Munyori: Louise Ward
Zuva Rekusika: 8 Kukadzi 2021
Gadziridza Zuva: 23 Mbudzi 2024
Anonim
Matanho eCancer Cancer - Utano
Matanho eCancer Cancer - Utano

Zvemukati

Gomarara rekoloni rinoitwa sei

Kana iwe wakamboonekwa uine cancer cancer (inozivikanwawo sekenza yemavara), chimwe chezvinhu zvekutanga chiremba wako chaachazoda kuziva idanho rekenza yako.

Chikamu chinoreva kukura kwegomarara uye nekufamba kwarakaita. Kugadzira kenza yekoloni kwakakosha kuti uone nzira yekurapa yakanakisa.

Gomarara rekoloni rinowanzoitirwa zvichienderana nehurongwa hwakagadzwa neAmerican Joint Committee yeCancer inonzi TNM staging system.

Iyo system inofunga zvinotevera zvinhu:

  • Chironda chepuraimari (T). Bundu repakutanga rinoreva kukura kwaro bundu rekutanga uye kuti gomarara rakura kuita madziro ekoloni kana kupararira kunzvimbo dziri padyo.
  • Nharaunda lymph node (N). Regional lymph node inoreva kana gomarara maseru apararira kune ma lymph node ari padyo.
  • Kure metastases (M): Metastases ari kure anoreva kana gomarara rapararira kubva mukoloni kuenda kune zvimwe zvikamu zvemuviri, zvakadai semapapu kana chiropa.

Cancer nhanho yakatarwa

Mukati mechikamu chimwe nechimwe, hosha yacho inorongedzwa yakatowanda uye inopihwa nhamba kana tsamba kuratidza kukura kwechirwere ichi. Aya mabasa anoenderana nechimiro chekoloni, uye zvakare kuti gomarara rakura zvakadii kuburikidza nematanho emadziro ekoloni.


Matanho ekenza yekoloni ndeaya anotevera:

Chikamu 0

Iyi ndiyo nhanho yekutanga yegomarara rekoloni uye zvinoreva kuti haina kukura kupfuura mucosa, kana mukatikati medumbu rekoloni.

Chikamu 1

Stage 1 gomarara rekoloni rinoratidza kuti gomarara rakura rikava mukamuri yemukati yekoloni, inonzi mucosa, kune inotevera dura rekoloni, inonzi submucosa. Izvo hazvina kupararira kune iyo lymph node.

Chikamu 2

Muchikamu chechipiri kenza yekoloni, chirwere ichi chakati kwirei kupfuura danho rekutanga uye chakura kupfuura mucosa uye submucosa yekoloni.

Stage 2 kenza yekoloni inosanganisirwa mberi sedanho 2A, 2B, kana 2C:

  • 2A nhanho. Gomarara harina kupararira kune ma "lymph node" kana "tishu" iri padyo. Yasvika pamatanho ekunze ekoloni asi haina kunyatso kukura kuburikidza.
  • 2B nhanho. Gomarara harina kupararira kune ma "lymph node", asi rakura kunyangwe rekunze kwecoloni uye kune visceral peritoneum. Iyi ndiyo membrane inobata nhengo dzemimba panzvimbo.
  • 2C nhanho. Gomarara harisi kuwanikwa munzvimbo dziri pedyo dzema lymph nodes, asi pamusoro pekukura kuburikidza nechikamu chekunze chekoloni, rakura kusvika kune nhengo dzepedyo kana zvivakwa.

Chikamu 3

Nhanho 3 kenza yekoloni inorondedzerwa sedanho 3A, 3B, uye 3C:


  • 3A nhanho. Bundu rakura kusvika kana kuburikidza nematanho emhasuru yekoloni uye rinowanikwa mune lymph node dziri padyo. Izvo hazvina kupararira kunzvimbo dziri kure kana nhengo.
  • 3B nhanho. Bundu rakakura kuburikidza nekunze kwekunze kwecolon uye rinopinda mu-visceral peritoneum kana kupinda mune dzimwe nhengo kana zvivakwa, uye rinowanikwa mu1 kusvika kumatatu emamota. Kana bundu harisi kuburikidza nematanho ekunze emadziro emumakoloni asi anowanikwa mune mana kana anopfuura ma lymph node.
  • 3C nhanho. Bundu rakura kupfuura maseru maseru uye gomarara rinowanikwa mune mana kana anopfuura ma lymph node, asi kwete nzvimbo dziri kure.

Chikamu 4

Stage 4 kenza yekoloni yakarongedzwa muzvikamu zviviri, danho 4A uye 4B:

  • 4A nhanho. Iyi nhanho inoratidza kuti gomarara rapararira kune imwe nzvimbo iri kure, senge chiropa kana mapapu.
  • 4B nhanho. Iyi nhanho yepamusoro yekenza yekoloni inoratidza kuti gomarara rapararira kunzvimbo mbiri kana kupfuura dziri kure, senge mapapu nechiropa.

Yakaderera-giredhi vs. yepamusoro-giredhi

Pamusoro pekuratidzira, gomarara rekoloni rinoiswawo seyakaderera-giredhi kana yepamusoro-giredhi.


Kana chiremba wezve chirwere achiongorora maseru ekenza pasi pe microscope, vanopa nhamba kubva pa1 kusvika pa4 zvichibva nekuti masero anoita semasero ane hutano.

Iyo yakakwira iyo giredhi, zvakanyanya kushomeka maseru anotaridzika. Kunyangwe ichigona kusiyana, kenza dzepasi-giredhi dzinowanzo kukura zvishoma kupfuura gomarara repamusoro. Kufungidzira kunoonekwawo kunge kuri nani kune vanhu vane gomarara repasi rekoloni.

Zviratidzo zvekenza yekoloni

Pakati pematanho ekutanga ekenza yekoloni, kazhinji hapana zviratidzo kana zviratidzo. Pamatanho ekupedzisira, zviratidzo zvinowanzosiyana zvichienderana nesaizi saizi uye nzvimbo mumatumbu ako makuru.

Zviratidzo izvi zvinogona kusanganisira:

  • chinja mutsipa
  • ropa muzvigaro kana rectal kubuda ropa
  • marwadzo emudumbu
  • kuneta
  • kusanzwisisika kuonda

Kuyedza kuona cancer cancer nhanho

Pane 4 sarudzo dzekuongorora dzinowanikwa nekenza yakajeka:

  • fecal immunochemical test (FIT) gore rega
  • FIT makore maviri ese
  • sigmoidoscopy
  • colonoscopy

Sekureva kweAmerican College yeVarapi, colonoscopy ndiyo bvunzo yakajairwa yegomarara rekoloni. Nekudaro, kana nekuda kwechimwe chikonzero, iwe hausi mukwikwidzi akakodzera wecolonoscopy, vanokurudzira zvese zviri zviviri FIT bvunzo uye sigmoidoscopy.

Kana mushure mekutora bvunzo yeFIT kana sigmoidoscopy iwe ukayedza zvakanaka kune kenza yakajeka, wako mupi wezvehutano anozopa colonoscopy yekusimbisa kuongororwa kwako.

Colonoscopy muyedzo wekuongorora uko chiremba anoshandisa chubhu refu, nhete nekamera kamera yakasungirirwa kuona mukati mekoloni yako.

Kana gomarara rekoloni rikawanikwa, bvunzo dzekuwedzera dzinowanzodiwa kuti uone hukuru hwebundu uye kana rapararira kupfuura colon.

Kuongororwa kuongororwa kunoitwa kunogona kusanganisira kufungidzira kwedumbu, chiropa, uye chifuva neCT scan, X-rays, kana MRI scans.

Panogona kunge paine zviitiko apo danho rechirwere risingakwanise kunyatso zadzwa kusvikira mushure mekuvhiya kwekoloni kwaitwa. Mushure mekuvhiyiwa, murapi anogona kuongorora bundu rekutanga pamwe nema lymph node akabviswa ayo anobatsira kuona danho rechirwere.

Kurapwa kenza yematumba panhanho imwe neimwe

Mushonga unokurudzirwa gomarara rekoloni zvakanyanya zvinoenderana nedanho rechirwere. Ramba uchifunga, kurapwa kuchazotarisawo chikamu chegomarara, zera rako, uye hutano hwako hwese.

Sekureva kweAmerican Cancer Society, kazhinji danho rega rega remukenza wekoloni rinorapwa neinotevera:

  • Chikamu 0. Kuvhiya kunowanzo kuve kwega kurapwa kunodiwa padanho 0 kenza yekoloni.
  • Chikamu 1. Kuvhiya kwega kunokurudzirwa padanho rekutanga gomarara rekoloni. Maitiro anoshandiswa anogona kusiyana zvichienderana nenzvimbo uye saizi yebundu.
  • Chikamu 2. Kuvhiya kunokurudzirwa kubvisa chikamu chegomarara chekoloni uye lymph node dziri pedyo. Chemotherapy inogona kukurudzirwa mune mamwe mamiriro, sekunge kuti gomarara rinoonekwa kunge repamusoro-soro kana kana paine njodzi dzakanyanya.
  • Chikamu 3. Kurapa kunosanganisira kuvhiya kubvisa bundu uye lymph node inoteverwa nekemotherapy. Mune zvimwe zviitiko, kurapwa kwemwaranzi kunogona kukurudzirwa.
  • Chikamu 4. Kurapa kunogona kusanganisira kuvhiya, chemotherapy, uye pamwe radiation radiation. Mune zvimwe zviitiko, kurapwa kwakanangwa kana immunotherapy inogona zvakare kukurudzirwa.

Kutora

Chikamu checancer yekoloni chinokanganisa maonero ako. Vanhu vanoonekwa kuti vane gwara rekutanga uye 2 gomarara rekoloni kazhinji vane mwero wepamusoro wekupona.

Rangarira, danho rekenza yekoloni harisi iro rega chinhu chinosarudzira mwero wekupona. Izvo zvakakosha kuti unzwisise kuti zvinhu zvakawanda zvinokanganisa maonero ako, kusanganisira mapinduriro aunoita kurapwa, zera rako, giredhi rako rekenza, uye hutano hwako hwese panguva yekuongororwa.

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