Iimpawu kunye neMpawu, Ukuxilongwa, kunye noTyango
Iimpawu kunye neempawu zomhlaza we-cecum ngamanye amaxesha azikho nto. I- cecum ibonisa ukuqala kwamathumbu akho amakhulu. Eli candelo le-poch-like of intestine lidibanisa inxalenye yesisu esincinci, esibizwa ngokuba yi-ileum, kwi-colon ekhuphukayo. Lo mmandla wekholoni unokuba nzima kakhulu ukuwuhlola, kodwa kubalulekile ukuba kwezinye iifundo ziye zafumanisa ukuba ukuya kuma-20 eepesenti yeengqamzana ezinobungozi zenzeke kwi-cecum (kwizifundo ezithile zingaphantsi kakhulu).
Ziziphi iimpawu kunye neempawu zomdlavuza we-cecum, njani ufunyaniswa, kwaye uphathwa njani?
I-Anatomy yeColon neCecum
Ukuze uqonde apho i-cecum iwela khona esiswini, kwaye ngoko ke, iimpawu onokuzilindela, kunceda ukuphonononga ubuchule bekholoni.
Ikholoni yakho iyahlula kwiindawo ezine eziphambili:
- I-Cecum kunye nokwenyuka kwekhaloni: I-cecum kunye nokwenyuka kwekhaloni idla ngokubhekiselwe kwikoloni yakho "efanelekileyo". "I-cecum ijoyina intlungu encinane kufuphi nommandla wesihlomelo, kwisigxina sakho sokunene esiswini, kunye nekoloni ekhuphukayo iphakama ngakwesokudla esiswini sakho kwi-colon.
- Ikholoni ehambayo: Le nxalenye yekholoni yakho isebenza ngokubanzi ngaphaya kwesisu sakho esisentla ukusuka kwesokudla ukuya kwesobunxele.
- Ukuhla kwekoloni: Ukuhla kwekhaloni kuqhubela kwicala lasekhohlo lesisu sakho, ukusuka phezulu ukuya kwicandelo eliphantsi.
- I-colon Sigmoid: I-colmo sigimoid idibanisa ukuhla kwekhaloni kwi-rectum kunye ne-anus.
Indawo ye-cecum ingenza kube nzima ukufumana umdlavuza kunakwezinye iindawo zekholoni.
Umsebenzi weCecum
I-cecum, eyisiqalo sekholoni apho amanzi athatyathwa khona ukusuka kwisitulo, iqulethe i-stool ephikisayo kwaye ingabonakali ngokupheleleyo. Umsebenzi wececum yakho ukufumana izondlo ezisele kwiibilini zakho, kwaye uqale ukuhlaziywa kwamanzi okubangela inkunkuma oyibonayo xa uyichasa.
I-Anatomically, i-cecum ihlala kwindawo ephantsi kwesisu sakho, apho isithasiselo sakho sikhundla. Njengoko unako ukuhlala ngaphandle kwesihlomelo, esiqhotyoshelwe kwi-cecum, kunokwenzeka ukuba uphile ngaphandle kwe-cecum.
Iimpawu zeCcerus yeCecum
Iimpawu zomdlavuza we-cecum zingabonakali kwaye zihlala zihluke kunezinto ocinga ngazo ngeempawu zomhlaza wekoloni. Iimpawu eziqhelekileyo zomhlaza we-colorectal ngokubanzi ziquka ukuvakalelwa okanye ukunyanzeliswa kwi-rectum, ukuphuma kwegazi , kunye nesifiso sokukhawuleza. Amathuba awunakufumana le miqondiso ye-telltale ngomhlaza we-cecum. Ukuvuvukala kwi-cecum, ngokungafani ne-rectum okanye i-sigmoid colon, akuyi kukukwenza unqwenele ukuxhathisa okanye ukudala ukungabikho komzimba (nangona ngamanye amaxesha kudibene ne-diarrhea) ngenxa yokuba isitulo esidlula kwi-cecum sisisulu kwaye sinokudlula ngokulula abantu le nxalenye yamathumbu.
Ngelishwa, uninzi lwezibonakaliso zomhlaza we-cecum ziphelile, oku kuthetha ukuba isifo sele sithe sagqithisile kakhulu xa uziva ezi zibonakaliso. Iimpawu ezingenzeka ziquka:
- I-anemia, kunye neempawu ezihamba kunye ne- anemia ezifana nokukhathala, ukuphefumula okufutshane, ubuthathaka, kunye nokukhawuleza kwenhliziyo. Ukuhlamba okuvela kulo mmandla wekoloni ngokuqhelekileyo kuncinci, kwaye akubonakalwanga de ugqirha efumanisa ukuba unesia yokunqongophala kwe-anemia kwi-akhawunti epheleleyo yegazi (CBC).
- Ubumnyama, i-tarry stools (melena): Xa ukuphuma kwegazi kuvela kwi-cecum kunye nokwenyuka kwekhaloni, ngokuqhelekileyo kubangela izitulo ezimnyama ezinokubonakala zifana ne-tar-like, kunokuba igazi elibomvu libonwe ngokuchithwa kwegazi kwi-digestive tract.
- Igesi kunye nokuqhaqhaza: I- gesi kunye nokutyhulwa kwembali kungenzeka, kodwa kungabonakaliyo, kwaye ngokuqhelekileyo okokuqala kubangelwa kwesinye isizathu.
- Iintlungu zesisu: Njengegesi kunye nokuqhaqha, intlungu yesisu ayifuni kwaye inokubangela ezininzi izizathu. Xa kukho intlungu, kunokuthi kuqaphele kwingingqi eyaziwa ngentlungu nge-appendicitis, iphuzu likaMcBurney. Eli nqaku lingafumaneka ngokudweba umgca ukusuka kwinqanawa lakho lasekunene le-hip ukuya kwibhinyile yakho kwaye ufumane indawo. Oko kwathiwa, intlungu yesisu ingasasazeka, kwaye kaninzi ayitsho nto malunga nendawo yengxaki.
- Isihlunu kunye nokuhlanza: Izidumbu ezinkulu kwicala lasekunene lekholoni yakho zingabangela ukutya ukuba "buyiselwe" kumathumbu amancinci nesisu, kubangele ukuhlanza. Ukuvuthwa ngokuqhelekileyo "kubonakala" kubonakala, okanye kuphuzi kumbala.
- Ukulahlekelwa kwesisindo: Ukulahlekelwa kwesisindo esingenalutho ngokuqhelekileyo kubonakala kubakho iimvumi eziphambili, kwaye kufuneka zihlale ziphandwa. Ukulahlekelwa kwexabiso lokungazinzi kungachazwa njengalahleko ye-5 ekhulwini lomzimba okanye ngaphezulu kweenyanga ezili-6 ukuya kwezi-12. Oku kuya kufana ne-150-pound person lost 7.5 pounds ngaphandle kokuzama.
Ezinye izizathu zeCecum Cancer Symptoms
Ubukho beempawu ezikhankanywe ngasentla asisho ukuba unomdlavuza we-cecum, kwaye kukho imeko eyahlukeneyo eyafana nayo. Ezinye zezi ziquka:
- I-Cecal volvulus: Imeko engavamile, i-volcus cecal iyenzeka xa i-cecum yakho ikhuphuka i-colon, kwaye ibangela ukuphazamiseka okubangela ukuhamba kwesithambiso esiswini sakho. Olu thungelwano lunokubangela ukuba ubuhlungu besisu, ukuvuvukala, i-cramps, i-nausea, kunye nokuhlanza. Kungenzeka kubangelwe ukukhulelwa, ukutshatyalaliswa okukhulu kwezibilini okanye isisu esiswini-esiswini esiswini esisoloko esabangelwa kukuhlinzwa kwangaphambili-kwaye kaninzi kuchaphazela abantu abaneminyaka engama-30 no-60.
- Isifo sesibindi sokuvutha (IBS): IBS , kuquka izifo ezifana nesifo sikaCrohn kunye nesifo sezilonda zesisu, singabangela intlungu yesisu, ukuvuvukala kwesisu, kunye nokunyakaza okungaqhelekanga phakathi kwezinye iimpawu. I-IBS ayikwazi nje ukulinganisa iimpawu zesifo soxilongo, kodwa i-IBS iyinqobo yengozi ekuphuhliseni umdlavuza wekolon.
- I-appendicitis enobuchule: Iimpawu ze-appendicitis zibukrokrazo zomhlaza we-cecum, kubandakanya ubuhlungu besisu obubi kakhulu kwisisu esifanelekileyo esiswini, isisongela kunye nokuhlanza. Ukongezelela, ukuba nomhlaza kwi-cecum kunokukhokelela ekuvukisweni kwesihlomelo. Ngandlela-thile, oku akuko konke okubi, kwaye kunokubangela ukuxilongwa komhlaza we-cecum ngaphambili kunokuba kwenziwe njalo.
Ukuxilongwa
I- colonoscopy iyona vavanyo efanelekileyo kakhulu yokujonga ngokubonakalayo umhlaza wececum. Kwi-colonoscopy, ugqirha uphupha i-colonoscope ngokusebenzisa i-colon yakho yonke, ukuya kwi-cecum, ukukhangela iipolisi okanye ukukhula okukrokrelayo okunokuba ngumhlaza. Ukuba ama-polyps afunyenwe, angasuswa. Ekubeni uninzi lweengqungquthela ze-colon ziqala njengama-polyps enqabileyo, i-colonoscopy ayikwazi kuphela ukubona umdlavuza, kodwa, ngokususwa kwale polyps, inokuthintela uphuhliso lomhlaza wekolon.
Nangona kunjalo, ngexesha le-colonoscopy, malunga neepesenti ezili-10 zexesha le-colonoscope ayikwazi ukuqaliswa yonke indlela eya kwi-cecum, kwaye ke iphosakele kulo mmandla. Oku kungenzeka ngenxa yokubambelela, okanye ezinye iingxaki ezenza ukuba ikholoni ihlasele okanye ilukhuni ukuhamba. I-Barium enemas inokwenziwa, kodwa ingenakho ukuchaneka. Xa kunjalo, i-colonoscopy ebonakalayo iyakwazi ukufumana umhlaza wececum xa ezinye iimvavanyo zingaphumeleli.
Ezinye iimvavanyo, ezifana ne-CT yesisu sakho, kunokuthi kwenziwe ukuba uhlolisise indawo yececum yakho, kwaye ukhangele ubungqina banoma yiphina intsasa yomhlaza.
Ngelishwa, ukuvavanywa ngamanye amaxesha ukukhangela umdlavuza wekolon, sigmoidoscopy eguquguqukayo, ihlola kuphela icala langasekhohlo lekholoni kwaye ilahleke iidumbu zekcum kunye nekholoni efanelekileyo.
Unyango
Ukuba umhlaza mkhulu kakhulu ukuba ungasuswa kwinkqubo ye-polypectomy, ungadinga ukuhlinzwa ukuze uyisuse. Uhlobo oluqhelekileyo lotyando lomhlaza we-cecum lubizwa ngokuba yi-hemicolectomy elungileyo-ukuhlinzwa kwakhe kususa kwicala elifanelekileyo lekholoni lakho kwaye liphinde linamathele inxalenye eseleyo kumathumbu akho amancinci. Ngokuxhomekeke kwinqanaba kunye nomgangatho wesifo sakho somhlaza , ugqirha wakho unokukhuthaza kwakhona unyango lwe-adjuvant, oluquka i- chemotherapy kunye ne-radiation.
Prognosis
Ukuthelekiswa neekomhlaza zecolon yangasese, i-cancer ye-colon yangasese, njengaleyo ye-cecum, inexabiso elincinci lokusinda. Oku kubangelwa ubunzima obuninzi ekufumaneni izi zifo kunye nesigaba esiphezulu sesifo ngexesha lokuxilongwa.
Nangona kunjalo, i-cancer-colonial colon cancer isinako ukusabalalisa (imastasize) kwisibindi kunye nemiphunga kuneentsholongwane zekholoni ezisekhohlo.
ILizwi
Ngokumalunga namanye amachiza e-colon, umhlaza wececum unokuba nzima kakhulu ukuwuxilonga, ngokusekelwe kwimimpawu emibini eyahlukileyo kwiidoncer colon ehamba phambili kwikoloni, kunye nobunzima obuninzi bokujonga le ndawo kwiimvavanyo zokuhlola. Iimpawu zokuqala ziquka ukukhubazeka kwe-iron enemia ngenxa yokuphuma kwegazi. I-ironemia ye-anemia kufuneka ihlale iphandwa, ingakumbi kumadoda nakwabasetyhini abasemva.
Ukujonga i-colonoscopies yindlela efanelekileyo yokufumana isifo, kodwa ungahlali ufikelele kwingingqi ye-cecum. Xa oku kwenzeka, i-colonoscopy ebonakalayo yinketho enokukunceda ubone ngeso-colon ephezulu yesokudla.
Ukuqhwabalala kunzima kakhulu kumdlavuza we-cecum kunezinye i-cancer ye-colon, eninzi inxulumene nobunzima obunzima bokufumanisa lesi sifo kwiinqanaba zokuqala. Ukuba unayo nayiphi impawu okanye iimpawu ezibonisa ukuba ngumhlaza we-cecum, xela ugqirha wakho. Ezinye zeempawu ziphakamisa inkxalabo malunga nezinye iimeko ezinzima. Ngethamsanqa, nangona kukho ukungqubuzana nokuhlola ezinye iintlobo zomdlavuza wekoloni, ukuhlolwa kweekholoni ze-colonoscopies kumdlavuza wekolon kusindisa ubomi, kwaye kuthemba ukuba kuya kuphucula ixabiso lokuphila kwixesha elizayo.
> Imithombo:
> Amri, R., Bordeianou, L., Sylla, P., kunye noD. Berger. Utshintsho kwiSayithi yeMetastasis ngeendawo eziPhambili kwiCaron Cancer. Umbhalo woBugqirha bezintlu . 2015. 19 (8): 1522-7.
> INational Cancer Institute. Ukwelashwa kweCaron Cancer (PDQ) -I-Professional Professional Version. Ukuhlaziywa 02/16/18. https://www.cancer.gov/types/colorectal/hp/colon-treatment-pdq
> Suttie, S., Shaikh, T., Mullen, R. et al. Umphumo weColonic kunye neRecal Cancer emva kweNgcaciso yokuPhepha. IiColorectal Diseases . 2011. 13 (8): 884-9.