Kanzera yeColon ndiyo yechina inonyanyozivikanwa nehutachiona hwehutachiona mushure memapapu , mudumbu uye mucheche wepamu. Zita iri rinoreva zviremara zvinotyisa zvechimwe chakasiyana mumapofu, coloni, rectum uye anal canal. Adenocarcinoma yemakoloni inowedzera kubva epithelial tishues, metastases inopararira kuburikidza nemakirini, saka kufungidzira kwakanaka kunoitika chete mumatangiro epakutanga kwechirwere. Kunyangadza ndechokuti hazvigoneki kutora rudzi urwu rwekenza panguva yekuonekwa kwechirwere chekutanga.
Adenocarcinoma yemukumbo mukuru - kufungidzira
Dambudziko guru mukurapa kwekoloni adenocarcinoma ndechokuti kazhinji tumarara masero haatauriki kusvikira nguva yekupedzisira, kureva kuti, inoramba ichikura muhupenyu husingagumi, iyo inobatanidza kuongororwa uye chinangwa chemuitiro wokurapa. Nehupamhi hwekusiyanisa, zvinotevera zvinoratidzika:
- pasi-kusiyanisa;
- zvishoma nezvishoma zvakasiyana;
- yakanyatsosiyanisa adenocarcinoma yemukumbo mukuru.
Yakanyatsosiyanisa adenocarcinoma yemukumbo mukuru
Iyi mhuka ine chirevo chakanaka zvikuru. Iko makore mashanu ekupona kwehutachiwana muhosha iyi inosvika 50%. Kunyanya mikana yakakwirira iri muvanhu vakwegura, sezvo zvirwere mumatambudziko aya hazvikure uye hazvipindi mune dzimwe nhengo. Vechiduku vane adenocarcinoma vakanga vasina ruzivo rwakanyanya. Maererano nehuwandu hwezvokurapa, nehombodo yakawanda adenocarcinoma yekoloni ine chiyero chekusiyanisa, vanenge 40% vechidiki vanogara. Asi kune huwandu hwepamusoro hwekudzoka zvakare mumwedzi 12 yekutanga mushure mekuvhiya, uyewo nekugadzirwa kwemasimusi kure.
Zvinyatsosiyanisa adenocarcinoma yemukumbo mukuru
Dumbu rakadai rinogona kurapwa zvakanyanya nokuti hazvibviri kunyatsosarudza chinhu chinoshanda che chemotherapy. Ratidza kujekesa uyewo hazvibatsiri nguva dzose, uye kupindira kwokuvhiya pasina mamwe maitiro ekurapwa hakupi kupa mushonga wakakwana.
Low-grade grade adenocarcinoma yemukumbo mukuru
Ichi chirwere chinotyisa kudarika zvisiri-zvakasiyana-siyana-kenza yemukomana kana ye-colloidal, mucocellular kana perstene-cell carcinoma, pamwe chete necammous uye glandular squamous cell carcinoma. Vose zvavo vanozivikanwa nehutsinye hwechirwere ichi, nekukurumidza zvikuru uye nekushingaira kukura nekupararira ne lymph, zvishoma nezvishoma kutora nzvimbo huru dze epithelium yemukati nedzimwe nhengo. Izvi zvinokonzerwa nekenza hazvikwanisi kurapwa, uye kufungidzira kwomurwere ane chirwere chakadaro hachina kunaka.
Kunogona kurapwa kwekoloni adenocarcinoma
Kusiyanisa adenocarcenoma yemukati huru haigone kurapwa pasina chirwere. Muchikamu chekutanga chechirwere, kana masero anogona kutotanga kunyatsotsanangurirwa kune chimwe chezvipenyu, kubviswa kwechirwere uye nzvimbo yakatarisana ye epithelium, chinangwa irradiation uye chemotherapy inoratidzwa. Murwere anotumira zvinoratidzwa maitiro
Kana iri chirwere chepakati pe 1-2, kuponeswa kwepakati zvakanaka. Pazvikamu zvitatu ne4 zveAdenocarcenoma yemukumbo mukuru, vanachiremba vanovhiya vanoita basa rekugadzira nzvimbo yakakanganiswa, kazhinji izvi zvinoita kuti pave nechido chokubvisa chirwere mumudumbu uye kuisa kalospriemnik. Somugumisiro wekurasika, murwere anorambidzwa nemukana wekuzvidzivirira zvakasikwa, asi anowana mukana wemakore mazhinji emakore ehupenyu. Chemotherapy uye mashizha mumatambudziko akadaro haawanzoitiki, sezvo chikamu chiri kure chiri mumatumbo chakanyanyisa. Kurapa kwakadaro kunogona kuitika kwemavhiki mashomanana mushure mekushanda.