Kukula kwa khansa yoyipa kumayambira m'maselo osasangalatsa. Matendawa amatha kukhudza chiwalo chilichonse, chifukwa mitsempha imakhudzanso ziphuphu zina. Adenocarcinoma ya rectum imapezeka kwambiri kwa anthu okalamba kuposa zaka makumi asanu. Zomwe zimayambitsa matenda ndi kusowa kwa zakudya m'thupi, zizoloƔezi zoipa ndi matenda a papillomavirus .
Mitundu ya matenda
Kupezeka kwa izi kapena zida zina zothandizira zidzatithandiza kuti tiwone kukula kwa matendawa. Pambuyo pake, pogwiritsa ntchito izi, dokotala adzapereka chithandizo choyenera.
Malingana ndi kusiyana kwake, mitundu iyi ya matenda ndi yosiyana:
- Ochepa adenocarcinoma a rectum. Zimakhala zovuta kunena kuti minofu yeniyeni, pamene chotupa cha rectum chiri ndi vuto lalikulu kwambiri, likuphatikiza ndi metastases ndipo imadziwika ndi chiwonetsero chokhumudwitsa.
- Amasiyanitsa kwambiri adenocarcinoma ya rectum. Fomu iyi ndi chotupa, zomwe zimakhala zovuta kugwirizanitsa ndi tizirombo ta rectum, choncho matendawa ndi ovuta kupanga.
- Amasiyanitsa kwambiri adenocarcinoma ya rectum. Maselo amtundu ndi mapangidwe awo amafanana ndi timagulu ta tizilombo ta rectum. Izi zimakuthandizani kuti muzindikire mwamsanga matendawa, zomwe zimapangitsa kuti mutha kuchira.
- Khansara yosagwiritsidwa ntchito. Fomu iyi imadziwika ndi kuwonjezeka kwa maphunziro ndi zovuta kuchipatala.
Kuchiza kwa rectal adenocarcinoma
Njira yaikulu ya chithandizo ndi opaleshoni yopititsa patsogolo. Komabe, n'zotheka ndi kuvomereza kwa wodwalayo. Panthawi ya opaleshoni, chotupachochocho chimachotsedwa ndipo zida zapafupi zili pafupi.
Koma nthawi zambiri amagwiritsa ntchito mankhwala osokoneza bongo, omwe amachititsa kuti chiwombankhanga chitengeke (kuti chichepetse) ndi kuchotseratu. Kuchepa kwa kuchepa kwapindula ndi kuyalitsidwa kwa wailesi,
Kuthamangira kwa rectal adenocarcinoma
Kupambana kwa chithandizo kumadalira siteji ya matenda. Kupulumuka zaka zisanu kumakhala odwala 90%. Pamayendedwe apamwamba ndi kukhalapo kwa metastases mu ma lymph nodes, theka la odwala amakhala ndi moyo pambuyo pa zaka zisanu. Pambuyo pa kuikidwa kwa opaleshoniyi, odwala ayenera kuyang'anitsitsa nthawi zonse kuti azindikire kubwerera m'mbuyo ndi ma metastasis m'kupita kwanthawi.
Ndi kuzindikira koyenera kwa kubwerezabwereza kachiwiri, opaleshoni ikhoza kuchitidwa mwa odwala 34%, chifukwa ena onse ali ndi mwayi wopulumuka. Choncho, mankhwala okhaokha ndi ma radidiyo angathe kuuzidwa.