Amakuru Rusange Yerekeye Kanseri Esophageal
Kanseri ya Esophageal ni indwara ingirabuzimafatizo (kanseri) ziba mu ngingo za esofagusi.
Esofagus ni umuyoboro wuzuye, imitsi yimura ibiryo n'amazi kuva mu muhogo kugera mu gifu.Urukuta rwa esofagusi rugizwe nibice byinshi byumubiri, harimo ururenda rwimbere (imbere imbere), imitsi, hamwe nuduce duhuza.Kanseri ya Esophageal itangirira mumbere yimbere ya esofagusi ikwirakwira hanze mubindi bice uko ikura.
Ubwoko bubiri bwa kanseri yo mu bwoko bwa Esophageal bwiswe ubwoko bwa selile ziba mbi (kanseri):
- Indwara ya kanseri y'udukoko:Kanseri ikora mu ngirabuzimafatizo yoroheje, iringaniye imbere muri esofagusi.Iyi kanseri ikunze kuboneka mugice cyo hejuru no hagati cya esofagusi ariko irashobora kugaragara ahantu hose kuruhande rwa esofagusi.Ibi byitwa kandi epidermoid carcinoma.
- Adenocarcinoma:Kanseri itangirira mu ngirabuzimafatizo.Uturemangingo twa glandular mumurongo wa esofagus itanga kandi ikarekura amazi nka mucus.Adenocarcinoma mubisanzwe itangirira mugice cyo hepfo ya esofagusi, hafi yinda.
Kanseri ya Esophageal iboneka cyane kubagabo.
Abagabo bakubye inshuro eshatu kurusha abagore kurwara kanseri yo mu nda.Amahirwe yo kurwara kanseri yo mu nda yiyongera uko imyaka igenda ishira.Indwara ya selile kanseri ya esofagus ikunze kugaragara mubirabura kuruta abazungu.
Kurinda Kanseri Esophageal
Kwirinda ibintu bishobora guteza ibyago no kongera ibintu birinda bishobora gufasha kwirinda kanseri.
Kwirinda ibintu bishobora gutera kanseri birashobora gufasha kwirinda kanseri zimwe.Impamvu zishobora gutera harimo kunywa itabi, kubyibuha birenze urugero, no kudakora imyitozo ihagije.Kongera ibintu birinda nko kureka itabi no gukora siporo bishobora no gufasha kwirinda kanseri zimwe.Vugana na muganga wawe cyangwa undi muntu winzobere mu by'ubuzima uburyo ushobora kugabanya ibyago bya kanseri.
Impamvu ziterwa ningaruka zo gukingira kanseri yo mu bwoko bwa kanseri ya esofagus na adenocarcinoma ya esofagus ntabwo ari imwe.
Impamvu zikurikira zishobora kongera ibyago byo kurwara kanseri ya kanseri ya esofagus:
1. Kunywa itabi no kunywa inzoga
Ubushakashatsi bwerekanye ko ibyago byo kurwara kanseri yo mu bwoko bwa kanseri ya esofagusi byiyongera ku bantu banywa itabi cyangwa banywa byinshi.
Ibintu bikurikira birinda bishobora kugabanya ibyago byo kurwara kanseri ya kanseri ya esofagus:
1. Irinde kunywa itabi n'inzoga
Ubushakashatsi bwerekanye ko ibyago byo kurwara kanseri yo mu bwoko bwa kanseri ya esofagusi biri hasi ku bantu badakoresha itabi n'inzoga.
2. Chemoprevention hamwe nibiyobyabwenge bitarwanya umubiri
Chemoprevention ni ugukoresha ibiyobyabwenge, vitamine, cyangwa izindi miti kugirango ugerageze kugabanya ibyago bya kanseri.Imiti igabanya ubukana (NSAIDs) irimo aspirine nindi miti igabanya kubyimba no kubabara.
Ubushakashatsi bumwe bwerekanye ko gukoresha NSAIDs bishobora kugabanya ibyago byo kurwara kanseri yo mu bwoko bwa kanseri ya esofagus.Nyamara, gukoresha NSAIDs byongera ibyago byo kurwara umutima, kunanirwa k'umutima, inkorora, kuva amaraso mu gifu no mu mara, no kwangirika kw'impyiko.
Impamvu zikurikira zishobora kongera ibyago bya adenocarcinoma ya esofagusi:
1. Gastricike
Adenocarcinoma ya esofagus ifitanye isano cyane n'indwara ya gastroesophageal reflux (GERD), cyane cyane iyo GERD imara igihe kirekire kandi ibimenyetso bikabije bibaho buri munsi.GERD nuburyo ibintu biri mu gifu, harimo aside igifu, byinjira mu gice cyo hepfo ya esofagusi.Ibi birakaza imbere muri esofagusi, kandi igihe kirenze, bishobora kugira ingaruka ku ngirabuzimafatizo ziri mu gice cyo hepfo ya esofagusi.Iyi miterere yitwa Barrett esophagus.Igihe kirenze, selile zanduye zisimbuzwa selile zidasanzwe, zishobora guhinduka adenocarcinoma ya esofagus.Umubyibuho ukabije ufatanije na GERD urashobora kurushaho kongera ibyago bya adenocarcinoma ya esofagus.
Gukoresha imiti iruhura imitsi ya sphincter yo hepfo ya esofagus irashobora kongera amahirwe yo kwandura GERD.Iyo imitsi yo hepfo ya sphincter yoroheje, aside igifu irashobora gutembera mugice cyo hepfo ya esofagusi.
Ntabwo bizwi niba kubaga cyangwa ubundi buvuzi bwo guhagarika igifu bigabanya ibyago byo kurwara adenocarcinoma ya esofagus.Igeragezwa rya Clinical ririmo gukorwa kugirango harebwe niba kubagwa cyangwa kwivuza bishobora gukumira Barrett esophagus.
Ibintu bikurikira birinda bishobora kugabanya ibyago bya adenocarcinoma ya esofagus:
1. Imiti igabanya ubukana hamwe n'imiti igabanya ubukana
Chemoprevention ni ugukoresha ibiyobyabwenge, vitamine, cyangwa izindi miti kugirango ugerageze kugabanya ibyago bya kanseri.Imiti igabanya ubukana (NSAIDs) irimo aspirine nindi miti igabanya kubyimba no kubabara.
Ubushakashatsi bumwe bwerekanye ko gukoresha NSAIDs bishobora kugabanya ibyago byo kurwara adenocarcinoma ya esofagus.Nyamara, gukoresha NSAIDs byongera ibyago byo kurwara umutima, kunanirwa k'umutima, inkorora, kuva amaraso mu gifu no mu mara, no kwangirika kw'impyiko.
2. Gukuraho radiofrequency ya esofagus
Abarwayi bafite Barrett esophagus bafite selile zidasanzwe muri esofagus yo hepfo barashobora kuvurwa hamwe no gukuraho radiofrequency.Ubu buryo bukoresha umurongo wa radiyo kugirango ushushe kandi usenye selile zidasanzwe, zishobora kuba kanseri.Ingaruka zo gukoresha gukuraho radiofrequency zirimo kugabanya esofagus no kuva amaraso muri esofagusi, igifu, cyangwa amara.
Ubushakashatsi bumwe bwakozwe ku barwayi bafite Barrett esophagus na selile zidasanzwe muri esofagusi bagereranije abarwayi bahawe imiti ya radiofrequency n’abarwayi batayifite.Abarwayi bahawe gukuraho radiofrequency ntibakunze gufatwa na kanseri yo mu nda.Harakenewe ubushakashatsi bwinshi kugirango umenye niba gukuraho radiofrequency kugabanya ibyago byo kwandura adenocarcinoma ya esofagus ku barwayi bafite ibi bibazo.
Inkomoko:http://www.chinancpcn.org.cn/cancerMedicineClassic/guideDetail?sId=CDR62888&ubwoko = 1
Igihe cyo kohereza: Nzeri-04-2023