Kungani Kulungile Ukucabangela Ngayo
Ngemuva kokuxilongwa nokuphathwa ngempumelelo komdlavuza we-colon, kuvamile ukuthi kubhekwe imibono yokuphindaphinda (ukubuyela komdlavuza). I-twinge lapha, ubuhlungu lapho - ngokuqinisekile lezi zibonakaliso ukuthi umdlavuza ubuyile?
Ingozi yakho yokuphindaphinda incike ezintweni eziningi , njengezinga nesigaba somdlavuza wakho wekoloni nokuthi iyiphi imithi oyitholile.
Ukucabanga ngokuphindaphindiwe komdlavuza wekolon nokucabangela ngaphezu kwazo kukhona izinto ezimbili ezihlukene. Qinisekisa ukuthi ukuziphatha kwakho ngokweqile akufaki insimu ekhululekile ngokufunda amaqiniso ngokuphindaphindiwe.
Izinhlobo
Nakuba udokotela wakho angase athi amagama omlingo "uphulukiswa umdlavuza," azikho iziqinisekiso. Uma izivivinyo zakho zibonisa ukungabikho okuphelele komdlavuza ngemuva kokwelashwa , usuke usuphelile. Ukukhululwa igama elisetshenziselwa ukuchaza ukungabi khona kwamangqamuzana omdlavuza omzimba emzimbeni wakho, odokotela abathile banikeza ilebula 'lokuphulukiswa.'
Ososayensi bathi uma umdlavuza uphindaphindeka, kunethuba ukuthi awuzange ususwe ngokuphelele noma usuvele usakaze ezindaweni ezikude , ezingazange zitholakale ekuhlolweni kokuhlola (isibonelo, i-PET scan). I-recon cancer recurrences ikhonjiswe ngokuthi:
- Endaweni - emgqeni lapho umdlavuza wokuqala wawukhona
- Isifunda - esitholakale kuma- lymph nodes eduze nesayithi langempela
- Ukude - kubhekwa njengemetastatic, njengoba umdlavuza uye wadlula emzimbeni waya kwisayithi elikude
Izibalo
Nansi into okumelwe uyikhumbule mayelana nezibalo, umdlavuza, nokusinda: Iningi lezinombolo alithathi izinkinga zomuntu ngamunye, njengezinye izifo osindayo angaba nazo, izindlela zokwelashwa, noma isigaba somdlavuza - konke okuthinta yakho isilinganiso sokusinda . Ucwaningo lwango-2008 eSikhungo Sengculazi se-Sloan-Kettering ehlose ukuthuthukisa ukuqoqwa kwedatha kanye nezibalo mayelana nokuphindaphinda komdlavuza wekolon.
Lesi sifundo sasihlanganisa iziguli ezingu-1,320 ngaphandle kwezifo ze-metastatic. Ekupheleni kwesifundo, iziguli ezingama-243 zabuyela emuva - noma cishe amaphesenti angu-18 eziguli.
Ukusinda ngeSiteji
Izinga leminyaka emihlanu yokusinda ngesigaba somdlavuza wekoloni, okungenani, eminyakeni emihlanu ngemuva kwemikhuba yamanje kanye nokwelapha kwi-oncology. Idatha iqoqwe ngokuhamba kwesikhathi - abantu abafakwe kulezi zibalo baqeda ukwelashwa kwabo komdlavuza wamakoloni eminyakeni emihlanu eyedlule (ukuthuthukiswa okuningi kwezokwelapha kwenzeka eminyakeni emihlanu). Thatha izibalo zokusinda nge-okusanhlamvu kasawoti. Ungumuntu ongeke afanele kahle kwiphakeji yezibalo. Ngokusho kwe-American Cancer Society, inani leminyaka emihlanu yokusinda komdlavuza wekoloni lendlela elandelayo:
- Isigaba I - amaphesenti angama-74
- Isiteji IIA - amaphesenti angu-67
- Isiteji IIB - amaphesenti angu-59
- I-Stage IIC - amaphesenti angu-37
- Isigaba IIIA - amaphesenti angu-73
- Isigaba IIIB - amaphesenti angu-46
- Isigaba IIIC - amaphesenti angu-28
- Isigaba IV - amaphesenti ayisithupha
Izimpawu Nezibonakaliso
Ukulandela ukwelashwa komdlavuza wakho, udokotela wakho uzosikisela ukuthi ukuhlolwa kokuhlolwa njalo kuvimbela ukuphindaphinda. Ama-aphoyintimenti wakho wokulandelela angase abe njalo njalo njalo ezinyangeni ezintathu - kufanelekile isikhathi esichithwe. Iningi lamakhansela aphindaphindiwe akhula eminyakeni emibili kuya kwemithathu emva komdlavuza oyinhloko, ngokusho kweMelika Cancer Society.
Uyazi umzimba wakho kangcono kunanoma ubani. Uma ubona okuthile "kuvaliwe," khuluma nodokotela wakho ngalowo mpawu. Ezinye izimpawu zokubukela zifaka:
- Isifiso esivamile sokuhambisa amabilini akho
- Igazi kulesi sikhundla
- Shintsha usayizi wesitokisi (ibhande noma izisindo ezincane )
- Fever
- Izinguquko zezimpawu zesiguli
- Ubuhlungu besisu, ukuqhuma noma ugesi owedlulele
- Ukunciphisa ukudla
- Ubuthakathaka noma ukuphelelwa amandla
- Ukulahlekelwa kwesisindo
- Ukukhwehlela okungahambi
- Amehlo aphuzi noma isikhumba
Ukwelapha
Izinketho zokwelapha ezitholakala zixhomeke enhlobo lokuphindaphinda (indawo, isifunda, noma kude). Uma ukuphindaphinda komdlavuza kungakini, udokotela angase akhombise ukuthengiswa okuhlinzekwayo , okufaka ukukhipha ingxenye yesiguli esinesifo somdlavuza.
Uma umdlavuza ude kakhulu noma u-metastatic, udokotela angase akhombise ukuhlinzekwa kumasayithi omzimba (ukuxoshwa kwezidumbu zesibindi, ukususwa kokuhlinzwa kwama-ovarian noma amaphaphu emaphaphu) kanye nokwelashwa kwama-radiation kanye ne-chemotherapy. Udokotela wakho ohlinzayo kanye ne-oncologist bazosebenza nawe ukunikeza inketho yokwelashwa engcono kakhulu kwimeko yakho.
Ukubhekana
Ukwesaba ukuphindaphinda kuyisisusa esinamandla sabasindile abaningi basomdlavuza wekoloni. Kungashukumisa indlela yokuphila nokushintshwa kokudla, ukukhetha okunempilo, nokuhlola okuvamile, njenge- colonoscopy noma ikolonoscopy ebonakalayo . Kodwa-ke, lokhu kwesaba kungaba yindlefa futhi kulawulwe yonke imicabango yakho - uma uyivumela. Cabanga ngalezi zindlela ukukusiza ukulawula ukwesaba:
- Khuluma nabathandekayo ngakho
- Isikhathi sesimiso sokuhlola izivivinyo - ukunamathela ekhalendeni bese ukhohlwa
- Thola ukuxhaswa kwabasindile abanjengawe
- Cela udokotela wakho ukuthi achaze ukubikezela kwakho
- Cabanga ngokubona umeluleki uma ukwesaba kuhlanganisa imicabango yakho
- Gcina okungahambisani nezifundo ezintsha kanye nezinketho zokwelashwa komdlavuza wekoloni
- Yenza izinqumo ezifanele empilweni yakho nenhlalakahle yakho
- Thatha impilo ngosuku olulodwa ngesikhathi
Manje yisikhathi sokuthola impilo yakho nenhlalakahle yakho. Awukwazi ukubikezela noma ukulawula amathuba okuba umdlavuza wakho wekolon uzobuya. Nokho, ungakwazi ukulawula ukudla kwakho, imvamisa yokuzivocavoca, nokuhlola.
Imithombo:
I-American Cancer Society. (2006). Umhlahlandlela ophelele we-American Cancer Society ku-Cancer Colorectal . I-Clifton Fields, NE: i-American Cancer Society.
I-American Cancer Society. (nd). Yiziphi Izibalo Eziyinhloko Nge-Cancer Colorectal?
I-American Cancer Society. (nd). Yiziphi Izinkinga Zokusinda Zomdlavuza We-Colorectal by Stage?
Weiser, MR, Landmann, RG, Kattan, MW, et al. (Januwari 2008). Ukubikezelwa Ngokwemvelo Kwekoloni Kanti Ukuphindaphinda Ukusebenzisa Igama Lomumo . Journal of Clinical Oncology, 26: 3.
I-National Cancer Institute. (nd). Isigaba IV kanye neCaron Cancer ejwayelekile.