura nachiremba wako nhasi.
Mharidzo Yekuenda Nayo Kumba
- Kana ukaona shanduko mumaitiro ako ekubvisa tsvina (manyoka, kuzvimba) kana ropa mutsvina yako, usazviregeredza. Tsvaga rubatsiro rwechiremba nekukasika.
- Gomarara iri rinorapika zvachose kana rikaonekwa nekukasika, saka taura nachiremba wako nezvekuongororwa kweganda senge colonoscopy mushure memakore makumi mana nemashanu.
- Mararamiro ane hutano (kudya zvine mwero, kurovedza muviri, kurega kusvuta nedoro) zvinogona kuderedza njodzi.
- Kune nzira dzakawanda dzekurapa dzinobudirira dzeizvi, dzakadai sekuvhiyiwa, chemotherapy, uye radiation therapy.
- Usatya kutaura pachena nachiremba wako nezvehutano hwako, kunyanya zvinhu zvakaita seizvi zvaungaona zvisina kunaka.
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