Mabatirwo nekenza mugaranhoko mu Israeli muzvipatara

Colorectal kenza ndicho kenza rechitatu munyika yose uye vakawanda chikonzero chechipiri kenza rufu nevanhu uye yechitatu ndicho chinokonzera kenza rufu vakadzi.

Rectal kenza chinobata varume nevakadzi zvakafanana, uye sezvo aine kenza vakawanda, mukana wayo kukura kunowedzera zera. Sezvineiwo, kuitika uye kufa kubva kwakadai kenza ipfupi kubva 1985, nemhaka nani nzira yokudzivirira, kuongorora, mangwanani chirwere uye tibudirire kurapwa. Kusiyana nevamwe nekenza zhinji, kazhinji kenza muura inofungidzirwa muka kubva "Precursors" benign pamusoro polyps, kana kuteerera, mberi pamusoro nguva, uye uve bundu kenza. Mumaoko chiremba ane ruzivo kupfuura 95% kubva precancerous polyps izvi (adenomas) anogona kuonekwa vachiri Danho uye akabvisa panguva colonoscopy, zvinobudirira pasave kukura kenza iri kubviswa polyps.

Mabatirwo nekenza mugaranhoko muIsraeri

Nokuti ruzhinji varwere chirwere colorectal kenza chikuru kurapwa ndiyo kuvhiyiwa. Kazhinji, akabvisa mumwe chidimbu kubva muura kana mugaranhoko, pamwe pedyo node nodes, izvo kare inini kenza. Ruzhinji varwere, nemvumi kana mugaranhoko inogona kuzodzosera kwakabatana munguva oparesheni, nokudaro kudiwa kuti colostomy. Colostomy, pfupi kana wechigarire, achiri dzimwe nguva kunodiwa kuitira varwere vakanga kubatwa yepamusoro colorectal kenza.

Kare, varwere colorectal kenza kuti rapararira kusvika chiropa uye dzimwe nhengo dzose zvomudumbu ino (kureva, metastatic kenza), kazhinji haana akatuma kuvhiyiwa. Zvisinei, kunyange varwere metastatic colorectal kenza kuwedzera hurefu akapa mishonga, mhando kurapwa, iyo akaratidza kukosha mberi kunyatsoshanda. Vakawanda varwere izvi dziri kuitwa sechinhu vaida kuvhiya nokubviswa kenza muura asati kana pashure mishonga. Uyewo, vazhinji zviitiko kenza anenge metastasized kuti chiropa, mapapu nedzimwe nhengo, anogona zvino kurapika pamwe anofambidzana siyana Kuvhiya, bundu ablation unyanzvi (semuenzaniso, radiofrequency ablation), nemwaranzi marapirwo uye mishonga. All izvi Kurapwa matsva rinowanika yakanakisisa paruzhinji uye pasiri zvokurapa nzvimbo muIsraeri.

Chimwe utsanzi kuchangobva mune kuvhiya pakurapa rectal kenza ndiko kushandiswa zvishoma invasive nzira kuita chaiwo chete kenza kuvhiyiwa sapakutanga, asi kushandisa ano zvomusejari nzira, iyo siya vaduku maronda uye kuderedza postoperative kupora nguva, apo kupa munhu akadzikama unhu upenyu. Kushandiswa yemhando laparoscopic uye robotic zvomusejari unyanzvi pakurapwa kwechirwere rectal kenza kwakaita kuti zvakawanda nokukurumidza kuzoita dzevarwere utano pashure pokuvhiyiwa, tichienzanisa mureza zvomusejari nzira kurapwa, uye akasimbisa kuti hazvibviri kenza dzokororo. Nokuti varwere colorectal kenza dzimwe Danho risati nokushanda vakashandisa chinangwa yakakura kuti mishonga uye mwaranzi kurapa akabatana nani zvomusejari unyanzvi (semuenzaniso, zvachose mesorectal excision) kuti kuderedza kudiwa colostomy zvachose, uye ngozi dzokororo kenza ari kare akabvisa mota .

Mumakore 10 apfuura rave zvinokosha mberi pakurapa rectal kenza, uye munguva pfupi tinofanira kutarisira zvinhu zvitsva. Pane kumwe kuongorora zhinji ziendamberi rokuedza varwere rectal kenza, uye kuongorora izvi tsime tariro zvikuru mberi nani pakureba uye kunaka kwoupenyu wevarwere chirwere colorectal kenza.