Umdlavuza wesisu

Umdlavuza wesisu umdlavuza oqala esiswini.

Izinhlobo eziningi zomdlavuza zingenzeka esiswini. Uhlobo oluvame kakhulu lubizwa nge-adenocarcinoma. Iqala kolunye lwezinhlobo zamaseli ezitholakala kulwelwesi lwesisu.

I-Adenocarcinoma ingumdlavuza ovamile womgudu wokugaya ukudla. Akuvamile kakhulu e-United States. Kutholakala kaningi kubantu abasempumalanga ye-Asia, ezingxenyeni zeNingizimu Melika, nasempumalanga nasenkabeni yeYurophu. Kwenzeka kakhulu emadodeni angaphezu kweminyaka engama-40.

Inani labantu e-United States ababa nalo mdlavuza lehlile eminyakeni edlule. Ochwepheshe bacabanga ukuthi lokhu kwehla kungaba yingxenye yokuthi abantu badla ukudla okusawoti okuncane, okungalapheki nokubhema.

Kungenzeka ukuthi utholwe unomdlavuza wesisu uma:

• Yiba nokudla okuncane ngezithelo nemifino
• Yiba nomlando womndeni wesifo somdlavuza esiswini
• Yiba nokutheleleka kwesisu ngamagciwane abizwa I-Helicobacter pylori (H pylori)
• Unepolyp (ukukhula okungavamile) okukhudlwana kunamasentimitha ama-2 esiswini sakho
• Yiba nokuvuvukala nokuvuvukala kwesisu isikhathi eside (i-atrophic gastritis engapheli)
• Yiba ne-anemia eyingozi (inani eliphansi lamaseli abomvu egazini avela emathunjini angamunci kahle uvithamini B12)
• Intuthu

Izimpawu zomdlavuza wesisu zingafaka noma yikuphi okulandelayo:

• Ukugcwala esiswini noma ubuhlungu, okungenzeka ngemuva kokudla okuncane
• Izitokisi ezimnyama
• Kunzima ukugwinya, okuba kubi ngokuhamba kwesikhathi
• Ukubopha ngokweqile
• Ukwehla okujwayelekile kwezempilo
• Ukuphelelwa isifiso sokudla
• Isicanucanu
• Kuhlanza igazi
• Ubuthakathaka noma ukukhathala
• Ukwehla kwesisindo

Ukuxilongwa kuvame ukubambezeleka ngoba izimpawu zingase zingaqali ukuqala kwesifo. Futhi eziningi zezimpawu azikhombisi ngqo kumdlavuza wesisu. Ngakho-ke, abantu bavame ukuzelapha izimpawu ukuthi umdlavuza wesisu ufana nokunye, okungathi sína, ukuphazamiseka (ukuqunjelwa, igesi, isilungulela nokugcwala).

Ukuhlolwa okungasiza ukuthola umdlavuza wesisu kufaka:

• Qedela ukubalwa kwegazi (CBC) ukuhlola i-anemia.
• I-Esophagogastroduodenoscopy (EGD) ene-biopsy yokuhlola izicubu zesisu. I-EGD ifaka ukubeka ikhamera encane ezansi nomcibisholo (ithubhu yokudla) ukubheka ngaphakathi kwesisu.
• Ukuhlolwa kwendle ukuhlola igazi ezansi.

Ukuhlinzwa ukususa isisu (i-gastrectomy) ukwelashwa okujwayelekile okungaphulukisa i-adenocarcinoma yesisu. Ukwelashwa ngemisebe nokwelashwa ngamakhemikhali kungasiza. Ukwelashwa ngamakhemikhali nokwelashwa ngemisebe ngemuva kokuhlinzwa kungathuthukisa amathuba okwelashwa.

Kubantu abangakwazi ukuhlinzwa, i-chemotherapy noma i-radiation ingathuthukisa izimpawu futhi ingahle yengeze isikhathi sokuphila, kepha ingahle iwelaphe umdlavuza. Kwabanye abantu, inqubo yokudlula yokuhlinzwa inganciphisa izimpawu.

Unganciphisa ukucindezela kokugula ngokujoyina iqembu lokusekela umdlavuza. Ukwabelana nabanye abanokuhlangenwe nakho okuvamile nezinkinga kungakusiza ungazizwa uwedwa.

I-Outlook iyahluka ngokuya ngokuthi umdlavuza ususabalalise kangakanani ngesikhathi sokuxilongwa. Izimila esiswini esingezansi zelashwa kaningi kunalezo ezisesiswini esiphakeme. Ithuba lokwelashwa lincike nokuthi isimila sesingenele kangakanani odongeni lwesisu nokuthi ngabe ama-lymph node ayabandakanyeka yini.

Lapho isimila sesisabalale ngaphandle kwesisu, ukwelashwa akuvamile. Lapho ukwelashwa kungenzeki, inhloso yokwelashwa ukuthuthukisa izimpawu nokwelula impilo.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma kuvela izimpawu zomdlavuza wesisu.

Izinhlelo zokuhlola ziyaphumelela ekutholeni izifo zisencane ezingxenyeni zomhlaba lapho ingozi yomdlavuza wesisu iphakeme kakhulu kunase-United States. Inani lokuhlolwa e-United States nakwamanye amazwe anamanani aphansi kakhulu omdlavuza wesisu alicaci.

Okulandelayo kungasiza ukunciphisa ingozi yokuba nomdlavuza wesisu:

• UNGABHALI.
• Gcina ukudla okunempilo okunothe izithelo nemifino.
• Thatha imithi yokwelapha isifo se-reflux (isilungulela), uma unaso.
• Thatha ama-antibiotics uma kutholakala ukuthi unayo H pylori ukutheleleka.

Umdlavuza - isisu; Umdlavuza wesisu; I-gastric carcinoma; I-Adenocarcinoma yesisu

• Uhlelo lokugaya ukudla
• Umdlavuza wesisu, i-x-ray
• Isisu
• I-Gastrectomy - uchungechunge

Abrams JA, Quante M. Adenocarcinoma wesisu nezinye izicubu zesisu. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 54.

UGunderson LL, Donohue JH, Alberts SR, Ashman JB, Jaroszewski DE. Umdlavuza wesisu kanye nokuhlangana kwe-gastroesophageal. Ku: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 5. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 75.

Iwebhusayithi yeNational Cancer Institute. Ukwelashwa komdlavuza wesisu (PDQ) - inguqulo yezempilo. www.cancer.gov/types/stomach/hp/stomach-treatment-pdq. Kubuyekezwe u-Agasti 17, 2018. Kufinyelelwe ngoNovemba 12, 2018.