Kansa yemudumbu
Chii chinonzi kenza yemudumbu?
Gomarara remudumbu rinowanzotanga mumaseru anogadzira machuru anotevedza dumbu. Mhando yegomarara iri rinonzi adenocarcinoma. Gomarara remudumbu rinoonekwa nekukura kwemasero egomarara mukati memukati medumbu. Iyo inonziwo gomarara remudumbu, rudzi rwegomarara urwu rwakanetsa kufungidzira nekuti vanhu vazhinji havawanzo ratidza zviratidzo mumatanho ekutanga. Gomarara remudumbu rinowanzokura zvishoma nezvishoma kwemakore akawanda.
Nhamba dzekenza yemudumbu
Gastric carcinoma (GC) ndiyo yechina inonyanya kurwara pasi rose (989,600 zviitiko zvitsva pagore muna 2008) uye inoramba iri chikonzero chechipiri chekufa (kufa kwe738,000 gore negore) yezvakaipa zvose pasi rose. Chirwere ichi chinova chiratidzo mudanho repamusoro. Kupona kwemakore mashanu kwakanaka chete muJapan, uko kunosvika 90%.Munyika dzeEurope, mararamiro ehupenyu anosiyana kubva ~ 10% kusvika 30%.Kupona kwepamusoro muJapan zvichida kunowanikwa nekutanga kuongororwa ne endoscopic bvunzo uye kutevedzana kwekutanga. bundu resection.
Izvo zviitiko zvinoratidza kusiyana kwenzvimbo. Kupfuura 50% yezviitiko zvitsva zvinoitika munyika dzichiri kusimukira. Iko kune gumi neshanu kusvika makumi maviri neshanu mutsauko iri munjodzi pakati pevapamusoro- nevakaderera vane njodzi vanhu. Idzo nzvimbo dzine njodzi huru ndiEast Asia (China neJapan), Eastern Europe, Central neSouth America. Idzo nzvimbo dzine njodzi shoma iSouthern Asia, North neEast Africa, North America, Australia, neNew Zealand.
Kudzikama kwakadzikama muzvikamu zveGC zviitiko zvakaonekwa pasirese mumakumi mashoma apfuura Maitiro aya anoshanda kunyanya kuvarwere vadiki vane noncardia, zvishoma nezvishoma, mudumbu mhando yeGC, sezvakataurwa mukuongorora kweJapan. Kune rimwe divi, iyo yekuAmerican kudzidza inosiyanisa dzinza uye zera kuwanda, pamwe neatomic subtype yekopasi gastric cancer, iyo ine kuwedzera kuri kuita. Zvakangodaro, iko kuderera kwezviitiko zveGC kunogona kutsanangurwa nematanho epamusoro ehutsanana, kuchengetedza chikafu kwakachengetedzwa, kudya kwakanyanya michero mitsva nemiriwo, uye Helicobacter pylori (H. pylori) kupedza.
Chii chinokonzera gomarara remudumbu?
- kusvuta
- Kunyanya kufutisa kana kufutisa
- Kudya kwakanyanya mune zvakasvuta, zvakachekwa, kana zvine munyu chikafu
- Kuvhiya mudumbu kwechironda
- Type-yeropa
- Epstein-Barr hutachiona hutachiona
- Mamwe majeni
- Kushanda mumarasha, simbi, matanda, kana maindasitiri erabha
- Kuratidzwa kune asbestosi
Ndezvipi zviratidzo zvegomarara remudumbu?
Sekureva kweNCI Yakavimbika Tsime, 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:
- kushungurudza 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
Ndezvipi zvinokonzeresa zvegomarara remudumbu?
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 (kukura zvisina kujairika kwetishu inoumba pamutsetse wedumbu)
Kenza yemudumbu yakajairika zvakanyanya pakati pe:
- vakura vakuru, kazhinji vanhu vane makore makumi mashanu zvichikwira
- varume
- vanosvuta
- 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
- usashandise muviri
- usachengete kana kubika chikafu nemazvo
Iwe ungangoda kufunga nezvekutora bvunzo yekuongorora kana iwe uchitenda uri panjodzi yekuva nekenza yemudumbu. Kuongorora bvunzo kunoitwa kana vanhu vari panjodzi yezvimwe zvirwere asi vasingaratidze zviratidzo parizvino.
Ndeapi marudzi akasiyana ekenza yemudumbu?
Adenocarcinoma
Kazhinji (angangoita 90% kusvika 95%) kanzuru dzemudumbu idenocarcinomas. Kenza yemudumbu kenza yegastric kanowanzove iri adenocarcinoma. Kanzera idzi dzinokura kubva kumasero ayo anoumba mukatikati memukati medumbu (mucosa).
Lymphoma
Aya ndiwo magomarara ezvirwere zvemuviri izvo dzimwe nguva zvinowanikwa mumadziro emudumbu. Kurapa uye maonero zvinoenderana nerudzi rwe lymphoma. Kuti uwane rumwe ruzivo rwakadzama, ona Asiri-Hodgkin Lymphoma.
Urume mudumbu stromal bundu (GIST)
Aya mamota asingawanzo anotanga mune epakutanga maitiro emaseru mumadziro edumbu anonzi masero epakati eCajal. Mamwe emamota aya haana gomarara (benign); vamwe vane cancer. Kunyangwe maGIST anogona kuwanikwa chero munzira yekugaya, mazhinji anowanikwa mudumbu. Kuti uwane rumwe ruzivo, ona Gastrointestinal Stromal Tumor (GIST).
Carcinoid bundu
Aya mapundu anotangira mumasero emudumbu anogadzira mahormone. Mazhinji emamota aya haapararire kune dzimwe nhengo. Aya mamota anokurukurwa zvakadzama muGastrointestinal Carcinoid Tumors.
Dzimwe gomarara
Dzimwe mhando dzekenza, senge squamous cell carcinoma, diki cell carcinoma, uye leiomyosarcoma, inogona zvakare kutanga mudumbu, asi aya kanzira kashoma.
Kenza yemudumbu 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
- PET CT
Kenza yemudumbu inorapwa sei?
Mishonga yakawanda inogona kurwisa kenza yemudumbu. Iyo iyo iwe nachiremba wako yaunosarudza inoenderana nekuti wakave nechirwere kwenguva yakareba sei kana kuti yakadii yakapararira mumuviri wako, inonzi danho rekenza yako:
Stage 0. Apa ndipo apo mukati memukati memudumbu mako mune boka remasero asina hutano anogona kuchinja kuita cancer. Kuvhiya kunowanzo kurapa. Chiremba wako anogona kubvisa chikamu kana chese dumbu rako, pamwe nema lymph node ari padyo - nhengo diki dzinove chikamu chemuviri wako kurwisa hutachiona.
Chikamu I. Panguva ino, une bundu mudumbu rako, uye rinogona kunge rakapararira mumalymph nodes ako. Sezvakaita nhanho 0, iwe unogona kuvhiyiwa kuti ubvise chikamu kana dumbu rako rose uye lymph nodes dziri pedyo. Iwe unogona zvakare kuwana chemotherapy kana chemoradiation. Mishonga iyi inogona kushandiswa kusati kwavhiyiwa kudzikisa bundu uye mushure mekuuraya chero cancer yasara.
Iwe unowanzo kuve nekuvhiyiwa kuti ubvise dumbu rako rese, pamwe ne chemo kana chemoradiation. Izvi zvinogona dzimwe nguva kurapa. Kana zvisiri, zvinogona kubatsira nezviratidzo.
Kana iwe uchinyanya kurwara zvekuvhiyiwa, unogona kuwana chemo, radiation, kana zvese zviri zviviri, zvinoenderana nezvingaitwe nemuviri wako.
Chikamu IV. Muchikamu chekupedzisira ichi, gomarara rakapararira kure nekure kune nhengo senge chiropa, mapapu, kana huropi. Zvakaoma kuporesa, asi chiremba wako anogona kubatsira kuzvibata uye nekukupa zororo kubva kuzviratidzo.
Kana bundu richivharira chikamu cheGI system yako, unogona kuwana:
- Maitiro anoparadza chikamu chebundu ne laser pane endoscope, chubhu yakatetepa inotsvedza pahuro.
- Chubhu yesimbi yakatetepa inonzi stent inogona kuchengetedza zvinhu kuyerera. Iwe unogona kuwana imwe yeiyi pakati pemudumbu mako uye pahuro kana pakati pemudumbu wako uye mudumbu ura.
- Gastric inopfuura kuvhiya kugadzira nzira yakatenderedza bundu.
- Kuvhiya kubvisa chikamu chedumbu rako.
Chemo, radiation, kana ese ari maviri anogona kushandiswa panguva ino, futi. Iwe unogona zvakare kuwana yakanangwa kurapwa. Iyi mishonga inorwisa kenza maseru, asi ichisiya yakagwinya yega, izvo zvinogona kureva mashoma mhedzisiro.
Kudzivirira kenza yemudumbu
Kenza yemudumbu yega haigone kudzivirirwa. Nekudaro, iwe unogona kudzikisa njodzi yako yekukudziridza zvose kanzura na:
- kuchengetedza huremu hune hutano
- kudya kudya kwakadzikama, kwakaderera-mafuta
- kurega kuputa
- 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:
- physical examination
- miedzo yemurabhorari, senge kuongororwa ropa uye weti
- maitiro ekufungidzira, akadai seX-ray uye CT scans
- magene ekuongorora
Kuti uwane ruzivo nezve GI kana kurapwa kwegomarara remudumbu uye rwechipiri pfungwa, tifonere pa + 91 96 1588 1588 kana kunyorera info@cancerfax.com.
- Makomendi Akavharwa
- July 28th, 2020
