Dumbu Kenza (Gastric Adenocarcinoma)

Zvemukati

• Chii chinokonzera gomarara remudumbu?
• Njodzi zvinhu zvekenza yemudumbu
• Zviratidzo zvegomarara remudumbu
• Inoonekwa sei?
• Kurapa gomarara remudumbu
• Kudzivirira kenza yemudumbu
• Maonero kwenguva refu

Chii chinonzi kenza yemudumbu?

Gomarara redumbu rinoonekwa nekukura kwemaseru ane gomarara mukati memukati memudumbu. Iyo inonziwo gomarara remudumbu, rudzi urwu rwegomarara rwunonetsa kuongorora nekuti vanhu vazhinji havawanzo kuratidza zviratidzo mumatanho ekutanga.

Sangano reNational Cancer Institute (NCI) rinofungidzira kuti panenge paine vangangoita zviuru makumi maviri nezviviri zvegomarara remudumbu muna 2017. Iyo NCI inofungidzirawo kuti gomarara remudumbu i1.7 muzana yezviitiko zvitsva zvegomarara muUnited States.

Nepo kenza yemudumbu isingawanzo kuwanikwa kana ichienzaniswa nedzimwe mhando dzekenza, imwe yenjodzi huru dzechirwere ichi kunetsekana kwekuchiona. Sezvo gomarara remudumbu kazhinji risingakonzere chero zviratidzo zvekutanga, rinowanzoenda risingazivikanwe kusvikira rapararira kune dzimwe nhengo dzomuviri. Izvi zvinoita kuti zvinyanye kuoma kurapa.

Kunyangwe gomarara remudumbu ringave rakaoma kuongorora uye kurapa, zvakakosha kuti uwane ruzivo rwaunoda kurova chirwere.

Chii chinokonzera gomarara remudumbu?

Dumbu rako (pamwe nesophagus) inongova chikamu chimwe chete chechikamu chepamusoro chenzira yako yekugaya. Dumbu rako rine basa rekuzeya chikafu uyezve nekufambisa zvinovaka muviri kune dzimwe nhengo dzako dzekugaya, kureva ura hudiki uye hwakakura.

Gomarara redumbu rinoitika kana masero akagwinya mukati mechikamu chepamusoro chekugaya chikava chegomarara nekukura kunze kwekudzora, kuchiita bundu. Izvi zvinoitika zvishoma nezvishoma. Kenza yedumbu inowanzo kukura pamusoro pemakore mazhinji.

Njodzi zvinhu zvekenza yemudumbu

Gomarara redumbu rakabatana zvakananga nemamota mudumbu. Zvisinei, pane zvimwe zvinhu zvinogona kuwedzera njodzi yako yekukudziridza maseru ane gomarara. Izvi zvinhu zvine njodzi zvinosanganisira zvimwe zvirwere nemamiriro, akadai se:

• lymphoma (boka rekenza yeropa)
• H. pylori hutachiona hutachiona (hunowanikwa hutumbu hutachiona hunogona dzimwe nguva kutungamira kune maronda)
• mamota mune zvimwe zvikamu zvegadziriro yekugaya
• dumbu polyps (zvisina kujairika kukura kwetishu iyo inoumba pamutsetse wedumbu)

Kenza yemudumbu yakajairika zvakanyanya pakati pe:

• vakura vakuru, kazhinji vanhu vane makore makumi mashanu zvichikwira
• varume
• vaputi
• vanhu vane nhoroondo yemhuri yechirwere
• vanhu vari veAsia (kunyanya chiKorea kana chiJapanese), South America, kana chizvarwa cheBelarusian

Nepo nhoroondo yako yekurapa inogona kukanganisa njodzi yako yekuva nekenza yemudumbu, mamwe maitiro ehupenyu anogona zvakare kuita basa. Unogona kuve unowanzo kuve nekenza yemudumbu kana iwe:

• idya zvakawanda zvine munyu kana zvakagadziriswa chikafu
• kudya nyama yakawandisa
• vane nhoroondo yekudhakwa
• usaite maekisesaizi
• usachengete kana kubika chikafu zvakanaka

Iwe ungangoda kufunga nezvekutora bvunzo yekuongorora kana iwe uchitenda kuti uri panjodzi yekuva nekenza yemudumbu. Kuongororwa kuongororwa kunoitwa kana vanhu vari panjodzi yezvimwe zvirwere asi vasingaratidze zviratidzo parizvino.

Zviratidzo zvegomarara remudumbu

Zvinoenderana neiyo, kazhinji hapana zviratidzo zvekutanga kana zviratidzo zvekenza yemudumbu. Nehurombo, izvi zvinoreva kuti vanhu kazhinji havazive chero chinhu chakashata kusvikira gomarara rasvika padanho repamusoro.

Zvimwe zvezviratidzo zvakajairika zvekenza yemudumbu yakakwira ndeiyi:

• kusvotwa uye kurutsa
• kazhinji chirungurira
• kurasikirwa nenzara, dzimwe nguva kunoperekedzwa nekukurumidza kurasikirwa uremu
• kugara uchiputika
• kutanga kuguta (kunzwa kuzara mushure mekudya zvishoma chete)
• zvituru zvine ropa
• jaundice
• kuneta zvakanyanya
• kurwadziwa mudumbu, uko kunogona kuve kwakaipisisa mushure mekudya

Inoonekwa sei?

Sezvo vanhu vane gomarara remudumbu vasingawanzo kuratidza zviratidzo mumatanho ekutanga, chirwere ichi hachiwanzo kuongororwa kusvikira chave kumberi.

Kuti uwane kuongororwa, chiremba wako anotanga kuita bvunzo dzepanyama kuti aongorore zvisizvo. Vanogona zvakare kuraira kuongororwa kweropa, kusanganisira bvunzo yekuvapo kwe H. pylori mabhakitiriya.

Dzimwe bvunzo dzekuongorora dzinofanirwa kuitwa kana chiremba wako achitenda kuti iwe unoratidza zviratidzo zvekenza yemudumbu. Kuongororwa kuongororwa kunotsvaga anofungidzirwa mamota uye zvimwe zvisina kujairika mudumbu uye esophagus. Iyi bvunzo inogona kusanganisira:

• yepamusoro gastrointestinal endoscopy
• bhiopsy
• imaging bvunzo, senge CT scans uye X-rays

Kurapa gomarara remudumbu

Pachivanhu, kenza yemudumbu inorapwa nechero chimwe kana zvakawanda zvinotevera.

• chemotherapy
• radiation kurapwa
• kuvhiya
• immunotherapy, senge majekiseni uye mishonga

Yako chaiyo yekurapa chirongwa kunoenderana nekwakatangira uye nhanho yekenza. Zera uye hutano hwakazara zvinogona zvakare kuita basa.

Kunze kwekurapa cancer maseru mudumbu, chinangwa chekurapa ndechekudzivirira maseru kubva pakupararira. Gomarara redumbu, kana rikasarapwa, rinogona kupararira kune:

• mapapu
• lymph nodes
• mabhonzo
• chiropa

Kudzivirira kenza yemudumbu

Kenza yemudumbu yega haigone kudzivirirwa. Nekudaro, iwe unogona kudzikisa njodzi yako yekukudziridza zvese kanzura na:

• kuchengetedza huremu hune hutano
• kudya kudya kwakadzikama, kwakaderera-mafuta
• kurega kusvuta
• kurovedza muviri nguva dzose

Mune zvimwe zviitiko, vanachiremba vanogona kutopa mishonga inogona kubatsira kudzikisa njodzi yekenza yemudumbu. Izvi zvinowanzoitirwa vanhu vane zvimwe zvirwere zvinogona kukonzera gomarara.

Iwe unogona zvakare kuda kufunga nezvekuwana yekutanga kuongorora bvunzo. Bvunzo iyi inogona kubatsira pakuona kenza yemudumbu. Chiremba wako anogona kushandisa imwe yeanotevera ekuongorora bvunzo kuti atarise zviratidzo zvekenza yemudumbu:

• kuongorora muviri
• miedzo yemurabhorari, senge kuongororwa ropa uye weti
• maitiro ekufungidzira, akadai seX-ray uye CT scans
• magene ekuongorora

Maonero kwenguva refu

Mikana yako yekupora iri nani kana kuongororwa kwacho kukaitwa mumatanho ekutanga. Sekureva kweNCI, vangangoita makumi matatu muzana yevanhu vese vane gomarara remudumbu vanorarama makore mashanu mushure mekuonekwa.

Ruzhinji rwevapukunyuki vane kuongororwa kwenzvimbo. Izvi zvinoreva kuti mudumbu ndiko kwaive kwakatangira gomarara. Kana pakatangira isingazivikanwe, zvinogona kunetsa kuongorora uye kuisa gomarara. Izvi zvinoita kuti gomarara riome kurapa.

Zvakare zvinonyanya kuomera kurapa gomarara remudumbu kana rasvika padanho rekupedzisira. Kana kenza yako yapfuura zvakanyanya, ungangoda kufunga nezve kutora chikamu mukuedzwa kwekiriniki.

Kliniki miedzo inobatsira kuona kana nzira nyowani yekurapa, chishandiso, kana imwe nzira yekurapa inoshanda pakurapa zvimwe zvirwere nemamiriro. Unogona kuona kana paine chero kiriniki miedzo yekurapwa kwekenza yemudumbu pane iyo.

Iyo webhusaiti zvakare inofanira kukubatsira iwe nevadiwa vako kutsungirira chirwere chekenza yemudumbu uye kurapwa kwayo kunotevera.