Ucwaningo Ukubheka Ingozi yeCholecystectomy neColon Cancer
Ingabe ukuhlinzeka nge-gallbladder kuphakamisa ingozi yomdlavuza wekoloni? Ukuhlangana phakathi kwe- cholecystectomy (ukuhlinzekwa ukukhipha i-gallbladder) nokwanda komdlavuza wekoloni kwaphakanyiswa kwezinye izifundo ezinkulu ezibuyiselwayo eminyakeni eminingi. Iyini isigwebo? Ingabe unama-gallstones noma uhlinzekwe nge-gallbladder ehlobene nomdlavuza we-colon?
Ukukhathazeka Ngokuhlinzwa Kwegallbladder neCaron Cancer
Izifundo ngaphambi kuka-xxx zibheke ngokuqondile ingozi yomdlavuza we-colorectal emva kokuhlinzwa kwe-gallbladder futhi ithola inhlangano esesabekayo.
Kubonakala kulezo zinsuku zokuqala ukuthi ukuhlinzeka nge-gallbladder kungaholela engozini yomdlavuza wekoloni ngamaphesenti angama-56.
Izihloko eziningi ezesabekayo zakhishwa ngocwaningo olwenziwa ngo-2005 olwanyatheliswa kuyi- American Journal of Gastroenterology oluthola ukuthi ukuhlinzwa kokuhlinzwa kwegazi kwakwandisa ingozi yokuba nomdlavuza wekolon. Abacwaningi bafunde amarekhodi angaphezu kuka-55,000 amadoda nabesifazane ku-British General Practice Research Database. Bathole ukuthi labo abaye bahlinzwa ukuhlinzwa okuhlinzekwa nge-gallbladder kwakungaba amathuba okuthuthukisa umdlavuza wekoloni, kodwa hhayi amathuba okuthuthukisa umdlavuza we-rectal.
Abacwaningi bagcizelele ukuthi ingozi yomdlavuza wekoloni akufanele ibe yisici esinqumayo uma ucabanga ukuthi ingabe isuswe isifo sakho sezinyosi noma cha. Ngenhlanhla, ucwaningo lwamuva luye lwabuza - futhi ikakhulukazi luphikisana - nokuhlangana.
Ukwelashwa kwe-Gallbladder Kuyokwandisa I-Cancer Colon
Noma nini lapho sibona inhlangano enjengaleyo ephawulwe phakathi kokuhlinzwa kwe-gallbladder nomdlavuza wekolon ibuza umbuzo: Kungani?
Lapho bebuka umdlavuza wekoloni ngenye indlela, abacwaningi babheka umphumela ongenokwenzeka wokuhlinzwa kwe-gallbladder kuma-colon adenomas. Uhlobo olulodwa lwezintambo ze-colon, i-adenomas, ziyaziwa ukuthi zithuthuka, ngezinye izikhathi, zibe ngumdlavuza wekoloni. Eqinisweni, lokhu kuyingxenye yesizathu sokuhlola ama-colonoscopies. Lezi zi-adenomas ezingenakulinganiswa, lapho zitholakele, zingasuswa ngaphambi kokuba zibe nomdlavuza.
Kulesi sifundo, kwakungekho ukwanda okuphawulekayo engozini ye-adenomas kubantu ababenokuhlinzwa noma abanakho ukuhlinzwa.
Izifundo zakamuva
Ukubuyekezwa okwedlule kokucwaninga kwakunkulu, kubheka izifundo ezingu-75 ezihlukene kanye nezibalo eziyisihlanu ezedlule. Lolu cwaningo lwalinganisa ukuthi ezinye izifundo zenzelwe kanjani futhi zineziphetho zeziphetho zabo. Ngokubanzi, ukubuyekezwa akutholakalanga ubudlelwane obucacile phakathi kwe-cholecystectomy nomdlavuza noma kuphi emaphethelweni emathunjini.
Bathole imibiko engavumelani futhi akukho bufakazi obuqinile begciwane lomdlavuza omncane kanye nomdlavuza wekoloni wangakwesokudla ohlobene ne-cholecystectomy. Uma ubheka izifundo ezinhle zekhwalithi, kwakungekho ukuhlangana nama-khansa emathunjini amancane kanye ne-colon-side side kanye ne-cholecystectomy, noma ye-colal distal kanye namagciwane angama-rectal. Isiphetho sasiwukuthi, "Lokhu kubuyekezwa okuhlelekile kutholwe ubufakazi obuphikisanayo bokuhlangana phakathi komlando we-cholecystectomy kanye namashubhu emathunjini omzimba. Ngokusekelwe ebufakazini bamanje, abukho ubudlelwane obucacile phakathi kwe-cholecystectomy kanye ne-cancers yegciwane lesisu." Banezela ukuthi izifundo eziningi ezenziwe kahle kufanele zenziwe.
Ucwaningo lwango-2017 lwathola ukuthi kunengozi yokwanda komdlavuza wekoloni kubantu ababenesifo se-gallbladder, kodwa hhayi kulabo abane-cholecystectomy.
Olunye uhlolo luka-2017 olubheka izigungu ezitholakalayo ekuhlolweni kwedwa kuphela lwaluhlanganiswa nengozi eyengeziwe yokwelashwa komguloni, kodwa umdlavuza we-pancreatic, isophageal, kanye nesisu somzimba. Ayikho ingozi etholakala ngokuphathelene ne-cholecystectomy.
Izingozi Zezingozi
Uma ubheka zonke lezi zifundo, ungase ubuze, "Ingabe kukhona okungase kuphakame ingozi kokubili isifo se-gallbladder nomdlavuza we-colon?" Impendulo inguyebo. Ukukhuluphala kwesinye isici esisenza ngokucacile ingozi yezifo zombili ze-gallbladder nomdlavuza we-colon. Ngandlela-thile, lo mbuzo ungase ufanane nesixhumanisi phakathi kokudla i-ayisikhilimu nokugcoba.
Ukudla i-ayisikhilimu kungabangeli ukugwinya, futhi ukugwinya kungabangela abantu ukuba badle i-ayisikhilimu, kodwa ezinye ukugcoba nokudla i-ayisikhilimu zivame kakhulu phakathi nezinyanga zasehlobo lapho amachibi evulekile futhi i-ayisikhilimu ipholile .
Ingabe Kufanele Ukhathazeke?
Ucwaningo olusha kufanele lube nokuthula ukwesaba mayelana nenengozi eyanda kakhulu yomdlavuza wekoloni elandela ukuhlinzwa kwe-gallbladder. Kodwa iqiniso lokuthi ezinye izifundo zithole ukuthi inhlangano ingakukhuthaza ukuba wenze ezinye izinto ukuze uzame ukunganaki ingozi kancane. Ukuzivocavoca njalo, ukugcina isisindo esinempilo, ukudla ukudla okunempilo nokuhlela i-colonoscopy yizinyathelo ezimbalwa ongazithatha. Sonke sengozini yomdlavuza wekoloni, ukuhlinzwa kwe-gallbladder noma cha.
Lolu lwazi oluncane nolunye ulwazi olulodwa ongayinika umyeni wakho, umkakho, umlingani wakhe, noma umzali ogcina ukuyeka ukuhlolwa komdlavuza we-colorectal . Ubani owaziyo ukuthi iziphi izifundo ezengeziwe ezizobonisa ziphakamisa izingozi ongeke uzigweme? Yini engavimbela umdlavuza wekoloni uthola ukuhlolwa futhi ubekwe ama-polyps angaphambi komdlavuza uma kutholakala.
Ngezansi ku-Gallbladder Ukuhlinzwa
Kunemigqa emibili engezansi evela kule ngxoxo. Enye yukuthi ukuhlinzeka nge-gallbladder, nakuba konke ukuhlinzwa kunengozi, akubonakali ukuthi kuphakamisa ingozi yomdlavuza wekoloni. Ngokuphambene, ukuhlinzwa kwe-gallbladder, uma kwenziwa kubantu abazozuza ngokucacile enkambisweni, bangakusiza ubuhlungu obukhulu.
Ngaphansi Kwengozi YeCaron Cancer
Nakuba ukuhlinzeka nge-gallbladder kungabonakali ukuphakamisa ingozi yomdlavuza wekoloni, kunezinye izici eziyingozi lapho sikwazi ukulawula khona. Ukuhlolwa komdlavuza weColon kubalulekile futhi kuboniswe ukunciphisa ukufa okuvela kumdlavuza wekoloni. Ubuhle bokuhlola i-colonoscopies ukuthi bangasebenza kokubili ukuvimbela umdlavuza ukuba ungene futhi ukuwuthola ezinyathelweni zokuqala (ukutholakala kokuqala.) Uma i-polyp ngaphambi kokudlavuza itholakale ku-colonoscopy, i-polyp ingasuswa ngaphambi kokuthi ibe ne- ithuba lokuba nomdlavuza. Zonke ezinye izivivinyo zokuhlola umdlavuza esinalo ngalesi sikhathi zingathola umdlavuza ekuqaleni (ukutholakala kokuqala) kodwa ngeke zivimbele ukuthuthukiswa komdlavuza kuqala.
> Imithombo:
> Chen, Y., Yeh, J., Lin, C. et al. I-Cancer Risk in Iziguli ezine-Cholelithiasis nangemva kwe-Cholecystectomy: Isifundo se-Nationwide Cohort. I-Journal ye-Gastroenterology . 2014. 49 (5): 923-31.
> Izingubo, M., noS S. Shimi. I-Cholecystectomy kanye Nengozi Yokudla Amanqamu Emdlavuza: Ukubuyekeza Okuhlelekile. I-World Journal ye-Gastroenterology . 2015. 21 (12): 3679-3693.
> Shabanzadeh, D., uSorensen, L., noT. Jorgensen. Ukuhlangana Phakathi Kokuhlolwa Kwegciwane Lesigceme neCanscer eSifundweni Seqembu. I-Gastroenterology . 2017. 152 (8): 1965-1974.
> Shang, J., Reece, J., noD. Buchanan. Cholecystectomy kanye Nengozi yeColorectal Cancer ngokusimama Ukukhubazeka Ukukhubazeka Ukukhubazeka Isimo. I-International Journal yeColorectal Disease . 2016. 31 (8): 1451-7.