Izinga leminyaka emihlanu lokusinda lingakunika umbono kepha hhayi impendulo eqondile
Uma wena noma othandekayo uthola ukuthi unesifo somdlavuza wesisu , kungokwemvelo ukuzizwa ukhathazekile futhi uphazamisekile-kuyinto ekhuthazayo, kodwa awodwa.
Enye yezindlela ezinhle kakhulu zokuqhubeka phambili nokuxilongwa komdlavuza ukuthola ukuqonda komdlavuza wakho, njengokuthi ngabe umdlavuza wakho usakaze kangakanani, ukuthi izinzuzo kanye nokwehliswa kwemithi, nokuthi yikuphi ukuphawula kwakho (ithuba lokubuyisela).
Uma ukhuluma ngesifo somdlavuza wesisu sakho, wena noma udokotela wakho othandekayo cishe uzokutshela ukuthi izinga lomdlavuza wesisu lonyaka oneminyaka emihlanu (iphesenti labantu abanomdlavuza wesisu abahlala eminyakeni emihlanu noma ngaphezulu emva kokuthola ukuhlolwa).
Amanani Okusinda Eminyaka Eyisithupha Ye-Cancer Cancer
Ngemva kokuthola ukuthi unomdlavuza wesisu, amaphesenti angu-30 abantu asinda eminyakeni emihlanu noma ngaphezulu. Lezi zinsuku zokusinda ezineminyaka emihlanu (ezisekelwe esigabeni somdlavuza) zithathwe ku-National Cancer Institute sika-SEER database-SEER imele i-Surveillance, Epidemiology, ne-End Results.
Lokho kusho ukuthi kubalulekile ukuqonda leli phesenti kucabangela wonke umuntu onomdlavuza wesisu, kungakhathaliseki ukuthi umdlavuza usuphi-futhi isigaba somdlavuza wesisu singathinta kakhulu ukubikezela. Eqinisweni, ukwandisa isifo somdlavuza wesisu ngesikhathi sokuxilongwa, kubika kakhulu izinga lokusinda, ngakho-ke isimo sakho sibi kakhulu.
Ukuze kucaciswe, izigaba zesifo somdlavuza wesisu zisekelwe ekutheni isisu sisakaze kangakanani ngaphakathi kwezingxenyeni zesisu, nokuthi noma ngabe amantombazane omdlavuza asakaze yini kuma-lymph nodes kanye / noma izicubu noma izitho ezingaphandle kwesisu.
Isitezi I-Cancer Cancer
Umdlavuza wesisu we-Stage 1 uhlukaniswe ngesigaba 1A nesigaba IB:
Isigaba 1A I-Cancer Cancer
Isigaba 1A sisho ukuthi umdlavuza awusakazeki emgqeni omkhulu wesisu wesidumbu (okuthiwa i-muscularis propia), i-lymph nodes, noma ezinye izitho emzimbeni.
Inani leminyaka emihlanu lokusinda emdlalweni we-IA wesiteji ngamaphesenti angama-71, okusho ukuthi amaphesenti angu-71 abantu ababhekene nesifo somdlavuza we-IA esiteji baphila iminyaka emihlanu noma ngaphezulu.
Ehlangothini lwe-flip, amaphesenti angu-29 (amaphesenti angama-100 kuya kwangu-71) abantu abatholiwe ngesigaba 1A umdlavuza wesisu uhlala iminyaka engaphansi kwemihlanu.
Isigaba 1B Igciwane lesisu
Isiteji IB kusho ukuthi umdlavuza usakazeke kwelinye lamabili noma ama-lymph node eseduzane noma usakazeka emgqeni omkhulu wesigxathu sobuningi besisu.
Isilinganiso seminyaka emihlanu sokusinda esigabeni 1B umdlavuza wesisu ngamaphesenti angu-57.
Isigaba II Cancer Cancer
Umdlavuza wesibeletho se-Stage II uhlukaniswe isigaba se-IIA nesigaba se-IIB.
Isigaba IIA I-Cancer Cancer
Isigaba IIA sisho umdlavuza wenze enye yezinto ezintathu:
- Shanyisa ku-lymph nodes eziseduze ezintathu kuya kweziyisithupha eziseduze.
- Sakaze emgqeni omkhulu wesigxathu sobuningi besisu nenye eyodwa noma emibili ye-lymph nodes eseduze.
- Ungasakazeli lymph nodes noma ezinye izicubu noma izitho, kodwa umdlavuza ukhulile ngokusebenzisa umcibisholo oyinhloko wodonga lwesisu ukuya kwi-subserosa (ungqimba ophansi phakathi kwesigcawu esikhulu semisipha nesisu sangaphandle sesisu esibizwa ngokuthi i-serosa ).
Inani leminyaka emihlanu yokusinda emdlalweni we-IIB wesisu ngamaphesenti angu-46.
Isiteji se-IIB yesisu sesisu
Udokotela uzothola isifo somdlavuza we-IIB wesisu uma kwenzeka enye yezinto ezine ezilandelayo:
- Umdlavuza usulele ezitokisini ezingamatshumi ayisikhombisa noma ngaphezulu eziseduze kodwa hhayi emgqeni omkhulu wemisipha.
- Umdlavuza usulele ezindaweni ezintathu eziyisithupha eziseduze lymph nodes, ngaphezu kwesigcawu esikhulu semisipha.
- Umdlavuza usakazelele emgqeni omkhulu we-muscular ube ungqimba we-subserosa, ngaphezu kweyodwa noma emibili ye-lymph nodes.
- Umdlavuza usulele ekusongeni kwangaphandle kwesisu (obizwa ngokuthi i-serosa) kodwa hhayi kunoma yiziphi izilonda eziseduze.
Isilinganiso seminyaka emihlanu yokusinda emdlalweni we-IIB wesisu ngamaphesenti angu-33.
Igciwane lesisu sesisu
I-Stage III Igciwane lesisu selihlukaniswe esiteji IIIA, isigaba IIIB, nesigaba IIIC.
Isigaba IIIA Ingculaza yesisu
Ngesigaba sesi-IIIA, umdlavuza unalo:
- Shanyisa kwisigcawu esikhulu semisipha yodonga lwesisu nendawo eziyisikhombisa noma ngaphezulu eziseduze lymph.
- Sakaza singqimba se-subserosal sesisu kanye namathambo ama-lymph amathathu kuya kwesithupha.
- Sakaza ku-serosa kanye nodwa noma ezimbili eziseduze zelphyodes.
Isilinganiso seminyaka emihlanu sokusinda emdlalweni wesibeletho se-IIIA yisilinganiso samaphesenti angu-20.
Isigaba IIIB Ingculaza yesisu
Ngesigaba se-IIIB, umdlavuza unalo:
- Sakaza kuze kufike ezinkambeni zelphrifu eziyisikhombisa noma ngaphezulu eziseduzane, kodwa ungangeni esiteshini.
- Shanyisela ku-serosa nakwe-lymph node eziseduze ezintathu kuya kweziyisithupha (akukho ezinye izicubu noma izitho)
- Spread ngokusebenzisa i-serosa ezithombeni eziseduze (isibonelo, uhlangothi , amathumbu, isibindi, ama-pancrea, noma imithwalo yegazi emikhulu) futhi mhlawumbe eyodwa noma ezimbili zelph nodes eziseduze.
Isilinganiso seminyaka emihlanu yokusinda emdlalweni wesibeletho se-IIIB sesisemaphesenti angu-14.
Isiteleka se-Static IIIC yesisu
Esikhathini somdlavuza wesisu se-Stage IIIC, umdlavuza usukhule ube yi-serosa futhi usakaze emanothini angama-lymph eseduze noma ngaphezulu.
Ngaphandle kwalokho, umdlavuza wesisu usakaze ezithombeni eziseduze kanye namantombazane angama-lymph eseduze noma ngaphezulu.
Isilinganiso seminyaka emihlanu yokusinda emdlalweni we-IIIC wesisu se-9%.
Isifo se-Cancer Stomach
Isigaba IV sisho ukuthi umdlavuza usakazekele ezithombeni ezikude nesisu njengesibindi, amaphaphu, ubuchopho, noma amathambo-lokhu kubizwa ngomdlavuza wesisu somzimba.
Isilinganiso seminyaka emihlanu sokusinda emdlalweni wesisu se-IV sesine-4%.
Yini Okumele Uyikhumbule Lapho Ubuka Lezi Izibalo
Ngenkathi lezi zibalo zikunika umuzwa wakho noma ukuxilongwa komdlavuza womuntu omthandayo, kunezigcawu ezimbalwa okufanele uzikhumbule.
Amaphesenti okusinda asekelwe ekucwaningweni
Izinga lokusinda lisekelwe kwizifundo eziningi ngenani leziguli, ngakho-ke izinga lokusinda alikwazi ukuthi amaphesenti angu-100 aqagele ukubikezelwa komuntu oyedwa.
Isilinganiso sokusinda kweminyaka emihlanu samaphesenti angama-70 singase sizwakale sidabukisayo, kodwa iqiniso liwukuthi kahle kakhulu ungaphila isikhathi eside kuneminyaka emihlanu. Abanye abantu baphathwa ngisho nomdlavuza wesibeletho. Lokhu kungenzeka uma umdlavuza utholakala esiteji sokuqala. Ngeshwa, umdlavuza wesisu uvame ukutholakala uze uthuthuke kakhulu.
Umlayezo wokuthatha ekhaya usho ukuthi isilinganiso seminyaka emihlanu sokusinda komdlavuza wesisu kungumlando nje-kusho ukuqondisa wena nodokotela wakho, ngakho-ke unomqondo wokuthi yini ongayilindela, kodwa akufanele kuthathwe njengendlela umthetho onzima nokusheshisa.
Amaphesenti okuphunyuka akuzona kuphela ababikezelayo
Lapho ufinyelela isifo somdlavuza wesisu sakho, udokotela wakho uzocabangela ezinye izinto ezifana nempilo yakho engokwenyama ngaphandle komdlavuza wakho, uhlelo oluthile lwezokwelapha olwenziwayo, kanye nendawo yesisu ngaphakathi kwesisu sakho.
Amanani okuphepha Akubandakanyi Ukufa Kwezinye Izimbangela
Kungenzeka ukuthi umuntu ufa ngesimo sezempilo esihlukile noma isimo (isibonelo, ingozi yemoto) ngemuva kokuthola ukuthi unomdlavuza wesisu. Lezi zinsuku zokusinda azicabangeli ukufa kwezinye izimbangela.
Izindleko zokusinda zithuthukisa isikhathi esiningi
Ukuze kutholakale iphesenti leminyaka emihlanu yokusinda, abacwaningi kufanele bafunde abantu abanomdlavuza wesisu okungenani iminyaka emihlanu-futhi okuningi kungenzeka ngaleso sikhathi, njengokwelashwa okuthuthukisiwe (futhi okusha) (isibonelo, i- chemotherapies noma ama- immunotherapies ).
Amaphesenti okuphunyuka asekelwe ezikwelapha eziqondile
Lezi zimali ezinhlanu zokusinda ezivela eNational Cancer Institute zisekelwe kubantu abaphathwa ngokuhlinzwa ngenxa yomdlavuza wesisu. Lokhu kusho ukuthi umuntu unengxenye noma konke isisu sabo sisusiwe. Uma umuntu evula ukungenwa ukuhlinzwa, isilinganiso sakhe sokusinda cishe singase sibe ngaphansi.
Izwi elivela
Nakuba lezi zephesenti zingakunikeza umbono wakho noma isifo somdlavuza wesisu somthandi wakho, qiniseka ukuthi uxoxe ngesimo sakho esiyingqayizivele nodokotela wakho.
Buza imibuzo eminingi futhi unganqikazi ukubuza mayelana nezinkinga eziyinkimbinkimbi noma ezibucayi, njengokuphulukiswa kusuka ekuhlinzeni, imiphumela emibi ye-chemotherapy, ukuphathwa kobuhlungu, noma kwenzekani uma ungatholi ukwelashwa.
> Imithombo:
> I-American Cancer Society. (2016). Izindleko zokusinda nge-Cancer Cancer
> Edge SB, i-Compton CC. I-American joint Joint Committee on Cancer: umagazini wesi-7 we-AJCC umlayezo wokubhala ngomdlavuza kanye nekusasa le-TNM. I-Ann Surg Oncol . 2010 Jun; 17 (6): 1471-4.
> National Cancer Institute. Ukuqapha, i-Epidemiology, nohlelo Lokuphela Lokusebenza. Iqiniso le-Cancer Stat: I-Cancer Cancer.