Ukuhlinzwa, i-Chemotherapy, i-Radiation kunye nawe
Ukufumanisa kwangaphambili kunye nokonyango komdlavuza wekolon kunokuphucula ukuhlaselwa kwakho (impembelelo yonyango) kunye nomgangatho wobomi. Xa zifunyenwe kwaye ziphathwa ngokukhawuleza, abantu abaxilongwa ngokuba nomhlaza wekoloni banomlinganiselo wokusinda kweepesenti ezingama-93 kwiminyaka emihlanu emva kokonyango. Nangona kunjalo, ngaphambi kokubhaptizwa kwiinkcukacha, thabatha umzuzwana ukuba ufunde malunga naluphi unyango oluchaphazelekayo.
Kukho iindidi ezibalulekileyo zonyango lomhlaza wekoloni. Iinkonzo zonyango zijolise kwindawo ethile, njengophando okanye imitha. Inkqubo, okanye umzimba wonke, unyango lunomninzi omkhulu kwaye luquka i-chemotherapy okanye i- biologic therapy .
Ngokuxhomekeke kwimpilo yakho yempilo, isigaba somhlaza, kunye nokuzikhethela kwakho, unokukhetha unyango olulodwa okanye udibaniso lwezonyango, kuquka ukuhlinzwa, i-chemotherapy, i-radiation, kunye neengxaki zokwelapha.
Izinketho zokuphanda
Ukutshatyalaliswa kokususa kukuqala unyango olukhethiweyo kwiinkalo ze- colon ezingama-0 . Utyando lomhlaza weColon lungabandakanya inkqubo elula ukususa iipolisi ezingasetyenziswanga , okanye usebenziso olukhulu olubizwa ngokuba yi-colectomy, olususa inxalenye (okanye iincandelo) zamathumbu. Ugqirha unokususa okanye ukutshabalalisa izicubu zomhlaza ezivela kwezinye izitho, ezifana nesibindi okanye imiphunga ukuba umhlaza usasazeke.
Ngokuxhomekeka kubukhulu kunye nendawo yomdlavuza wakho wekolon, ugqirha unokunika i-laparoscopic colectomy ngokubhekiselele kwi- colectomy evulekile.
Inqubo ye-laparoscopic idinga incision encinci kunokuba i-colectomy evulekile, enokubangela ukonakala kwintlanzi ezintandathu ukuya kwezi-8 emva kokuhlinzwa.
Ukuba unomlando weengxaki zemiphunga okanye intliziyo, ugqirha wakho angabambisana kunye neengcali, ezifana ne-pulmonary or cardiology oogqirha, ukugqiba ukuba ngaba utyando luyindlela ekhethekileyo kuwe.
Iinkqubo ezingenanto zokucoca zingasetyenziselwa ukutshabalalisa okanye ukunciphisa i-metastase ngokubambisana notyando-okanye umqobo ukuba awukwazi ukunyamezela ukuhlinzwa.
- I-Cryosurgery ibulala iiseli zomhlaza ngokuziqhaqhazela .
- Ukuphulukiswa kwamanzi ngokugqithiseleyo kusetyenziswa amagagasi ombane ukutshabalalisa (ukutshisa) iiselintshi zomhlaza eziye zahlengahlengiswa kwezinye izitho, ezifana nesibindi okanye imiphunga.
- Ukuphulukiswa kwe-Ethanol kutshabalalisa iiseli zomhlaza ngokuxiliswa kotywala.
Chemotherapy
Uninzi lwamachiza e-chemotherapy lusebenza ngokubulala amaseli ahlula ngokukhawuleza. Kwomntu onomdlavuza, iiseli ezandayo ngokukhawuleza zingumlingo womhlaza; Nangona kunjalo, iziphumo zempembelelo zingenzeka kwezinye iishubhu ezihlukana ngokukhawuleza. Kukho iindlela ezimbalwa ezahlukeneyo zokufumana iziyobisi zamachiza. Unyango lwakho lungaquka ukuthabatha ngomlomo kwifom yefilitha, nge-intravenously, okanye nge-injection ngokuthe ngqo kumzobo osondeleyo kwi-tumor.
I-Chemotherapy ilawulwa ngaphambi okanye emva kokunyangwa ngonyango kwaye isetyenziselwa ukunyanga isigaba se-II, III ne-IV. Izidakamizwa ezinikezwe phambi kokuhlinzwa, zisetyenziselwa ukunciphisa izicubu phambi kokususwa komzimba. I-Chemotherapy ngamanye amaxesha isetyenziselwa ukunciphisa izicubu kuwo wonke umzimba xa i-metastasis yesistim eyenzekayo (isigaba IV). Ugqirha wakho unokukucebisa ukuba uthathe i-chemotherapy emva kokuhlinzwa ukuze ubulale nayiphi na iseli yomhlaza kwaye unciphise amathuba okuphindaphinda.
Agents Ngokukodwa kwiCaron Cancer
I-agents ze-Chemotherapy ezisoloko zisetyenziselwa kwi-cancer yekolon ziquka:
- 5-FU (fluorouracil)
- Eloxatin (oxaliplatin)
- Xeloda (capecitabine)
- I-Camptosar (irinotecan)
Kukho ukudibanisa okuhlukeneyo kwala ma-agent, aqhelekileyo alawulwa ngethuba leeveki ezine (ii-rounds) ze-chemotherapy, olulandelwe ixesha lokuphumla nokubuyiselwa. I-Capecitabine iyipilisi, kanti ezinye zinikezwa ngokunyuka kwamanzi.
Iziphumo eziqhelekileyo zemiphumo yekhemotherapy yomdlavuza wekolon zixakeke, kodwa ezininzi zinokunciphisa ngemishanguzo. U no kwenzeka:
- Ukudabuka, ukuhlanza nokulahlekelwa kwesidlo
- Ukulahleka kweenwele
- Izilonda zomlomo
- Ukukhupha isikhumba
- Ukukhanya kwelanga
- Uhudo
- Ixabiso legazi eliphantsi (i- neutropenia )
- Ubungqina okanye ukubetha kwezandla okanye iinyawo
Usenokuziva ukhathele kwaye ugula ngokulula. Oku kudla ngokubambisana kunye nokuhla kwegazi lakho. Uya kufuneka ufumane ukuphumla okuninzi kwaye usebenzise amanyathelo okucoceka (njengokuba uhlamba izandla) ukuphepha ukhuphelo olungadingekile kwisistim somzimba wakho sokuzivikela ngesifo, njengobanda obuqhelekileyo.
I midiyo
Ulwaphulo lwe-radiation lusebenzisa uhlobo oluthile lwe-x-ray ukubulala amangqamuzana omhlaza kwaye lunokusetyenziswa ngokubambisana ne-chemotherapy kunye nokuhlinzwa ngenxa yomhlaza wekoloni. I-radiological oncologist iya kunika imithi yonyango ekujoliswe kuyo ukunciphisa naziphi na iimpawu ezibuhlungu zomhlaza, bulala nayiphi na isifo somhlaza esityhalwa emva kokuhlinzwa okanye ukuphindaphinda, okanye njengendlela yokonyango ukuba awukwazi ukunyamezela ukuhlinzwa.
Ulwaphulo lwe-radiation lulawulwa ngaphandle (njenge-x-ray) okanye lufakwe ngaphakathi ngaphakathi (ngaphakathi emzimbeni wakho).
Iiseshoni zonyango zangaphandle zangaphandle zihlala zintsuku ezintlanu ngeveki kwiiveki eziliqela kwaye zizintlungu ezingenabuhlungu. Unokuba nefuthe lesikhumba (cinga ukushisa kwelanga) kwisiza se-radiation, i-nausea, okanye ukuhlanza ngexesha elithile ngexesha lotyando.
I-radiation yonyango yangaphakathi , ebizwa ngokuba yi- brachytherapy , idinga amancinci amancinci amancinci afakwe ecaleni okanye kumathambo anomdlavuza. I-Brachytherapy idla ngokugqitywa kwelinye ilyelelo.
Unyango olujoliswe
Ionyango ezijoliswe kumdlavuza wekoloni zinikezwa ngokufanayo kunye ne-chemotherapy, ngokuqhelekileyo nge-intravenously, kanye emva kweeveki ezintathu.
Ezi ziyobisi zivame ukuqonda izinto zokukhula kweeprotheni ezibandakanya iiseli zomhlaza, ezifana ne-vascular endothelial growth factor okanye i-epidermal growth factor receptor. Ekubeni la mayeza angama-antibodies, ahlasela ngokuthe ngqo iiprotheni abazibophayo, abulala kuphela amaseli ahlanganiswe kule miba kwaye banokuba nemiphumo embalwa yecala kunee-agent ze-chemotherapy. Imizekelo yezilwanyana zonyango ekujoliswe kuyo iquka:
- Erbitux (ceuximab)
- Avastin (bevacizumab)
- Vectibix (panitumumab)
Iimpawu eziPhakathi kunye neengozi
Zonke iindlela zonyango zikho umngcipheko wemiphumo emibi. Iintlobo zonyango lwakho kufuneka zigqithise ingozi. Ugqirha wakho uya kusebenza nawe ngokukhawuleza kwaye ulungiselele inkqubo yonyango yakho kwiimfuno zakho.
Kukho iintsuku xa omnye ugqirha onobubele ehamba nazo zonke izidingo zakho zezempilo. Isicwangciso sakho sokonyango siya kubandakanya iqela labaqeqeshi bezonyango, kuquka oogqirha abakhethiweyo-njengabantwana be-oncologists kunye ne-radiologists - abahlengikazi, kunye nabasondlo, ukukunceda ekubhekiselele kwi- prognosis engcono. Qala iphepha lokugcina kwaye ugcine uluhlu lweefowuni lwabaqeqeshi bakho bezokwelapha ukuze ukwazi ukuba ngubani ozakuqhagamshelana naye.
Imithombo:
American Cancer Society. (2008). ICrorectal Cancer. Oko Kufuneka Ukwazi - MANJE. I-Atlanta: I-American Cancer Society Promotion Health.
American Cancer Society. (nd) iCrorectal Cancer. Chemotherapy.
INational Cancer Network Network. (nd) I-NCCN unyango Inkcazo. Izigaba zeCrorectal Cancer Stages 0, I, II, and III.
ILayibrari yeSizwe ka-US yamayeza. (nd) UkuHlulwa kweBillar Large.