Kuvhiya, Chemotherapy, Radiation uye Iwe
Kuwana kwokutanga uye kurapwa kwemukenza wekoloni kunogona kuvandudza kufungidzira kwako (kurapwa kwemishonga) uye hupenyu hwehupenyu. Kana kuonekwa uye kurapwa kwekutanga, vanhu vanorwara nekenza yekoloni vane 93 muzana yekupona kwemazana kwemakore mashanu mushure mekurapa. Zvisinei, musati mazadzirwa muzviverengera, tora nguva yekudzidza pamusoro peiyo mushonga umwe neumwe unosanganisira.
Kune zvikamu zviviri zvakakura zverapa yekenza yekoloni. Mishonga yemunharaunda inotora nzvimbo imwechete, yakadai sokuvhiya kana kupiswa kwezuva. Simba, kana muviri wose, mishonga ine mambure akawandisa uye inosanganisira chemotherapy kana chinangwa charoologic therapies .
Zvichienderana nezvoutano hwako hwepanyama, danho rekenza, uye sarudzo yako, iwe unogona kusarudza kurapwa kumwe kana kusanganiswa kwemishonga, kusanganisira kuvhiyiwa, chemotherapy, mazairo, uye zvinorapwa.
Zvokuvhiya
Kugadziriswa kushandiswa ndiyo yekutanga kurapwa kwesarudzo kwechikamu chetatu chekodhoni yekenza . Kuvhiyiwa kwekenza yeColon kunogona kusanganisira nzira yakajeka yokubvisa kenza yakasara yega, kana kushanda kukuru kunonzi colectomy, inobvisa chikamu (kana zvikamu) zvemukati. Chiremba wacho anogona kubvisa kana kuparadza mishonga yekenza kubva kune dzimwe nhengo, dzakadai seropa kana mapapu kana kenza yakapararira.
Zvichienderana nehukuru uye nzvimbo yekenza yako yekoloni, chiremba anogona kupa laparoscopic colectomy kana kuti colectionomy yakazaruka.
A laparoscopic nzira inoda kuomeswa kuduku kudarika chelectomy open, iyo inogona kukonzera ruvara rwechisimba kusvika kumasere masere mushure mekuvhiyiwa.
Kana iwe uine nhoroondo yezvinetso zvemapapu kana mumoyo, chiremba wako anogona kushamwaridzana nevadzidzisi, vakadai semapurmari kana chiremba wezvokudya, kuti vaone kana chirwere ichi chiri chakanakisisa iwe.
Zvisiri-kupora zvinogona kushandiswa kuparadza kana kuderedza zvirwere zvinokonzera pamwe nekuvhiya - kana zvakasikwa kana iwe usingakwanisi kutsungirira chirwere.
- Cryosurgery inouraya masero anokonzera nekuvhundusa.
- Kushandiswa kwehuwandu hwemazuva ano kunoshandisa simba remhepo kuparadza (kupisa) masero ekenza akafananidzwa kune dzimwe nhengo, dzakadai seropa kana mapapu.
- Kutengesa kweEthanol kunoparadza masero emukenza ane jekiseni doro.
Chemotherapy
Kazhinji chemhemotherapy mishonga inoshanda nokuuraya masero anoparadzana nokukurumidza. Mune munhu ane kenza, masero ekukurumidza kupfuura ose masero ekenza; zvisinei, migumisiro inogona kuitika mune mamwe maviri ari kugovera zvishoma nokukurumidza. Kune nzira shomanana dzekugamuchira chemotherapy mishonga. Mushonga wako unogona kusanganisira kuatora nemuromo mumapiritsi, intravenously, kana kuburikidza nejairo zvakananga mumuti wakavhara kusvika kumarara.
Chemotherapy inotungamirirwa mushure mekunge kana mushure mekurapwa kurapwa uye inowanzoshandiswa kurapa kenza yechipiri II, III uye IV. Zvinodhaka zvakapiwa mushure mekuvhiyiwa zvinoshandiswa kuderedza matumbu asati abviswa mumuviri. Chemotherapy dzimwe nguva inoshandiswa kukanganisa matumire mumuviri wose apo metastasis ye systemic yakaitika (danho IV). Chiremba wako angakukurudzira kuti utore chemotherapy mushure mekuvhiyiwa kuti uuraye chero sarudzo dzomukati dzinosara uye kuderedza mikana yekudzokorora.
Agent Zvakananga kuCaron Cancer
Chemotherapy agents anowanzoshandiswa mukenza yekoloni dzinosanganisira:
- 5-FU (fluorouracil)
- Eloxatin (oxaliplatin)
- Xeloda (capecitabine)
- Camptosar (irinotecan)
Kune zvakawanda zvakasiyana-siyana zvakasiyana-siyana zvevashandi ava, izvo zvinowanzotarisirwa mukati maviri kusvika mana-masvondo masvondo (kumativi ose) echemotherapy, kuteverwa nenguva yekuzorora nekudzoka. Capecitabine ipiritsi, asi imwe iyo inopiwa nehuputi hwekuvhiringidza.
Nharaunda dzinowanzoitwa chemotherapy yekenza yekoloni dzakawanda, asi dzakawanda dzinogona kuderedzwa nemishonga. Unogona kuwana:
- Nausea, kurutsa, uye kurasikirwa kwechido
- Kuora bvudzi
- Makuvara emuromo
- Kutarisa ganda
- Kunzwisisa kwezuva
- Diarrhea
- Low blood count ( neutropenia )
- Unhu kana kumira kwemaoko kana tsoka
Iwe unogonawo kunzwa wakaneta uye kurwara nyore nyore. Izvi zvinowanzoitika pamwe chete nedonho muropa rako. Iwe uchada kuwana nguva yakawanda yekuzorora nekuita zviyero zvakanaka zvehutsanana (sekugeza maoko) kuti udzivise matambudziko asina kudiwa pamuviri wako wechirwere nehutano, sehuwandu hwehutano.
Radiation
Radiation therapy inoshandisa rudzi rune x-ray kuuraya masero emukenza uye rinogona kushandiswa pamwe chete nekemotherapy uye chirwere chekenza yekoloni. Chirwere chemaawa chinonzi oncologist chichapa hutachiona hwehutachiona hunoita kuti udzikise zviratidzo zvinorwadza zvekenza, uuraye chero sarudzo dzese dzinoramba dzichifungidzirwa mushure mekuvhiyiwa kana kubva pakudzoka, kana sechimiro chekurapa kana iwe usingakwanisi kutsungirira chirwere.
Radiation therapy inogona kuiswa kunze (kufanana ne-x-ray) kana kuiswa mukati (mukati memuviri wako).
Zvirongwa zvemashure maharare kunze kwemazuva ano zvinowanzoitika mazuva mashanu pavhiki kwevhiki dzinoverengeka uye hazvina maturo. Iwe unogona kuva nehasha yeganda (fungidzira kushanda kwezuva) panzvimbo yehutiroti, kuchera, kana kurutsa pane imwe nguva panguva yekurapa.
Mukati remishonga inonzi radiation , iyo inonziwo brachytherapy , inoda madhaidhesi epellets akaiswa pedo kana kuti mune mishonga yekenza. Brachytherapy inowanzopedzwa mushanyi imwe.
Targeted Therapy
Mishonga yakakonzerwa nekenza yekoloni inopiwa panguva imwe chete ne chemotherapy, kazhinji inopera, kamwe chete kusvika kune vhiki nhatu.
Iyi mishonga inowanzoziva kuti mapuroteni kukura zvinhu zvinowedzera masero ekenza, zvakadai sevascular endothelial kukura chimwe chinhu kana epidermal kukura factor receptor. Sezvo izvi zvinodhaka zvirwere, izvo zvinorwisa zvakanyanya mapuroteni avanozvisunga, vanongouraya masero akavharwa mune izvi uye vane mikana yezvinhu zvishomanana kupfuura chemotherapy agents. Mienzaniso yemishonga inorapwa inosanganisira:
- Erbitux (cetuximab)
- Avastin (bevacizumab)
- Vectibix (panitumumab)
Migumisiro Yechipfuva uye Ngozi
Mishonga yose inopa dambudziko remigumisiro. Matsiro ekurapa kwako anofanira kupfuurira kune ngozi. Chiremba wako achashanda newe pedyo uye agadzire chirongwa chako chekurapa kune zvaunoda.
Ndapera mazuva apo mumwe chiremba ane mutsa anotarisa kune zvose zvido zvako zvekuchengeta utano. Urongwa hwako hwekurapa huchabatanidza boka revashandi vezvokurapa, kusanganisira vanachiremba vakasiyana-siyana - savo oncologists uye radiologists - vanachiremba, uye vekudya, kuti vakubatsire kutungamira kune hutano hwakanaka hunogona. Tanga bhuku uye uchengetedze nhamba yefoni yevashandi vako vezvechiremba kuitira kuti iwe uzive kuti unobata ani kuti chii.
Sources:
American Cancer Society. (2008). Colorectal Cancer. Zvaunoda Kuziva - NOW. Atlanta: American Cancer Society Health Promotions.
American Cancer Society. (nd) Colorectal Cancer. Chemotherapy.
National Comprehensive Cancer Network. (ND) NCCN Kuchengetedza Zvinyorwa. Colorectal Cancer Stages 0, I, II, and III.
US National Library of Medicine. (nd) Kukurukurwa Kwemakumbo Makuru.