Kormeerida iyo Qaadidda Dadka ee Khatarta Dhexdhexaadinta iyo Kororka
Sannado kasta, xeerarka baaritaanka kansarka mindhicirka ayaa la cusbooneysiiyaa iyadoo lagu saleynayo caddaynta sayniska, fursadaha imtixaanka cusub, helitaanka, iyo kartida dhaqaale. Tilmaamaha cusub, oo ay soo saareen College College of Gastroenterology, waxay u qaybiyeen habab baaritaan ah laba qaybood: Ka hortagga kansarka iyo ogaanshaha kansarka.
Tijaabooyinka Ka Hortagga Kansarka
Baadhitaanada baaritaanka ka hortagga kansarka mindhicirka waxay bartilmaameed u tahay in ay uur-ku- beddelaan xiidanka ka hor inta aysan kansarka kudhicin.
Qofka caadiga ah, waxay qaadan kartaa inta u dhaxaysa 10 ilaa 20 sanno ee unugyada si loogu beddelo buro yar ama adenoma oo loo yaqaan adenocarcinoma, oo ah nooca ugu badan ee kansarka mindhicirka.
Baaritaanada baaritaanka joogtada ah ee baaritaanka gumaarka iyo ka-saarista miisaan-yada (non-cancerous) ayaa yarayn kara halista noloshaada ee ku dhici karta kansarka mindhicirka illaa 80 boqolkiiba, sida laga soo xigtay Ururka Cancer Society. Baaritaannada joogtada ah ee ka hortagga kansarka mindhicirka waxaa ka mid ah:
- Kolonoscopy
- Kondomoscopy oo lagu xereeyey (colonoscopy virtual)
- Sigmoidoscopy oo sahlan
- Labo barbaariye barium enema (DCBE)
Cadaadiska Khatarta Cadaadiska
Dadka intiisa badani waxay ku dhacaan heerka celceliska heerka halista baaritaanka ka hortagga kansarku waxaana lagu dhiirigelinayaa inay bilaabaan baaritaanka da'da 50 (ama 45 haddii aad tahay Afrikaan Maraykan ah). Waxaa laguugu calaamadiyay inaad leedahay halis dhexdhexaad ah oo lagu soo saaro kansarka mindhicirka:
- Haddii aadan haysan qaraabo koowaad ah oo qaba kansarka mindhicirka (haddii aad sameyso, waa in lagu ogaadaa kansarka mindhicirka ka dib da'da 60 ama waxaad ku jirtaa qaybta halista ah).
- Haddii aanad sigaar cabin ama cabin.
- Haddii aadan haysan taariikh taariikhda shakhsiga ah ee kansarka, kansarka mindhicirka, ama burooyinka.
- Haddii aadan haysan shuruudo hidde ah oo kugula kicin kara kansarka mindhicirka (Peutz-Jeghers, Polyposis familial adenomatous polyposis, ciladda unugyada noninolyposis syndrome).
- Haddii aadan haysanin ulcerative colitis, cudurka Crohn, ama xaalad mindhicir barar ah.
Ugu dambeyntii, da'da aad bilaabi lahayd baaritaanka kansarka mindhicirka laguma dejiyo dhagax. Dhakhtarkaagu wuxuu isticmaalaa tilmaamahan sida sheyga tixraaca laakiin wuxuu ku dhiiri galin karaa tijaabada hore haddii aad leedahay calaamadaha kansarka mindhicirka ama xanuunada kale ee caloosha.
Qofka khatarta celcelis ahaan, hababka baaritaanka baaritaanka waa in ay raacaan jadwalkan, haddii aan la ogaanin xaalad aan caadi ahayn:
- Kolonoscopy-10kii sanoba mar
- Kondomoscopy computed tomography (colonoscopy virtual) - shan sano jir ah sida baaritaan kale oo loo sameeyo baarista baarista colonoscopy
- Sigmoidoscopy-sahlan - shantii sanaba mar ahaanteed bedelka baarista walamadka
- 5-sano oo is-barbardhac ah barium enema (DCBE)
Haddii baaritaan kasta oo aan ahayn baarista walamadka (colonoscopy) uu yahay mid aan caadi ahayn, waxaad weli u baahan tahay baarista walamadka si loo xaqiijiyo natiijooyinkaas (oo laga yaabo inay soo saaraan burooyin ama koritaan yar, haddii loo baahdo).
Kordhin ama Baadhis Khatar ah
Haddii aad ku jirtid khatar sare ama khatar aad u sareysa ee lagu soo saaro kansarka mindhicirka, baaritaannada baaritaankaaga ayaa dhacaya marar badan. Kala hadal dhakhtarkaaga si aad u ogaatid in caymiskaaga daboolayo baaritaanka , maadaama shirkadaha qaar ay u baahan yihiin caddaynta xaaladdaada kordheysa ama qatarta sare leh (sida natiijooyinka baaritaanka hidda).
Inkasta oo lagu go'aamiyo kiis-kaba-takhtarkaaga, waxaad ku jiri kartaa qaybta khatarta ama halista sare leh:
- Haddii aad leedahay qaraabo koowaad (ama laba qaraabo oo labaad ah) oo qaba kansarka mindhicirka lagu ogaado ka hor da'da 60 jirka.
- Haddii aad leedahay taariikh kansar ah.
- Haddii aad qabtid taariikhda polyps.
- Haddii adiga ama qaraabadaada heerka koowaad ah ay qabaan Peutz-Jeghers, Polyposis adenomatous familial, cirbadeynta maqaar la'aanta, ama calaamadaha kale ee kansarka mindhicirka.
- Haddii aad qabtid colitis, Crohn's disease, ama xaalad kale oo caloosha ah.
Tilmaamaha baaritaanka ee shakhsiyaadka khatarta sare leh iyo kuwa aadka u sarreeya way kala duwan yihiin sida waafaqsan waxa ay u dhigtay qaybtaas - taariikhda shakhsiyeed ee kansarka mindhicirka, polyps, calaamadaha hidde-ahaantaada kansarka, ama khatarta qoysaska kordhaya.
- Dadka qaba taariikhda qoyska ee kansarka mindhicirka , baaritaannada baaritaanka waa inay bilaabaan da'da 40 ama 10 sano kahor kiiska ugu yar ee cudurka kansarka ee qoyskaaga. Tusaale ahaan, haddii hooyadaada laga helay cudurka kansarka 45 jir, waa inaad farsamo ahaan u bilaabataa baaritaanka 35 jirka. Dhakhtarkaagu wuxuu dhiirigelin karaa baarista walamadka shan sanno marba, taas oo ku xidhan awooda qoyskaaga.
- Haddii aad leedahay taariikh shakhsi ah ee burooyinka xiniinyaha ee baarista hore (laakiin aan kansar ahayn), inta jeer ee baaritaankaagu wuxuu ku xiran yahay lambarka iyo noocyada burooyinka la helay iyo laga saaray. Tusaale ahaan, haddii aad haysato hal ama laba yar oo adenomas ah , waxaad ubaahan tahay inaad u baahato baarista walamadka shan illaa 10 sano kaddib marka lagaa saaro. Si kastaba ha noqotee, haddii lagaa saaro 10 ama wax ka badan polyps, waxaad u baahan kartaa colonoscopy saddexdii sanoba mar iyo dhakhtarkaagu wuxuu ku dhiirri-galin karaa baaritaanka hidde-wadaha ee cudurka kansarka mindhicirka.
- Haddii aad leedahay taariikh qaas ah ee kansarka mindhicirka , caadadaada baaritaanka waxay ku xiran tahay marxaladda iyo darajadaada kansarkaaga iyo habka loo isticmaalo in laga saaro ( qalitaanka iyo baarista walamadka). Imtixaankaaga baaritaanka wuxuu noqon karaa mid joogto ah lixdii bilood ama saddexda sanoba, taas oo kuxiran arrimahan, caafimaadkaaga, iyo soo jeedinta dhakhtarkaaga.
- Dadka qaba calaamadaha caabuqa ee caabuqa waxay u baahnaan karaan baaritaanno badan oo baaritaanka baaritaanka gala, laakiin kaliya haddii mindhicirka weyni ku lug yeesho. Dhakhtarkaagu wuxuu kuu soo jeedin doonaa talooyin qaas ah, oo ku saleysan horumarka cudurkaaga mindhicirkaaga.
- Haddii aad haysato (ama taariikhda qoyskaaga) ee cudurka kansarka mindhicirka (genetic) , baaritaankaaga ayaa laga yaabaa inuu bilaabo da 'da da' da'diisu tahay 12. Xanuunada sigmokoosiyada ee sanadlaha ah ayaa lagu dhiirigelinayaa inay bilaabaan da'da 12 dadka qaba cilladda polyposis adenomatous familial. Haddii aad qabtid hidde-xinjirowga aan caadiga ahayn ee kansarka mindhicirka (HNPCC ama Lynch Syndrome), baaritaannada baaritaanka waxay bilaabi karaan bilowga da'da 20, oo leh baaris joogta ah oo midkiiba laba ilaa laba sano ah.
Xilligan, ma jiraan talooyin rasmi ah oo loogu talagalay dadka cayilan, qiiqa, ama khamriga si aad ah u cabba. Si kastaba ha noqotee, waxaa lagu dhiirigelinayaa inay tixgeliyaan imtixaannada baaritaanka ka bilawda dadka yar-yar ee celceliska halista, si ay u bilaabaan da'da 45 sano.
Tijaabooyinka Kansarka Kansarka
Baaritaannada saxarada ayaa loogu talagalay in lagu ogaado kansarka marka ay joogaan, aysan ka hortagin ama horay u qabsan. Waxaa jira laba nooc oo tijaabo ah oo tijaabo ah oo lagu baaro dhiigga saxarada ee baaritaanka iyo baaritaanada baarista unugyada kansarka leh ee saxarada (baaritaanka DNA).
Imtixaanadaan waxaa badanaa lagu dhameeyaa guriga, adoo isticmaalaya xirmo ururin dhawr maalmood. Dhakhtarkaagu wuxuu ku siin doonaa tilmaamo gaar ah kahor baaritaan kasta, oo ay ku jiraan ururinta iyo soo celinta tilmaamaha shaybaarka.
Baaritaanka saxarada waa in la dhammaystiraa sannad kasta, ka dib markaad 50 sano jir tahay oo loogu talagalay dadka celceliska halista sare leh:
- Imtixaanka dhiigga ee saxarada ee Fecal (FOBT) - sanadka oo dhan
- Imtixaanka difaaca jirka ee fecal (FIT) - sanadka
- Baaritaanka DNA-saddexdii sanoba mar
Ilaha:
Society Cancer Society. Tilmaamaha dhammaystiran ee Ururka Kansarka Maraykanka ee Cancer Cancer . Clifton Fields, NE: Bulshada Mareykanka ee Kansarka.
Society Cancer Society. (nd). Kansarka hore ee Cancer Cancer.
Society Cancer Society. (nd). Talooyinka Maraykanka ee Cancer Cancer Advice for Early Detection Cancer.
Rex, DK, Johnson, DA, Anderson, JC, et al. (Febraayo 2009). American College of Gastroenterology Tilmaamaha Kormeerka Kansarka Xiidanka.