Zowonongeka za Rectal Cancer Prognosis and Survival Rates
Kodi ndi zifukwa ziti zomwe zimakhudza kuchuluka kwa chiwerengero cha khansa ya rectal, ndipo chiyembekezo cha moyo wamakono chikuchokera pa ziwerengerozi?
Kukhalitsa kwa khansa yapamtunda ndi Moyo wodalirika
Mukakumana ndi kusatsimikizika kwa khansara, ndi chibadwa cha munthu kufuna kuphunzira zambiri momwe zingathere pa matendawa ndikuyesera kudziwa momwe zidzasewera. Cholinga cha kupulumuka kwa khansa ya m'magazi yomwe ili pano ndi kukuthandizani kumvetsetsa kuti vutoli liripo, koma ndibwino kukumbukira kuti kupulumuka kumawunikira komanso kukhala ndi mwayi wopulumuka.
Ndifunikanso kufotokoza kuti chiwerengero ichi ndi chiwerengero chokhala ndi moyo m'mbuyomo. Mwachitsanzo, zaka zisanu zomwe zikupezeka mu 2017 zikutanthauza anthu omwe anapezeka mu 2012 kapena kale. Popeza mankhwala ambiri atsopano akhala akupezeka kwa khansa zaka zingapo zapitazo, kupulumuka kumeneku sikungasonyeze momwe wina angapange lero ndi mankhwala omwe tili nawo tsopano.
Zosiyanasiyana Zomwe Simungathe Kulamulidwa
Pali mitundu yambiri yomwe sitigwire ntchito yomwe ingakhale nayo gawo mukupulumuka. Zina mwa izi ndizo pansipa.
Mavuto Omwe Amakhalako Amtundu wa Khansa M'mayiko Osiyana
Malinga ndi nkhani imene inafalitsidwa mu European Journal ya Cancer , chiwerengero cha kufala kwa khansa ya khansa chimasiyana ndi dziko. Ngakhale kuti zaka zisanu zapakati pa khansa ya m'magazi ku America ndi 59 peresenti, ndi 42 peresenti ku Ulaya. Ubwino wa chisamaliro ukhoza kukhala chifukwa chimodzi, koma china chingakhale mapulogalamu oyang'anira khansa yambirimbiri .
Kawirikawiri, khansara yapachiyambi imapezeka, ndikosavuta kuchiza. Phunziroli linachitidwa mu 2006, ndipo zikutheka kuti kupulumuka ku US ndi Europe kwakhala bwino kuyambira nthawi imeneyo.
Ndalama Yopulumutsira Khansa Yachilendo ndi Ndondomeko pa Kufufuza
Sitifiketi pachidziwitso chimakhudza kwambiri chiwopsezo cha khansa ya rectal.
Kawirikawiri kuyembekezera kwa moyo malingana ndi siteji ili m'munsimu, komabe n'kofunika kudziwa kuti pali mitundu yambiri kuphatikiza pa siteji yomwe ili ndi gawo.
Kachilombo ka kansa kamene kamakhala ndi moyo komanso mpikisano
Kawirikawiri, chiwerengero cha anthu a ku Africa kuno ndi khansa ya m'magazi ndi yochepa kuposa a azungu omwe ali ndi matendawa. Apanso, pali mitundu yambiri yambiri yomwe ingapangitse kusokonezeka uku, kuphatikizapo inshuwalansi ya umoyo.
Kugonana kwa amuna ndi akazi komanso khansa
Gender ndi chinthu china chomwe chingakhudze chiwerengero cha moyo wa khansa ya khansa. Kafukufuku apeza kuti, mosiyana ndi ena ambiri khansa, amayi amakhala ndi chiwerengero cha khansa ya m'munsi kuposa amuna.
Zolemba Zosokoneza
Kuwonjezera pa zosiyana zina, pali mayesero ngati zotupa zomwe zingapereke chidziwitso chokhudzana ndi matenda a khansa. Sitidzapita kuzinthu izi, koma zimathandiza kuzindikira kuti mapangidwe a maselo anu amatha kukhala ndi moyo. M'tsogolomu, zikuoneka kuti maselo a maselowa amathandizira kuti chiwerengerochi chiziwoneka bwino ndikuwongolera kukwiya ndi mtundu wa mankhwala a khansa ya munthu aliyense.
Zosiyanasiyana Zomwe Tili ndi Zina Zowononga
Ngakhale zingakhale zokhumudwitsa kudziwa kuti zina sizingatheke - simungasinthe zaka zanu kapena siteji yanu pazidziwitso-pali zina zomwe mumakhala nazo.
Poyang'ana pazigawozi, komanso pokhumudwa chifukwa cha ena, zingakuthandizeni kuti musavutike kokha ndi matenda anu koma mutha kusinthapo zotsatira zanu.
Ndalama Zopulumutsira Khansa Zachibadwa ndi Kuchita Zochita
Zambiri mwazinthu zomwe tazitchulazi sizingatheke. Inu mumakhala kumene mukukhala, ndinu amuna omwe munabadwira nawo, ndipo munagwira pamene mudagwira. Kotero, kodi mungatani kuti mukhale ndi mwayi wopulumuka tsopano? Ochita kafukufuku ku Dana-Farber Cancer Institute ku Boston anapeza kuti kuchita masewera olimbitsa thupi mopitirira malire kungawonjezere kwambiri kuchuluka kwa anthu odwala khansa yaikulu.
Phunzirani zambiri za zotsatira za masewero olimbitsa thupi pachilonda cha khansa.
Inshuwalansi
Amene ali ndi inshuwalansi ya zachipatala amakhala ndi zotsatira zabwino kusiyana ndi omwe sakulimbikitsidwa. Izi siziri zosinthika zomwe zingasinthidwe malingana ndi inshuwalansi kumayambiriro, koma omwe sali ovomerezeka kapena osowa thandizo pa chithandizo ayenera kulingalira zomwe angasankhe. Wogwira ntchito za khansa wanu pakati pa anthu odwala matenda a khansa akhoza kukhala malo abwino oti muyambe kusankha momwe mungasankhire.
Lankhulani ndi Dokotala Wanu Za Aspirin
Kafukufuku wina amasonyeza kuti kumwa aspirin kumawathandiza kupulumuka ku khansa yoyipa. Ndikofunikira kuti mulankhule ndi dokotala wanu, komabe monga momwe aspirin ingasokonezerere mankhwala ena a khansa.
Lankhulani ndi Dokotala Wanu Za Vitamini D
Monga aspirin, pali maphunziro ena omwe amatanthauza kuti vitamini D ikhoza kugwira nawo ntchito yopulumuka khansa yowononga. Onjezerani izi kuti ambiri a ku America ali osowa, ndipo pali mwayi woti mipingo yanu ndi yochepa kwambiri. Mwamwayi pali mayeso a magazi omwe angakuuzeni msinkhu wanu, ndipo dokotala wanu angalimbikitse kutenga vitamini D3 yowonjezera ngati kuli kofunikira. Nthawi zonse muzilankhulana ndi dokotala wanu, musanayambe kumwa zakudya zina. Mavitamini ena ndi mavitamini ena omwe angakonzekere angathe kusokoneza chithandizo cha khansa.
Pezani Gulu Lothandizira kapena Community Community
Sizinayang'ane makamaka ndi khansara, koma anthu omwe ali ndi khansara ya m'mapapo amaganiziridwa kuti azikhala ndi nthawi yayitali ngati ali ndi chithandizo chamtundu wina. Kumbukirani kuti mutha kupeza chithandizo ngakhale kuti simukumva bwino. Pali khansa yambiri yomwe imapezeka pamtundu wa Intaneti yomwe simungathe kupeza chithandizo koma kuyankhula kwa anthu omwe akukumana ndi mavuto omwewo.
Dziwani Zisonyezo za Kuvala Magazi
Magazi amathyoka miyendo ( imitsempha ya thrombosis ) yomwe imatha kuchoka ndikupita kumapapo ( pulmonary embolism ) ndi chifukwa chachikulu cha matenda ndi imfa kwa anthu omwe ali ndi khansa iliyonse. Phunzirani za zizindikiro za ziphuphu zamagazi komanso zomwe mungachite kuti muchepetse chiopsezo chanu chokhala ndi magazi ndi khansara .
Zochitika Zina Zomwe Mphamvu Yopulumuka Imakhudzidwa
Kuphatikiza pa zina zapamwamba pamwambapa, pali zinthu zambiri zomwe zingakhudzire kuchuluka kwa chiopsezo cha khansa ya coloni. Izi zingaphatikizepo:
- Zaka zanu - Mwachidziwikire, achinyamata amayamba kuchita bwino kusiyana ndi achikulire omwe ali ndi matendawa, ngakhale kuti izi zingathe kuyenda m'njira ziwiri. Anthu ocheperapo akhoza kukhala ndi chibadwa chodziwika bwino, ndipo mwa zina zotero, ali ndi zotupa zambiri.
- Zochita zanu - Kuchita bwino ndiyeso yowunikira kunena momwe munthu angathe kuchita ntchito zachizolowezi za moyo wa tsiku ndi tsiku. Ngakhale zimagwiritsidwa ntchito nthawi zambiri kuti mudziwe ngati munthu akhoza kukhala woyenerera kutenga nawo mbali m'kuyesedwa kwachipatala, akugwiritsidwanso ntchito poyerekeza.
- Kukhala ndi thanzi lanu lonse - Ndibwino kuti mukhale ndi thanzi labwino kusiyana ndi khansa mukhoza kudziwa zomwe mungathe kulekerera komanso zingakuthandizeni ngati muli ndi chizoloŵezi chochita masewero olimbitsa thupi.
- Mankhwala amalandira ndi momwe chifuwa chanu chimayankha mankhwala.
- Maonekedwe a maselo ndi kalasi (chiwawa) cha khansa yanu.
- Kuwonongeka kapena kulephereka kwa matumbo chifukwa cha khansa kumagwirizana ndi kupulumuka kosauka.
Chifukwa Chiwerengero Sichikhala Cholondola
Ndikofunika kuzindikira kuti, ngakhale kulingalira zonse zomwe zili pamwambapa, n'zovuta kudziwa kuti munthu aliyense adzakhala ndi khansa ya rectal nthawi yayitali bwanji.
Ziwerengero zingapereke gawo, koma anthu si nambala. Kawirikawiri, ziŵerengero zimatiuza momwe winawake anachitira khansa ya rectal nthawi ina yapitayo. Mwachitsanzo, chiŵerengero chaposachedwapa chomwe tili nacho kawirikawiri chili kale zaka zinayi kapena zisanu. M'zaka zisanu zapitazi, tapita patsogolo kwambiri pakuchiza khansa. Ndipotu, phindu la kupulumuka lingakuuzeni momwe munthu yemwe ali ndi matenda ofanana ndi omweyo amachitira ndi matenda okalamba. Zitenga zaka zingapo kuti mudziwe momwe munthu wamba angachitire ndi mankhwala atsopano omwe alipo.
Matenda a khansa ya chiwerengero cha moyo
Khansa yambiri imagwirizanitsidwa ndi khansara ya coloni kuti ikhale ndi chiwerengero chokhala ndi khansa yosaoneka bwino.
Malingana ndi American Cancer Society, zaka 5 zomwe zimakhalapo pa khansa yapadera ndi izi:
- Gawo I - 92 peresenti
- Gawo 2A - 87 peresenti, siteji IIB - 63 peresenti
- Gawo 3A - 89 peresenti, siteji 3B - 69 peresenti
- Gawo 4 (metastatic) - 11 peresenti
Popeza izi ndi zaka 5 zomwe zikupulumuka, ndizodabwitsa kuti omwe anayesedwa anapezeka ndi kuchiritsidwa zaka zisanu zapitazo, asanalandire mankhwala atsopano. Ndizodziwika kuti deta iyi ndi yolakwika chifukwa ndizosakayikitsa kuti gawoli lachiwiri limakhala ndi zochepa zowonjezereka kusiyana ndi ziwalo zitatu, ngakhale ngati khansa yachiwiri ya khansa inkachitiridwa nkhanza kwambiri.
Pamunsi pa Zomwe Mungapulumutse Kanseri
Apanso ndizofunikira kuzindikira kuti nambala zonse zomwe tazitchula pano ndizowerengera-ndipo anthu sali owerengeka. Zomwe ena mwa maphunzirowa akunena ndikuti pali zifukwa zambiri zomwe zimathandiza kuti apulumuke. Mankhwala atsopano athandizidwa m'zaka zaposachedwa ndipo ambiri akuphunziridwa m'mayesero a zachipatala.
Chotsatira chomaliza ndi chakuti mankhwala atsopano akupezeka, ndipo mankhwala onsewa ayenera kuyesedwa m'mayesero am'chipatala asanakhalepo ndi anthu. Nyuzipepala ya National Cancer Institute ikusonyeza kuti anthu amawona ngati mayesero a zachipatala angakhale osankhidwa awo. Pali nthano zambiri zokhudzana ndi mayesero a kachipatala , koma zoona ndizokuti mankhwala ambiri omwe alipo zaka zisanu kuchokera pano angakhalepo pokhapokha m'mayesero a zamankhwala panthawiyi.
Zotsatira:
American Cancer Society. Kodi Kupulumuka kwa Khansa Yoyamba Ndi Chiyani? Kusinthidwa 01/20/16. Chilendo
Gattaj, G. ndi Ciccolallo, L. "Kusiyanasiyana kwa Kugonana Kwambiri kwa Khansa Pakati pa Aurope ndi a ku America Anthu: Kufunika Kwambiri Padzikoli ndi Morphology." European Journal of Cancer 39.15 (Oct. 2003): 2214-2222. Adasankhidwa. 21 Jun 2006.
Morales-Oyarvide, V., Meyerhardt, J., ndi K. Ng. Vitamini D ndi Ntchito Yophatikiza Pakati pa Odwala Amene Ali ndi Khansa Yoyenera: Umboni Wa Epidemiological ndi Zotsatira Zothandizira. Khansa Journal . 2016. 22 (3): 223-31.
Tawk, R., Abner, A., Ashford, A., ndi C. Brown. Kusiyanasiyana kwa Zotsatira za Khansa Zachilendo za Race ndi Inshuwalansi. International Journal of Environmental Research ndi Health Public . 2015. 13 (1): ijerph13010048.