Vazhinji vedu tinowanzosangana nematambudziko akadai sechirungurira, kusagadzikana kwekugaya chikafu, uye gastritis, handiti? Tinowanzoedza kugadzira mushonga wepamba weizvi, kana kunwa piritsi diki kuti tidzivise marwadzo. Asi waizviziva here kuti dzimwe nguva zviratidzo izvi, zvatinofunga kuti zvidiki, zvinogona kuva chiratidzo chekutanga chechirwere chakakomba, chinonzi kenza yemudumbu. Musazvidya mwoyo, haasi matambudziko ese emudumbu ikenza. Zvisinei, zvakakosha kuti tizive izvi. Saka nhasi, ngatitaurei nezvekenza yemudumbu, kana kuti 'Gastric Cancer'.
Zvichitaurwa zviri nyore, chii chinonzi kenza yemudumbu?
Kenza yemudumbu inguva apo masero ari mudumbu medu, kureva mudumbu, anotanga kukura asingadzoreki. Sesora, masero aya ekenza anopatsanuka nekukurumidza uye anopararira, achiparadza masero ane hutano.
Kenza iyi inogona kukura chero kupi zvako mudumbu. Asi inonyanya kuitika munzvimbo inofambwa chikafu chatinodya, gumbo, uko rinobatana nedumbu. Dambudziko iri rinowanzo tanga mukati-kati memadziro edumbu. Rinokura zvishoma nezvishoma pakutanga. Asi kana rikasarapwa, masero aya ekenza anogona kukura pamwe chete kuti agadzire bundu , kukura zvakadzika nemadziro edumbu, uye kupararira (metastasize) kune nhengo dziri pedyo dzakadai sechiropa nepancreas.
Ndiani ari panjodzi huru yekubatwa nechirwere ichi?
Kunyange hazvo munhu wese achigona kubatwa nekenza yemudumbu, vamwe vanhu vari panjodzi yakakura zvishoma.
- Kune vanhu vane makore anopfuura 65: Sezvatinokura, masero emuviri wedu anogona kuchinja zvakanyanya.
- Kune varume: Varume vane mukana wekuwana chirwere ichi zvishoma kupfuura vakadzi.
- Mamwe mapoka emadzinza: Chirwere ichi chakajairika mune dzimwe nzvimbo dzepasi rose, dzakadai seEastern Europe. Izvi zvinogona kunge zvichikonzerwa nemadyiro azvo uye simba remajini.
Tinofanira kunetseka nezvechirwere ichi munyika dzakadai seSri Lanka. Gomarara remudumbu ndeimwe yemhando dzegomarara dzakajairika pasi rose.
Ndezvipi zviratidzo zvechirwere ichi? Ungachiziva sei?
Dambudziko guru pano nderekuti kenza yemudumbu kazhinji hairatidzi zviratidzo pakutanga . Dzimwe nguva, kenza inogona kunge yatowedzera zviratidzo panguva iyo zviratidzo zvinoonekwa. Saka zvakakosha kuziva nezvezviratidzo izvi.
Fungidzira kuti unonzwa wakaguta mushure mekudya, kana kuti une kunzwa kupisa mudumbu mako. Tinozvidaidza kuti "gastritis." Asi kana zvinhu izvi zvikaramba zvichiitika, uye kana ukaderedza uremu pasina chikonzero , usazviregeredza. Izvozvo ndizvo zviratidzo zviviri zvikuru zvegomarara remudumbu.
Ngatidzidzei zvakajeka nezvezviratidzo izvi kubva patafura iri pazasi.
| Chiratidzo | Izvi zvinonzwa sei? |
|---|---|
| Kuda kudya | Unorasikirwa nechido chekudya chose. Kunyangwe chikafu chawaimbofarira chinova chisingafadzi. |
| Kuoma kumedza | Zvinoita sekunge pahuro pandinomedza chikafu. |
| Kuderedza uremu pasina chikonzero | Uchaderedza huremu pasina kuchinja madyiro ako kana maekisesaizi. |
| Kurwadziwa kwedumbu | Ndinonzwa kurwadziwa uye kusagadzikana nguva dzose mudumbu repamusoro, pamusoro pegumbo rangu. |
| Kunzwa kuguta kunyangwe mushure mekudya zvishoma | Kunyangwe ndikadya chimwe chinhu chidiki senge mupunga mudiki kana bhisikiti, dumbu rangu rinonzwa kuguta zvakanyanya. |
| Kuzvimba kwedumbu uye kusagadzikana kwekugaya chikafu | Kuzvimba kunogara kwenguva refu kwakafanana negastritis uye kusagadzikana kwekugaya chikafu. |
| Kusvotwa nekurutsa | Ndinonzwa kuda kurutsa nguva dzese, uye dzimwe nguva ndinotorutsa. |
| Tsvina nhema kana kurutsa ropa | Ichi chiratidzo chakakomba zvikuru.Kana tsvina yako ikaita dema setara kana kuti ukarutsa ropa, enda kuna chiremba nekukasika. |
Chinonyanya kukosha: Zviratidzo izvi zvinowanzoonekwa mune zvimwe zvirwere, zvakaita segastritis nemaronda emudumbu. Saka usatya kana uine chimwe chezviratidzo izvi kana kupfuura. Zvisinei, zvakakosha kuona chiremba wako kuti uzive kuti chii chiri kukonzera izvi.
Sei kenza yemudumbu ichikura? Ndezvipi zvinhu zvinokonzera njodzi?
Kenza yemudumbu inotanga kana paine shanduko yemajini muDNA yemasero emudumbu. Zvichitaurwa zviri nyore, mirairo inoudza masero kuti "nguva yekupatsanurana uye nguva yekufa" inokanganisika. Zvadaro masero iwayo anopatsanurana zvisingadzoreki ova kenza.
Kunyangwe chikonzero chaicho chekuchinja kwemajini ichi chisati chawanikwa, zvinhu zvinoverengeka zvakawanikwa zvinowedzera njodzi yekubatwa nekenza.
- *Helicobacter pylori (H. pylori)* Utachiona hwebhakitiriya: Ichi chinhu chikuru chinokonzera kenza yemudumbu. Utachiona uhwu hunogara mudumbu medu uye hunogona kukuvadza madziro emudumbu nekufamba kwenguva, zvichikonzera gastritis, maronda emudumbu, uye pakupedzisira kenza.
- Gastritis uye chirwere chegastroesophageal reflux disease (GERD): Gastritis yenguva refu uye mamiriro ezvinhu anokonzera kuti acid yemudumbu ipinde mugumbo zvinogona kukonzera shanduko mumasero emadziro emudumbu.
- Kudya kusina hutano: Vanhu vanogara vachidya chikafu chine munyu, chine mafuta, chakasvuta, uye chakabikwa muhari vane njodzi huru. Uyewo, kudya michero nemiriwo mishoma kunowedzerawo njodzi.
- Kusvuta nedoro: Makemikari ari mufodya anoenda zvakananga mudumbu uye anokuvadza masero. Izvi zvinoshandawo pakunwa doro rakawandisa.
- Nhoroondo yemhuri: Kana mumwe munhu mumhuri yako (amai, baba, munin'ina kana hanzvadzi) akamborwara nekenza yemudumbu, iwe unogona kunge uri panjodzi.
- Kufuta: Kuchinja kwemahormone uye kuzvimba kunokonzerwa nemafuta akawanda mumuviri kunowedzera njodzi yekubatwa nekenza.
- Zvimwe zvirwere zvemajini: Vanhu vane zvirwere zvemajini zvisingawanzoitiki, zvinogarwa nhaka zvakaita se *Lynch syndrome* uye *Li-Fraumeni syndrome* vanewo njodzi yakakura yekubatwa nekenza yemudumbu.
- Rudzi rweropa: Vanhu vane rudzi rweropa A vakaonekwa kuti vane mukana wakakura wekuwana gomarara iri, asi chikonzero cheizvi hachisati chajeka.
Ndezvipi zviedzo zvinoshandiswa kuongorora chirwere ichi?
Kana uine zviratidzo zvataurwa kare, chiremba wako achakuongorora uye achakutumira kuti uongororwe kana zvichidikanwa.
- Endoscopy (Endoscopy Yepamusoro):Iyi ndiyo bvunzo inonyanya kukosha uye yakarurama yekuongorora kenza yemudumbu. Muongororo iyi, chubhu yakatetepa, inochinjika ine kamera inoiswa nemuromo uye gurokuro, dumbu, uye chikamu chekutanga cheura hudiki chinoongororwa. Kana paine nzvimbo inofungirwa, mudziyo mudiki unopfuudzwa nechubhu uye chidimbu chidiki chenyama (biopsy) chinotorwa choendeswa kurabhoritari kuti chiongorore masero ekenza.
- Endoscopic Ultrasound: Izvi zvakafanana ne endoscopy, asi zvinoshandisawo ultrasound scanner pamwe chete nekamera. Izvi zvinogona kubatsira kuona kuti kenza yakapararira zvakadii mudumbu.
- Kuedzwa kweRadiologic:
- CT Scan: Izvi zvinogona kutora mifananidzo yemuviri kuti zvionekwe kuti kenza yakakura sei uye kana yapararira kune dzimwe nhengo dzemuviri.
- Kumedzwa kweBarium: Muongororo iyi, mvura inonzi barium inomedzwa. Kana mvura iyi ikaiswa pamadziro edumbu, X-ray inogona kutorwa kuti ione zvakajeka chimiro uye kusarongeka kwedumbu.
- Kuongororwa kweropa: Izvi zvinogona kuona kana kenza yakanganisa dzimwe nhengo dzemuviri, dzakadai sechiropa, kana kuti pane anemia.
- Laparoscopy: Mune zvimwe zviitiko, kana scans ikasakwanisa kuona kuti kenza yapararira kusvika papi chaizvo, kuvhiyiwa uku kunoitwa. Mukuita uku, kucheka zvidimbu zvidiki zvinoitwa mudumbu, kamera inoiswa, uye nhengo dzinoongororwa zvakananga.
Kana bvunzo idzi dzikaonekwa kuti kenza iripo, chiremba ndiye achaona danho rayo. Pane matanho kubva pa0 kusvika paIV (mana). Padanho rekutanga (Danho 0), kenza inongowanikwa pamusoro pemadziro edumbu. Danho rechina rinoreva kuti kenza yapararira kune nhengo dziri kure. Kurapwa kunoitwa zvichienderana nedanho iri.
Ndeipi mishonga yekurapa kenza yemudumbu?
Hurongwa hwekurapa hunoenderana nedanho regomarara, hutano hwako hwese, uye zvaunoda. Kazhinji, chiremba wegomarara nachiremba wezvekudya vanoshanda pamwe chete kugadzira hurongwa hwakanakisa hwekurapa iwe.
Kuvhiya
Kurapa kukuru kwegomarara remudumbu kubvisa gomarara iri kuburikidza nekuvhiyiwa.
- Endoscopy: Kana kenza iri padanho rekutanga, kureva kuti, pamusoro pemadziro edumbu, chikamu chekenza chinogona kuchekwa nekubviswa panguva ye endoscopy.
- Kubviswa kwechikamu chedumbu kana chese (Gastrectomy): Kana kenza yapararira zvakadzika mudumbu, kuvhiyiwa kungadiwa kubvisa chikamu chedumbu chine kenza (subtotal gastrectomy) kana dumbu rose (total gastrectomy). Kana dumbu rose rikabviswa, chiremba wezvekuvhiya achabatanidza gumbo rako zvakananga neura hudiki.Usazvidya moyo, kunyangwe dumbu rako rakabviswa zvachose, unogona kudya zvakajairika, asi haugone kudya zvakawanda panguva imwe chete, unofanira kudya zvishoma kakawanda pazuva.
Mamwe marapirwo
Kurapa uku kunoshandiswa pamwe chete kana pamwe chete nekuvhiyiwa.
- Kurapa nemakemikari: Izvi zvinosanganisira kupa muviri mishonga inouraya masero ekenza. Kurapa uku kunoitwa kuti kuome bundu risati ravhiyiwa, kana kuti kuuraya masero ekenza asara mushure mekuvhiyiwa.
- Kurapa nemwaranzi: Izvi zvinosanganisira kushandisa mwaranzi ine simba guru (senge maX-ray) kuparadza masero ekenza. Izvi zvinowanzoitwa pamwe chete nechemotherapy.
- Kurapa Mishonga Yakanangwa: Mishonga iyi inotarisa uye inorwisa kusasimba kwemasero ekenza pasina kukuvadza masero akajairwa.
- Kurapa nekudzivirira kenza: Izvi zvinosanganisira kukurudzira masoja emuviri wedu kuti aone uye aparadze masero ekenza.
- Kutarisirwa Kwevarwere Vasina Kurwara: Izvi zvinhu zvisinganzwisiswi nevanhu vazhinji. Kutarisirwa kwevarwere vasina kurwara hakusi chinhu chinopihwa pakupera kwekurapwa. Ibasa rekurapa rakasiyana-siyana rinoitirwa kuvandudza hupenyu hwemurwere nekudzora kusagadzikana kwakadai sekurwadziwa, kuda kurutsa, uye kurasikirwa nechido chekudya kunokonzerwa nechirwere ichi panguva iyo kenza iri kurapwa.
Ko kenza yemudumbu inogona kurapwa here? Ingadzivirirwe sei?
Ehe, zvinogona zvechokwadi! Kenza yemudumbu inogona kurapwa zvachose kana ikaonekwa nekukurumidza . Ndosaka tichiti musafuratira kunyange zviratidzo zvidiki. Kenza painokura zvakanyanya, ndipo painooma kurapa. Taura nachiremba wako kuti uwane ruzivo rwakanyatsojeka nezvechirwere chako.
Kunyangwe kenza isingadzivirirwe 100%, pane zvakawanda zvatinogona kuita kuderedza njodzi iyi.
- Rapa hutachiona hweH. pylori: Kana uine gastritis, kumbira chiremba wako kuti akuongorore hutachiona hweH. pylori. Kana zvakadaro, rapa hutachiona hwacho nemishonga inorwisa mabhakitiriya yakakodzera.
- Kudya kwakanaka:
- Isa michero mitsva nemiriwo mukudya kwako kwezuva nezuva. Maranjisi, magirepipureti, nemiriwo yakasvibira, ine vhitamini C yakawanda, zvakanaka zvikuru.
- Deredza kudyiwa kwezvikafu zvine munyu, mafuta, zvakachengetedzwa, zvakasvuta (zvakaita masoseji, bhekoni) nenyama tsvuku (nyama yemombe, nyama yenguruve).
- Rega kusvuta zvachose: Kana uchisvuta, rega nhasi. Ndiro rubatsiro rukuru rwaunogona kuita.
- Ramba uine huremu hwakanaka: Edza kuchengetedza huremu hwakanaka hunoenderana nehurefu hwako. Kurovedza muviri nguva dzose kwakakosha zvikuru.
Mharidzo Yekuenda Nayo Kumba
- Kana ukaramba uine zviratidzo zvakaita sekuzvimba mudumbu, kurwadziwa mudumbu, uye kushaya chido chekudya zvaunofunga kuti chirwere chegastritis chinowanzoitika, kunyanya kana uri kudzikira uremu pasina chikonzero, usapedza nguva woenda kuna chiremba.
- Kurapa kwakakodzera hutachiona hweH. pylori , hunokonzera kenza yemudumbu, kunogona kuderedza njodzi yacho zvakanyanya.
- Kudzivisa kusvuta, kutevera kudya kwakanaka, uye kuchengetedza huremu hwakanaka kunobatsira zvakananga kuderedza njodzi yekubatwa nekenza.
- Gomarara remudumbu chirwere chinorapika zvachose kana chikaonekwa nekukasika. Saka usavhunduka, uye tsvaga rubatsiro rwechiremba kana uine kusava nechokwadi.
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