Gomarara

Gomarara rekanzuru igomarara rinotangira muguvhu. Iyo anus ndiko kuvhura kumagumo kweako rectum. Iyo rectum ndiyo yekupedzisira chikamu chemuhomba wako mukuru uko kwakasimba tsvina kubva kuchikafu (chetsoka) inochengetwa. Chitsiko chinosiya muviri wako kuburikidza nehure kana iwe uine ura kufamba.

Gomarara rekanzuru harishoma. Inopararira zvishoma nezvishoma uye iri nyore kurapwa isati yapararira.

Gomarara repanhengo rinogona kutanga chero kupi muanus. Kwazvinotangira kunogadza mhando yegomarara iri.

• Squamous sero carcinoma. Iyi ndiyo mhando yakajairika yegomarara repamberi. Inotanga mumasero anoisa canal anal uye anokura kuita munyama wakadzika.
• Cloacogenic carcinoma. Anenge ese mamwe emaronda egomarara ndiwo mamota anotanga mumasero anonamira nzvimbo iri pakati peanus uye rectum. Cloacogenic carcinoma inotaridzika zvakasiyana pane squamous cell cancer, asi inoita zvakafanana uye inobatwa zvakafanana.
• Adenocarcinoma. Rudzi urwu rwegomarara repamazamu haruwanzo muUnited States. Inotangira mumatunduru ekumashure ezasi kweiyo anal pamusoro uye inowanzo kuve yepamusoro kana yawanikwa.
• Kenza yeganda. Dzimwe gomarara dzinogadzira kunze kweiyo anus munzvimbo yeperianal. Iyi nharaunda inonyanya kuve ganda. Mamota pano makenza eganda uye anorapwa segomarara reganda.

Chikonzero chegomarara repanhengo hachina kujeka. Nekudaro, pane hukama pakati pegomarara repanhengo yemunhu papillomavirus kana hutachiona hweHIVV. HPV hutachiona hunopfuudzwa pabonde hwave hwakabatana nemamwe makenza zvakare.

Zvimwe zvinhu zvakakura zvine njodzi zvinosanganisira:

• Mukondombera. Gomarara rezvemashure rakajairika pakati pevarume vane hutachiona hweHIV / AIDS vanoita bonde nevamwe varume.
• Kuita zvepabonde. Kuva nevakawanda pabonde uye kuita nekumashure kunobuda nako tsvina idzo dzose njodzi huru. Izvi zvinogona kukonzerwa nenjodzi yakawedzera yeHIVV uye hutachiona hweHIV / AIDS.
• Kusvuta. Kuregedza kunoderedza njodzi yako yekenza yemukati.
• Dziviriro yezvirwere zvisina kusimba. HIV / AIDS, kuisirwa nhengo, mimwe mishonga, uye zvimwe zvinhu zvinoderedza immune system zvinowedzera njodzi yako.
• Zera. Vanhu vazhinji vane gomarara repanhengo vane makore makumi mashanu kana kudarika. Muzviitiko zvisingawanzoitika, inoonekwa muvanhu vadiki pane makore makumi matatu nemashanu.
• Zvepabonde uye rudzi. Gomarara repanhengo rakajairika pakati pevakadzi kupfuura varume mumapoka mazhinji. Vazhinji vemuAfrica vanhurume vanowana gomarara repanhengo kupfuura vakadzi.

Kubuda ropa mukati, kazhinji kacho kudiki, ndicho chimwe chezviratidzo zvekutanga chegomarara rezvemashure. Kazhinji, munhu anokanganisa kufunga kuti kubuda ropa kunokonzerwa nemahemorrhoids.

Zvimwe zviratidzo zvekutanga nezviratidzo zvinosanganisira:

• Bundu mukati kana padyo nenzara
• Kurwadziwa kweanal
• Itching
• Kubuda kubva kune anus
• Chinja muhunhu tsika
• Dzimba lymph node munzvimbo yekugomera kana anal nzvimbo

Gomarara reanal rinowanzo kuwanikwa nedhijitari rectal bvunzo (DRE) panguva yekujaira kwepanyama bvunzo.

Anokuchengetedza hutano anozobvunza nezve nhoroondo yako yehutano, inosanganisira nhoroondo yebonde, zvirwere zvekare, uye tsika dzako dzehutano. Mhinduro dzako dzinogona kubatsira mupi wako kuti anzwisise njodzi dzako pagomarara repamberi.

Wako mupi anogona kukumbira mimwe bvunzo. Zvinogona kusanganisira:

• Anoscopy
• Proctoscopy
• Ultrasound
• Biopsy

Kana paine bvunzo dzichiratidza kuti une gomarara, mupi wako angangoita kuyedza kwakawanda kuti "aite" gomarara. Kugadzira matanho kunobatsira kuratidza kuti gomarara rakawanda sei mumuviri wako uye kuti rapararira here.

Maitiro egomarara rinoona kuti inorapwa sei.

Kurapa kwekenza yemukati kwakavakirwa pa:

• Chikamu checancer
• Iko kune bundu
• Kunyangwe uine hutachiwana hweHIV / AIDS kana zvimwe zvinokanganisa immune system
• Kunyangwe kenza yakaramba kurapwa kwekutanga kana kuti yakadzoka

Muzviitiko zvakawanda, gomarara repanhengo risina kupararira rinogona kurapwa ne radiation radiation uye chemotherapy pamwechete. Radiation chete inogona kurapa gomarara. Asi muyero wepamusoro unodiwa unogona kukonzera kufa kwetishu uye zvinyama zvitsvuku. Kushandisa chemotherapy nemwaranzi kunoderedza mwero wemwaranzi inodikanwa. Izvi zvinoshanda zvakaringana kurapa kenza ine mashoma mhedzisiro.

Pamamota mashoma kwazvo, kuvhiya chete kunowanzo shandiswa, pachinzvimbo che radiation uye chemotherapy.

Kana gomarara rikasara mushure memwaranzi uye chemotherapy, kuvhiya kunowanzodiwa. Izvi zvinogona kusanganisira kubvisa anus, iyo rectum, uye chikamu chekoloni. Iyo yekupedzisira nyowani yematumbo makuru inozosungirirwa kune yekuvhura (stoma) mudumbu. Maitiro acho anonzi colostomy. Masturu anofamba nepakati pematumbo anodonha nepastoma kupinda muhombodo yakasungirirwa padumbu.

Gomarara rinobata manzwiro aunoita pamusoro pako neupenyu hwako. Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti unzwe kushoma uri wega.

Iwe unogona kukumbira mupi wako kana vashandi vekenza yekurapa nzvimbo kuti vakuendese kuboka rekutsigira gomarara.

Gomarara repanhengo rinopararira zvishoma nezvishoma. Nekurapa kwekutanga, vanhu vazhinji vane gomarara repamberi havana gomarara mushure memakore mashanu.

Iwe unogona kuve nemhedzisiro kubva kuvhiya, chemotherapy, kana radiation radiation.

Ona mupi wako kana iwe ukacherekedza chero eanogona kuve zviratidzo zvegomarara repamberi, kunyanya kana iwe uine chero njodzi dzayo.

Sezvo chikonzero chegomarara repamberi chisingazivikanwe, hazviite kudzivirira zvachose. Asi iwe unogona kutora matanho ekuderedza njodzi yako.

• Dzidzira bonde rakachengeteka kubatsira kudzivirira hutachiona hweHIVV neHIV / AIDS. Vanhu vanoita bonde nevazhinji vavakaroorana navo kana vanoita bonde risina kunovharidzirwa vari panjodzi huru yekubatwa nezvirwere izvi. Kushandisa makondomu kunogona kupa dziviriro, asi kwete dziviriro yakazara. Taura nemupi wako nezve zvaunogona kuita.
• Kumbira mupiki wako nezvevharusi yeHIVV uye kana uchifanira kuiwana.
• USASVIRA. Kana iwe ukasvuta, kurega kunogona kudzikisa njodzi yako yekenza yekumashure pamwe nezvimwewo zvirwere.

Kenza - anus; Squamous cell carcinoma - anal; HPV - gomarara repanhengo

Hallemeier CL, Haddock MG. Anal carcinoma. Mune: Tepper JE, Foote RL, Michalski JM, eds. Gunderson & Tepper's Clinical Mhepo Oncology. 5 ed. Philadelphia, PA: Elsevier; 2021: chitsiko 59.

National Cancer Institute webhusaiti. Anal cancer cancer - yehutano nyanzvi vhezheni. www.cancer.gov/types/anal/hp/anal-treatment-pdq. Yakagadziridzwa Ndira 22, 2020. Yakasvika Gumiguru 19, 2020.

Shridhar R, Shibata D, Chan E, Thomas CR. Gomarara rekanzuru: zvazvino zviyero mukutarisirwa uye shanduko dzichangoburwa mukuita. CA Kanzera J Clin. 2015; 65 (2): 139-162. PMID: 25582527 pubed.ncbi.nlm.nih.gov/25582527/.