Chirongwa Chinobatsira Kutarisa Zvakananga uye Kufanotaura Kupona
Kune zvikamu zvishanu zvekenza yekoloni , yakasarudzwa kubva ku 0 kusvika ku4, iyo isingori iyo chete inoratidza kukwirira kwechirwere asi kubatsira kutungamira nzira yekurapa.
Chirwere chetatu chekenza yekoloni inonyatsotsanangurwa nemaitiro ehutu uye kupararira ( metastasis ) yekenza kubva kune chepakutanga (primary) tumori kune lymph nodes dziri pedyo. Kusiyana neizvi, nechitsauko chechirwere chechirwere, chirwere chinoramba chichigadziriswa kumadziro emukati, apo chigadziko chechina chinosanganisira kupararira kwekenza kune nhengo dziri kure.
Nzira yeCarcer Colon Inoshandiswa sei
Pakave nemhando dzakasiyana-siyana dzakashandiswa pakugadzira chirwere chekenza, zvakadai seChechi Duke yakatanga ma1930 uye sarudzo yeAsler-Coller yakatanga muma1950. Mazuva ano, zvose zviri zviviri zvakadzingwa nehuwandu hweTMM iyo inotanga chirwere chetatu nemamiriro ezvinhu matatu:
- Nhamba yakakura iyo chirwere ("T") chakapinda mudumbu rudumbu
- Chiyero che lymph node ("N") kubatanidzwa
- Chikamu chemasastasis ("M")
Uyezve, kubvira muchikamu chechitatu kenza inotsanangurwa neyese nhengo dzemakirini uye chiremera chacho pachavo, pachava nezvimwe zvinyorwa zvitsva zvichienderana nemamiriro aya, anosarudzwa seA, B, kana C.
Lymph Nodes muCcercer Staging
Mitumbi yedu ine lymphatic system ine lymph vessels uye lymph nodes . Sezvo chikamu chekudzivirirwa kwemaviri mumuviri, lymphatic system inounganidza kuparadza uye marapirwo (semavirusi uye mabhakitiriya) mumasukisi kunze kwerutenderera .
Lymph midziyo yakafanana nemidziyo yeropa, asi, panzvimbo yekutakura ropa, inotakura yakajeka, mvura ine mvura inonzi lymph. Lymph inobatsira kutakura doro uye marapiritsi kune lymph nodes iyo yakazara ne lymphocytes (rudzi rwemagunisi esero). Aya masero anobatsira kukonzera nhengo ipi neipi inokonzera zvirwere uye nekubudirira kubvisa kubva mumuviri.
Nekenza yekoloni, chero sero rinonyangadza rinopukunyuka gumbo guru rinogona kuunganidzwa nemarikisi uye kutakurwa kune imwe node iri pedyo. Kana zvirwere zvemasastasis zvaitika, apa ndipo apo uchapupu huchaonekwa pakutanga. Icho chimiro chinobatsira kusimbisa danga rechirwere uye pamwe zvinogona kuitika.
Tumha Zviratidzo muCancer Staging
Munharaunda yeTMM, chirwere chekenza yemukironi yechitatu chinowanzozivikanwa pane iyo tumarara iripo kana mumatumbo emukati. Izvi zvakaputsika muzvikamu zvina:
- T1 zvinoreva kuti tumarara yakapinda mumukati membrane yemukati mazamu masvingo.
- T2 zvinoreva kuti tumarara yakapararira kumisungo pasi apa.
- T3 zvinoreva kuti tumarara yakapinda mumisungo asi kwete yekunze kwemukati rusvingo.
- T4 zvinoreva kuti rusvingo rwekunze rwakapinda.
Kusarudzwa kweGweta 3 Kanoni Kanon
Kana imwe nguva chirwere chemuviri chechiremera uye chiremera chichigadziriswa, chiremba wekenza ( oncologist ) acharonga chikamu chezvirwere sezvizvi:
- Nhanho 3A inoreva kuti rimwe chete kune vatatu vari pedyo neridhi nodes inosanganisira T1 kana T2 maitiro.
- Nhanho 3B zvinoreva kuti imwe chete kune vatatu vari pedyo neridhi nodes inobatanidza kana T3 kana T4 maitiro.
- Nhanho 3C zvinoreva kuti mana kana kupfuura emakiromodhi anoswedera pedyo anowanikwa, zvisinei nokuti ane chirwere chinokonzera.
Kurapa kweGwara 3 Kanononi yeColon
Chirwere chetatu chekenza yekolone kazhinji inoshandiswa kubviswa (resection) yezvisikwa zvakagadziriswa, zvinotevera chemotherapy. Mune chirongwa chokuvhiya, chiremba anovhiya achabvisa chikamu chekoloni inobatwa nechirwere ndokubatanidza zvigaro zvasara pamwechete. Pedyo lymph nodes ingabviswawo,
Chemotherapy yaiwanzobatanidza yeFOLFOX regimen (inosanganisira folinic acid, leucovorin, uye oxaliplatin) kana reCapeOx regimen (ine capecitabine uye oxaliplatin).
Zvimwe zvigadziridzo zvigadziriswe zvinogona kukurudzirwa zvichienderana nezera rako uye / kana hutano hwehutano. Radiation therapy uye / kana chemotherapy inogona kushandiswa kune vanhu vasina utano hwakakwana hwekuvhiyiwa.
Shoko Rinobva
Maererano neAmerican Cancer Society, makore mashanu ehupenyu hwevanhu vanorwara nechirwere chemukondombera 3A kenza yemakoroni ndeye 89 muzana, asi matanho ezvikamu 3B ne3C ari 63 muzana uye 59 muzana, zvichienderana.
Zvakakosha kuziva, zvisinei, kuti nhamba idzi hadzina kukandwa mumatombo. Kubva pane mumwe munhu maonero, vanhu vane chirwere chetatu chekolone chechirwere vave vachizivikanwa kuti vararame kwemakore akawanda pasina kuregererwa kana kuderedzwa kwehupenyu hwehupenyu.
Nokutora matanho, kuvaka chivimbo chakatsigirwa , uye kutora zvinhu chimwe nechimwe panguva imwe, une mukana wakawanda wokurova kenza yekoloni kupfuura chero munhu upi zvake. Ramba wakaisa pfungwa uye uchengetedze kutenda.
> Sources:
> America Cancer Society. "Kuramba Kwekenza Nhanho." Atlanta, Georgia, yakagadziriswa December 11, 2017.
> America Cancer Society. "Chii Chinoponesa Mari yeColorectal Cancer, neSiteji?" Atlanta, Georgia; yakarongwa musi wa2, 2017.