Iyini isilinganiso sokusinda komdlavuza we-Esophagus?

-Delile

• Ukubuka konke
• Izibalo zezinga lokusinda
• Izinga lokusinda leminyaka emihlanu
• Izinga lokusinda elihlobene
• Izinga lokusinda komdlavuza weminyaka emihlanu
• Ukusinda komdlavuza wesifo seminyaka emihlanu ngesigaba
• Kwenziwe kwaba okwasendaweni
• Okwesifunda
• Kude
• Ukudla okudlela endlini

Ukubuka konke

I-esophagus yakho iyishubhu elihlanganisa umphimbo wakho nesisu sakho, lisize ukuhambisa ukudla okugwinyayo esiswini sakho ukuze kugayeke.

Umdlavuza we-Esophageal uvame ukuqala ulwelwesi futhi ungenzeka noma ikuphi lapho kuhlangana khona nomlomo.

Ngokusho kwe-American Society of Clinical Oncology (ASCO), umdlavuza we-esophageal ubala iphesenti elilodwa lomdlavuza otholwe e-United States. Lokho kuhumusha kubantu abadala abalinganiselwa ku-17,290: abesilisa abayi-13,480 nabesifazane abangu-3 810.

I-ASCO ibuye ilinganisele ukuthi abantu abayi-15,850 - abesilisa abangu-12,850 nabesifazane abangu-3 000 - badlule kulesi sifo ngo-2018. Lokhu kumelela amaphesenti angu-2.6 wabo bonke abantu ababulawa ngumdlavuza e-U.S.

Izibalo zezinga lokusinda

Izinga lokusinda leminyaka emihlanu

Lapho unikezwa ukuxilongwa komdlavuza, esinye sezibalo zokuqala abantu abakhathazekile ukubona izinga lokusinda leminyaka emihlanu. Le nombolo yingxenye yabantu abanohlobo olufanayo nesigaba somdlavuza abasaphila iminyaka emihlanu kulandela ukuxilongwa.

Isibonelo, isilinganiso seminyaka emihlanu sokusinda samaphesenti angama-75 sisho ukuthi abantu abalinganiselwa kwabangu-75 kwabangu-100 abanawo umdlavuza basaphila eminyakeni emihlanu ngemuva kokuxilongwa.

Izinga lokusinda elihlobene

Esikhundleni samazinga okusinda yeminyaka emihlanu, abanye abantu banethezekile ngokulinganiselwa kwamazinga okusinda ahlobene. Lokhu ukuqhathanisa kwabantu abanohlobo lomdlavuza kanye nenani labantu.

Isibonelo, isilinganiso sokusinda esihlobene samaphesenti angama-75 sisho ukuthi abantu abanohlobo lomdlavuza banamathuba angamaphesenti angama-75 njengabantu abangenawo lowo mdlavuza wokuphila okungenani iminyaka emihlanu kulandela ukuxilongwa.

Izinga lokusinda komdlavuza weminyaka emihlanu

Ngokwe-National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) database, izinga lokusinda kweminyaka emihlanu kubantu abanomdlavuza wokucinana kwamaphesenti angu-19.3.

Ukusinda komdlavuza wesifo seminyaka emihlanu ngesigaba

I-database ye-SEER ihlukanisa umdlavuza ngezigaba ezintathu zokufingqwa:

Kwenziwe kwaba okwasendaweni

• umdlavuza ukhula kuphela emqaleni
• ifaka i-AJCC isigaba 1 kanye nezinye izicubu zesigaba 2
• Umdlavuza wesigaba 0 awufakiwe kulezi zibalo
• Amaphesenti angama-45.2 izinga lokusinda elihlobene neminyaka emihlanu

Okwesifunda

• umdlavuza usabalalele kuma-lymph node noma izicubu eziseduze
• kufaka phakathi izicubu ze-T4 nomdlavuza nge-N1, N2, noma i-N3 lymph node spread
• Amaphesenti angama-23.6 isilinganiso seminyaka emihlanu sokusinda okuhlobene

Kude

• umdlavuza usabalalele ezithweni noma kuma-lymph node kude nephuzu lawo
• ifaka wonke umdlavuza wesigaba 4
• Amaphesenti angu-4.8 izinga lokusinda elihlobene neminyaka emihlanu

La mazinga okusinda afaka phakathi ama-squamous cell carcinomas nama-adenocarcinomas. Abantu abane-adenocarcinomas bavame ukucatshangwa ukuthi banesibikezelo esingcono kakhulu.

Ukudla okudlela endlini

Yize izibalo zingathakazelisa, kungenzeka zingayitsheli yonke indaba. Gcina ukhumbula ukuthi izibalo zezinga lokusinda labantu abanomdlavuza we-esophageal zibalelwa emininingwaneni ejwayelekile. Akuchazwa ngemininingwane efana nempilo yonke.

Futhi, izibalo zokusinda zilinganiswa njalo eminyakeni emihlanu, okusho ukuthi ukuthuthuka kokuxilongwa nokwelashwa okusha kuneminyaka engu-5 ngeke kubonakale.

Mhlawumbe into ebaluleke kakhulu okufanele uyikhumbule ukuthi awusona isibalo. Udokotela wakho uzokuphatha njengomuntu ngamunye futhi anikeze izilinganiso zokusinda ngokuya ngesimo sakho esithile nokuxilongwa.