Kuratidzwa kweRectal Cancer Prognosis uye Kupona Nhamba
Ndezvipi zvinokonzera kuponeswa kwechirwere chekwereti, uye chii chiri kurarama kwemazuva ano zvichienderana nhamba idzi?
Rectal Cancer Kupona uye Upenyu Husingatarisiri
Paunotarisana nekusava nechokwadi kwekenza, ndezvemunhu kuti afunge kudzidza zvakawanda maererano nehosha uye kuedza kuona kuti zvose zvichaita sei. Chinangwa chekuchengetedzwa kwepachiviri chepachirwere chakataurwa apa ndechekubatsira kukupa pfungwa yechinetso chiripo, asi zvakakosha kuyeuka kuti kuponeswa kwemajeri kune huwandu uye mikana yega yega yekupona ingave yakasiyana chaizvo.
Zvakakoshawo kuratidza kuti nhamba idzi idzi dzinotarisana nekupona munguva yakapfuura. Semuenzaniso, makore mashanu ekupukunyuka kwakanyorwa muna 2017 aizotaura kune vanhu vakaonekwa muna 2012 kana kupfuura. Sezvo zvirwere zvakawanda zvitsva zvave zvichiwanikwa nekenza mumakore mashomanana adarika, kuponeswa uku kunogona kusati kuratidza kuti mumwe munhu angaitei nhasi nemishonga yatinayo ikozvino.
Zvinyorwa Zvisingagoni Kudzorwa
Kune mhando dzakasiyana-siyana pamusoro pedu dzatisina kudzora dzinogona kutamba chimwe chinhu mukupona. Zvimwe zvezvi zvinotaurwa pasi apa.
Rectal Cancer Kupona Nhamba Dzakasiyana Munyika Dzose
Maererano neshoko rakabudiswa muEuropean Journal of Cancer , kuponesa kwepabonde rekenza kunosiyana nenyika. Kunyange zvazvo makore mashanu ekupukunyuka kwekenza yemakwenzi muAmerica iri 59 muzana, 42% muEurope. Unhu hwekutarisira hungave chikonzero chimwe chete, asi imwe inogona kunge yakakosha kanzira yekuongorora zvirongwa.
Pakati pese, kenza yemaperembudzi yapakutanga inowanikwa, zviri nyore kurapa. Ichi chidzidzo chakaitwa muna 2006, uye zvichida kuti kuponeswa kwose kweUnited States neEurope kwakagadziriswa kubvira panguva iyoyo.
Rectal Cancer Survival Rate uye Stage paKutsvaga
Nhandare yekuongororwa inobatsira zvikuru kuponeswa kwekenza yemararamiro.
Ivhareji yekutarisira hupenyu zvichienderana nesiteji yakanyorwa pasi apa, asi zvakare zvakakosha kuona kuti pane zvimwe zvinoshandiswa kuwedzera kune danga rinotora basa.
Rectal Cancer Kupona uye Race
Muzhinji, kuponeswa kwevanhu veAfrica yeAmerica vane kenza yemakwenzi yakaderera kune vatsvene vane chirwere. Zvakare, kune zvimwe zvimwe zvinoshandiswa zvinogona kuita kuti kusawirirana uku, kusanganisira inshuwarano yehutano.
Gender uye Rectal Cancer Survival Rate
Gender chimwe chimwe chinogona kukonzera kuponesa kwekenza yemararamiro. Zvidzidzo zvakawana kuti, kusiyana nemamwe akawanda kanzira, vakadzi vanowanzova nehutachiwana hwepabonde rekuchengetedza kenza kupfuura varume.
Tumor Markers
Mukuwedzera pane zvimwe zvinoshandiswa, pane zviedzo zvakadai semavhuna zviratidzo zvinogona kupa ruzivo pamusoro pekufananidzira nekenza yenguva. Hatingazopindi maitiro aya chaiwo, asi zvinobatsira kuona kuti maitiro ekukura kwechirwere chako anogona kuita basa mukupona. Mune ramangwana, zvingangove kuti aya masikiromu maitiro acharamba achibatsira kutarisa kufungidzira uye kutungamirira kushungurudzika uye mararamiro emishonga kune mumwe munhu kanaya.
Zvimwe Zviripo Zvatinazvo Zvimwe Zvatinofanira Kudzora
Kunyange zvazvo zvingave zvinogumbura kuziva kuti zvimwe zvingasiyana hazvigone kudzorwa-haugoni kuchinja makore ako kana danga paunofungidzirwa-pane zvimwe zvipimo zvaunenge uine kutonga.
Kuisa pfungwa pazvipembenene izvi, nekushungurudzika pamusoro pevamwe, zvinogona kukubatsira kwete kungobata nehutano hwako chete asi zvinogona kuita kuti pave nemusiyano mumigumisiro yako.
Rectal Cancer Kuponesa Mutengo uye Kuedza Kudzidzira
Zvizhinji zvezvinhu zvinotaurwa zvinenge zvisingabatsiri. Iwe unogara kwaunogara, iwe ndiwe hutano hwawakaberekerwa nawo, uye iwe wakabata iyo pawakabata. Saka iwe ungaitei kuti uwedzere mikana yako yekupona ikozvino iwe unayo? Vatsvakurudzi veDana-Farber Cancer Institute muBoston vakaona kuti kurovedza muviri kwakanyanyisa kunogona kuwedzera zvakanyanya kuponeswa kwevanhu vanorwara nekenza yakawanda.
Dzidza zvakawanda pamusoro pemagumisiro ekuita zvekurovedza pamusana pekuchengetedza kenza yakaoma.
Inishuwarenzi
Vaya vane inshurensi yezvehutano vanowanzova nemigumisiro yakanaka kune avo vasina kuvimbiswa. Izvi hazvisi kushanduka kunogona kuchinjwa maererano nehuturi hwekugadziriswa pakutanga, asi avo vasina kuvimbiswa kana kusabatsirwe panguva yekurapa vanofanira kufunga nezvezvavanosarudza. Kenza yako yepakati pevashandi vehutano inogona kunge iri nzvimbo yakanaka kutanga pakusarudza kuti ndezvipi zvaungasarudza.
Taura Nechiremba Wako Pamusoro peAspirin
Zvimwe zvidzidzo zvinoratidza kuti kutora aspirin kunovandudza chiyero chekupona kubva kune kenza yakaoma. Zvakakosha kutaura nachiremba wako, zvisinei, sezvo aspirin inogona kupindira nemamwe mushonga wekenza.
Taura Nechiremba Wako Nezve Vitamini D
Sezvakaita aspirin, pane zvimwe zvidzidzo zvinoreva kuti vitamini D inogona kuita basa mukurarama kwekenza yakawanda. Wedzera kune ichi kuti vazhinji veAmerica vane urombo, uye pane mukana wakanaka wekuti mazinga ako akaderera zvikuru zvakare. Ndinofara kune chiratidzo chekutsvaga ropa chinogona kukuudza chiyero chako, uye chiremba wako anogona kukurudzira kutora supplement ya vitamini D3 kana zvichidikanwa. Nguva dzose taura nechiremba wako, zvisinei, usati watora chero huwandu hwezvokudya. Zvimwe mavitamini uye zvigadziriswa zvigadzirwa zvinogona kukanganisa kurapwa kwekenza.
Tsvaga Gulu Rokutsigira kana Support Community
Izvo hazvina kutariswa zvakananga nekenza yemakemikari, asi vanhu vakapfuura nemukenza wemapapu vanofungidzirwa kuti vararame kwenguva yakareba kana vane ruzivo rwakawanda rwevanhu. Ramba uchifunga kuti iwe unogona kuwana rubatsiro kunyange kana iwe usiri kunyatsonzwa zvakanaka kuti uende. Kune maitiro mazhinji emagariro emagariro emunharaunda munharaunda iyo yausingagoni kuwana rubatsiro asi kutaura, kune vanhu vari kutarisana nematambudziko akadai.
Zivai Zviratidzo zveVhudzi Ropa
Ropa rinovhara mumakumbo ( deep vein thrombosis ) iyo inogona kubuda uye kuenda kumaapapu ( pulmonary embolism ) inonyanya kukonzera kurwara nekufa kune avo vanorarama nehupi hwekenza. Dzidza pamusoro pezviratidzo zvekuvhara ropa pamwe chete nezvaunogona kuita kuderedza dambudziko rako rekuvhara ropa nekenza .
Zvimwe Mamiriro Ezvinhu Anopesvedzera Kukunda
Mukuwedzera kune zvimwe zvingasarudzwa pamusoro apa, pane zvinhu zvakasiyana-siyana zvinogona kuita kuti hupenyu huve nekenza yekoloni. Izvi zvinogona kusanganisira:
- Nguva yako - Kazhinji, vechidiki vanoita zvakanaka kupfuura vanhu vakwegura vane chirwere ichi, kunyange izvi zvinogona kuenda nenzira mbiri. Vechidiki vanogona kunge vane ruzivo rwemagetsi, uye mune zvakadaro, vane zvirwere zvakanyanya.
- Maitiro ako ekushanda - Chiitiko chekushanda chiyero chinoedza kutaurira kuti munhu anokwanisa sei kuita zvinhu zvakajairika zvehupenyu hwezuva nezuva. Kunyangwe iyo inoshandiswa kakawanda kuti ione kana munhu anogona kukodzera kubatanidzwa muchirwere chechipatara, inosanganiswawo nekufananidzira.
- Utano hwako huri nani - Hwakanaka sei kunze kwechirwere unogona kugadzirisa marapirwo aunokwanisa kuvhiringidza uye anogonawo kuchinja kana iwe uchikwanisa kushandisa, tsika inobatsira kuponesa.
- Mishonga inogamuchirwa uye kuti bundu rako rinopindura sei kurapwa.
- The molecular profile and grade (aggressiveness) yekenza yako.
- Kupera simba kana kudziviswa kwechirwere chinobva kune kenza kunobatanidzwa nekupona kwevarombo.
Nei Maverengerwo Asingave Akarurama?
Zvakakosha kucherechedza kuti, kunyange kunyatsofungisisa zvose zvingasarudzwa pamusoro apa, zvakaoma kuziva nguva yakareba sei munhu mumwe chete achararama nekenza yenguva.
Nhamba dzinokwanisa kupa zvikamu, asi vanhu havasi nhamba. Nenzira yakawanda, nhamba dzinotitaurira kuti mumwe munhu akaita sei nekenza rekare pane imwe nguva yapfuura. Semuenzaniso, nhamba dzechangopfuura dzatinazvo dzinowanzotanga makore mana kana mashanu. Mumakore mashanu apfuura, takaita hukuru hukuru mukurapa kenza. Muchidimbu, zvino, kuponeswa kwemazinga kunogona kukuudza kuti munhu ane chirwere chakafanana chakaita sei nekurapa kwekare kune chirwere chacho. Zvinotora makore akawanda kuti uzive kuti munhu akaenzana achaita sei nemishonga itsva inowanikwa.
Rectal Cancer Upenyu Hwakatarwa Nhamba
Kanzera inokonzerwa kazhinji inobatanidza pamwe nekenza yekoloni kupa hutachiona hwekuparara kwekenza.
Maererano neAmerica Cancer Society, makore mashanu ekupona kwekenza yekenza yakawanda ndeyotevera:
- Nhanho I - 92 muzana
- Nhanho 2A - 87 muzana, danho IIB - 63 muzana
- Chikamu 3A - 89 muzana, chikamu 3B - 69 muzana
- Nhanho 4 (metastatic) - 11 muzana
Sezvo izvi zviine makore mashanu ekupona, zvinotarisa kuti avo vakaongororwa vakaongororwa uye vakabata makore mashanu apfuura, vasati vatanga kurapwa. Zvinonyanya kukosha kuti iyi data inokanganisa mune zvisinganzwisisiki kuti danho rechipiri zvechokwadi rine zvishoma zvishoma zvinopona zvishoma nezvirwere zvepamuviri III, kunyange kana chirwere chechipiri chechirwere chichitorwa zvakanyanya.
Pasi pepamusoro paRectal Cancer Survival Rates
Zvakare zvakakosha kuziva kuti nhamba dzose dzinotaurwa pano ndezvenhamba-uye vanhu havasi nhamba. Zvimwe zvezvidzidzo izvi zvinotsanangura ndezvokuti pane zvinhu zvakawanda zvinoita basa mukupona. Zvitsva zvitsva zvakagamuchirwa mumakore achangobva kupfuura uye zvakawanda zviri kuongororwa mumakiriniki ekuedza.
Mhedziso yekupedzisira ndeyokuti mushonga mutsva uri kuwanikwa, uye izvi zvose zvinorapwa zvinofanira kuongororwa mumakiriniki asati awanikwa kuvanhu. I National Cancer Institute inoratidza kuti vanhu vanofunga kana chirwere chechirongwa chechirwere chichange chisarudzo chekutarisira kwavo. Kune ngano dzakawanda pamusoro pekuongororwa kwemakiriniki , asi chokwadi ndechokuti mazhinji emishonga yakanakisisa inowanikwa makore mashanu kubva ikozvino inogona kuwanikwa chete mumakiriniki ekuedza panguva ino.
Sources:
American Cancer Society. Ndezvipi kuponeswa kwemari yeColorectal Cancer, By Stage? Updated 01/20/16. https://www.cancer.org/cancer/colon-rectal-cancer/detection-diagnosis-staging/survival-rates.html
Gattaj, G. naCiccolallo, L. "Kusiyana kweColorectal Cancer Survival Pakati peEurope neUnited States Populations: Kukosha kweSt-Site uye Morphology." European Journal of Cancer 39.15 (Gumiguru 2003): 2214-2222. PubMed. 21 Jun 2006.
Morales-Oyarvide, V., Meyerhardt, J., uye K. Ng. Vitamini D uye Chiitiko Chekuita Muvarwere NeColorectal Cancer: Epidemiological Uchapupu uye Utano Hwakagadziriswa. Cancer Journal . 2016. 22 (3): 223-31.
Tawk, R., Abhineri, A., Ashford, A., uye C. Brown. Kusiyanisa muColorectal Cancer Outcomes neRace uye Inishuwarenzi. International Journal of Environmental Research Nehutano Hwevanhu . 2015. 13 (1): jerph13010048.