Colon cancer inozivikanwawo se colorectal cancer. Colorectal cancer igomarara rinotangira mu rectum kana mucolon. Mitezo miviri iyi iri muchikamu chezasi chegadziriro yako yekugaya. Iyo colon inozivikanwawo sehura hombe. Rectum iri pamagumo ekoroni.
Izvo zvakakosha kuti uzive huwandu hwegomarara rekoloni kuitira kuti kurapwa kwakarongeka kunogona kurongwa. Gomarara rekoloni rakakamurwa muzvikamu zvina. Stage 4 ndiyo yekutanga nhanho.
apo kenza yakajeka sounds clear-cut, there’s actually more than one type of cancer. Such differences have to do with the types of cells that turn cancerous as well as where they form.
The most common type of colon cancer starts from adenocarcinomas. According to the American Cancer Society, adenocarcinomas make up 96 percent of all colon cancer cases. Unless your doctor specifies otherwise, your colon cancer is likely this type. Adenocarcinomas form within mucus cells in either the colon or rectum.
Zvishoma kazhinji, colorectal cancers inokonzerwa kubva kune mamwe marudzi emamota, akadai se:
Vanachiremba havana chokwadi kuti chii chinokonzera kenza zhinji dzekoloni.
Kazhinji, gomarara rekoloni rinotanga apo masero ane hutano mukoloni anovandudza shanduko (shanduko) muDNA yavo. Sero reDNA rine seti yemirairo inotaurira sero zvekuita.
Healthy cells grow and divide in an orderly way to keep your body functioning normally. But when a cell’s DNA is damaged and becomes cancerous, cells continue to divide — even when new cells aren’t needed. As the cells accumulate, they form a tumarara.
Nekufamba kwenguva, maseru egomarara anogona kukura achipinda nekuparadza zvakajairika nyama pedyo. Uye maseru ane gomarara anogona kuenda kune zvimwe zvikamu zvemuviri kuti agadzire mari (metastasis).
Vatsvakurudzi vachiri kuongorora zvikonzero zvekenza yakajeka. Kunyange paine runyorwa rwuri kukura rwezvinhu zvine njodzi, vanoita vega kana musanganiswa kuti vawedzere njodzi yekukura kwekenza yakajeka.
Masero asina kujairika anounganidzwa mumucheka wekoloni, achiumba polyps. Izvi zvidiki, zvisina kunaka kukura. Kubvisa uku kukura kuburikidza nekuvhiya inzira yakajairika yekudzivirira. Kusarapwa polyps kunogona kuita cancer.
Dzimwe nguva gomarara rakajeka rinoitika munhengo dzemhuri. Izvi zvinokonzerwa nekuchinja kwemajini kunopfuura kubva kumubereki kuenda kumwana. Shanduko idzi hadzivimbise kuti uchava nekenza yakajeka, asi inowedzera mikana yako.
Chikonzero chaicho chekenza yakajeka hachizivikanwe. Vanachiremba kazhinji havagone kutsanangura kuti sei mumwe munhu achirwara nechirwere ichi uye mumwe achiramba. Zvisinei, kunzwisiswa kwezvimwe zvikonzero zvemajini zvinoramba zvichiwedzera. Zvinhu zvinotevera zvinogona kuwedzera njodzi kumunhu wekenza yakajeka.
Zvimwe zvinhu zvinodzivirirwa zvine njodzi ndeizvi:
Zvimwe zvinhu zvine njodzi zvinodzivirirwa. Izvi zvinoreva kuti unogona kuzvishandura kudzikisa njodzi yako yekuva nekenza yakajeka. Zvinodzivirirwa zvine njodzi zvinosanganisira:
Zviitiko zvinogona kuwedzera njodzi yako yekenza yemukoni zvinosanganisira:
Ongororo yekutanga yekenza yakajeka inokupa iwe mukana wakanaka wekurapa.
Chiremba wako anotanga nekuwana ruzivo nezve yako yekurapa uye nhoroondo yemhuri. Vachaitawo bvunzo dzepanyama. Vanogona kumanikidza padumbu rako kana kuita rectal bvunzo kuti uone kuvepo kwemapundu kana polyps.
Chiremba wako anogona kumhanyisa kumwe kuongorora kweropa kuti uwane pfungwa iri nani yezviri kukonzera zviratidzo zvako. Kunyangwe pasina bvunzo yeropa iyo inonyatso tarisa kenza yakajeka, chiropa mashandiro ebvunzo uye akazara bvunzo dzeropa dzinogona kutonga zvimwe zvirwere uye kusagadzikana.
Colonoscopy inosanganisira kushandiswa kwetepu refu ine diki, yakasungirirwa kamera. Maitiro aya anotendera chiremba wako kuti aone mukati mekoloni yako uye rectum kuti atarise chero chisina kujairika.
Munguva yekolonoscopy, chiremba wako anogona zvakare kubvisa zvinyama kubva kunzvimbo dzisina kujairika. Aya matissue sampuli anogona kuzotumirwa kurabhoritari kunoongororwa.
Chiremba wako anogona kuraira X-ray achishandisa radioactive mutsauko mhinduro iyo ine yesimbi element barium. Chiremba wako anoisa ino mvura muura hwako kuburikidza nekushandisa enema. Kamwe munzvimbo, iyo bharamu mhinduro inopfekedza lining yekoloni. Izvi zvinobatsira kuvandudza mhando yemifananidzo yeX-ray.
CT scans inopa chiremba wako nemufananidzo wakadzama wekoloni yako. Kana ichishandiswa pakuongorora kenza yakajeka, rimwe zita reCT scan ndiyo chaiyo colonoscopy.
Kurapa kwekenza yakajeka kunobva pane zvakasiyana zvinhu. Mamiriro ehutano hwako hwese uye nhanho yekenza yako yakajeka ichabatsira chiremba wako kugadzira chirongwa chekurapa.
Mumatanho ekutanga ekenza yakajeka, zvinogona kuitika kuti chiremba wako abvise kenza polyp kuburikidza nekuvhiyiwa. Kana iyo polyp isina kunamatira kumadziro emukati, iwe unogona kunge uine tarisiro yakanaka.
Kana kenza yako yapararira mukati memadziro emukati, chiremba wako anovhiya angangoda kubvisa chikamu chekoloni kana rectum, pamwe nechero lymph node dzepedyo. Kana zvichikwanisika, chiremba wako anovhiya achabatanidzazve chikamu chine hutano chekoloni kune rectum.
Kana izvi zvisingaite, vanogona kuita colostomy. Izvi zvinosanganisira kugadzira kuvhurika mudumbu remadziro ekubvisa marara. Colostomy inogona kunge iri yenguva pfupi kana yekusingaperi.
Chemotherapy inosanganisira kushandiswa kwemishonga kuuraya masero egomarara. Kana iri colorectal cancer, chemotherapy ndiyo yakajairika kurapwa mushure mekuvhiyiwa kuparadza chero asara maseru ane cancer. Chemotherapy inodzorawo kukura kwemamota.
Nepo chemotherapy ichipa zororo rechiratidzo mukenza yekupedzisira-nhanho, inowanzo kuuya nemhedzisiro inofanirwa kudzorwa nemimwe mishonga.
Radiation inoshandisa danda rine simba, rakafanana neiro rinoshandiswa muX-ray, kunongedza nekuparadza maseru ane cancer pamberi uye mushure mekuvhiyiwa. Radiation therapy inowanzoitika pamwe chete nemakemikari.
MunaGunyana 2012, iyo US Chikafu neDrug Administration Yakavimbika Tsime yakabvumidza iyo regorafenib yezvinodhaka (Stivarga) kurapa metastatic, kana yekupedzisira-nhanho, kenza yakajeka iyo isingapindure kune mamwe marudzi ekurapa uye yakapararira kune dzimwe nhengo dzomuviri. Mushonga uyu unoshanda nekuvharidzira ma enzyme anokurudzira kukura kwemasero ekenza.
Kuvhiya (kubvisa kenza mukuvhiya) ndiyo yekurapa kwakanyanya kune ese matanho ekenza yekoloni. Chiremba anogona kubvisa kenza achishandisa imwe yeanotevera marudzi ekuvhiya:
Kugadziriswa kwekoloni necolostomy: Kana chiremba asingakwanise kusona iwo maviri magumo ekoloni achidzoka pamwechete, stoma (kuvhura) inoitwa kunze kwemuviri kuti tsvina ipfuure. Iyi nzira inonzi colostomy. Bhegi rakaiswa rakatenderedza stoma kutora marara. Dzimwe nguva colostomy inodiwa chete kusvikira iyo yezasi colon yapora, uyezve inogona kudzoserwa. Kana chiremba achida kubvisa iyo yese yakaderera colon, zvisinei, iyo colostomy inogona kuve inogara zvachose.
Mushure mekunge chiremba abvisa kenza yese inoonekwa panguva yekuvhiyiwa, vamwe varwere vanogona kupihwa chemotherapy kana radiation radiation mushure mekuvhiyiwa kuuraya chero gomarara maseru akasara. Mushonga wakapihwa mushure mekuvhiyiwa, kudzikisa njodzi yekuti gomarara richadzoka, inonzi adjuvant therapy.
Radiofrequency ablation iko kushandiswa kwesarudzo yakakosha ine maelekitirodhi madiki anouraya cancer maseru. Dzimwe nguva probe inoiswa yakananga kuburikidza neganda uye inesthesia yemuno chete inodiwa. Mune zvimwe zviitiko, iyo probe inoiswa kuburikidza nekacheka mudumbu. Izvi zvinoitwa muchipatara neanesthesia yakajairika.
Cryosurgery kurapwa kunoshandisa chishandiso kutonhora uye kuparadza zvisina kujairika nyama. Mhando iyi yekurapa inonziwo cryotherapy.
Kuve nekenza yakajeka kenza kuongororwa kunogona kutyisa, asi chokwadi ndechekuti rudzi urwu rwegomarara runorapika zvakanyanya, kunyanya kana rukabatwa kare.
Matanho ekurapa auyawo nenzira refu yezviitiko zvemberi zvegomarara rekoloni. Sekureva kweYunivhesiti yeTexas Southwestern Medical Center, avhareji yekupona kweiyo nhanho yechina kenza yekoloni iri pamwedzi makumi matatu. Izvi zvinokwira kubva pamwedzi mitanhatu kusvika pamisere iyo yaive yepakati muma4.
Panguva imwecheteyo, vanachiremba vava kuona cancer yekoloni muvarwere vadiki. Izvi zvingangoitika nekuda kwekusarongeka kwemararamiro sarudzo ayo akajairika kupfuura makumi emakore apfuura. IAmerican Cancer Society inoti, nepo kufa kwekenza yekoloni kwakadzikira zvachose, kufa kwakabatana muvarwere vadiki pane makumi mashanu neshanu kwakawedzera muzana muzana pagore pakati pa55 na1.
Zvimwe zvinokonzerwa nenjodzi yekenza yekoloni, senge nhoroondo yemhuri uye zera, hazvidzivirirwe. Nekudaro, mararamiro ehupenyu anogona kupa cancer yakajeka ndivo inodzivirirwa, uye inogona kubatsira kudzikisira njodzi yako yekuvandudza chirwere ichi.
Iwe unogona kutora matanho izvozvi kudzikisa njodzi yako ne:
Imwe nzira yekudzivirira ndeyekuti uve nechokwadi chekuti wawana colonoscopy mushure memakore makumi mashanu - kunyangwe kana usina njodzi dzecancer colon. Pakutanga kenza inowanikwa, zvirinani mhedzisiro.