Ngati mutakhala ndi chidziwitso chokhazikika, mukhoza kukhala ndi nkhawa zodziwikiratu ngati zowonongeka zoterezi zingakulepheretseni kukhala ndi khansa yamtunda . Akuwoneka ngati funso losavuta, sichoncho? Tsoka ilo, yankho liri losavuta. Werengani kuti muwone zomwe zikudziwika panopa potsata kugwirizana pakati pa kudzimbidwa kosatha ndi ngozi ya khansa.
Kuchuluka kwa Chiwerengero cha Kugonjetsedwa ndi Khansa ya Colon
Ngati mukumva kudzimbidwa kosatha, simuli nokha. Padziko lonse lapansi, akuyerekezera kuti pafupifupi 14% kapena anthu onse amagwiritsa ntchito kudzimbidwa nthawi zonse. Mavuto anu amapita ngati muli akazi, ndipo chiopsezo chanu chimapita ngati muli ndi zaka 65 (25%!).
Moyo wanu wa chiopsezo chokhala ndi khansa yoyipa ndi pafupifupi 1 pa 20, ndikupanga khansa yachinayi yowopsa kwambiri ku United States. Mwa kufa kwa khansa, ku US, khansara yaikulu imakhala yachiwiri pa mndandanda. Mwachimwemwe, chiŵerengero cha anthu omwe amafa ndi khansa yoyipa ikuchepa chaka ndi chaka. Izi zimachitika chifukwa cha kuchulukitsidwa koyezetsa magazi komanso njira zothandizira.
Nchifukwa chiyani Pakhoza Kukhala Pakati Pakati pa Kuvomerezedwa ndi Khansa?
Ochita kafukufuku amanena kuti kudzimbidwa kosatha kungawononge chiopsezo chokhala ndi khansa yofiira pa zifukwa ziwiri:
1 . Kuimbidwa kwachilendo kungayambitse chiwerengero cha tizirombo toyambitsa matenda m'thupi, (monga bile acid ndi mankhwala ena), kuti azikhala ochepa kwambiri.
2 . Kutsekedwa kwachilendo kungachititse kuti tizilombo toyambitsa matenda tizilumikizana ndi maselo akutala m'matumbo akuluakulu ndi m'matumbo kwa nthawi yaitali.
Zotsatira Zosaka Zotsutsana
Maphunziro ambiri a kachipatala akuluakulu ndi ang'onoang'ono achitidwa kuti aone ngati kudzimbidwa kwachilendo kumapangitsa munthu kutenga chiopsezo cha khansa yoyipa kapena ayi.
Zotsatira zaphunziro zakhala zotsutsana, ndi kafukufuku wina akuganiza kuti pali ngozi, ndipo maphunziro ena amatsimikizira kuti palibe vutoli. Kafukufuku wina wasonyeza kuti kudzimbidwa kosatha kungachepetse ngozi.
Nchifukwa chiyani zotsatira zowerengera zimasiyanasiyana kwambiri? Pali zifukwa zingapo:
1. Zambiri mwa maphunziro omwe sanapeze chiwopsezo ndi maphunziro otsogolera machitidwe - maphunziro omwe anthu omwe amatha ndi khansa amafanizidwa ndi omwe samatero. Vuto ndi phunziro ili ndilo kuti zotsatira zikhoza kukanidwa - mwazinthu zina, anthu amene amapezeka ndi khansa ya coloni akhoza kukonda kukumbukira kuti nthawi zonse amadzimbidwa.
2. Zotheka kuti si kudzimbidwa kumene kumabweretsa chiopsezo cha khansa, koma kuti chiopsezo chimayambitsidwa chifukwa cha kugwiritsa ntchito mankhwala osokoneza bongo .
Kufufuza kwakukulu (phunziro lomwe limaphatikizapo chiwerengero kuchokera ku maphunziro angapo) linatsimikizira kuti maphunziro omwe sali otsogolera olamulira, mwa mawu ena omwe saika chiopsezo cha kukumbukira ubwino, wonsewo umapereka umboni wakuti palibe kuwonjezeka chiwerengero cha khansara ya colon mwa anthu omwe amatha kudzimbidwa kosatha.
Panali phunziro limodzi lalikulu lomwe linapereka umboni wosonyeza kuti pali kugwirizana pakati pa vuto lalikulu la kuvomereza ndi chiopsezo chowonjezeka cha khansara yakufa panthawi.
Chochititsa chidwi n'chakuti vutoli silinaliwoneke mwa odwala omwe anali ndi chipsinjo chachikulu chomwe anachiwona ndi gastroenterologist kapena iwo omwe adalandira mankhwala a mankhwala osokoneza bongo. Akatswiriwa amanena kuti mwina kuyesetsa kuthetsa vuto la kudzimbidwa kungachepetse ngozi.
Mankhwala oopsa komanso khansa
Zotsatira za kafukufuku wa kafukufuku zakhala zikuphatikizana pokhudzana ndi chiopsezo chowonjezeka cha khansara yamtundu mwa anthu omwe amagwiritsa ntchito mankhwala osokoneza bongo nthawi zonse. Zimaganiziridwa kuti zina mwa zotsatirazi zowonjezera zimachitika chifukwa kafukufuku samasiyanitsa mtundu wa mankhwala ofewetsa mankhwala ofewetsa mankhwala. Kafukufuku amene machitidwe omwe anawopsyeza anagwiritsidwa ntchito pogwiritsa ntchito mankhwala ophera mankhwala omwe amapezeka kuti ali ndi chiopsezo chokwanira cha khansara yamtundu wa anthu omwe amagwiritsa ntchito mankhwala osokoneza bongo.
Mosiyana ndi iwo, omwe amagwiritsira ntchito "makina opangira mavitamini", omwe amadziwika kuti amadzimadzi amphamvu kapena mafinya, amachepetsa chiopsezo cha khansa ya colon.
Mmene Mungachepetse Vuto Lanu
Kodi ndi chiyani chomwe mungapange pazomwezi zotsutsanazi? Zingabweretse mtendere wamumtima kudziwa kuti kufufuza sikupeza mgwirizano wowoneka bwino pakati pa kudzimbidwa kosatha ndi khansa yamtunda. N'zotheka kuti pali ngozi yowonjezera, koma kuti chiopsezochi chikhoza kuchepetsedwa pogwira ntchito ndi gastroenterologist pa ndondomeko ya mankhwala ndi / kapena kugwiritsa ntchito zida zowonjezereka kuti zichepetse zizindikiritso zanu. Mosakayikira kutsatira malangizo a dokotala wanu ponena za nthawi yoti muwonetsere khansa ya colon kungathandizenso kuchepetsa ngozi.
Kudya chakudya chokwanira komanso kuchita masewera olimbitsa thupi nthawi zina ndi zinthu ziwiri zomwe zingachepetse chiopsezo cha kansa yamtunda ndipo mwina zingakhale zothandiza kuti thupi lanu lisamangidwe.
Zotsatira:
Citronberg, J., et. al. "Kafukufuku wotsatizana ndi ubweya wambiri, kudzimbidwa, komanso kugwiritsira ntchito mankhwala ophera khansa pa ngozi ya khansa" American Journal of Gastroenterology 2014 109: 1640-1649.
Guérin, A., ndi. al. "Kuopsa kokhala ndi kansa yachinyengo ndi benign colorectal neoplasm kwa odwala omwe ali ndi matenda aakulu" Pharmacology & Therapeutics 2014 40: 83-92.
"Ziwerengero zazikulu za khansa yapadera" Webusaiti ya American Cancer Society Inaperekedwa pa March 7, 2016.
Mphamvu, A., Talley, N. & Ford, A. "Mgwirizano pakati pa Kuvomerezedwa ndi Khwerero Yoyamba: Kukonzekera Mwachidule ndi Meta-Analysis of Observational Studies" The American Journal of Gastroenterology 2013 108: 894-903.