Cancer ya rectum - ndi chiweruziro?

Colorectal khansa - matenda wamba kwambiri, ndipo masamba za 5% ya matenda onse khansa ya thupi. Ngati khansa matumbo ali mu rectum nthawi zambiri lokalizatsiruyutsya chotupa.

The rectum ndi imodzi mwa mbali yaikulu ya dongosolo m'mimba. Pambuyo kungolandira zakudya ku chakudya mu wa intestine yaing'ono, zotsalira kuwoloka kumka m'mimba. Iwo amachotsa madzi ndi zinyalala pa nthawi ya kusunthira mu rectum amapanga otsiriza masentimita makumi awiri a matumbo. Kale therefrom zinyalala kunja kwa thupi mwa chotulukira. khansa thumbo zambiri amapezeka pafupipafupi amuna ndi pambuyo zaka makumi anayi.

Symptomatology colorectal khansa ndi otsika:
• Kusintha zotheka m'magulu matumbo, kuchititsa kudzimbidwa kapena m'mimba;
• kuyendera chimbudzi, pali kumverera kwa bwinobwino anamasulidwa wa intestine ya;
• magazi kuchokera chotulukira ya;
• kupweteka m'dera m'mimba.

Cancer ya rectum chotupa limakula pang'onopang'ono, ndi zizindikiro matenda kuonekera pang'onopang'ono. Kuwonekera kwa matenda kutchulidwa pamene khansara ayamba mphamvu yake ndiponso kukwaniritsa makulidwe zikuluzikulu. Choncho, n'kofunika kusamala thupi lanu, nthawizonse kumvetsa zimene zinachitika kwa iye kuti chinachake chinali chitalakwika.

Oterewa kukhalapo kwa chotupa zitha kukhala dokotala. Ndipotu, kawirikawiri odwala amene anaona pamene kupatukana defecation magazi, kodi si kuchipatala, kuganizira mofatsa chifukwa cha zotupa, ndipo anapanga kulakwitsa koopsya. Kunapezeka kuti mochedwa kuchiza khansa colorectal, metastatic kufala kwa ziwalo zina.

Mwatsoka, mankhwala amakono, Kupeza Vuto odwala khansa ya m'matumbo, zimayambitsa izi khansa kukhazikitsa sindingakhoze. Yofunika kwambiri ndi ankaimba ndi moyo, ndipo kodi zakudya mungakonde. Izo zimatengera buku la ndowe, kayendedwe liwiro la zigawo zikuluzikulu, kapangidwe ka nyama bakiteriya.

Kafukufuku akusonyeza kuti pamene wonyeketsa zakudya zomwe kubweza patsogolo nkhani zake kudzera intestine, pali zotsatira zokhalitsa pa mpanda wake zinthu imautsa maonekedwe a zotupa. Monga chinthu precipitating angatchedwe ndi masewera olimbitsa thupi laling'ono, kapena kupanda konse, monga moyo yogwira kuli ndi ubwino pa peristalsis matumbo.

Palinso zinthu zomwe zimathandiza ngozi ya matenda chinawonjezeka:
• zaka malire pambuyo makumi asanu;
• majini chingawapangitse kukhala zidakwa;
• pamaso tizilombo ting'onoting'ono mu rectum;
• njira yotupa matumbo anasamutsa kale;
• akamakonda zakudya;
• onenepa.

Oterewa thumbo khansa oyenerera dokotala zosavuta monga njira chala limachititsa kudziwa chotupa pamene ankaona pa mtunda wa masentimita 20, kuchokera chotulukira lapansi. Kwathunthu rectum ali bwinobwino proctoscope ndi ofunika dzenje zitsulo chubu ndi kumapeto kwa kuwala gwero.

Palinso njira kafukufuku monga x-ray ndi ultrasound mkati (US), imene imathandiza kuti amanena kuchuluka kwa kumera chotupa cha. Kugwiritsa ultrasound n'zothekanso kuti azindikire pamaso pa metastases mu chiwindi ndi lymph mfundo. mankhwala amakono alibe kuima ndi ntchito matenda ndi kompyuta, ndi positron tomography umuna, amene zatsopano za achipatala.

Kudziwa khansa colorectal ndi chiyambi chabe, ndi ovuta kwambiri kuchiza. Chifukwa chaichi, njira zosiyanasiyana zochizira
• njira ntchito - chotupa zilonda ndi otsala kuti zichotsedwa minofu tadulidwa mwa orifice kumatako, kapena kudzera zonse m'mimba (anapanga wapadera mtanda chigawo);
• Njira ya mankhwala cheza imene mtima ndi irradiated ndi mlingo mkulu;
• mankhwala amphamvu njira, pamene anadzetsa mankhwala lake kuti kuwononga maselo a khansa.