Colon Cancer Kurapa kunze kwenyika
Colon / Bowel kurapwa kenza inogona kutsanangurwa sekurapa kenza yakajeka, uye inosanganisira gomarara rakakura remudumbu (gomarara rekoloni) uye gomarara repashure musana (gomarara renzara). Iko kutumidzwa mazita kunochinja zvichienderana nekenza kenza painotanga kupararira. Ura chikamu chegadziriro yekugaya uye mushure mekuzeya kwaitika chikafu chatakadya chichienda kuura hukuru. Iyo colon ndiyo chikamu chekutanga chemukati mukuru. Inoitwa kupinza mvura uye kushandura iyo marara chinhu muviri wedu haudi muchigaro. Hura hukuru hwakakamurwa muzvikamu zvina: kukwira colon (kurudyi kwedumbu), kuyambuka colon (yakaiswa pasi pemudumbu), kuburuka colon (kuruboshwe kwedumbu), sigmoid colon inobatanidza colon kune rectum.
Most kenza dzakajeka tanga sepurpyp, kunova kukura pane yemukati mutsetse wekoloni kana rectum. Kune maviri makuru mhando dze polyps: adenomatous polyps, iyo inonziwo adenomas, uye hyperplastic pol uye kuzvimba polyps. Aya ekupedzisira polyps mhando akajairika, asi kazhinji haasi pre-cancer, nepo iwo ekare achifungidzirwa seanotungamira mamiriro. Kuchinja kwepolyps kukenza kunogona kutora makore akati wandei Maumbirwo ekoloni akagadzirwa nematanda, uye kenza yakajeka inotanga mumucosa (iyo yemukati-kati) uye pakupedzisira inopararira kune mamwe matanda.
Kana gomarara rikasvika pamatumbu eropa ane ura, rinogona kutapukira kune mamwe ma "lymph node", nekudaro nhengo dziri kure dzomuviri. Mhando yekenza iyi inowanzoitika kuvarwere vanopfuura makore makumi mashanu, zvisinei, inogona zvakare kuitika kune varwere vadiki mune zvimwe zviitiko zvisingawanzoitika. Panyaya iyi, varwere vane makore anodarika makumi mashanu vanotarisirwa kugara vachiongororwa kenza yakajeka.
Kuongororwa uku kunosanganisira colonoscopy, kuitira kuti uone kana paine polyps kana mamwe mamota asina kujairika. Chero polyp yakawonekwa panguva yechiratidziri inogona kubviswa zviri nyore panguva iyi. Dzimwe mhando dzekuvhiya dzakanangana nekubvisa polyps ndeiyi: laparoscopic kuvhiya kubvisa polyps isingakwanise kubviswa panguva yekolonoscopy, colectomy, uye colostomy. Colectomy inzira yekuvhiya inovavarira kubvisa zvese kana chikamu chemuura mukuru.
A colostomy inoitwa pachinzvimbo chekubatanidza kumucheto kwetumbo hombe kune stoma mudumbu, iri kuvhura kunoitwa mudumbu kubvisa marara anounganidzwa muhomwe kunze kwemuviri. Iyi yekupedzisira nzira inogona kuitwa seyenguva pfupi, kana vamwe varwere vangangoida seyakagara (kureva colostomy pouch). Kunze kwekurapa kwekuvhiya, chemotherapy inogona kuverengerwa uye kuwedzerwawo, iko kushandiswa kwemushonga kana zvinodhaka zvine mishonga yemakemikari inoitirwa kurapa cancer.
Kurapwa inogona kushandiswa mukubatana neakananga mushonga wekurapa uyo unoshandisa zvinodhaka zvakagadzirirwa kunongedza zvakakanganisika zvakasarudzika zvecancer, nekudaro zvichitadzisa kubereka kwemasero asina kujairika. Radiotherapy, kune rimwe divi, kurapwa kwakanyanya kwemwaranzi inoshandiswa kurapa gomarara iro rinoshandisa matanda emwaranzi akanongedzwa kunzvimbo yakanangwa kuparadza masero akaipa.
Pane zvinhu zvakawanda zvinogona kukanganisa mutengo
Wana Mahara Kubvunzana
Colon / bowel kurapwa kurapwa, iyo inogona zvakare kutumidzwa sekurapa kenza yekurapa, inosiyana zvichienderana nenzvimbo uye nhanho yekenza. Gomarara rinoitika kana paine kusagadzikana mukukura kwemasero, izvo zvinoita kuti maseru apatsanuke nekukura nekukurumidza apo sero rinofanira kufa kuti riite nzvimbo yemasero matsva. Colon / bowel cancer inogona kuitika mune rectum, diki ura kana iro rakakura ura, zvisinei, inowanzoitika kazhinji mumatumbu makuru. Rudzi rwekenza urwu runowanzoitika kuvarwere vanopfuura makore makumi mashanu, zvisinei, zvinogona zvakare kuitika kuvarwere vadiki.
Zvinokurudzirwa kuti varwere vanopfuura makore makumi mashanu vagare vachiongororwa kenza yakajeka, iyo inosanganisira kuita colonoscopy yekutarisa polyps kana chero zvakasarudzika muura. Polyps kukura zvisina kujairika kwetishu, izvo zvinogona kana kusave zvakaipa. Ivo vanowanzo bviswa panguva yekujaira kuongorora kana kukawanikwa. Varwere vane polyps vanofanirawo kuongororwa nguva dzose. Varwere vane chirwere chekenza / chemuviri vanogona kusangana nekuchinja kwematumbu, kuzvimbirwa, ropa muzvigaro, kuneta, kupererwa neropa, uye kurwadziwa mudumbu. Zvisinei, havasi varwere vese vanoona zviratidzo.
Kuti aongororwe, chiremba anogona kuita a sigmoidoscopy kana colonoscopy. Sigmoidoscopy maitiro anosanganisira kuisa sigmoidoscope mune rectum kuti uone rectum uye chikamu chemuura mukuru. Colonoscopy yakafanana nesigmoidoscopy, zvisinei, inobvumira ura hwese hukuru kuongororwa. Colon / bowel cancer inowanzoitika kune varwere vane nhoroondo yemhuri yekenza iyi uye nevarwere vane ulcerative colitis kana chirwere cheCrohn. Kana kenza yekoloni / ura yawanikwa chete, chiremba anoisa danho uye giredhi rekenza, izvo zvinobatsira kuona kurapwa kwakanakisa kwemurwere. Kurapa kunosanganisira kuvhiya, chemotherapy, radiotherapy, uye yakanangana nemishonga yekurapa. .
Kuvhiya ndiyo nzira yakajairika yekurapa uye inowanzoitwa pamwe chete nekemotherapy uye / kana radiotherapy. Kune mhando dzakasiyana dzekuvhiya dzinosanganisira colonoscopy (kana kenza iri padanho rekutanga, polyps inogona kubviswa panguva yekolonoscopy), laparoscopic kuvhiya kubvisa polyps isingakwanise kubviswa panguva yekolonoscopy, colectomy, uye colostomy. Colectomy inzira yekuvhiya kubvisa zvese kana chikamu chemuura mukuru. Colostomy inzira yekuvhiya inoitwa kujoina kumucheto kwetumbo hombe kune stoma mudumbu, kunova kuvhurwa kunoitwa mudumbu kubvisa marara anounganidzwa muhomwe kunze kwemuviri.
A colostomy inogona kuitwa sekushandurwa kwenguva pfupi kumuviri, kana vamwe varwere vangangoda kuchengetedza zvachose chikwama checolostomy. Chemotherapy ndiko kushandiswa kwemushonga kana mishonga ine makemikari zvinhu zvekurapa gomarara. Radiotherapy kurapwa kwakanyanya-kwemagetsi kunoshandiswa kurapa gomarara iyo inosanganisira kunongedza matanda emwaranzi panzvimbo yakanangwa kuparadza masero. Targeted drug therapy inosanganisira kumisikidza zvinodhaka zvakagadzirirwa kunongedza zvakakanganisika mumasero egomarara izvo zvinoita kuti zvikure uye zviwande, uye kurapwa uku kunowanzo shandiswa pamwe chete nekemotherapy.
Iyo yakareba yenguva inodiwa yekurapa inosiyana uye zvinoenderana nedanho uye giredhi rekenza uye nenzira yakasarudzwa yekurapa. Yakakurudzirwa Colon / bowel cancer Rectal cancer Nguva yezvinodiwa Nhamba yemazuva muchipatara 3 - 10 mazuva. Kana uchivhiyiwa. Zvisinei, nguva inoshandiswa muchipatara inosiyana zvichienderana nerudzi rwekurapa. Mishonga inowanzo sanganiswa pakurapa kenza yemukaka / ura.
Varwere vachasangana nachiremba kuti vakurukure nzira dzekurapa uye kuti vakurukure nezvekurongwa chirongwa chekurapa. Varwere vanofanirwa kugadzirira chero mibvunzo yavanogona kuve nayo uye kusimudza chero kunetsekana vasati vatanga kurapwa. Kana colonoscopy iri kuitwa, varwere vachazoda kupedzisa "colon prep" inova nechokwadi chekuti ura hwavo hauna chinhu pamberi pechirongwa. Kunyangwe nzira dzekuchenesa ura dzichisiyana, varwere vazhinji vanozokumbirwa kutora chikafu chese-chemvura 1 kusvika kumazuva maviri maitiro acho asati aitwa uye kudzivirira chikafu chitsvuku kana chepepuru kana zvinwiwa mumazuva akatangira maitiro.
Murwere anowanzo gadzirirwa laxative mhinduro yekutora zuva risati raitwa, kuitira kunyatso kujesa ura. Huwandu hwemhinduro inofanira kutorwa, hunosiyana nemurwere wega wega uye unowanzo sanganiswa ne3 kusvika ku4 litita emvura inozotorwa kwemaawa mashoma, zvichienderana nekuti yakawanda inoda kutorwa sei. Mushure mekupera kwekoloni, varwere vanozorayirwa kuti vadzivise zvekudya zvikukutu uye varege kunwa pamberi peanesthetic.
Kana achivhiyiwa, murwere anoendeswa neanesthetic yakajairika kuvhiya kusati kwatanga. Kana murwere ari kuitirwa colonoscopy, saka anoitiswa nechiedza sedation. Colonoscopy inosanganisira kuisa endoscope yakagadzirirwa kamera mukati meiyo rectum kuburikidza neura hukuru. Iyo kamera inofambiswa kuburikidza nemukati hombe uye chiremba achaongorora mifananidzo iri pachiratidziro painopfuura. Zvishandiso zvidiki zvakasungirirwa kune endoscope uye zvinoshandiswa kubvisa polyps.
Imwe yakabviswa, chiremba anozobvisa endoscope. Colectomy inosanganisira kubvisa chikamu kana ura hwese, kunyangwe ura hwese hungangoda kubviswa, uye maitiro acho anonzi proctocolectomy. Colectomy inogona kuitwa sekuvhiya kwakashama kana laparoscopically. Yakavhurika colectomy inosanganisira kugadzira refu kukanda mudumbu kuti uwane colon. Chiremba anovhiya anoshandisa maturusi okusunungura colon kubva munyama dzakakomberedza, uye anozocheka chikamu chekoloni iri cancer, kana colon yese kunze. Laparoscopic colectomy inosanganisira kugadzira akati wandei madiki mudumbu. Uchishandisa kamera diki yakapetwa kuburikidza necision imwe uye kushandisa maturusi ekuvhiya kuburikidza nezvimwe zvinoitwa, colon inoburitswa kunze.
Izvi zvinobvumidza chiremba wechiremba kuvhiya mukoloni kunze kwemuviri pasina kuita kukanda kukuru. Kamwe kana kenza yabviswa, chiremba anovhiya anopinza zvakare colon kuburikidza nekacheka. Iye anovhiya anozobatanidzazve colon kune yekugaya system kuitira kudzoreredza basa rekurasa marara. Kana colon yese yabviswa, chiremba anovhiya achaita kubatana pakati peanus uye ura hudiki, nekushandisa chidimbu chidiki chemuura mudiki kuumba kubatana. Izvi zvinobvumira kubuda kwakanaka kwemarara. Colostomy inoitwa kutamisa ura hukuru kuenda kumadziro emudumbu, uko kunogadzirwa stoma uye kwakabatana nehomwe, kuitira kuti marara abviswe. Inogona kuitwa kana chikamu chemuura wakakura chabviswa uye chisingakwanise kubatanidzwazve.
Kana maitiro acho akaitwa asi achizoshandurwa, ipapo loop colostomy inoitwa, zvisinei, kana iri yechigarire, ipapo mugumo colostomy inoitwa. Chiuno colostomy chinosanganisira kutora chiuno chekoloni uye kuchidhonza kuburikidza negomba mudumbu uye kuchisungirira paganda, kana magumo colostomy anosanganisira kutora kumucheto kwekoloni uye kuidhonza nepaburi mudumbu nekuisungirira ganda. Kuvhiya uku kunogona kuitwa sekuvhiya kwakavhurika kana kweparoscopic. Chemotherapy inoitwa nekupa madhiragi mukati mehusimbe (IV), mukati-arterially (IA), kana kuburikidza nemajekiseni e-intraperitoneal (IP) ekuparadza cancer maseru. Mushonga unoitwa pamusoro peanoteedzana evhiki. Radiotherapy inoitwa nekutungamira mamayipisi emwaranzi panzvimbo yakanangwa, uye senge chemotherapy, kurapwa kwacho kunowanzoda zvikamu zvakawanda zvinoitwa pamusoro pevhiki dzinoverengeka.
Targeted drug therapy inoitwa nekupa huwandu hwezvinodhaka kuvarwere izvo zvinozotarisa zvimwe zvikamu zvecancer maseru. Mushonga wacho unowanzoitwa pamwe chete nekemotherapy. Mishonga inowanzo shandiswa musanganiswa pamwe chete, kunyanya kana gomarara rave kumberi kuvhiya kuri kuitwa. Chemotherapy inowanzo shandiswa pamberi pekuvhiya kudzikamisa bundu kana mushure mekuvhiyiwa kuparadza chero gomarara risingakwanise kubviswa panguva yekuvhiyiwa. Anesthesia General anesthetic.
Maitiro ekureba Kwenguva yekurapwa kunoenderana nerudzii rwekuvhiya kana kurapwa kunoitwa. Kuvhiya kunowanzoitwa pane yakakwira colon / bowel cancer pamwe ne chemotherapy kana radiotherapy.,
Kutumira maitiro Kuchengeta Mushure mekuvhiyiwa, varwere vanozotanga kupihwa chikafu chemvura mukati mehusimbe vasati vaenda kune yakajeka zvinwiwa pasi pekutarisirwa kwechipatara. Kudzokera kuchikafu chakajairika kunotora nguva uye kunofanirwa kuyedzwa pasi pezano rachiremba.
Mushure mekurapwa, varwere vanofanirwa kugara vachiongororwa gomarara, kazhinji vachigara vachiitwa colonoscopies uye CT scans, kuona kuti gomarara haridzoke.
Kunogona kuitika kusagadzikana Kushaya simba uye neutete zvinotarisirwa kwemavhiki mashoma mushure mekuvhiyiwa.,
Zvinotevera ndizvo zvakanakisa zvipatara gumi zveCoron Cancer Kurapa pasirese:
| # | chipatara | nyika | manzwiro | mutengo | |
|---|---|---|---|---|---|
| 1 | Chipatara cheSevenHills | India | Mumbai | --- | |
| 2 | Chipatara cheThainakarin | Tairendi | Bangkok | --- | |
| 3 | Medipol Mega University Chipatara | Teki | Istanbul | --- | |
| 4 | Kameda Chiremba Center | Japani | Higashicho | --- | |
| 5 | European Medical Center (EMC) | Russian Federation | Moscow | --- | |
| 6 | Chipatara cheSarvodaya uye Research Center | India | Faridabad | --- | |
| 7 | Metro Chipatara uye Heart Institute, Noid ... | India | Noida | --- | |
| 8 | Chipatara Zambrano Hellion | Mekisiko | muMonterrey | --- | |
| 9 | Hirslanden Clinic muPaki | Siwizarendi | Zurich | --- | |
| 10 | AZ Monica General Chipatara Antwerp | Bherujiyamu | Antwerp | --- |
Anotevera ndivo akanakisa varapi veColon Cancer Kurapa pasirese:
| # | Chiremba | ZVINOKOSHA | CHipatara | |
|---|---|---|---|---|
| 1 | Dr. Rakesh Chopra | Oncologist yezvokurapa | Artemis Hospital | |
| 2 | dr. Prabhat Gupta | Kuvhiya Oncologist | Dharamshila Narayana Supe ... | |
| 3 | Dr. Niranjan Naik | Kuvhiya Oncologist | Ongororo yeFortis Chirangaridzo ... | |
| 4 | Dr. Aruna Chandrasekhran | Kuvhiya Oncologist | Chipatara cheMetro neMoyo ... | |
| 5 | Dr. KR Gopi | Oncologist yezvokurapa | Chipatara cheMetro neMoyo ... | |
| 6 | Dr. Rajeev Kapoor | Gastroenterologist | Chipatara cheFortis Mohali | |
| 7 | dr. Deni Gupta | Oncologist yezvokurapa | Dharamshila Narayana Supe ... | |
| 8 | Prof. Dr. med. Axel Richter | General Chiremba | HELIOS Chipatara Hildeshei ... |
Gomarara remudumbu ndere mhedzisiro yekusakura kwemasero mucolon kana murectum. Zviratidzo zvinoonekwa kana gomarara rave padanho repamusoro.
Mune zvimwe zviitiko hapana zviratidzo uye zviratidzo. Zviratidzo zvakajairika zvegomarara remuura ndezvi - kushanduka kwemaitiro emudumbu, kupererwa neropa, kuvapo kweropa pachituru, kurwadziwa mudumbu, kurwadziwa kwepelvic, kuonda, kurutsa.
Kuongororwa kwegomarara remukati kunonyanyo zivikanwa ndeku- • Kuongororwa ropa • Proctoscopy • Colonoscopy apo murwere anoratidza zviratidzo • Biopsy • Imaging ongororo dzakadai seX-rays, CT scan, PET scan, MRI, ultrasound, angiography.
Kurapwa kwegomarara remuura kunoenderana nedanho regomarara. Kurapa kunosanganisira radiation, chemotherapy uye kuvhiyiwa.
Chero ani zvake anogona kubatwa necolon cancer. Zvimwe zvinokonzera njodzi yegomarara remuura ndezvekuti – • Zera • Mamiriro ezvinhu okurapa • Mararamiro • Nhoroondo yemhuri
Gomarara remudumbu rinorapika zvichienderana nekuti chikamu chemudumbu chabatwa papi uye padanho regomarara.
Mukutanga chidimbu chidiki checolon chinobviswa, chinozivikanwa sekubvisa kwenzvimbo. Kana gomarara rikapararira kure necolon, chikamu chose checolon chinobviswa. Izvi zvinozivikanwa secolectomy.
Kuvhiyiwa kwegomarara remuura kunosanganisira mhedzisiro yakadai sehutachiona, kubuda ropa, kugwamba kweropa mumakumbo, dambudziko remoyo, matambudziko ekufema.
Chemotherapy inogona kushandiswa kuderedza zviratidzo zvekenza yekoloni. Kurapa kunoshandiswa kana chikamu checolon chisingagoni kubviswa nekuvhiyiwa.
Chirwere chegomarara muchikamu chenzvimbo chine 91% yekupona. Kana gomarara rikapararira richienda kure saka chiyero chekupona i14%. (Zvinoenderana nezvakawanda zvinhu)
Mutengo wekuvhiya kubviswa kwegomarara remukoloni unotanga kubva pamadhora mazana matatu, (Mutengo chaiwo unoenderana nechipatara kana nyika yaunosarudza)
Maitiro Ekutsvaga uye Chipatara
Sarudza zvaunogona
Bhuka chirongwa chako
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Mashoko ari papeji ino akaongororwa uye akatenderwa na Mozocare timu. Iri peji rakagadziridzwa pa 03 Apr, 2022.