Mukati
Sigmoid colon cancer inogona kuitika chero zera. Asi mu60% yezviitiko zvinowanikwa kune vakwegura varwere vanenge makore makumi mashanu. Muchiitiko ichi, varume vanowanzobatwa.
Iyo sigmoid colon iri pamusoro pe rectum kuruboshwe rwedumbu. Iine S-chimiro. Imhaka yeizvi kuti bolus yezvokudya, inofamba nemumatumbo, inogara munzvimbo iyi kwenguva refu. Nguva yekuratidzwa kwezvigadzirwa zvekugadzira chikafu kune nhengo mucosa inowedzera. Izvi zvinowedzera mukana wekuita cancer.
Chii chinonzi sigmoid colon cancer
Sigmoid colon cancer chirwere cheoncological. Mu 95% yezviitiko, rudzi rweneoplasm inowanikwa ndeye adenocarcinoma. Bundu rinowanzoita muchikamu chepamusoro chemukati - mucosa.
Maererano nenhamba, kazhinji rudzi urwu rwegomarara runoonekwa rwatova mumatanho ekupedzisira. Chirwere chacho chakaoma kuona mumatanho ekutanga, kazhinji hachizviiti chakanzwa zvachose. Zvakakosha kunyatsoteerera sezvinobvira kune zvese zvinofungirwa zviratidzo, sezvo mumatanho ekupedzisira e sigmoid colon cancer hairapike. Murwere anongobvisa zviratidzo.
Zvokudya zvisina kunaka uye maitiro asina kunaka ekudya zvinokanganisa ura. Kazhinji, kushaya zvokudya zvinovaka muviri kunokonzera kuvimbiswa - kumira kwetsvina, kuderera kwemukati motility.
Zvikonzero zve sigmoid colon cancer
Kenza ye sigmoid colon inotsamwiswa nezvikonzero zvakawanda. Kusanganiswa kwezvinhu zvakawanda zvinogona kutungamirira kuchirwere chakadaro.
Genetic predisposition inoita basa rinokosha. Kana mumwe wehama atove negomarara remudumbu, mukana wekurwara unowedzera. Iko kune zvakare predisposition yekuumbwa kwema polyps - benign formations. Asi nekufamba kwenguva, vanogona kushanduka kuita chimiro chakashata.
Inotsamwisa chirwere uye inogara ichizvimba maitiro mumatumbo - colitis, chirwere cheCrohn uye mamwe ma pathologies.
Nezera, njodzi ye sigmoid colon cancer inowedzera. Asi kwete makore ndiwo anokonzera, asi kuchinja kwehupenyu hwemunhu: kuderera kwekufamba, kufutisa, kazhinji mishonga.
Kune vanhu vese, kuda kwakanyanyisa chikafu checarcinogenic, nyama, uye macarbohydrates anokurumidza kuchava nengozi. Gomarara rinokonzerwa nedoro nekuputa fodya.
Kugara kudhakwa kwemuviri nezvigadzirwa zvekuora, kuratidzwa kune chepfu pamatumbo emucosa kunotungamirira kukura kweatypical epithelium. Epithelium iri kukura chiratidzo chekuti polyp yatanga kuumbwa. Ichi chirwere chinoonekwa sechisina kunaka uye pasina kutarisa uye kurapwa, iyo polyp inogona kuzvarwa patsva.
Mu sigmoid colon, kubuda kweropa kunodzikiswa. Izvi zvinoderedzawo kukura kwemamota, saka anogona kukura kwenguva yakareba. Rusvingo rwe peritoneum harubvumiri kuona zvimwe zviratidzo zvekunze zvekukura kwebundu. Zvese izvi, pamwe nekusavapo kazhinji kwezviratidzo, zvinoita kuti sigmoid colon cancer iome kuongororwa.
Matanho e sigmoid colon cancer
Gomarara rakakamurwa kuita nhanho zvichienderana nekuregeredza kwechirwere. Nechikamu chimwe nechimwe, mukana wemurwere wekurarama uye kurebesa hupenyu mushure mekurapa kweanenge makore mashanu unoderera.
Stage 0. Inonzi zvakare "cancer in situ" - in situ. Iyi ndiyo danho rekutanga rechirwere. Panguva ino, pathological process inoitika chete mu intestinal mucosa.
Stage 1. Iko kunotova nebundu kukura mu mucous membrane, asi haipfuuri kupfuura iyo. Mikana yekurapa panguva ino yakakura kwazvo - mu96 - 99% yezviitiko.
Stage 2. Rinokamurwa kuita mhando mbiri zvichienderana nekuti bundu racho rinokura sei.
- mhando II-A - iyo yakakanganiswa matishu inopararira mukati memukati lumen, ichivharira iyo inenge hafu, chiyero chekupona chinenge 95%;
- mhando II-B - bundu rinodzika mukati memadziro emadziro egumbo rekudya, asi metastatic masero haaparadzire, chikamu chekupona murudzi urwu chakaderera.
Stage 3. Panguva iyi ndipo panogona kuonekwa metastases. Danho rechitatu rakakamurwawo kuita subtypes.
- mhando III-A - bundu rinopararira mukati intestinal lumen, hapana metastasis, asi bundu riri voluminous zvokuti kuvhara anenge ose intestinal lumen, fungidziro yakanaka inocherechedzwa 58 - 60% varwere;
- mhando III-B - bundu rinopinda mumadziro emukati, metastases imwe chete kune lymph nodes inocherechedzwa, chiyero chekurarama chinodererawo - chete 40 - 45% yezviitiko.
Stage 4. Muchikamu chekupedzisira, metastases inopararira kune nhengo dziri kure uye lymph nodes. Iyo bundu panguva imwechete inodzika mukati mematishu enhengo dziri pedyo - kazhinji muchiropa. Zvakaoma kubatsira varwere panguva iyi; chete 8-10% yevarwere vanogona kupora.
Panguva ino, kunewo kupatsanurwa kuva subtypes, sezvo bundu rinokanganisa nzvimbo dzakasiyana.
- subtype 4A - bundu rinokura kuburikidza nezvikamu zvose zvehuku, kune kanenge 1 kure metastasis (somuenzaniso, kumapapu), nepo nhengo dzakavakidzana dzingasakanganiswa zvachose nebundu;
- subtype 4B - bundu rinomera zvachose kana kuti chikamu chepamadziro emukati, pane kanenge 1 metastasis kune nhengo dziri kure kana akati wandei kune lymph nodes, panogona kana kusaita metastases kune nhengo dziri pedyo;
- subtype 4C - bundu rakura kuburikidza nemadziro emukati zvachose. Kune metastases munhengo dziri pedyo, bundu rinogona kupararira kunzvimbo dziri kure dze peritoneum, panogona kunge pasina metastases iri kure.
Zviratidzo zve sigmoid colon cancer
Mumatanho ekutanga, panogona kunge pasina zviratidzo zvachose, uye iyi ndiyo njodzi yechirwere. Izvozvo zviratidzo zvinoonekwa zvinowanzovhiringidzika nezvimwe zvirwere kana kusaenda kuna chiremba zvachose.
Kenza ye sigmoid colon inogona kuratidzwa ne flatulence, belching, kurira mudumbu. Manyoka uye kuvimbiswa zvinowanzochinjana. Kuvharwa kwehutu neropa kunogona kuonekwa mumarara - vazhinji vanovhiringidza izvi nemahemorrhoids. Nekukura kwebundu, kurwadziwa mudumbu, kusagadzikana panguva yekufamba kwehuta, kunzwa kusina kukwana kwekubvisa kwemukati kunovhiringidza.
Mumatanho ekupedzisira echirwere, zviratidzo zvinowanzoitika: kuneta, kushungurudza nguva dzose, fivha, musoro. Munhu anoonda, anorasikirwa nechido. Ganda rinova grey kana yero, rakachenuruka. Chiropa chinogona kukura uye hemoglobin iri muropa inoderedzwa.
Kurapa kwe sigmoid colon cancer
Kurapa kwechirwere chakadaro kunogara kwakaoma - haugoni kuita nenzira imwe chete, kunyange yakanakisisa. Kurapa kunosanganisira kuvhiyiwa, radiotherapy uye chemotherapy.
Basa rinokosha rinopiwa kurapwa kwekuvhiya. Kana bundu racho riri diki uye makonari ayo akajeka, nyama yakakanganiswa inogona kubviswa. Zvikamu zvakakosha kuti ubvise chikamu chemukati wakakanganiswa, pamwe ne lymph nodes. Kana bundu iri "rakareruka" - diki uye rakaderera-giredhi, rinogona kubviswa nenzira yakapfava. Kuburikidza nediki punctures, endoscope inopinzwa, iyo inodzivirira kuvhiyiwa mudumbu.
Mukurapa kenza yedanho rekupedzisira mumatambudziko epamusoro, kubviswa kwakakwana kwe sigmoid colon hakudzivisiki. Kuti abvise tsvina uye magasi, colostomy inoiswa, dzimwe nguva kwehupenyu hwose, sezvo zvisingabviri kubvisa zvigadzirwa zvekugadzira zvokudya nenzira yakajairika.
Diagnostics
Ongororo yacho inofanirwa kuve yakakwana, zvine njodzi zvakanyanya kuvhiringa cancer nezvimwe, zvirwere zvishoma zvine ngozi.
Kana pane zvichemo, chiremba anogona kuitisa kuongororwa kwedigital rectum. Zvadaro, kuongorora endoscopic kunorayirwa: colonoscopy, sigmoidoscopy. Maitiro acho anorwadza, dzimwe nguva anesthesia inodiwa. Vamwe varwere havafanirwe kuita colonoscopy. Munguva yekudzidza, endoscope inopinzwa mu anus, ichiongorora matumbo. Vanotorawo biopsy yenzvimbo dzinofungidzirwa - zvinokwanisika kuona kuumbwa uye chimiro chebundu, zvakasiyana-siyana. Kurapa kuchaenderanawo neizvi.
Pane nzira shoma shoma - irrigoscopy. Murwere anotora barium solution inozadza matumbu. Zvadaro, x-ray inotorwa, iyo inoratidza chimiro chemukati uye mabhende ayo.
Zvose zviri zviviri ultrasound uye MRI yedumbu remudumbu zvinoshandiswa. Nekubatsira kwavo, unogona kuongorora ukuru hwebundu, kuvapo kwemasastases. Kuongororwa kweropa kwemakaki emamota kunosungirwawo.
Mishonga yemazuva ano
Pamusoro pekurapa kwekuvhiya, bundu rinokanganiswa zvakanyanya. Chemotherapy inoparadza nyama yakakanganiswa uye inodzivirira bundu kukura. Mishonga ine chepfu inobata muviri wese, asi kurapwa kunoshanda zvakanyanya. Chemotherapy inodzivisa bundu kukura uye inodzivirira kudzoka kwechirwere. Inorayirwa zvose zvisati zvaitika uye shure kwekuvhiyiwa kuti isimbise maitiro.
Radiotherapy inoshandiswa nekuchenjerera, sezvo kune ngozi yekukuvadza kumadziro emukati. Iyo inoshanda zvakare mugomarara re sigmoid colon.
Kudzivirira sigmoid colon cancer kumba
Vanhu vese vanofanirwa kuongororwa. Kune zvakare zvirongwa zvehurumende zvekuongorora gomarara remuura - zvinoshanda kumunhu wese anopfuura makore makumi mashanu. Chirongwa ichi chinosanganisira kuongororwa ropa kwefecal (kunotorwa makore maviri ega ega) uye colonoscopy (makore mashanu ega ega).
Zvakakosha kutarisa kudya kwako, kudzivisa kuvimbiswa uye manyoka, kudya nyama shoma uye hupfu chena, uye mimwe miriwo uye fiber. Mitambo, mararamiro anoshingaira achabatsira, kana zvisina kudaro intestinal motility ichakurumidza kuderera.
Zvakakosha kuti usatanga kurapwa kwezvirwere zvinoputika zvakadai secolitis. Dzivisa fodya nedoro.
Mibvunzo nemhinduro dzakakurumbira
Kuti uzvidzivirire kubva kuchirwere chine ngozi chakadaro, zvishongedze nemashoko uye shanyira chiremba nenguva pane kunyumwira kuduku. Akapindura mibvunzo inonyanya kukosha nezve sigmoid colon cancer murapi Yulia Tkachenko.
Zvidzidzo zvakakura zvakaratidza kuti kudya kwakanyanya munyama tsvuku, pamwe nekuderera mufiber yemiti, zviyo zvakakwana, uye calcium, inobatanidza nekukura kwekenza yekoloni. Vagari vomumaguta vanozivikanwa kuti vanodya zviyo zvishoma uye nokudaro vanotambura nehosha yomudumbu kakawanda kupfuura vanogara kumaruwa.
Kuderedzwa kwekuita kwemuviri uye kufutisa zvakare zvinoramba zvakakosha zvinhu, izvo zvinowanzoitika kune vagari vemumaguta kupfuura kune avo vanogara mumisha nemisha.
Zviratidzo zvekuzvidya mwoyo ndiko kuchinja kwechimiro chechigaro. Kuzvimbirwa kunochinjana netsvina inogumbura. Panogona kunge paine musanganiswa weropa, kurwadziwa, kunzwa kusakwana kwekubuda.
Mukuwedzera, kune huwandu hwezviratidzo zvakajairwa, senge tembiricha yemuviri inogara ichirembera kusvika 37-37,5 madhigirii, kurasikirwa uremu, kurasikirwa nechido uye kuvenga chikafu, kushaya simba kwese. Zviratidzo zvose izvi zvinoratidza kuti unofanira kuona chiremba nokukurumidza.
Kana iwe uine hanya nekurwadziwa kwepamuviri kana kuchinja kwechigaro, saka unofanira kutanga nekubvunzurudza ne gastroenterologist. Uye kana paine matambudziko nekufamba kwematumbo uye kutaridzika kweropa muchitsiko, zviri nani kuonana neproctologist. Kana zviratidzo zvakajairika zvichikunetsa, unofanirwa kuonana nachiremba kana chiremba mukuru.
Nehurombo, isu hatigone kushandura genetic predisposition, saka zvinodikanwa kugadzirisa mararamiro emararamiro. Kurega kusvuta, kushingaira, uye kuderedza uremu kusvika kumazinga akaenzana kuchabatsira kuderedza njodzi yekenza yekoloni. Iwe unofanirwawo kutarisa kudya kwako. Izvo zvakakosha kuti unzwisise kudiwa kwekuongororwa nguva dzose, mushure memakore makumi mashanu munhu wese anoida.