Kuita Zvisarudzo uye Kukunda Nhanho 4 Kanon Kanon
Iwe unogona sei kutsungirira zvakanaka kana iwe uchidzidza iwe une chirwere chepakati chekenza yekoloni? Ndezvipi zvisarudzo zvaunoda kuita uye chii chaunoda kuziva kuti uzvisarudzire zvakanakisisa iwe pachako? Ngatitarisei kuti kuva nechirwere chetachiona chekoroni chechina chinorevei, vanhu vanogara kwenguva yakareba sei nechirongwa chechirwere ichi, uye chii chaunoda kuziva kuti iwe uite zvisarudzo zvakanakisisa zvinogoneka panguva ino inotyisa uye inotyisa.
Chii chinonzi Stage 4 Colon Cancer?
Chikamu chekenza yekoloni chechina ndechesepamusoro -soro chechirwere uye inogonawo kutumidzwa sechirwere chetachiona chekoroni . Tisati tichitaura chero chimwe chinhu chatinofanira kuratidza kuti haasi mararamiro ose emakironi emakononi akafanana. Nenzira, mararamiro emakondononi emakoloni mana ndeaya akafamba nechepamusoro pemakoroni ( metastasized ,) asi pane nzvimbo dzakasiyana-siyana dzinoitika izvi. Nokuda kwechikonzero ichocho, nhamba dzekupona dzinogona kutsausa. Kenza yese yekoloni yakasiyana, uye muviri weumwe neumwe, kusanganisira mamwe marapirwo uye hutano huzhinji, hwakasiyana.
Kuita Zvisarudzo Zvinokosha Pamusoro Pechikamu Chako 4 Kanonari yeConon Care
Zvinosuruvarisa, kune vanhu vazhinji, chirwere chetachiona chekoloni chechina hachina kuonekwa sechirapa. Zvisinei, inogona kunge inogara ichishandiswa. Vanhu vanogona kurarama kwemwedzi yakawanda uye kunyange nemakore nemutambo wekenza yekoloni. Munhu anosvika kwenguva yakareba sei mushure mekuongororwa kwacho kunobva pane zvinhu zvakawanda, kusanganisira kuti masero emukenza emakoloni ari kuzvibata sei, apo kenza yekoloni yapararira, uye kuti munhu anopindura sei kurapwa kunoonekwa.
Nzvimbo inonyanyozivikanwa iyo kenza yekoloni inopararira ndeyechiropa (chiropa metastases) asi inogona kupararira kumapapu, uropi, uye peritoneum, membrane inopoteredza dumbu remuviri, uyewo dzimwe nzvimbo.
Paunenge uchiita zvisarudzo zvakakosha kuziva kuti pane nzira itsva yekurapa kenza yekoloni mumakore achangopfuura.
Munguva yakapfuura, chirwere chetachiona chekemoni 4 chakange chakabatwa zvakafanana. Mishonga yaitungamirirwa nekenza kazhinji, pasinei nokuti kenza yakapararira kupi. Izvi ndizvo, zvakaonga, zvakachinja. Iye zvino, kana munhu ane zvishomanana kana zvidiki zviduku, taurira chiropa, kurapwa kwemasimasi kunogona kufungwa. Mukutsvaga mune zvehutano, imwechete kana mashoma masastases anonzi "oligometastatic" nezwi rokuti "oligo" rinoreva zvishomanana.
Kune avo vane kenza yemukironi yemakoroni ine maitiro mashoma chete kune chiropa kana mapapu, kubvisa zviratidzo zvinogona kuita kuti nguva refu igare. Kune vanhu vazhinji, zvisinei, kurapwa uku hakugoni kuitika, uye chinangwa chekurapa chinenge chiri kuedza kudzora kenza yekuwedzera hupenyu nekusimbisa hupenyu hwehupenyu.
Iwe unogona kuda kudzidza zvakawanda pamusoro pekurapa kwechiropa chemasastases chinokonzerwa nekenza yekoloni .
Mashoko Akawanda Akadii Aunoda Pamusoro Pechigarire Chako?
Pakati pezvinhu zvekutanga, iwe uchakurukurirana neboka rako rekuchengetedza hutano nderekuti iwe ruzivo rukuru rwaunoda pamusoro pekutaura kwako. Zviratidzo zvinoreva nzira inogona kuitika yechirwere uye nguva yakawanda yaunayo. Vamwe vanhu vanoda ruzivo rwakajeka pamusoro pekureba kweivo vangararama nechitsauko chekenza yekoloni 4.
Vamwe vanhu havafariri kuziva izvi.
Kunyange kana iwe uchida ruzivo rwakawanda sezvinobvira, ramba uchifunga mupfungwa kuti kufanotaura kuti munhu achagara kwenguva yakareba sei nehanho rekenza yekoloni 4 haisi chaiyo. Chiremba wako angakupa nguva yakawanda yaanotarisira kuti ugare. Iyi ndiyo yekufungidzira kwake kwakanakisisa, iyo yakavakirwa pane yako chaiyo uye pane chiitiko chekurapa chiremba wako. Munhu wese akasiyana.
Uyewo, yeuka kuti mamiriro ezvinhu anochinja. Vamwe vanhu vanorarama kwenguva yakareba zvakaringana. Vamwe vanogara kwenguva shoma. Uye vamwe vanachiremba havangapi kutaurira kuti munhu achagara kwenguva yakareba sei nehanho rekenza yekoloni yechina nokuti havazivi chete.
Chinhu chakakosha zvikuru kuziva kuti iwe unogona kudzidza zvakawanda kana zvishoma sezvaunoda pamusoro pekufungidzira kwako. Zviri kwauri. Iva nechokwadi chekuita zvaunoda kuziva (kana kuti kwete) kujekesa kuchiremba.
Mhuri Yako Inoda Kuziva Chii?
Paunenge uchiita chisarudzo pamusoro pezvinyorwa, zvechokwadi, zvingava zvakakosha kufunga nezvevaya vanokuda uye vanogona kukubatsira kutarisira iwe. Nhengo dzakawanda dzemhuri dzinoda ruzivo rwakakwana pamusoro pokuti mutanhi angararama kwenguva yakadini mushure mekuonekwa kuti ane chirwere chetachiona chekoloni 4. Dzimwe nhengo dzemhuri dzingawana ruzivo urwu runogumbura zvikuru. Vanogona kunge vasingadi kunzwa.
Iva nechokwadi chokuti chiremba wako anoziva uyo ari mumhuri yako anoda (kana kuti anoda) mashoko akazara uye ndiani asingaiti. Chiremba wako anogona kunyora nharo yako muchati achirondedzera zvinangwa zvako zvekugoverana nezvekurapa kwekenza yako. Nenzira iyi, munhu wese ari muboka rekuchengetwa kwehutano richave riri peji rimwechete panguva yekugadza.
Kuonekwa kuti une chirwere chekenza yemukironi 4 kunogona kuita kuti unzwe usina kusimba. Kuziva zvaunogona kuita maererano neruzivo rwekugovana pamusoro pekenza yako, zvisarudzo zvako zvekurapa, uye kuguma kwehupenyu hunoita zvisarudzo zvichakubatsira kuenda mberi panguva yakaoma.
Unogona Kurarama Nguva Yakadini Nengano 4 Kanon Kanon?
Zvakafanotaurwa nezvekupona nechitsauko 4 kanaroni yekoloni inobva pane zvinyorwa, uye vanhu havasi nhamba.
Mukuwedzera, mararamiro ekupona ndeaya, nekududzira, nguva dzose makore mashomanana. Iko makore mashanu ekupona kwechirwere achakupa muongorori wekuti munhu angave akararama kwenguva yakareba sei uyo akabatwa makore mashanu-apfuura. Nekufambira mberi kwemazuva ano mukurapa kwekenza, uye mishonga yakawanda yemukenza mishonga, yakadai seyakarongwa nemishonga uye immunotherapy iyo inodzidziswa mumakiriniki ekuedza, pamwe chete nemishonga yeiligometastatic (somuenzaniso, kenza yemakorasi yekondomu kusvika pachiropa) nhamba idzi dzinotarisirwa kuchinja. Maitiro anoita mumwe munhu nhasi nekenza yekoloni inogona kunge yakasiyana chaizvo nezvingaitwa nemumwe munhu kunyange makore mashanu apfuura.
Zvakakosha kunzwisisa chirongwa ichi chechirwere chekenza kana iwe uchiita zvisarudzo zvako. Kana iwe uchitaura kune mumwe munhu, zvichida muvakidzani kana mumwe nhengo yemhuri, uyo akabata nekenza yekoloni munguva yakapfuura, nzira yekurapa inogona kunge yakasiyana zvikuru iye zvino. Apo vanhu vanotaura pamusoro pevamwe avo vane chirwere-icho chichaitika chaizvoizvo-iwe ungada kuveuchidza zvinyoronyoro kuti kurapwa kuri kuchinja. Kurapa kwakanakisisa kunowanikidzwa nekenza yekoloni kupfuura yatakange tine makore maviri apfuura, uye nguva refu yehupenyu hwehutano-kunyange nechirongwa chechina chirwere chiri kuwedzera.
Ikozvino kurarama kwechikwata chekenza yemukironi yechina, maererano neAmerican Cancer Society ine 11 muzana. Izvozvo zvakati, chidzidzo che 2017 chakawana kuti avo vane chirwere chemukati wekamuti 4 nechiropa chemasastases, avo vaida kubviswa kwechiropa chechiropa panguva imwechete sekuvhiyiwa kwekoni, vaiva nemakore mashanu ekupona kwehuwandu kusvika kusvika makumi manomwe kubva muzana. Kune vanhu vazhinji vanorarama kwenguva yakareba, kunyange zvirwere pasina, nechitsauko chekenza kane colon kupfuura kare. Kana uine kenza yekoloni ine metastases inokonzerwa neropa, kune vanhu vazhinji, vakadai senyika yekumadokero muimbi Wade Hayes, avo vari kurarama humwe uchapupu hwokuti dzimwe nguva zvikamu 4 kanaroni yekoloni inopona.
Mutungamiri weAlex Anderson ane chirwere chekuchengetedza kenza yekoloni iyo inofunga kwete kwete chete, asi makore, rudzi, zvepabonde, nekuparadzaniswa kwekenza masero. Zvechokwadi, kunyange nemitemo iyi, kupona kunogona kusiyanisa zvakanyanya kubva pane zvimwe zvirwere zvingave zvaunogona kuva nazvo, marapirwo aunogamuchira iwe, uye maekorodhemu ane chiremera chako.
Ndeipi Paunofanira Kurega Kurapa neSiteji 4 Kanon Canon?
Kunyange zvazvo tine utano hwakanaka kupfuura kare, uye dzimwe nguva tinokwanisa kutora mastasisita, tinoziva kuti vanhu vazhinji vane chirwere chekenza kane colon vachasvika panguva iyo njodzi nemigumisiro yehutano inopfuura yezvipo.
Kuuya kwemishonga matsva ibakatwa rakapinza-rakapinza. Zviratidzo izvi zvitsva zvinogona kuwedzera hupenyu uye kupa zvisarudzo zvisingawaniki makore mashomanana akapfuura. Asi, munguva yakapfuura tinowanzomhanyira kurapwa kuti tipe, tasvika pane imwe nzvimbo iyo chisarudzo chekurega kurapwa kazhinji chinofanira kuva chisarudzo chinoshanda.
Kana iwe uri parizvino munharaunda yako, iva nechokwadi chekubvunza mibvunzo yakawanda, uye kunyatsofungisisa zvinhu izvi 9 zvingafungisisa usati wasima kenza yemukenza .
Kurwisana neColon Cancer Kana Chirwere chisina Kubatsira Kubatsira
Kana iwe ukasarudza kurega kushanda zvakasimba kwekenza yako, chii chinotevera danho?
Kungofanana nekushanda kwakasimba kwekenza yako yekoloni inoguma, hazvirevi kuti hauzovi nemishonga. Kuchengetedzwa kwepachirwere chekenza yekoloni kunotaridzika kunyaradzwa pane kuporesa, asi dzimwe nguva, inogona kusanganisira remishonga inonzi radiation, chemotherapy, kana kunyange kuvhiyiwa. Utano hwemarwadzo hunonyanya kukosha, pamwe chete nemishonga inotarirwa kuderedza zviratidzo zvemuviri (zvakadai sekudzivirira kana kuvhara marwadzo,) kusava nechido chekudya, chirwere chekushaya ropa, uye kushungurudzika uye kuora mwoyo kunogona kuenderera mberi nekurapwa kwekenza.
Iwe unogona kuda kutarisa mazano aya ekutarisana nekenza yemuviri ; mazano ayo vamwe vari munzvimbo iyi vakagovana nenyaya kubva pakubata neukama kune nzira dzekuwana nekuvandudza tariro.
Kuita Chisarudzo pamusoro peH hospice Care
Hapana anoda kuunza hurukuro pamusoro pekuchengetwa kwekuchengetedza . Varwere vane kenza nemhuri dzavo vose vane tariro yekudzivirira mumwe nekuregeredza hurukuro iyi. Kunyange vanachiremba vanozeza kuunza dambudziko racho. Chinokosha kuziva, zvisinei, kuti kusarudza kutarisira kutarisira hakurevi kuti uri kusiya. Nekuchengetwa kwekuchengetedza, vanhu vachiri kurapwa. Kusiyana ndeyekuti panzvimbo yekuisa pfungwa pakucherechedza kurwisa kenza yemukenza, kutarisirwa kwekuchengetedzwa kwevarwere kunotarisa kune marapirwo ekudzora zviratidzo zvekenza, uye netariro kunatsiridza hupenyu hwako.
Vanhu vazhinji vanobvuma kuti mushure mekusarudza kutarisirwa kwekuchengetwa kwevanhu vanofunga kuti vainge vaita saizvozvo. Kuti ugamuchire kutarisirwa kwekuchengetedza, iwe uchada nyota kubva kuna chiremba wako iyo inofungidzira iwe une mwedzi mitanhatu kana kuti pasi kuti urarame. Kana iwe ukararama kupfuura kwemwedzi mitanhatu, izvi zvinoshamisa! Iwe hausi "kutongerwa" nekusarudza kutarisira varwere nokukurumidza, uye panguva iyoyo unogona kusarudza kuvandudza kutarisira kwako kutarisira kwemwedzi mitanhatu kana zvichidikanwa. Kuchengetedza mahara hakurevi kuti uri kusiya tariro , pane kudaro, uri kusarudza tariro yehutano hwakanaka hwehupenyu huripo mumazuva awakasiya.
Pasi Payo Pamusoro Pokutarisana Nechigarire 4 Kanononi yeColon
Chikamu chekenza yekoni yekoni inotyisa, uye kusvikira munguva pfupi yapfuura iine urombo husina kunaka. Tine mishonga yakawanda yakawanda panguva ino, uye yakawanda inowanikwa mumakiriniki ekuedzwa. Izvi zvinoshamisa munzira dzakawanda, asi zvakasiyana nezvakaitika, vanhu vanoda kuva chikamu chakasimba cheboka ravo rekuchengetedza kenza. Mukuwedzera pakuva nekuita zvisarudzo pamusoro penguva yekurega kurapwa, vanhu vanofanira kudzidza nezvekufunga nezvekuitawo muzviongorori zvemakiriniki -zvimwe zvave zviri kuchinja maonero echikamu chechina chekenza yekoloni zvikuru. Zvakakosha kudzidza zvose zvaunogona nezvekenza yako.
Tora nguva yekudzidza nezvekutsvakurudza kenza yako paIndaneti . Kubatanidzwa munharaunda yemutsigiri wekenza yekoloni-chaiyo, iyo yaunokwanisa kutaurirana nevamwe vanhu vari kurwisana nesero 4 kanarasi-kwete chete inopa tsime rekutsigirwa asi inogona kuva inokosha pakudzidza nezvekutsvaga kutsvaga pamusoro peswere. Iwe usati warova "kutumira" zvakadaro, tora nguva shoma kuti uongorore kuti ungashandisa sei zvigadzirwa zvepamutambo zvakachengeteka sechirwere chekenza . Oncology inoshanduka zvakakurumidza izvo zvakaoma kune chiremba mumwechete-kunyange munhu anonyanya kurwara nekenza-kuti arambe achienzanisa nezvose zvitsvakurudzo zvitsva uye nzira yekurapa. Vamwe vanhu vari kurarama nechepakati chekenza, vari kurarama chete nekuda kweruzivo rwavakawana kuburikidza nekuve chikamu cheimwe yevatsigiri vemunharaunda iyi.
Ikowo nguva iyo iwe unoda boka kunze kwechiremba mumwe chete. Kune avo vane chirwere chechikamu chechina chirwere ne oligometastatic, boka renyu rinogona kusanganisira chiremba chiremba uye reyrocticist radiation pamwe chete nemuongorori wehutano. Nyanzvi dzekuchengetedza zvipembenene dzinowanzodanwa kuzobatsira vanhu kurarama nezviratidzo zvechirwere. Zvechokwadi, nhengo inonyanya kukosha yeboka rako rekuchengetedza kenza ndewe.
Kana wakasarudza kurega kurapwa, tarisira vanhu kuti varemekedze chisarudzo chako. Izvi zvinotofanira kuva sarudzo yako yoga, uye zvinosuruvarisa, vanhu vazhinji vari kukumbirwa nevanodiwa kuti varambe vachirapa kunyange kana migumisiro yakawanda inopfuura kupfuura chero zvikomborero. Izvozvo zvakati, svika kune shamwari neshamwari yako kutsigira. Haasi munhu wose ari nyore kuva pedyo nemunhu ane kenza yakanyanya, uye ukama hwako hunogona kuchinja; dzimwe shamwari dzepedyo dzichienda kure, uye shamwari itsva dzichiswedera pedyo.
Chinonyanya kukosha, dzidza kuti ungava sei mumutsigiri wako mukuchengetedzwa kwekenza . Haisi kungoti kuderedza kushushikana kwako uye kukubatsira iwe kunzwa uine simba mukuita zvisarudzo zvako, asi dzimwe nguva zvinogona kuita mutsauko mumigumisiro.
> Sources
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- > National Cancer Institute. Colon Cancer Treatment (PDQ) - Health Professional Version. Nhanho IV uye Recarrent Colon Cancer Treatment. Updated 04/21/17. https://www.cancer.gov/types/colorectal/hp/colon-treatment-pdq#section/_145
- > Nosher, J., Ahmed, I., Patel, A. et al. Non-Operative Therapies for Colorectal Chiropa Metastases. Nhoroondo yeOkudya Kwemazino . 2015. 6 (2): 224-40.