Ruzivo Rwose Pamusoro peGomarara reEsophageal
Gomarara reEsophageal chirwere umo maseru anokuvadza (kenza) anoumba mumatishu esophagus.
Esophagus ichubhu ine hollow, muscular chubhu inofambisa chikafu nemvura kubva pahuro kuenda mudumbu.Rusvingo rwesophagus runoumbwa nematehwe akati wandei, anosanganisira mucous membrane (mukati lining), tsandanyama, uye connective tissue.Gomarara regurokuro rinotangira mukati megurokuro rozopararira nekunze nepakati pemamwe matinji parinokura.
Mhando mbiri dzakajairika dzegomarara resophageal dzinodanwa rudzi rwemasero anove akaipa (cancer):
- Squamous cell carcinoma:Gomarara rinoumba mumasero matete, akati sandarara ari mukati megurokuro.Gomarara iri rinowanzo wanikwa kumusoro nepakati pesophagus asi rinogona kuitika chero padyo nesophagus.Izvi zvinonziwo epidermoid carcinoma.
- Adenocarcinoma:Gomarara rinotangira mumasero egomarara.Masero egorofu ari muruzevha rwegurokuro anoburitsa uye anoburitsa zvinwiwa zvakaita semachuru.Adenocarcinoma inowanzotanga muchikamu chezasi chegurokuro, pedyo nedumbu.
Gomarara resophageal rinowanikwa kakawanda muvarume.
Varume vane mukana wakapetwa katatu wekuita gomarara regurokuro pane vakadzi.Mukana wekuita gomarara resophageal unowedzera nezera.Squamous cell carcinoma yegurokuro inowanzoitika kune vatema pane vachena.
Esophageal Cancer Prevention
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.
Zvinhu zvine njodzi uye zvinodzivirira zve squamous cell carcinoma yesophagus uye adenocarcinoma yesophagus hazvina kufanana.
Izvi zvinotevera njodzi zvinowedzera njodzi ye squamous cell carcinoma yesophagus:
1. Kusvuta uye kushandisa doro
Zvidzidzo zvakaratidza kuti njodzi ye squamous cell carcinoma yesophagus inowedzera muvanhu vanoputa kana kunwa zvakanyanya.
Izvi zvinotevera zvinodzivirira zvinogona kuderedza njodzi ye squamous cell carcinoma yesophagus:
1. Kusashandisa fodya nedoro
Zvidzidzo zvakaratidza kuti njodzi ye squamous cell carcinoma yesophagus yakaderera muvanhu vasingashandisi fodya nedoro.
2. Chemoprevention ine nonsteroidal anti-inflammatory drugs
Chemoprevention kushandiswa kwezvinodhaka, mavhitaminzi, kana mamwe maajenti kuedza kuderedza njodzi yegomarara.Nonsteroidal anti-inflammatory drugs (NSAIDs) inosanganisira aspirin nemimwe mishonga inoderedza kuzvimba uye kurwadziwa.
Zvimwe zvidzidzo zvakaratidza kuti kushandiswa kweNSAID kunogona kuderedza ngozi ye squamous cell carcinoma yegurogus.Zvisinei, kushandiswa kweNSAID kunowedzera njodzi yekurwadziwa kwemoyo, kukundikana kwemoyo, sitiroko, kubuda ropa mudumbu nemuura, uye kukuvara kweitsvo.
Izvi zvinotevera njodzi zvinowedzera njodzi yeadenocarcinoma yesophagus:
1. Gastric reflux
Adenocarcinoma yesophagus yakanyatsobatanidzwa nechirwere chegastroesophageal reflux (GERD), kunyanya kana GERD inotora nguva yakareba uye zviratidzo zvakakomba zvinoitika zuva nezuva.GERD imamiriro ekuti zviri mudumbu, zvinosanganisira acid yemudumbu, zvinoyerera zvichikwira kuzasi kwesophagus.Izvi zvinoshatirisa mukati megurokuro, uye nekufamba kwenguva, zvinogona kukanganisa masero anodzika chikamu chezasi chegurokuro.Chirwere ichi chinonzi Barrett esophagus.Nokufamba kwenguva, masero akabatwa anotsiviwa nemasero asina kujairika, anogona kuzova adenocarcinoma yesophagus.Kufutisa pamwe chete neGERD kunogona kuwedzera njodzi yeadenocarcinoma yesophagus.
Kushandiswa kwemishonga inozorodza yezasi sphincter tsandanyama yesophagus inogona kuwedzera mukana wekuita GERD.Kana iyo yepasi sphincter tsandanyama yazorora, asidhi yemudumbu inogona kuyerera ichienda kuzasi kwesophagus.
Hazvizivikanwe kana kuvhiyiwa kana kumwe kurapwa kwekumisa gastric reflux kunoderedza njodzi yeadenocarcinoma yesophagus.Miedzo yemakiriniki iri kuitwa kuona kana kuvhiyiwa kana kurapwa kunogona kudzivirira Barrett esophagus.
Izvi zvinotevera zvinodzivirira zvinogona kuderedza njodzi yeadenocarcinoma yesophagus:
1. Chemoprevention ine nonsteroidal anti-inflammatory drugs
Chemoprevention kushandiswa kwezvinodhaka, mavhitaminzi, kana mamwe maajenti kuedza kuderedza njodzi yegomarara.Nonsteroidal anti-inflammatory drugs (NSAIDs) inosanganisira aspirin nemimwe mishonga inoderedza kuzvimba uye kurwadziwa.
Zvimwe zvidzidzo zvakaratidza kuti kushandiswa kweNSAIDs kunogona kuderedza njodzi yeadenocarcinoma yesophagus.Zvisinei, kushandiswa kweNSAID kunowedzera njodzi yekurwadziwa kwemoyo, kukundikana kwemoyo, sitiroko, kubuda ropa mudumbu nemuura, uye kukuvara kweitsvo.
2. Radiofrequency ablation yegurokuro
Varwere vane Barrett esophagus vane masero asina kujairika musophagus yepazasi vanogona kurapwa neradiofrequency ablation.Iyi nzira inoshandisa masaisai eredhiyo kupisa uye kuparadza maseru asina kujairika, anogona kuita cancer.Njodzi dzekushandisa radiofrequency ablation dzinosanganisira kupera kwesophagus uye kubuda ropa mugurokuro, mudumbu, kana muura.
Imwe ongororo yevarwere vane Barrett esophagus uye masero asina kujairika musophagus akaenzanisa varwere vakagamuchira radiofrequency ablation nevarwere vasina.Varwere vakagamuchira radiofrequency ablation vaive vashoma mukana wekuonekwa vaine cancer esophageal.Kudzidza kwakawanda kunodiwa kuti uzive kana radiofrequency ablation ichidzikisa njodzi yeadenocarcinoma yesophagus muvarwere vane mamiriro aya.
Nguva yekutumira: Sep-04-2023