Colorectal Cancer Kudzivirira

Ruzivo Rwose Nezve Colorectal Cancer

Colorectal cancer chirwere umo masero akashata (cancer) anoumba mumatishu ecolon kana rectum.
Mboro inhengo yegadziriro yekugaya yemuviri.Iyo digestive system inobvisa uye inogadzirisa zvinovaka muviri (mavhitamini, zvicherwa, makabhohaidhiretsi, mafuta, mapuroteni, uye mvura) kubva mukudya uye kubatsira kubvisa tsvina kunze kwemuviri.Digestive system inoumbwa nemuromo, huro, gurokuro, dumbu, uye matumbu madiki uye makuru.Iro colon (bowel hombe) ndiro chikamu chekutanga chedumbu guru uye chakareba mamita mashanu.Pamwe chete, rectum neanal canal zvinoumba chikamu chekupedzisira chedumbu guru uye yakareba 6 kusvika 8 inches.Iyo anal canal inopera pane anus (kuvhura kwemukati muhombe kusvika kunze kwemuviri).

Colorectal Cancer Kudzivirira

Kudzivisa zvinhu zvine njodzi uye kuwedzera zvinhu zvinodzivirira zvinogona kubatsira kudzivirira cancer.
Kudzivirira kenza zvinogona kubatsira kudzivirira mamwe magomarara.Zvinokonzera njodzi zvinosanganisira kusvuta, kuwandisa, uye kusaita maekisesaizi akakwana.Kuwedzera zvinhu zvinodzivirira zvakaita sekusiya kuputa uye kurovedza muviri zvinogona kubatsira kudzivirira mamwe magomarara.Taura nachiremba wako kana imwe nyanzvi yezvehutano nezvekuti ungadzikisa sei njodzi yako yegomarara.

Izvi zvinotevera njodzi zvinowedzera njodzi yegomarara remukati:

1. Zera

Ngozi yegomarara remukati inowedzera mushure memakore makumi mashanu. Zviitiko zvakawanda zvegomarara remukati zvinoonekwa mushure memakore makumi mashanu.

2. Nhoroondo yemhuri yegomarara remukati
Kuva nemubereki, mukoma, hanzvadzi, kana mwana ane gomarara remukati kunowedzera kaviri njodzi yemunhu yegomarara remukati.

3. Nhoroondo yako pachako
Kuve nenhoroondo yako yega yeanotevera mamiriro kunowedzera njodzi ye colorectal cancer:

• Yakapfuura colorectal cancer.
• High-risk adenomas (colorectal polyps ayo ari 1 centimita kana kukura muhukuru kana ane masero anotaridzika asina kujairika pasi pemaikorosikopu).
• Ovarian cancer.
• Chirwere chekuzvimba bowel (senge ulcerative colitis kana chirwere cheCrohn).

4. Ngozi inogarwa nhaka

Ngozi yegomarara reruvara inowedzerwa kana mamwe magene ekuchinja ane chekuita nemhuri adenomatous polyposis (FAP) kana hereditary nonpolyposis colon cancer (HNPCC kana Lynch Syndrome) yakagara nhaka.

5. Doro

Kunwa katatu kana kupfuura zvinwiwa zvinodhaka pazuva kunowedzera njodzi yegomarara remukati.Kunwa doro kunobatanidzwawo nenjodzi yekuumba hombe colorectal adenomas (benign tumors).

6. Kusvuta fodya
Kusvuta fodya kwakabatana nenjodzi yakawedzera yegomarara remukati uye kufa kubva kugomarara remukati.
Kusvuta fodya kunobatanidzawo nengozi yekuwedzera yekugadzira colorectal adenomas.Vanoputa fodya vakavhiyiwa kubvisa colorectal adenomas vari panjodzi yakawedzera yekuti adenomas idzoke (kudzoka).

7. Mujaho
MaAfrica maAmerican ane njodzi yakawedzera yegomarara remukati uye kufa kubva kune colorectal cancer zvichienzaniswa nemamwe marudzi.

8. Kufutisa
Kufutisa kwakabatana nenjodzi yakawedzera yegomarara remukati uye kufa kubva kune colorectal cancer.

Izvi zvinotevera zvinodzivirira zvinoderedza njodzi yegomarara remukati:

1. Kuita muviri

Mararamiro anosanganisira kurovedza muviri nguva dzose akabatana nekudzikira kwengozi yegomarara remukati.

2. Aspirin
Zvidzidzo zvakaratidza kuti kunwa aspirin kunoderedza njodzi yegomarara remukati uye njodzi yekufa negomarara remukati.Kuderera kwengozi kunotanga makore gumi kusvika makumi maviri mushure mekunge varwere vatanga kutora aspirin.
Kukuvadza kunobvira kwekushandisa aspirin (100 mg kana pasi) zuva nezuva kana mamwe mazuva ese kunosanganisira kuwedzera njodzi yesitiroko uye kubuda ropa mudumbu nemuura.Njodzi idzi dzinogona kunge dzakakura pakati pevakwegura, varume, uye avo vane mamiriro ezvinhu akabatana nepamusoro penjodzi yekubuda ropa.

3. Combination hormone replacement therapy
Zvidzidzo zvakaratidza kuti musanganiswa wehormone replacement therapy (HRT) iyo inosanganisira ese estrogen neprogestin inodzikisa njodzi ye invasive colorectal cancer muvakadzi postmenopausal.
Nekudaro, muvakadzi vanotora HRT yakasanganiswa uye vanogadzira colorectal cancer, gomarara rinonyanya kuve rave mberi kana raonekwa uye njodzi yekufa negomarara remukati haina kuderera.
Izvo zvinogoneka kukuvadza kwekusanganiswa HRT kunosanganisira kuwedzera njodzi yekuve ne:

• Gomarara rezamu.
• Chirwere chemoyo.
• Ropa rinogwamba.

4. Polyp kubviswa
Mazhinji colorectal polyps ndeye adenomas, inogona kukura kuita cancer.Kubvisa colorectal polyps akakura kupfuura 1 centimita (pea-saizi) kunogona kuderedza njodzi yegomarara reruvara.Hazvizivikanwe kana kubvisa ma polyps madiki kunodzikisa njodzi yegomarara remukati.
Kukuvadza kunobvira kwekubviswa kwepolyp panguva yekolonoscopy kana sigmoidoscopy kunosanganisira kubvarura mumadziro ecolon uye kubuda ropa.

Hazvina kujeka kana zvinotevera zvichikanganisa njodzi yegomarara remukati:

1. Nonsteroidal anti-inflammatory drugs (NSAIDs) kunze kweaspirin
Hazvizivikanwe kana kushandiswa kwemishonga inorwisa-kupisa kana maNSAID (senge sulindac, celecoxib, naproxen, uye ibuprofen) kunoderedza njodzi yegomarara reruvara.
Zvidzidzo zvakaratidza kuti kutora nonsteroidal anti-inflammatory drug celecoxib kunoderedza njodzi ye colorectal adenomas (benign tumors) kudzoka mushure mekunge yabviswa.Hazvina kujeka kana izvi zvichikonzera njodzi yakaderera yegomarara remukati.
Kutora sulindac kana celecoxib kwakaratidzwa kuderedza huwandu uye saizi yemapolyps anoumba mucolon uye rectum yevanhu vane mhuri adenomatous polyposis (FAP).Hazvina kujeka kana izvi zvichikonzera njodzi yakaderera yegomarara remukati.
Kukuvadza kunogona kuitika kweNSAID kunosanganisira:

• Zvinetso zveitsvo.
• Kubuda ropa mudumbu, muura, kana muuropi.
• Matambudziko emoyo akadai seheart attack uye congestive heart failure.

2. Calcium
Hazvizivikanwe kana kutora calcium supplements kunoderedza njodzi yegomarara remukati.

3. Kudya
Hazvizivikanwi kana kudya kwakaderera mumafuta uye nyama uye yakakwirira mufiber, michero, nemiriwo kunoderedza ngozi yegomarara reruvara.
Dzimwe ongororo dzakaratidza kuti kudya kwakawanda mumafuta, mapuroteni, macalorie, uye nyama kunowedzera njodzi yegomarara remudumbu, asi zvimwe zvidzidzo hazvina.

Izvi zvinotevera zvinhu hazvikanganisi njodzi yegomarara remukati:

1. Hormone replacement therapy neestrogen chete
Hormone replacement therapy ine estrogen chete haidzikisi njodzi yekuva nechirwere chegomarara remukati kana njodzi yekufa negomarara reruvara.

2. Statins
Zvidzidzo zvakaratidza kuti kutora statins (zvinodhaka zvinoderedza cholesterol) hazviwedzere kana kuderedza njodzi yegomarara remukati.

Makiriniki ekudzivirira kenza anoshandiswa kudzidza nzira dzekudzivirira cancer.
Makiriniki ekudzivirira kenza anoshandiswa kudzidza nzira dzekudzikisa njodzi yekukudziridza mamwe marudzi egomarara.Mimwe miedzo yekudzivirira kenza inoitwa nevanhu vane hutano vasina kuve nekenza asi vane njodzi yakawedzera yegomarara.Mimwe miedzo yekudzivirira inoitwa nevanhu vakamboita gomarara uye vari kuedza kudzivirira rimwe gomarara rerudzi rumwe cheterwo kana kuderedza mukana wavo wekubatwa negomarara idzva.Mimwe miedzo inoitwa nevazvipiri vane hutano vasingazivikanwe kuti vane chero njodzi dzegomarara.
Chinangwa chemamwe makiriniki ekudzivirira gomarara ndechekuona kuti zviito zvinoitwa nevanhu zvinogona kudzivirira gomarara.Izvi zvingasanganisira kuwedzera maekisesaizi kana kurega kusvuta kana kunwa mimwe mishonga, mavhitamini, mamineral, kana kuti zvokudya zvinowedzerwa.
Nzira nyowani dzekudzivirira cancer cancer dziri kudzidzwa mumakiriniki miedzo.

Kunobva: http://www.chinancpcn.org.cn/cancerMedicineClassic/guideDetail?sId=CDR258007&type=1