Ukuphuhliswa komhlaza ogqithisileyo uqala kwiiseli ezigwenxa. Isifo sinokuchaphazela nayiphi na into, kuba i-metastase ichaphazela ezinye iiscupu ezinobulunga. I-Adenocarcinoma ye-rectum ibonakala kakhulu kubantu abadala kuneminyaka engamashumi amahlanu. Izimbangela ezibalulekileyo zesifo zibangelwa ukungondleki, imikhwa emibi kunye nokusuleleka kwe-papillomavirus .
Iintlobo zezifo
Ubukho bezinto okanye ezinye izinto zokuxilonga ziya kusivumela ukuba sihlaziye izinga lokuphuhliswa kwesifo. Kamva, ngesiseko salo, ugqirha uya kubeka unyango olufanelekileyo.
Ngokuxhomekeke kumbahluko, ezi ntlobo zesifo ziyahluka:
- I-adenocarcinoma engaphantsi kwe-rectum. Kunzima ukuthabatha kwisithambo esithile, ngelixa i-tumor ye-rectum inesifo esiphezulu, ihamba kunye ne-metastases kwaye ibonakaliswe ngento edidekayo.
- I-adenocarcinoma ngokulinganayo ye-rectum. Le fomu iyisisu, iifomthi ezinzima ukulungelelanisa nezicubu ze-rectum, ngoko kunzima ukuyixilonga.
- I-adenocarcinoma yahluke kakhulu kwi-rectum. Iiseli ezixhamlayo kunye nesakhiwo sazo zifana nezicubu ezichaphazelekayo ze-rectum. Oku kukuvumela ukuba uqonde ngokukhawuleza eso sifo, okwandisa amathuba okubuyiswa.
- Umhlaza ongabonakaliyo. Le fomu ibonakaliswe ngokusasazeka kwemfundo kunye nobunzima kwonyango.
Unyango lwe-adenocarcinoma
Indlela ephambili yokonyango kungenelelo lophuhliso. Nangona kunjalo, kunokwenzeka kuphela ngesigulane somguli. Ngexesha lokusebenza, i-tumor yona isuswe kwaye izicubu ezikufutshane zifumaneka kufuphi.
Kodwa iindawo ezininzi zihlala zisebenza kwiinkqubo ezinzima, eziquka impembelelo kwi-tumor (ukwenzela ukunciphisa) kunye nokususwa okulandelayo. Ukunciphisa ngobukhulu bufezekiswa ngotshanje,
Ukuxela i-adenocarcinoma
Impumelelo yonyango ixhomekeke kwisigaba sesifo. Ukusinda kwiminyaka emihlanu kubonakala kwi-90% yezigulane. Kwizigaba eziphambili kunye nobukho be-metastase kwii-lymph nodes, isiqingatha sezigulane sisaphila emva kweminyaka emihlanu. Emva kokutshintshwa kokusebenza, izigulane kufuneka zigcinwe rhoqo ukuze zibone ukuphindaphinda kunye ne-metastasis ngexesha.
Xa kuhlolwa ngokukhawuleza kokuphindaphinda, ukuhlinzwa kungenziwa kuphela kwi-34% yezigulane, kuba abanye bafumana ithuba elibi lokusinda. Ngoko ke, kuphela i- chemotherapy kunye ne-radio irradiation inokumiselwa kubo.