Kuchiza opaleshoni yochepetsetsa kumachepetsa kuchepa kwapanyumba koma osati kutali
Kafukufuku wofalitsidwa ku New England Journal of Medicine anapeza kuti odwala omwe ali ndi sukulu yachiwiri kapena khansa yapakati yachitatu yomwe adalandira mankhwala a chemotherapy ndi ma radiation asanachite opaleshoni sakanakhoza kubwereza mobwerezabwereza kuposa odwala omwe analandira chemo ndi ma radiation pambuyo pa opaleshoni.
Ochita kafukufuku anapeza odwala oposa 800 omwe ali ndi gawo 2 ndi khansa yapakati yachitatu.
Pafupi theka analandira chemo ndi ma radiation (chemoradiation) asanachitidwe opaleshoni ndipo hafu ina analandira mankhwalawa pambuyo pa opaleshoni. Wotsatira wodwala zaka zinayi chitatha chithandizo anapeza phindu lomveka kwa gulu la opaleshoni yoyamba.
Phunziro Limasonyeza Kugonana Kwambiri kwa Khansa Yachilendo Yopanda Pakati pa Pulojekiti Yoyamba Yogwira Ntchito Pogwiritsa Ntchito Pre-Operative Chemoradiation
Mwachindunji, 6% mwa odwala omwe analandira opora opaleshoni yam'mbuyo anali ndi kubwerera kwawo, poyerekeza ndi 13 peresenti ya odwala omwe analandira chemoradiation pambuyo pa opaleshoni. Odwala m'gulu la opaleshoni yapitayi analinso ndi zotsatira zochepa zochizira, monga kutsekula m'mimba komanso kuchepa kwa thupi kumene adakonzedwanso pambuyo pochotsa chotupacho. Izi zinapangitsa kuchulukitsitsa kwa sphincter kutetezedwa kwa odwala okhala ndi zotupa zochepa. Ofufuzawo sanaone kuwonjezeka kwa chifuwa pochedwa kuchepetsa opaleshoni kwa milungu 12 ya chithandizo choyambitsanso kuchipatala.
Mankhwalawa amaperekedwa ndi radiotherapy kasanu pa sabata pa 5040 cGy.
The chemotherapy anapatsidwa anali fluorouracil pa milungu yoyamba ndi yachisanu ya radiotherapy. Kwa gulu loyambitsanso opaleshoni, opaleshoniyi inakonzedwa kwa milungu isanu ndi umodzi mutatha mankhwala. Magulu onse awiriwa analandira maulendo anayi a fluorouracil pambuyo pa opaleshoni.
Palibe kusiyana komwe kulikufupika kwapadera ndi kupulumuka kwapadera ndi Pre-Operative Chemoradiation
Ngakhale kuti nthawi yothandizira inachititsa kuti pakhale kusiyana kwa zotsatira zake komanso ziwongolero zam'deralo, sizikuwoneka kuti zimapangitsa kusiyana pakati pa moyo kapena mwayi woti khansara idzafalikira kumbali yosiyana ya thupi. zinali zofanana kwa magulu awiriwa.
Kodi kufufuza kwanu kuli ndi ubwino wanji kwa inu?
Ngati mukufuna kulandira opaleshoni ya khansa yachiwiri kapena yachitatu ya khansa, mungathe kuyankhula ndi dokotala wanu za momwe mungapezere mankhwala a chemotherapy ndi ma radiation musanachite opaleshoni mmalo mochita opaleshoni. Malingana ndi kafukufukuyu, kuchita zimenezi kungachepetse mwayi wanu wa kubwereza komweko ndikupangitsani umoyo wanu wonse panthawi ndi chithandizo.
Zokhudzana ndi Research
- Kodi Chosankha cha Anesthesia Chimawathandiza Bwanji Kukhalanso Khansa ya Colon ? Ochita kafukufuku anafufuza ngati mitundu yosiyanasiyana ya anesthesia imakhudza miyeso. Maphunzirowa kwa zaka zambiri anali ndi zifukwa zosiyana.
- Kodi N'chiyani Chimakhudza Moyo Wosatha wa Khansa? Pezani zambiri zokhudza chomwe chimatanthawuza kupezeka ndi khansara iyi ndi zomwe muyenera kuyembekezera kuti mupulumutsidwe.
- Kodi Pali Kusiyanasiyana pakati pa khansa ya Colon ndi Khansa Yoyamba ? Mawu awiriwa akuwoneka kuti amagwiritsidwa ntchito mosasinthasintha, koma kodi pali kusiyana? Kodi muyenera kuganizira chiyani mukamawona nthawi imodzi kapena ina ndikukutanthauzanji?
- Kodi Nambala Yoyamba Yowopsa ya Khansa ya Coloni ndi iti? Dziwani zambiri za zoopsa zomwe mungachite pazoopsa ndi zomwe simungathe kuzichita.
Zotsatira
Zotsatira Zokakamiza: Kuchita Zapadera Kusanachitike Opaleshoni Kumathandiza Kupewa Kachilombo ka Pakadala. National Cancer Institute. 26 Aug. 2006 [http://www.cancer.gov/clinicaltrials/results/pre-op-rectal1005/print?page=&keyword=].
Sauer, R. ndi Becker, H. "Preoperative vs. Postoperative Chemoradiotherapy ya Khansa Yachilendo." New England Journal of Medicine 351.17 (Oct. 2004): 1731-1740. 26 Aug. 2006 [http://content.nejm.org/cgi/content/abstract/351/17/1731].