Ukuqonda umdlavuza webele weMastastatic eColon

-Delile

• Uyini umdlavuza webele we-metastatic?
• Izimpawu ze-metastasis kukholoni
• Yini ebangela imastastasis?
• Ukuhlonza i-metastasis kukholoni
• Colonoscopy
• I-sigmoidoscopy eguqukayo
• I-CT colonoscopy
• Ukwelapha umdlavuza webele we-metastatic
• Ukwelashwa ngamakhemikhali
• Ukwelashwa kweHormone
• Ukwelashwa okuhlosiwe
• Ukuhlinzwa
• Ukwelashwa ngemisebe
• Uyini umbono wabantu abanomdlavuza webele we-metastatic?

Uyini umdlavuza webele we-metastatic?

Lapho umdlavuza webele usakazeka, noma ugcoba umzimba kwezinye izingxenye zomzimba, uvamise ukuthuthela kwenye yezindawo ezilandelayo:

• amathambo
• amaphaphu
• isibindi
• ubuchopho

Akusakazeki kangako kukholoni.

Cishe ngaphezulu kwabangu-12 kwabesifazane abayi-100 bazothola umdlavuza webele empilweni yabo. Kulawa macala, ukulinganisela kocwaningo cishe amaphesenti angama-20 kuye kwangama-30 azoba yi-metastatic.

Uma umdlavuza uhlangana, ukwelashwa kugxila ekugcineni ikhwalithi yempilo yakho futhi kunciphise ukusabalala kwesifo. Alikho ikhambi lomdlavuza webele we-metastatic okwamanje, kepha intuthuko yezokwelapha isiza abantu ukuthi baphile impilo ende.

Izimpawu ze-metastasis kukholoni

Izimpawu ezihambisana nomdlavuza webele osakazeka kukholoni zifaka:

• isicanucanu
• ukuhlanza
• ukunyanyiswa
• ubuhlungu
• isifo sohudo
• izinguquko esitokisini
• ukuqunjelwa
• ukuvuvukala kwesisu
• ukungathandi ukudla

Ukubuyekezwa kwamacala aphathwe eMayo Clinic kuphinde kwathola ukuthi amaphesenti angama-26 abesifazane ababene-metastases yamathumbu babhekana nokuvaleka kwamathumbu.

Kuyaqapheleka ukuthi ekubuyekezweni, ama-colon metastases adiliziwe ukumboza amanye amasayithi ayisishiyagalombili, kufaka phakathi:

• isisu
• ingono
• amathumbu amancane
• unxande

Ngamanye amagama, leli phesenti limboza okungaphezu kwabesifazane abane-metastasis kukholoni.

Yini ebangela imastastasis?

Umdlavuza webele uvame ukuqala kumaseli ama-lobules, okuyizindlala ezikhiqiza ubisi. Ingase futhi iqale emapayipini ahambisa ubisi engonweni. Uma umdlavuza uhlala kulezi zindawo, kubhekwa njengokungahlaseli.

Uma amangqamuzana omdlavuza webele eqaqa isimila sokuqala futhi ehamba ngegazi noma ngohlelo lwe-lymphatic aye kolunye uhlangothi lomzimba wakho, kuthiwa ngumdlavuza webele we-metastatic.

Lapho amangqamuzana omdlavuza webele eya emaphashini noma emathanjeni bese enza izicubu lapho, lezi zicubu ezintsha zisakhiwa ngamangqamuzana omdlavuza webele.

Lezi zicubu noma amaqembu amaseli abhekwa njengomdlavuza webele webele futhi hhayi umdlavuza wamaphaphu noma umdlavuza wamathambo.

Cishe zonke izinhlobo zomdlavuza zinamandla okusabalala nomaphi emzimbeni. Noma kunjalo, iningi lilandela izindlela ezithile ezithweni ezithile. Akuqondakali kahle ukuthi kungani lokhu kwenzeka.

Umdlavuza webele ungasakazeka ukholoni, kodwa akunakwenzeka ukwenza kanjalo. Kuvamile nokungajwayelekile ukuthi isabalale iye emgudwini wokugaya ukudla.

Uma lokhu kwenzeka, umdlavuza uvame ukutholakala kuzicubu ze-peritoneal ezifaka umgogodla wesisu, isisu, noma amathumbu amancane esikhundleni samathumbu amakhulu, afaka ikholoni.

O wabantu ababenomdlavuza webele we-metastases ubala amasayithi umdlavuza webele ongahle usabalalele kuqala.

Lolu cwaningo lubuye lubhale izindawo ezine eziphezulu zomdlavuza webele ongasakazeka:

• ethanjeni amaphesenti angu-41.1 wesikhathi
• kuya emaphashini amaphesenti angama-22.4 esikhathi
• kwesibindi amaphesenti angu-7.3 wesikhathi
• ebuchosheni amaphesenti angu-7.3 esikhathi

Ama-metastase ama-Colon ajwayelekile kakhulu ukuthi awenzi uhlu.

Lapho umdlavuza webele usakazekela kukholoni, uvame ukwenzeka njenge-lobular carcinoma. Lolu uhlobo lomdlavuza oluqhamuka ezingxenyeni ezikhiqiza ubisi lwesifuba.

Ukuhlonza i-metastasis kukholoni

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, ikakhulukazi uma ngaphambilini uthole ukuxilongwa komdlavuza webele, khuluma nodokotela wakho.

Udokotela wakho angalawula ukuhlolwa okulodwa noma ngaphezulu ukuthola ukuthi umdlavuza ususabalalile yini waya kukholoni yakho.

Lapho uhlola ikholoni yakho, udokotela wakho uzobheka ama-polyps. Ama-polyps ukukhula okuncane kwezicubu ezingavamile ezingakha kukholoni. Yize iningi lazo lingenabungozi, ama-polyps angaba nomdlavuza.

Uma une-colonoscopy noma i-sigmoidoscopy, udokotela wakho uzokhipha noma yimaphi ama-polyps awatholayo. Lawa ma-polyps azobe esehlolelwa umdlavuza.

Uma umdlavuza utholakala, lokhu kuhlolwa kuzokhombisa ukuthi umdlavuza ngumdlavuza webele osakazekele kukholoni noma uma kuwumdlavuza omusha ovela kukholoni.

Colonoscopy

I-colonoscopy isivivinyo esivumela udokotela wakho ukuthi abheke ulwelwesi lwangaphakathi lwamathumbu akho amakhulu, afaka i-rectum ne-colon.

Basebenzisa ishubhu elincanyana, eliguquguqukayo elinekhamera encane ekugcineni ebizwa nge-colonoscope. Le tube ifakwa endunu yakho ikhuphuke ngekholoni lakho. I-colonoscopy isiza udokotela wakho ukuthola:

• izilonda
• ama-polyp polyps
• izimila
• ukuvuvukala
• izindawo ezopha

Ikhamera bese ithumela izithombe kusikrini sevidiyo, esizokwenza udokotela wakho akwazi ukuxilonga. Imvamisa, uzonikezwa umuthi ozokusiza ulale ngokuhlolwa.

I-sigmoidoscopy eguqukayo

I-sigmoidoscopy eguquguqukayo ifana ne-colonoscopy, kepha ishubhu le-sigmoidoscopy lifushane kune-colonoscope. Ingxenye kuphela engxenyeni engezansi nekholoni iyahlolwa.

Imithi ngokuvamile ayidingeki kulokhu kuhlolwa.

I-CT colonoscopy

Ngezinye izikhathi ibizwa ngokuthi yi-colonoscopy ebonakalayo, i-CT colonoscopy isebenzisa ubuchwepheshe be-X-ray obuyinkimbinkimbi ukuthatha izithombe ezibukeka ngakubili bekoloni lakho. Le yinqubo engenabuhlungu, engahlaseli.

Ukwelapha umdlavuza webele we-metastatic

Uma uthola ukuxilongwa komdlavuza webele osakazekele kukholoni yakho, udokotela wakho kungenzeka a-oda izivivinyo ezengeziwe ukuze abone ukuthi umdlavuza ususabalele yini kwezinye izingxenye zomzimba wakho.

Lapho usukwazi kahle ukuthi kwenzekani, wena nodokotela wakho ningaxoxa ngezindlela ezingcono zokwelashwa. Lokhu kungafaka eyodwa noma ngaphezulu yezindlela ezilandelayo zokwelapha.

Ukwelashwa ngamakhemikhali

Imithi yokwelapha ngamakhemikhali ibulala amaseli, ikakhulukazi amangqamuzana omdlavuza, ahlukanayo futhi azalane ngokushesha. Imiphumela emibi ejwayelekile ye-chemotherapy ifaka:

• ukulahleka kwezinwele
• izilonda emlonyeni
• ukukhathala
• isicanucanu
• ukuhlanza
• ingozi eyengeziwe yokutheleleka

Wonke umuntu uphendula ngokuhlukile ekhemotherapy. Kwabaningi, imiphumela emibi ye-chemotherapy ingalawuleka kakhulu.

Ukwelashwa kweHormone

Iningi lomdlavuza webele osakazekele kukholoni yi-estrogen receptor-positive. Lokhu kusho ukuthi ukukhula kwamangqamuzana omdlavuza webele kubangelwa okungenani ngokwengxenye yi-hormone estrogen.

Ukwelashwa kweHormone kunciphisa inani le-estrogen emzimbeni noma kuvimbele i-estrogen ekuzibophezeleni kumaseli womdlavuza webele nokukhuthaza ukukhula kwawo.

Ukwelashwa kweHormone kuvame ukusetshenziselwa ukunciphisa ukusabalala okuqhubekayo kwamaseli womdlavuza ngemuva kokwelashwa kokuqala ngamakhemikhali, ukuhlinzwa, noma imisebe.

Imiphumela emibi kakhulu abantu abangaba nayo nge-chemotherapy ayivamile ukwenzeka ngokwelashwa kwe-hormone. Imiphumela emibi yokwelashwa kwe-hormone ingafaka:

• ukukhathala
• ukuqwasha
• ukushisa okushisayo
• ukoma kwesitho sangasese sowesifazane
• ukuguquka kwemizwelo
• amahlule egazi
• ukuncipha kwamathambo kwabesifazane bangaphambi kokuya esikhathini
• ingozi eyengeziwe yomdlavuza wesibeletho wabesifazane be-postmenopausal

Ukwelashwa okuhlosiwe

Ukwelashwa okuhlosiwe, okuvame ukubizwa ngokuthi ukwelashwa kwamangqamuzana, kusebenzisa izidakamizwa ezivimba ukukhula kwamangqamuzana omdlavuza.

Imvamisa inemiphumela emibi embalwa kune-chemotherapy, kepha imiphumela emibi ingafaka:

• ukuqubuka nezinye izinkinga zesikhumba
• umfutho wegazi ophakeme
• ukulinyazwa
• ukopha

Eminye imishanguzo esetshenziswa ekwelashweni okuhlosiwe ingalimaza inhliziyo, iphazamise amasosha omzimba, noma yenze umonakalo omkhulu ezingxenyeni zomzimba. Udokotela wakho uzokuqapha ukugwema noma yiziphi izinkinga.

Ukuhlinzwa

Ukuhlinzwa kungenziwa ukuze kususwe ukuvinjelwa kwamathumbu noma izingxenye zekholoni ezinomdlavuza.

Ukwelashwa ngemisebe

Uma wopha emathunjini, ukwelashwa ngemisebe kungayelapha. Ukwelashwa ngemisebe kusebenzisa ama-X-ray, imisebe ye-gamma, noma izinhlayiya ezikhokhisiwe ukunciphisa izicubu nokubulala amangqamuzana omdlavuza. Imiphumela emibi ingafaka:

• izinguquko zesikhumba endaweni yemisebe
• isicanucanu
• isifo sohudo
• ukwanda kokuchama
• ukukhathala

Uyini umbono wabantu abanomdlavuza webele we-metastatic?

Yize umdlavuza ophethwe yimisipha ungalapheki, ukuthuthuka kwezokwelapha kusiza abantu abanomdlavuza webele we-metastatic ukuthi baphile impilo ende.

Le ntuthuko futhi yenza ngcono izinga lempilo kubantu abaphila nalesi sifo.

Ngokusho kwe-American Cancer Society, abantu abanomdlavuza webele we-metastatic banethuba elingamaphesenti angama-27 lokuphila okungenani iminyaka emihlanu ngemuva kokutholakala kwabo.

Kubalulekile ukukhumbula ukuthi lesi yisibalo esijwayelekile. Akulandisi ngezimo zakho ngazinye.

Udokotela wakho angakunika umbono onembe kakhulu ngokususelwa ekuxilongweni komuntu ngamunye, umlando wezokwelapha, kanye nohlelo lokwelashwa.