Kunzwisisa Zviitiko Zvengozi Zvinobvumira Kutanga Kuongorora
Kanzera yeColon ndiyo yechitatu inokonzera kukonzera kufanana nekenza muUnited States muvarume nevakadzi. Zvose zvinotaurirwa, zvinenge zvishanu kubva muzana zvevarume nevakadzi veAmerica dzichava nekoni kana kenza yemakwenzi munguva yeupenyu hwavo, uye makumi matatu kubva muzana vachafa nekuda kwechirwere. Izvi hazvifaniri kuitika. Kuziva zvinokonzera uye mungozi yako yekenza yekoloni inogona kukubatsira kuti unzwisise kukosha kwekuongorora nguva dzose, uyewo kudzidza kana iwe uri mumwe wevanhu vanofanirwa kutanga kutarisa panguva yekare.
Yekare kenza yekoloni inoratidzwa, inowedzera mukana wokurapa. Izvozvo zvakati, vanhu vazhinji kwazvo vanoongororwa chete mushure mekunge kenza yavo yatopararira uye chirwere hachigoni kuitika.
Nepo pave pane imwe nharo pamusoro pekenza kuongorora kuongorora muUnited States, izvi hazvisizvo nekenza yekoloni. Kuongorora (ne colonoscopy pazera remakore makumi mashanu, uye mberi kune vamwe vanhu) kunogona kuchengetedza hupenyu. Mukuwedzera, kuongorora kenza yemukironi yakasiyana nekenza kuongorora kuongororwa. Inogona kushandiswa pakuona kare, kureva kuti, kuwana kenza mumatambo ekutanga anogona, asi inogona kushandiswawo kudzivirira. Apo chinonyatsozivikanwa chikafu chinowanikwa pakuongorora, chinogona kubviswa zvisati chava nemukana wekuva nekenza.
Zvinonyanya Kukonzera Kenza Kanon
Apo patinotaura pamusoro pezvikonzero zvinokonzera kenza yekoloni, funga iwe pachako panjodzi. Vamwe vanhu vanofanirwa kuongororwa kwenguva yakareba vasati vasvika makore makumi mashanu. Uye ramba uchiyeuka kuti, kunyange zvazvo nhoroondo yemhuri isingakonzera kenza yekoloni, ruzhinji rwevanhu vanoita kuti chirwere chacho chisati chave nemhuri.
Mune mamwe mazwi, munhu wose anoda kuongororwa. Heano zvimwe zvikonzero zvekenza yekolone iyo munhu wose anofanira kuziva.
1. Kukwegura nekukwegura
Zera ndiyo nhamba imwe yengozi yekenza yekoloni ine 81 muzana yezviitiko zvinowanikwa kuvanhu vanopfuura makore makumi mashanu. Paizvi, vanopfuura 65 muzana yekenza vachave pakati pevanhu vane makore makumi matanhatu nemashanu.
2. Kunwa doro
Doro ikozvino inotorwa seimwe yezvipingamupinyi zvinokonzerwa nekenza yakawanda, uye njodzi inobatanidzwa zvakananga nehuwandu hwezvinwiwa zvinodyiwa. Zvinofungidzirwa kuti kunyange kuderedza kunwa doro kunogona kuisa munhu pangozi, uye nzira dzakawanda dzehukama uhu dziri kuongororwa. Haisi kenza yemukirone chete, asi, uye doro rakawanikwa kuti inogona kuisa mungozi kune dzimwe kenza pamwe chete. Izvi zvinosanganisira kenza yeropa, kenza yemuromo, kenza yemazamu, kenza yemharo, kenza yemajoka, uye kanzira inopisa.
3. Dambudziko reShuga
Tsvakurudzo dzinoverengeka dzave zvino dzakasimbisa kuwirirana pakati pechirwere cheshuga (rudzi rwekutanga I nerudzi rwechipiri II) uye kukura kwekenza yemaroni. Vanhu vane chirwere cheshuga vanogona kusvika kusvika makumi mana kubva muzana mukana wekuwedzera kenza yekoloni kupfuura vanhu vasina chirwere. Zvimwe zviongorori zvakawana kuti kubatana kunofambidzana nezvokudya.
4. Dietary Factors
Zvokudya zvakakura mumafuta uye cholesterol, kunyanya kubva pamhuka, zvakabatanidzwa nekenza yekoloni. Zvinofungidzirwa kuti kudya kwemafuta akawanda kunogona kushandura masero anowanikwa mumasero emadzimai, ayo aine mukana wekushandura kuva mumarara. Zvokudya zvakaderera mu fiber, michero, nemiriwo zvinosanganiswawo nehuwandu hwehuwandu.
5. Mahedheni uye Race
Ethnicity isiriwo chinhu chinozivikanwa chinobatana nekenza ngozi.
VaAfrica veAmerica, somuenzaniso, vane 40 mukana wepamusoro wekenza yekoloni kupfuura vatsvene, uyewo 20 muzana mukuru wekufa kwekufa. Kusiyana neizvi, vaAsia vanozivikanwa kuti vari pangozi shoma kana vachienzaniswa nemamwe mapoka ose.
6. Nhoroondo yeMhuri yeCaron Cancer
Kana uine hama yako ine kenza yekoloni, mukana wako wokuwana chirwere chacho unowedzera kuwedzera. Kana iri chiremba chechipiri (mubereki, hama, kana vana), njodzi yako inogona kuvirika uye katatu pane dzimwe nguva.
7. Genetic Factors
Kutsvakurudza kwakaratidza kuti chimwe chezviitiko zvina zvekenza yekoloni ine mamwe mararamiro anobatana . Izvo zvinokonzera zvizvarwa zvinowanzoita zvinosanganisira kuchinja kwemazwi ekubatanidzwa kweFAP (mhuri yeAdenomatous polyposis) uye HNPCC ( kanzvadzi isina-polyposis kanzira yakanyanya kana Lynch syndrome).
8. Chirwere chekudzivirira chirwere
Chirwere chechirwere chinokonzera chirwere (IBD) chinoratidzwa nemamiriro ezvinhu akadai sealcerative colitis uye chirwere cheCrohn. Zvose izvi zvinobatanidzwa nekukura kwekenza yakaoma. Kazhinji kutaura, iyo yakareba munhu ave neBD, yakanyanya kuwana mukana wekuva nekenza yekoloni.
9. Kuwedzerwa nehutano uye kanoti kanoti
Kubatana pakati pekenza yekoloni uye kuninipiswa kwakasimba. Zvose zvinotaurirwa, vanhu vanorema vanopfuura makumi matatu kubva muzana mukana wekuwedzera rudzi urwu rwekenza kupfuura vanhu vemazuva ose
10. Precancerous Polyps
Puropponi yepoloni isumbu duku remasero rinoshandiswa pamucheka wekoloni. Zvinenge zvose kanaroni yekoloni inokura kubva kune isingave nekenza adenomatous polyps iyo yakafanana mukugadzirisa kune zvisikwa zvakasununguka asi inogona kuva yakaipa sezvainokura mukukura. Apo mapepa aya anowanika, uye anobviswa kuburikidza nekolonoscopy, haasisina mukana wekushandura kubva pakunanga kusvika kune kenza.
11. Kusvuta Risk
Isu tose tinoziva kuti fodya ingakonzera kukanganisa kwese nhengo dzomuviri wemuviri. Maererano nekenza yekoloni, kusvuta kwenguva refu kunobatanidza kukurumidza kuwedzera kwepuropiti pamwe nekuendeswa kwekakorogeni kumasukisi emukati emukoni. Izvi pamwe chete zvinouyisa dutu rakakwana rekenza.
Pasi Pano paConon Cancer Zvinokonzera
Kunyatsoziva nezvezvinokonzera zvinokonzera uye mungozi yezvikonzero zvekenza yekoloni ndiyo nzira yakanakisisa yekuve iwe mutongi wehutano hwako. Tinoziva kuti mumwe muvarume vaviri uye mumwe muvakadzi vatatu vachava nekenza munguva yeupenyu hwavo. Pamakondombera, kenza yemukorori ndiyo yechitatu inouraya vese vari varumekadzi.
Zvimwe zvinokonzera njodzi zvinogona kuchinjwa, asi zvimwe hazvigoni. Izvozvo zvakati, tine nzira yakanakisisa yekutora kana kudzivirira kenza yekoloni kuti irege kuitika panzvimbo yekutanga. Zvichida tinogona kuderedza zvakanyanya kuwanda kwevanhu vanofa nekenza muUnited States kana zvinhu zviviri zvichizoitika. Nhamba yekutanga, kana munhu wose aizowana kuongorora pazera remakore makumi mashanu. Nhamba mbiri, kana munhu wose ane ngozi yakakwirira (nokuziva zvipingamupinyi zvake) anotaura kuvanachiremba nezvekuongorora paanenge achiri muduku.
Iye zvino zvaunobata pane izvo zvinokonzera kenza yekoloni, dzidza nzira gumi dzakakwirira dzekudzivirira chirwere iwe uchifunga kuti uri pangozi kana kwete.
> Sources:
> Centres for Disease Control and Prevention. Njodzi Zviitiko zveColorectal Cancer. Kushandurwa 04/25/16. https://www.cdc.gov/cancer/colorectal/basic_info/risk_factors.htm
> Rossi, M., Jahanzaib Anwar, M., Usman, A. et al. Colorectal Cancer uye Kudhakwa Kwokudhakwa-Dorosi kuMaseklekemu. Cances . 2018. 10 (2): pii: E38.