"Anenge makore 5-6 apfuura, takatanga kuona vamwe varwere vechidiki vane kenza yakaoma, kusanganisira vamwe vanhu vane makore makumi maviri kana makumi matatu, izvo zvisati zvamboonekwa," Memorial Sloan Kettering Cancer Center (MSK) Akadaro Dr. Julio Garcia- Aguilar, director we colorectal project ”.
Zvakajairika njodzi njodzi yekenza yakajeka
Chirevo chazvino cheAICR chinoratidza kuti mararamiro ehupenyu, kunyanya kudya uye kuita zvemuviri, anoita basa rakakosha mukukonzera kana kudzivirira colorectal cancer. Zvakaonekwa kuti zviyo zvakakwana uye kurovedza muviri kunoderedza njodzi, nepo nyama yakagadziriswa uye kufutisa inowedzera njodzi yegomarara.
Zviitiko zvinoderedza njodzi yekenza yakajeka
■ Dietary fiber: Uchapupu hwakapfuura hwakaratidza kuti fiber yezvokudya inogona kuderedza ngozi yekenza yeruvara, uye mushumo uyu unowedzera kuwedzerwa nekutaura kuti 90 gramu yezviyo zvakakwana pazuva inogona kuderedza ngozi yekenza yeruvara ne17%.
■ Mbeu dzakazara: Kekutanga, iyo AICR / WCRF yakadzidza yakazvimiririra ichibatanidza zviyo zvizere nekenza yakajeka. Kudya kwezviyo zvakakwana kunogona kuderedza njodzi yekenza yakajeka.
Ex Kuita maekisesaizi: Kuita maekisesaizi kunogona kudzikisa njodzi yekenza yemukondoni (asi hapana humbowo hunoderedza njodzi yegomarara renhumbu).
∎ Zvimwe: Uchapupu hushoma hunoratidza kuti hove, zvokudya zvine vhitamini C (maranjisi, mastrawberry, sipinachi, zvichingodaro), ma<em>multivitamini, calcium, uye zvinogadzirwa nomukaka zvinogonawo kuderedza ngozi yegomarara remudumbu.
Zviitiko zvinowedzera njodzi yekenza yakajeka
∎ Kudya kukuru (> 500g pavhiki) yenyama tsvuku nenyama yakagayiwa, kusanganisira yemombe, yenguruve, mahot dog, nezvimwewo: Ongororo dzakapfuura dzakaratidza kuti nyama tsvuku nenyama yakagayiwa zvine chekuita negomarara. Muna 2015, iyo International Agency for Research on Cancer (IARC), iyo cancer agency yeWorld Health Organisation (WHO), yakarongedza nyama yakagadzikiswa se "carcinogenic factor kuvanhu." Mukuwedzera, zvidzidzo pamusoro pevakadzi vasati vasvika kumwedzi zvakaratidza kuti kudya kwakanyanya kwenyama tsvuku kunogona kuwedzera njodzi yekenza yemazamu.
≥ Inwa ≥ mhando mbiri dzezvinwiwa zvinodhaka (2g doro) zuva nezuva, sewaini kana doro.
Vegetables Miriwo / michero isiri-ine starchy, chikafu chine heme iron: Kana kudya kwacho kuchinge kushoma, njodzi yekenza yemukaka yakakwira.
Other Zvimwe zvinhu zvakaita sekufutisa, kufutisa, uye kukwirira zvinogona zvakare kuwedzera njodzi yekenza yemukaka.
Colonoscopy inoderedza njodzi yekufa ne72%
Kubva padiki polyps kusvika kune inouraya colorectal cancer, zvinowanzo kutora makore gumi kusvika gumi nemashanu, ayo anopa yakaringana nguva hwindo rekudzivirira kwekutanga uye kurapwa, uye colonoscopy parizvino ndiyo nzira inosarudzika yekuongorora kenza yakajeka.
Ose maronda anogona kuwanikwa uye anogona kubviswa munguva. Mhedzisiro yekolonoscopy pakuonekwa kwekutanga kwekenza yakajeka yakazivikanwa zvizere!
Dare rekutsvagisa reIndiana University neAmerican Veterans Medical Center zvakabatana vakaita ongororo-yekuongorora, vachisarudza varwi vangangoita zviuru zvishanu nekenza uye vachifananidza boka rinodzora rinosvika makore zviuru makumi maviri nezviitiko zvakafanana zvinoenderana neiyo 5,000: 20,000 Kuona kukanganisa yekolonoscopy pamusoro pekufa kwekenza yakajeka.
Ongororo iyi yakaratidza kuti chete 13.5% yevakarwa muhondo yeboka vaive vawana enteroscopy vasati vaonekwa kuti vane cancer, zvichienzaniswa ne26.4% muboka rekutonga, uye huwandu hwehukama hweboka remhosva hwaingova 39%, izvo zvakaratidza zvakare kushanda. ye enteroscopy mukutanga kuongororwa kwekenza; Inofananidzwa nevarwere vasina colonoscopy, iyo njodzi yekufa kwevarwere vane colonoscopy yakadzikira ne61%, kunyanya hafu yekuruboshwe yevarwere vecancer cancer vane yakawanda colonoscopy kuratidzwa, iyo njodzi yekufa yadonha ne72%!
Enteroscopy inodikanwa kune izvi zviratidzo
Uye zvakare, kana zviratidzo zvakafanana nekenza yemukaka zvikaitika, zvakakoshawo kuti uwane chikonzero nekukasira! Muzviitiko zvakawanda, izvi zviratidzo zvakafanana nekenza yemakenza zvinogona kukonzerwa nemamota, anogumbuka ura chirwere, kana chirwere chinoputira ura. Asi kana iwe uine chimwe kana zvimwe zviratidzo, zviri nani kuenda kuchipatara kunotsvaga chakakonzera.
(1) Avo vane zviratidzo zvakaita sekutsiva kweropa uye zvituru zvitema, kana yakanaka-refu-refu stool zvemashiripiti kuongororwa ropa.
(2) Avo vane mamonhwa uye pus muchituru.
(3) Avo vane zvituru zvakawanda, havana kuumbwa, kana kuita manyoka.
(4) Vaya vane chinetso mukufamba kana ura husina kujairika ura munguva pfupi yadarika.
(5) Avo vane chigaro chinova chakaonda uye chakaremara.
(6) Avo vane kurwadziwa kwenguva refu mudumbu uye kuzvimba.
(7) Kusanzwisisika kuonda uye kuonda.
(8) Anemia yechikonzero chisingazivikanwe.
(9) Masumbu emudumbu echikonzero chisingazivikanwe anoda kuongororwa.
(10) Avo vane CEA yakakwira (carcinoembryonic antigen) yechikonzero chisingazivikanwe.
(11) Yenguva refu-refu isingabatike, isingakwanise kurapwa kwenguva yakareba.
(12) chisingaperi colitis, kurapwa kwenguva refu, uye kurapwa kwenguva refu.
(13) Inofungidzirwa kenza yekoloni, asi yakaipa mu barium enema X-ray kuongorora.
(14) Abdominal CT kana kumwe kuongorora kwakawanikwa kukora kwemadziro emukati, uye avo vane colorectal cancer havafanirwe kuverengerwa.
(15) Mamota ekubuda ropa anowanikwa munzvimbo yepazasi yematumbo kuti uone chinokonzera kubuda ropa, uye heestasis inogona kuitwa pasi pe microscope kana zvichidikanwa.
(16) Varwere vane schistosomiasis, ulcerative colitis uye zvimwe zvirwere.
(17) Colorectal cancer inoda kuongororwa kwese kwecolonoscopy mushure mekuvhiyiwa. Varwere vanovhiyiwa kenza yakajeka kenza kazhinji vanoda colonoscopy yega yega 6 mwedzi kusvika 1 gore.
- Kana colonoscopy ikakundikana kuongorora iyo colon yese nekuda kwekukanganiswa kwekoloni pamberi pekuvhiyiwa, colonoscopy inofanira kuitwa mwedzi mitatu mushure mekuvhiyiwa kuti uone kuvepo kwecolonic polyps kana kenza yekoloni mune zvimwe zvikamu.
(18) Avo vakawanikwa vaine polyp polyp uye vanoda kubviswa pasi pecolonoscopy.
(19) Colorectal polyps inoda kuongororwa kwecolonoscopy mushure mekuvhiyiwa.
- Colorectal polyps inogona kudzoka mushure mekuvhiyiwa uye inofanira kuongororwa nguva nenguva.
- Villous adenoma, serrated adenoma, uye epamusoro-epithelial polyps vanowanzo dzokazve nekenza. Inokurudzirwa kuongorora colonoscopy yega 3-6 mwedzi.
- Mamwe polyps anokurudzirwa kuti aongororwe kamwe chete pamwedzi gumi nembiri.
- Kana iyo recheck colonoscopy isina kunaka, itangezve iyo makore matatu gare gare.
(20) Varwere vane nhoroondo yemhuri yekenza yakajeka vanofanira kuenda colonoscopy.
- Kana munhu mumwe chete mumhuri aine gomarara, nhengo dzemhuri yake dzepedyo (vabereki, vana, vanun'una) vanofanirwa kuongororwa bvunzo dzemuviri, kunyangwe kana pasina zviratidzo kana kusagadzikana.
- Huwandu hukuru hwezvidzidzo hwakaratidza kuti kana munhu aine gomarara rakasarudzika, nhengo dzemhuri yake dzepedyo (vabereki, vana, vanun'una) vane mukana wakapetwa kanokwana kuita gomarara rakajeka kupfuura vanhu vakajairika.
(21) Vanhu vane nhoroondo yemhuri yemavara polyps anodawo colonoscopy.
(22) Vanhu vanopfuura zera ramakumi mana, kunyanya kwenguva refu-maprotein ane mafuta mazhinji uye vanonwa doro kwenguva refu, zvakanakisa kuita colonoscopy yekuwongorora kwomuviri nguva nenguva kuti uwane asymptomatic cancer yekutanga colorectal nekukurumidza sezvazvinogona .
Iko colonoscopy inofanira kuitwa kupi?
Gastroscopy uye enteroscopy yagara iri bvunzo dzinopokana kuvarwere veChinese, asi zvakare ndiyo nzira inoshanda kwazvo yekuona gomarara remudumbu uye remudumbu nekukurumidza. MuJapan, hunyanzvi hwevashandi vezvokurapa, mwero wekupfava uye moyo murefu, uye kunyaradza kwenzvimbo yekushanyira zvakaderedza zvakanyanya kusagadzikana kwemudumbu uye colonoscopy. Panguva imwecheteyo, kuwanikwa kwekutanga kucharapa chirwere pasina kukonzera kurwadziwa kumurwere. Uye kuti uwane kuwanikwa kwekupedzisira-kwekutanga, unofanirwa kuvimba ne "vanachiremba vekuongorora" vanoziva nzira dzekupedzisira dzekuongorora.
Nyika inozivikanwa
chiremba ane "maziso aMwari" -Kudo Jinying
Kudo Jinying chiremba anozivikanwa pasi rose pakurapa kenza yakajeka. Iye anonzi ane "Maziso aMwari" uye "Endoscopic Mwari Maoko". Zvinotora maminetsi mashanu chete kupedzisa endoscopy pasina kurwadziwa. Dr. Kudo vakawana kenza yekutanga kushoma zvisingaite yepasi rose inonzi "phantom cancer." Kunyangwe rudzii gomarara remudumbu uye gomarara rakasarudzika risingatize maziso ake, rinogona kuporesa zana muzana yegomarara repamberi remudumbu uye gomarara rakakora mudanho rekutangisa. Dzinenge mazana matatu nemazana matatu ezviuru zvematumbo endoscopy akapedzwa kusvika pari zvino, inova tenzi wepasi rose mukenza yemukenza colonoscopy.
Dambudziko mukenza yakajeka ndiyo inonzi "recessed" cancer. "Ichi chirwere chegomarara chiri muchimiro chakakombama uye hachizobata chakasangana nechigaro, saka hachizoratidze zviratidzo zvekutanga zvecancer," chituru cheropa ". Naizvozvo, zvakaoma kune yakajairika stool tsvuku sero kuongororwa, barium enema X-ray, uye hukuru hutumbu CT kuongororwa Ita mutongo. Uye kanzuru dzakadai dzinodzikira kaviri nekukasira sekenza yakajairika yekenza, uye iyo yaunowana njodzi dzinotevera, zvakanyanya uye nekuwedzera.
