Umhlaza wesisu

Umhlaza wesisu ngumhlaza oqala esiswini.

Iindidi ezininzi zomhlaza zinokwenzeka esiswini. Uhlobo oluqhelekileyo lubizwa ngokuba yi-adenocarcinoma. Iqala kolunye lweentlobo zeeseli ezifumaneka kwimigca yesisu.

I-Adenocarcinoma ngumhlaza oqhelekileyo wokugaya ukutya. Akuqhelekanga kakhulu eUnited States. Kufunyaniswa kaninzi kubantu abakwimpuma yeAsia, iinxalenye zoMzantsi Merika, nakwimpuma nakumbindi weYurophu. Kwenzeka rhoqo kumadoda angaphezu kweminyaka engama-40.

Inani labantu eUnited States abaphuhlisa lo mhlaza lehlile kwiminyaka. Iingcali zicinga ukuba oku kuncipha kunokuba yinxalenye kuba abantu batya ukutya okunetyiwa kancinci, okunyangiweyo kunye nokutshaya.

Kungenzeka ukuba ufumane umhlaza wesisu ukuba:

• Yiba nokutya okuncinci kwiziqhamo kunye nemifuno
• Unembali yosapho yomhlaza wesisu
• Unesifo esiswini ngesifo esibizwa ngokuba yi-bacteria Helicobacter pylori (H pylori)
• Ubunepolyp (ukukhula okungaqhelekanga) okukhulu kuneesentimitha ezi-2 esiswini sakho
• Unokudumba nokudumba kwesisu ixesha elide (i-atrophic gastritis)
• Unayo i-anemia eyingozi (inani eliphantsi leeseli ezibomvu zegazi ezivela kumathumbu angathathi ngokufanelekileyo ivithamini B12)
• Umsi

Iimpawu zomhlaza wesisu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ukugcwala kwamathumbu okanye iintlungu, ezinokuthi zenzeke emva kwesidlo esincinci
• Izitulo ezimnyama
• Kunzima ukugwinya, okuba kubi ngokuhamba kwexesha
• Ukubhinca kakhulu
• Ukwehla ngokubanzi kwezempilo
• Ukuphelelwa ngumdla wokutya
• Isicaphucaphu
• Ukuphalaza igazi
• Ubuthathaka okanye ukudinwa
• Ukuhla ukusinda

Ukuxilongwa kuhlala kulibaziseka kuba iimpawu zingenzeki kwinqanaba lokuqala lesi sifo. Kwaye uninzi lweempawu alukhombisi ngokuthe ngqo kumhlaza wesisu. Ke, abantu bahlala bezinyanga iimpawu zomhlaza wesisu ofanayo nezinye, ezingabalulekanga kangako, ukuphazamiseka (ukuqunjelwa, igesi, ukubola kwentliziyo kunye nokuzala).

Uvavanyo olunokunceda ekuchongeni umhlaza wesisu kubandakanya:

• Gcwalisa ubalo lwegazi (CBC) ukujonga i-anemia.
• I-Esophagogastroduodenoscopy (EGD) ene-biopsy yokuvavanya izicwili zesisu. I-EGD ibandakanya ukubeka ikhamera encinci ezantsi (umlo wokutya) ukujonga ngaphakathi esiswini.
• Uvavanyo lwelindle ukukhangela igazi kwilindle.

Utyando lokususa isisu (gastrectomy) lunyango olusemgangathweni olunokunyanga i-adenocarcinoma yesisu. Unyango lwe-radiation kunye ne-chemotherapy lunokunceda. I-Chemotherapy kunye nonyango lwe-radiation emva kotyando zinokuphucula ithuba lokunyanga.

Kubantu abangenakho ukwenza utyando, i-chemotherapy okanye i-radiation inokuphucula iimpawu kwaye inokongeza ixesha lokuphila, kodwa ayinakuwunyanga umhlaza. Kwabanye abantu, inkqubo yokudlula ngotyando inokunciphisa iimpawu.

Ungaluphelisa uxinzelelo lokugula ngokujoyina iqela lokuxhasa umhlaza. Ukwabelana nabanye abanamava afanayo kunye neengxaki kunokukunceda ungaziva ulilolo.

Umbono uyahluka ngokuxhomekeka ekubeni umhlaza sele usasazeke kangakanani ngexesha lokuchongwa. Amathumba esiswini esisezantsi aphiliswa rhoqo kunalawo esiswini esiphezulu. Ithuba lokunyanga lixhomekeke ekubeni lide kangakanani na ithumba ukuba lingene eludongeni lwesisu kwaye ingaba ii-lymph node ziyabandakanyeka na.

Xa ithumba lisasazekile ngaphandle kwesisu, unyango alufane lubekho. Xa unyango lungenakwenzeka, injongo yonyango kukuphucula iimpawu kunye nokwandisa ubomi.

Fowunela umboneleli wakho wezempilo ukuba iimpawu zomhlaza wesisu ziyavela.

Iinkqubo zovavanyo ziphumelele ekufumaneni isifo kumanqanaba okuqala kwiindawo zehlabathi apho umngcipheko womhlaza wesisu uphezulu kakhulu kunaseMelika. Ixabiso lokuvavanywa e-United States nakwamanye amazwe anamaqondo asezantsi kakhulu omhlaza wesisu awacaci.

Oku kulandelayo kunokunceda ukunciphisa umngcipheko womhlaza wesisu:

• Musa ukutshaya.
• Gcina ukutya okusempilweni okunotye iziqhamo kunye nemifuno.
• Thatha amayeza ukunyanga isifo se-Reflux (isitshisa), ukuba unayo.
• Thatha amayeza okubulala iintsholongwane ukuba ufunyaniswe unawo H pylori usulelo.

Umhlaza - isisu; Umhlaza wesisu; Umdlavuza wesisu; Adenocarcinoma esiswini

• Inkqubo yokwetyisa
• Umhlaza wesisu, i-x-ray
• Isisu
• Gastrectomy - uthotho

I-Abrams JA, iQuante M.Adenocarcinoma yesisu kunye nezinye izicubu zesisu. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 54.

UGunderson LL, uDonohue JH, uAlberts SR, uAshman JB, uJaroszewski DE. Umhlaza wesisu kunye nokudibana kwegastroesophageal. Ku: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, ii-eds. I-Oncology yeklinikhi yase-Abeloff. Umhla we-5. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 75.

Kwiwebhusayithi yeZiko loMhlaza weSizwe. Unyango lomhlaza wesisu (PDQ) -uhlobo lobungcali kwezempilo. www.cancer.gov/types/stomach/hp/stomach-kunyanga-pdq. Ukuhlaziywa kuka-Agasti 17, 2018. Ifikeleleke ngoNovemba 12, 2018.