Kuenzanisa Simba nekuvhiya: Ndeipi Inofanirwa?
Muzviitiko zvekenza yepamusoro yekoloni , pane dzimwe nguva apo tumarara haigoni kubviswa. Iyo yakaipa uye yakaoma mamiriro ezvinhu uye iyo inowanzozara nemanzwiro uye kusava nechokwadi.
Kune chero munhu anotarisana nehupombwe husingagoneki, zvakakosha kuyeuka kuti vanhu vanogona, chaizvoizvo, vanorarama kwemakore vane kenza yakanyanya . Izvo hazvirevi kuti munhu wose anofanira kupera kamwe kamwe nokuti tumarara haigoni kushanda.
Mune zvimwe zviitiko kupfuura kwete, zvinongopesana.
Chinangwa chikuru mumamiriro ezvinhu akadai ndechekuita kuti zviratidzo zvirongedzwe uye kuti munhu wacho anokwanisa kuchengetedza hutano hwakanakisisa hwehupenyu huripo kunyange kana kenza isingagoni kurapwa.
Imwe yezvinetso zvinokonzera kenza yemagumo ndeyekuti ikoni inogona kudzivirirwa nemarara. Izvi zvinonzi kushungurudza kwakaipa . Nenzira yakanaka, vanachiremba vanogona kubata chirwere ichi munzira mbiri dzakasiyana:
- Vanogona kuve nokuvhiyiwa kuti vatsause kana kupfurikidza nekudzivirira.
- Vanogona kuisa stent (ine tsvina yakawanda yehututi) kubatsira kubatsiridza kuvhura kwendima
Stent vs. Kuvhiya kweMalignant Yokuvhura
Kune munhu ane kuvhiringidza kunorwadza, kusarudza pakati pekuvhiyiwa kwakakwana kana kuiswa kwe stent yakaiswa kunogona kuva kwakaoma. Kune vakawanda, hove ichaita sechisarudzo chaicho. Mushure mezvose, stents inogona kuiswa nyore nyore, kazhinji neine chirwere chisingaoneki chinonzi laparoscopic uye nguva shoma yekudzikinura.
Asi zviri nyore here nguva dzose kupindura kwakarurama?
Chidzidzo che2011 chakabudiswa mubhuku rinonzi Gastrointestinal Endoscopy yakabvunza mubvunzo uyu chete. Maererano nemushumo, vanhu 144 vane kenza yepamusoro yekoloni yakagadziriswa kugadzirisa kudzvinyirira kwakaipisisa iyo hafu yaive ichivhiyiwa; imwe hafu yakanga ine stent.
Mukuongorora zviitiko zvenguva pfupi uye kwenguva refu, kusiyana kukuru kwakatanga kubuda:
- Kakawanda, nguva shomanana yekubudirira kwehuwandu hwemasimba uye kuvhiyiwa nguva dzose kwakanga kusiri yakasiyana zvikuru. Zvose zviri zviviri zvakashanda zvakajeka pakurapa colon yakavharwa.
- Munguva yekutanga kuporeswa, boka raive rakagamuchira stents raive nehafu yehafu yematambudziko ekutanga muboka revhivhi (15.5 rinopesana ne 32.9 muzana, zvichienderana).
- Zvisinei, sezvo kupora kwave kuchienderera mberi, nguva yekuti kuvharwa kwakaramba kuri pachena kwakapfupika muboka rakaderera, nevamwe vanhu vachitoda chikamu chechipiri.
- Pamusoro penguva yakareba, asi chiyero chematambudziko makuru chakanga chakanyanya kufanana nemapoka mapoka ose, boka rakaderera rakange rakanyanyisa kunetseka kana richienzaniswa neboka rekuvhiya.
Kuita Sarudzo Yenyu Yakanakisisa Inokwanisika
Kana iwe kana munhu waunoda akatarisana nekudzivisa kunorwadza, iwe unogona kumanikidzwa kusarudza pakati pekuvhiyiwa kana kuti stent senhau yekukurumidza. Kuvhiringidzika kwakadai ndiko chirwere chakakomba chekurapa chinoda kukurumidza kuchenjerera kudzivisa kuputika uye chero zvimwe zvinogona kutyisa upenyu.
Nezvo zvichitaurirwa, chisarudzo chisina kufanira hachifaniri kunge chiri chisinganzwisisiki. Iwe unongoda kuongorora hutano uye hutano hunobva kune humwe huwandu hwekunzwisisa:
- Kunyange zvazvo stent inogona kunge iri kugadzirisa nokukurumidza kwekoloni yakavharidzirwa, mikana yekuda imwe yakakwirira kana ichienzaniswa nekuvhiyiwa.
- Kunyange zvazvo kuvhiyiwa kunowanzopa migumisiro yakareba kwenguva refu, inodawo nguva refu yekuporesa nehuwandu hwehuwandu hwematambudziko kwenguva pfupi.
Shandisa neoncologist yako uye chiremba chiremba kuti uone zvakanakisisa zvaunenge uchiita. Izvi zvinogona kusanganisira kubvunzurudzwa kwezera remunhu, hutano huzhinji, humwe humwe humwe humwe humwe hunogona kuratidza kuti munhu anorega sei nzira iyo uye awanezve.
Hakuchina chisarudzo chakanaka kana chisina kunaka kana iwe wakapiwa mazano ose anodiwa kuti uite chisarudzo chakanaka.
> Kwakabva:
> Lee, H .; Hong, S .; Cheon, J .; et al. "Mhedziso Yenguva Dzakawanda yePalliative Therapy yeAlignant Colorectal Kuvhara Muvarwere Vasingareviki Metastatic Colorectal Cancers: Endoscopic Inopesana Nekuvhiya." Gastrointestinal Endoscopy. 2011; 73 (3): 535-542.