Zviratidzo nezviratidzo, Kuongororwa, nekurapa
Zviratidzo nezviratidzo zvekenza yekecum dzimwe nguva hazvisi nyore. Iyo cecum inoratidza kutanga kwemukumbo wako mukuru. Ichi chikamu-sechikamu chemukati chinobatanidza chikamu chemukati mudumbu, chinonzi ileum, kusvika kukakoni inokwira. Iyi nharaunda yekoloni inogona kuva yakaoma kuongorora, asi inokosha, mune zvimwe zvidzidzo zvakawana kuti kusvika 20 muzana yemaronda anonyanya kuitika ari mu cecum (mune zvimwe zvidzidzo zvisinganyanyozivikanwa).
Ndezvipi zviratidzo nezviratidzo zvekenza yekecum, inozivikanwa sei, uye inobatwa sei?
Anatomy yeColon neCecum
Kuti uzonzwisisa kuti cecum inowira mudumbu, uye saka, zviratidzo zvaunogona kutarisira, zvinobatsira kuongorora maitiro emakoloni.
Yako korosi yakakamurwa kuita zvikamu zvina zvikuru:
- Cecum uye kukwira koron: Iko kecum uye kukwira koroni inowanzonzi "yakarurama" yako. "Chikafu chinopinda mumukati muduku pedyo nenharaunda yezvinyorwa, muzasi yako yakadzika mudumbu, uye kukwira kwekoni kunokwira kurutivi rworudyi kubva pamimba yako kuenda kune inopera colon.
- Transverse colon: Ichi chikamu chekolon yako inomhanya ichienda kumusoro kwepamimba yako yepamusoro kubva kurudyi kusvika kuruboshwe.
- Kunyorera koloni: Kuburuka kwekoni kunokwira kuruboshwe rworuboshwe rwako, kubva kumusoro kusvika kune imwe nzvimbo.
- Sigmoid colon: Chigoniid colon inobatanidza kuburuka kwekoroni kune rectum uye anus.
Nzvimbo yececum inogona kuita kuti zvive zvakaoma kuwana kenza pane dzimwe nzvimbo dzekoloni.
Basa reCecum
Iyo cecum, ichi chiri kutanga kwekoni apo mvura inotorwa kubva pachigaro, ine chitubu chinenge chisina mvura uye chisina kunyatsoumbwa. Basa rekecum yako ndeyekudya zvakasara kubva mumumbu mako, uye kutanga kutora mvura zvakare zvinokonzera dongo raunoona kana iwe uchitsigira (poop).
Anatomically, cecum inogara munzvimbo yakadzika yebumbu rako, apo yako appendix yakamira. Kungofanana newe unogona kurarama pasina appendix, iyo yakabatanidzwa kune cecum, zvinogona kurarama pasina cecum.
Zviratidzo zveCancer yeCecum
Zviratidzo zvekenza yekecum zvinogona kunge zvisingaoneki uye zvinowanzosiyana pane zvaunofunga nezviratidzo zvekenza yemaroni. Zviratidzo zvakajairika zvekenza yakawandisa zvinosanganisira kunzwa kwakakwana kana kukamanikidzwa mumutsara, kubuda ropa , uye kushuva kunowanzosvibisa. Mikana iwe haungatongoratidzi zviratidzo izvi zvinoreva nekenza yekecum. Kuvhiringidza mu cecum, kusiyana ne rectum kana sigmoid colon, hazvizoita kuti unzwe uchida kuzvidzora kana kuita kuti hutachiona husakanganiswa (kunyange zvazvo dzimwe nguva huchibatanidzwa nehutachiwana) nokuti chigaro chinopfuura nececum chiri slushy uye chinogona kudarika vanhu vakawanda ichi chikamu chemukati.
Zvinosuruvarisa, huwandu hwezviratidzo zvekenza yekecum hunonoka, zvinoreva kuti chirwere chacho chave chave chakanyanya kunyanya nenguva iyo iwe unonzwa zviratidzo izvi. Zviratidzo zvinogona kunge zvinosanganisira:
- Anemia, uye zviratidzo zvinopfurikidza neanemia yakadai sokuneta, kupera kwekufema, kushaya simba, nekukurumidza kwema moyo. Kubvambura kubva munzvimbo ino yekoloni kunowanzoita zvishoma, uye hazvizivikanwi kusvikira chiremba awana kuti une iron inoshaya anemia pahuwandu hwekuverenga ropa (CBC).
- Rima, tarry stools (melena): Apo kubuda ropa kunowanikwa mu cecum uye kukwira koron, inowanzokonzera zvigaro zvitsvuku zvinogona kuonekwa tar-so, panzvimbo pekubuda ropa rakatsvuka rinoonekwa neropa rezasi mumugwagwa.
- Gasi uye kubhururuka: Gasi uye kubhururuka kunogona kuitika, asi hazvisi zvepecific, uye kazhinji zvinotanga kuonekwa kune chimwe chikonzero.
- Dumbu remuviri: Kufanana negesi uye kubvongodza, kurwadziwa kwepamuviri hakusvikiki uye kunogona kuva nezvikonzero zvakawanda zvinokonzera. Kana marwadzo aripo, zvinogona kuonekwa munharaunda inozivikanwa nekutambudzika ne appendicitis, pfungwa yaMcBurney. Pfungwa iyi inogona kuwanikwa nekukwevera rwonzi kubva kurudyi rwako rwechifu kusvika kune bhomba rako uye kuwana midpoint. Izvozvo zvakati, kurwadziwa kwepamuviri kunogona kupararira, uye kazhinji hakutauri zvakawanda pamusoro penzvimbo yechinetso chakakosha.
- Nausea uye kurutsira: Zviremara zvakakura kune rumwe rutivi rwekoni yako zvinogona kukonzera zvokudya kuti "vadzoke" kuburikidza nemukati muduku uye mudumbu, zvichiita kuti rutsire. Kuputika kazhinji kunowanzo "kushaya ruzivo" kuonekwa, kana ruvara muvara.
- Kurasikirwa kwemahombekero: Kurasikirwa kwekurema kwechisimba hakuwanzoonekwi nemavhumu akareba, uye inofanira kugara ichiongororwa. Kurasikirwa kwekurema kwekuzvipira kunotsanangurwa se kurasikirwa kwe5 muzana yehutatu hwemuviri kana kupfuura kupfuura mwedzi 6 kusvika ku12. Izvi zvingava zvakaenzana ne 150-pound munhu anorasikirwa ne7,5 pounds pasina kuedza.
Zvimwe Zvikonzero zveCecum Cancer Zviratidzo (Kusiyanisa Kuziva)
Kuvapo kwezviratidzo zvakataurwa pamusoro apa hazvireve kuti une kenza yekecum, uye pane mamiriro akasiyana-siyana anokwanisa kuonekwa akafanana. Zvimwe zvezvi zvinosanganisira:
- Cecal anovhunduka: Chinhu chisingawanzoitiki, mhepo inobhururuka inowanzoitika apo cecum yako uye ichikwira kubhururuka, uye inokonzera kuvhiringidza kunogadzirisa kubuda kwechigaro kuburikidza nemumwoyo mako. Izvi zvinogona kutungamirira kumarwadzo emimba, kuzvimba, kuputika, kushungurudza, uye kurutsa. Zvinogona kukonzerwa nekuzvitakura, zvakakosha zvakanyanya zvekukanganiswa kana kumadzivirira kwepamuviri-ruvara rwemvere mumudumbu kazhinji inokonzerwa nekuvhiyiwa kwekare-uye kakawanda inobata vanhu pakati pemakore makumi matatu nemakumi matanhatu.
- Chirwere chinokonzera chirwere (IBS): IBS , kusanganisira zvinetso zvakadai seCrohn's disease uye ulcerative colitis, zvinogona kukonzera marwadzo emimba, kuvhara mumimba, uye kusagadzikana kwemuviri kune zvimwe zviratidzo. Hakusi chete IBS inogona kutevedzera zviratidzo zvechirwere chechirwere chechirwere, asi IBS inokonzera ngozi yekukura kwekenza yekoloni.
- Zvakanaka appendicitis: Zviratidzo zve appendicitis zvinoratidza mirwere yekecum, kusanganisira kurwadziwa kwepamuviri kwakaipisisa mucheche pasi pemukati, kunyorera, uye kurutsa. Mukuwedzera, kuva nekenza mu cecum kunogona kutungamirira mukuputika kwezvinyorwa. Mune dzimwe nzira, izvi hazvisi zvakaipa zvose, uye zvinogona kuita kuti kuongororwa kwekenza yekecum isati yasvika pane iyo ingadai isina kuitwa.
Kuziva
A colonoscopy ndiyo yakanakisisa muedzo wekuona zviri pachena kenza yekecum. Mune imwe colonoscopy, chiremba anofambisa colonoscope kuburikidza nekamuri yako yose, kusvika kune cecum, achitarisa mapepa kana kuwedzerwa kunokanganisa kunogona kuva kenza. Kana mapepa akaonekwa, anogona kubviswa. Sezvo hutano hwekodhoni dzakawanda huchatanga semapuropiti anonyatsogadziriswa, colonoscopy haigoni kuona kenza chete, asi, kuburikidza nekubviswa kwezvipembenene izvi, zvinogona kudzivirira kukura kwekenza yekoloni.
Munguva yekolonoscopy, zvakadaro, inenge 10 muzana yenguva iyo colonoscope haigoni kubudiswa nzira yose kuenda kune cecum, uye saka inosuwa nzvimbo iyi. Izvi zvinogona kuitika nekuda kwekutevedza, kana zvimwe zvinetso zvinokonzera kuti korooni inotyisa kana kuti yakaoma kufamba. Barium enemas inogona kuitika, asiwo inoshaya zvimwe zvakarurama. Apo iyi ndiyo mamiriro acho, ikonikonikoni yakakwana inokwanisa kuona kenza yekecum apo mamwe mimwe miedzo inokundikana.
Dzimwe mimwe miedzo, yakadai seCCT yemudumbu mako, inogonawo kuitwa kuti uongorore nzvimbo yececum yako, uye kutsvaga uchapupu hwekupararira kwekenza.
Zvinosuruvarisa, chiyero dzimwe nguva chinoshandiswa kurongedza kenza yekoloni, sigmoidoscopy inogadziriswa, inongoratidzira rutivi rworuboshwe rwekoloni uye inopotsa kanzira dzekecum uye yakarurama colon.
Kurapa
Kana kenza yakakura kwazvo kuti isabviswa mu polypectomy nenzira, unogona kuvhiyiwa kuti uibvise. Nzira yakakurumbira yekuvhiya kwekenza yemakecum inonzi yakarurama hemicolectomy -kuvhiya kwacho kunobvisa rutivi rworudyi rwekoni yako uye kunobatanidza chikamu chinosara kumutsipa wako muduku. Zvichienderana nezvenhandare uye girasi rekenza yako, chiremba wako anogonawo kukurudzira kurapa kwaAdjuvant, kusanganisira chemotherapy uye mahara.
Prognosis
Kuenzaniswa nekenza yemakironi ari kuruboshwe, saratani yakarurama-coloni, yakadai seyececum, ine uwandu husina simba hwekupona. Izvi zvinogona kunge zvakakonzerwa nekuoma kwakaoma mukuongorora zvirwere izvi uye chikwata chepamusoro chezvirwere nenguva yekuongororwa.
Pasinei nekufungidzira uku, kanhi-sided colon cancer inenge isingagoni kupararira (metastasize) kuchiropa nemapapu kune makondombera akasiyiwa.
Shoko Rinobva
Zvichienderana nezvimwe zvirwere zvekenza, kenza yekecum inogona kuva yakaoma kuti iongorore, zvichibva pane zviratidzo zviviri zvakasiyana nemararoni emakononi zvinopfuurira mberi mumakoloni, uye kuoma kukuru kuona nzvimbo ino pakuongorora miedzo. Zviratidzo zvekare zvinowanzobatanidza kushaiwa kwesimbi kusagadzikana nemhaka yeropa rechidiki. Kuperesika kwesimbi kunoshaya nguva dzose kunofanira kuongororwa, kunyanya kune varume uye mumadzimai emasimopaopausal.
Kuongorora colonoscopies ndiyo nzira yakanakisisa yekuona chirwere ichi, asi usingawanzofi kunzvimbo yekecum. Kana izvi zvikaitika, vironic colonoscopy isarudzo iyo inogona kubatsira kufungidzira iyo yakakwirira yepamusoro pekoni.
Izvo zvinodaro zvinosuruvarisa zvekenza yekecum kupfuura mamwe majekesheni emakoroni, zvichida ane chokuita nekuoma kwakaoma pakuongorora chirwere mumavambo ekutanga. Kana iwe uine zviratidzo kana zviratidzo zvinoratidza kufanana nekenza yekecum, taura nachiremba wako. Zvimwe zvezviratidzo izvi zvinomutsa kufunganya nezvimwe mamiriro ezvinhu akaoma zvakare. Nenzira inofadza, kunyange zvazvo pane gakava pamusoro pekuongorora mamwe maitiro ekenza yekoloni, kuongorora mapironoscopies kwekenza yekoloni kuri kuchengetedza hupenyu, uye tinovimba kuti ichavandudza mararamiro ehupenyu munguva yemberi.
> Sources:
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> National Cancer Institute. Colon Cancer Treatment (PDQ) -Health Professional Version. Yashandurwa 02/16/18. https://www.cancer.gov/types/colorectal/hp/colon-treatment-pdq
> Suttie, S., Shaikh, T., Mullen, R. et al. Mugumisiro wekodzero-uye kuruboshwe-rutivi rweColonic uye Rectal Cancer Mushure mekutsvaga kutsvaga. Colorectal Diseases . 2011. 13 (8): 884-9.