Maphunziro Kuyang'ana Cholecystectomy ndi Colon Cancer Risk
Kodi opaleshoni yamakono imayambitsa chiopsezo cha khansara ya coloni? Kusonkhana pakati pa cholecystectomy (opaleshoni kuchotsa ndulu) ndi kuwonjezeka kwa khansa ya coloni kunakulira mu maphunziro ena akuluakulu omwe akhala akuyang'ana pazaka zambiri. Kodi chigamulo n'chiyani? Kodi muli ndi zilonda zam'mimba kapena muli ndi opaleshoni ya pakhungu yomwe ikugwirizana ndi khansa ya colon?
Kuganizira za Opaleshoni ya Gallbladder ndi Cancer ya Colon
Kafukufuku asanawonetsere mwachindunji mayeso a khansa yoyipa pambuyo pa opaleshoni ya ndulu ndipo adapeza mgwirizano wochititsa mantha.
Zikuwoneka mu maphunziro omwe apita kale kuti opaleshoni yamakono ingabweretse chiopsezo cha khansara yamtunda ndi pafupifupi 56 peresenti.
Mitu yambiri yochititsa mantha inalembedwa ndi kafukufuku wa 2005 wofalitsidwa mu American Journal of Gastroenterology yomwe inapeza kuti opaleshoni yochotsa opaleshoni imawonjezera chiopsezo chokhala ndi khansa ya colon. Ochita kafukufuku anawerenga zolemba za amuna ndi akazi oposa 55,000 ku British General Research Research Database. Iwo adapeza kuti awo omwe adagwidwa ndi opaleshoni yothandizira ali ndi kachilombo kosalala, koma sangawathandize kukhala ndi khansa ya rectal.
Ofufuzawo anagogomezera kuti vuto la khansa ya coloni siliyenera kukhala lingaliro pamene mukuganiza ngati kuchotsa kapu yanu kapena ayi. Mwamwayi, kafukufuku waposachedwa wafunsa - ndipo makamaka amakangana - ndi kucheza.
Kupanga Opaleshoni Kumene Kudzawonjezera Khansara ya Colon
Nthawi iliyonse tikamawona chiyanjano monga chomwe chinadziwika pakati pa opaleshoni yamakono ndi khansa ya coloni imapempha funso: Chifukwa chiyani?
Poyang'ana khansa yamtundu wina, ochita kafukufuku adawona zotsatira za opaleshoni yamakono pa colon adenomas. Mtundu umodzi wa mapulotoni amtundu, adenomas, amadziwika kuti nthawi zina amatha kukhala ndi khansa yamtundu. Ndipotu, ichi ndi mbali ya chifukwa chowonetsera colonoscopies. Izi zowonongeka za adenomas, zikazindikiridwa, zikhoza kuchotsedwa asanakhale khansa.
Mu phunziro ili, panalibe kuwonjezeka kwakukulu kwa chiopsezo cha adenomas mwa anthu omwe anali ndi opaleshoni ya ndulu kapena analibe opaleshoni.
Maphunziro Otsopano
Kuwonanso kwaposachedwapa kwa maphunziro kunali kwakukulu, kuyang'ana pa maphunziro 75 osiyana ndi zisanu zapitazo meta-kufufuza. Kafukufukuyu anayeza momwe maphunziro enawo anapangidwira komanso mphamvu zawo. Zowonjezera, ndemangayi sinapeze mgwirizano woonekera pakati pa cholecystectomy ndi khansa kulikonse pamatumbo a m'mimba.
Anapeza malipoti osagwirizana ndipo palibe umboni wamphamvu wa khansa ya khansa yaing'ono komanso ya khansa yoyenera yomwe ikugwirizana ndi cholecystectomy. Poyang'ana maphunziro apamwamba, panalibe mgwirizano ndi khansa yaing'ono yamagulu ndi kumbali ya kumanzere ndi cholecystectomy, kapena ya khansa ya distal ndi khansa ya m'magazi. Chotsatiracho chinali chakuti, "Kuwonetseratu kwatsatanetsatane kwapeza umboni wotsutsana pakati pa mbiri yakale ya khansa ya cholecystectomy ndi m'mimba." Malingana ndi umboni wamakono, palibe mgwirizano woonekera pakati pa cholecystectomy ndi khansa ya m'mimba. " Iwo anawonjezera kuti maphunziro opangidwa bwino kwambiri ayenera kuchitidwa.
Kafukufuku wa 2017 anapeza kuti pangakhale ngozi yowonjezera khansa yamtunda mwa anthu omwe anali ndi matenda a ndulu, koma osati omwe anali ndi cholecystectomy.
Kufufuza kwina kwa 2017 kuyang'ana mitsinje yomwe idapezeka pa kufufuza yekha kunayanjanitsidwa ndi chiopsezo chowonjezeka cha khansa yokha, koma khansa ya pancreatic, esophageal, ndi kansa ya m'mimba. Palibe chiopsezo chomwe chinapezeka pogwirizana ndi cholecystectomy.
Zowopsa
Kuyang'ana pa maphunziro onsewa, mwina mukufunsapo kuti, "Kodi pali chinachake chomwe chingawononge chiopsezo cha matenda a gallbladder ndi khansa yamtunda?" Yankho ndilo inde. Kunenepa kwambiri ndi chinthu chimodzi chomwe chimapangitsa kuti chiwopsezo cha matenda a gallbladder ndi khansa ya coloni chikhale choopsa. Mu njira zina, funsoli lingakhale lofanana ndi kugwirizana pakati pa kudya ayisikilimu ndikumira.
Kudya ayisikilimu sikungachititse kuti madzi amveke, ndipo kuthira madzi sikuchititsa kuti anthu adye ayisikilimu, koma madzi ena amchere ndi kudya ayisikilimu amadziwika kwambiri m'miyezi ya chilimwe pamene nyanja ili yotseguka ndipo ayisikilimu ndi mankhwala ozizira .
Kodi Muyenera Kuda nkhawa?
Maphunziro atsopano ayenera kuthetsa mantha pa chiopsezo chowonjezeka cha khansara yamtundu wina pambuyo pa opaleshoni ya ndulu. Koma mfundo yakuti kafukufuku wina adapeza kuti bungwe lingakulimbikitseni kuchita zinthu zina kuti mupewe pangozi pang'ono. Kuchita masewera olimbitsa thupi, kukhala ndi thanzi labwino, kudya zakudya zabwino ndi kukonza colonoscopy ndizochepa zomwe mungachite. Tonsefe tiri pangozi ya khansa ya coloni, opaleshoni yamagulu kapena ayi.
Chidziwitso ichi ndi chidziwitso chimodzi chomwe mungapereke kwa mwamuna wanu, mkazake, mnzanu, kapena kholo limene limapitiriza kuwonetsa kanema kosavuta kansalu . Ndani akudziwa kuti maphunziro ena omwe akuwonetserako amachititsa bwanji ngozi zomwe simungapewe? Chomwe chingalepheretse khansa ya colon ikuyang'aniridwa ndikukhala ndi khansa isanafike ngati itapezeka.
Pansi pa Gallbladder Surgery
Pali mizere iwiri pansi yomwe imachokera ku zokambiranazi. Chinthu chimodzi ndi chakuti opaleshoni yamagulu, ngakhale opaleshoni yonse ili ndi ngozi, samawoneka kuti amachititsa ngozi ya khansa yamtunda. Mosiyana ndi zimenezi, opaleshoni ya ndulu, yomwe imachitidwa pa anthu omwe angapindule bwino ndi ndondomekoyi, ikhoza kukupulumutsani mazunzo ambiri.
Pansi pa Zowopsa za Khansa ya Colon
Ngakhale opaleshoni yamakono sakuwoneka kuti imayambitsa matenda a khansa yamtundu, palinso zinthu zina zoopsa zomwe ife tiri nazo. Kuyezetsa khansa ya Colon n'kofunikanso ndipo kwawonetsedwa kuchepetsa imfa kuchokera ku khansa ya colon. Kukongola kwa kuyang'ana kolonoscopies ndikuti akhoza kugwira ntchito zonse pofuna kupewa khansa kuti ichitike ndi kuyipeza kumayambiriro oyambirira (kuyang'ana koyambirira.) Ngati mapuloteni asanatuluke pa colonoscopy, pulopeni ingachotsedwe isanakhale nayo mwayi wokhala ndi khansa. Mayesero ena onse owonetsetsa khansa omwe tili nawo panthawi ino angathe kupeza kansana oyambirira (kuyambira koyambirira) koma sangathe kulepheretsa chitukuko cha khansa.
> Zotsatira:
> Chen, Y., Yeh, J., Lin, C. et al. Kansa Ngozi kwa Odwala ndi Cholelithiasis ndi pambuyo pa Cholecystectomy: Phunziro la Nationwide Cohort. Journal of Gastroenterology . 2014. 49 (5): 923-31.
> Zovala, M., ndi S. Shimi. Cholecystectomy ndi Kuopsa kwa Khansa Zachilendo Zokwanira: Kukonzekera Mwadongosolo. World Journal of Gastroenterology . 2015. 21 (12): 3679-3693.
> Shabanzadeh, D., Sorensen, L., ndi T. Jorgensen. Kuyanjana Pakati pa Khungu la Gallstone ndi Khansara mu Phunziro la Ophunzira. Gastroenterology . 2017. 152 (8): 1965-1974.
> Shang, J., Reece, J., ndi D. Buchanan. Cholecystectomy ndi Kuopsa kwa Khansa Yoyamba Ndi Matenda Akumayambiriro Kowonongeka Kwambiri. International Journal of Colorectal Disease . 2016. 31 (8): 1451-7.