Sibutsetelo se-Rectal Cancer Prognosis and Rates Survival Rates
Yiziphi izici ezithonya izinga lokusinda lomdlavuza we-rectal, futhi yiphi isikhathi sokuphila samanje esekelwe kulezi zibalo?
Ukusinda kwe-Cancer Rectal kanye Nokulindela Ukuphila
Uma ubhekene nokungaqiniseki komdlavuza, kuyimvelo yomuntu ukufuna ukufunda okuningi ngangokunokwenzeka ngesifo futhi uzame ukuthola ukuthi konke kuzokwenzeka kanjani. Inhloso yezinga lokusinda komdlavuza we- rectal elivezwe lapha ukusiza ukunikeza umqondo wenkinga eseduze, kodwa kubalulekile ukukhumbula ukuthi izinga lokusinda liyi-generalization futhi amathuba okuphila angase ahluke kakhulu.
Kubalulekile futhi ukukhomba ukuthi lezi zinombolo ziyizibalo ezisekelwe ekusindeni esikhathini esidlule. Isibonelo, izinga lokusinda iminyaka emihlanu elirekhodiwe ngo-2017 lizobhekisela kubantu abatholiwe ngo-2012 noma ngaphambili. Njengoba izindlela eziningi zokwelapha ezitholakale emdlalweni eminyakeni embalwa edlule, lezi zindleko zokusinda zingase zingabonakali ukuthi umuntu uzokwenzenjani namuhla ngezinqubo esitholakalayo manje.
Izinguquko ezingenakulawulwa
Kunezinguquko eziningana lapho esingenakho ukulawula okungase kudlale inkinga ekusindeni. Ezinye zazo ziphawulwe ngezansi.
Ama-Rectal Cancer Survival Rates emazweni ahlukene
Ngokwe-athikili eyanyatheliswa kuyi- European Journal of Cancer , amazinga okuphila komdlavuza we-rectal ahluka ngezwe. Nakuba isilinganiso seminyaka emihlanu sokusinda komdlavuza we-rectal eMelika ngamaphesenti angu-59, amaphesenti angu-42 eYurophu. Ikhwalithi yokunakekelwa ingaba yisinye sezizathu, kodwa enye ingaba izinhlelo zokuhlola umdlavuza .
Ngokuvamile, umdlavuza we-rectal wangaphambili utholakele, kulula ukuwuphatha. Lolu cwaningo luqhutshwa ngo-2006, futhi kungenzeka ukuthi ukusinda kokubili e-US naseYurophu sekuthuthukile kusukela ngaleso sikhathi.
Isilinganiso Sokusinda Ngomdlavuza Nesiteji Ekuhloleni
Isiteji esitholwayo sithinta kakhulu amazinga okuphila komdlavuza we-rectal.
Isikhathi sokuphila esilinganiselwe kuye ngokuthi isigaba sibhalwe ngezansi, kodwa futhi kubalulekile ukuqaphela ukuthi kunezinguquko eziningana ngaphezu kwesiteji esenza indima.
Ukusinda Kwelinye Umdlavuza Nokuncintisana
Ngokuvamile, izinga lokusinda kwabase-Afrika baseMelika basebenzisa umdlavuza we-rectal liphansi kunelabo abamhlophe abanesifo. Futhi, kunezinye izinguquko eziningana ezingase zibe nomthelela kulokhu okungafani, kufaka phakathi umshuwalense wezempilo.
Izinga lokusinda komdlavuza wobulili kanye nomthelela
Ubulili yisinye isici esingathonya amazinga okusinda komdlavuza we-rectal. Ucwaningo luye lwabona ukuthi, ngokungafani nezinye eziningi ze-khansa, abesifazane bavame ukuba namazinga okuphila komdlavuza we-rectal ophansi kunamadoda.
Amakhamera we-Tumor
Ngaphandle kwezinye izinto eziguquguqukayo, kunezivivinyo ezinjengama-marker tumor angase anikeze ulwazi mayelana nokubikezela ngomdlavuza womugqa. Ngeke singene kulezi zinyathelo ezithile, kodwa kuyasiza ukuqaphela ukuthi ukwakheka kwe-molecular kwe-tumor yakho kungadlala indima ekusindeni. Esikhathini esizayo, kungenzeka ukuthi lezi zici zamangqamuzana zizosiza ngokuqhubekayo ukulinganisa ukubikezela futhi ziqondise ukuhlukumezeka nezinhlobo zokwelashwa komdlavuza ngamunye.
Izinhlobonhlobo esiziphetheyo
Yize kungase kuphazamise ukwazi ukuthi ezinye izinto eziguquguqukayo azikwazi ukulawulwa-awukwazi ukushintsha iminyaka yakho noma isiteji lapho uhlolisiswa-kunezinguquko ezithile onakho ukuzilawula.
Ukugxila kulezi zinguquko, ngokungazicasuli phezu kwabanye, kungakusiza ukuthi uhlangabezane nesifo sakho kuphela kodwa kungenza umehluko emphumela wakho.
Isilinganiso sokusinda komdlavuza kanye nokuzivocavoca
Iningi lezinto ezibalulwe azikho ngaphansi kokulawula kwakho. Uhlala lapho uhlala khona, ubulili owabeletha naye, futhi uyibambe uma uwubamba. Ngakho-ke, yini ongayenza ukuze uthuthukise amathuba akho okusinda manje ukuthi unayo? Abacwaningi e-Dana-Farber Cancer Institute eBoston bathola ukuthi ukuvivinya umzimba ngokulinganisela kungandisa kakhulu izinga lokusinda kweziguli zomdlavuza.
Funda kabanzi mayelana nomthelela wokuzivocavoca ngokusinda komdlavuza obala.
Umshwalense
Labo abanomshwalense wezokwelapha bavame ukuba nemiphumela engcono kunelabo abangaqinisekisiwe. Lokhu akuyona into eguquguqukayo engashintshwa ngokusho komshuwalense ekuqaleni, kodwa labo abangaqinisekisiwe noma abangasebenzi ngaphansi kwesikwelashwa kufanele bacabangele izinketho zabo. Isisebenzi sezenhlalakahle sakho isikhungo senhlalakahle singase sibe indawo enhle ukuqala ekunqumeni ukuthi yini ongakhetha kuyo.
Khuluma nodokotela wakho mayelana no-Aspirin
Ucwaningo oluthile lubonisa ukuthi ukuthatha i-aspirin kuthuthukisa izinga lokusinda emdlalweni we-cancer. Kubaluleke kakhulu ukukhuluma nodokotela wakho, Nokho, njengoba i-aspirin ingaphazamisa ezinye izifo zomdlavuza.
Khuluma nodokotela wakho mayelana ne-Vitamin D
Njenge-aspirin, kunezifundo ezithile ezifakazela ukuthi i-vitamin D ingadlala indima ekusindeni komdlavuza obala. Engeza kulokhu ukuthi iningi labantu baseMelika abanelutho, futhi kunethuba elihle amazinga akho aphansi kakhulu. Ngokujabulisayo kukhona ukuhlolwa kwegazi okulula okungakutshela izinga lakho, futhi udokotela wakho angancoma ukuthi athathe isithako sevithamini D3 uma kudingeka. Njalo khuluma nodokotela wakho, kodwa, ngaphambi kokuthatha noma yikuphi okunye okunomsoco. Amanye ama- vitamin namaminerali amalungiselelo angaphazamisa ukwelashwa komdlavuza.
Thola iqembu lokusekela noma uMphakathi Wokusekela
Akuzange kubhekwe ngokuqondile nomdlavuza we-rectal, kodwa abantu abaye baphumelela umdlavuza wamaphaphu bacatshangwa ukuthi baphile isikhathi eside kakhulu uma benokusekelwa komphakathi. Khumbula ukuthi ungathola ukwesekwa noma ngabe awuzwa kahle ngokwanele ukuphuma. Kunemiphakathi eminingi yomdlavuza we-rectal e-inthanethi ongayitholi kuphela ukwesekwa kodwa ukhulume, kubantu ababhekene nezinselele ezifanayo.
Yazi Izimpawu Zezindwangu Zegazi
Ama-blood clots emilenzeni ( inhlanzi ejulile ye-vein thrombosis ) engakwazi ukuphumula nokuya emaphashini ( embolism pulmonary embolism ) iyimbangela ebalulekile yokugula nokufa kwalabo abaphila nganoma yiluphi uhlobo lomdlavuza. Funda ngezimpawu zezindwangu zegazi kanye nokuthi ungenzenjani ukunciphisa ingozi yezindwangu zegazi nomdlavuza .
Ezinye izimo ezithinta isilinganiso sokusinda
Ukwengeza kwezinye zeziguquko ezingenhla, kunezici eziningi ezihlukene ezingathonya izinga lokusinda ngomdlavuza wekoloni. Lezi zingabandakanya:
- Iminyaka yakho - Ngokuvamile, abantu abasha bavame ukwenza kangcono kunabantu asebekhulile abanesifo, nakuba lokhu kungahamba ngezindlela zombili. Abantu abasebancane bangase babe namathuba amaningi okuba nesifo somzimba, futhi ngaleyo ndlela, babe nezicubu ezinamandla kakhulu.
- Isimo sakho sokusebenza - Isimo sokusebenza singumlinganiso ozama ukutshela indlela umuntu akwazi ngayo ukwenza imisebenzi evamile yokuphila kwansuku zonke. Yize isetshenziswe kaningi ukuthola ukuthi umuntu angafaneleka yini ukuba ahlanganyele ekuvivinyweni komtholampilo, ibuye ihlotshaniswe nokubikezela.
- Impilo yakho yonke - Indlela ophilile ngayo ngaphandle komdlavuza inganquma ukuthi yiziphi izifo ozokwazi ukuzibekezelela futhi zingathonya nokuthi ungakwazi yini ukuzivocavoca, umkhuba othuthukisa ukusinda.
- Ukwelashwa okutholiwe nokuthi indlela yakho isifo siphendula ngayo ukwelashwa.
- Iphrofayli yamakhamzimba nebanga (ukuhlukumezeka) komdlavuza wakho.
- Ukuguqulwa noma ukuvinjelwa kwesilonda ngenxa yomdlavuza kuhlotshaniswa nokusinda okuhluphekayo.
Okwenza Izibalo Kungabi Nesifanele
Kubalulekile ukuqaphela ukuthi, ngisho nokucabangela konke okuguquguqukayo ngenhla, kunzima ukwazi ukuthi umuntu oyedwa uzohlala nini nomdlavuza wesibeletho.
Izibalo zinganika izilinganiso, kodwa abantu abangezona izinombolo. Ngokuvamile, izibalo zisitshela ukuthi umuntu wenzani nomdlavuza we-rectal esikhathini esithile esidlule. Isibonelo, izibalo zakamuva kakhulu esinayo ngokuvamile sezivele zineminyaka emine noma emihlanu ubudala. Eminyakeni emihlanu edlule, senze intuthuko ephawulekayo ekwelapheni umdlavuza. Empeleni, izinga lokusinda lingakutshela ukuthi umuntu onesifo esifanayo esifana nalesi sifo wenza kanjani ukwelashwa okudala kwalesi sifo. Kuzothatha iminyaka eminingana ukwazi ukuthi umuntu ojwayelekile uzokwenzani ngezinqubo ezintsha ezitholakalayo.
Izibalo ze-Cancer Life Expectancy Statistics
Umdlavuza ovuthiwe uvame ukuhlanganiswa kanye nomdlavuza wekoloni ukunikeza izibalo zokusinda umdlavuza.
Ngokusho kwe-American Cancer Society, amazinga okusinda eminyaka emihlanu yomdlavuza wokulala anjengokulandelayo:
- Isigaba I - amaphesenti angu-92
- Isigaba 2A - amaphesenti angu-87, isigaba se-IIB-63%
- Isigaba 3A - 89 amaphesenti, isigaba 3B - 69 amaphesenti
- Isiteji sesi-4 (imetastatic) - amaphesenti angu-11
Njengoba lezi zingamazinga okusinda ezineminyaka emihlanu, kuyaphawuleka ukuthi labo abahlolwe babhekwa futhi baphathwa okungenani eminyakeni emihlanu eyedlule, ngaphambi kokuba kutholakale ukwelapha okusha. Kuyaphawuleka ukuthi leli datha kungenzeka liphuthele ngoba akungabazeki ukuthi lesi sigaba II sinamazinga aphansi okusinda kunezigameko zesigaba se-III, ngisho noma isifo segciwane lesigaba II siphathwa kabi kakhulu.
Ngaphansi kwe-Rectal Cancer Survival Rates
Futhi kubalulekile ukuqaphela ukuthi zonke izinombolo ezibalulwe lapha ziyizibalo-futhi abantu abangezibalo. Yiziphi ezinye zalezi zifundo ezibonisa ukuthi kunezici eziningi ezidlala indima ekusindeni. Imithi yokwelapha esanda kuvunyelwa eminyakeni yamuva kanye nokunye kusetshenziselwa ukuhlolwa kwemitholampilo.
Umgomo wokugcina wukuthi ukwelapha okusha kuyatholakala, futhi zonke lezi zonyango kufanele zihlolwe ezivivinyweni zomtholampilo ngaphambi kokuba zitholakale emphakathini. I-National Cancer Institute iphakamisa ukuthi abantu bacabange ukuthi ukuhlolwa komtholampilo kungaba yindlela yokunakekelwa kwabo. Kunezinkolelo eziningi mayelana nokuhlolwa kwemitholampilo , kodwa iqiniso ukuthi eziningi zezokwelapha ezingcono kakhulu ezitholakala eminyakeni emihlanu kusukela manje zingatholakala kuphela ekuvivinyweni kokwelashwa ngalesi sikhathi.
Imithombo:
I-American Cancer Society. Yiziphi Izinkinga Zokusinda Zomdlavuza Wegazi, Nge-Stage? Kubuyekezwe 01/20/16. https://www.cancer.org/cancer/colon-rectal-cancer/detection-diagnosis-staging/survival-rates.html
UGagtaj, G. noCiccolallo, L. "Ukungafani Kokuphepha Kwengculaza Ephakathi Kwamazwe Aphakathi KwaseYurophu naseMelika: Ukubaluleka Kwendawo Engaphansi KwamaSulumane ne-Morphology." I-European Journal of Cancer 39.15 (Okthoba 2003): 2214-2222. I-PubMed. 21 Juni 2006.
Morales-Oyarvide, V., Meyerhardt, J., noK. Ng. I-Vitamin D kanye Nomsebenzi Wezokwelapha Ezigulini Ezinomdlavuza We-Colorectal: Ubufakazi be-Epidemiological kanye Nemithelela Yokwelapha. I-Cancer Journal . 2016. 22 (3): 223-31.
Tawk, R., Abner, A., Ashford, A., noCrown. Ukungafani emiphumeleni yeColorectal Cancer by Race and Insurance. I-International Journal of Environmental Research kanye neMpilo Yomphakathi . 2015. 13 (1): ijerph13010048.