Zizindikiro ndi Zizindikiro, Kuzindikira, ndi Chithandizo
Zizindikiro zina za khansa ya cecum nthawi zina sizingatheke. Nkhumbayi imasonyeza kuyamba kwa matumbo anu aakulu. Gawo ili la matumbo la m'matumbo limagwirizanitsa gawo la m'matumbo aang'ono, otchedwa ileum, mpaka kumtunda wokwera. Dera ili la colon likhoza kukhala lovuta kwambiri kufufuza, koma ndilofunika, kuti kafukufuku wina apeza kuti mpaka 20 peresenti ya khansa yapadera imapezeka mu cecum (muzofufuza zina ndizochepa kwambiri).
Kodi zizindikiro za khansa ya cecum ndi zotani, nanga zimapezeka bwanji, ndipo zimatani?
Anatomy ya Colon ndi Cecum
Pofuna kumvetsetsa kuti cecum ikugwa pamimba, ndichifukwa chake, zizindikiro zomwe mungayembekezere, ndizothandiza kubwereza momwe thupili limayambira.
Colon yanu imagawidwa m'magulu anayi:
- Cecum ndi kukwera koloni: Nkhono ndi kukwera koloni nthawi zambiri zimatchulidwa kuti "zolondola" zamtunduwu. "Nkhumbayi imayanjana m'mimba mwaching'ono pafupi ndi dera lazowonjezereka, m'mimba mwako pansi, ndipo khola lokwera likukwera kumbali yakumanja ya mimba yanu yopita kumtunda.
- Chitsulo Choyendayenda: Chigawo ichi cha coloni yanu chimayenda mozungulira pamimba mwako kuchokera kumanja kupita kumanzere.
- Kuchokera kumtunda: Kutsika kumtunda kumadutsa kumanzere kwa mimba yako, kuchokera kumtunda mpaka kumunsi.
- Sigimoid colon: Chizindikiro cha sigmoid chimagwirizanitsa kutsika kwa colon ku rectum ndi anus.
Malo a cecum angapangitse kukhala kovuta kupeza kansara kuposa m'madera ena a colon.
Ntchito ya Cecum
Nkhumbayi, pokhala chiyambi cha coloni kumene madzi amachokera kuchitetezo, ali ndi chitsime chomwe chili ndi madzi osapangidwira. Ntchito ya cecum yanu ndiyo kutenga zakudya zotsala m'matumbo anu, ndikuyamba kubwezeretsanso madzi zomwe zimayambitsa zowonongeka zomwe mukuziwonetsa (poop).
Mwachibadwa, malowa amakhala pansi pamtunda wa mimba yanu, kumene zakumapeto zanu zilipo. Mofanana ndi momwe mungakhalire popanda chowonjezera, chomwe chimamangirizidwa ku cecum, n'zotheka kukhala popanda cecum.
Zizindikiro za Khansa ya Cecum
Zizindikiro za khansa ya cecum zingakhale zosafunika kwenikweni ndipo nthawi zambiri zimasiyana ndi zomwe mungaganize ndi zizindikiro za khansa ya coloni. Zizindikiro zowopsa kwambiri za khansa yaikulu kwambiri zimaphatikizapo kumverera kwa chidzalo kapena kupanikizika mumtengowu, kutuluka m'magazi , ndi kulakalaka kutsegula. Mwayi simungapeze zizindikiro izi ndi khansa ya cecum. Kuwotcha kumtambo, mosiyana ndi chigoba kapena chizindikiro cha sigimu, sichidzakupangitsani kuti mukhale ndi chilakolako choletsa kapena kusokoneza chizoloŵezi cha chizolowezi (ngakhale nthawi zina chimagwirizanitsa ndi kutsekula m'mimba) chifukwa chinyama chodutsa mumsasa ndi chokhacho ndipo chimatha kudutsa misala gawo ili la matumbo.
Mwamwayi, zizindikiro zambiri za khansa yachedwa cecum imachedwa, kutanthauza kuti matendawa ayamba kale kwambiri pamene mumamva zizindikirozi. Zizindikiro zomwe zingakhalepo zingaphatikizepo izi:
- Matenda a m'mimba, ndi zizindikiro zomwe zimaphatikizapo kuchepa kwa magazi monga kutopa, kupuma pang'ono, kufooka, ndi kufulumira kwa mtima. Kutupa kuchokera kumalo amtunduwu kumakhala kochepa kwambiri, ndipo sikudziwike mpaka dokotala atapeza kuti muli ndi vuto la kuchepa kwa magazi m'thupi mwathunthu (CBC).
- Mdima, tarry stools (melena): Pamene kutuluka magazi kumapezeka mumtambo ndi kukwera kolon, nthawi zambiri zimayambitsa zida zakuda zomwe zimawoneka ngati tar, m'malo mwa magazi ofiira omwe amawoneka ndi magazi m'munsi.
- Gasi ndi kuphulika: Gasi ndi kuphulika kungabwereke, koma ndizosafunikira, ndipo kawirikawiri zimayambira chifukwa china.
- Zowawa m'mimba: Monga gasi ndi bloating, ululu wa m'mimba ndi wosayenera komanso ukhoza kukhala ndi zifukwa zambiri. Pakagwa ululu, zikhoza kudziwika kudera lomwe limadziwika ndi ululu ndi appendicitis, mfundo ya McBurney. Mfundo iyi ikhoza kupezeka pojambula mzere kuchokera ku fupa lanu lamanja la mchiuno mpaka ku batani lanu ndikupeza midzi. Izi zinati, kupweteka kwa m'mimba kungakhale kofala, ndipo nthawi zambiri sichiti zambiri zokhudza malo omwe ali ndi vutoli.
- Nsowa ndi kusanza: Ziphuphu zazikulu kumbali yakumanja ya colon yanu zingayambitse chakudya kuti "mubwerere" kudzera m'mimba ndi m'mimba, ndikuyesa kusanza. Kuwombera kawirikawiri kumakhala "kovuta" kumawonekera, kapena mtundu wachikasu.
- Kutaya kwa kulemera kwa thupi : Kuwonongeka kosalemetsa kumachitika kawirikawiri ndi zotupa zapamwamba, ndipo nthawi zonse ziyenera kufufuzidwa. Kuwonongeka kosalemetsa kumatanthauza kutaya kwa 5 peresenti ya kulemera kwa thupi kapena kupitirira pa miyezi 6 mpaka 12. Izi zidzakhala zofanana ndi munthu wa mapaundi 150 otaya mapaundi 7.5 popanda kuyesera.
Zifukwa Zina za Zizindikiro za Khansa ya Cecum (Kusiyana Kwambiri)
Kukhalapo kwa zizindikiro zomwe tazitchula pamwambazi sikutanthauza kuti muli ndi khansa ya cecum, ndipo pali zikhalidwe zosiyanasiyana zomwe zingawonekere zofanana. Ena mwa awa ndi awa:
- Cecal volvulus: Chinthu chosazolowereka, chimphepo chowuluka chimapezeka pamene chimbudzi chanu chikukwera, ndipo chimapangitsa kuti chitetezo chimene chimayendetsa chigawo cha matumbo kudzera mu matumbo anu. Kuthamanga uku kungayambitse kupweteka kwa m'mimba, kutupa, kupweteka, kunyowa, ndi kusanza. Zingayambe chifukwa cha mimba, zovuta zoyenera kutsokomola kapena kumatira pamimba-minofu m'mimba nthawi zambiri imayambitsidwa ndi opaleshoni yapitayi-ndipo kawirikawiri imakhudza anthu a zaka zapakati pa 30 ndi 60.
- Matenda opweteka kwambiri (IBS): IBS , kuphatikizapo matenda monga Crohn's disease ndi ulcerative colitis, ingayambitse kupweteka kwa m'mimba, kutupa m'mimba, ndi kusasuntha kwa zizindikiro zina. Sizingatheke kuti IBS ikhale yofanana ndi zizindikiro za matenda opatsirana, koma IBS ndi chiopsezo cha chitukuko cha kansa yamtunda.
- Zovuta zowonjezereka: Zizindikiro za appendicitis zimaphatikizapo za khansa ya cecum, kuphatikizapo ululu m'mimba zomwe zimakhala zovuta kwambiri pamimba, mseru, ndi kusanza. Kuonjezera apo, kukhala ndi khansa mu cecum kungachititse kutupa kwazowonjezereka. Mwa njira zina, izi siziri zoipa zonse, ndipo zingayambitse matenda a khansa ya cecum m'mbuyomo kusiyana ndi momwe angapangidwire.
Kudziwa
Colonoscopy ndi mayeso abwino kwambiri owona khansara ya cecum. Mu colonoscopy, dokotala amapititsa colonoscope kupyolera mumtundu wanu wonse, mpaka ku cecum, kufunafuna mapepala obirira kapena osakayikira omwe angakhale ndi khansa. Ngati mapepala amadziwika, akhoza kuchotsedwa. Popeza mitundu yambiri ya khansa imayamba ngati mapuloteni ovomerezeka, colonoscopy sichimangoyang'ana kansalu, koma, mwa kuchotsa mapepalawa, ikhoza kuteteza chitukuko cha khansa.
Komabe, pa colonoscopy, pafupifupi 10 peresenti ya nthawi yomwe colonoscope silingayambe ulendo wopita ku cecum, choncho imasowa dera lino. Izi zikhoza kuchitika chifukwa cha kulumikizidwa, kapena mavuto ena omwe amachititsa kuti coloni ikhale yovuta kapena yovuta kuyenda. Barium enemas ikhoza kuchitidwa, komanso imasowa molondola. Izi zikachitika, pafupifupi colonoscopy imatha kuzindikira khansara ya cecum pamene mayesero ena amalephera.
Mayesero ena, monga CT ya mimba yanu, angapangidwe kuti afufuze malo anu, ndi kufunafuna umboni wa kufalikira kwa khansara.
Mwamwayi, mayesero nthawi zina amagwiritsidwa ntchito poyang'ana khansara yamtundu, sigmoidoscopy yokhazikika, kumangoyang'ana mbali ya kumanzere ya colon ndipo amatha kuphonya khansa ya cecum ndi koloni yolondola.
Chithandizo
Ngati kansa ndi yayikulu kwambiri kuti isachotsedwe mu njira ya polypectomy, mungafunikire opaleshoni kuti muchotse. Mtundu wochuluka wa opaleshoni wa khansa ya cecum imatchedwa hemicolectomy yolondola - opaleshoniyi imachotsa mbali yoyenera ya coloni yanu ndikugwirizanitsa gawo lotsalira m'mimba mwawo. Malinga ndi masewero a kansa yanu, dokotala wanu angalimbikitsenso mankhwala a adjuvant, kuphatikizapo chemotherapy ndi radiation.
Kuthamangitsani
Poyerekeza ndi khansa yamtundu wa kumanzere, khansa yamtunduwu, monga ya cecum, imakhala ndi masewera ochepa kwambiri opulumuka. Izi zikhoza kukhala chifukwa cha vuto lalikulu pakupeza zotupa ndi matenda apamwamba pa nthawi ya matenda.
Ngakhale izi zikuchitika, khansa yapamwamba yowonongeka imakhala yochepa kwambiri yofalitsa (kuchepa) kwa chiwindi ndi mapapo kusiyana ndi khansa ya m'munsi.
Mawu Ochokera
Zokhudzana ndi khansa zina za khansa, khansara ya cecum ikhoza kukhala yovuta kwambiri kudziwa, chifukwa cha zizindikiro zomwe zimasiyana ndi khansa ya colon yomwe ikupitirirabe mu colon, ndipo zimakhala zovuta kwambiri kuona malowa poyesedwa. Zizindikiro zoyambirira zimaphatikizapo kuchepa kwa magazi m'thupi chifukwa cha kutuluka kwa microscopy. Kuperewera kwa magazi kumakhala kofufuzidwa nthawi zonse, makamaka mwa abambo komanso amayi omwe amachititsa anthu kutengapo mbali.
Kuyeza kolonoscopies ndiyo njira yabwino kwambiri yowunikira matendawa, koma nthawi zonse sumafika ku dera la cecum. Izi zikachitika, pafupifupi colonoscopy ndi njira yomwe ingakuthandizeni kulingalira bwino kumtundu wapamwamba.
Izi zimakhala zosavuta ku khansa ya khansa kusiyana ndi khansa zina zamtunduwu, zomwe zimakhala zovuta kwambiri kupeza matendawa kumayambiriro oyambirira. Ngati muli ndi zizindikiro kapena zizindikiro zowononga khansa ya cecum, lankhulani ndi dokotala wanu. Zina mwa zizindikirozi zimabweretsa nkhaŵa za zina zovuta kwambiri. Mwamwayi, ngakhale pali kutsutsana pa kuyesa mitundu ina ya khansa ya colon, kuyang'ana kolonoscopies kwa khansara yamtundu ikupulumutsa miyoyo, ndipo ndikuyembekeza kuti izi zidzakuthandizira kusintha moyo wamtsogolo mtsogolo.
> Zotsatira:
> Amri, R., Bordeianou, L., Sylla, P., ndi D. Berger. Kusiyanasiyana kwa malo a Metastasis ndi malo apamwamba mu khansa ya Colon. Journal of Surgery Surgery . 2015. 19 (8): 1522-7.
> National Cancer Institute. Chithandizo cha khansa ya Colon (PDQ) -Health Professional Version. Kusinthidwa 02/16/18. https://www.cancer.gov/types/colorectal/hp/colon-treatment-pdq
> Suttie, S., Shaikh, T., Mullen, R. et al. Zotsatira za Kansa ya Kulungama ndi Yakumanja Kwambiri Pakadutsa Khansa Yotsatira. Matenda Olakwika . 2011. 13 (8): 884-9.