Chithandizo cha matenda a khansa ya rectum mu zipatala Israel

khansa Colorectal ndi wachitatu ambiri khansa lonse ndi wachiwiri ambiri chifukwa cha imfa khansa amuna ndi wachitatu ambiri chifukwa cha khansa imfa akazi.

khansa thumbo amagwira amuna ndi akazi mofanana, ndipo ndi khansa kwambiri, ngozi ya chitukuko kumawonjezera ndi zaka. Mwamwayi, zochitika ndi imfa kwa mtundu wa khansa yafupika kwa 1985, chifukwa cha njira bwino zopewera, kuyezetsa magazi, matenda oyambirira ndi mankhwala zambiri. Mosiyana ndi khansa zina zambiri, nthawi zambiri a khansa ya m'matumbo akuganiziridwa kuti chichokera chosaopsa "precursors" tizilombo ting'onoting'ono, ngati saisama-, akhoza patsogolo pa nthawi, ndi kukhala ndi kansa yotupa. M'manja a dokotala wodziwa kwambiri kuposa 95% awa ndi tizilombo ting'onoting'ono precancerous (adenomas) angathe kuonedwa pa siteji oyambirira ndi kuchotsedwa pa colonoscopy ndi, mogwira kuteteza chitukuko cha matenda a khansa ku kuchotsa tizilombo ting'onoting'ono.

Chithandizo cha matenda a khansa ya rectum ku Israel

Pakuti ambiri odwala ndi khansa colorectal mankhwala chachikulu ndi opaleshoni. Nthawi zambiri, kuchotsedwa mbali ya m'matumbo kapena rectum, pamodzi ndi oyandikana mwanabele, lomwe kale akukonza khansa. Ambiri odwala, wonenepa kapena rectum akhonza chikugwirizana pa ntchito, n'kupeŵa kufunika yaikulu ndi. Yaikulu sukhalitsa kapena okhazikika, akadali zina pamafunika odwala amene ankapatsidwa khansa patsogolo colorectal.

Mbiri yakale, odwala khansa colorectal kuti wakafika chiwindi ndi ziwalo zina za dongosolo m'mimba (ie, metastatic khansa), nthawi zambiri osati anatumiza opaleshoni. Komabe, ngakhale odwala metastatic khansa colorectal kuti kuwonjezeka moyo wautali anapereka mankhwala amphamvu, mtundu wa mankhwala, zomwe zasonyeza patsogolo kwambiri Mwachangu. Ambiri odwala awa panopa wokhala monga ofuna kuchotsa opaleshoni ya khansa ya m'matumbo isanayambe kapena itatha mankhwala amphamvu. Komanso, nthawi zambiri a khansa amene metastasized kwa chiwindi, mapapo ndi ziwalo zina, tsopano bwino mankhwala osakaniza osiyanasiyana opaleshoni, njira chotupa ablation (mwachitsanzo, radiofrequency ablation), cheza mankhwala ndi mankhwala amphamvu. njira zonse izi angapatsidwe mu bwino boma ndi oziyimila paokha malo zachipatala Israel.

luso lina posachedwapa mankhwalawa opaleshoni khansa thumbo ndi ntchito njira asang'ambe kuchita chimodzimodzi opaleshoni khansa monga kale, koma ntchito njira zamakono opaleshoni, amene kusiya mabala pang'ono ndi kuchepetsa postoperative kuchira nthawi, pamene kupereka khalidwe abwino a moyo. Ntchito laparoscopic patsogolo ndi luso robotic mphuno mankhwala a khansa thumbo kwachititsa kwambiri mofulumira ayambe thanzi odwala pambuyo opaleshoni, poyerekeza ndi njira muyezo opaleshoni ya chithandizo, ndipo anatsimikizira kuti n'zosatheka zisadzachitikenso khansa. Kwa odwala matenda a kansa colorectal pa siteji isanafike opaleshoni ntchito timapangira cholinga mankhwala amphamvu ndi cheza mankhwala osakaniza mwaluso bwino opaleshoni (mwachitsanzo, okwana mesorectal excision) kuti kuchepetsa kufunika yaikulu okhazikika, ndi chiopsezo zisadzachitikenso wa khansara mu chophukacho kale kuchotsedwa .

Pa zaka zapitazi 10 wakhala patsogolo kwambiri pa matenda a khansa thumbo, ndipo posachedwapa tiyenera kuyembekezera kutulukira zinthu zatsopano. Pali ambiri kupitirirabe maphunziro matenda mayeso odwala khansa thumbo, ndi mayesero awa gwero la chiyembekezo chachikulu kwa kusintha zina mu utali ndi khalidwe la moyo odwala ndi khansa colorectal.