Mmodzi Wachitatu Wa Anthu Ali Pangozi Chifukwa Khansa ya Colon Sitiyendera
Khansara yeniyeni, yachiwiri yomwe imayambitsa imfa kuchokera ku khansa ku United States, idzapha anthu pafupifupi 50,000 ku US chaka chilichonse. Akatswiri amalangiza kuti aliyense wopitirira zaka makumi asanu ndi awiri awonedwe kansera ya coloni. Ngakhale kuti chiwerengero chachikulu cha matenda ndi khansa ya colon, chiwerengero chachikulu cha anthu a ku America pa zaka makumi asanu ndi awiri, chakhala chikuwonetsedwa.
Nkhani yabwino ndi yakuti, akagwidwa m'mayendedwe ake oyambirira, khansara yokongola ndi pafupifupi 90% yochiritsidwa. Choncho, ndani ayenera kufufuzidwa ndi khansa yapadela?
Bwanji Screen?
Cholinga cha kuyang'ana khansara yakufa ndiko kupeza kukula kosawerengeka mu colon yotchedwa polyps . Mapuloteni amakula pa khoma la m'mimba, ndipo ndiwotsatila khansa. Ngati amapezeka pa colonoscopy kapena sigmoidoscopy, polyps akhoza kuchotsedwa ndi chidutswa chomwe chiri kumapeto kwa colonoscope . Ngati mapuloteni amapezeka ndikuchotsedwa panthawi yoyezetsa, sangathe kukhala khansara.
Ndani Ayenera Kujambula?
Ngati muli ndi zaka zoposa 50, American Gastroenter Society Society ikukulimbikitsani kuti muyang'ane khansa yoyipa. Zosankha zingapo zowunikira zilipo, ndipo njira yabwino kwa wodwala aliyense ayenera kukambirana ndi dokotala. Osati njira iliyonse yomwe ingagwire ntchito kwa wodwala aliyense: dokotala ndi odwala ayenera kuvomereza za njira yabwino kwambiri yogwiritsira ntchito.
Anthu osapitirira zaka makumi asanu ndi awiri omwe ali ndi mbiri ya banja la khansa yoipa kwambiri, matenda opatsirana (IBD) , mbiri yaumwini ya kukula kwa khansa kapena mapuloteni a adenomatous, kapena nthenda zachibadwa monga familial adenomatous polyposis (FAP) , iyeneranso kuyesedwa khansara pa ndondomeko ya madokotala.
Ndikofunika kuti anthu omwe ali m'gulu limodzi mwaziopsezozi alankhule ndi dokotala za nthawi yabwino yoyamba kuyesayesa, mayesero omwe angagwiritsidwe ntchito, ndipo nthawi zambiri kuyesa kumafunika. Kwa anthu omwe ali pachiopsezo chachikulu chokhala ndi khansara yosaoneka bwino, kufufuza kungayesedwe koyambirira komanso mobwerezabwereza kuposa anthu omwe ali pachiopsezo chachikulu (chomwe chimatchulidwa kuti ndi anthu omwe ali ndi zaka zoposa 50).
Chifukwa Chiyani Colonoscopy Ndi Yabwino Kwambiri
Pali mitundu yambiri ya mayesero omwe alipo, koma colonoscopy ndiyezo wa golide. Chifukwa chake ndikuti colonoscopy ingagwiritsidwe ntchito kuyang'ana lonse koloni ya polyps, ndiyeno kuchotsa. Pamene mapuloteni atachotsedwa, chomwechonso ndiopseza kuti mapuloteniwo amatembenuza khansa.
Mayesero ena ali ndi zovuta zina. Sigmoidoscopy yosinthika idzayesa mbali imodzi ya colon: ma polyps omwe amapita kupyola muyesoyo adzaphonya. A binum enema ndi mtundu wa x-ray ndipo sungathe kuchotsa polyps. Ngati mapepala amadziwika panthawi ya mayeserowa, colonoscopy idzalimbikitsidwa. Kuyezetsa magazi kumapepala kumapezekanso magazi, koma nthawi yomwe pulogalamuyi ilipo komanso imachotsa magazi, ikhoza kukhala khansa. Ngati magazi amapezeka muchitetezo, colonoscopy yotsatila ikhoza kuyankhidwa.
Kuwonjezera apo, kukhala ndi colonoscopy kudzapereka mpata wabwino wopezera ndi kuchotsa mapuloteni musanapangitse khansa.
Ngati mayeso ena akugwiritsidwa ntchito ndipo mapuloteni amawoneka kapena akukayikira, colonoscopy idzakonzedwanso.
Njira Zowonetsera Khansa Zina
Mayeso Otsamira. Ngati mayeso a magazi amatsenga (FOBT) akugwiritsidwa ntchito ngati njira yowunika, akulimbikitsidwa kuti mayeserowa abwerezedwe chaka chilichonse. FOBT imagwiritsidwa ntchito kufufuza chitsime cha magazi omwe sungakhoze kuwonedwa ndi maso. Chiyesochi chikhoza kutengedwa kunyumba ndipo chikhoza kuzindikira kuti magazi amachokera kulikonse kumene kuli m'mimba, kuphatikizapo zomwe zimachokera ku polyps.
Sigmoidoscopy. Kuwonjezera pa chaka chilichonse FOBT, sigmoidoscopy yokhazikika ikulimbikitsidwa zaka zisanu ndi ziwiri.
Chizindikiro chotchedwa sigmoidoscopy ndi njira yoti dokotala ayese gawo limodzi mwa magawo atatu a matumbo akuluakulu, omwe amatenga kachilomboka ndi chizindikiro cha sigmoid. Phukusi loyang'ana bwino lomwe lili ndi lenti komanso lochokera kumapeto, lotchedwa sigmoidoscope, imagwiritsidwa ntchito. Poyang'anitsitsa chojambula cha diso kumapeto ena a chiwerengero, dokotala akhoza kuona mkati mwa colon. Pachiyeso ichi, dokotala akhoza kufufuza khansa, polyps, ndi zilonda .
Barium Enema. Njira imodzi yokha yosinthira sigmoidoscopy ndi maulendo awiri a barium enema . A binum enema (omwe amatchedwanso mitsempha ya m'mimba) ndi mtundu wapadera wa x-ray umene amagwiritsa ntchito barium sulphate ndi mpweya kuti afotokoze chikho cha rectum ndi colon. Enema ya barium ikhoza kuchitidwa ngati njira yopezera kuchipatala ndipo nthawi zambiri imatenga pafupifupi mphindi 45. Enema ikhoza kukhala yosasangalatsa, koma ma-x-ray alibe zopweteka. Mayesowa amalimbikitsidwanso zaka zisanu ndi zisanu kwa iwo omwe akugwiritsa ntchito njirayi yofufuzira.
Colonoscopy. Colonoscopy imalimbikitsidwa kamodzi pa zaka khumi, kapena ngati kutsatila ngati magazi aliwonse, mapuloteni kapena zoperewera amapezeka nthawi iliyonse ya mayeserowa pamwambapa. Pa colonoscopy, dokotala akhoza kufufuza mkati mwa coloni kupyola m'madera omwe sigmoidoscopy ingafike. Ndondomeko ya colonoscopy ikhoza kutenga maola 1/2 ndipo imagwiritsidwa ntchito pansi pa chipatala ngati njira yochiritsira matenda. Chidindilo kumapeto kwa colonoscope chingagwiritsidwe ntchito kutenga kachilombo ka minofu m'koloni. Ngati pulopenti ikupezeka, ikhoza kuchotsedwa ndipo zonse ziwiri ndi ma polyps zidzatumizidwa ku labotale kuti apitirize kuyesedwa.
Mayendedwe a kansa ya Colon Guide kwa Anthu Pa zaka 50
Kuwonetseratu kawirikawiri kumaphatikizapo chimodzi mwa zinthu zotsatirazi:
- FOBT chaka chilichonse
- Sigmoidoscopy zaka zisanu zilizonse
- FOBT ndi sigmoidoscopy zaka zisanu zilizonse
- Zojambula ziwiri za barium enema zaka zisanu zilizonse
- Colonoscopy zaka 10 zilizonse
Zotsatira:
American Cancer Society. "Kodi ziwerengero zazikuluzikulu zokhudzana ndi khansa yaikulu ndi iti?" 31 Jan 2014. 28 Feb 2014.
Zomwe Zimayambitsa Matenda ndi Kupewa Matenda. "Kuyesedwa Kwambiri Kanseri Kumasunga Moyo." Zizindikiro Zofunika. 2013. 28 Feb 2014.