Kuchinja mumuviri wako mushure mokunge kuwedzerwa kunogona kuwedzera kenza yako ngozi
Nepo kusangurwa kwepvo kuve pachena kunyanya kunakirwa kurapwa kwetsvo, (uye kunorova kuva dialysis zuva ripi neripi), harina kuuya risina ngozi. Izvi zvinotarisana nematambudziko akaita sengozi yakawanda yehutachiona, kutumira-kudyarwa kwechirwere cheshuga , kuwedzerwa ngozi kune mamwe marudzi ekenza.
Vanhu vakawanda vachifunga nezveiyo kushandiswa kwetsvo sekurapa sarudzo tora pause pavanodzidza izvi kwekutanga.
Zvisinei, chirongwa chakanaka chekufema chinowanzovhara mukana wekenza sechikamu chekutanga kushandura mazano.
Ndeapi Kancers Inobata Ipiyo Kuisa Mupiro Kuwana Mazano Pamusoro?
Kana ichienzaniswa nehuwandu hwevanhu, munhu anogamuchira tsvina yekugadzirisa inotarisana nehuwandu hwehumwe hwemhando dzakasiyana dzezvakaipa. Nhamba yacho yakazara, inowedzera kune marudzi maviri emhando dzakasiyana dzekenza. Zvisinei, dzimwe dzezvakawanda ndeizvi:
- Ganda rekenza, kusanganisira melanoma
- Cancers ye hematologic system / blood cancers, lymphoma
- Mushonga wepoyi, zvose zvepfungwa dzavo dzepabonde, uyewo mumutsvo wakangobva kuiswa
- Cancers yemutumbo wezviviri-zvivako zvinogona kusanganisira colon, rectum, pancreas, nezvimwewo.
- Kanza yemaperembudzi
Nyaya inokosha yekukoshesa pano ndeyokuti haisi kungoita kuchinja kweiyo iyo inoisa mupikiri kune ngozi yakawanda yekenza. Zvimwe zvipo zvekugadziriswa kwemuviri zvinosangana nematambudziko akafanana, asi rudzi rwekenza rinowanikwa, rinoti kune avo vane mapapu emapapu, angave akasiyana nehutano hwekenza kune avo vakagamuchira kupora kwepvo.
Nei Dambudziko Rinowedzera?
Chimwe chirevo chakakurumbira pakati pevakagamuchira ndechekuti "kenza inouya yakapetwa pamwe nesimbi yakatemwa." Kunyange zvazvo izvi zvichibvira, haisi chikonzero chakajairika chekuti mumwe munhu ave nekenza mushure mokunge awane impempa yekuputika. Pano pane zvimwe zvinotsanangurwa:
- Immunosuppressive therapy: Sezvaungave uchiziva, kuwana kupora kwetsvo kunosanganisira kuva nemishonga yekudzivirira zvirwere zvemuviri wako. Kazhinji mishonga iyi inofanira kuramba ichiendeswa nokusingaperi. Imwe mhando yemishonga inoshandiswa nekuda kweizvi mushure mekugadziriswa kunogona kuwedzera mungozi yako kupfuura vamwe.
Semuenzaniso, mishonga yemununosuppressant iyo inotarisa mamwe marudzi emasero machena (eg, OKT3 kana antilymphocyte serum) inonyanya kuwedzera njodzi yechinhu chinonzi "post-transplant lymphoproliferative disorder" kana PTLD. Kunyange zvakadaro, kakawanda, iyo yakawanda kana yehuwandu hwekudzivirira mafungiro inokonzerwa nekuve pane zvakasiyana zvakasiyana-siyana zvekudzivirira zvirwere zvemuviri, panzvimbo yehutano hwemumwe mishonga chaiyo, iyo inowedzera ngozi yekenza.
Imwe nzira iri nyore yokunzwisisa iyi pfungwa ndeyekuona kuti kenza dzemasero dzinogara dzichigadzirwa mumitumbi yedu, kazhinji. Chikonzero chatinenge tisingagadziri mhirizhonga itsva zuva roga roga ndechokuti idzi "kone-mbira" masero echechi anozivikanwa nemuviri wedu wechirwere chekuchengetedzwa kwezvirwere uye akaparadzwa pakarepo. Nokudaro, masimba edu ehurumende haasi kungodzivirira kurwisa zvirwere, iyo inogonawo kudzivirira kushandiswa kwemaitiro emagetsi (izvo zvinogona kuchinja kuva kenza). Kudzivisa izvi zvidziviriro zvemuviri zvekuzvidzivirira zvichanyanya kuwedzera ngozi yemukenza.
- Utachiona: Humwe hutachiona hwehutachiona hunowedzera huwandu hwekenza. Zvinokonzerwa nekugadziriswa kweiyi zvinosangana nemukana mukuru wekutapukirwa kwehutachiona nekuda kwehutachiona hunofungidzirwa. Zvirwere zvinowedzera kuburikidza nokutora uye kutarisa nemichina yemasero ekudzorera (DNA mune dzimwe nguva). Izvi zvingava imwechete inogona kutsanangurwa kuti sei kuwedzera kwehutachiwana hwehutachiona hunowedzera ngozi yechirwere
Mienzaniso yemavhairusi aya inosanganisira chirwere che Epstein-Barr (chinowedzera ngozi ye lymphoma), Human Herpes Virus-8 (inosanganiswa neKapasi sarcoma), uye Human Papilloma Virus (inobatanidza nekenza yeganda).
Chii Chaungaita Kuti Udzikise Dambudziko Rako reKenza?
Kudzidza kuti uri mungozi yakanyanya yekenza inotyisa uye inogona kuita kuti iwe ude kufunga nezvekugadziriswa, asi kuramba chirongwa chekunyora nokuti inowedzera ngozi yeramangwana yekare inowanzosimbiswa kune vakawanda kubva pangozi yekufa kubva kuutsvo kusaputi mu nguva pfupi yaizowanzopfuura mukana wekenza. Nokudaro, mushure mekugadziriswa kwekugadzirisa mazano, uye kana uchinge wawana kugadzirwa kwepvo, kenza kuongorora kunokurudzirwa sechikamu chemazuva ose mushure mekugadzira chirongwa chekuchengeta kuchengetedza njodzi.
IAmerican Society of Transplantation (AST) yakabudisa mirayiridzo yekenza kuongorora kune avo vane kupora kwepvo.
Heano mhedziso yezvinoonekwa zvakajairika (zvimwe zvekuongororwa kwekuongorora izvi zvakafanana nehuwandu hwevanhu):
- Kenza yeganda : Vanogashira kutemwa vanobvunzwa kuti vazviongorore pachega mwedzi wose kuti vatsvake marusi / nzvimbo dzakasiyana siyana zvakadaro. Izvi zvinowiridzwa nekuongorora kwegore pagore kunogona kuitwa nedermatologist.
- Chirwere chepabonde: Madzimai anopfuura makore makumi mashanu, gore negore kuongorora mammography kana kuti pasina musana kuongorora kunokurudzirwa. Kuongorora kwakafanana kunogona kuonekwa kune vakadzi vanopfuura makore makumi mana, kana chiremba uye murwere vachifunga kuti zvakakodzera.
- Chirwere cheprostate: Gore negore kuongorora rectal uye kuongorora kwePSA kwevarume vanopfuura makore makumi mashanu.
- Kenza yeColon / rectal: Colonoscopy makore gumi mushure mezera remakore makumi mashanu, uye gore negore kuedza kuongorora ropa.
Ita nepaunogona napo kuronga zvakakodzera nekuda kwekuongorora uku kuderedza dambudziko rako.
> Sources:
> Tonelli M et al. Kugadziriswa kwakagadziriswa: kuputika kwepvo kuenzaniswa ne dialysis mumigumisiro inobatsira mumakiriniki.I J Transplant. 2011 Oct; 11 (10): 2093-109. doi: 10.1111 / j.1600-6143.2011.03686.x. Epub 2011 Aug 30.
> Shona EA et al. Spectrum yekenza ngozi mukati meU.S solid solid transplant receptors. JAMA. 2011 Nov 2; 306 (17): 1891-901. doi: 10.1001 / jama.2011.1592.
> Desai R et al. Kanzera kutumirwa kubva kune vanopa zvipo-zvisingadziviriki asi pangozi yakadzika. Transplantation. 2012 Dec 27; 94 (12): 1200-7. doi: 10.1097 / TP.0b013e318272df41.
> Buell JF et al. Kurapa shure kwekushandura. Transplantation. 2005 Oct 15; 80 (2 Suppl): S254-64.
> Kasiske BL et al. Zvirongwa zvekurapa kwekunze kwekuchengetedzwa kwevanhu vanopinda muchero rekupora. American Society of Transplantation. J Am Soc Nephrol. 2000 Oct; 11 Zvinyorwa 15: S1-86.