Kanononi yeColon ine Matanho Makashanu, Nekusiyana Kwemishonga Pamwe Chete
Vanhu vane chirwere chinoputira chirwere (IBD) vari pangozi yakawanda yekukura kenza yakaoma. Nepo marononi uye rectal kanzura ndeimwe yezvinonyanya kudzivirirwa zvekenza, hazviwanzoongororwa kusvikira zviratidzo zvikaonekwa kana kuti zvinotambudza. Panguva iyoyo, kenza yemukironi inogona kunge yakanyanyisa.
Mashoko akanaka ndeokuti, vazhinji vevanhu vane IBD havazombotanga kukura kenza yakajeka.
Kubvisa mapuropiti panguva yechigoni colonoscopy ndiyo nzira yakanakisisa yekudzivirira kenza yekoloni. Kuona gastroenterologist nguva dzose nekuwana colonoscopy panguva (dzimwe nguva kaviri pagore, gore negore, kana makore maviri) ndiyo nzira yakanakisisa yekudzivisa kenza yakawanda. Kana iwe uchinetseka pamusoro pehutano hwako pachako wekenza yekoloni uye kuti ungaidzivirira sei, taura ne gastroenterologist yako kana kuti wako chiremba chirwere chekuongorora nezvekuongorora uye nekudzivirira kenza.
Colorectal kenza ine zvikamu zvina zvakasiyana, pamwe nesheji yechishanu iyo inonzi "yekudzoka." Chikamu chimwe nechimwe chine maitiro akasiyana-siyana ekurapwa uye makore mashanu ekupona mazinga . Zvikamu uye zvinyorwa pasi apa zvinobva kuAmerican Joint Committee yeCancer (AJCC) system staging system, iyo inogonawo kunzi TNM system.
Chikamu 0 (Carcinoma In Situ)
Ichi ndicho chikwata chekutanga kare chekwereti yakakura. Mucheche unongobatanidza kubatana, kana mucosa, yekoloni kana rectum uye yakasungirirwa kumapurp (s) (mhuka inoputika kubva pamusoro penhengo).
Apo mapepa acho anobviswa panguva yekolonoscopy (iyo inonzi inozivikanwa se polypectomy), mukana wekuti vari kufambira mberi kusvika kumatanho ekupedzisira ekenza zvinobviswa.
Stage I
Chikamu I kenza yemukironi inosanganisira zvinopfuura kungoita mukati memukoni. Iyo puropiti yakafambira mberi kusvika kumarara, uye inopinda mumadziro ekoloni kana rectum.
Kurapa kunogona kusanganisira kuvhiya kubvisa chikamu chekoloni ine kenza. Izvi zvinonzi chirwere chinonzi resection . Mitezo ine utano, isina kenza yekolon inodzokodzwa zvakare. Iko makore mashanu ekupukunyuka muzana ndezana makumi mapfumbamwe.
Stage II
Chirongwa chechipiri chirwere chekwereti ndechekuti kenza yakapararira mberi kwekoloni kune zvisikwa zvakakomberedza koni asi haina kupararira kune lymph nodes. Kanzira inopararira nenzira iyi kubva kune imwe chikamu chemuviri kune imwe inonzi metastasis. Kuvhiyiwa kwepamusoro kunogona kushandiswawo kubata chirwere ichi chekenza. Makore mashanu ekupona kwemuviri weCape II yekenza yemakironi ndeye 60 muzana.
Chirwere Chetachipiri chechirwere chekoroni chinowedzera kugoverwa muIIA, IIB, uye IIC:
- Stage IIA. Kenza yakakura kuburikidza nemusana wechipfuva chekoloni asi haina kuenda kunze kwekoloni.
- Nhanho IIB. Kenza yakakura kuburikidza nekunze kwekunze kwemadziro ekoroni asi haina kuenda kunze kwekoni.
- Stage IIC. Kenza yakakura kuburikidza nechokunze kwetemberi yekoloni uye mumasukirwo ari pedyo.
Stage III
Kanzera yakapararira kunze kwekoni uye kuenda kune lymph nodes munharaunda yakapoteredza koloni inozivikanwa seStatu III. Muchikamu chino, kenza haina kupararira kune dzimwe nhengo mumuviri, uye kurapwa kwakanyanya.
Kutsvakurudza resection yemakoloni, chemotherapy , uye mamwe mazano ekurapa angave akadikanwa. Iko makore mashanu ekupukunyuka kwemakore ndeye 35 kusvika ku60 muzana.
Chirwere Chetatu cheColon colon chinowedzera kugoverwa mu IIIA, IIIB, uye IIIC:
- Stage IIIA. Izvi zvinogona kurondedzera chimwe chezviitiko zviviri: 1) kenza iri mukati memadziro emukati edusvingo rwekoloni; iyo inogona kunge yakatambanudzirwa kumusana wezvisikwa; uye inokanganisa pakati peyero nhatu nhatu dzemakirini kana mafuta ari pedyo ne-lymph node kana 2) kenza iri mukati mechidzitiro chepakati chekoloni uye inopindirana pakati pemakumbo mana nematanhatu.
- Stage IIIB. Izvi zvinogona kurondedzera chimwe chezviitiko zvitatu: 1) kenza iri mumativi ose emadziro ekoroni uye inopindirana pakati peyero nhatu dzemakiriniki kana 2) kenza iri kuburikidza nehutendere hwemasumbu uye / kana kunze kwerusvingo rwekoroni uye inopindirana pakati pemakumbo mana nematanhatu kana kuti 3) kenza iri mukati mezhivi uye mukati-kati yerusvingo rwekoloni, inogona kunge iri mumashure, uye inokanganisa maronda emanomwe kana kupfuura.
- Stage IIIC. Izvi zvinogona kurondedzera chimwe chezviitiko zvitatu: 1) kenza iri mumativi ose emadziro ekoroni uye inopindirana pakati pemakumbo mana nematanhatu kana kuti 2) kenza iri kuburikidza nehutendere hwemasumbu uye / kana rutivi rwekunze rworusvingo rwekoloni uye inokanganisa zvinomwe kana nhepfenyuro zvinomwe kana kuti 3) kenza iri mumativi ose emadziro ekoroni, yakapararira kune nhengo dziri pedyo, uye inogona kukanganisa lymph nodes kana mafuta ane mafuta pedyo neyymph nodes.
Stage IV
Muchikamu chino, kenza yakange yapararira kune dzimwe nhengo mumuviri zvakadai semapapu, maovha, kana chiropa. Mukuwedzera kune chirwere chokuvhiya uye chemotherapy, kurapwa kwemaawa uye kuvhiyiwa kubvisa dzimwe nhengo dzakagadzikana dzomuviri zvinogona kudiwa. Panguva ino, pane 3 mukana wezana chete wekusvika pamakore mashanu ekupona.
Chirwere chetachiona chemukati IV chinowedzera kugoverwa muIVA uye IVB:
- Stage IVA. Munzvimbo iyi chirwere chinogona kunge chakafamba murusvingo rwekoloni, zvichida chinokanganisa lymph nodes kana nhengo dzepamunharaunda, uye dzakapararira kune imwe nhengo isiri pedo nekoloni.
- Nzira IVB. Muchikamu ichi chirwere chinogona kunge chakafamba murusvingo rwekoloni, zvichida chinokanganisa lymph nodes kana nhengo dzenharaunda, uye dzakapararira kune imwe nhengo imwe chete isiri pedyo nekoloni kana mudumbu remadziro.
Recurrent Cancer
Kanzera inodzoka zvakare mushure mekurapa, kana mumakoloni, kana mune imwe chikamu chemuviri, inonzi inowanzoitika. Kunyangwe mushure mekubudirira kurapwa kwekenza yekoloni, kugara uchiongorora zvakakosha kunobata chero kenza yekare inopinda.
Mune matanho ekutanga, kenza yekoloni ndeimwe yemakondombera anonyatsorapa. Mune hurumende - ndiyo yechipiri inouraya zvikuru. Kanzera yeColon ndiyo yechipiri inokonzera rufu rwekenza muAmerica (kanzera yemapapu ndiyo yekutanga). Kusiyana nekutenda kwakakurumbira, 15 muzana chete yevarwere vekondomu varwere vanofanira kuva ne colostomy inogara nokusingaperi.
Kudzivirira
Ndapota taura nechiremba wako pamusoro pehutano hwako hwekenza yekoloni, uye uongororwe kana zvichifanira. Vanhu vane IBD vari pangozi yakawanda, asi kuchengetedza nguva dzose IBD kubva gastroenterologist nekuchengetedza magonoscopy appointment kunotora nzira yakareba pakubvisa chero mapepa uye mukuchengeta ziso pane zviri kuitika mukoloni. Munhu wose anopfuura makore makumi mashanu anofanira kuongororwa kuti ave nekenza yakawanda. Vamwe vasinganzwisisiki uye kunyadziswa panguva yekolonoscopy ibhadharo shoma yekubhadhara hupenyu hwako.
Sources:
National Cancer Institute. "Matanho eCaron Cancer." US National Institutes of Health. 16 Meyi 2013.
American Cancer Society. "Ko Kururama Kwekenza Kwakagadziriswa Sei?" American Cancer Society, Inc. Aug 30 2013.