Iko makore mashanu ekupukunyuka kunogona kukupa pfungwa asi kwete mhinduro chaiyo
Kana iwe kana munhu waunoda akawanikwa ane chirwere chemudumbu , zvinowanzoita kuti unzwe uchinetseka uye uchinetseka-chinhu chinofadza mwoyo, asi iwe hausi woga.
Imwe yenzira dzakanakisisa dzekuenderera mberi nekuongororwa kwekenza ndeyokuwana kunzwisisa kwekenza yako, sekunge kana kuti kurega kanzera yako yakapararira sei, zvinobatsiro uye kukanganiswa kwekurapa, uye chii chaunofungidzira (mukana wekuwanazve).
Paunenge uchitaura nezvekenza yemukondombera yako, iwe kana chiremba wako waunoda uchakuudza iwe makore mashanu ekupukunyuka kwechirwere chepamu (iyo muzana yevanhu vane kenza yemudumbu vanogara makore mashanu kana kupfuura mushure mekuongororwa).
Makore mashanu-Kupona Kwemakore Ekurapa Kumudumbu
Mushure mekunge vaongororwa nekenza yepamu, 30 muzana yevanhu vanopona makore mashanu kana kupfuura. Aya mazana mashanu ekupukunyuka kwemakore (anobva pachirwere chekenza) anotorwa kubva kuNational Cancer Institute's SEER database-SEER inomiririra Surveillance, Epidemiology, uye End Results.
Izvozvo zvakati, zvakakosha kunzwisisa chirwere ichi chinotarisa munhu wose ane kenza yemudumbu, pasinei nehanzvadzi yavo-danho rekenza yemudumbu rinogona kuchinja zvakanyanya kufungidzira. Zvechokwadi, iyo yakasimudza mukondombera wako mudumbu panguva yekufungidzirwa, iyo yakaipisisa kukura kwehuwandu, saka inowedzera kuwedzera kwako.
Kuti ujekese, zvikamu zvekenza yemuviri zvinotarirwa kuti maronda akapararira sei mukati mezvikamu zvemuviri, uye kana kwete kana masero emukenza akapararira kune lymph nodes uye / kana tishu kana nhengo kunze kwemukati.
Chikamu I Kamu Kanonda
Chikamu 1 kenza yemuviri inoparadzaniswa muchitsauko 1A uye shanho IB:
Nhanho 1A Kanzvadzi yeKenza
Nhanho 1A inoreva kuti mukenza hauna kupararira mukati memukati mutsara weimba mudumbu (inonzi muscularis propia), lymph nodes, kana dzimwe nhengo mumuviri.
Iyo yemakore mashanu ekupukunyuka kwechikamu chemukondombera weAA wepamu is 71 muzana, inoreva kuti 71 kubva muzana yevanhu vanorwara vane chirwere chepachirwere cheAA mushure memakore mashanu kana kupfuura.
Pamusoro peflip, 29 muzana (100 kusvika 71 muzana) yevanhu vanorwara nechitsauko 1A kenza yemuviri inorarama kwemakore anopfuura mashanu.
Chikamu 1B Kanzvadzi yeKenza
Chikamu IB chinoreva kuti kenza inopararira kune imwe kana maviri iri pedo nhengo dzomukati kana kuti dzakapararira mumusasa mukuru wemadziro emudumbu.
Iko makore mashanu ekupona kwemazera emutambo weBB yekenza yemuviri ndeye 57 muzana.
Chikamu II Kenza Kanonzi
Chikamu chechipiri chepamuviri chepamu chinopatsanurwa kuva danho reIIA nechitambo IIB.
Nharaunda IIA Mucheche Kanzera
Chikamu IIA chinoreva kuti kenza yakaita chimwe chezvinhu zvitatu:
- Iparidzira kusvika kumatatu kusvika matanhatu kune lymph nodes ari pedyo.
- Iparidzira kusvika kumusasa wepamusoro wemadziro emudumbu uye imwe kana mbiri dziri pedo nhengo dzeropa.
- Usapinda kune zero lymph nodes kana mamwe maviri kana nhengo, asi kenza yakakura kuburikidza nemusana mukuru wepakati mudumbu mudumbu kusvika ku-subserosa (iyo yakapeteredzwa pakati pemisasa miviri yakasara yemudumbu uye kunze kwemberi yemudumbu inonzi serosa ).
Makore mashanu ekupona kwemazana emutambo weII yemukenza yemukamu ndiwo 46 muzana.
Nharaunda IIB Kanzvadzi yeKenza
Chiremba achaongorora chirwere chemukoko weIIB chepamu kana chimwe chezvinhu zvina zvinotevera zvichiitika:
- Kenza yakapararira kusvika kune manomwe kana kupfuura yakakura yepa lymph nodes asi kwete mumusoro muscular layer.
- Kenza yakapararira kusvika kumatatu kusvika matanhatu iri pedo nhengo dzemakiromodhi, pamwe nekusasa muscular layer.
- Kenza yakapararira kuburikidza nemusoro mukuru we muscular mu "subserosa layer", kuwedzera kune imwe kana mbiri dziri pedyo neridhi nodes.
- Kenza yakapararira mukati memukati wekunze kwemuviri (unonzi serosa) asi kwete kune chero ipi zvayo yakasvipa lymph nodes.
Iyo makore mashanu ekupona kwemazana emutambo weII yekenza yemuviri ndeye 33 muzana.
Stage III Kanzvadzi yemukomana
Chikamu III Kanama yemudumbu inoparadzaniswa muchigamba IIIA, ganhuro IIIB, uye danho IIIC.
Chikamu IIIA Kamu Kanonda
Nechitambo IIIA, kenza ine:
- Ipararira mukati memaziso muscular masvingo emadziro emudumbu uye zvinomwe kana kupfuura zvinopfuura lymph nodes.
- Ipararira mu subserosal yechando yemudumbu uye nhatu kusvika kumatanhatu lymph nodes.
- Iparidzira mukati me serosa uye imwe kana maviri iri pedyo neridho nodes.
Makore mashanu ekupona kwemazana emutambo wechipiri IIIA chirwere chepamu chikamu makumi maviri.
Nharaunda IIIB Kanzvadzi yeKenza
Nechitambo IIIB, kenza ine:
- Iparidzira kusvika kune zvinomwe kana kupfuura zvinopfuura lymph nodes, asi kwete mu serosa.
- Iparidzira kune serosa uye katatu kusvika matanhatu nhanhatu dzeropa dziri pedyo pedyo (pasina mamwe matukisi kana nhengo)
- Paridza serosa munhengo dziri pedyo (somuenzaniso, spleen , matumbo, chiropa, pancreas, kana mishonga yakanyanya yeropa) uye zvichida imwe kana maviri iri pedyo nhengo dzeropa.
Makore mashanu ekupona kwemazana emutambo wechipiri IIB yemukondombera inenge 14 muzana.
Chikamu IIIC Chirwere Chepamu
Muchikamu chechipiri chechirwere chepamu, kenza yakakura ikava serosa uye yakapararira kune zvinomwe kana kupfuura kune lymph nodes.
Zvimwe, chirwere chepamu chinopararira kune nhengo dziri pedyo uye zvitatu kana kupfuura zvinopfuura lymph nodes.
Makore mashanu ekupona kwemazana emutambo wechipiri IIIC yemukondomu yemapfumbamwe ndeye 9 muzana.
Nharaunda IV Kanonda yemudumbu
Nhanho IV inoreva kuti kenza yakapararira kune nhengo dziri kure nedumbu sezvinoita chiropa, mapapu, uropi, kana mapfupa-izvi zvinonzi chirwere chemastastatic tummy.
Iko makore mashanu ekupona kwemazera emutambo wepamuviri wekenza yepamu inenge 4 muzana.
Chii Chingafanira Kuchengetedza Pfungwa Paunotarisa Izvozvi Nhamba
Kunyange zvazvo nhamba idzi dzichikupa manzwiro ako iwe kana kereke yako yaunoda kufanana nekenza, pane zvishoma zvingave zvichengetedze mupfungwa.
Kuponeswa Kwemari Yakabva Mukutsvakurudza
Kuponeswa kwemitengo kunobva pane zvidzidzo nehuwandu hwevarwere, saka kuponeswa hakukwanisi 100 muzana kunofanotaura kusarudzwa kwemunhu mumwe chete.
Kuwedzera kwemakore mashanu ekupfuura kwemazana makumi manomwe kubva muzana kunogona kuora mwoyo, asi chokwadi ndechokuti iwe unogona kurarama kwenguva refu yakareba kupfuura makore mashanu. Vamwe vanhu vanotoreswa kunyange nekenza yavo yepamu. Izvi zvinowanzoitika apo kenza inowanikwa pakutanga. Zvinosuruvarisa, kenza yemuviri kazhinji haiwanikwi kusvikira yakanyanyisa.
Mharidzo yekutora pamba apa ndeyokuti makore mashanu ekupona kwechirwere chepamu inongova nhamba-iyo inoreva kukutungamirira iwe nachiremba wako, saka une pfungwa yezvaunotarisira, asi haafaniri kutorwa se mutemo wakaoma uye unokurumidza.
Kuponeswa Kwemari Haisi Yega Kufananidza
Kana ukawana chirwere chepamuviri chako chepamuviri, chiremba wako achafunga zvimwe zvinhu zvakadai sehutano hwako huri kunze kwekenza yako, chirongwa chaiyo chekurapa uri kuitika, uye nzvimbo yechipfupa mukati memimba yako.
Kuponeswa Mahesero Usaverengera Rufu Rune Zvimwe Zvimwe
Zvinogoneka kuti munhu anofa nemamiriro ezvinhu ehutano akasiyana zvachose kana mamiriro ezvinhu (somuenzaniso, njodzi yemotokari) mushure mekunge awanikwa ane kenza yemudumbu. Izvi zvinoponesa hazvifungi rufu kubva pane zvimwe zvinokonzera.
Kuponeswa Kwemari Kuvandudza Nguva
Kuti vauye nemakore mashanu ekupukunyuka kwehuwandu hwehuwandu hwemakore, vanotsvakurudza vanofanira kudzidza vanhu vane kenza yemudumbu kwemakore mashanu-uye zvakawanda zvinogona kuitika munguva iyoyo, sekuvandudzwa (uye itsva) mishonga yekenza (semuenzaniso, chemotherapies kana immunotherapies ).
Kuponeswa Mahara Kunobva Muchirapa Chaicho
Aya mazana mashanu ekupona kwemazana kubva kuNational Cancer Institute anobva kune vanhu avo vairapwa nekuvhiyiwa nokuda kwekenza yavo yepamu. Izvi zvinoreva kuti munhu ane chikamu kana dumbu ravo rose rakabviswa. Kana mumwe munhu akashanda kuti asazovhiyiwa, kuponesa kwavo kunogona kunge kwakaderera.
Shoko Rinobva
Kunyange zvazvo zvikamu izvi zvingakupa iwe pfungwa kana iwe wekodha yemukondombera yemukondombera, ivai nechokwadi chekukurukura mamiriro ako akasiyana nechiremba wako.
Bvunza mibvunzo yakawanda uye usanetseka kubvunza pamusoro pezvinetso zvakawanda zvakaoma kana zvinetso zvakare, sekuporesa kubva pakuvhiyiwa, migumisiro yekemotherapy, kutambudzika kwepamusoro, kana chii chinoitika kana iwe usingawani kurapwa.
> Sources:
> America Cancer Society. (2016). Kupona Nhamba Dzechirwere Chepamu
> Edge SB, Compton CC. IAmerican Joint Komiti yeCancer: shanduro yechinomwe yeAJCC kanhamba yekunyorwa kwekenza uye remangwana reTMM. Ann Surgery Oncol . 2010 Jun; 17 (6): 1471-4.
> National Cancer Institute. Kuongororwa, Epidemiology, uye Kuguma Zvabuda Purogiramu. Cancer Stat Chokwadi: Dumbu reKenza.