Ukuthuthukiswa komdlavuza wombala kuqala emangqamuzaneni amancane. Lesi sifo singathinta noma yiluphi uhlobo, ngoba izidakamizwa zithinta ezinye izicubu ezinobuthi. I-Adenocarcinoma ye-rectum ivame kakhulu kubantu abadala kuneminyaka engamashumi amahlanu. Izimbangela eziyinhloko zalesi sifo ukungondleki, imikhuba emibi nokutheleleka kwe-papillomavirus .
Izinhlobo zezifo
Ukuba khona kwalezi zinto noma ezinye izinto zokuhlonza kuzosisiza ukuba sihlaziye izinga lokuthuthukiswa kwesifo. Kamuva, ngesisekelo salokhu, udokotela uzohlinzekela ukwelashwa okufanele.
Kuncike ekuhlukaneni, lezi zinhlobo zesifo ziyahlukaniswa:
- I-adenocarcinoma ephansi ye-rectum. Kunzima ukufakazela ukuthi izicubu ezithile, kuyilapho isisu se-rectum sinesifo esiphezulu kakhulu, sihambisana nama-metastases futhi sibonakala ngokuphazamiseka okudumazayo.
- I-adenocarcinoma ehlukaniswa ngokulinganayo ye-rectum. Leli fomu liyisisu, izicubu zazo ezinzima ukuhambisana nezicubu ze-rectum, ngakho-ke ukuxilongwa kunzima ukwenza.
- I-adenocarcinoma ehlukanisiwe kakhulu ye-rectum. Amaseli amathumba nesakhiwo sawo afana nezicubu ezithintekayo ze-rectum. Lokhu kukuvumela ukuba uhlole ngokushesha lesi sifo, okwandisa amathuba okuthola kabusha.
- Umdlavuza ongabonakali. Leli fomu libhekene nokusabalala kwezemfundo nokuyinkimbinkimbi ekwelapheni.
Ukwelashwa kwe-adenocarcinoma yama-rectal
Indlela eyinhloko yokwelapha kungenela ukungenelela. Noma kunjalo, kungenzeka kuphela ngokuvuma kwesiguli. Ngesikhathi sokusebenza, i-tumor ngokwayo isusiwe futhi izicubu eziseduze ziseduze.
Kodwa ngokuvamile kuvame ukwelashwa okuyinkimbinkimbi, okubandakanya umthelela kwisisu (ukuze sinciphise) nokususwa okulandelayo. Ukunciphisa ngosayizi kutholakala nge-radiation irradiation,
Isibikezelo se-adenocarcinoma emaceleni
Impumelelo yokwelashwa incike esiteji sesifo. Ukusinda eminyakeni emihlanu kubonakala ngeziguli ezingama-90%. Esigabeni esithuthukile ngokutholakala kwemithambo ye-lymph nodes, isigamu seziguli kuphela sisinda ngemva kweminyaka emihlanu. Emva kokufakelwa kokuhlinzwa, iziguli kufanele zigcinwe njalo ukuze zibone ukuphindaphinda kanye nemetastasis ngesikhathi.
Ngokutholakala okufika ngesikhathi sokubuyela emuva, ukuhlinzwa kungenziwa kuphela kuma-34% weziguli, ngoba bonke abanye banethuba elibi lokusinda. Ngakho-ke, kuphela ukukhipha i- chemotherapy kanye ne-radiation irradiation.