Unyango lweColon Cancer

Unyango lomhlaza wamathumbu phesheya

Unyango lomhlaza wamathumbu / wamathumbu inokuchazwa njengonyango olunomdlavuza, kwaye ibandakanya umhlaza omkhulu wamathumbu (umhlaza wekolon) kunye nomhlaza wedlula ngasemva (umhlaza womqala). Ukutshintsha kwamagama ngokwendawo apho umhlaza uqala ukusasazeka. Ithumbu liyinxalenye yenkqubo yokwetyisa kwaye emva kokuba ukwetyisa kwenzeke ukutya esikutyileyo kuhamba kwisisu esikhulu. Ikholoni yinxalenye yokuqala yamathumbu amakhulu. Yenziwe ukufunxa amanzi nokuguqula inkunkuma umzimba wethu awudingi isitulo. Amathumbu amakhulu ahlukaniswe ngamacandelo ama-4: ikholoni enyukayo (kwicala lasekunene lesisu), ikholoni enqamlezileyo (ibekwe phantsi kwesisu), ikholon ehla (kwicala lasekhohlo lesisu), ikolon yesigmoid edibanisa ikholoni kunye nomphandle.

uninzi umhlaza ongathandabuzekiyo qalisa njengepolyp, okukhula kwinqanaba langaphakathi lekholoni okanye i-rectum. Zimbini iintlobo eziphambili zeepolyps: ezinepolyp adenomatous, ebizwa ngokuba i-adenomas, yaye ipolypplastic kwaye ezinepolyps ukudumba. Olu hlobo lokugqibela lwee-polyp luqhelekile, kodwa ngokubanzi alunaphambi komhlaza, ngelixa ezo zangaphambili zithathwa njengesiqhelo. Ukutshintsha kweepolyps kumhlaza kunokuthatha iminyaka eliqela. Ubume bekholoni benziwe ngamanqanaba, kwaye umhlaza obomvu uqala kwi-mucosa (ungqimba olungaphakathi) kwaye emva koko usasazeke kwezinye iileya.

Ukuba umhlaza ufikelela kwizicubu ze-lymphatic eziqulathwe emathunjini, unokusasazeka uye kwezinye ii-lymph node, kungoko amalungu akude omzimba. Olu hlobo lomhlaza luqhele ukwenzeka kwizigulana ezingaphezu kweminyaka engama-50, nangona kunjalo, inokwenzeka nakwizigulana ezincinci kwezinye iimeko ezinqabileyo. Kule meko, abaguli abangaphezu kweminyaka engama-50 kulindeleke ukuba bahlolwe rhoqo umhlaza ongalunganga.

Olu hlolo lubandakanya ikholonoscopy, ukuze kukhangelwe ukuba ngaba zikhona iipolyps okanye ezinye izinto ezingaqhelekanga zamathumbu. Nayiphi na ipolyp ebhaqiweyo ngexesha lesikrini inokususwa ngokulula kule nkqubo. Ezinye iintlobo zeenkqubo zotyando ezijolise ekususeni ii-polyps zezi: utyando lwe-laparoscopic ukususa iipolyps ezingenakususwa ngexesha le-colonoscopy, colectomy, kunye ne-colostomy. I-colectomy yinkqubo yotyando ejolise ekususeni konke okanye inxenye yamathumbu amakhulu.

A icolostomy Kwenziwa endaweni yokudibanisa isiphelo samathumbu amakhulu kwisisu esiswini, esiluvuko olwenziwe esiswini ukukhupha inkunkuma eqokelelwa kwisingxobo ngaphandle komzimba. Inkqubo yokugqibela inokwenziwa okwethutyana, okanye ezinye izigulana zinokuyifuna isigxina (okt ikholostomy poch). Ngaphandle konyango olwenziwayo, ichemotherapy inokubandakanyeka kwaye yongezwe nayo, kukusetyenziswa kwamayeza okanye iziyobisi eziqukethe izinto zemichiza ezijolise kunyango lomhlaza.

Chemotherapy inokusetyenziswa ngokudibeneyo nonyango lweziyobisi ekujoliswe kulo olusebenzisa iziyobisi eziyilelwe ukujolisa kwiziphene ezithile zomhlaza, oko kuthintela ukuveliswa kwakhona kweeseli ezingaqhelekanga. I-Radiotherapy, kwelinye icala, yonyango lwe-radiation ene-eneji ephezulu esetyenziselwa ukunyanga umhlaza osebenzisa imiqadi yemitha ebhekiswe kwindawo ekujoliswe kuyo ukutshabalalisa iiseli ezinobungozi. 

Yintoni echaphazela iindleko zokugqibela zonyango lweCancer Cancer?

Zininzi izinto ezinokuchaphazela iindleko

  • Iindidi zoPhando ezenziweyo
  • Amava ogqirha
  • Ukukhetha isibhedlele kunye neTekhnoloji
  • Iindleko zokubuyisela kwimeko yesiqhelo emva kotyando
  • Ukuhlawulwa kwe-Inshurensi kunokuchaphazela umntu ngaphandle kweendleko zepokotho

Fumana iiNtetho zasimahla

Izibhedlele zonyango lweColon Cancer

Cofa apha

Malunga nonyango lweCancer Colon

Unyango lomhlaza wamathumbu / wamathumbu, enokuthi ibhekiswe kuyo njengonyango lomhlaza ongalunganga, iyahluka ngokuxhomekeka kwindawo kunye nesigaba somhlaza. Umhlaza wenzeka xa kukho into engaqhelekanga ekukhuleni kweeseli, ebangela ukuba iiseli zahlule kwaye zikhule ngokukhawuleza xa iseli kufuneka ife ukuze kuvuleke iiseli ezintsha. Umhlaza wamathumbu / wamathumbu unokuvela kwi-rectum, emathunjini amancinci okanye kumathumbu amakhulu, nangona kunjalo, ixhaphake kakhulu emathunjini amakhulu. Olu hlobo lomhlaza luqhele ukwenzeka kwizigulana ezingaphezu kweminyaka engama-50, nangona kunjalo, inokwenzeka nakwizigulana ezincinci.

Kuyacetyiswa ukuba abaguli abangaphezu kweminyaka engama-50 bahlolwe rhoqo ukuba banomhlaza, okubandakanya ukwenza ikholonoscopy ukukhangela iipolyps okanye nakuphi na ukungaqheleki emathunjini. Iipolyps kukukhula okungaqhelekanga kwezihlunu, ezinokuthi okanye zingabi kubi. Zivame ukususwa ngexesha lokuhlolwa rhoqo ukuba kufunyenwe. Izigulana ezineepolyps kufuneka ziye kuvavanywa rhoqo. Izigulana ezinomhlaza wamathumbu / wamathumbu zinokufumana utshintsho kwiintshukumo zesisu, ukuqunjelwa, igazi esitulweni, ukudinwa, i-anemia, kunye nentlungu esiswini. Nangona kunjalo, ayizizo zonke izigulana ezifumana iimpawu.

Ukwenza uxilongo, ugqirha unokwenza sigmoidoscopy okanye a colonoscopy. I-sigmoidoscopy yinkqubo ebandakanya ukufaka i-sigmoidoscope kwi-rectum ukujonga i-rectum kunye nenxalenye yamathumbu amakhulu. I-colonoscopy iyafana ne-sigmoidoscopy, nangona kunjalo, ivumela ukuba kuvavanywe onke amathumbu amakhulu. Umhlaza wamathumbu / wamathumbu ukwenzeka kakhulu kwizigulana ezinembali yosapho kulo mhlaza nakwizigulana ezine-ulcerative colitis okanye isifo sikaCrohn. Nje ukuba umhlaza wamathumbu / wamathumbu ufumaneke, ugqirha uyakubeka inqanaba kunye nenqanaba lomhlaza, oya kuthi uncede ukufumanisa olona nyango lunyanisekileyo kwisigulana. Unyango lubandakanya utyando, i-chemotherapy, i-radiotherapy, kunye nonyango ekujoliswe kulo. .

Ugqirha lolona hlobo luqhelekileyo lonyango kwaye luhlala lusenziwa ngokudibanisa ne-chemotherapy kunye / okanye i-radiotherapy. Kukho iintlobo ezahlukeneyo zotyando olubandakanya ikholonoscopy (ukuba umhlaza ukwinqanaba lokuqala, iipolyps zinokususwa ngexesha lekolonoscopy), utyando lwe-laparoscopic ukususa iipolyps ezingenakususwa ngexesha le-colonoscopy, colectomy, kunye ne-colostomy. I-colectomy yinkqubo yotyando yokususa onke okanye inxenye yamathumbu amakhulu. I-colostomy yinkqubo yoqhaqho eyenziwayo ukudibanisa isiphelo samathumbu amakhulu kwisisu esiswini, esisivulo esenziwe esiswini ukukhupha inkunkuma eqokelelwa engxoweni ngaphandle komzimba.

A icolostomy inokwenziwa njengotshintsho lwexeshana emzimbeni, okanye ezinye izigulana zinokufuna ukugcina umphezulu wengxowa ngokusisigxina. I-Chemotherapy kukusetyenziswa kweyeza okanye iziyobisi ezinemichiza yokunyanga umhlaza. I-Radiotherapy yonyango olunamandla olusetyenziselwa ukunyanga umhlaza olubandakanya ukuhambisa imitha yemitha kwindawo ekujoliswe kuyo ukutshabalalisa iiseli. Ukunyanga iziyobisi ekujolise kuko kubandakanya ukumisela amachiza ayilelwe ukujolisa kwiziphene ezithile kwiiseli zomhlaza ezibangela ukuba zikhule kwaye zande, kwaye olu nyango luhlala lusetyenziswa ngokudibene nechemotherapy.

Ubude bexesha elifunekayo kunyango luyahluka kwaye luxhomekeke kwinqanaba kunye nomgangatho womhlaza nakwindlela ekhethiweyo yonyango. Kucetyiswa umhlaza wamathumbu / wamathumbu Umhlaza obonakalayo Umfuno wexesha Inani leentsuku esibhedlele iintsuku ezi-3 ukuya kwezi-10. Ukuba uyenziwa utyando. Nangona kunjalo, ixesha elichithwe esibhedlele liyahluka ngokuxhomekeka kuhlobo lonyango. Unyango luhlala ludityaniswa ukunyanga umhlaza wamathumbu / wamathumbu. 

Phambi kweNkqubo / kuNyango

Izigulana ziya kudibana nogqirha ukuze baxoxe ngeendlela zonyango kwaye baxoxe ngesicwangciso sonyango esinconyelwayo. Izigulana kufuneka zilungiselele nayiphi na imibuzo abanayo kwaye baphakamise nayiphi na inkxalabo ngaphambi kokuqala unyango. Ukuba kwenziwa i-colonoscopy, izigulana ziya kudinga ukugcwalisa i- "colon prep" eqinisekisa ukuba izibilini zabo azinalutho phambi kwenkqubo. Nangona iindlela zokucoca amathumbu ziyahluka, uninzi lwezigulana ziya kucelwa ukuba zithathe ukutya okungamanzi konke-iintsuku ezi-1 ukuya kwezi-2 ngaphambi kwenkqubo kwaye kuthintelwe ukutya okubomvu okanye okumfusa okanye iziselo kwiintsuku eziphambi kwenkqubo.

Isigulana sihlala simiselwe isisombululo sokuthambisa ngaphambi kokuba sithathe usuku ngaphambi kwenkqubo, ukuze kucace ngokupheleleyo amathumbu. Umthamo wesisombululo oza kuthathwa, uyahluka kwisigulana ngasinye kwaye ngokubanzi uxutywe kunye ne-3 ukuya kwi-4 yeelitha zamanzi eziza kuthathwa ngexesha leeyure ezimbalwa, kuxhomekeke kubungakanani bokufuna ukuthathwa. Emva kokulungiswa kwe-colon, abaguli baya kucetyiswa ukuba bakuphephe ukutya okuqinileyo kwaye bayeke ukusela ngaphambi kwe-anesthetic ngokubanzi.,

Iqhube njani?

Ukuba uyenziwa utyando, isigulana senziwa nge-anesthetic ngokubanzi ngaphambi kokuba uqhaqho luqale. Ukuba isigulana senza i-colonoscopy, ke zilawulwa ngokukhanya okukhanyayo. I-colonoscopy ibandakanya ukufaka i-endoscope efakwe yikhamera kwi-rectum ngokusebenzisa amathumbu amakhulu. Ikhamera iqhutywa emathunjini amakhulu kwaye ugqirha uza kuvavanya imifanekiso eskrinini njengoko idlula. Izixhobo ezincinci ziqhotyoshelwe kwi-endoscope kwaye zisetyenziselwa ukususa iipolyps.

Omnye ususiwe, ugqirha uya kuthi emva koko asuse i-endoscope. I-colectomy ibandakanya ukususa inxenye okanye onke amathumbu, nangona kunjalo, onke amathumbu anokufuna ukususwa, kwaye inkqubo ibizwa ngokuba yiproctocolectomy. I-colectomy inokwenziwa njengotyando oluvulekileyo okanye i-laparoscopically. I-colectomy evulekileyo ibandakanya ukwenza ukusikwa okude esiswini ukufikelela kwikolon. Ugqirha usebenzisa izixhobo ukukhulula ikholoni kwizicwili ezijikelezileyo, kwaye ke uya kusika inxenye yekholoni enomhlaza, okanye ikholoni yonke. I-laparoscopic colectomy ibandakanya ukwenza izinto ezincinci esiswini. Usebenzisa ikhamera encinci efakwe kwisicatshulwa esinye kunye nokusebenzisa izixhobo zoqhaqho ngakwenye indlela, ikholoni iphakanyisiwe.

Oku kuvumela ugqirha ukuba asebenze kwikholoni ngaphandle komzimba ngaphandle kokwenza iziqwenga ezinkulu. Nje ukuba umhlaza ususwe, ugqirha ugqirha uphinda afake ikholoni ngokusika. Ugqirha uya kuthi aphinde aqhagamshele ikholoni kwinkqubo yokwetyisa ukuze abuyisele umsebenzi wokulahla inkunkuma. Ukuba yonke ikholoni isusiwe, ugqirha uya kwenza unxibelelwano phakathi kwe-anus kunye namathumbu amancinci, ngokusebenzisa icandelo elincinci lamathumbu amancinci ukwenza unxibelelwano. Oku kuvumela ukukhutshwa okuqhelekileyo kwenkunkuma. I-colostomy yenziwa ukuguqula amathumbu amakhulu aye eludongeni lwesisu, apho kwenziwa khona i-stoma kwaye iqhagamshelwe kwisingxobo, ukuze kususwe inkunkuma. Inokwenziwa ukuba inxenye yamathumbu amakhulu isusiwe kwaye ayinakho ukudibana kwakhona.

Ukuba inkqubo iyenziwa kodwa iya kubuyiselwa umva, emva koko kwenziwa ilopost colostomy, nangona kunjalo, ukuba isigxina, emva koko kwenziwa i-colostomy yokuphela. I-loop colostomy ibandakanya ukuthatha i-loop yekholoni kwaye uyitsale ngomngxunya esiswini kwaye uyincamathisele eluswini, xa isiphelo se-colostomy kubandakanya ukuthatha isiphelo esinye sekholoni kwaye usitsale ngomngxunya esiswini kwaye usincamathisele ulusu. Olu tyando lunokwenziwa njengotyando oluvulekileyo okanye lwe-laparoscopic. I-Chemotherapy yenziwa ngokulawula i-dugs ngaphakathi (IV), ngaphakathi-arterially (IA), okanye ngenaliti ye-intraperitoneal (IP) yokutshabalalisa iiseli zomhlaza. Unyango lwenziwa kuthotho lweeveki. I-Radiotherapy yenziwa ngokuhambisa imitha ye-radiation kwindawo ekujoliswe kuyo, kwaye njenge-chemotherapy, unyango luhlala lufuna iiseshoni ezininzi ezenziwa kuthotho lweeveki.

Unyango lweziyobisi ekujoliswe kulo lwenziwa ngokuhambisa inani leziyobisi kwizigulana eziya kuthi zijolise kumacandelo athile eeseli zomhlaza. Unyango luya kuhlala lusenziwa ngokudibanisa ne-chemotherapy. Unyango luhlala lusetyenziswa ngokudibeneyo, ngakumbi ukuba umhlaza uqhubekile kuqhaqho lwenziwa. I-Chemotherapy inokuhlala isetyenziswa ngaphambi kotyando ukunciphisa ithumba okanye emva kotyando ukutshabalalisa nawuphi na umhlaza ongenakususwa ngexesha lotyando. I-Anesthesia I-anesthetic ngokubanzi.

Ixesha lenkqubo Ubude bonyango buxhomekeke kuhlobo luni lotyando okanye unyango olwenziweyo. Ugqirha luqhele ukwenziwa kumhlaza wamathumbu / wamathumbu ohambileyo ngokudityaniswa ne-chemotherapy okanye i-radiotherapy.,

ukuchacha

Inkqubo yokhathalelo lwasemva koqhaqho, izigulana ziya kuqala zityiswe ukutya okungamanzi ngaphambi kokufudukela kulwelo olucacileyo phantsi kolawulo lwesibhedlele. Ukubuyela kwisidlo esiqhelekileyo kuya kuthatha ixesha kwaye kufuneka kuzanywe phantsi kwengcebiso kagqirha.

Emva konyango, abaguli baya kufuneka bahlolwe umhlaza rhoqo, bahlala befumana ii-colonoscopies rhoqo kunye ne-CT scans, ukuqinisekisa ukuba umhlaza awubuyi.

Ukuphazamiseka okunokubakho Ukutyeba kunye nokudinwa kulindelwe ubuncinci kwiiveki ezimbalwa emva kotyando.,

Izibhedlele eziphezulu ezili-10 zoNyango loMhlaza

Ezi zilandelayo zizona zibhedlele zibalaseleyo ze-10 zonyango lweCancer Cancer emhlabeni:

# isibhedlele ilizwe isixeko Price
1 Isibhedlele seSevenHills Indiya Mumbai ---    
2 Isibhedlele iThainakarin Thayilendi Bangkok ---    
3 Isibhedlele iMedipol Mega University ikarikuni Istanbul ---    
4 Isibhedlele saseYunivesithi yaseHeidelberg Jemani Heidelberg ---    
5 IDIP yesibhedlele i-NMC IUnited Arab Emirates dubai ---    
6 Isibhedlele saseYunivesithi yaseGhent Bheljiyam UGhent ---    
7 Isibhedlele saseTaiwan Adventist Taiwan ku Taipei ---    
8 Isibhedlele seYunivesithi yaseMunich (LMU) Jemani Munich ---    
9 Isibhedlele sabucala i-Ahmed Kathrada Mzantsi Afrika Rhawutini ---    
10 IZiko lonyango laseDaegu Catholic emaznstie ekorea Daegu ---    

Oogqirha abagqwesileyo kunyango lomhlaza wekolon

Aba balandelayo ngabona gqirha babalaseleyo kunyango lweCancer Cancer emhlabeni:

# UGQIRHA EZIZODWA IHOSPITAL
1 UGqr Rakesh Chopra Ugqirha Oncologist Isibhedlele saseArtemis
2 UGqirha Prabhat Gupta Oncologist yotyando UDharamshila Narayana Supe ...
3 UGqirha Niranjan Naik Oncologist yotyando Uphando lweSikhumbuzo seFortis ...
4 UGqirha Aruna Chandrasekhran Oncologist yotyando Isibhedlele seMetro kunye nentliziyo ...
5 UGqr KR Gopi Ugqirha Oncologist Isibhedlele seMetro kunye nentliziyo ...
6 UGqr Rajeev Kapoor Gastroenterologist Isibhedlele saseFortis Mohali
7 UGqirha Deni Gupta Ugqirha Oncologist UDharamshila Narayana Supe ...
8 UNjingalwazi uGqr med. I-Axel Richter Ugqirha Jikelele Isibhedlele i-HELIOS Hildeshei ...

Imibuzo ebuzwa qho

Umhlaza wekholoni sisiphumo sokukhula okungaqhelekanga kweeseli kwikholoni okanye kwi-rectum. Iimpawu zivela xa umhlaza ukwinqanaba eliphezulu.

Kwezinye iimeko akukho zimpawu kunye neempawu. Iimpawu eziqhelekileyo zomhlaza wekholoni zezi - utshintsho kwimikhwa yamathumbu, i-anemia, ubukho begazi kwi-stool, intlungu yesisu, intlungu ye-pelvic, ukuncipha komzimba, ukugabha.

Olona vavanyo luxhaphakileyo lokuxilonga umhlaza womlomo wesibeleko zezi – • Uvavanyo lwegazi • Proctoscopy • Colonoscopy xa isigulana sibonisa iimpawu • Biopsy • Imaging imvavanyo ezifana neX-reyi, CT scan, PET scan, MRI, ultrasound, angiography

Unyango lomhlaza wekoloni luxhomekeke kwinqanaba lomhlaza. Unyango lubandakanya i-radiation, ichemotherapy kunye noqhaqho.

Nabani na unokuchatshazelwa ngumhlaza wekoloni. Izinto ezithile ezonyusa umngcipheko womhlaza wekholoni zezi – • Ubudala • Iimeko ezithile zonyango • Iimeko zendlela yokuphila • Imbali yosapho

Umhlaza wamathumbu unokunyangwa ngokuxhomekeke ekubeni leliphi ilungu lethumbu elichaphazelekileyo kunye nenqanaba lomhlaza.

Kwinqanaba lokuqala iqhekeza elincinci lekholoni liyasuswa, elibizwa ngokuba yi-local excision. Ukuba umhlaza usasazeka kude nekholoni, icandelo lonke lekholoni liyasuswa. Oku kwaziwa ngokuba yi-colectomy.

Utyando lomhlaza wekholoni lubandakanya iziphumo ebezingalindelekanga ezifana nosulelo, ukopha, amahlwili egazi emilenzeni, ingxaki yentliziyo, iingxaki zokuphefumla.

Unyango lwemichiza lunokusetyenziswa ukuthomalalisa iimpawu zomhlaza wekoloni. Unyango lusetyenziswa xa inxalenye yekholoni ingenakususwa ngotyando.

Umhlaza kwinqanaba lasekuhlaleni unezinga lokusinda elingama-91%. Ukuba umhlaza unwenwela kude, izinga lokusinda li-14%. (Kuxhomekeke kwizinto ezininzi)

Iindleko zokususa utyando lomhlaza wekolon ziqala kwi-3000 yeedola, (Eyona ndleko ixhomekeke kwisibhedlele okanye kwilizwe olikhethileyo)

Inokukunceda njani iMozocare

1

ukufuna

Inkqubo yokuKhangela kunye neSibhedlele

2

khetha

Khetha ukhetho lwakho

3

incwadi

Bhukisha inkqubo yakho

4

KUPHELA

Ulungele ubomi obutsha nobunempilo

Malunga neMozocare

IMozocare liqonga lokufikelela kunyango lwezibhedlele neeklinikhi ukunceda abaguli ukuba bafumane olona nyango lusemgangathweni ngamaxabiso afikelelekayo. Ulwazi lweMozocare lubonelela ngeeNdaba zezeMpilo, amayeza amatsha kunyango, inqanaba lezibhedlele, uLwazi ngezoShishino ngezoLwazi kunye nokwabelana ngolwazi.

Ulwazi olukweli phepha luye lwaqwalaselwa lwaza lwamkelwa IMozocare iqela. Eli phepha lihlaziyiwe 03 Apr, 2022.

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