Kusintha kwachiwindi kwa wopereka chithandizo kwa odwala khansa ya colorectal

Kafukufuku wofalitsidwa mu Journal of the American Medical Association Surgery lero ndi woyamba ku North America kusonyeza kuti kuika chiwindi chopereka moyo ndi njira yabwino kwa odwala omwe ali ndi mphamvu zowononga khansa ya m'mimba ndi zotupa za chiwindi zomwe sizingachotsedwe opaleshoni.        

Malinga ndi kafukufukuyu, patatha chaka chimodzi ndi theka atawaika pachiwindi chopereka moyo, odwala 10 onse anali ndi moyo ndipo 62 peresenti adakhalabe opanda khansa.

"Phunziroli [li] limabweretsa chiyembekezo kwa odwala omwe ali ndi mwayi woti apulumuke miyezi ingapo," adatero wolemba woyamba wa kafukufukuyu, Roberto Hernandez-Alejandro, MD, yemwe ndi wamkulu wa Abdominal Transplant and Liver Surgery Division ku URMC, yomwe. wachita zambiri zopatsira chiwindi kwa odwala omwe ali ndi metastases yachiwindi cha colorectal kuposa malo ena aliwonse ku North America. 

"Ndi izi, tikutsegulira odwala mwayi wokhala ndi moyo wautali - komanso kuti ena achire," akuwonjezera Hernandez-Alejandro, yemwenso ndi wofufuza pa URMC's Wilmot Cancer Institute.

Kafukufukuyu, yemwe adachitika ku URMC, University Health Network (UHN) ndi Cleveland Clinic, adayang'ana kwambiri khansa ya colorectal chifukwa imakonda kufalikira ku chiwindi ndipo nthawi zambiri sichingachotsedwe pachiwindi popanda kuyika kwathunthu. Tsoka ilo, odwalawa ndiwokayikitsa kwambiri kuti alandire chiwopsezo chakufa chifukwa cha kusowa kwa ziwalo ku North America.

Chifukwa cha kupita patsogolo kwaposachedwa pazamankhwala a khansa, ambiri mwa odwalawa amatha kuwongolera khansa yawo mwadongosolo, zomwe zikutanthauza kuti zotupa za chiwindi ndizomwe zimayimilira pakati pawo ndi chizindikiro "chopanda khansa". Olemba kafukufuku akuyembekeza kuti kupatsirana kwachiwindi kwa anthu omwe ali ndi moyo kungapatse odwalawa mwayi wachiwiri. 

Kafukufukuyu adakopa odwala opitilira 90 ochokera kufupi ndi kutali. Odwala onse ndi opereka ndalama adayang'ana mosamalitsa ndipo omwe adakwaniritsa zofunikirazi adachitidwa maopaleshoni opitilira muyeso kuti achotse ziwindi zodwala za odwala ndikuyika theka lachiwindi chaopereka.

Odwala akhala akuyang'aniridwa mosamala pogwiritsa ntchito kujambula ndi kusanthula magazi kwa zizindikiro zilizonse za khansa ndipo adzapitirizabe kutsatiridwa kwa zaka zisanu pambuyo pa opaleshoni yawo. Panthawi yomwe phunziroli linasindikizidwa, odwala awiri anali ndi zaka ziwiri kapena kuposerapo ndipo onse anakhalabe ndi moyo komanso alibe khansa.

"Kafukufukuyu akutsimikizira kuti kupatsirana ndi chithandizo chothandizira kuti moyo ukhale wabwino komanso moyo kwa odwala omwe ali ndi khansa yapakhungu yomwe imafalikira pachiwindi," adatero wolemba wamkulu Gonzalo Sapisochin, MD, dokotala wopangira opaleshoni ku Ajmera Transplant Center ndi dipatimenti ya Sprott. Opaleshoni ya Opaleshoni ku UHN.

"Monga chochitika choyamba chopambana ku North America, chikuyimira gawo lofunikira pakuchotsa ndondomekoyi kuchoka ku bwalo la kafukufuku kupita ku chisamaliro choyenera," akuwonjezera Sapisochin, yemwenso ndi wofufuza zachipatala ku Toronto General Hospital Research Institute komanso pulofesa wothandizira pachipatala. Dipatimenti ya Opaleshoni ku yunivesite ya Toronto.