Zvidzidzo Kutarisa Cholecystectomy uye Colon Cancer Risk
Kuvhiyiwa kweguruva kunokonzera njodzi yekenza yekoloni here? Kushamwaridzana pakati pe cholecystectomy (kuvhiyiwa kubvisa nduru) uye kuwedzera kwekenza yekoloni kwakasimudzwa mune dzimwe dzidzo huru dzekudzoka kwemakore pamusoro pemakore. Ndeupi mutongo? Ari kuva nemaronda here kana kuti kuvhiyiwa kweguruva kunobatanidza nekenza yekoloni?
Kunetseka pamusoro peGallbladder Surgery uye Colon Cancer
Zvidzidzo pamberi xxx zvakatarisa zvakananga pangozi yekodha yekenza mushure mokuvhiya gorosi uye yakawana sangano rinotyisa.
Izvo zvakaonekwa mune zvidzidzo zvepakutanga kuti chirwere chinoputika chinogona kukonzera njodzi yekenza yekoloni nekusvika 56 muzana.
Misoro yakawanda inotyisa yakabudiswa nekuongorora kwe2005 yakabudiswa muAmerican Journal of Gastroenterology iyo yakawana kuti chirwere chekugadzirwa kwegorosi chinowedzera mukana wekuva nekenza yekoloni. Vatsvakurudzi vakaongorora zvinyorwa zvevarume nevakadzi vanopfuura 55 000 muBritish General Practice Research Database. Vakaona kuti avo vakange vaita chirwere chekugadzirwa kwechirwere chakanga chakaita kuti vave nekenza yekoloni, asi kwete kunyanya kuve nekenza rectal.
Vatsvakurudzi vakasimbisa kuti kuwedzera kenza yekenza yekoloni hakufaniri kuve sarudzo paunofunga nezvekuti kana kuti kwete kuti dutu rako ribvise. Nenzira yakanaka, zvidzidzo zvenguva pfupi zvakabvunzurudza - uye zvakanyanya kupopotedzana - uye kushamwaridzana.
Gallbladder Surgery Yaizowedzera Kenza Kanon
Nguva ipi zvayo tinoona sangano rakadai seizvicherechedza pakati pekushongedzwa kweguruvladder uye kenza yekoloni inobvunza mubvunzo: Sei?
Kutarisa pamuviri wekoloni kubva kune imwe nzvimbo, vatsvakurudzi vakatarisa zvinogona kuitika zve chirwere chegorovladder pamakoroni adenomas. Mhando imwe yemakoloni mapuropa, adenomas, anozivikanwa kuti anofambira mberi, pane dzimwe nguva, kuva mukenza wekolone. Zvechokwadi, ichi chikamu chechikonzero chekuongorora ma-colonoscopies. Izvo zvinonzwisisika zvinonzi adenomas, kana zvichitaridzika, zvinogona kubviswa vasati vava nekenza.
Muchidzidzo ichi, pakanga pasina kuwedzera kukuru mudambudziko reAdenomas kune vanhu vakange vane chirwere cheguruva kana vasina chirwere.
Recent Studies
Chimwe chiitiko chekuongorora zvenguva ichangopfuura chaive chikuru, kutarisa pane zvidzidzo makumi mapfumbamwe nemaviri uye zvishanu zvekare meta-kuongorora. Ichi chidzidzo chakayera kuti zvimwe zvidzidzo zvakagadzirwa sei uye simba rekufunga kwavo. Kakawanda, kuongororwa hakuwani kushamwaridzana kwakajeka pakati pekushayikwa kwepachiviri uye kenza chero ipi zvayo mumutambo wepamuviri.
Vakawana mishumo isina kukodzera uye hapana uchapupu hune simba hwekenza yemukati mutsva uye kenza yekodononi yakarurama yakabatana necholecystectomy. Apo paitarisa pakudzidza kwakanaka kwepamusoro, kwakanga kusina kushamwaridzana nekenza yehutachidiki duku uye kuruboshwe-sided colon uye cholecystectomy, kana kuti ye distal colon uye rectal kanzira. Mhedziso iyi ndeyekuti, "Kuongorora kwakagadziriswa kwakawana uchapupu hunopesana hwehukama pakati pezvakaitika kare zvechilecystectomy uye yepamusoro pezvirwere zvekenza." Kubva pauchapupu huripo, hapana hukama hwakajeka pakati pezvinhu zvinokonzera cholecystectomy uye kanzira yematumbo emimba. " Vakawedzera kuti zvidzidzo zvakagadzirwa zvakanaka zvinofanira kuitwa.
Chidzidzo che 2017 chakawana kuti kune ngozi yakawedzerwa yekenza yekoloni kune vanhu vane chirwere chenduru, asi kwete kune avo vakange vane cholecystectomy.
Imwe 2017 kuongorora kutarisa matanda ematombo akawanikwa pakuchenesa chete kwaibatanidza nehuwandu hwehutachiwana hwekenza yekolone, asi kancreatic kenza, esophageal, uye gastric cancers. Hapana mungozi yakawanikwa maererano necholecystectomy.
Risk Factors
Tichitarisa zvose izvi zvidzidzo, unogona kunge uchibvunza, "Pane chimwe chinhu chingakonzera njodzi yezvirwere zvegondhi uye kenza yekoloni here?" Mhinduro ndeyekuti hongu. Kuwedzera muviri kune chimwe chinhu chinojekesa zvakajeka njodzi yehutachiona hwechirwere uye kenza yekoloni. Mune dzimwe nzira, mubvunzo uyu unogona kunge wakafanana nekubatana pakati pekudya ice cream uye kunyura.
Kudya ice cream hakuiti kuti kunyura kuvepo, uye kunyura hakuiti kuti vanhu vadye ice cream, asi dzimwe mvura inonaya uye kudya ice cream zvose zvinowanzoonekwa mukati memwedzi yezhizha apo mazi akazaruka uye ice cream inoratidzira kurapa .
Unofanira Kufunganya Here?
Zvidzidzo zvitsva zvinofanira kugadzirisa kutya nehuwandu hwehutachiwana hwekenza yekoloni inotevera chirwere chekurwara. Asi chokwadi chokuti zvimwe zvidzidzo zvakawana sangano rinogona kukukurudzira kuti uite zvimwe zvinhu kuti uedze kuregeredza dambudziko zvishoma. Kugara uchirovedza muviri, kuchengetedza uremu hutano, kudya kudya kwakanaka uye kuronga colonoscopy kune matanho mashomanana aungatora. Isu tose tiri pangozi yekenza yekoloni, chirwere cheguruva kana kwete.
Ichi chiduku chezivo ndechimwezve ruzivo rwemashoko iwe unogona kupa murume wako, mudzimai, shamwari, kana mubereki anoramba achiisa mahara ekuratidza kanzira yekuongorora . Ndiani anoziva kuti zvii zvimwe zvidzidzo zvicharatidza zvinokonzera njodzi dzisingagoni kudzivisa? Chii chinogona kudzivirira kenza yekoloni iri kuongororwa uye kuva ne-pre-cancerous polyps yakabviswa kana ikaonekwa.
Pasi Pasi paGallbladder Surgery
Kune mitsetse miviri yepasi inomuka kubva mukukurukurirana uku. Chimwe ndechokuti kuvhiyiwa kweguruva, kunyange zvazvo kuvhiyiwa kwose kune ngozi, hakuratidzi kukonzera njodzi yekenza yekoloni. Kusiyana neizvi, chirwere chenduru, kana chiitwa kune vanhu vanozojekesa zvakajeka kubva mukugadzirisa, zvinogona kukuponesa marwadzo mazhinji.
Pasi pepamusoro paKaron Cancer Risks
Kunyange zvazvo kuvhiyiwa kweganda hakuratidzi kukwidza mhanho yekondomu, pane zvimwe zvipingamupinyi pamusoro pekuti tine utungamiri. Kuongorora kenza yemaroni kunokosha zvakare uye kwakaratidzwa kuderedza kufa kubva pamukenza wekoloni. Runako hwekuongorora maitiro ecolonoscopies nderokuti vanogona kushanda pamwe chete kuti vadzivirire kenza yemaitiro inenge ichiitika uye kuiwana mumatanho ekutanga (kutanga kugona.) Kana chirwere chekare chisati chasangana chinowanikwa pane colonoscopy, iyo pombi inogona kubviswa isati yasvika mukana wekuva kenza. Mamwe ose anoongorora zvirwere zvepachirwere zvatinazvo panguva ino anogona kungowana kenza kare (kutanga kuona) asi haagoni kudzivirira kufambiswa kwekenza pakutanga.
> Sources:
> Chen, Y., Yeh, J., Lin, C. et al. Kanzura Inopera Muvarwere neCholelithiasis uye mushure meCholecystectomy: Chidzidzo cheNyika Yose Cohort. Nyaya yeGastroenterology . 2014. 49 (5): 923-31.
> Mari, M, uye S. Shimi. Cholecystectomy uye Nengozi yeCancerary Tract Cancers: Kuongororwa Kwadzo. World Journal of Gastroenterology . 2015. 21 (12): 3679-3693.
> Shabanzadeh, D., Sorensen, L., uye T. Jorgensen. Kushamwaridzana Pakati peScreen-Detected Gallstone Zvirwere uye Kanzera muChikwata Chekudzidza. Gastroenterology . 2017. 152 (8): 1965-1974.
> Shang, J., Reece, J., uye D. Buchanan. Cholecystectomy uye Nengozi yeColorectal Cancer neHumor Mismatch Repair Kushaikwa Kwemamiriro. International Journal of Colorectal Disease . 2016. 31 (8): 1451-7.