Ngaphandle kokwamkelwa komhlaza wekoloni, abantu abaninzi bafunyaniswa kuphela emva kokuba umdlavuza usesikhatheni, emva koko kunzima ukunyanga izifo zesifo. Njengesizathu sesithathu sokubangela ukufa kwabantu abanomhlaza kumadoda kunye nabasetyhini e-United States, kuyacaca ukuba sinendlela yokuhamba. Ukuba nokuqonda iimpawu kunye neempawu zomhlaza wekolon kunokunceda abantu bafune unyango njengangoko kunokwenzeka, xa umhlaza unesigaba esiphezulu kakhulu.
Ziziphi iimpawu zomhlaza wekolon ofuna ukuwujonga, kwaye kutheni ezi zinto zenzeka?
I-Anatomy kunye neMisebenzi yeColon
Ukuze uqonde ukuba zeziphi iimpawu zomhlaza wekolon ziyakuthi uzive, kunceda ukuphonononga ngokufutshane ngokusemgangathweni kunye nokusebenza kwikholoni. Ubuhlungu kwindawo yomzimba wakho kufuphi nekholoni yakho kunokukuphawula ngxaki, njengoko iimpawu ezibonisa ukuba isilonda sakho asisebenzi ngendlela efanele.
I-colon yenza ininzi yamathumbu amakhulu , malunga neenyawo ezili-6 ubude. Iimitha eziyi-6 ezidlulileyo okanye isithintelo esikhulu samathambo kunye nomsele wamanzi. Abantu abaninzi bacinga ngamathumbu amancinci njengokuba "phezulu" kunye nomathumbu omkhulu "njengezantsi ngaphantsi," kodwa kunene, kwaye ininzi yamathumbu amakhulu aphezulu ngaphezu kwamathumbu amancinci. Ikholoni ifakwe njengeyinqumle, kunye nekoloni ephakanyayo ihamba ngekwesokudla kwesisu sakho, i-colon ehambahambayo ehamba phambili ngaphaya kwesisu sakho, kunye nokuhla kwekhaloni ukuhamba ukusuka ngaphantsi kwembambo zakho ngakwesobunxele, ukuya i-rectum kunye ne-anus.
I-colon idlala indima ebalulekileyo kwinkqubo yokutya, kwaye sifunde ukuba indima yayo ingaphezulu nje kokungcolisa inkunkuma ukuze iphumelele emzimbeni. Ukongeza kokudlala indima ekulawuleni umbane, ikholoni ithatha izondlo kunye neemaminerali. Sifunda ukuba "umthambo webhaktheriya" akungabi nje negalelo levolumu, kodwa inokudlala indima kwiimeko ezininzi zonyango kunye neemeko.
Iimpawu zeCaron Cancer
Umdlavuza weColon unemiqondiso emininzi. Nangona kunjalo, kumanyathelo okuqala, abantu abanomdlavuza wekolon kaninzi abanalo iimpawu. Yingakho ukuhlola rhoqo rhoqo kwi-50 (nangaphambili kwalabo baneengxaki zobungozi) kubalulekile ukutshala imali kwixesha elizayo.
Izimpawu zomhlaza weColon zivela kwiintlobo ezimbini eziqhelekileyo:
- Ummandla: Iimpawu zendawo zenzeke ngenxa yendawo yokuhlambala kwi-colon.
- Inkqubo: Iimpawu zeendlela eziqhelekileyo zibonwa xa umhlaza wekolon uphambili, kwaye ngokukodwa xa usasazeka ngaphaya kwekholoni. Ezi zimpawu zinokuthi zihambelane ne-metabolism ye-tumor, okanye ngenxa yokusabalalisa (i-metastasis) ye-tumor kwezinye izitho.
Iimpawu zeCaron Local
Izimpawu zomhlaza zekolon zasekuhlaleni zichaphazela imikhuba yakho yokuhlamba kunye nekoloni ngokwayo. Ezinye zeempawu eziqhelekileyo zendawo yomdlavuza wekolon ziquka:
- Utshintsho kwimikhwa yakho . Naluphina utshintsho oluphawulekayo kwiimpawu zakho zentlungu kufuneka iqhube ingxoxo nodokotela wakho. Oku kungabandakanya ukunyuka kwezinto eziqhelekileyo ezininzi okanye ezingaphantsi kunezinye eziqhelekileyo. Abantu abahlukeneyo baneempawu zobomi ezahlukeneyo. Into ebalulekileyo ukuba uqaphele naluphi na utshintsho kwipatheni yakho evamile yokunyakaza.
- Ukutyunjwa . Nangona akuyona imbangela eqhelekileyo, umdlavuza wekoloni yenye yeemeko ezingakhokelela ekuqotheni. Ukuba unobunzima bokunyakaza, okanye uxinzelela, xela ugqirha wakho.
- Uhudo . Ukuphunga kunye namanzi asetyenziswayo kungabonakalisa uphawu lomhlaza wekolon, nangona kwakhona, kukho izizathu ezininzi. Ngaphandle kokuba unenkcazo yokurhudo, kwaye isombululo kwisilinganiso esithile esithile, xela ugqirha wakho.
- Ukugqithisa (ukutshintshana) ukumbumba kunye nehudo. Akuqhelekanga ukuba umdlavuza wekoloni ungabangela iimpawu zokurhoxisa nokurhoxiswa. Oku kuya kwenzeka xa kukho ukukhutshwa okukodwa (ngenxa yesisu) kwisilonda. Ukugqithwa kungenzeka ngenxa yobunzima kwi-stool kudlula ukukhutshwa, kulandelwa ngurhudo xa iziqulatho ezixhaswayo zigqitywa.
- Igazi elibomvu elibomvu okanye elibomvu kwizihlalo zakho . Ukuhlamba kwi-colon ngenxa yesifo somhlaza wekoloni ngokukhawuleza kubangele igazi elibomvu okanye elibomvu kwiindawo. Xa umdlavuza wekoloni uvela phezulu phezulu kwikholoni, njengokuba kukho koloni efanelekileyo, igazi lingabonakala limnyama okanye "lilinde" libonakalisa izitulo.
- Izitofu ezincinci kunesiqhelo . "Iipencilisi" zingabonakalisa uphawu lomhlaza wekolon, kwaye zidla ngokubhekiselele kumqobo obangelwa ngumzimba, okhokelela kwizibonda ezincinci.
- Isiva sokungakwazi ukukhupha ngokupheleleyo amathambo akho. Ukuba uvakalelwa kukuba usadingeka ukuya kwindlu yokuhlambela nangona unayo intshukumo, kufuneka uxoxe nodokotela wakho.
- Isisu (i-midsection) ukungathandeki, ukuqhaqhafaza, iintlungu zegesi rhoqo, okanye iintlungu. Intlungu yesisu okanye ukuxinwa kungenzeka ngezizathu ezininzi kulabo abanomdlavuza wekoloni. Ezi zimpawu zingenakuqala phakathi kwaye zixothwe njengezondlo kwindalo.
- Ingqiqo jikelele ukuba into ephosakeleyo. Akuqhelekanga ukuba abantu babe nombono wokuthi into ethile ihamba kakuhle emzimbeni wabo, nangona bengenayo impawu ecacileyo yokuvuselela loo mvakalelo. Thembela intuition yakho. Ukuba unenkxalabo yokuba into ephosakeleyo, ingaba. Yenza isigqibo kwaye uthethe ugqirha wakho.
Ukuba ufumana elinye lalezi ezimbini okanye ngaphezulu kweeveki (okanye ukuba unayo igazi kwisigxina sakho kanye kanye kuphela), biza ugqirha wakho ngokukhawuleza ukuba uxoxe ngezinto ozikhathazayo kwaye ulungiselele iimvavanyo ukuze ufike emzantsi weempawu zakho.
Iimpawu zeCaron Symptoms
Izimpawu zomhlaza zekolon ziyimpawu ezichaphazela umzimba wakho wonke, njengokulahleka kwesisindo, kwaye zibandakanya:
- Ukulahlekelwa kwesisindo esingenziyo . Ukuba ulahlekelwa isisindo ngaphandle kokuzama, unokuthi, okokuqala, uyavuya. Kodwa ukulahlekelwa kwesisindo esingenakuzenzela kuyimpawu ebalulekileyo engafanele ingayinakunyuswa. Kuchazwe njengokulahlekelwa ngamaphesenti ama-5 okanye ngaphezulu kwesisindo somzimba ngaphezu kweenyanga ezili-6 ukuya kwe-12. Ngokomzekelo, ukuba umfazi oneminyaka engamakhulu ama-150 ulahlekelwe ngamapounds angama-7.5 ngenxa yesizathu esicacileyo, kufuneka axhumane nodokotela wakhe. Umdlavuza weColon ngowona kuphela kweemeko ezinzulu ezinokuthi ziqale ukuzivakalisa ngokulahlekelwa kwesisindo esingalindelekanga.
- Ukuphelelwa kwesidlo. Ukulahlekelwa ngumdla kubonakaliso obalulekileyo. Ngokuqhelekileyo iqhutyelwa ngamanomdla aphezulu, kodwa sele iphawulwe kwabanye abantu abanomdlavuza wekolon yokuqala. Thetha nogqirha wakho ukuba ukutya kulahlekelwe yinto ebalulekileyo ebomini bakho.
- Ukukhathala okungachazwanga. Ukukhathala ngokugqithiseleyo kuyimpawu ezingabonakaliyo, kodwa ziqhelekileyo kubantu abanomdlavuza ophezulu. Ukukhathala komhlaza kuyahlukana nokukhathala "ngokuqhelekileyo" kuba akuqhelekanga ukuphumula kunye nokungaxhatshazwa ngendebe encinci yekhofi.
- Isihlunu okanye ukuhlanza. Isihlunu kunye nokuhlanza kunokwenzeka nakweyiphi inqanaba lomdlavuza wekolon, kodwa liqheleke ngakumbi kwizifo eziphambili.
- I-anemia (inani elibomvu leeseli legazi). I-anemia ingenzeka njengophawu lokuqala lomdlavuza wekoloni, ngenxa yokuphuma kwamanqamzana kwi-tumor. Kwakhona ziqhelekileyo nangomdlavuza ophezulu. Inani elisezantsi elibomvu leeseli legazi lidibaniswa kunye nomntu oswelekileyo.
- Jaundice. I-jaundice, imeko apho ulusu kunye nabamhlophe bamehlo bembonakalisa ukukhanya okwesibhakabhaka, kunokuba ngumqondiso wesifo somhlaza wekoloni. I-jaundice iyakwenzeka xa umdlavuza wekoloni usasazeka kwisibindi, indawo eqhelekileyo ye-metastasis yee-cancer ze-colon. Kungenzeka kwakhona ngenxa yengcinezelo evela kumdlavuza wekoloni kwizakhiwo ezibalulekileyo ezinxulumene nesibindi.
Ukuba ufumana nanoma yiliphi na ubude bexesha, kwimihla embalwa, biza ugqirha wakho ngokukhawuleza ukuba uxoxe ngeengxaki zakho kwaye ulungiselele iimvavanyo ukuba ufike kwizithuthi zakho.
Ukwenza utyunjwa ukuxoxa ngezibonakalisi zakho
Shayela ugqirha wakho ukuze akwazi ukumisela i-aphoyintimenti yokukubona. Ngethuba lokuqeshwa, ugqirha wakho uya kuthatha imbali yonyango, enze uvavanyo lomzimba, uqokelele iisampula zegazi ukuvavanya, kwaye ulungiselele iimvavanyo zokulandelela xa kufuneka.
Abantu abaninzi bayesaba ukuhlolwa komhlaza wekolon. Baxhalaba kukuba kuya kuba buhlungu kwaye kuba lihlazo. Ugqirha wakho kunye nomongikazi baye benza amakhulu kwaye kwezinye iimeko nakwiwaka ezi nkqubo. Akukho nto enokuyihlazisa ngayo kwaye ukhumbule: Ngona ugqirha wakho kunye nomongikazi bafumana ezi zivavanyo ezifanayo ukuze banakekele impilo yabo.
Ukulungiselela ukuhlolwa kweCaron Cancer
Ukuba unenkxalabo malunga nokulungiselela iimvavanyo zakho zomhlaza wekoloni , cela udokotela wakho malunga nendlela elungileyo yokulungiselela ngayo nayiphi na inkqubo. Kukho amayeza ahlukeneyo okucima ikholoni yesigxina ukuqinisekisa ukujonga kakuhle. Akukho sizathu sokuba sihlupheke ngokuthula.
Ukuphonononga Ingozi Yakho yeCaron Cancer
Kunokuba luncedo ukufumanisa ukuba unomngcipheko okhulayo wokuvelisa umdlavuza wekoloni , njengoko unokuba unqwenela ukuba uhlolwe ngaphambilana kunezikhokelo ezicebisayo. Oko kwathiwa, nabani na onokuhlakulela umdlavuza wekoloni. Ukuba unayo ikholoni, unokuhlakulela umdlavuza wekoloni. Kwakhona kuyaphawula ukuba, nangona ukuhlolwa kwinconywa kuneminyaka engama-50 ubudala, abantu abangenayo nayiphi na ingozi enokuyenza kwaye ngamanye amaxesha bafumana umhlaza wekolon ngaphambi kweminyaka eyi-50.
ILizwi Elivela Kwiimpawu Zomhlaza WeColon
Ngelixa abantu abaninzi beve ukuba ukuba negazi kwizihlalo zabo kungumqondiso wesifo somhlaza wekolon, malunga naluphi na utshintsho kwimilinganiselo yakho yesilwanyana kufuneka uhlolisise. Wonke umntu uhlukile, kwaye into eqhelekileyo komnye umntu akunokuba yinto eqhelekileyo kuwe. Qinisekisa ukuthetha nodokotela wakho ukuba unayo nayiphi iinguqulelo. Ingqalelo, kukuba iimpawu ezifana nokutshintshana phakathi kokuqhawulwa kunye nehudo, kunye nokuba unengqiqo yokuba awukugqithisi ngokupheleleyo iibilini zakho, kufuneka uphando.
Ukongeza kwiimpawu zendawo, iimpawu zesistim ezifana nokukhathala, ukulahlekelwa kwegazi, ukulahleka kwesidlo, okanye i-anemia zibalulekile neempawu zomhlaza wekoloni.
Ngethamsanqa, ngoku sinokuhlola iimvavanyo ezifana ne-colonoscopy efunyenwe ukunciphisa umngcipheko wokufa ngumhlaza wekoloni. Ukuhlolwa komhlaza weColon kuyingqayizivele kuba kungabikho kuphela ekukholeni kwangoko komdlavuza (kunye nomdlavuza wekolon uyaphilisa kakhulu kumanyathelo okuqala), kodwa unokuthintela umdlavuza wekolon kwindawo yokuqala, ukuba i-polyp precincerous ifumaneka kwaye isuswe.
Kubalulekile ukuba ube ngummeli wakho ngokhathalelo lwempilo yakho. Ukuba awufumani iimpendulo, qhubeka ubuza imibuzo. Ukuba usenakufumana iimpendulo, cinga ukufumana umbono wesibini. Ukuba isondo elincinci xa kufikelele ekunakekeleni impilo yakho kungekukukunceda nje ukuba ufumane ingqalelo, kodwa kunokuchaphazela impilo yakho yexesha elide, kwanokuba usaphila, ngokunjalo.
> Imithombo:
> Del Giudice, M., Vella, E., Hayi, A. et al. Ukuphononongwa ngokuHlangeneyo kweeNkcazo zeKliniki yeCrorectal Cancer ekuxhasweni. Ugqirha wezeKhaya waseKhanada 2014. 60 (8): e405-15.
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
> INational Cancer Institute. Ukwelashwa kweCaron Cancer (PDQ) -I-Professional Professional Version. Ukuhlaziywa 02/18/28. https://www.cancer.gov/types/colorectal/hp/colon-treatment-pdq