Yintoni enokuyilindela kwiConcercer Treatment
Ngaba unayo igazi kwisitulo sakho? Hlola . Ukuzaliseka, ukuqhaqhaqha, kunye nefuthe legesi? Hlola, khangela, khangela . Unokuba nezo zonke izibonakaliso zempawu zomhlaza wekolon - kodwa oko akuthethi ukuba unomdlavuza wekoloni. Ukwenza ukuxhamla kwiimpawu okanye imbali yentsapho ekuxilongweni kufuna iimvavanyo ukuqinisekisa ubungqina beeseli zomhlaza, zilandelwa ziimvavanyo ezingaphezulu ukufumanisa ukuba umhlaza uhlala kwindawo yekolon okanye ukuba usasazekile (i-metastasized) kwezinye iindawo zomzimba wakho. .
Ukuxilongwa komdlavuza wekolon kunokuza kukutshatyalaliswa ngokukodwa emva kokuhlolwa kovavanyo oluqhelekileyo, njenge- colonoscopy , ngaphandle kobukho naziphi na iimpawu.
Yintoni onokuyilindela ekuhambeni kwakho kokuqala
Ukulandela uvavanyo oluhle lokuhlola okanye ubukho beempawu, ugqirha wakho uya kuluhlula ukuxilongwa kokuxilongwa komhlaza wekoloni. Uya kufumana imbali yonyango kunye neemviwo zengcali ezibandakanya ukuhlolwa kweteksi . Olu vavanyo olulula, olungenabuhlungu luvumela ugqirha ukuba ahlole i-rectum yakho nayiphi na ukukhula okanye abantu. Ugqirha unokuqokelela isampuli se-stol for blood occult test okanye uvavanyo lwe-immunochemical , oluchonga umlinganiselo wegazi kwi-stool. Ugqirha wakho unokuyalela ukuvavanya okuqhubekayo, njengoku:
- Ukuhlolwa kwegazi , kubandakanywa ukubala okupheleleyo kwegazi , amaxesha okuqhawula (ikakhulukazi ukuba uthatha i-panel thinner) kunye nepanethi ye-electrolyte, ncedisa ugqirha wakho abe nomfanekiso wempilo yakho jikelele. Ukuba unembali yomhlaza, ugqirha unokuphinde alayishe uvavanyo lwe- carcinoembryonic antigen (CEA), olunokukunceda ukuba uqaphele ukuba iimvumi zibuyile.
- Iimvavanyo zengqondo yokuxilonga zisebenzisa iindlela ezahlukeneyo zama-ray-ray ukuze ubone iikholoni zakho kunye nezicubu ezizungezile. Ezi zivivinywa zisoloko zingenabuhlungu kwaye zingabandakanya i-x-ray, i- computed tomography (CT), i-imagination magnontic resonance (MRI), okanye i-rectal ultrasounds. Ugqirha unokuyalela i-ejenti eyahlukileyo, efana ne-barium, ukuba inikezwe ngomlomo, ngokusemthethweni okanye kumgca ongezantsi phambi kokuba umfanekiso uthathwe. Amagqabantshintshi ahlukeneyo enza ukuba ikholoni yakho ibonakale ngakumbi - njengokutshintsha izibane xa ungena kwigumbi elimnyama.
- I-Colonoscopy kunye ne-sigmoidoscopy yinkqubo esebenzisa intambo encinane, ekhanyisiweyo ngekhamera, efakwe kwi-rectum yakho, ukubona ngaphakathi kwekholoni yakho kunye ne-rectum. Ukuba ugqirha afumana iipolisi okanye izifo ezingekho emzimbeni kwikholoni yakho, unokuthatha i- biopsy ngexesha le nkqubo.
- I-biopsy ibhekisela kunini na ugqirha athatha isampuli encinane yeethambo ezivela emzimbeni wakho. I-colon biopsies inokugqitywa ngexesha le-colonoscopies, sigmoidoscopies okanye ngexesha le-api ekhokelwa yi-CT. I-pathologist, okanye ugqirha okhethekileyo onokukwazi ukwahlula phakathi kwamaseli anomdlavuza kunye nonomdlavuza, ngokucokisekileyo uhlola iisampuli zamathambo. Iziphumo ze- Biopsy zingathatha ukusuka kwiiyure ezingama-72 ukuya kwiiveki ukulungiselela. Buza ugqirha wakho xa ulindele iziphumo.
I-Colon Cancer, Ngoku Yintoni?
Uya kucelwa ukuba ubuyele kwiofisi yegqirha ukuze uxoxe ngeziphumo zakho zokuvavanya kunye nokuxilongwa. Cinga ukuzisa ilungu losapho okanye umhlobo othembekileyo kulo tyelelo-unokunika inkxaso kunye nezinye iindlebe.
Emva kokuxilongwa komhlaza wekoloni, isinyathelo esilandelayo sifaka ukufumanisa ukuba umhlaza usasazeke (i-metastasized) kwezinye iindawo zomzimba wakho. Le nkqubo, eyaziwa ngokuba ngumhlaza wesifo , iya kufuna iimvavanyo ezimbalwa phambi kokuba uqhubeke phambili ukunyanga umhlaza .
Iindawo eziqhelekileyo ze-metastasis yomhlaza we-colon ziquka imiphunga, isibindi kunye ne-peritoneum, okanye i-bridinal lining. Ugqirha wakho unokuyalela:
- I-x-ray yesifuba ukuqinisekisa ukuba imiphunga yakho icacile kwaye ikhululekile i-metastasis
- I-ultrasound yesisu ukuze ubone ukuba umhlaza usasazeke kwiisayithi esiswini sakho, njengesibindi, isisu okanye i-peritoneum
- I-Positron emission tomography (PET) iskena ukujonga ukukhula komhlaza ngaphakathi komzimba wakho wonke
Iikholeji zeCaron Staging Tools
Kukho iindlela ezimbini zokusasazeka nokusabalalisa umdlavuza: izikliniki kunye nezifo. I-clinical stage yinkqubo apho ugqirha wakho uthelekisa iziphumo zokuvavanya ngokubonisa kwakho.
I-pathologic staging, echanekileyo ngakumbi, isebenzisa iindlela ezintathu ukumela ubungakanani bokukhula kwesifo. Ezi nkqubo ziquka:
- IKomidi eliManyeneyo yaseMerika kwiNkqubo yokuShitshiswa kweCancer (TNM)
- Astler-Coller
- Dukes
Kula mathathu, inkqubo ye- TNM yinkqubo esetyenziswa kakhulu kunazo zonke zokuxhaswa komhlaza wekontoni . Ezi zintathu zeetekisi zisetyenziselwa ukubeka ubungakanani be-tumor (T), zisasazeka kwii- lymph nodes (N), kunye nobukhulu be- metastasis (M). Incwadi nganye ilandelwa ngu-descriptor, ngokuqhelekileyo inombolo, eya kuthi ichaza ubunzima bomdlavuza wakho wekoloni. Amanqaku amancinane, afana ne-0, afaneleka kwisigxina njengoko ebonisa ukuba umhlaza uncinci kwaye uhlala endaweni (in situ).
Esinye isigama oya kuhlangana nayo sibizwa ngokuba yi-grading the tumor. Xa i-pathologist ichaza iiseli zomhlaza , unokukwazi ukubona indlela ezo zakhiwa ngayo, okanye indlela engaqhelekanga ngayo izicubu zomhlaza zibonakala zifaniswa nezicubu eziqhelekileyo. Kuyafana nokuxhaswa, iisomhlaza ezinobungakanani obuphantsi (ukubonakala ngokuqhelekileyo) ziqhelekileyo zifunyenwe kwangaphambili kwaye kulula ukunyanga, kanti iisomhlaza ezinokuguqulwa kakhulu okanye eziphezulu zikwazi ukusabalalisa ngokukhawuleza.
Isicwangciso soTyango
Ugqirha wakho uya kusebenza nawe ukuba enze isicwangciso sonyango somhlaza wekolon, okungaquka ukuhlinzwa, i-chemotherapy, i-radiation okanye udibaniso lwezonyango. Isicwangciso sakho siya kulungelelaniswa neemfuno zakho ezithile, kodwa ngokubanzi kusekelwe kwibakala kunye nesigaba somhlaza kunye nempilo yakho yonke yempilo.
Imithombo:
American Cancer Society. (2008). ICrorectal Cancer. Oko Kufuneka Ukwazi - MANJE. I-Atlanta: I-American Cancer Society Promotion Health.
National Cancer Institute. (2011). Canast Metastatic.