Ukwenza izigqibo kunye nokujongana neSigaba 4 seCaron Cancer
Unokukwazi njani ukuphumelela xa ufunda ukuba unomdlavuza wesi-4? Ziziphi izigqibo oza kuzenza ukuba wenze kwaye yiyiphi na into ofuna ukuyenza ukuze wenze ukhetho olungcono wena ngokwakho? Makhe sijonge ukuba unomdlavuza wekoloni wesigaba 4 uthetha ntoni, abantu bahlala ixesha elide kangakanani nale nqanaba yesifo, kunye noko kufuneka ukwazi ukwenza izigqibo ezintle kunokwenzeka kwixesha eliyikrakra nelininzi.
Yintoni iCape 4 Colon Cancer?
Umdlavuza wekoloni wesigaba se-4 ngowona mgangatho ophezulu kakhulu wesifo kwaye unokuthi uhanjiswe njengomhlaza we-colon . Ngaphambi kokuba sithethe nantoni enye sifuna ukubonisa ukuba akusilo lonke isigaba se-4 se-colon cancer. Ngenkcazo, isigaba se-4 se-colon cancers yilabo abaye bahamba ngaphaya kwekolon (i- metastasized ,) kodwa kukho imimandla eyahlukeneyo apho kwenzeka khona. Ngenxa yeso sizathu, iinkcukacha malunga nokuphila zingakhohlisa. Wonke umhlaza wekolon uhlukile, kwaye umzimba womntu ngamnye, kuquka ezinye iimeko zonyango kunye nempilo jikelele, eyahlukileyo.
Ukwenza izigqibo ezibalulekileyo malunga neSigaba sakho 4 Ukunyamekela kweCaron Cancer
Ngelishwa, kuba abaninzi abantu, isigaba somhlaza wesi-4 se-colon asicatshangwanga. Nangona kunjalo, inokuhlala iphathwa njalo. Abantu banokuhlala iinyanga ezininzi kunye neminyaka kunye nesigaba somhlaza wesi-4 se-colon. Kude kube nini umntu ephila emva kokuxilongwa kuxhomekeka kwizinto ezininzi, kubandakanywa nendlela amangqamuzana omhlaza wekolon aziphatha ngayo, apho umhlaza wekolon usasazeke khona, nendlela umntu aphendule ngayo unyango olukhoyo.
Isayithi eqhelekileyo apho umhlaza wekolon usasazeka khona sisibindi (isistimases sesibindi) kodwa ingasasazeka kwimipopho, ingqondo kunye ne-peritoneum, iimbumba ezijikeleze isigxina sesisu, kunye nezinye iindawo.
Nangona ukwenza izigqibo kubalulekile ukuqaphela ukuba kukho indlela entsha yokunyanga umdlavuza wekolon kwiminyaka yamuva.
Kwixesha elidlulileyo, isigaba se-4 se-colon cancers zonke ziphathwa ngokufanayo. Unyango lujoliswe kumdlavuza ngokubanzi, kungakhathaliseki ukuba umhlaza usasazekaphi. Oku, ngokubulela, utshintshile. Ngoku, xa umntu eneendawo ezimbalwa okanye ezincinci zeemastastases, tshela esibindi, unyango lwe-metastases lunokuqwalaselwa. Ngengongoma yezokwelapha, enye enye okanye imitha embalwa kuphela ibizwa ngokuthi "i-oligometastatic" ngegama elithi "oligo" elithetha ezimbalwa.
Kulabo abanomdlavuza wekolonomastra ephethe imitha embalwa kuphela kwisibindi okanye imiphunga, ukususa ii-metastase ngamanye amaxesha kunokubangela ukuba kubekho ixesha elide lokuphila. Nangona kunjalo, kubantu abaninzi, ezi zonyango azikwazi, kwaye ugxininiso lwenyango luzama ukulawula umdlavuza ukwandisa ubomi xa ugxininisa umgangatho wobomi.
Unokuba unqwenela ukufunda okungakumbi malunga nokunyanga kwama-metastase yesibindi ahlobene nomhlaza wekoloni .
Ingcaciso Enjani Eyayifunayo Ngomlinganiselo Wakho?
Phakathi kwezinto zokuqala, uya kuxubusha kunye neqela lakho lononophelo lwempilo kukuninzi ulwazi olufunayo malunga nokuxela kwakho. Ukugqithiselwa kubhekisela kwikhosi ekhoyo yesifo kunye nexesha elingakanani. Abanye abantu bafuna ulwazi oluchanekileyo malunga nokuba bangahlala ixesha elingakanani nesigaba somhlaza wesi-4.
Abanye abantu bakhetha ukungazazi ezi nkcukacha.
Nangona ufuna ulwazi oluthe baninzi, gcinani engqondweni ukuba ukuqikelela ukuba umntu uza kuhlala ixesha elide kangakanani nomhlaza wesi-4 we-colon. Ugqirha wakho unokunika ixesha elithile elindele ukuba uza kuphila. Oku kungokuqaphela kwakhe, okusekelwe kwimeko yakho kunye namava akho ogqirha. Wonke umntu uhlukile.
Kwakhona, khumbula ukuba imeko iguquka. Abanye abantu baphila ixesha elide kunokuba kulindeleke. Abanye baphila ixesha elifutshane. Kwaye abanye oogqirha abayi kubachazela malunga nokuba umntu uza kuhlala ixesha elide kangakanani nomdlavuza wesiqulatho se-4 ngenxa yokuba awazi.
Into ebaluleke kakhulu ukuba ukwazi ukuba unokufunda okuninzi okanye okuncinci njengoko ufuna ngeprognosis yakho. Kuxhomekeke kuwe. Qinisekisa ukwenza oko ufuna ukukwazi (okanye ungayifaki) ukucaca kugqirha.
Yintoni Intsapho Yakho Efuna Uyazi?
Xa wenza isigqibo sakho malunga neenkcukacha, kunjalo, kubalulekile ukuba ucinge ngalabo abathandayo kwaye banokukunceda ukunakekela. Amalungu entsapho amaninzi afuna ulwazi olupheleleyo malunga nokuba ngumntu omthandayo angaphila ixesha elide emva kokuba efunyaniswe nesigaba somhlaza wesi-4 se-colon. Amanye amalungu omndeni angayifumana le nkcazelo kakhulu. Basenokungafuni ukuyiva.
Qinisekisa ukuba ugqirha wakho uyazi ukuba ngubani osentsapho yakho ofuna (okanye ufuna) uzalise ulwazi kwaye ungubani. Ugqirha wakho unokukwazi ukwenza inqaku kwitektshi echaza iinjongo zakho zokwabelana ngolwazi malunga nomhlaza wakho wonyango. Ngale ndlela, wonke umntu kwikomiti yokunakekelwa kwezempilo uya kuba kwiphepha elifanayo ngexesha lokuqeshwa.
Ukufunyaniswa ukuba unesigqeba sesine umhlaza wekolon kunokukwenza uzive ungalawulwa. Ukwazi okukhethayo malunga nokwabelana ngolwazi ngomhlaza wakho, izigqibo zonyango lwakho, kunye nokuphela kwezigqibo zokunyamekela ubomi kuya kukunceda ukuba uqhubeke phambili ngexesha elinzima.
Unokuhlala ixesha elide kangakanani neSigaba 4 seCaron Cancer?
Izibikezelo malunga nokuphila kunye nesigaba 4 somhlaza wekoloni zisekelwe kwiinkcukacha, kwaye abantu ababa ngamanani.
Ukongezelela, ukubalwa kwamanani, ngokucacileyo, kusele minyaka embalwa ubudala. Isilinganiso seminyaka emihlanu yokusasazeka kwesifo siya kukunika ubungakanani bexesha elide umntu owake wahlala ngalo ofunyenwe iminyaka emi-5 edlulileyo. Ngentuthuko yakutshanje kwonyango lomhlaza, kunye nemichiza emitsha yomhlaza, ezinjengezonyango ezijoliswe kuyo kunye nokuxilongwa kwe-immunotherapy ekufundweni kwizilingo zonyango, kunye nezokwelapha ze-oligometastatic (umzekelo, umhlaza wekolon metastases kwisibindi) la manani kulindeleke ukuba atshintshe. Indlela umntu owenza ngayo namhlanje ngomhlaza wekolon unokungafani kakhulu nendlela umntu ayenzileyo ngayo nangeminyaka emihlanu edlulileyo.
Kubalulekile ukuqonda le nkqubela yomhlaza wezalamani xa wenza izigqibo zakho. Ukuba uthetha nomntu, mhlawumbi ummelwane okanye ilungu elinye losapho, ojongene nomdlavuza wekoloni ngexesha elidlulileyo, indlela yokwenza unyango ingahluka ngoku ngoku. Xa abantu bethetha ngabanye ababenesi sifo-esiza kuvela ngokuqinisekileyo-unokufuna ukubakhumbuza ngenyameko ukuba unyango luya kutshintsha. Unonophelo olulungileyo lunokufumaneka kumdlavuza wekolon kunokuba sasineminyaka emibini edlulileyo, kwaye i-long-term survival rates-nangona isigaba se-4 siphucula.
Isilinganiso sokusinda samanje kwisigaba 4 somhlaza wekolon, ngokutsho kweMerika Cancer Society i-11 ekhulwini. Oko kwathiwa, uvavanyo lwango-2017 lufumene ukuba abo bane-stage 4 yomhlaza we-colon nomhlaza wesibindi, ababe ngabaviwa bokususwa kwesibindi semastas ngexesha elifanayo ne-colon operation, babenamazinga angama-5 okusinda kuma-70 ekhulwini. Kukho abantu abaninzi abahlala ixesha elide, nokuba nezifo zikhululekile, kunye nesigaba somhlaza wesi-4 se-colon ngaphambili. Ukuba unomdlavuza wekoloni kunye nesifo sesibindi esinyango, kukho abantu abaninzi, njengelinye ilizwe lasempumalanga umculi uWade Hayes, abahlala ubungqina bokuba ngamanye amaxesha isigaba somhlaza wesi-4 se-colon sisaphila.
Isikhungo somhlaza wesi-Anderson sinomlinganiselo wokuba ngumdlavuza womhlaza wekolon ongacwangcanga nje kuphela, kodwa ubudala, ubuhlanga, isondo, kunye nokwahlukana kwamaseli omhlaza. Ewe, nangona ezi ziguquko, ukusinda kuyahluka kakhulu kwiinkalo zonyango onokuthi unako, unyango oluthile olufumanayo kunye neprojekthi ye-molecular ye-tumor yakho.
Xa Ufanele Uyeke Ukwelashwa ngeSigaba 4 seCaron Cancer?
Ngelixa sinezicwangco ezingcono kunexesha elidlulileyo, kwaye ngamanye amaxesha sinokuphatha unyango lwe-metastase, siyazi ukuba abaninzi abantu abanomdlavuza wekoloni yesigaba 4 baya kufumana ixesha apho ingozi kunye nemiphumo emibi yonyango iphezulu kunezibonelelo.
Ukufika kweentlobo ezintsha zonyango yinkota ehlangene kabini. Ezi zonyango zonyango ziyakwandisa ubomi kwaye zibonelele ngeendlela ezingabonakaliyo nje kwiminyaka emfutshane edlulileyo. Nangona kunjalo, ngelixa esedlulayo sasihlala siphumelele ukunyanga, sifikelele kwindawo apho ukhetho lokuyeka unyango luye kufuneke lube sisigqibo esisebenzayo.
Ukuba ule ndawo ekuhambeni kwakho, qiniseka ukuba ubuze imibuzo eninzi, kwaye ucinge ngokucophelela ezi zinto 9 ukucinga phambi kokuyeka unyango lomhlaza .
Ukujamelana neCaron Cancer Xa unyango alukho Uncedo olude
Ukuba unqume ukuyeka unyango olukhuselekileyo lomhlaza wakho, yintoni isinyathelo esilandelayo?
Ngenxa yokuba unyango olusebenzayo lomhlaza wakho wekoloni luphela, akuthethi ukuba awuyi kuba nayiphi na unyango. Ukunyamekela ngentsholongwane yomdlavuza wekolon kuyathetha induduzo kunokunyanga, kodwa ngezinye izihlandlo, kunokubandakanya unyango lwe-radiation, i-chemotherapy, okanye utyando. Ukuphathwa kobuhlungu kubaluleke kakhulu, kwakunye nezokwelapha ezijoliswe ekunciphiseni iimpawu zesisu (ezifana nokuqhawulwa okanye ukuvinjelwa kwesisu,) ukungabikho kokutya, ukuphazamiseka kwegazi, ukuxhalaba kunye nokudandatheka okungahambi kunye nokuhlaselwa ngumhlaza.
Unokunqwenela ukujonga ezi ngcebiso zokujamelana nomdlavuza wesigxina ; iingcebiso abanye abale ndawo babelana ngazo ngemiba evela ekusebenzisaneni nobudlelwane kwiindlela zokufumana nokuvuselela ithemba.
Ukwenza isigqibo malunga noKhathalelo lwe-Hospice
Akukho mntu unqwenela ukukhupha ingxoxo malunga nokunyamekela kwabantwana . Izigulane zeCancer kunye neentsapho zabo zibini ithemba lokukhusela enye ngokungayinaki le ngxoxo. Nangona oogqirha banqwenela ukukhupha umba. Oko kubalulekile ukwazi, nangona kunjalo, ukuba ukhetha ukunakekelwa kweentloko akuthethi ukuba uyeka. Ngokunyamekelwa kolondolozo, abantu basaphathwa. Ukwahlukana kukuba endaweni yokugxila kwizonyango zokuhlasela umhlaza, ukunakekelwa ngonyango kugxila kwizonyango zokulawula iimpawu zomhlaza, kwaye sinethemba lokuphucula umgangatho wobomi.
Abantu abaninzi bayavuma ukuba emva kokukhetha ukunakekelwa kwababelethi abanqwenela ukuba benze ngaphambili. Ukuze ufumane unonophelo lwe-hospice, uya kufuna i-note evela kugqirha wakho oqikelela ukuba uneenyanga ezintandathu okanye ngaphantsi ukuhlala. Ukuba uhlala ngaphaya kwexesha leenyanga ezintandathu, kulungile! Awuze "uhlawulwe" ngokukhetha ukhathalelo lokubhedlele ngokukhawuleza, kwaye ngelo xesha unokukhetha ukuvuselela unyango lwakho lokunyamekela ezinye iinyanga ezintandathu xa kufuneka. Ukunakekelwa kwe-Hospice akuthethi ukuba ushiya ithemba , kunoko, ukhetha ithemba lokuba ubomi obuhle kakhulu kwiintsuku oshiye kuzo.
Ngaphantsi kwendlela yokujongana neSigaba 4 seCaron Cancer
Umdlavuza wesigaba se-4 uyesabisa, kwaye kude kube kutshanje kwakunomdla wokuhlaselwa. Sinamanyango amaninzi atholakalayo okwangoku, nangakumbi nangakumbi kwiimvavanyo zeclini. Oku kuyamangalisa ngeendlela ezininzi, kodwa ngokungafani nexesha elidlulileyo, abantu kufuneka babe yingxenye ekhutheleyo yeqela labo lokukhathalela umdlavuza. Ukongezelela ekubeni kufuneka wenze izigqibo malunga nexesha lokuyeka unyango, abantu kufuneka bafunde malunga nokuthatha inxaxheba kwiimvavanyo zeclini -yinto eye yatshintsha indlela yokujonga umdlavuza wesiqulatho 4. Kubalulekile ukufunda konke onakho malunga nomhlaza wakho.
Thatha ixesha lokufunda malunga nendlela yokuphanda umdlavuza wakho kwi-intanethi . Ukubandakanyeka kwimeko yoluntu lwe-colon inkxaso-ngokufanelekileyo, enye enokuthetha ngayo nabanye abantu abajongene nomdlavuza wesigaba-kungekhona nje kuphela ukubonelela ngemithombo yenkxaso kodwa ingaba luncedo ekufundeni ngophando olutsha kwisifo. Ngaphambi kokuba uthinte "thumela", ke ke, thabatha ixesha elifutshane ukuphonononga indlela yokusebenzisa imithombo yoluntu ngokukhuselekileyo njengomhlaza wesigulane . I-oncology iyatshintsha ngokukhawuleza kangangokuba kunzima kunoma yimuphi ugqirha-nokuba nguyena othe ngqo kwi-cancer yekoloni-ukuba ahlale ehambelanayo nayo yonke into yokufunyanwa kunye neendlela zokwenza unyango. Abanye abantu abahlala nomdlavuza wesigaba 4, baphila kuphela ngenxa yolwazi abafumene ngokuba yinxalenye yolu xha luluntu.
Kwakhona lixesha apho ufuna khona iqela kunokuba ugqirha omnye. Kulabo abanesigaba se-4 ngesifo se-oligometastatic, iqela lakho lingabandakanya udokotela ogqirha kunye ne-oncologist yemitha kunye ne-oncologist yakho yezokwelapha. Iingcali zokunyamekela ezincinci zihlala zibizwa ukuba zibancede abantu bajamelane neempawu zesifo. Ewe, ilungu elibaluleke kakhulu leqela lakho lononophelo lomhlaza nguwe.
Ukuba ukhethe ukuyeka unyango, lindele ukuba abantu bahloniphe isigqibo sakho. Oku kufuneka kube sisigqibo sakho yedwa, kwaye ngelishwa, abantu abaninzi banxuswa ngabathandekayo ukuba baqhubeke unyango nokuba ngaba iziphumo ezingaphezulu zigqithise naziphi na izibonelelo. Okokuthi, fumana abahlobo kunye nentsapho yakho inkxaso. Akuyena wonke umntu ukhululekile ukuba ngumntu onomdlavuza ophezulu, kwaye ubuhlobo bakho buya kutshintsha; Abahlobo abasondeleyo basuka kude, kunye nabahlobo abatsha basondela.
Okubaluleke kakhulu, funda indlela yokuba ngummeli wakho kumnonophelo wakho womhlaza . Akugcini nje ukunciphisa uxhalaba lwakho kwaye kukunceda uzive unamandla ekuthatyeleni izigqibo zakho, kodwa ngamanye amaxesha kunokukwenza umehluko kwiziphumo.
> Imithombo
- > Inoue, Y., Imai, Y., Osumi, W. et al. Yisiphi ixesha elichanekileyo loKugqalwa kwesibindi seMetastase ye-Liversion esebenzayo ebonakalayo evela kwiColorectal Cancer? . Annals of Surgery . 2017. 83 (1): 45-53.
- > INational Cancer Institute. Ukwelashwa kweCaron Cancer (PDQ) - I-Health Professional Version. Isigaba se-IV kunye neNyango yamaKhansela eCaron ephindaphindiweyo. Ukuhlaziywa 04/21/17. https://www.cancer.gov/types/colorectal/hp/colon-treatment-pdq#section/_145
- > Nosher, J., Ahmed, I., Patel, A. et al. Iinkqubo ezingenziNkqubo zokuSebenziselwa kweeMastastase zezilwanyana ezingenayo. Umbhalo we-Oncology . 2015. 6 (2): 224-40.