Kutarisa Kunotipa Mepu Yemugwagwa, Kwete Kumuomera-Uye-Mitemo Yakasimba
Pane zvikamu zvishanu zvekenza yakawandisa , kubva pachitsauko 0 kusvika kune imwe nhanho 4, iyo inofanirwa kutitaurira kana uye / kana kuti kure zvakashata zvakapararira sei. Chigadziko chechina ndicho chikwata chakanyanyisa kupfuura zvimwe, zvinoreva kuti kenza yakapararira (mastasized) kunze kwekolon kana kuti kunyorera kune dzimwe nhengo dzakadai semapapu kana chiropa.
Kunyange zvazvo chikwata 4 kenza kanongwana inotyisa, kuratidzira chirwere chinoguma uye chisina kudzora, ndechokuti zvinorevei chaizvoizvo?
Uye, zvinonyanya kukosha, izwi iri rinoshanda sei kune kenza yakajeka kunyanya?
Zvikamu zveSiteji 4 Colorectal Cancer
Chikamu chechina chekwereti chekenza inonyanya kusarudzwa. Kunyange zvazvo ichititaurira kuti kenza yakanyatsoenderera mberi, haina kutiudza kuti kure kana kuti zvakakura sei zviremara zvingave kana zvisingave.
Nokuda kweizvi, tinoshandisa izvo zvinonzi TNM system inoongorora chinhu chakadai sechirwere kukura (T), lymph node involvement (N), uye metastasis (M). Nzira yacho yakaisvonaka yakajeka kuti inzwisise sezvo inotungamirirwa nehurumende imwe chete iri nyore: yakakwirira nhamba kana tsamba, yakanyanya kufambira mberi chirwere chacho.
Mukutaura kwemasastasis (M) , tinoiisa seimwe yezvinhu zviviri:
- M1a , zvinoreva kuti kenza yakapararira kune imwe nhengo
- M1b , zvinoreva kuti kenza yakapararira kune imwe nhengo imwe
Kunyange zvazvo M1b inenge ichiita sechisarudzo chakaipisisa, zvakakosha kuziva kuti hakuna M1a kana M1b inotitaurira zvinhu zviviri zvinokosha: ingave chironda chepakutanga chakakura kuburikidza nemadziro ekoloni kana rectum, kana kuti lymph nodes dzakanganiswa kana kwete.
Kurondedzera Chirwere uye Lymph Node Kubatanidzwa
Zvose zvipembenene uye lymph node kubatanidzwa zvakakosha pakutibatsira kutarisisa zvinogona kuitika (kufungidzira) kwechirwere uye kuti zvipi zvarudzo zvingawanikwa kwatiri.
Tumor zvinyorwa delineate kusvika kure zvakadini chirwere chepakutanga chinowedzera, kana zvachose, kupfuura kwekoloni kana rectum.
Kusiyana neizvi, lymph nodes (imwe yezvinyorwa zvekuchenesa ropa redu) inotiudza kuti zvikuru sei kenza inogona kana isina kupararira.
Mukutaura kwechirwere chepakutanga (T) , tinotsanangura kukura mukati meT1 kusvika kuT4:
- T1 zvinoreva kuti bundu racho rakapinda mucosal pakatarisana nekoloni kana rectum asi kwete musuru.
- T2 zvinoreva kuti bundu racho rakapinda mucosal layer uye rinopfuurira kune kunze kwemasimba.
- T3 zvinoreva kuti ikozvino inowedzera kunze kwemisumbu kusvika kune yakaderera asi isina kuipinda.
- T4a zvinoreva kuti yakapinda mukoloni kana rectum asi haina kupinda mumasukisi kana zvikamu zviri pedyo.
- T4b zvinoreva kuti yakapinda mukoloni kana rectum uye yakapinda mavara kana zvikamu zviri pedyo.
Mukureva lymph node kupinda (N) , tinoronga izvi nenzira yakawanda pakati peN0 neN3:
- N0 zvinoreva kwete chirwere chiri pedyo neyeri nymph nodes.
- N1 zvinoreva kuti kenza iri mune imwe nhengo yeLymph node yakaswedera (N1a), maviri kusvika matatu nhatu dziri pedyo neridy nodes (N1b), kana kuti haine lymph node dziri pedyo asi panzvimbo yemafuta anokomberedza (N1c).
- N2 zvinoreva kuti kenza inenge inenge ina kusvika matanhatu iri pedo nhengo dzenzou (N2a) kana zvinomwe kana kupfuura zvinopfuura nhengo dzeropa (N2b).
Grading Stage 4 Colorectal Cancer
Kana kamwe wako oncologist akakwanisa kuunganidza zvose izvi zvakasiyana-siyana -kuti "T," "N," uye "M" -iye anogona kuita chirwere chacho.
Maererano nechitsauko 4 kenza yakajeka, izvi zvinotisiya neimwe yezvingasarudzwa zviviri:
- Nhanho 4a zvinoreva kuti kenza yakapararira kubva pamakoroni kana kuti kuruka kune imwe imwe nhengo kana iri kure yakakura ye-lymph nodes.
- Nhanho 4b zvinoreva kuti kenza yakapararira kune imwe nhengo imwe, nhengo yakakura ye lymph nodes, kana kubatana kwemuviri wemimba.
Mugwagwa Mugwagwa Mushure mekugadzira
Apo sangano rakatipa ruzivo rwakanyanya, harurevi chinhu chimwe uye chinhu chimwe chete. Izvo hazviiti, somuenzaniso, kutiudza kuti yakakura sei chirwere chepakutanga-kana chaive chiyero chemuorivhi kana kukura kwemazambiringa. Iyo haifaniriwo kureva kuti kuva neanomwe nhengo dzemaitiro emakirini inopera zvakanyanya kupfuura zvishoma.
Pakupedzisira, nenyaya imwe neimwe yakasiyana, uye kugovera kunongotipa mapeji emigwagwa yakawanda iyo inoratidzira nzira inoenda mberi. Funga nezvazvo seine kambasi inotitaurira munzira yakarurama.
Zvichienderana nemunhu iwe pachako, danho rechina rinokonzera kenza rinogona kusanganisira kuporesa kushandiswa (kubvisa kunze kwekenza yekenza uye kuisa zvakare migumo ine utano). Chemotherapy uye / kana kuti mihizha inowanikawo zvichienderana nehuwandu hwekuita lymph node.
Muchidimbu sezvo tarisiro yeupenyu inofunganya, zvinhu zvakawanda zvinogona kuita kuti vanhu vararame. Kumhanyira nzvimbo, chiremera chemaitiro, makore ehutano, hutano huzhinji, uye kunyange zvinhu zvakadai sokuwana kuhutano hwehutano nemafungiro evanhu vanoita chikamu pakusarudza kuti munhu angapona nguva yakareba sei .
Kazhinji kutaura, munhu ane chirwere chekwereti chepakati chechina chinokwana rimwe chete mukana wechinomwe wokupfuura makore mashanu apfuura, uye kune imwe yakanyanya kupfuura iyi. Izvi zvinotitaurira kuti chikamu chekenza 4, zvisinei nokuti chinotambudza, hachikwanisi kufungwa semutongo wekufa. Pakupedzisira, chimwe chinhu chinosiyanisa kenza yako kune vamwe vose iwe . Iwe newe iwe moga.
Saka icho chinonyanya kukosha ndeichi: usabvumira danho rezvirwere kukuvhara pasi. Tsvaga rubatsiro uye utore matanho ekuzvichengetedza uine hutano uye usimbise chero mararamiro aunosangana nawo. Tora iyo imwe danho panguva.
> Kwakabva:
> America Cancer Society. "Kuramba Kwekenza Nhanho." Atlanta, Georgia; yakarongwa musi wa2, 2017.