Nangona kunjalo, iziphumo kunye nonyango ziyahluka
Umdlavuza oqhelekileyo kunye nomdlavuza wekoloni kaninzi bakholelwa ukuba yinto enye okanye i-subset enye. Kwaye, inyaniso, le miqathango isetyenziswa ngokungafaniyo kunye nabaqeqeshi bezempilo. Nangona kunjalo, ngelixa kukho ukufana, ukungafani phakathi kwekolon kunye nomdlavuza ogqithisileyo kungabonakala ngokucacileyo.
Kwabanye, igama elithi "umdlavuza wekolon" lingasetyenziselwa ukubandakanya zombini i-colon kunye neercelc cancer.
Kwabanye, "umhlaza wombala" ungasetyenziselwa ukuchaza ubuhlungu bentoloni, nangona i-rectum ngokwayo ingabandakanyeki. Zomibini zilungile, kodwa ngaba zichanekile? Igama elingaqhelekanga elisetyenziswe ekuchazeni umdlavuza womhlaza ngumhlaza wesisu, ochaza umdlavuza oqala kuyo okanye i-colon okanye i-rectum.
Ukubeka i-semantics eceleni kwithuba elithile, kukho ukungafani okubalulekileyo phakathi komhlaza kunye nomhlaza wesibeleko onokuhlola, kungekhona ubuncinane kwiindlela ezi zigulo ezi zimbini.
I-Anatomy yeColon neRectum
I- colon kunye ne-rectum zombini inxalenye yesikhumba esikhulu , indawo yokugqibela yesigca esiswini. Ikholoni inamamitha amahlanu ubude kwaye ihlukaniswe kwi-colon ehamba phambili (isahlulo sokuqala esibandakanyiswe emathunjini amancinci) kunye ne-colal distal (isahlulo sesibini esiqhotyoshelwe kwi-rectum). I-rectum yimizuzu eyi-6 ukuya kwe-intshi yokugqibela ye-colon evulela kwi-anus.
Ikholoni ngokwayo ikwahlukana ngamacala amabini, isakhiwo esivela ngexesha le-embryogenesis (ukwakheka komntwana). Icala lokunene liquka ikholoni ephakanyayo (i-colon ehamba phambili) ngelixa ikhohlo liquka i-colon ehlayo, ikoloni yesigmoid, kunye ne-colal distal.
Ukufana phakathi kweColon kunye neRectal Cancer
Ngokuqhelekileyo, i-colon ne-rectal cancers yabelana ngokufanayo, ngokukodwa endleleni ababonakalisa ngayo:
- Isiganeko - Umdlavuza oqhelekileyo ngowesihlandlo sesithathu esibangela ukufa kwe-cancer e-United States. Phantse ama-25 ekhulwini lamathambo amakhulu emathumbu anama-cancer angama-rectal.
- Imiba engozi - I- Colon kunye nomhlaza wesibeleko zifana ngokugqithisileyo xa kuziwa kubangele kunye nemingcipheko . Ubambiswano phakathi kwenyama ebomvu nomhlaza bukhoyo kubini, nangona kunamandla kwiimeko zesifo somhlaza. Ngokwahlukileyo, umdlavuza wekoloni unxulunyaniswa kakhulu nokusetyenziswa kotywala.
- Iimpawu - I- Colon nomhlaza wesibeleko zifana kakhulu ngokwempawu zabo, nangona ezinye zingahluka. Umzekelo, ukuphuma kummandla ophezulu kwikholoni kunokwenzeka ukuba ube negazi elimnyama okanye elimnyama, ngelixa i-cancer ephazamisayo ibangela igazi elibomvu, elibomvu.
- I-Genetics - Ukususela kumbono wee molecular, i-colon ne-rectal cancers zifana ngokugqithiseleyo, phantsi kohlobo lwezitshintsho eziphathekayo ezijongene nokukhula kwazo. Kukho ukuhlukahluka kweminye, kodwa, ngokubanzi, ii-cancer ezimbini zihambelana ngokucacileyo.
Ulwahluko phakathi kweColon neRectal Cancer
Nangona kukho ukufana, kukho ukungafani phakathi kweekliniki ezimbini:
- Ubungqingili bezesondo - Umdlavuza weColon usasazwa kakhulu ngokulinganayo phakathi kwezesondo, kanti umhlaza wesifo somhlaza unomdla ngakumbi kubantu kunabesifazane.
- I-Anatomy - Ukunikezelwa kwegazi, i-lymphatic drainage, kunye nokunikezwa kwemigudu ye-colon kunye ne-rectum. Oku kubalulekile njengoko i-cancers i- spreadastasize (isasazeka) kwezinye iindawo zomzimba ngokusebenzisa iinqwelo zegazi kunye ne-lymphatic.
- Ukuphindaphinda izifo - Oku kungaba ngumntu obalaseleyo. Ngokuqhelekileyo, umhlaza wesibeleko kunzima ukuphilisa, ngokuphindaphinda ukuphuhliswa phakathi kweepesenti ezingama-15 no-45 zezigulane.
- Ukuhlaselwa kwezicubu eziseduze - Umhlaza weColon, osesiswini, unamagumbi "amaninzi" okujikeleza kuwo, kanti umhlaza wesibeleko uvela kwindawo enamandla kakhulu. Umdlavuza oqhelekileyo, ngoko, unethuba elikhulu lokusasazeka kwimizimba eseduze.
- Ugqirha - Unyango lwe-colon lomhlaza unokucetyiswa naliphi na isigaba sesifo , ngelixa utyando olulodwa ngaphandle kwe-chemo okanye unyango lwe-radiation ngokuqhelekileyo lubekwe kumanyathelo 1 no-2. Ngokwahlukileyo, utyando lomhlaza wesibeleko lunokwenziwa ukusuka kumanyathelo 1 ukuya ku-3, ngokubambisana ne-chemo kunye neyeza.
- Ubuchopho obunzima - Ukuvuthwa komdlavuza wekolon kulula kakhulu xa kuthelekiswa nomhlaza wesibeleko. Ngomsebenzi wokuhlinzwa, kunzima ukufikelela kwi-tumor kwaye ukuphepha ezininzi zezakhiwo ezikujikelezayo.
- I-Colostomy - Abantu abaye bafumana unyango lomhlaza we-rectal banokubakho ubuninzi be-colostomy esisigxina. Oku kungenxa yokuba ukususwa kwe-anal sphincter kudla ngokufunekayo, okungenakho ukutshintshwa okanye ukulungiswa kwakhona.
- Uphulo lwe-radiation - I- radiation ayisoloko isetyenziselwa umdlavuza wekolon kodwa ingumdlavuza wesibeleko (ikakhulukazi isigaba 2 okanye 3).
- I-Chemotherapy - I-Chemotherapy yomdlavuza wekolon isetyenziswa rhoqo njengesigqirha sokuhlinzwa kwisigaba 3 no-4 (kunye ngamanye amaxesha 2). Ngomdlavuza wamagciwane, i-chemotherapy ingasetyenziswa kwimeko yesigaba 1.
- Iingxaki ezingasemva - Abantu abanomhlaza wesibeleko banakho amathuba okuba neengxaki zokuhamba emva kokugqithisa xa kuthelekiswa nalabo abanomdlavuza wekoloni, abaxhomekeke kwiinkcenkcesho zonyango zexesha elifutshane.
Uphando lweCaron Cancer
Kukho nakubonakala kubahluko omkhulu phakathi kwamanqamzana aphuma kwicala lasekunene lekholoni (okwenyuka koloni) kunye nalawo aphakama ngakwesobunxele (i-colon ehlayo, i-sigmoid colon, rectum).
Sisazi ukuba iifom zecala lasekunene zinamaseli ahlukileyo kunezo ezisekhohlo, ingqungquthela yokuphuhliswa kwamanzi. Idatha isusela ngoku ibonisa ukuba amazinga okusinda amagciwane ekhohlo asekhohlo ahlala ebhetele kunabo abalungileyo. Nangona ezi ziphumo zibhekwa njengento ebalulekileyo, akukafuneka zichongwe ukuba ngaba oku kuya kutshintshela iindlela zonyango.
Njengoko ukuqonda kwethu i-genetics kuphucula, sisaqala ukufumana ukungafani kwenguqu yezinto eziqhelekileyo kunye neeselikliya zala ma-cancer. Ngokuqonda kangcono le ntlukwano, izazinzulu zithemba ukufumana iindlela ze-immunologic kunye ne-biogenetic zokujolisa ngokuthe ngqo ezi iiseli eziyingqayizivele, ezivumela ukulawulwa - kwanokupheliswa kwesifo.
> Imithombo:
> Hong, T; Clark, J; noK. Haigis. "Iidumbu zeColon kunye neRectum: Amawele angamaYuda okanye asemantwaneni?" Ukufumana iNgcahla . 2012. 2 (2): 117-21.
> Lee, Y; Lee, Y; Chuang, J .; kunye noLee, J. "Ulwahlulo ekuPhuleni phakathi kweColon kunye neRectal Cancer ukusuka kwi-SEER Data." PLoS One . Novemba 12, 2013; 8 (11): e78709.
> van der Slip, M .; Bastiaannet, E .; Mesker, W; okqhubekayo. "Ukungafani phakathi kweColon kunye neRectal Cance r kwiinkcenkcesho, ukusinda kwexesha elifutshane kunye nokuphindaphinda: I- International Journal yeColorectal Disease 2016; 31 (10): 1683-1691.
> Venook, A .; Niedzwiecki, D .; Innocenti, F .; okqhubekayo. "Impact yePrayimari (1ยบ) Ukuxhamla Indawo kwindawo yokuPhepha okuPhezulu (OS) kunye noPhuculo oluKhuselekileyo (PFS) kwizigulane (pts) ngeMastastatic Colorectal Cancer (mCRC): Uhlalutyo lweCALGB / SWOG 80405 (Alliance). Ngonyaka we-2016 Intlanganiso Yonyaka we-ASCO , Chicago, IL. Juni 2-6, 2016; 3504.