Chii Chaunotarisira Kubva kuConon Cancer Treatment
Une ropa mukati mako here? Tarisa . Kuzadza, kubvisa, uye gasi rakawandisa? Tarisai, chengetedza, chengetedza . Iwe unogona kuva nechiratidzo choga choga chekenza yekoloni - asi izvozvo hazvirevi kuti une kenza yemukironi. Kuita kuti kusvetuka kubva kune zviratidzo kana kuti nhoroondo yemhuri kusvika kuongororwa kunoda kuongororwa kuongorora kuvapo kwemasero anouraya, kuteverwa nemimwe miedzo kuti aone kana kenza inowanikwa munzvimbo yekoloni kana kuti yakapararira (mastasi) kune dzimwe nzvimbo mumuviri wako .
Kuongororwa kwekenza yemakoroni kunogona kuuya sekushamiswa zvakakwana mushure mekuongorora maitiro ekuongorora, zvakadai sekolonoscopy , pasina kuvapo kwezviratidzo.
Zvaunotarisira Pakutanga Kwako Kokutanga
Kutevera chirongwa chakaongororwa chekuongorora kuongorora kana kuvapo kwezviratidzo, chiremba wako acharonga chirwere chekuongororwa chekenza yekoloni. Iye achawana nhoroondo yekurapa yakakwana uye kuongororwa kunogona kusanganisira kuongorora rectal rectal . Iyi yero yakajeka, isina kurwadza inobvumira chiremba kuti aongorore rectum yako chero upi noupi hukura kana masasa. Chiremba anogonawo kutora soro soro kuti ive neropa rezvemhepo kana kuti immunochemical test , iyo inoona kutevedza kweropa riri muchigaro. Chiremba wako anogona kuraira zvakare kuedza, zvakadai se:
- Kuyera ropa , kusanganisira ropa rakazara , nguva dzekuvhara (kunyanya kana iwe uchitora ropa shoma) nepane jeri electrolyte, batsira chiremba wako kuti ave mufananidzo wehutano hwako hwose. Kana iwe une nhoroondo yekenza, chiremba anogonawo kuronga carcinoembryonic antigen (CEA) test, iyo inogona kubatsira kuziva kana tumarara dzadzoka.
- Kuongorora mafungiro ekufungidzira kunoshandisa maitiro akasiyana-siyana e-ray kuti uone matoni ako uye zvakakomberedzwa. Izvi zvinowanzosuruvara uye zvinogona kusanganisira x-rays, computed tomography (CT) kuongorora, magnetic resonance imaging (MRI), kana rectal ultrasounds. Chiremba anogona kurayira mutengesi wemuenzaniso, wakadai seBarium, kuti apiwe mumuromo, muchidimbu kana mumutsetse wepakati musati mifananidzo isatorwa. Kusiyana kwevashandi kunoita kuti colon yako ionekwe zvakare - kufanana nekushandura mwenje paunopinda mukanerima.
- Colonoscopy uye sigmoidoscopy ndeye nzira dzinoshandisa purojekiti duku, yakanyoroveswa nekhamera, inowanikwa kuburikidza ne rectum yako, kuti uone mukati memira yako uye rectum. Kana chiremba akawana tambo dzakasvibiswa kana kuti dzisina utano mumakoloni ako, iye anogona kutora bhizinesi panguva iyo.
- Bhiopsy inoreva nguva ipi zvayo apo chiremba anotora mhando shomanana yemaviri kubva mumuviri wako. Colon biopsies inogona kupedzerwa panguva yekolonoscopies, sigmoidoscopies kana panguva yeTCT scan-guided guiding biopsy. Muongorori wezvirwere, kana chiremba chaiye anokwanisa kusiyanisa pakati pekenza uye asina-kenza masero, anonyatsoongorora maitiro emucheka. Zvitsva zvinotora zvinogona kutora kubva maawa 72 kusvikira pane vhiki yekushandura. Kumbira chiremba wako apo kutarisira mhinduro.
NdiKaroni yeColon, Zvino Chii?
Iwe uchakumbirwa kudzokera kuhofisi yechiremba kuti ukurukure mhinduro dzako dzekuedza uye kuongororwa. Funga kuunza nhengo yemhuri kana shamwari yaunovimba kurwendo urwu - iye anogona kupa rubatsiro uye imwe nhete dze nzeve.
Pane imwe nguva kufungidzirwa kwekenza yekoloni kunoitwa, danho rinotevera rinosanganisira kuziva kana kenza yakapararira (mastasized) kune dzimwe nhengo dzomuviri wako. Iyi nzira, iyo inozivikanwawo sekenza yekurapa , ichada mimwe miedzo shomanana usati waenda mberi mukurapa kenza .
Nzvimbo dzakajairika dzekenza yekenza yekondomu dzinosanganisira mapapu, chiropa uye peritoneum, kana chivako chemuviri. Chiremba wako anogona kuraira:
- Chifu x-radhi kuti uone kuti mapapu ako akajeka uye asina masiteriasisiti
- Muchizimbu chechizoni kuona kana kenza yakapararira kune zvikamu mumimba yako, zvakadai seropa, mudumbu kana peritoneum
- Positron emission tomography (PET) scan kuti utarise kukura kwekenza mukati memuviri wako wose
Kanonini yeCaron Staging Tools
Kune nzira mbiri dzekugadzirisa kupararira nekukura kwekenza: kliniki uye pathological staging. Kliniki yekugadzirisa ndiyo nzira iyo chiremba wako achifananidza nemigumisiro yekuedza nehurukuro yako yemuviri.
Pathologic staging, iyo yakajeka kwazvo, inoshandisa zvirongwa zvitatu kuti zvimirire huwandu hwekuwedzera kwezvirwere. Izvi zvinosanganisira:
- American Joint Committee yeCancer Staging System (TNM)
- Astler-Coller
- Dukes
Kunze kwevatatu, TNM system ndiyo inonyanya kushandiswa purogiramu yekugadzirisa zvirwere zvekenza . Tsamba idzi nhatu dzinoshandiswa kuparadzanisa ukuru hwechirwere (T), kupararira kune lymph nodes (N), uye huwandu hwemasastasis (M). Tsamba imwe neimwe inoteverwa ne descriptor, kazhinji nhamba, iyo inotsanangura kuoma kwekenza yako yekoloni. Nhamba dzepasi, dzakadai se-0, dzinodiwa pakugadzirisa sezvo dzichiratidza kuti kenza iduku uye inowanikwa munzvimbo (in situ).
Rimwe shoko raunosangana naro rinonzi kunyorera bundu. Apo mutachiona anotsanangura masero anouraya , iye anogonawo kuongorora kuti yakashandura sei masero iwayo kuonekwa, kana kuti kusasvibiswa kwechiedza chekenza chinowoneka kuchienzaniswa nezvigadzirwa zvekare. Kufanana nekugadzira, kanzira ine gorosi yakaderera (inowanzoonekwa) inowanzowanikwa kare uye iri nyore kurapa, asi zvirwere zvakanyanya kutengesa kana kukwegura zvine mikana yakawanda yekupararira nokukurumidza.
Treatment Plan
Chiremba wako achashanda newe kuti agadzire chirongwa chekurapa chekenza yekoloni, iyo inogona kusanganisira kuvhiya, chemotherapy, mazairo kana kusanganiswa kwemishonga. Urongwa hwako huchagadziriswa kune zvaunoda, asi hukuru hunobva pachigarire uye chikwata chekenza uye hutano hwako hwepanyama.
Sources:
American Cancer Society. (2008). Colorectal Cancer. Zvaunoda Kuziva - NOW. Atlanta: American Cancer Society Health Promotions.
National Cancer Institute. (2011). Metastatic Cancer.