Pre-chirwere Chemo uye Mazai eRectal Cancer Yakabatsirwa

Utano hwepamberi-kupora hunoderedza kudzokorora kwemukati asi kwete kure

Chimwe chidzidzo chakabudiswa muNew England Journal of Medicine chakawana kuti varwere vane chirwere chechikamu chechipiri kana chikwata chechikamu chechikamu chechitatu chekenza vakagamuchira chemotherapy uye mazairo asati avhiyiwa zvishoma zvishoma zvaisava nekudzokorora kupfuura varwere vakagamuchira chemo nemirairo mushure mekuvhiyiwa.

Vatsvakurudzi vakadzidza vanopfuura 800 varwere vane chirongwa chechipiri uye chetatu chepakati rekenza.

Inenge hafu yakagamuchirwa chemo nemirairo (chemoradiation) vasati vavhiyiwa uye imwe hafu yakagamuchira chemoradiation mushure mekuvhiyiwa. Muteveri wekutsungirira makore mana mushure mehutano akawana rubatsiro rwakananga rweboka risati ravhiyiwa.

Kudzidza Kunoratidza Kuratidzira Kwishoma Kudarika kweRectal Cancer neChangu-Operative Chemoradiation

Kunyanya, 6 muzana yevarwere vakagamuchira chemoradiation vasati vambovhiyiwa vaive nekudzoka kwepamunharaunda, zvichienderana ne13% yevarwere vakagamuchira chemoradiation mushure mekuvhiyiwa. Varwere vari muboka rekare-rokuvhiyiwa vakawanawo madhara mashoma kubva mukurapa, kufanana nekururuka uye kuderera kwechirwere uko kwave chichigadziriswa pashure pokunge bundu racho rabviswa. Iro yakabvumira kuwedzera kwekuwedzera kwe sphincter kuchengetedzwa kune varwere vane zvirwere zvishoma. Vatsvakurudzi havanawo kuona kuwedzera kwekukura kwechirwere mukukanganisika kwekuvhiyiwa kwemavhiki gumi nemaviri ekugadziriswa uye kupora muboka iroro.

Mushonga wakapiwa waiva radiotherapy kashanu pavhiki kwehuwandu hwe5040 cGy.

Iyo chemotherapy yakapiwa yaiva fluorouracil panguva yevhiki nekutanga yechishanu ye radiotherapy. Kune boka rinotangira kushanda, chirwere chacho chakarongerwa kwemavhiki matanhatu mushure mokupera kwekurapa. Mapoka acho maviri akawana mamwe maitiro mana e fluorouracil mushure mekuvhiyiwa.

Hapana Kusiyana Mukuri Kudzoka Kwemahara uye Kupona Kwakakwana neChangu-Chekushandisa Chemoradiation

Kunyange zvazvo nguva yekurapa yakaita mutsauko wemigumisiro yemitemo uye yekudzokorora kwemahara, yakange isina kuita sekuita mutsauko kana yakasvika pakupona zvachose kana mukana wekuti kenza ingapararira kune rumwe rutivi rwemuviri. yakanga yakafanana kune mapoka ose maviri.

Tsvakurudzo iyi ndeipi yakanaka kwauri?

Kana uri kuda kugashira chirongwa chechikwata chechipiri kana chikamu chechitatu chekenza yemakwenzi, iwe unogona kutaura nechiremba wako nezvekwanisi yekuwana chemotherapy uye mazai mushure mekuvhiyiwa pane kutevera. Maererano nekutsvakurudza uku, kuzviita kunogona kupedza mikana yako yekudzoka kwepamunharaunda nekuvandudza hutano hwako hwehupenyu munguva uye shure kwekurapa.

Related Research

Sources

Clinical Trial Results: Chemoradiation Usati Uvhiya Inobatsira Kudzivirira Kudzokera Kwemunharaunda yeRectal Cancer. National Cancer Institute. 26 Aug. 2006 [http://www.cancer.gov/clinicaltrials/results/pre-op-rectal1005/print?page=&keyword=].

Sauer, R. uye Becker, H. "Preoperative inopesana nePoperoperative Chemoradiotherapy yeRectal Cancer." New England Journal of Medicine 351.17 (Gumiguru 2004): 1731-1740. 26 Aug. 2006 [http://content.nejm.org/cgi/content/abstract/351/17/1731].