Ruzivo Rwakawanda Nezve Kenza Yemudumbu
Kenza yemudumbu chirwere umo masero ekenza anouraya (kenza) anoumbwa munyama dzemudumbu.
Gurokuro ichubhu ine tsandanyama ine mhasuru inofambisa chikafu nemvura kubva pahuro kuenda mudumbu. Madziro egurokuro anoumbwa nezvikamu zvakasiyana-siyana zvenyama, zvinosanganisira mucous membrane (mukati memukati), tsandanyama, uye connective tissue. Kenza yemudumbu inotanga mukati memukati megurokuro yopararira kunze kuburikidza nemamwe mativi sezvainokura.
Mhando mbiri dzegomarara repahuro dzinozivikanwa zvikuru dzinotumidzwa mazita zvichienderana nerudzi rwemasero anova gomarara (kenza):
- Kansa yemasero emudumbu:Kenza inoumbwa mumasero matete, akati sandara ari mukati megurokuro. Kenza iyi inowanzo kuwanikwa kumusoro nepakati pegurokuro asi inogona kuitika chero kupi zvako pagurokuro. Iyi inonziwo epidermoid carcinoma.
- Adenocarcinoma:Kenza inotangira mumasero eglandular. Masero eglandular ari muchikamu chegurokuro anoburitsa uye anoburitsa mvura yakaita semamucus. Adenocarcinoma inowanzo tanga muchikamu chezasi chegurokuro, pedyo nedumbu.
Kenza yemudumbu inowanikwa kakawanda muvarume.
Varume vane mukana wekuwana kenza yegurokuro kakapetwa katatu kupfuura vakadzi. Mikana yekubatwa nekenza yegurokuro inowedzera nekukura. Squamous cell carcinoma yegurokuro inowanikwa zvakanyanya muvanhu vatema kupfuura muvanhu vachena.
Kudzivirira Kenza yeMatumbu
Kudzivisa zvinhu zvinoisa njodzi uye kuwedzera zvinhu zvinodzivirira zvinogona kubatsira kudzivirira kenza.
Kudzivisa zvinhu zvinokonzera kenza kunogona kubatsira kudzivirira mamwe magomarara. Zvinhu zvinokonzera kenza zvinosanganisira kusvuta, kufuta, uye kusaita maekisesaizi akakwana. Kuwedzera kwezvinhu zvinodzivirira zvakaita sekurega kusvuta uye kurovedza muviri kunogonawo kubatsira kudzivirira mamwe magomarara. Taura nachiremba wako kana imwe nyanzvi yehutano nezvekuti ungaderedza sei njodzi yako yegomarara.
Zvinhu zvinokonzera njodzi uye zvinhu zvinodzivirira squamous cell carcinoma ye esophagus uye adenocarcinoma ye esophagus hazvisi zvakafanana.
Zvinhu zvinotevera zvinokonzera njodzi zvinowedzera njodzi ye squamous cell carcinoma ye esophagus:
1. Kusvuta nekushandisa doro
Ongororo dzakaratidza kuti njodzi yekubatwa ne squamous cell carcinoma yemudumbu inowedzera kune vanhu vanoputa kana kunwa doro zvakanyanya.
Zvinhu zvinotevera zvinodzivirira zvinogona kuderedza njodzi ye squamous cell carcinoma ye esophagus:
1. Kudzivisa kushandisa fodya nedoro
Ongororo dzakaratidza kuti njodzi yekubatwa ne squamous cell carcinoma ye esophagus yakaderera kune vanhu vasingashandisi fodya nedoro.
2. Kudzivirira kenza nemishonga isiri yesteroid inoderedza kuzvimba
Chemoprevention kushandiswa kwemishonga, mavhitamini, kana zvimwe zvinhu zvinoderedza njodzi yekenza. Mishonga isingashandisi masteroidal anti-inflammatory (NSAIDs) inosanganisira aspirin nemimwe mishonga inoderedza kuzvimba nekurwadziwa.
Dzimwe ongororo dzakaratidza kuti kushandisa NSAIDs kunogona kuderedza njodzi ye squamous cell carcinoma yemudumbu. Zvisinei, kushandisa NSAIDs kunowedzera njodzi yekurohwa nemoyo, kutadza kushanda kwemoyo, sitiroko, kubuda ropa mudumbu nemumatumbu, uye kukuvara kweitsvo.
Zvinhu zvinotevera zvinokonzera njodzi zvinowedzera njodzi ye adenocarcinoma ye esophagus:
1. Kudzoka kwemvura mudumbu
Adenocarcinoma yemudumbu yakabatana zvakanyanya nechirwere chegastroesophageal reflux (GERD), kunyanya kana GERD yagara kwenguva refu uye zviratidzo zvakakomba zvichiitika zuva nezuva. GERD chirwere apo zviri mudumbu, kusanganisira acid yemudumbu, zvinoyerera zvichikwira muchikamu chezasi chemudumbu. Izvi zvinotsamwisa mukati memudumbu, uye nekufamba kwenguva, zvinogona kukanganisa masero ari muchikamu chezasi chemudumbu. Chirwere ichi chinonzi Barrett esophagus. Nekufamba kwenguva, masero akabatwa anotsiviwa nemasero asina kujairika, ayo anogona kuzopedzisira ava adenocarcinoma yemudumbu. Kufuta pamwe chete neGERD kunogona kuwedzera njodzi ye adenocarcinoma yemudumbu.
Kushandisa mishonga inorerutsa tsandanyama dzemudumbu dzepazasi pegurokuro kunogona kuwedzera mukana wekuva neGERD. Kana tsandanyama dzemudumbu dzepazasi dzarerutswa, acid yemudumbu inogona kuyerera ichienda muchikamu chezasi chegurokuro.
Hazvizivikanwe kana kuvhiyiwa kana kumwe kurapwa kwekumisa gastric reflux kunoderedza njodzi ye adenocarcinoma yegurokuro. Kuedzwa kwekiriniki kuri kuitwa kuti kuone kana kuvhiyiwa kana kurapwa kuchigona kudzivirira Barrett esophagus.
Zvinhu zvinotevera zvinodzivirira zvinogona kuderedza njodzi ye adenocarcinoma ye esophagus:
1. Kudzivirira kenza nemishonga isiri yesteroid inoderedza kuzvimba
Chemoprevention kushandiswa kwemishonga, mavhitamini, kana zvimwe zvinhu zvinoderedza njodzi yekenza. Mishonga isingashandisi masteroidal anti-inflammatory (NSAIDs) inosanganisira aspirin nemimwe mishonga inoderedza kuzvimba nekurwadziwa.
Dzimwe ongororo dzakaratidza kuti kushandisa NSAIDs kunogona kuderedza njodzi ye adenocarcinoma yegurokuro. Zvisinei, kushandisa NSAIDs kunowedzera njodzi yekurohwa nemoyo, kutadza kushanda kwemoyo, sitiroko, kubuda ropa mudumbu nemumatumbu, uye kukuvara kweitsvo.
2. Kubviswa kweRadiofrequency yegurokuro
Varwere vane Barrett esophagus vane masero asina kujairika mudumbu rezasi vanogona kurapwa ne radiofrequency ablation. Maitiro aya anoshandisa ma radio waves kupisa nekuparadza masero asina kujairika, ayo anogona kuva kenza. Njodzi dzekushandisa radiofrequency ablation dzinosanganisira kutetepa kwedumbu uye kubuda ropa mudumbu, mudumbu, kana muura.
Imwe ongororo yakaitwa pavarwere vane Barrett esophagus nemasero asina kujairika mugurokuro yakaenzanisa varwere vakabviswa neradiofrequency nevarwere vasina kubviswa. Varwere vakabviswa neradiofrequency vaisanyanya kuonekwa kuti vane kenza yegurokuro. Kutsvagurudza kwakawanda kunodiwa kuti tizive kana radiofrequency ablation ichideredza njodzi ye adenocarcinoma yegurokuro muvarwere vane zvirwere izvi.
Nguva yekutumira: Gunyana-04-2023