Baaritaanka kansarka mindhicirka weyn

Baaritaanka kansarka mindhicirka weyn waxaa lagu ogaan karaa burooyinka iyo kansarka hore ee xiidmaha waaweyn. Baaritaanka noocan ah wuxuu heli karaa dhibaatooyin la daaweyn karo ka hor inta uusan kansarku ku dhicin ama uusan ku faafin.Baadhitaanada joogtada ahi waxay yareyn karaan halista dhimashada iyo dhibaatooyinka uu keeno kansarka mindhicirka malawadka.

IMTIXAANADA BAARITAANKA

Waxaa jira dhowr siyaabood oo looga baaro kansarka mindhicirka weyn.

Baaritaanka saxarada:

• Burooyinka ku dhaca xiidanka iyo kansarrada yaryar waxay sababi karaan qadar dhiig-bax ah oo aan lagu arki karin isha qaawan. Laakiin dhiig badanaa waxaa laga heli karaa saxarada.
• Habkani wuxuu saxaradaada ka baarayaa inuu dhiig yahay.
• Imtixaanka ugu badan ee la isticmaalo waa baaritaanka dhiigga saxarada saxarada (FOBT). Laba baaritaan oo kale ayaa loo yaqaan fecal immunochemical test (FIT) iyo saxarada DNA test (sDNA).

Sigmoidoscopy:

• Tijaabadani waxay isticmaashaa baaxad yar oo jilicsan si loo eego qaybta hoose ee mindhicirkaaga. Sababtoo ah baaritaanka wuxuu fiirinayaa kaliya seddex meelood meel meel mindhicirka weyn (xiidanka), waxaa laga yaabaa inuu seego qaar ka mid ah kansarrada ka sarreeya mindhicirka weyn.
• Sigmoidoscopy iyo baaritaanka saxarada waa la isla isticmaali karaa.

Colonoscopy:

• Baarista walamadku waxay la mid tahay sigmoidoscopy, laakiin xiidanka oo dhan waa la wada arki karaa.
• Bixiyaha xanaanada caafimaadkaaga ayaa ku siin doona talaabooyinka nadiifinta mindhicirkaaga. Tan waxaa lagu magacaabaa diyaarinta caloosha.
• Inta lagu jiro baarista walamadka, waxaa lagu siinayaa dawo kaa dhigaysa mid deggan oo hurdo leh.
• Mararka qaarkood, baaritaanka CT-ga waxaa loo adeegsadaa beddel ahaan baarista walamadka ee joogtada ah. Tan waxaa loo yaqaan 'colonoscopy Virtual'.

Tijaabo kale:

• Endoscopy-ka kaabsol wuxuu ku lug leeyahay liqidda kamarad yar oo kiniin ah oo qaadata fiidiyoowga gudaha mindhicirkaaga. Qaabka ayaa loo darsayaa, markaa laguma talinayo in baaritaanka caadiga ah waqtigan la joogo.

BAARITAANKA DADKA HALISTA LEH

Ma jiraan caddeyn ku filan oo lagu sheego nooca baaritaanka ugu fiican. Laakiin, baarista walamadka ayaa ugu dhammaystiran. Kala hadal bixiyahaaga waxa ku saabsan baaritaanka kugu habboon adiga.

Ragga iyo haweenkaba waa inay yeeshaan baaritaanka kansarka mindhicirka ee laga bilaabo da'da 50. Bixiyeyaasha qaarkood waxay ku talinayaan in Afrikaanka Mareykanka ay bilaabaan baaritaanka da'da 45.

Iyadoo dhowaan ay kordheen kansarka mindhicirka ee dadka ku jira 40s, Bulshada Kansarka ee Mareykanka waxay ku talineysaa in ragga iyo dumarka caafimaad qaba ay bilaabaan baaritaanka da'da 45. La hadal bixiyahaaga haddii aad ka walwalsan tahay.

Fursadaha baaritaanka ee loogu talagalay dadka halista celceliska kansarka mindhicirka weyn:

• Colonoscopy-ga 10-kii sano ee kasta laga bilaabo da'da 45 ama 50
• FOBT ama FIT sanad kasta (colonoscopy ayaa loo baahan yahay haddii natiijooyinka ay wanaagsan yihiin)
• sDNA 1 ama 3dii sano ee kasta (baarista walamadka ayaa loo baahan yahay haddii natiijooyinka ay wanaagsan yihiin)
• Smoidoscopy-dabacsan oo la beddeli karo 5-tii ilaa 10-kii sanaba, badiyaa tijaabada saxarada FOBT waxaa la sameeyaa 1 ilaa 3 sano kasta
• Kolonskopy ficil ahaan 5-tii sanaba mar

BARNAAMIJKA DADKA HALISTA SARE

Dadka leh qodobo halis u ah kansarka mindhicirka weyn waxay u baahnaan karaan waqti hore (ka hor da'da 50) ama baaritaan dheeri ah.

Waxyaabaha ugu badan ee halista keena waa:

• Taariikh qoys oo ku saabsan hiddo-wadaha kansarka mindhicirka mindhicirka, sida adenomatous polyposis (FAP) ama kansarka mindhicirka ee aan caadiga ahayn (HNPCC).
• Taariikh qoys oo adag oo kansarka mindhicirka ama burooyinka. Tani badanaa waxay la macno tahay qaraabada dhow (waalid, walaal, ama cunug) kuwaas oo ku dhacay xaaladahan kayar da'da 60.
• Taariikh shaqsiyadeed oo ku saabsan kansarka mindhicirka ama burooyinka.
• Taariikh shaqsiyadeed oo muddo dheer (dabadheeraad ah) xiidmaha caloosha oo bararsan (tusaale ahaan, ulcerative colitis ama Crohn disease).

Baaritaanka kooxahan waxay u badan tahay in lagu sameeyo baarista walamadka.

Baaritaanka kansarka mindhicirka weyn; Baarista walamadka - baaritaanka; Sigmoidoscopy - baaritaanka; Maskaxda baarista walamadka - baaritaanka; Imtixaanka difaaca jirka ee 'Fecal immunochemical'; Baaritaanka saxarada DNA; imtixaanka sDNA; Kansarka mindhicirka - baaritaanka; Kansarka malawadka - baaritaanka

• Calool xanuun - dheecaan

• Baarista walamadka
• Jir-dhiska xiidmaha waaweyn
• Kansarka mindhicirka weyn ee loo yaqaan 'Sigmoid colon cancer' - raajo
• Baaritaanka dhiigga saxarada ee saxarada

Garber JJ, Chung DC. Burooyinka 'colonic polyps' iyo 'polyposis syndromes'. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Cudurka caloosha iyo beerka ee Sleisenger iyo Fordtran. 11aad. Philadelphia, PA: Elsevier; 2021: cutubka 126.

Websaydhka Machadka Kansarka Qaranka. Baaritaanka kansarka malawadka (PDQ) - nooca caafimaadka xirfadleyda. www.cancer.gov/types/colorectal/hp/colorectal-screening-pdq. La cusbooneysiiyay Maarso 17, 2020. Waxaa la helay Nofeembar 13, 2020.

Rex DK, Boland CR, Dominitz JA, iyo al. Baaritaanka kansarka malawadka: talooyinka dhakhaatiirta iyo bukaan socodka ee ka socda US Task Force ee Bulshooyinka Badan ee Kansarka Kala-baxa. Am J Gastroenterol. 2017; 112 (7): 1016-1030. PMID: 28555630 pubmed.ncbi.nlm.nih.gov/28555630/.

Mareegta Task Force ee Adeegyada Ka-hortagga Mareykanka. Bayaanka soo-jeedinta ugu dambeysa. Baaritaanka kansarka malawadka. www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. La daabacay Juun 15, 2016. La helay Abriil 18, 2020.

Wolf AMD, Fontham ETH, Church TR, iyo al. Baaritaanka kansarka mindhicirka ee loogu talagalay dadka qaangaarka ah ee halista isku jira: Cusbooneysiinta tilmaamaha ee 2018 ee ka socota Ururka Kansarka Mareykanka. CA Kansarka J Clin. 2018; 68 (4): 250-281. PMID: 29846947 pubmed.ncbi.nlm.nih.gov/29846947/.