Nei Ropa reMashiripiti Richikosha?

Gomarara remudumbu ndiro rimwe remakenza makuru anokonzera zvirwere nerufu pasi rose. Magomarara mazhinji emudumbu anotanga kukura zvishoma nezvishoma kubva kuma polyps asati aita kenza kwemakore akati wandei, zvichigadzira mukana unokosha wekuonekwa nekupindira nekukurumidza.

Chimwe chezviratidzo zvekutanga zvekunyevera ndechekutiropa retsvina (FOB)—ropa diki riri mutsvina risingaonekwe nemaziso. Kubuda ropa kwemashiripiti kunogona kukonzerwa nematambudziko akasiyana-siyana emudumbu, anosanganisira:

• · Mapundu emudumbu (Colorectal adenomas) nemapolyps
• · Gomarara remudumbu
• · Maronda emudumbu nedumbu
• · Chirwere chekuzvimba kwemudumbu
• · Mamwe maronda emudumbu

Nekuda kwekuti varwere vazhinji vanoramba vasina zviratidzo pakutanga, kuona ropa remashiripiti kwave chinhu chakakosha pakuongororwa kwegomarara remudumbu.

Mutoro Wepasi Pose weKenza yeColorectal

Zvinoenderana neSangano Renyika Dzepasi Pose reKutsvagisa nezveKenza (IARC) GLOBOCAN 2022)kenza yemudumbu iri panhamba yechitatu inonyanya kuonwa nekenza pasi rose uye ichiri chikonzero chechipiri chinowanzo konzera rufu kubva kukenza.

Nhau dzinokurudzira ndedzekuti kenza yemudumbu inogona kudzivirirwa uye kurapwa kana yaonekwa nekukasika. Chirwere chemudumbu chinorarama kwemakore mashanu chinodarika 90%, nepo chirwere chemudumbu chakapararira zvakanyanya chichibatanidzwa nemigumisiro yakaipa zvikuru. Saka kuongororwa nguva dzose kunoita basa rakakosha mukuderedza kuwanda kwechirwere cheCRC nekufa.

FIT: Nzira Inodiwa Yekuona Ropa Remashiripiti

Kare, kuongororwa kweropa retsvina kwaishandiswa pakushandisa nzira dzemakemikari dzinoshandisa guaiac (gFOBT), idzo dzinoona mashandiro ehemoglobin ane peroxidase. Zvisinei, bvunzo idzi dzinogona kukanganiswa nezvinhu zvekudya, mimwe mishonga, uye hemoglobin isiri yevanhu, zvichikonzera mhedzisiro yenhema.

Nhasi,Kuongororwa kweMatumbu eMumuviri (FIT)yave nzira inofarirwa yekuongorora kenza yemudumbu muzvirongwa zvakawanda zvenyika zvekuongorora kenza yemudumbu.

Zvichienzaniswa nemiedzo yemakemikari yechinyakare, FIT inopa zvakanakira zvakakosha zvakawanda:

• · Kunyanya kutsanangurwanekuona hemoglobin yemunhu ine ma antibodies e monoclonal
• · Hapana zvirambidzo pakudyausati waedzwa
• · Kuvandudzwa kwekutevedzera mitemo yemurwerenekuda kwekuunganidza mienzaniso kuri nyore
• · Kunzwa kwakanyanya kwekubuda ropa mudumbu, zvichiita kuti ishande zvakanyanya pakuongorora kenza yemudumbu

Mabhenefiti aya asimbisa FITsenzira yekutanga yekuongorora isingapindi muropanzira iyi munyika dzakawanda.

Zvinokurudzirwa Zvekuongorora Pasirose

Masangano makuru epasi rose anokurudzira kuongororwa kenza yemudumbu nguva nenguva kuvanhu vakuru vane njodzi huru.

• · USPSTFinokurudzira kuongorora vanhu vakuru vane makore ekuyarukaMakore 45–75, neFIT yegore negore seimwe yenzira dzinokurudzirwa dzekuongorora chirwere.
• · Sangano reAmerican Cancer (ACS)inokurudzirawo kutanga kuongororwa nguva dzose pamakore makumi mana nemashanu ekuberekwa.
• · Mitemo yekuEurope yekuongorora kenza yemudumbutsigira zvirongwa zvekuongorora zvakarongwa zveFIT, kazhinji makore maviri ega ega kune vakuru vane makore 50-74.

Pasinei nehurongwa hwekuongorora, vanhu vane mhedzisiro yakanaka yeFIT vanofanirwa kuongororwa colonoscopy kuti vaongororwe uye vasimbiswe maronda emudumbu.

Chii Chinoita Kuti Uve Nebvunzo Yepamusoro-soro yeFIT?

Pakusarudza bvunzo yeropa retsvina, nyanzvi dzehutano nevashandisi vanofanira kufunga nezvezvinhu zvakakosha zvinotevera:

• · Kunzwa kwakanyanya kwekuongorora kwekuona huwandu hwakaderera hwe hemoglobin yemunhu
• · Kunyatsotsanangurwa zvakanyanya kuderedza mhedzisiro yenhema
• · Kuunganidzwa kwemuenzaniso kwakachena uye kuri nyore
• · Kushanda kwakasimba nekuchengetedza tembiricha yemukamuri
• · Kushanda kuri nyore kunotsigira mashandisirwo epamba uye ehunyanzvi

Kiti Yekuongorora Blood Occult yeMacro & Micro-Test (Colloidal Gold)

Macro & Micro-Test yakagadziraKiti Yekuongorora Ropa reMashiripiti muTsvimbo (Colloidal Gold)zvichibva pahunyanzvi hwe immunochromatographic, zvichipa mhinduro inokurumidza, iri nyore, uye ine hutsanana yekuongorora kenza ye colorectal.

Zvinhu zvikuru zvinosanganisira:

• · Mhedzisiro yemhando yepamusoro inokasira mumaminitsi mashanu kusvika gumi
• · Kunzwisiswa kwekuongorora kwe40 ng/mL hemoglobin yemunhu
• · Tekinoroji yekuona immune system, kuderedza kukanganiswa kwekudya nemishonga
• · Chubhu yekuenzanisira yakabatanidzwa itsvayekuunganidza mienzaniso yakachena uye ine hutsanana kupfuura magadzirirwo emakaseti ekare
• · Yakakodzera kuzviedza uye kushandiswa nehunyanzvi
• · Kuchengetera zvinhu mukamuri (4–30°C) nehupenyu hwesherufu hunosvika mwedzi makumi maviri nemana

Yakagadzirwa kuti ivandudze mukana wekushandiswa uye ruzivo rwevashandisi, kit iyi inotsigira kuongororwa kuri nyore uku ichichengetedza mashandiro ekuongorora akavimbika.

Kuonekwa kwegomarara remudumbu nekukurumidza kunoponesa hupenyu. Nekuita kuti kuongororwa kwegomarara remudumbu kuve nyore uye kuve nyore kuwana, kuongororwa kweFIT kunogona kubatsira kuona chirwere chisati chaonekwa zviratidzo, zvichiita kuti kurapwa kutange nekukurumidza uye mhedzisiro yakanaka yemurwere.

Dzidza zvakawanda nezveMacro &Kiti Yekuongorora Ropa reMashiripiti muMafecal Occult Test Micro-Test: