Mapangidwe a ziwalo za thupi zimagwirizana ndi machitidwe onse a thupi la munthu. Kupweteka kwa kachilomboka - chimodzi mwazovuta kwambiri, makamaka kwa anthu a zaka zapakati pa 45 ndi 50, ndizochepetsetsa katatu mndandanda wa matenda a chilengedwe. Matendawa amapezeka makamaka mwa amuna, pamene amadya zakudya zamapuloteni komanso nyama zofiira.
Chizindikiro cha zotupa za rectum
Gulu lofotokozedwa la ziphuphulo limagawidwa m'magulu awiri akuluakulu, omwe amagawidwa m'magawo angapo a subspecies.
Matenda a Benign a rectum:
1. Wopangidwa kuchokera ku mawonekedwe ogwirizana kapena minofu:
- myoma;
- fibrom;
- lipoma.
2. Epithelial:
- chotsatira;
- chiwonetsero;
- chotupa choopsa.
3. Kugwirizana ndi mitsempha ya mitsempha ndi mitsempha:
- cavernous angioma;
- lymphangioma;
- neurinoma;
- neurofibroma.
Ziphuphu zoopsa za rectum:
1. Pa dongosolo lachikhalidwe chake:
- maselo ofanana ndi mphete;
- khansa yolimba;
- skiroznye (skyrs);
- adenocarcinoma;
- melanoma;
- maselo ophwanya.
2. Mwachikhalidwe cha kukula:
- endophytic;
- chiwonetsero;
- zosakaniza.
Komanso, khansara yamagazi imayikidwa molingana ndi siteji ya chitukuko cha neoplasm, kuchokera ku zero mpaka digiri ya 4-th.
Kuchiza kwa zotupa mu rectum
Mankhwala opangira mankhwala osokoneza bongo amachitanso kuchotsa chotupacho. Ntchitoyi imagwiritsidwa ntchito ndi njira yotchedwa endoscopic, ndipo ma tissue osakanizika amafufuzidwa mosapita m'mbali pamene akufufuza.
NthaƔi zina, mwachitsanzo, ndi mapuloteni ambiri omwe adakula pamwamba pa makoma onse, omwe amachititsa kuti magazi azikhala ndi kutupa komanso kutaya thupi. Nthawi zina kuchotsedwa kwapadera kwa dera lapafupi la colon.
Chithandizo cha zotupa zowonongeka chikugwirizananso ndi kusakanikirana kwa mapangidwe opatsirana ndi matenda oyandikana nawo.
Zovomerezeka za ziphuphu zowopsya ndi zina zotere za rectum ndi zabwino. Kutsatila ndi malingaliro a wogulitsa mankhwala ndi zakudya zoyenera, komanso kafukufuku wokhazikika, akhoza kuteteza kuchepa kwa zotupa ngati khansa.
Malingaliro a zotupa zoopsa sizowonjezereka kwambiri. Kupulumuka patatha zaka zisanu chidziwitso cha matendawa chiri pafupifupi 40%, ngakhale pa matenda a khansa .