Metastasis ndiro izwi rinoshandiswa kurondedzera dumbu rakapararira kunze kwaro nzvimbo yekutanga. Mukenza yepamusoro yekoloni , metastasis yekumarara inowanzoitika mumapapu kana chiropa. Izvi zvinogona kuwanikwa panguva yawakaonekwa kuti une kenza yekoloni, sekudzoka , kana kana kenza inowana simba uye inoramba ichikura nekupararira.
Kuratidza Zviratidzo zveMetastasis
Dzimwe nguva, zviratidzo zvehuputi metastasis dzinotanga kuratidzira kusati kwave kuongororwa kupiko kwekuongororwa kwekusimbisa iyo.
Kunyange zvazvo zvimwe zviratidzo zvinogona kuwirirana nemishonga yemigumisiro, zvirwere zvinoratidza chiropa chemastasis zvinogona kusanganisira:
- Kunyanya kuneta
- Nausea uye kusava nenzara
- Kuputika kana kubuda
- Ganda rinopisa
- Maziso matsvuku kana ganda
- Bloated mudumbu
Kunyange zvazvo zviratidzo izvi zvisati zvirikrete, zvingangodaro zvinoratidza kuora kwechiropa. Sezvo zvipembenene zvinopinda chiropa, zvinoderedza kukwanisa kwayo kuita zvakanaka. Chiropa chako ine mabasa akawanda anokosha kusanganisira simba rekusimbisa hupenyu hwekubatsira muviri wako kushandisa glucose uye kugadzirisa tsvina kubva mumuviri.
Sezvo zvipembenene zvinokura mukati mechiropa, zviratidzo zvinogona kuwedzera mukuoma. Sezvo mapuroteni ari muropa rako achiderera, mvura inonaya inogona kupinda mukati mudumbu uye inokonzera kuvhara uye kuchengetedza mvura kunobatanidza nehutambudzo hwechiropa. Kuwedzera kwemvura mumimba yako kunogona kukonzera kupfugama uye kunetseka mumakumbo ako netsoka, kunyanya pashure pokumira kana kugara kwenguva refu.
Kusimbisa Kutongwa
Zvirwere zvechiropa zveMetastatic zvinowanzowanikwa kuburikidza nekuongororwa kweropa kana kuvimbiswa ne biopsy kana pamimba computed tomography (CT) miedzo. Chiedza chakareruka vanachiremba vanoshandisa kuratidza kusava nechokwadi kwemasastasis kana kukura kwekenza chirwere cheropa. Ropa rakaongororwa kuti rive nehutachiona .
Chirwere chinokonzera chirwere chinogona kuva neprotheni inosanganiswa neimwe rudzi rwekenza. Pamakorani akasiyana-siyana, chirwere chinonzi chiremba chiremba anotarisa muropa rako rudzi rweprotini inonzi carcinoembryonic antigen, kana CEA . Izvozvo zvinokonzera maronda ane chiropa chechiropa cheropa uye metastasis inonzi alpha fetoprotein kana AFP.
Kurinda zvipfeko zvirwere muropa hazvisi kupa uchapupu hwakasimba hwemasiteri. Kumbira zvikwangwani zvinogona kukwidziridzwa nokuda kwezvikonzero zvinoverengeka-izvo zvinowanzova kugadzirisa (kana kutadza) kune chemotherapy drug . Sezvo chemotherapi inouraya masero emukenza , vanogona kusunungura puroteni iyi kupinda muropa renyu, zvichiita kuti mutsara wenguva pfupi mumakorori ako. Chiremba wako achacherechedza kuongororwa kweropa panguva dzenguva uye kuwirirana nemigumisiro pamwe chete nemagariro ake emakiriniki.
A CT yemimba yako inogona kuratidza chiropa chemashu, kunyanya kana shandisi yakasiyana inoshandiswa. Kusiyanisa vanhu vanojekesa mufananidzo uye vanobvumira chiremba kuti aone mamwe mashoko, asi haasi nguva dzose. Kana zvichidikanwa, nheyo yakakura yebiopsy (kana kuti zvakare, iyo yakanaka inobatsira tsono ) inogona kurongedzwa panguva imwechete sechemu CT test. Kushandisa netare yakareba kwazvo, yakareba, chiremba anoshandisa CT kuti iwane uye inoparadzanisa chiropa chechiropa uye inotora sampuro inoshandiswa masero.
Imwe nyanzvi inotarisa masero ari pasi pe microscope uye inotarisa kana kenza yakapararira kubva mumakoroni ako kana kana chiropa chechiropa chirwere chitsva, chega. Izvi zvinogona kukanganisa maitiro ako ekurapa, kufungidzira, uye danho uye chikamu chekenza yako.
Kutsvaga Kurapa Ongororo
Pane nzira dzakawanda chiremba wako angaswedera pakurapa chiropa chechiropa. Anokwanisa kupa chirwere, kubvisa kana kurapa . Purogiramu yako yehutano inobva pane zvinhu zviviri, kusanganisira:
- Chikamu uye girasi rekenza yako
- Zera rako uye hutano huripo
- Nhamba uye nzvimbo yemakumbo zviripo muropa rako
- Utano hwehuputi hwako husina hanya
- Kana mishonga yako kana mitsetse yako iri pedyo nemamota ari muchiropa chako
- Mhando yehutano yawakatomiririra (chemotherapy, radiation, kana kuti chirwere) kuporesa maitiro ekutanga ekenza
Kuvhiyiwa kubviswa kwechiropa chinonzi chiropa kunonzi resection. Kazhinji kacho, chiremba achangotaura chirwere kana chirwere ichi chiri chega uye kana chinogona kubviswa zvachose (mutezo mumwechete kana maviri nemitsara yakajeka yakatsanangurwa).
Radiofrequency ablation (inonziwo RFA) ndiyo imwe nzira inoshandiswa kuparadza zvipembenene muropa kana chirurgical resection isingasarudzo. RFA inogona kupedzwa kuburikidza neganda (percutaneous) kana panguva yekuvhiyiwa. Nete kana probe inouyisa kupisa kuburikidza nehuwandu hwemhepo, iyo inopisa uye inoparadza masero ekenza.
Palliative Treatment Options
Kana chiremba wako asarudza kuti hausi mukana wokutsigira resection kana RFA, iye anogona kukurudzira maitiro ekurapa ekuwedzera mararamiro ako nekupona. Kazhinji, kubhururuka kwemvura uye kuvhara mumimba yako kunogona kukonzera kusagadzikana uye kunogona kushandiswa nekushandisa kushandiswa kwe ultrasound-kutungamirirwa. Iyo nzira, inonzi paracentesis kana mudumbu remakumbo, inoda nheyo kubvisa mvura yakawanda. Iyo inonaya ichadzoka zvakare, saka nzira inogona kudiwa kudzokororwa masvondo mashoma kana mwedzi shomanana.
Mazaiyo ane simba uye chemotherapy anogonawo kushandiswa kutarisa kukura uye kupararira kwechiropa chemasiteri. Mushonga haufananidzi "kuporesa" kenza, chete kuti kuderedza kusagadzikana kunokonzerwa nechiremera cheropa.
Sources:
American Cancer Society. (2006). American Cancer Society's Complete Guide kuColorectal Cancer . Clifton Fields, NE: American Cancer Society.
American Cancer Society. (nd). Ko Tumor Markers Inoshandiswa Sei?
National Cancer Institute. (nd). Nhanho IV uye Recarrent Colon Cancer.