Chirwere chepamuviri chirwere chinowanzosvika pachiedza pamatanho ekupedzisira, iyo inonyengera. Zvakakosha kunzwisisa kuti izvi zvinoratidzika sei, kuti munhu angakanganise sei kubudirira kwayo, kuitira kudzivirira zvinetso zvakakomba munguva.
Zvinokonzera mutsara wemuviri
Sayenzi yezvechiremba haisati yanyatsoziva kuti zvii mumutumbi ndizvo zvinogadzirisa nzira yekuumbwa kwechirwere chakaipa mumatumbo emukati. Muchiitiko ichi, zvimwe zvinhu zvinoratidzika, pakuvapo kweimwe kana kupfuura iyo inowanzoita nezvemapurisa inowanzoitika mumatambudziko akawanda:
- zvirwere zvinokonzera kupisa uye zvinokonzerwa nehutachiona hwehutachiona, hunofungidzirwa kuva prepubescent (polyps, adenoma, zvipembenene zvekuonda, kuora, chirwere cheCrohn, chirwere chechiliac , nezvimwewo);
- kudya kusina kunaka (kuwandisa mune menyu yakabikwa, mafuta, peppery, kusvuta ndiro, kunyanya nyama, kushandiswa kwakakwana kwemiti yemiti, nezvimwewo);
- kunwisa doro;
- kusvuta;
- chronic constipation ;
- kuvhara kwecarcinogens mumuviri nechikafu;
- overweight;
- kushaya motokari;
- genetic predisposition (kana hama dzepedyo dzaiongororwa dziine chirwere chemukaka, kunyanya pazera remakore makumi mashanu).
Ko kenza yemukati inoratidzika sei?
Zviratidzo zvemuviri wemuviri, zviratidzo zvokutanga zvechirwere ichi hazvikoshi uye hazvina maturo, zvinowanzoyeuchidza zvimwe zvirwere zvizhinji zvekugadzirisa chirwere. Mukurapa, zviratidzo zvemukati wekenza zvinokonzerwa kuva syndromes zvakasiyana uye zvinotevera zviratidzo zvikuru:
1. Toxico-anemic, inobatanidzwa nekuputsa kwehutano hwemuviri mucosa uye kupindira kwehupfu hunobva mumuviri kusvika muhutano hwehuwandu hwese:
- kuneta zvakaneta;
- kushaya simba;
- kurwadziwa mumusoro;
- kurwadziwa muzvibatanidzwa;
- kuchinja mumoyo uye rwiyo rwekupumha;
- kuwedzera kuduku kwekushisa kwemuviri;
- kuderedza hemoglobin muropa .
2. Inocolitis, inokonzerwa nekuputira maitiro mumutsipa:
- kuvhara kana kubatwa;
- kurwadziwa mumimba mushure mekudya;
- kuvapo kwezvinhu zvisina kuchena mumvura zvinosvibiswa, ropa kana muce;
- flatulence.
3. Dyspeptic, inobatanidza nehutachiona hwemukumbo uye masiteriasisitiri muropa:
- kushungurudza, kurutsa;
- nzira, inozivikanwa nekunhuhwirira kunofadza;
- kurwadza kwepamuviri;
- stool disorders.
4. Kuvhara, kwakataurwa panguva yemasitasisiti uye kuumbwa kwezvokuvhiringidza mumakumbo munzvimbo yacho:
- kugara kunzwa kusuruvara mukati mamuviri;
- kurwadziwa mumimba mushure mekudya;
- kuvhara kwenguva refu, umo mairasi asingabatsiri.
5. Pseudo-kuvhiringidza, kuonekwa pamasitasisita mumitemo iri kure:
- kurwadziwa kwakakomba mudumbu;
- flatulence;
- kuzvidzora;
- zvimedu zvine tsvina yakachena;
- Zviratidzo zvechirongwa chakakonzerwa nemasikirwo.
Chirwere chemuviri - zviratidzo mumatanho ekutanga
Chirwere chemuviri, izvo zviratidzo zvekutanga zvinoratidzwa zvishoma, zvinoitika nguva nenguva, saka havasati vatarisa murwere uye vanomanikidzwa kuenda kuna chiremba. Kuti urege kukanganisa kutanga kwekuvandudzwa kwehutachiona, zvakakosha kuterera kune zvinotevera zvinowanzoonekwa zviratidzo zvekenza yemuviri:
- tsvina mumukaka wemukumbo ine mavhepa eropa kana suppositories mucocutaneous;
- kurwadziwa mumuviri wemuviri kunowanikwa mukati mamuviri uye kunowanikwa muzasi pasi, perineum;
- kusanzwisiswa kusakwana, kuneta, kusava nenzara.
Kanzira yemukati huru - zviratidzo uye zviratidzo
Kana pane kenza yemukumbo mukuru, i.e. iyo tumarara inowanikwa mumadziro ecoloni, zvinotevera zvinogona kunge:
- zvibato zvakasununguka;
- kushuva kusingabatsiri kunopesana;
- kusuruvara kana kurwadziwa kunorwadza munzvimbo inonzi subcostal kurudyi kana kuruboshwe;
- bloating.
Kanzira yemukati muduku - zviratidzo uye kuratidzwa
Kanzira yemukati muduku inowanikwa yakawanda, kunyanya pakati pevakadzi. Muzhinji, hutachiona hunoonekwa muvatana vakwegura. Kanzira yemukati mutsva inoratidza zviratidzo zvinotevera:
- kurwadziwa kwepasita munharaunda yepigastric;
- kuramba kusuruvara;
- kurwadziwa mu anus panguva yekuzvidzivirira;
- kurutsa kazhinji.
Nhanho dzechirwere chemuviri
Mukubudirira kwechirwere chepachifu, nyanzvi dzinotsanangura zvikamu zvakasiyana-siyana zvinoratidzwa nekuwedzera kwezviratidzo zvezvirwere:
- 0 nhanho - kuonekwa mukati memukati mutsuko emukati kwemazana mashoma easypical cells anokurumidza kuparadzanisa uye anogona kuderera mumasero akaipa;
- Nhanho 1 - tumarara duku iri mumadziro emukumbo (mune mucous kana submucous layer), lymph nodes haibatanidzwi, hapana mastases;
- Chikamu chechipiri - neoplasm inosvika pakukura kwe 2 - 5 cm uye inobata zvose zvikamu zvemuviri mudumbu, mastasita hazvionekwi, lymph nodes iri pedyo inogona kuchinjwa;
- Chikamu chechitatu - chirwere chinouraya chinopfuura chikamu, chinotambudza nhengo dzomukati uye mishonga, kana kuti inobata chikamu chikuru chemukati wegumbo, ichikura mukati, mazamu emativi akapoteredza akabatwa;
- Chigadziko chechina - kenza yemukumbo inoratidzwa nemassetase ari kure (kazhinji muropa, mapapu), chiremara chikuru kwazvo.
Kuongororwa kwekenza yemuviri
Kana pane kusava nechokwadi kwemuviri wemukanana, an anamnesis inounganirwa, pamimba palpation uye kuongorora kwepamamiriro ezvinhu emamiriro ezvinhu ehutori. Aya ndiwo maitiro ekutanga ekuongororwa anowanikwa kare kune kubvumirwa kwekutanga kwechiremba. Mushure meizvi, murwere anogamuchira kutumira kune dzimwe dzedzidzo dzinotevera:
- sigmoidoscopy ;
- rectoscopy;
- colonoscopy ;
- Irrigoscopy ;
- Ultrasound ye mimba cavity;
- kombiyuta uye magnetic resonance imaging nhengo dzekudya;
- fibrocolonoscopy;
- fluoroscopy yedumbu cavity uye chiropa;
- Laparoscopy.
Mukuwedzera, zvichave zvakakosha kuitisa kuongororwa ropa kwechirwere chepamuviri, kusanganisira sampuki dzekenza zviratidzo (nokuda kwekenza masero muropa) nekudzidza zvidzoro zvekuvapo kwemazizi eropa. Kana chirwere chacho chichinyatsogadziriswa kuti chigadzirise danga rechirwere uye kusarudzwa kwemaitiro ehutano, bhiopsy yemukati mishonga inoitwa, inoteverwa ne histological uye cytological examination.
Kurapa kwechirwere chepamuviri
Kubvunza nezvekurapa mucheche wekenza, murwere, kutanga, zvose, anofanira kuronga kurwisana nechirwere ichi uye atenda mukubudirira. Chikonzero chekurapa ndiko kushandiswa kwekuvhiya kubvisa tumarara yekenza inotevera chemotherapy kana radiotherapy. Mune zvisingagoneki neoplasms, apo bundu racho rakura chaizvo uye rakabata maviri uye zvikamu zviri pedyo, kurapwa kwechiratidzo kunorayirwa kunatsiridza chirwere chemurwere uye chemotherapy kuti kuderedze ukuru hwemasastasis.
Chemotherapy yemukenza wemuviri
Tichifunga nezvekurapa mucheche wemukati mune imwe neimwe yakadaro, chiremba anofunga nezvezvinhu zvakasiyana-siyana: chiyero chekuvhiringidzika uye metastasis, nguva yemurwere, zvirwere zvinokonzera, etc. Kemotherapy inowanzoitwa vasati vasvika kana mushure mekuvhiyiwa, zvinodhaka zvinoshandiswa zvakanyanya zvakanyanya. Mushonga mukuru unoshandiswa 5-fluorouracil. Mukuwedzera, mamwe maitiro emishonga epaktostatic kana kusanganiswa kwayo anogona kunyorerwa: capecitabine, irinotecan, topotecan, nezvimwe. Dosages uye chemotherapy regimens dzakasiyana.
Kushanda mumuviri wemuviri
Kurapa kwechirwere kunosanganisira nzira yekuvhiya, yakadai sepamuviri resection - kubviswa kwechirwere pamwechete nechikamu chakakanganiswa chechirongwa. Dzimwe nguva pakufanana, kubviswa kwe-lymph nodes yakakonzereka yakakonzerwa nekenza masero, mafuta. Basa racho rinogona kuitwa nenzira yemaitiro, kana kuti kuburikidza nemapctures maduku mudumbu remuviri. Mukuwedzera, nokuda kwokubviswa, banga reroosurgic dzimwe nguva rinoshandiswa. Nekukura kwechirwere chemazana, kushandiswa kwekugumira kwechitendekari kunoshandiswa mune rectum.
Inofanira kunzwisiswa kuti hazvibviri mumatambudziko ose kunyatsotsanangura hukuru hweeoplasm uye chiyero chezviviri zvakabviswa. Mukuona kweizvi, kupindira kwakasiyana-siyana kunowanzodiwa. Mukuvapo kwechipiri foci, kubviswa kwavo kunoitwa kunoitwa. Kana zvirwere zvinokanganisa chiropa, cryotherapy kana kuti laser therapy dzimwe nguva inoitwa kuti ibvise tumarara tissue.
Zvokudya zvechirwere chemukoko
Kuvandudza kurwisana nechirwere chinotyisa, kumira kwekushanda kwemaitiro ekudya, kushandiswa kwezvokudya, kudya kwezvibereko, zvakakosha kururamisa kudya kwakakwana mumukondombera wemukati. Hazvirevi kungoita zvokudya chete, asiwo hurumende yekudya, mitemo yekudya kudya. Nokudaro, varwere vanoratidzwa kazhinji kechikamu chekudya pane imwe nguva zvenguva (2-3 maawa), zvakakwana, zvishoma nezvishoma kutsva kwezvokudya vasati vadya. Zvokudya zvinofanira kuva zvitsva, zvakagadzirirwa. Mukuwedzera, iwe unofanirwa kunwa mvura zhinji.
Zvokudya zvinotevera, zvakagadzirwa nenzira yekubikira, stewing, steam processing, zvinobatsira:
- mishonga yemvura;
- hove dzakasvibiswa nenyama;
- porridge;
- miriwo, michero, majiroji;
- mafuta akaoma-mukaka-mukaka;
- macaroni products kubva durum gorosi, nezvimwewo.
Contraindicated:
- mafuta ose, akabikwa, anoputa, anopisa;
- doro;
- matanda matsva;
- zvokudya zvekunamatira;
- pickling;
- coffee, cocoa, strong tea;
- chocolate;
- utachiona hwezvinhu zvinokonzerwa nemafuta;
- mukaka wose, nezvimwewo.
Kurapa kwemukati wekenza nemishonga yevanhu
Nzira yekurapa kanhiyo yekoloni nemishonga yevanhu, pane ruzivo rwakanyanya kubva kune vanozivikanwa zvikuru vemazhizha uye vateveri veimwe nzira yemishonga. Panguva imwe chete, asati aenderera mberi pakuchengetwa kwakadaro, munhu anofanira kuziva kuti kenza haigoni kukundwa chete nemishonga yevanhu. Nzira dzakadaro dzinogona kushandiswa chete sevabatsiri nemvumo yekuenda kuchipatara. Heano chimwe chezvokudya zvakagadziriswa kusimbisa hutachiona, kubvisa kuparadzaniswa kwemasero ekenza, kudzivirira kubatwa.
Kuporesa decoction
Zvisungo:
- Licorice midzi yakaoma yakaputsika - 1 tafura. spoon;
- mvura - 1 girazi.
Kugadzirira nekushandiswa:
- Dururirai zvinhu zvakasvibiswa nemvura yakatsva.
- Isa mubhadha yemvura kwechina cheawa.
- Tsungirirai kwemaminitsi makumi mana.
- Kushungurudzika, kunotonhora, wedzera mvura kumugumo wepakutanga wemvura.
- Tora kipuni maminitsi mashomanana usati wadya katatu pazuva.
Chirwere chemuviri - kufungidzira
Varwere vaifanira kunzwa kubva kuna chiremba vakadaro, vanofarira kuti vanorarama zvakadini nekenza yemukaka. Kunyatsopindura mubvunzo uyu haugoneki, nokuti. zvose zvinodaro pane zvimwe zvinhu uye kuwirirana kwemamiriro ezvinhu. Maererano nehuwandu, mushure mokunge mucheche wemukati wemugovera wekutanga wakaporeswa, makore mashanu ekupona kwehutano hwevarwere inenge 90%. Mukenza yemutsara wechipiri, chiratidzo chinoderera kusvika 55-80%, chechitatu - kusvika 50%, chechina - kusvika 1%. Muchiitiko ichi, mukana wekudzokazve kwevarwere mushure memakore mashanu mushure mekurapwa kwekenza yakaderera kusvika kusvika zero.