Imwe Chetatu Yevanhu Vari Pangozi KwaKaroni yeColon Haisi Kuongorora
Colorectal kenza, yechipiri inotungamirira chikonzero chekufa nekenza muUnited States, ichakonzera vanenge 50 000 vakafa muUnited States gore rose. Nyanzvi dzinokurudzira kuti munhu wose anopfuura makore makumi mashanu ave akaongororwa nekenza yekoloni. Pasinei nehuwandu hwehutano uye kufa kwekenza yekoloni, chete zvikamu zviviri kubva muzvitatu zveAmerica pamusoro pemakore makumi mashanu zvakarongedzwa.
Mashoko akanaka ndeokuti, kana akabatwa mumatanho ayo okutanga, kenza yakaoma inenge 90% inoporesa. Saka, ndiani anofanira kuongororwa kuti ave nekenza yakawanda?
Nei Screen?
Chinangwa chekuongororwa kwekenza yakajeka ndeyekuwana kukura kusina kukwana mumutumbi unonzi polyps . Polyps inokura pamadziro emukati, uye ndiyo inopedzisira kune kenza. Kana yakawanikwa panguva yekolonoscopy kana sigmoidoscopy, mapepa anogona kubviswa nechisungo chiri kumagumo ekolonoscope . Kana iyo polyp inowanikwa uye yabviswa panguva yekuongorora, haigoni kuchinja.
Who To Screen?
Kana iwe uri pamusoro pemakore makumi mashanu, American Gastroenterological Society inokurudzira kuti iwe uonekwe nekenza yakawanda. Zvisarudzo zvakasiyana-siyana zvekuongororwa zvinowanika, uye nzira yakanakisisa kune mumwe nomumwe murwere inofanira kukurukurwa nachiremba. Hasi nzira dzose dzinozoshanda kune varwere vose: chiremba uye murwere anofanirwa kuuya pachibvumirano pamusoro penzira yakanakisisa yekushandisa.
Vanhu vari pasi pezera remakore makumi mashanu vane mhuri yemararamiro ekurwara, chirwere chinoputira chirwere (IBD) , nhoroondo yega yekukura kwechirwere kana kuti inonzi adenomatous polyps, kana kuti syndromes inoberekwa yakadai semhuri inonzi adenomatous polyposis (FAP) , inofanirawo kuongororwa kuti ione kenza pane chirongwa chakarayirwa chiremba wavo.
Zvinonyanya kukosha kuti vanhu vari mune imwe yezviitiko zvakanyanya-ngozi vanotaurirana nachiremba nezve nguva yakanakisisa yekutanga kuongorora, izvo zvipi zvinoedza kushandisa, uye nguva yakawanda kuedza kunodiwa. Kune vanhu vari pangozi yekudzidzira kenza yakajeka, kuongorora kunogona kudiwa kare kare uye kakawanda kune vanhu vari pangozi yepamusoro (iyo inowanzotsanangurwa sevanhu vanopfuura makore makumi mashanu).
Chikonzero nei Colonoscopy Yakanakisisa
Kune marudzi akawanda eongororo inowanika, asi colonoscopy ndiyo yegoridhe yakaenzana. Chikonzero nei iyo iyo colonoscopy inogona kushandiswa kuvhara iyo yose yekoloni yemapuropiti, uye wozobvisa. Apo iyo pombi inobviswa, ndizvo zvakaitawo kutyisidzika kweiyo polyp inotenderera kenza.
Mimwe miedzo ine zvimwe zvinetso. A sigmoidoscopy inogadziriswa inongotarisa chikamu chekoroni: chero mapepa anopfuura kunze kwehuwandu hunozosiyiwa. A barium enema inonzi x-ray uye inopa simba rekubvisa mapepa. Kana mapepa akawanikwa panguva iyi, imwe colonoscopy ichakurudzirwa chero zvakadaro. Chigaro chechigaro chichawana ropa muchitsiko, asi nenguva iyo papepa iripo uye ichipa ropa, inogonawo kuva nekenza. Kana ropa rinowanikwa muchigaro, kutevera-colonoscopy kunogona kukurudzirwa chero zvakadaro.
Iko kunofanirwa ndeyekuti kuva nekolonoscopy kuchapa mukana wekanakisisa wekuwana nekubvisa mapuropiti vasati vangaita kenza.
Kana imwe yero inoshandiswa uye chidimbu ichionekwa kana kuti chikafungidzirwa, colonoscopy ichakurudzirwa chero zvakadaro.
Zvimwe Colon Cancer Screening Method
Stool Test. Kana fecal yeropa rekuedzwa (FOBT) inoshandiswa senzira yekuongorora, zvinokurudzirwa kuti chiyero ichi chidzoke gore negore. A FOBT inoshandiswa kuongorora chigaro chezviitiko zveropa izvo zvisingagoni kuonekwa neziso risina meso. Uyu muedzo unogona kutorwa pamba uye unogona kuona kubuda ropa kubva kune chero kupi zvako mumugwagwa wezvokudya, kusanganisira izvo zvinouya kubva kuma polyps.
Sigmoidoscopy. Mukuwedzera kune FOBT gore negore, sigmoidoscopy inogadziriswa inokurudzirwa makore ose mashanu.
A sigmoidoscopy inzira yekuti chiremba aongorore chetatu chekupedzisira chemukati mako, iyo inosanganisira rectum uye sigmoid colon. Ikushandura kutenderera tubhuti ine lens uye chiedza kubva pamagumo, inonzi sigmoidoscope, inoshandiswa. Kutarisa kuburikidza neyesipi pane imwe mugumo wehuwandu, chiremba anogona kuona mukati mekoloni. Muchiitiko ichi, chiremba anogona kutarisa chekenza, mapuropa, uye masonda .
Barium Enema. Imwe nzira inoshandiswa pakugadzirisa sigmoidoscopy ndiyo inopesana ne -barium enema . A barium enema (inonziwo yakaderera masheji) ndeye rudzi rukuru rwe x-ray runoshandisa barium sulfate nemhepo kuti rondedzere rutivi rwekamuti nekoroni. A barium enema inogona kuitwa sechirongwa chekubuda kunze uye kazhinji inotora maminitsi 45. Inema inogona kunge isinganzwisisiki, asi ma-ray-haasuruvara zvachose. Uyu muedzo unorudzirwawo makore ose mashanu kune avo vanoshandisa nzira iyi yekuongorora.
Colonoscopy. A colonoscopy inokurudzirwa kamwe chete pamakore gumi, kana sekutevera kana ropa chero ripi zvaro, mapepa kana kuti zvisiri izvo zvinowanikwa panguva ipi zvayo yedzipi dziri pamusoro apa. Munguva yekolonoscopy, chiremba anokwanisa kuongorora mukati memukoni kunze kwenzvimbo iyo sigmoidoscopy inogona kusvika. Ikoko inonzi colonoscopy inogona kutora maawa 1 1/2 uye inoitwa pasi sedation muchipatara sechirongwa chekubuda kunze. Chibatanidzwa pamagumo ekolonoscope chinogona kushandiswa kutora biopsy yemaviri mumutumbi. Kana pombi inowanikwa, inogona kubviswa uye zvose biopsies uye mapepa anotumirwa ku laboratori kuti iwedzere kuedzwa.
Colon Cancer Screening Guidelines for People Pamakore 50
Kuongorora nguva dzose kunofanira kusanganisira chimwe chezvinhu zvinotevera:
- FOBT gore negore
- Sigmoidoscopy makore ose mashanu
- FOBT uye sigmoidoscopy makore ose mashanu
- Dhienzanisa kaviri barium enema makore mashanu
- Colonoscopy makore ose gumi
Sources:
American Cancer Society. "Ndezvipi zvinyorwa zvinokosha nezvekenza yakawanda?" 31 Jan 2014. 28 Feb 2014.
Nzvimbo dzekurapa nekudzivirira. "Kuramba Kwekenza Kuedzwa Kunoponesa Upenyu." Vital Signs. 2013. 28 Feb 2014.