Pasinei nokufananidza, zviitiko uye kurapa zvinogona kusiyana
Colorectal kenza nekenza yekoloni kazhinji inotendwa kuti chinhu chimwechete kana sechsetsetse cheimwe. Uye, muchokwadi, mazwi aya anowanzoshandiswa zvakasiyana-siyana kunyange nevadzidzisi vehutano. Zvisinei, apo pane zvakafanana, kusiyana pakati pekoni uye karairenda kenza kunogona kunge kwakasiyana.
Kune vamwe, shoko rokuti "kenza yemukironi" rinogona kushandiswa kuisa zvose zviri mumakoroni uye rectal kanzura.
Kune vamwe, "chirwere chinokonzera" chinogona kushandiswa kurondedzera kuora kwekoloni, kunyange kana rectum pachayo isingaiti. Zvose zviri zviviri zvakanaka, asi dzakarurama here? Izwi risina kunyatsonzwisiswa rinoshandiswa kurondedzera chirwere chinokonzera chirwere chekenza chirwere, chinorondedzera kenza inotanga mune imwe koni kana rectum.
Kuisa semantics kunze kwekanguva, kune zvimwe zvakakosha zvakasiyana pakati pemakoroni uye rectal kenza inobvunzurudza, kwete zvishoma iyo ndiyo nzira iyo zvirwere zviviri izvi zvinopfuurira.
Anatomy yeColon uye Rectum
Iyo ikoni uye rectum zvose zviri chikamu chemukati mudumbu , iyo yekupedzisira yekugadzika kwepamuviri. Ikoko inenge yakareba mamita mashanu uye inoparadzaniswa muchikamu chepamusoro (chikamu chokutanga chakabatanidzwa kumucheche muduku) uye distal colon (chikamu chechipiri chakabatanidzwa rectum). Iyo rectum ndiyo yekupedzisira matanhatu kusvika ku12 inches ye coloni inowedzera kune anus.
Iyo ikoroni pachayo inoparadzaniswawo mumativi maviri, iyo yakagadzirwa panguva iyo embryogenesis (kuumbwa kwecheche). Rutivi rworudyi runosanganisira kukwira koroni (proximal colon) asi kuruboshwe runosanganisira kuburuka kwekoni, sigimoid colon, uye distal colon.
Kufanana pakati peColon neRectal Cancer
Kazhinji kutaura, koneti uye rectal zvinokonzera zvakasiyana zvakafanana, kunyanya munzira yavanoratidza:
- Nharaunda - Colorectal kenza ndiyo yechitatu inokonzera kukonzera kufanana nekenza muUnited States. Inenge 25 muzana yemakondha makuru emukirini inonzi rectal cancers.
- Zvinokonzera ngozi - Colon uye kenza rectal zvakafanana zvakasiyana zvakasiyana kana zvasvika kune zvinokonzera uye zvinokonzera ngozi . Kushamwaridzana pakati penyama yakatsvuka nekenza kunovapo mukati mavo maviri, kunyangwe mune simba mumatambudziko ekenza rectal. Kusiyana neizvi, kenza yekoloni inowedzera yakabatana nekushandisa doro.
- Zviratidzo - Kanoroni uye kenza yemakonta yakafanana zvikuru maererano nezviratidzo zvavo, kunyange zvazvo vamwe vanogona kusiyana. Semuenzaniso, kubuda ropa kubva kumucheto wepamusoro wekoloni kunowanzova neropa kana kuti rima, asi marariya ekuparara anowedzera kuwedzera, ropa rvuku.
- Genetics - Kubva pane maonero ema molecular, maroni uye rectal zvinokonzera zvakafanana zvakafanana, zvichienderana nemhando yemararamiro akasiyana-siyana anokonzera kukura kwavo. Iko kune zvimwe zvakasiyana-siyana, asi, pane zvose, mararami maviri aya anonyatsobatanidzwa.
Kusiyana pakati peConon uye Rectal Cancer
Pasinei nekufananidza, kune kusiyana kwakasiyana pakati pezvirwere zviviri:
- Kurara kwepabonde - Kanzera yeColon inoparadzirwa zvakanyanya zvakaenzana pakati pepabonde, asi kenza rectal inowanzoonekwa kune varume kupfuura vakadzi.
- Anatomy - Ropa rinopa, lymphatic drainage, uye nerve yekugovera yekoloni uye rectum zvakasiyana chaizvo. Izvi zvakakosha sezvo kanzura inosangana (inopararira) kune dzimwe nzvimbo dzomuviri kuburikidza nemidziyo yeropa uye lymphatic.
- Zvirwere zvekudzoka - Izvi zvinogona kunge zvakanyanya kusiyanisa. Kazhinji kutaura, kenza yemakwenzi yakanyanya kuoma kuporesa, nekudzoka ichikura pakati pe15 ne45 muzana yevarwere.
- Kurwiswa kwemasvosve ari pedyo - Kenza yeColon, iri mumimba, ine zvakawanda "nzvimbo" yakaipoteredza, asi kenza yemakumbo inowanikwa munzvimbo yakaoma zvikuru. Kenza yakakosha, saka, ine mukana mukuru wekupararira kune mishonga iri pedyo.
- Kuvhiya - Kuvhiyiwa kwekenza yekoloni kunogona kukurudzirwa chero zvikamu zvechirwere ichi , apo chirwere choga pasina chemo kana remishonga inonzi radiation inowanzorongedzerwa pamitezo 1 ne 2. Kusiyana, chirwere chekenza rectal chinogona kuitwa kubva pazvikamu 1 kusvika ku3, kazhinji pamwe chete ne chemo uye remishonga inonzi radiation.
- Dambudziko reUkuvhiya - Kuvhiya kwekenza yekoloni inonyanya kuenzaniswa nekuenzaniswa nekenza yenguva. Nekuvhiyiwa kwemawere, zvakaoma kuwana rusimba uye kudzivisa zvakawanda zvezvivakwa zvakakomberedza.
- Colostomy - Vanhu vakawana chirwere chekenza chepachiremba vane mikana yakawanda yekugara kwechirostomy. Izvi ndezvokuti kubviswa kwemafuta anonzi sphincter kunowanzodiwa, izvo zvisingagoni kuchinjwa kana kuvakwa zvakare.
- Radiation therapy - Radiation haisiwanzoshandiswa nekenza yekoloni asi ndeyekenza yekwereti (inonyanya kutsvaga 2 kana 3).
- Chemotherapy - Chemotherapy yekenza yekoloni inowanzoshandiswa sechirevo chekuvhiya muzvikamu zvitatu ne4 (uye dzimwe nguva 2). Nekenza rectal, chemotherapy inogona kushandiswa kunyange nesero 1 chirwere.
- Matambudziko anonzi Postoperative - Vanhu vane kenza yemakemikari vanowanzova nezvinetso zvepashure-zvokuputika kana vachienzaniswa nevaya vane chirwere chekenza yekoloni, avo vanowanzosangana nematambudziko ekurapa kwenguva pfupi.
Sarudzo yeCaron Cancer
Ikoko kunoratidzika kunge kune kusiyana kwakakura pakati pekenza inotangira kuruoko rworudyi rwekoni (yakakwira colon) uye iyo inomuka kuruboshwe (ichiburuka chigoni, sigmoid colon, rectum).
Isu tinoziva kare kuti mavara eruoko rworudyi ane masero akasiyana kune avo vari kuruboshwe, chivako chekugadzira embryonic. Dhiyabhorosi kubva ipapo yakaratidza kuti kuwedzera kwehutano hwemakondomu ari kuruboshwe kunowanzove nani kune avo vekodzero. Kunyange zvazvo izvi zvitsva zvichionekwa zvakakosha, hazvisati zvasarudzwa kana izvi zvichishandura nzira dzekurapa.
Sezvinonzwisisika zvatinoziva nezvemagetsi, tinotanga kuwana kutsanhirana kwemajena ekuchinja kwemajeni uye mashoma emakirini aya. Nokunzwisisa zviri nani kusiyana uku, masayendisiti anotarisira kuwana zvirwere zvekudzivirira muviri uye biogenetic yekutsvaga zvakananga masero aya akasiyana-siyana, achibvumira kutonga-uye kunyange kuparadzwa-kwechirwere.
> Sources:
> Hong, T .; Clark, J .; uye K. Haigis. "Cancers yeColon neRectum: Izvo kana kuti Fraternal Twins?" Cancer Discovery . 2012. 2 (2): 117-21.
> Lee, Y ;; Lee, Y ;; Chuang, J .; uye Lee, J. "Kusiyanisa Mukupona Pakati peConon uye Rectal Cancer kubva kune SEER Data." PLoS One . November 12, 2013; 8 (11): e78709.
> van der Slip, M ;; Bastiaannet, E ;; Mesker, W ;; et al. "Kusiyanisa pakati peConon naRectal Cance r mumatambudziko, kupona kwenguva pfupi nekudzokorora." International Journal of Colorectal Disease 2016; 31 (10): 1683-1691.
> Venook, A .; Niedzwiecki, D .; Innocenti, F .; et al. "Impact of Primary (1ยบ) Tumor Locations in Overall Survival (OS) uye Progression-Free Survival (PFS) muvarwere (pts) neMetastatic Colorectal Cancer (mCRC): Kuongorora kweCALGB / SWOG 80405 (Alliance)." 2016 ASCO Musangano Wegore Negore , Chicago, IL. June 2-6, 2016; abstract 3504.