Chii Chinonzi Kenza Yepakati? Zviratidzo, Zvinokonzera, Uye Kurapa

Kenza yepakati rudzi rwekenza runokura munyama dzepakati, kuvhura kuri kumagumo emudumbu rako. Kunyange zvazvo isiri kenza yakawanda sezvimwe zvirwere zvekenza, kunzwisisa zviratidzo zvayo nezvinhu zvekurapa zvinogona kukubatsira kunzwa wakanyatsoziva uye wakagadzirira.

Iyi chirwere chinotapura masero anovhara chubhu yako yepamberi kana ganda riri pedyo nekuvhura kwako. Kazhinji kazhinji zvinokonzerwa nehutachiona hwehutachiona, kunyanya hutachiona hwehuman papillomavirus (HPV). Mashoko akanaka ndeawo kuti kana yakawanikwa nekukurumidza, kenza yepakati inorapika zvikuru ine mibairo yakanaka kune vanhu vazhinji.

Ndezvipi zviratidzo zvekenza yepakati?

Kenza yepakati inowanzoita kuti isaratidze zviratidzo zvinonzwisisika, ndosaka kuongororwa nguva dzose kuchikosha. Kana zviratidzo zvikaonekwa, dzimwe nguva zvinogona kukanganiswa nezvimwe zvirwere zvakajairika senge hemorrhoids kana anal fissures.

Heano mamwe mazviratidzo muviri wako ungaratidza kana kenza yepakati iri kukura:

• Kubuda ropa kubva mumatumbo ako kana pakati, kunyanya panguva yekubuda kwematumbo
• Kurwadziwa, kumanikidzwa, kana kurwadziwa munzvimbo yako yepamberi
• Kutsamwa kana kubuda kubva pakati
• Ganda kana chidimbu chaunonzwa pedyo nekuvhura kwako
• Kuchinja mumaitiro ako emudumbu kana chimiro chetsvina yako
• Mabhanzi akafuta munzvimbo yako yepamberi kana groin

Zvisingawanzoitika, ungave une kushaya simba kwisinganzwisisike kana kurasikirwa uremu kusina tsananguro. Aya maratidzo anogona kuoneka zvishoma nezvishoma uye angauya achienda pakutanga. Yeuka, kuva neaya maratidzo hazvirevi kuti une kenza, sezvo zvirwere zvakawanda zvinogona kukonzera matambudziko akafanana.

Ndeapi marudzi ekensa yepakati?

Vanachiremba vanoronga kenza yepakati zvichienderana nerudzi rwemasero kwaakatanga. Kunzwisisa aya marudzi kunobatsira timu yako yekurapa kusarudza nzira yekurapa inonyanya kushanda kune mamiriro ako chaiwo.

Rudzi runowanzoitika ndere squamous cell carcinoma, iyo inokura mumaseru akati sandara anovhara zvakanyanya chubhu yako yepamberi. Izvi zvinoreva anenge 80-90% yezvirwere zvekenza zvepakati uye zvinowanzoenderana nekurapa.

Adenocarcinoma haina kujairika uye inotanga mumaseru eganda echubhu yako yepamberi. Uyu rudzi dzimwe nguva unogona kupararira kumabhanzi ari pedyo uye ungada nzira dzakasiyana dzekurapa.

Mamwe marudzi asingawanzoitika anosanganisira melanoma, iyo inokura mumaseru anogadzira pigment, uye small cell carcinoma. Aya maitiro asingawanzoitika anogona kuita zvakasiyana uye kazhinji anoda mapurani ekurapa akasarudzika akagadzirirwa hunhu hwavo hwakasiyana.

Chii chinokonzera kenza yepakati?

Kenza yepakati inokura kana masero akajairika munyama yako yepamberi achinja achiita kuti akure zvisingadzoreki. Kunyange zvazvo tisingagoni kuona chaizvoizvo nei izvi zvichiitika, vatsvakurudzi vakawana zvinhu zvakakosha zvinoita kuti zviwedzere.

Chikonzero chikuru ndechehutachiona hwehuman papillomavirus (HPV), kunyanya marudzi 16 ne18. HPV hutachiona hunowanzoitika hunopararira kuburikidza nekubata ganda neganda. Vanhu vazhinji vane HPV havazombovi nekenza, asi hutachiona hwakasimba hunogona dzimwe nguva kutungamira kuchinja kwemasero kwemakore mazhinji.

Sisitimu yako yekudzivirira inotamba basa rinokosha mukudzivirira kukura kwekensa. Kana sisitimu yako yekudzivirira yakasimba nezvirwere senge HIV / AIDS kana mishonga inodzora kudzivirira, muviri wako ungarwa nekuparadzwa kwehutachiona hweHPV zvinobudirira.

Kunetseka kwenguva refu munzvimbo yako yepamberi kubva pazvirwere senge anal fistulas kana inflammatory bowel disease zvinogona zvakare kuwedzera njodzi yekenza nekufamba kwenguva. Uyezve, kusvuta kunoita kunge kuwedzera njodzi yako, zvichida nekudzikisa mhinduro yako yekudzivirira uye kukanganisa maitiro emuviri wako unogadzirisa HPV.

Rini unofanira kuona chiremba nekuda kwezvinetso zvekenza yepakati?

Unofanira kubata chiremba wako kana ukaona zviratidzo zvinogara zvisina kuvanduka mukati memavhiki mashoma. Kuongororwa nekukurumidza kunogona kubatsira kusiyanisa pakati pekensa yepakati nezvimwe zvirwere zvinorapika zvinokonzera zviratidzo zvakafanana.

Tsvaka rubatsiro rwekurapa nekukurumidza kana ukaona kubuda ropa kwenguva refu, kunyanya kana kuri kutsva kana kusiyana nezvawakamboona kare. Kunyange zvazvo kubuda ropa kazhinji kunokonzerwa nehemorrhoids kana zvimwe zvirwere zvisina ngozi, zvakakosha kuongororwa zvakakwana.

Usakurumidza kutsvaka kurapwa kana ukaona ganda idzva kana chidimbu munzvimbo yako yepamberi, kurwadziwa kwenguva refu kunokanganisa mabasa ezuva nezuva, kana kuchinja kukuru mumaitiro emudumbu rako. Aya maratidzo anoda kuongororwa nemunyanzvi kuti aone chikonzero chawo.

Kana uine zvinhu zvinowedzera njodzi senge hutachiona hweHIV, nhoroondo yemamwe makensa ane hukama neHPV, kana kutora mishonga inodzora kudzivirira, kurukura kuongororwa nguva dzose nechikurapa chako. Vanogona kukurudzira kuongororwa kwakakodzera zvichienderana nehunyanzvi hwako hwenjodzi.

Ndezvipi zvinhu zvinowedzera njodzi yekenza yepakati?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana kenza yepakati, kunyange zvazvo kuva nezvinhu zvinowedzera njodzi hazvirevi kuti uchawana chirwere ichocho. Kunzwisisa aya maitiro kunokubatsira iwe nechikurapa chako kuita sarudzo dzakachenjera pamusoro pekuongororwa nekudzivirira.

Heano maitiro makuru anogona kuwedzera njodzi yako:

• Hutachiona hweHPV, kunyanya nemarudzi ane njodzi yakakwirira senge HPV 16 ne18
• Hutachiona hweHIV kana zvimwe zvirwere zvinodzikisa sisitimu yako yekudzivirira
• Kutora mishonga inodzora sisitimu yako yekudzivirira
• Kuva nevakaroorana vakawanda kana kutanga zvepabonde pazera duku
• Nhoroondo yekenza yemhino, vaginal, kana vulvar
• Kusvuta fodya
• Kuva nemakore anopfuura 50
• Kunetseka kwenguva refu kana kukuvadzwa kwepakati

Vakadzi vanoita kunge vane njodzi yakakwirira pane varume, kunyange zvazvo zvikonzero zvisina kujeka zvachose. Uyezve, vanhu vanoita zvepabonde zvepakati vanogona kuva nekupararira kwakawanda kweHPV, kunyange zvazvo kenza yepakati inogona kuitika kune ani naani pasinei nezviito zvepabonde.

Ndezvipi zvinogona kuitika zvinetso zvekenza yepakati?

Kana yakawanikwa ichirapwa nekukurumidza, vanhu vazhinji vane kenza yepakati vanowana mibairo yakanaka ine zvishoma zvinokonzerwa nehupenyu hurefu. Zvisinei, kunzwisisa zvinogona kuitika zvinetso kunokubatsira kushanda nechikwata chako chekurapa kudzivirira kana kudzora zvinobudirira.

Kana isina kurapwa, kenza yepakati inogona kupararira kumabhanzi ari pedyo mu pelvis yako uye groin area. Kupararira uku kunowanzo kurapika zvikuru, asi kungada nzira dzakakomba dzekurapa.

Mumagariro ekumberi, kenza ingapararira kune mamwe matunhu emuviri senge chiropa chako, mapapu, kana mapfupa. Kunyange zvazvo izvi zvisingawanzoitika, zvinomiririra mamiriro akaoma anoda kurapwa kwakasarudzika kwekensa uye kuronga kwakakwana kwekurapa.

Zvinetso zvinokonzerwa nekurapa zvinogona kusanganisira matambudziko ekudzora matumbo, kukuvadzwa kweganda munzvimbo yakarapwa, kana kushaya simba panguva yekurapa kwemwaranzi. Kazhinji aya maitiro anogona kudzorwa uye kazhinji anovandudzika zvikuru mushure mekupedza kurapwa.

Kenza yepakati inogona kudzivirirwa sei?

Kunyangwe usingagoni kudzivirira zviitiko zvese zvekenza yepakati, mazano akati wandei anogona kudzikisa njodzi yako zvakanyanya. Nzira inonyanya kushanda inosanganisa kujoina, tsika dzakachengeteka, uye hutano hwehutano hwakajairwa.

Kujoina kweHPV kunopa dziviriro yakanaka pane marudzi ehutachiona hunonyanya kukonzera kenza yepakati. Jekiseni inoshanda zvakanaka kana yakapihwa usati wabata neHPV, kazhinji mumakore ekutanga, asi inogona zvakare kupa mabhenefiti kune vakuru kusvika kumakore makumi mana nemashanu.

Kuita zvepabonde zvakachengeteka nekushandisa kondomu uye kudzikisa nhamba yevadi vepabonde kunogona kudzikisa njodzi yekupararira kweHPV. Zvisinei, yeuka kuti HPV inogona kupararira kuburikidza nekubata ganda neganda, saka kondomu haipe dziviriro yakakwana.

Kana ukasvuta, kusiya kunogona kuvandudza simba resisitimu yako yekudzivirira mukurwisa hutachiona hweHPV. Chiremba wako anogona kupa zviwanikwa nekutsigira kukubatsira kusiya zvinobudirira.

Kuongororwa nguva dzose kunokosha zvikuru kana uine HIV kana zvimwe zvirwere zvekuzvidzivirira. Chiremba wako anogona kukurudzira nguva dzakakodzera dzekuongororwa zvichienderana nezvinhu zvako zvenjodzi.

Kenza yepakati inozwiwa sei?

Kuziva kenza yepakati kazhinji kunotanga nechikurapa chako kuchikubvunza nezvezviratidzo zvako uye kuita bvunzo yemuviri. Iyi kuongororwa kwekutanga kunobatsira kuona kuti ndedzipi bvunzo dzimwe dzinogona kudiwa.

Chiremba wako achaita bvunzo yekurapa rectal, achinyatsoisa chigunwe chakapfeka magorovu mumatumbo ako kunzwa chero ganda risina kujairika kana nzvimbo dzinotyisa. Kunyange zvazvo izvi zvingave zvisingafadzi, zvinokurumidza uye zvinopa ruzivo rwakakosha.

Anoscopy inobvumira chiremba wako kutarisa zvakananga chubhu yako yepamberi uchishandisa chubhu diki, ine chiedza inonzi anoscope. Iyi nzira inobatsira kuziva chero kusakwana kunoratidzika uye inogona kutungamira sarudzo pamusoro pekuunganidza tishu.

Kana nzvimbo dzine mhosva dzikaonekwa, chiremba wako achaita biopsy, achibvisa sampuli diki yetsishu yekuongororwa kwelabhoritari. Ndiyo nzira chete yekuziva kenza uye kuona rudzi rayo chaiwo nehunhu.

Bvunzo dzimwe senge CT scans, MRI, kana PET scans dzingakurudzirwa kuona kana kenza yakapararira kune mamwe matunhu. Aya maitiro ekufungidzira anobatsira timu yako yekurapa kugadzira purogiramu yekurapa yakakodzera kune mamiriro ako.

Kurapa kwekensa yepakati ndekupi?

Kurapa kwekensa yepakati kwavandudzwa zvikuru mumakore achangopfuura, nevanhu vazhinji vachiwana kuporeswa kwakakwana. Purogiramu yako yekurapa ichagadzirirwa mamiriro ako chaiwo, kusanganisira nhanho yekenza, nzvimbo, uye hutano hwako hwese.

Nzira yekurapa yakajairwa inosanganisa chemotherapy uye radiation therapy, kazhinji inonzi chemoradiation. Iyi musanganiswa inoshanda pamwe chete, ne chemotherapy ichikonzera kuti masero ekensa ave anonzwa zvakanyanya kune radiation nepo radiation ichangotarisa tumor zvakananga.

Chemotherapy kazhinji inosanganisira mishonga inopiwa kuburikidza neIV kana nemuromo kwemavhiki mazhinji. Mishonga yakajairika inosanganisira mitomycin C uye 5-fluorouracil, iyo inoshanda nekukanganisa kukura kwemasero ekensa nekugovaniswa.

Radiation therapy inoshandisa mabhuru ane simba rakakwirira kuparadza masero ekensa nepo ichideredza kukuvara kune tishu dzakajairika. Matekinoroji ekumberi anobvumira kuongororwa kwakakwana kwenzvimbo ye tumor, kuderedza zvinokonzerwa nezvinhu zvisina kunaka zvichienzaniswa nezvinhu zvekare.

Kuopereta kazhinji kunosara kune zviitiko apo chemoradiation haina kubvisa kenza zvachose kana kana kenza ikadzoka mushure mekurapwa kwekutanga. Muzviitiko zvisingawanzoitika, izvi zvingasanganisira kubvisa chikamu chepakati ne rectum, asi izvi zvisingawanzoitika kupfuura kare.

Nzira yekudzora sei zviratidzo panguva yekurapa kwekensa yepakati?

Kudzorera zvinokonzerwa nezvinhu zvisina kunaka panguva yekurapa kunokubatsira kuchengetedza hupenyu hwako hwakanaka uye kuramba uchitevera purogiramu yako yekurapa. Chikwata chako chekurapa chichavashandira pedyo newe kudzivirira uye kugadzirisa chero matambudziko anouya.

Kugadzirisa ganda kunova kukosha zvikuru panguva yekurapa kwemwaranzi, sezvo nzvimbo yakarapwa ingave ine hasha kana ine hasha. Shandisa zvinhu zvinyorerwa zvinonhuwira uye zvinonzwisa tsitsi zvinokurudzirwa nechikwata chako chekurapa, uye usashandise masoseji ane hasha kana zvigadzirwa.

Kuchinja kudya kunogona kubatsira kudzora kuchinja kwematumbo panguva yekurapa. Chiremba wako angakurudzira kudya kwakaderera-fiber pakutanga, uchiteverwa nekuwedzera zvishoma nezvishoma sezvo sisitimu yako ichigadzirisa. Kugara wakanyatsoguta kunokosha zvikuru.

Kushaya simba kunoitika kazhinji panguva yekurapa, saka ronga zororo rakawanda uye usambotya kukumbira rubatsiro nemabasa ezuva nezuva. Kuita zvemitambo zvinyoronyoro senge kufamba kwenguva pfupi zvinogona kubatsira kuchengetedza simba rako kana uchizonzwa uchikwanisa.

Sarudzo dzekudzora marwadzo dzinosanganisira mishonga inowanikwa pasina chinyorwa kusvika kune mishonga inyorwa kana zvichidiwa. Chikwata chako chekurapa chinogona kukurudzira nzira yakanaka zvichienderana nezviratidzo zvako chaiwo nepurogiramu yekurapa.

Unofanira kugadzirira sei kuonana kwako nachiremba?

Kugadzirira kuonana kwako kunobatsira kuve nechokwadi chekuti unowana zvakanyanya kubva panguva yako nechikurapa chako. Kuve wakarongeka uye wakaziva kunobvumira hurukuro dzakabudirira pamusoro pekunetseka kwako nezvinhu zvekurapa.

Nyora zviratidzo zvako zvese, kusanganisira pavakatanga, kazhinji vanoitika, uye zvinonzi zvakanaka kana zvakaipa. Sanganisira ruzivo pamusoro pechero kuchinja mumaitiro emudumbu rako, nhanho dzekurwadziwa, kana zvimwe zvinetso zvawaona.

Uya nechero mishonga yaunotora, kusanganisira mishonga inowanikwa pasina chinyorwa, zvinowedzerwa, uye mishonga yemiti. Uyezve, unganidza nhoroondo yako yekurapa, kusanganisira chero makensa apfuura, zvirwere zvekuzvidzivirira, kana kuopereta.

Gadzira mibvunzo yaunoda kubvunza chiremba wako. Funga kubvunza nezvekuziva kwako, zvinhu zvekurapa, zvinogona kuitika zvinokonzerwa nezvinhu zvisina kunaka, uye zvaunofanira kutarisira panguva yekuvandudzika. Usazvidya moyo kubvunza mibvunzo yakawanda - chiremba wako anoda kuti uve wakanyatsoziva.

Funga kuuya neshamwari yakavimbika kana nhengo yemhuri kuonana kwako. Vanogona kupa rutsigiro rwepfungwa uye kukubatsira kuyeuka ruzivo rwakakosha rwakakurukurwa panguva yekushanya kwako.

Chii chinonyanya kukosha pamusoro pekensa yepakati?

Kenza yepakati, kunyange iri yakakomba, inorapika zvikuru kana yakawanikwa nekukurumidza, nevanhu vazhinji vachiwana kuporeswa kwakakwana. Chinhu chikuru ndechekusakurumidza kutsvaka rubatsiro rwekurapa kana ukaona zviratidzo zvinogara zvichikunetsa.

Kudzivirira kuburikidza nekujoina kweHPV uye kuongororwa nguva dzose kune vanhu vane njodzi yakakwirira kunopa dziviriro yakanaka pane kukura kwekensa yepakati. Kana ukawana chirwere, yeuka kuti mibairo yekurapa yavandudzwa zvikuru mumakore achangopfuura.

Chikwata chako chekurapa ndicho chikwata chako chakasimba munzira iyi. Vane ruzivo rwakawanda mukurapa kenza yepakati uye vachavashandira newe kugadzira purogiramu yekurapa inogadzirisa zvese zvaunoda mukurapa uye zvinhu zvehupenyu hwako.

Rambai makabatana nesimba rekutambira, tevera purogiramu yako yekurapa, uye usambotya kutaurirana nechikwata chako chekurapa nezve chero kunetseka. Nekurapa kwakakodzera nekutsigirwa, vanhu vazhinji vane kenza yepakati vanorarama hupenyu hwese, hune hutano.

Mibvunzo inowanzo bvunzwa nezve kenza yepakati

Kenza yepakati yakafanana here nekensa ye colorectal?

Kwete, kenza yepakati nekensa ye colorectal marudzi akasiyana ekensa anoitika muzvikamu zvakasiyana zvehurongwa hwako hwematumbo. Kenza yepakati inokura pakati, nepo kenza ye colorectal inoitika mukoloni kana rectum. Vane zvinokonzera zvakasiyana, zvinhu zvinowedzera njodzi, uye nzira dzekurapa, kunyange zvese zviri zviviri zvinorapika zvikuru kana zvikawanikwa nekukurumidza.

Kenza yepakati inogona kupora zvachose here?

Hungu, kenza yepakati inogona kazhinji kupora zvachose, kunyanya kana yakawanikwa mumamiriro ekutanga. Chiyero chekupona kwemakore mashanu chekenza yepakati yakatarwa iri pamusoro pe80%. Vanhu vazhinji vanorapwa nemusanganiswa wakajairwa we chemotherapy uye radiation therapy vanowana kuporeswa kwakakwana uye vanoramba vasina kenza kwenguva refu.

Ndichada kuopereta here kana ndine kenza yepakati?

Vanhu vazhinji vane kenza yepakati havadi kuopereta sechikamu chavo chikuru chekurapa. Nzira yakajairwa inoshandisa chemotherapy uye radiation therapy pamwe chete, iyo inoshanda zvikuru. Kuopereta kazhinji kunongofungwa kana kenza isingapindure zvachose pakurapwa kwekutanga kana ikadzoka mushure mekurapwa.

Kurapa kwekensa yepakati kunotora nguva yakareba sei?

Kurapa kazhinji kunotora mavhiki matanhatu kusvika masere, ne chemotherapy uye radiation therapy zvichipiwa pamwe chete. Iwe kazhinji uchagamuchira radiation therapy mazuva mashanu pavhiki panguva ino, ne chemotherapy ichipiwa pazuva rakati. Purogiramu yako chaiyo yekurapa ichaenderana nepurogiramu yako chaiyo yekurapa uye maitiro aunoita pakurapa.

Ndingadzivirira kenza yepakati here kana ndatova neHPV?

Hungu, unogona kuramba uchitora matanho ekuderedza njodzi yako kunyange kana uine HPV. Sisitimu yako yekudzivirira inogona dzimwe nguva kubvisa hutachiona hweHPV zvakasikwa, uye kuchengetedza hutano hwakanaka hwese kunotsigira iyi nzira. Kusiya kusvuta, kuwana kuongororwa nguva dzose, uye kutevera mazano ekutarisa kunogona kubatsira kuona chero kuchinja nekukurumidza kana zviri nyore kurapa.