Kuchengetedza uye Kuonekwa Kwevanhu paAkawanda uye Inowedzera Ngozi
Makore mashomanana oga, mazano ekuongorora kenza yekoloni anovandudzwa kubva pauchapupu hwezvesayenzi, maitiro matsva ekuongorora, kuwanika, uye kugona kwehupfumi. Aya mazano matsva, akaiswa neAmerican College of Gastroenterology, akaparadzanisa nzira dzekuongorora kuve mumapoka maviri: kudzivirira kenza uye kuonekwa kwekenza.
Miedzo yeChancer Prevention
Kuongorora maitiro ekudzivirira kenza yemukironti kunomirira kuwana kusakanganiswa mumakoloni vasati vatanga kurwara.
Mune munhu akawandisa, zvinogona kutora pakati pemakore gumi nemana makumi maviri nemakumi maviri emasukisi kuti achinje kubva kuzana duku kana adenoma kuenda kune adenocarcinoma, iyo ndiyo inowanzosiyana nekenza yekoloni.
Routine colon kuongorora miedzo uye kubviswa kwebenign (kwete-kanhara) mashoma kunogona kuderedza ngozi yako yehupenyu yekuvandudza kenza yekoloni ne80 muzana, maererano neAmerican Cancer Society. Chirongwa chekuongorora maitiro ekudzivirira chirwere chekenza chinosanganisira:
- Colonoscopy
- Computed tomography colonoscopy (virtual colonoscopy)
- Flexible sigmoidoscopy
- Kusiyanisa kaviri barium enema (DCBE)
Avhareji Yekuona Kuongorora
Ruzhinji rwevanhu runowira muhuwandu hwehutano hwekodhoni yekudzivirira kukonzera kenza uye vanokurudzirwa kutanga kutanga kuve nemakore makumi mashanu (kana 45 kana iwe uri African American). Iwe unonzi uri nehuwandu hwehuwandu hwekuva nekenza yekoloni:
- Kana iwe usina chikamu chekutanga chekenza nekenza yekoloni (kana iwe uchidaro, inofanirwa kuongororwa nekenza yekoloni mushure mezera remakore makumi matanhatu kana kuti iwe uri muhuwandu hwekuwedzera-ngozi).
- Kana iwe usingasvuti kana kunwa zvakanyanya.
- Kana iwe usina nhoroondo yako pachayo yekenza, kenza yemaroni, kana mapuropa.
- Kana iwe usina mazamu emararamiro akakurudzira iwe nekenza yepoloni (Peutz-Jeghers, mhuri yemadenomatous polyposis, inotora nhengo yepolyposis colorectal cancer syndrome).
- Kana iwe usina chirwere chinonzi ulcerative colitis, chirwere cheCrohn, kana chirwere chipi nechipi chinoputira.
Pakupedzisira, nguva iyo iwe unotanga kuongorora kenza yemukironi haisi kuiswa mumabwe. Chiremba wako anoshandisa mitsara iyi semufananidzo wekutarisa asi anogona kukurudzira kuedza kare kana uine zviratidzo zvekenza yekoloni kana zvimwe zvirwere zvepamuviri.
Nokuda kwevamwe vanhu vari pangozi, kuongorora kuongorora maitiro kunofanira kutevera purogiramu iyi, kunze kwekuti kusina kuwanikwa kunowanikwa:
- Colonoscopy-makore ose gumi
- Computed tomography colonoscopy (virtual colonoscopy) -ye makore mashanu seimwe nzira yekuedzwa kusvika pakupedzisira kwekolonoscopy
- Flexible sigmoidoscopy-makore mashanu ega seimwe nzira yekolonoscopy
- Yakapetwa kaviri barium enema (DCBE) -ve makore mashanu
Kana imwe muedzo kunze kwekolonoscopy ine zvisinganzwisisiki kuwanikwa, iwe uchange uchida colonoscopy kuti uone izvo zvakawanikwa (uye zvinogona kubvisa chero mapepa kana zvishoma kukura, kana zvichidiwa).
Kuwedzera kana Kukuru-Kuda Kuongorora
Kana iwe uri kuwedzerwa kana kuisa pangozi yekuvandudza kenza yekoloni, miedzo yako yekuongorora ichaitika kakawanda. Taura nachiremba wako kuti uone kana inshuwarisi yako yakavhara kuongororwa , sezvimwe zvikwata zvinoda uchapupu hwehuwandu hwehuwandu kana huwandu hwehuwandu hwehutano (hwakafanana nemigumisiro yekuongorora maitiro).
Kunyange zvazvo zvakatemwa pane imwe nyaya-ne-nyaya zvakagadzirwa nachiremba wako, unogona kunge uri kuwedzera kana kuti kune ngozi yakawanda:
- Kana iwe uine chiremba chechipiri (kana maviri yechipiri-degree hama) nekenza yekoloni inowanikwa musati wava nemakore makumi matanhatu.
- Kana iwe une nhoroondo yekenza.
- Kana iwe une nhoroondo yemapuropiti.
- Kana iwe kana wekutanga-degree uri hama Peutz-Jeghers, mhuri yemadenomatous polyposis, nhaka yepenpolyposis, kana kuti mamwe mazita emaronda anokonzerwa nekenza syndromes.
- Kana iwe uine ulcerative colitis, chirwere cheCrohn, kana chimwe chirwere chinoputika.
Mazano ekuongororwa kwevanhu vanokura uye akakonzerwa nehupamhi hwepamusoro vanosiyana zvichienderana nezvakavaisa mumutambo iwoyo-nhoroondo yega yekenza yekoloni, mapepa, mazita ekurapa genetic syndromes, kana kuwedzera kwemhuri yemungozi.
- Kune vanhu vane nhoroondo yemhuri yekenza yekoloni , miedzo yekuongorora inofanira kutanga pazera remakore makumi mana kana gumi asati apfuura chirwere chiduku zvikuru chinowanikwa chekenza mumhuri yako. Somuenzaniso, kana mai vako vakawanikwa vane kenza pamakore makumi mashanu nemashanu, munofanira kunyatsoongorora kuve nemakore makumi matatu nemashanu. Chiremba wako anogona kukurudzira colonoscopy makore ose mashanu, zvichienderana nehutano hwehutano hwemhuri yako.
- Kana iwe uine nhoroondo yako yekoloni yemapuropiti pachiitiko chepakutanga (asi kwete chirwere), nguva yako yekuongorora inoenderana nenhamba uye rudzi rwepikira dzakawanikwa uye dzakabviswa. Somuenzaniso, kana uine imwe kana mbiri duku, adenomas tura , iwe unogona kunge uchida colonoscopy makore mashanu kubva kune gumi shure kwekubviswa. Zvisinei, kana waive nemapuropiti gumi kana kupfuura akabviswa, unogona kudiwa colonoscopy makore matatu oga oga uye chiremba wako anogona kukurudzira kuongorora mazita ekurapa kwekenza syndromes.
- Kana iwe une nhoroondo yako pachayo yekenza yekoloni , nguva yako yekuongorora inoenderana nechigarire uye gira rekenza yako uye nzira inoshandiswa kuibvisa ( chirwere chinopesana nekolonoscopy). Kuongororwa kwako kwekuongorora kunogona kunge kwakafanana nekuita semwedzi mitanhatu kana makore matatu, zvichienderana nezvinhu izvi, hutano hwako, uye chirevo chechiremba wako.
- Vanhu vane chirwere chinoputira chirwere chinogona kudiwa kakawanda kwekoni kuongorora kuongororwa, asi chete kana hutumbu hukuru huchibatanidzwa. Chiremba wako achave nemazano akakurudzira kwauri, zvichienderana nehutachiona hwekuwedzera kwezvirwere.
- Kana uine (kana une mhuri yekare) yemhando ipi neipi yemararamiro anorwara nekenza syndromes , kuongorora kwako kunogona kutanga kufanana nemakore gumi nemaviri. Gore rose kugadziriswa sigmoidoscopies kunokurudzirwa kutanga pazera remakore gumi nemaviri kune vanhu vane mazita anozivikanwa emhuri adenomatous polyposis syndrome. Kana iwe uine nhaka yechiremera chisingabatsiri chirwere (HNPCC kana Lynch Syndrome), kuongorora kuongorora kunogona kutanga nekusvika makore makumi maviri, uye nekodonoscopies nguva dzose kusvika kumakore maviri.
Parizvino, hapana mazano akakurumbira kune vanhu vanorema, utsi, kana kunwa doro zvakanyanya. Zvisinei, vanokurudzirwa kufunga nezvekuongorora kuongororwa kutanga kutanga zvishoma kupfuura vanhu vakawandisa-ngozi, kutanga pamakore makumi mashanu.
Miedzo yeCcercer Detection
Stool tests yakagadzirirwa kuona kenza kana iripo, kwete kuidzivirira kana kuibata kare. Kune mhando mbiri dzebiol test-miedzo inotarisa kutsvaga ropa rakawanda muzvigaro uye kuongororwa kunotarisa masero ekenza yakateererwa muzvigaro (DNA test).
Iyi miedzo inowanzopedzwa pamba, uchishanda chikwata chekuunganidza pane mazuva akawanda. Chiremba wako achakupa mirayiridzo yakananga mushure mokuongorora imwe neimwe, iyo inosanganisira kukohwa uye kudzorera mirayiridzo yezviyeuchidzo.
Ikoko kuedza kunofanira kupedzerwa gore negore, zvichienderana nekuzvarwa kwako kwema50 kuti vanhu vepakati uye yepamusoro dambudziko:
- Kuongorora kweropa re Fecal (FOBT) -gore rose
- Fecal immunochemical test (FIT) -gore rose
- Chigadziro cheDNA chekuedza-makore ose matatu
Sources:
American Cancer Society. American Cancer Society's Complete Guide kuColorectal Cancer . Clifton Fields, NE: American Cancer Society.
American Cancer Society. (nd). Colorectal Cancer Early Detection.
American Cancer Society. (nd). American Cancer Society Mitemo yeColorectal Cancer Early Detection.
Rex, DK, Johnson, DA, Anderson, JC, et al. (February 2009). American College of Gastroenterology Guidelines for Colorectal Cancer Screening 2008.