Wakambotya here kana weti yako ikachinja ruvara kamwe kamwe, ikashanduka kuita pingi, kana kuti iine ropa? Kana kuti unonzwa sekunge unoda kuita weti kakawanda here? Zvakajairika kuti chero munhu anzwe kutya zvishoma paanoona chiratidzo chakadai. Asi kana tikanzwisisa zvese izvi nemazvo, tinogona kubudirira kugadzirisa mamiriro ezvinhu aya. Nhasi tichataura nezvenyaya iyo vanhu vazhinji vasingade kutaura nezvayo, asi isu tese tinofanira kuziva nezvayo, kureva kenza yedundira.
Chii chaizvo chinonzi kenza yedundira?
Zvichitaurwa zviri nyore, kenza yedundira inguva apo masero ari mudundira redu anotanga kukura zvisina kujairika uye asingadzoreki. Waizviziva here kuti dundira redu inhengo diki yakaita sebhegi. Weti inogadzirwa neitsvo dzedu inochengetwa kwenguva pfupi mudundira iri isati yabuda mumuviri.
Saka, masero ari mukati memadziro edundira iri anochinja zvisingawanzoitiki, uye anopatsanuka zvisingadzoreki oita bundu. Izvi ndizvo zvatinodaidza kuti kenza yedundira. Nekufamba kwenguva, masero aya ekenza anogona kupararira kune ma lymph nodes ari pedyo nedzimwe nhengo dzemuviri. Mune zvimwe zviitiko zvakakomba, pane njodzi yekupararira kune nhengo dziri kure dzakadai semapfupa, mapapu, kana chiropa.
Ndedzipi mhando huru dzekenza yedundira?
Kune mhando dzakasiyana-siyana dzegomarara redundira. Chiremba wako ndiye achasarudza marapirwo ako zvichienderana nerudzi rwegomarara raunaro.
| Rudzi rwegomarara | Tsananguro iri nyore |
|---|---|
| Kansa yeTransitional Cell | Rudzi urwu ndirwo rwakajairika. Runobva mumasero anonzi urothelial cells ari mukati medundira. Sezvo masero aya achiwanikwawo mune dzimwe nzvimbo dzeweti, chiremba achaongorora weti yese. |
| Kansa yeSquamous Cell | Izvi hazviwanzoitiki. Kazhinji, rudzi urwu runokonzerwa nehutachiona hwedundira kwenguva refu kana kumanikidzwa kubva pakushandisa catheter nguva dzose. |
| Adenocarcinoma | Rudzi urwu runowanzoonekwawo zvisingawanzoitiki. Gomarara iri rinotangira mumasero emudumbu. |
| Kansa Yemasero Madiki | Rudzi rwegomarara rinokura nekukurumidza uye risingawanzoitiki rinotanga mumasero etsinga uye rinowanzo rapwa nechemotherapy. |
| Sarcoma | Idzi imhando yegomarara risingawanzoitiki rinotanga mumasero emhasuru dzedundira. |
Ndezvipi zvinhu zvinokonzera kenza yedundira?
Kunyangwe zvakaoma kuziva chikonzero chaicho chegomarara, vanachiremba vakaona zvinhu zvakawanda zvinowedzera njodzi yekubatwa nechirwere ichi.
Chinhu chinonyanya kukosha kusvuta. Ongororo dzakaratidza kuti kusvuta ndiko kunokonzera 50% yekenza yedundira. Nguva imwe neimwe yaunosvuta fodya, makemikari akawanda anokuvadza anopinda mumuviri wako.
Zvimwe zvinhu zvinokonzera njodzi ndeizvi:
- Zera uye murume kana mukadzi: Varume vane makore anopfuura 55 ndivo vari panjodzi huru yekubatwa nechirwere ichi.
- Nhoroondo yemhuri: Kana mumwe munhu wepedyo newe, sevabereki vako kana vanun'una vako, akambova nekenza yedundira kana kenza yemudumbu, iwe uri panjodzi huru.
- Kusangana nemakemikari anokuvadza: Vanhu vari mune mamwe mabasa, akadai seindasitiri yekupenda, indasitiri yekudhinda, vagadziri vemarori, uye vatyairi vemarori, vanofanira kusangana nemakemikari anokuvadza kwenguva yakareba. Izvi zvinogonawo kukonzera njodzi.
- Kutapukirwa nezvirwere zvemudumbu nguva nenguva: Kuva nezvirwere zvemudumbu kana zvimwe zvirwere zvinozvimba kwenguva yakareba kunowedzerawo njodzi.
- Mimwe mishonga yechirwere cheshuga: Pane humbowo hunoratidza kuti kushandisa mimwe mishonga yechirwere cheshuga kwenguva refu, yakadai sePioglitazone, kunogona kuwedzera njodzi yacho zvishoma.
- Kurapwa kwegomarara kare: Kana wakamborapwa nemwaranzi munzvimbo yechiuno kana mishonga yechemotherapy yakaita se cyclophosphamide, njodzi yako inogona kuwedzera.
Zviratidzo zvacho ndezvipi? Ungazviziva sei nekukurumidza?
Zviratidzo zvegomarara redundira zvinogona kusiyana zvichienderana nedanho rechirwere. Chinhu chakakosha ndechekuona chiremba kana wangoona zviratidzo izvi.
| Zviratidzo zvegomarara redundira | |
|---|---|
| Zviratidzo zvekutanga (Danho I) | |
| Chinhu chikuru | Ropa muweti (hematuria). Weti yacho inogona kunge iri pingi, orenji, kana kuti tsvuku yakasviba. Izvi zvingasaonekwa nguva dzose. |
| Zvimwe zvinhu |
|
| Zviratidzo zvinoitika kana chirwere chakura (Advanced Stages) | |
| |
Vakadzi, kunyanya, vanogona kusateerera ropa riri muweti, vachifunga kuti ingori nguva yekuenda kumwedzi kana chimwe chinetso chevakadzi. Saka , zvakakosha kutaura nachiremba nezvekubuda ropa kusingawanzoitiki.
Ko kenza inoonekwa sei?
Kana uine zviratidzo, chiremba wako achakuraira bvunzo dzakawanda kuti aone kana uine kenza yedundira.
- Kuongororwa kweweti: Tarisa ropa riri muweti kana hutachiona.
- Cytology: Muenzaniso weti unoongororwa uchishandisa maikorosikopu kuti uone kana masero ekenza aripo.
- Cystoscopy: Iyi ndiyo bvunzo inonyanya kukosha uye yakarurama. Muizvi, chubhu tete ine kamera inoiswa nepaburi remutsinga uye zvakananga mudundira. Kana paine bundu, rinogona kuonekwa zvakajeka.
- Biopsy: Panguva ye cystoscopy, chidimbu chidiki chenyama inofungirwa chinotorwa kuti chionekwe kana chiri chegomarara.
Kana kenza yakasimbiswa, bvunzo dzakadai seCT scan , MRI scan , kana chest X-ray dzingadiwa kuti zvionekwe kuti yapararira kusvika papi (staging).
Ndezvipi zviri kurapwa?
Musazvinetse, kenza yedundira chirwere chinorapika zvikuru , kunyanya kana chikaonekwa nekukasika. Kurapwa kunoenderana nerudzi rwekenza, danho rayo, uye hutano hwako hwese.
Kuvhiya
Iyi ndiyo nzira inonyanya kushandiswa yekurapa.
- TURBT (Transurethral Resection of Dundira): Kufanana ne cystoscopy, mudziyo unoiswa nepaurethra kuti ubvise bundu rekenza chete kubva pamadziro edundira. Izvi zvinoitirwa kenza iri padanho rekutanga.
- Kubviswa kwechikamu cheCystectomy: Kana kenza yakangogumira pachikamu chimwe chete chedundira, chikamu ichocho chete chedundira ndicho chinobviswa.
- Kubviswa kwetsvina yemudumbu: Kana kenza yapararira kusvika kune tsandanyama dzemudumbu, dundira rese rinogona kubviswa. Panyaya iyi, weti inobviswa kuti ikwanise kubuda mumuviri.
Mamwe marapirwo
- Kurapa nemakemikari: Kupa mishonga yekuuraya masero ekenza. Dzimwe nguva, mushure meTURBT, mishonga inopinzwa zvakananga mudundira kuburikidza nechubhu (intravesical chemotherapy) kuuraya chero masero ekenza asara.
- Kurapa Nemwaranzi: Kuparadza masero egomarara uchishandisa mwaranzi ine simba rakawanda.
- Kurapa nekudzivirira muviri: Kunokurudzira masoja emuviri wedu kurwisa masero ekenza.
- Kurapa Kwakanangana: Kushandisa mishonga inorwisa zvinangwa chaizvo zvinodiwa pakukura kwemasero ekenza.
Mharidzo Yekuenda Nayo Kumba
- Chinhu chikuru chinokonzera kenza yedundira kusvuta fodya.Kana uri munhu anosvuta, edza kurega nhasi.
- Ropa muweti ndicho chiratidzo chinonyanya kuzivikanwa uye chekutanga chechirwere ichi. Kana ukaona chimwe chinhu chakadai, usanonoka uye enda kuna chiremba wako nekukasika.
- Kana chirwere ichi chikaonekwa nekukurumidza, chinogona kurapwa zvinobudirira. Muyero wekurarama kwemakore mashanu wakakwira kusvika 77%.
- Inwa mvura yakawanda uye idya chikafu chine michero nemiriwo yakawanda. Izvi zvinogona kuderedza njodzi yekubatwa nechirwere ichi.
- Kana paine dambudziko rehutano, kuchenjera kutsvaga mazano echiremba pasina kutya kana kusava nechokwadi.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment