“About 5-6 years ago, we started to see some young patients with colorectal cancer, including some people in their 20s or 30s, which had never been seen before,” Memorial Sloan Kettering Cancer Center (MSK ) Said Dr. Julio Garcia-Aguilar, the director of the colorectal project”.”
Common risk factors for colorectal cancer
Акыркы AICR отчету жашоо факторлору, өзгөчө тамактануу жана физикалык активдүүлүк, ичеги рагынын пайда болушунда же алдын алууда маанилүү ролду ойноорун көрсөтүп турат. Бүтүндөй дан эгиндери жана көнүгүү рискин азайтары, ал эми кайра иштетилген эт жана семирүү рак оорусуна чалдыгуу коркунучун арттырары аныкталган.
Factors that reduce the risk of colorectal cancer
■ Dietary fiber: Previous evidence has shown that dietary fiber can reduce the risk of colorectal cancer, and this report is further supplemented by reporting that 90 grams of whole grains per day can reduce the risk of colorectal cancer by 17%.
■ Бүтүндөй дан эгиндери: AICR/WCRF изилдөөсү биринчи жолу дан эгиндерин колоректалдык рак менен өз алдынча байланыштырды. Бүтүндөй дан эгиндерин кабыл алуу ичеги рагынын рискин азайтат.
■ Көнүгүү: Көнүгүү жоон ичеги рагынын рискин азайтышы мүмкүн (бирок көтөн чучуктун рагынын рискин азайтууга эч кандай далилдер жок).
■ Башкалар: Чектелген далилдер балык, витамин С камтыган тамак-аштар (апельсин, кулпунай, шпинат ж.б.), мультивитаминдер, кальций жана сүт азыктары да ичеги рагынын рискин азайтышы мүмкүн экенин көрсөтүп турат.
Factors that increase the risk of colorectal cancer
■ Кызыл этти жана кайра иштетилген этти, анын ичинде уй эти, чочконун эти, хот-дог, ж.б. көп керектөө (жумасына > 500г): Мурунку изилдөөлөр кызыл эт жана кайра иштетилген эт рак коркунучу менен байланыштуу экенин көрсөттү. 2015-жылы Бүткүл дүйнөлүк саламаттыкты сактоо уюмунун (ВОЗ) рак боюнча агенттиги болгон Рак изилдөөлөр боюнча эл аралык агенттик (IARC) кайра иштетилген этти “адамдар үчүн канцерогендик фактор” катары классификациялаган. Кошумчалай кетсек, менопаузага чейинки аялдарга жасалган изилдөөлөр кызыл этти көп колдонуу эмчек рагына чалдыгуу коркунучун жогорулатаарын көрсөттү.
■ Шарап же сыра сыяктуу күн сайын ≥ 2 түрдүү алкоголдук ичимдиктерди (30 г спирт) ичиңиз.
■ Крахмалдуу эмес жашылчалар/жемиштер, курамында гем темири бар азыктар: Аз кабыл алынганда, ичеги-карын рагынын пайда болуу коркунучу жогору.
■ Ашыкча салмак, семирүү жана бою сыяктуу башка факторлор дагы ичеги-карын рагына чалдыгуу коркунучун жогорулатат.
A colonoscopy reduces the risk of death by 72%
Кичинекей полиптерден баштап, өлүмгө алып келген колоректтин рагына чейин, адатта, 10-15 жыл талап кылынат, бул эрте алдын алуу жана дарылоо үчүн жетиштүү убакыт терезеси менен камсыз кылат, ал эми колоноскопия учурда колоректалдык ракты скринингдин артыкчылыктуу ыкмасы болуп саналат.
Both the lesion can be found and can be removed in time. The effect of colonoscopy on early detection of colorectal cancer has been fully recognized!
Индиана университетинин жана Американын ветерандарынын медициналык борборунун изилдөө тобу биргеликте рак менен ооруган 5,000ге жакын ардагерлерди тандап, 20,000: 1 катышы боюнча окшош факторлор менен 4 жаштан турган контролдук топту шайкеш келтирип, контролдук изилдөө жүргүзүштү. Колоноскопиянын колоректалдык рактын өлүмү боюнча.
The analysis showed that only 13.5% of the veterans in the case group had undergone enteroscopy before being diagnosed with cancer, compared with 26.4% in the control group, and the relative frequency of the case group was only 39%, which again proved the effectiveness of enteroscopy in the early diagnosis of cancer;Compared with patients who have not had colonoscopy, the overall risk of death of patients who have had colonoscopy has decreased by 61%, especially the left half of colon cancer patients who have more colonoscopy exposure, the risk of death has dropped by 72%!
Enteroscopy is necessary for these symptoms
Кошумчалай кетсек, эгерде колоректалдык ракка окшош симптомдор пайда болсо, анын себебин мүмкүн болушунча эртерээк аныктоо керек! Көпчүлүк учурларда, ичеги-карын рак оорусуна окшош бул белгилер геморрой, дүүлүктүрүүчү ичеги синдрому же ичегинин сезгенүү оорусу менен шартталышы мүмкүн. Бирок бир же бир нече симптомдор бар болсо, анын себебин табуу үчүн ооруканага барганыңыз жакшы.
(1) Those who have symptoms such as bloody stools and black stools, or a positive long-term stool occult blood test.
(2) Those who have mucus and pus in the stool.
(3) Those who have a large number of stools, are not shaped, or have diarrhea.
(4) Those who have difficulty in bowel movements or irregular bowel movements recently.
(5) Those whose stool becomes thinner and deformed.
(6) Those with long-term abdominal pain and bloating.
(7) Unexplained weight loss and weight loss.
(8) Anemia of unknown cause.
(9) Abdominal masses of unknown cause need to be diagnosed.
(10) Those with elevated CEA (carcinoembryonic antigen) of unknown cause.
(11) Long-term chronic constipation, which cannot be cured for a long time.
(12) Chronic colitis, long-term medication, and a long-term cure.
(13) Suspected colon cancer, but negative in barium enema X-ray examination.
(14) Abdominal CT or other examinations found thickening of the intestinal wall, and those with colorectal cancer should be excluded.
(15) Hemorrhage lesions can be found in the lower gastrointestinal tract to determine the cause of the bleeding, and hemostasis can be performed under the microscope if necessary.
(16) Patients with schistosomiasis, ulcerative colitis and other diseases.
(17) Colorectal cancer requires regular review of colonoscopy after surgery. Patients undergoing colorectal cancer surgery generally require a colonoscopy every 6 months to 1 year.
- If colonoscopy fails to examine the entire colon due to colonic obstruction before surgery, colonoscopy should be performed 3 months after surgery to determine the presence of colonic polyps or colon cancer in other parts.
(18) Those who have been found to have colon polyps and need to be removed under colonoscopy.
(19) Colorectal polyps require regular review of colonoscopy after surgery.
- Colorectal polyps may recur after surgery and should be reviewed regularly.
- Villous adenoma, serrated adenoma, and high-grade epithelial polyps are prone to relapse and cancer. It is recommended to review colonoscopy every 3-6 months.
- Other polyps are recommended to be reviewed once every 12 months.
- If the recheck colonoscopy is negative, recheck it 3 years later.
(20) Patients with a family history of colorectal cancer should undergo a colonoscopy.
- If one person in the family has colorectal cancer, his immediate family members (parents, children, siblings) should have a physical examination for colonoscopy, even if there are no symptoms or discomfort.
- A large number of studies have shown that if a person has colorectal cancer, his immediate family members (parents, children, siblings) are 2-3 times more likely to get colorectal cancer than the normal population.
(21) People with a family history of colorectal polyps also need a colonoscopy.
(22) People over the age of 40, especially long-term high-protein high-fat diet and long-term alcoholics, it is best to perform a colonoscopy for routine physical examination in order to detect asymptomatic early colorectal cancer as early as possible.
Where should colonoscopy be done?
Gastroscopy and enteroscopy have always been relatively contradictory tests for Chinese patients, but they are also the most effective way to detect gastric and intestinal cancer early. In Japan, the professionalism of the medical staff, the degree of tenderness and patience, and the comfort of the visiting environment have greatly reduced the discomfort of stomach and colonoscopy. At the same time, the very early discovery will cure the disease without causing any pain to the patient. And to achieve ultra-early discovery, you need to rely on “diagnostic doctors” who are familiar with the latest inspection methods.
Дүйнөгө белгилүү
doctor with “eyes of God”-Kudo Jinying
Kudo Jinying is a world-renowned doctor for the treatment of colorectal cancer. He is reputed to have “God’s Eyes” and “Endoscopic God Hands”. It takes only 5 minutes to complete the endoscopy painlessly. Dr. Kudo discovered the world’s first very rare colorectal cancer called “phantom cancer.” No matter what kind of stomach cancer and colorectal cancer can not escape his eyes, it can really cure 100% of early gastric cancer and colorectal cancer in the budding stage. About 350,000 cases of gastrointestinal endoscopy have been completed so far, which is a world-class master in bowel cancer colonoscopy.
The problem in colorectal cancer is the so-called “recessed” cancer. “This cancerous lesion is in a concave state and will not have direct contact with the stool, so it will not show the typical early symptoms of colorectal cancer,” blood stool “. Therefore, it is difficult for general stool red blood cell examination, barium enema X-ray, and large intestine CT examination Make a judgment. And such cancers deteriorate twice as fast as the usual colorectal cancer, and the later you find the accompanying risks, the more and more.
