Unogonawo kusangana nedambudziko remudumbu, kuzvimba, kana manyoka dzimwe nguva. Kazhinji hatinyatso teerera izvi, handiti? Asi zviratidzo zvinogara zvakadaro zvinogona kuva chiratidzo chechimwe chinhu chakakomba. Nhasi tichataura nezvenyaya iyo vanhu vazhinji vasingade kutaura nezvayo, asi isu tese tinofanira kuziva nezvayo. Iyoyo ikenza yemuura nerectal, kana chirwere chatinodaidza kuti `(Colorectal Cancer)`. Usazvidya moyo, kuziva izvi ndiyo nzira yakanakisisa yekuzvidzivirira kubva pairi.
Zvichitaurwa zviri nyore, chii chinonzi gomarara remudumbu?
Kenza yemudumbu inonzi colon cancer inguva apo masero ari muura kana rectum anotanga kukura zvisingadzoreki. Iri rinowanzova "bundu risinganzwiki" rinokura zvishoma nezvishoma, risina zviratidzo. Ndosaka kenza ingave yatowedzera kusvika pamwero wakati panguva iyo zviratidzo zvinoonekwa.
Funga nezvegadziriro yedu yekugaya chikafu. Chikafu chatinodya chinopfuura nemudumbu nemuura hudiki, uye mushure mekunge zvinovaka muviri zvanyudzwa, tsvina yasara inouya muura hukuru. Ura hukuru hunonyudza mvura nezvimwe zvinovaka muviri zvasara. Zvadaro tsvina yakasimba yasara, inonzi tsvina, inochengetwa kwenguva pfupi mudumbu uye yobva yabuda mumuviri. Mudumbu guru, kana kuti mudumbu, ndipo panotangira masero aya ekenza.
Asi nhau dzakanaka ndedzekuti kana bvunzo dzakakodzera dzikaitwa panguva chaiyo , kenza iyi inogona kudzivirirwa kuti isaitike, uye kana ikaonekwa nekukurumidza, inogona kurapwa zvachose.
Ndedzipi mhando huru dzegomarara iri?
Kune mhando dzakasiyana dzegomarara remuura, asi rumwe rudzi ndirwo rwakanyanya kuwanda.
| Rudzi rwegomarara | Tsananguro iri nyore |
|---|---|
| Adenocarcinoma | Rudzi urwu ndirwo rwakajairika (runenge 96%) . Runotanga mumasero anogadzira madzihwa muura. |
| Bundu recarcinoid | Rudzi rwegomarara runotangira mumasero akakosha anogadzira mahormone. |
| Bundu remudumbu | Inotangira mumasero ari mudumbu anoratidza kuti chikafu chinofanira kufamba nepakati. |
| Lymphoma | Kenza inokura mumasero emuviri wemuviri. |
Mapundu ese ane kenza here?
Kwete. Kutaura zvazviri, kenza dzese dzemuura dzinotanga semapolyps , tumapundu tudiki, twunomera mukati memuura. Haasi mapolyps ese ane kenza.
- Adenomas: Aya ma polyps asati aita kenza , ayo, kana akasarapwa, ane mukana wakakura wekuva kenza nekufamba kwenguva.
- Mapolyps ane ngura uye anoputika: Izvi hazviwanzoita kenza. Zvisinei, dzimwe nguva kana zvikakura, chiremba wako anogona kukurudzira kuti zvibviswe.
Ndiani ari panjodzi huru yekubatwa negomarara iri?
Kutaura zvazviri, chero munhu anogona kubatwa nechirwere ichi. Asi vamwe vanhu vari panjodzi huru. Kana chimwe chezvinotevera chichishanda kwauri, zvakanaka kuti uchenjerere zvishoma.
| Zvinhu Zvinokonzera Njodzi | |
|---|---|
| Nhoroondo yemhuri | Kana paine mumwe munhu mumhuri yako (vabereki, vanun'una, vana) akambova nekenza yemuura kana kuti polyps. |
| Kudya | Kudya nyama tsvuku yakawandisa (nyama yemombe, nyama yenguruve) uye nyama dzakagadzirwa (masoseji, bhekoni). |
| Zvimwe zvirwere | Zvirwere zvematumbu zvakaita sechirwere cheCrohn kana ulcerative colitis , uye chirwere cheshuga cherudzi rwechipiri. |
| Zvirwere zvemajini | Zvirwere zvekuzvarwa nazvo zvakaita seFAP (Familial Adenomatous Polyposis) uye HNPCC. |
| Mararamiro | Kuva nemakore anopfuura makumi mashanu ekuberekwa, kufuta, kusvuta, kusaita maekisesaizi, uye kunwa doro zvakanyanya. |
Ndezvipi zviratidzo zvechirwere ichi? Ziva izvi!
Sezvambotaurwa, kazhinji, hapana zviratidzo zvinoonekwa pakutanga. Zvisinei, sezvo kenza ichienderera mberi, zviratidzo izvi zvinogona kuoneka. Kana chimwe chezvizvi chikaramba chiripo, iva nechokwadi chekuona chiremba.
- Kuchinja kwemaitiro emudumbu: kuvimbiwa nguva dzose kana manyoka.
- Kunzwa sekuti mudumbu hamuna kubuda ropa zvachose: Kunzwa sekuti uchiri kuda kuita tsvina mushure mekuenda kuchimbuzi.
- Kubuda ropa mutsvina: Kubuda ropa kana tsvina yabuda kana kuti isina.
- Kuchinja kwechitarisiko chetsvina: Tsvina dzakatetepa kupfuura zvakajairika, sepenzura.
- Kurwadziwa kwemudumbu kana kusagadzikana: Zvinhu zvakaita sekurwadziwa mudumbu, kuzvimba, nezvimwewo.
- Kudzikira kwehuremu pasina chikonzero.
- Kuneta uye kushaya simba: Izvi zvinogona kunge zvichikonzerwa nekushaya ropa.
- Kunzwa bundu mudumbu kana mudundundu.
Nzira yekuziva chirwere ichi? (Kuongororwa)
Chiremba wako achakubvunza nezvezviratidzo zvako uye oita bvunzo yemuviri. Zvadaro, vanogona kuita imwe kana kupfuura yebvunzo idzi kuti vaone kana une kenza kana kuti polyps.
- Colonoscopy: Iyi ndiyo bvunzo yakajairika uye yakanakisisa. Chubhu yakatetepa, inochinjika ine kamera (colonoscope) inopinzwa nepaburi kuti iongorore ura hwese hukuru. Kana mapolyps akawanikwa, anogona kubviswa panguva imwe chete uye sampuli diki (biopsy) inogona kutorwa kuti iongororwe.
- Sigmoidoscopy: Zvakafanana ne colonoscopy, asi rectum nechikamu chekupedzisira cheura guru ndizvo zvinoongororwa chete.
- Kuedzwa kwetsvina:Kune bvunzo dzinotsvaga ropa risingaonekwe mutsvina (FIT, gFOBT) uye bvunzo dzinotsvaga shanduko dzemajini (DNA) mumasero ekenza. Kana izvi zvikaona ropa kana zvimwe zvisina kunaka, colonoscopy icharairwa zvinotevera.
- CT colonography: Iyi iongororo yakakosha ye 'CT scan'. Inonziwo `Virtual colonoscopy`.
Ndezvipi zviri kurapwa?
Kana ukaonekwa uine kenza, kurapwa kwacho kunoenderana nezvinhu zvakati wandei. Chiremba wako achafunga nezvezvinhu zvakaita sedanho rekenza uye hutano hwako hwese kuti asarudze mushonga wakanakira iwe.
1. Kuvhiyiwa
Mabundu madiki nemapolyps ari muchikamu chekutanga anogona kubviswa panguva yekuongororwa kwecolonoscopy. Kana kenza yapararira zvishoma, chikamu ichocho cheura chinobviswa nekuvhiyiwa (partial colectomy).
2. Kurapwa nemakemikari
Iyi mishonga inopihwa kuuraya masero egomarara kana kuamisa kupararira. Mushonga uyu unopihwa kuuraya chero masero egomarara angasara mushure mekuvhiyiwa, kana kuderedza bundu risati ravhiyiwa.
3. Kurapa Nemwaranzi
Izvi zvinosanganisira kushandisa mwaranzi ine simba guru (senge X-rays) kuparadza masero ekenza. Kurapa uku kunowanzo shandiswa pakurapa kenza yemudumbu.
4. Kurapa Kwakanangwa
Izvi zvinosanganisira kupa mishonga inonanga majini chaiwo kana mapuroteni ari mumasero ekenza pasina kukuvadza masero akajairwa.
5. Kurapa nekudzivirira muviri
Iyi imishonga inonakidza zvikuru. Zvaunoita pano ndezvekusimudzira masoja emuviri wako uye kuita kuti arwise masero ekenza.
6. Kutarisirwa Kwevanhu Vasina Kunzwa Kurwadziwa
Chinangwa hachisi chekurapa kenza, asi kudzora marwadzo, kusagadzikana, nezvimwe zviratidzo zvinokonzerwa nekenza, uye kupa murwere hupenyu hwakanaka.
Chii chatingaita kudzivirira kenza?
Ichi ndicho chinhu chakakosha zvikuru. Kuchinja mararamiro edu kunogona kuderedza zvakanyanya njodzi yekubatwa negomarara iri.
- Kudya kwakanaka: Idya miriwo yakawanda ine faibha, michero, nenyemba. Deredza kudya nyama tsvuku nenyama dzakacheneswa (senge masoseji).
- Kurovedza muviri: Ita maekisesaizi ane mwero kweinenge maminetsi zana nemakumi mashanu pasvondo. Kufamba, kumhanya, kana kutasva bhasikoro isarudzo dzakanaka.
- Ramba uine huremu hwakanaka: Kufuta kwakanyanya kunokonzera kenza dzakawanda.
- Kusvuta nedoro: Zvakanaka kurega tsika idzi dzese zvachose.
- Kuongorora: Izvi zvakakosha zvikuru. Kazhinji mushure memakore 45-50, kunyangwe avo vasiri panjodzi vanoramba vaine chirwere ichi.Unofanira kuongororwa. Zvakanaka kuti uongororwe colonoscopy makore gumi ega ega. Kana uine zvinhu zvinokonzera njodzi, chiremba wako anogona kukurudzira kuti uongororwe nekukurumidza uye kakawanda.
Mharidzo Yekuenda Nayo Kumba
- Kenza yemudumbu chirwere "chisingaonekwe" chisingawanzo ratidza zviratidzo pakutanga.
- Usambofa wakafuratira zviratidzo zvakaita sekuchinja kwemaitiro emudumbu, ropa mutsvina, kana kurwadziwa mudumbu nguva dzose. Enda kuna chiremba nekukasika.
- Kuongororwa kweganda nenguva, kunyanya mushure memakore 45-50, kunogona kuona nekubvisa mapolyps asati ava kenza.
- Gomarara iri rinogona kurapwa zvachose kana rikaonekwa nekukasika. Saka usatya kana kunyara, ziva izvi, uye taura nachiremba wako.
- Mararamiro ane hutano (kudya zvakanaka, kurovedza muviri) zvinogona kuderedza njodzi.
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