Kenza yemudumbu

Gomarara redumbu igomarara rinotangira mudumbu.

Mhando dzinoverengeka dzekenza dzinogona kuitika mudumbu. Rudzi rwakanyanya kunzi inonzi adenocarcinoma. Inotanga kubva kune imwe yemaseru mhando inowanikwa mumucheto wedumbu.

Adenocarcinoma kenza yakajairika yenzira yekugaya. Hazvina kujairika muUnited States. Inowanikwa kazhinji kazhinji muvanhu vari kumabvazuva kweAsia, zvikamu zveSouth America, uye kumabvazuva uye pakati peEurope. Inoitika kazhinji muvarume vanopfuura makore makumi mana.

Huwandu hwevanhu muUnited States vanoita gomarara iri hwaderera pamusoro pemakore. Nyanzvi dzinofunga kuti kuderera uku kunogona kunge kuri muchikamu nekuti vanhu vari kudya zvishoma zvine munyu, zvakarapwa, uye zvinoputa fodya.

Iwe unowanzo kuve unowanikwa uine gastric cancer kana iwe:

• Iva nechikafu chakaderera mumichero nemiriwo
• Iva nenhoroondo yemhuri yekenza yemudumbu
• Iva neutachiona hwemudumbu nehutachiona hunodaidzwa Helicobacter pylori (H pylori)
• Wakanga uine polyp (kukura zvisina kujairika) yakakura kudarika 2 masentimita mudumbu rako
• Iva nekuzvimba uye kuzvimba kwemudumbu kwenguva yakareba (chisingaperi atrophic gastritis)
• Iva nehutachiona hweanemia (yakaderera nhamba yemasero matsvuku eropa kubva mumatumbu asiri kunyatsotora vhitamini B12)
• Chiutsi

Zviratidzo zvekenza yemudumbu zvinogona kusanganisira chero eanotevera:

• Kuzara kwemukati kana kurwadziwa, izvo zvinogona kuitika mushure mekudya kudiki
• Zvitima zvakasviba
• Zvakaoma kumedza, izvo zvinowedzera kuwedzera nekufamba kwenguva
• Kuwedzeredza belching
• Kazhinji kuderera kwehutano
• Kupererwa nechido
• Nausea
• Kusvipa ropa
• Kushaya simba kana kuneta
• Kuonda

Kuongororwa kunowanzo kunonoka nekuti zviratidzo zvinogona kusangoitika kumatanho ekutanga echirwere. Uye mazhinji ezviratidzo haanyatsonongedzera kugomarara remudumbu. Nekudaro, vanhu vanowanzozvibata-pachavo zviratidzo zvekuti gomarara repamuviri rakafanana nezvimwe, zvishoma zvakakomba, kusagadzikana (kuzvimba, gasi, kuora moyo, uye kuzara).

Miedzo inogona kubatsira kuongorora chirwere chegomarara inosanganisira:

• Yakazara kuverenga kweropa (CBC) kutarisa kushomeka kweropa.
• Esophagogastroduodenoscopy (EGD) ine biopsy yekuongorora matumbu edumbu. EGD inosanganisira kuisa kamera diki pasi peyophagus (chikafu chubhu) kutarisa mukati medumbu.
• Stool bvunzo kutarisa ropa muzvituru.

Kuvhiya kubvisa dumbu (gastrectomy) ndiyo yakajairwa kurapwa iyo inogona kurapa adenocarcinoma yemudumbu. Radiation therapy uye chemotherapy inogona kubatsira. Chemotherapy uye radiation radiation mushure mekuvhiyiwa inogona kuvandudza mukana wekupora.

Kune vanhu vasingakwanise kuvhiyiwa, chemotherapy kana radiation inogona kuvandudza zviratidzo uye inogona kuwedzera kupona, asi isingarape kenza. Kune vamwe vanhu, nzira yekuvhiya inopfuura inogona kubvisa zviratidzo.

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Maonero anosiyana zvichienderana nekuti kenza yakapararira zvakadii nenguva yekuongororwa. Mamota mudumbu rezasi anorapwa kakawanda kupfuura aya ari mudumbu repamusoro. Mukana wekurapa zvinoenderana nekuti bundu rakapinda sei mudumbu uye kuti lymph node dzakabatana here.

Kana bundu rapararira kunze kwedumbu, mushonga unowanzoitika. Kana mushonga usingakwanise, chinangwa chekurapa ndechekuvandudza zviratidzo uye kuwedzera hupenyu.

Fonera wako mupi wezvehutano kana zviratidzo zvegomarara repamuviri zvichikura.

Zvirongwa zvekuvhenekera zvinobudirira mukuona chirwere mumatanho ekutanga mumativi epasi apo njodzi yekenza yemudumbu yakakwira zvakanyanya kupfuura muUnited States. Iko kukosha kwekuvhenekwa muUnited States nedzimwe nyika dzine huwandu hwakaderera hwecancer yemudumbu haina kujeka.

Izvi zvinotevera zvinogona kubatsira kudzikisa njodzi yako yekenza yemudumbu:

• USASVIRA.
• Chengetedza chikafu chine hutano chine michero nemiriwo.
• Tora mishonga yekurapa chirwere cheflux (chirungurira), kana unacho.
• Tora mishonga inorwisa mabhakitiriya kana iwe ukaonekwa uine H pylori hutachiona.

Kenza - mudumbu; Kenza yemudumbu; Gastric carcinoma; Adenocarcinoma yemudumbu

• Kugaya chirongwa
• Gomarara redumbu, x-ray
• Dumbu
• Gastrectomy - akateedzana

Abrams JA, Quante M. Adenocarcinoma yedumbu uye mamwe matumbo emimba. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.

Gunderson LL, Donohue JH, Alberts SR, Ashman JB, Jaroszewski DE. Kenza yemudumbu uye gastroesophageal junction. Mune: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff's Clinical Oncology. 5 ed. Philadelphia, PA: Elsevier Saunders; 2014: chits. 75.

National Cancer Institute webhusaiti. Gastric cancer kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/stomach/hp/stomach-treatment-pdq. Yakagadziridzwa Nyamavhuvhu 17, 2018. Yakasvika munaNovember 12, 2018.