![\"\"](\"https:\/\/healthacibadem.unet.mk\/wp-content\/uploads\/2024\/03\/kolorektalen.png\")
<\/figure>\n\n\n\nKarcinomi i kolonit dhe i rektumit kryesisht zhvillohet nga polip\u00ebt, t\u00eb cil\u00ebt gjenden n\u00eb k\u00ebto organe. P\u00ebr \u00e7do vit nj\u00eb milion njer\u00ebz n\u00eb bot\u00eb s\u00ebmuren nga karcinomi i kolonit dhe i rektumit<\/strong>.<\/h4>\n\n\n\n\u00c7far\u00eb paraqet?<\/strong><\/h4>\n\n\n\nEmri tjet\u00ebr i karcinomit t\u00eb zorr\u00ebs s\u00eb trash\u00eb ose karcinomi i kolonit dhe i rektumit \u00ebsht\u00eb karcinomi kolorektal. P\u00ebr \u00e7do vit rreth 1 milion njer\u00ebz n\u00eb bot\u00eb s\u00ebmuren nga kjo s\u00ebmundje malinje. Gjasat p\u00ebr paraqitjen e k\u00ebsaj s\u00ebmundje jan\u00eb m\u00eb t\u00eb m\u00ebdha te gjinia mashkullore 4,5%, p\u00ebr dallim nga femrat me 3,2%. Karcinomi kolorektal kryesisht zhvillohet nga adenom\u00ebt (polip\u00ebt). K\u00ebto tumore beninj, t\u00eb cil\u00ebt rrjedhin nga mukoza e rektumit, kryesisht nuk v\u00ebrehen, pasiq\u00eb mund t\u00eb jen\u00eb pasive me vite. Shkalla e paraqitjes s\u00eb adenomave rritet me mosh\u00ebn. Megjithat\u00eb, edhe pse zhvillimi i karcinomit i lidhur me ad-enom\u00ebt \u00ebsht\u00eb v\u00ebrtetuar para do kohe, faktor\u00ebt e jasht\u00ebm q\u00eb e shkaktojn\u00eb k\u00ebt\u00eb proces akoma nuk jan\u00eb definuar t\u00ebr\u00ebsisht. <\/p>\n\n\n\n
Cilat jan\u00eb metodat p\u00ebr diagnoz\u00eb?<\/h4>\n\n\n\n
Kontrollet t\u00eb cilat jan\u00eb t\u00eb domosdoshme p\u00ebr evoluim t\u00eb karcinomit kolorektal dhe caktimi i faz\u00ebs s\u00eb s\u00ebmundjes b\u00ebhet p\u00ebrmes metodave diagnostifikuese. Hulumtimet rentgenologjike t\u00eb zorr\u00ebs s\u00eb trash\u00eb, kolonoskopia, tomografia kompjuterike e abdomenit, ultra z\u00ebri, incizimi me rezonanc\u00eb magnetike, ultrasonografia endorektale dhe tomografia rrezatuese pozitronike (PET) mund t\u00eb nevojiten var\u00ebsisht nga gjendja e pacientit dhe nga karakteristikat e tumorit. Me ndihm\u00ebn e tyre caktohet shkalla e \u00e7rregullimit, pas \u00e7ka p\u00ebrgatitet plani p\u00ebr trajtimin e s\u00ebmundjes.<\/p>\n\n\n\n
Cilat teste zbatohen?<\/h4>\n\n\n\n
Pas konsultimit me mjekun specialist dhe ekzaminimin e holl\u00ebsish\u00ebm klinik, b\u00ebhen k\u00ebto teste:<\/p>\n\n\n\n
\u2022Ekzaminimi i gjakut n\u00eb fe\u00e7e<\/strong>
\u2022Ekzaminime radiologjike<\/strong>
\u2022Ekzaminime laboratorike<\/strong>
\u2022Ekzaminime endoskopike<\/strong><\/p>\n\n\n\nSi mjekohet?<\/h4>\n\n\n\n
Karcinomi i kolonit dhe i rektumit trajtohen me metoda t\u00eb ndryshme. Operacioni, hemoterapia (terapi me ila\u00e7e) dhe radioterapia jan\u00eb metodat m\u00eb t\u00eb shpeshta t\u00eb p\u00ebrdorura p\u00ebr mjekim, Para planifikimit t\u00eb trajtimit me r\u00ebnd\u00ebsi t\u00eb madhe \u00ebsht\u00eb informata p\u00ebr shkall\u00ebn e \u00e7rregullimit, si dhe gjendja e p\u00ebrgjithshme e pacientit.<\/p>\n\n\n\n
Fazat e karcinomit kolorektal<\/h4>\n\n\n\n
Karcinomi kolorektal \u00ebsht\u00eb klasifikuar n\u00eb kat\u00ebr faza:<\/strong><\/p>\n\n\n\nFaza I:<\/strong> Kjo \u00ebsht\u00eb faza m\u00eb e hershme e s\u00ebmundjes. Qelizat kancerogjene i kan\u00eb p\u00ebrfshir\u00eb shtresat e brendshme dhe t\u00eb mesme t\u00eb zorr\u00ebs. Nyejt limfatike dhe organet e larg\u00ebta akoma nuk jan\u00eb prekur.
Faza II:<\/strong> Qelizat kancerogjene i kan\u00eb p\u00ebrfshir\u00eb t\u00eb gjitha shtresat e zorr\u00ebs s\u00eb trash\u00eb dhe mund t\u00eb p\u00ebrhapen n\u00eb organet fqinje. Nyejt limfatike dhe organet e larg\u00ebta akoma nuk jan\u00eb prekur.
Faza III:<\/strong> Ma marr\u00eb parasysh shkall\u00ebn e p\u00ebrfshirjes n\u00eb murin e kolonit, tumori p\u00ebrhapet n\u00eb nyejt lim-fatike fqinje.
Faza IV:<\/strong> Kjo \u00ebsht\u00eb faza m\u00eb e vonshme e s\u00ebmundjes. Pavar\u00ebsisht nga shkalla e p\u00ebrhapjes s\u00eb tumorit n\u00eb murin e zorr\u00ebs s\u00eb trash\u00eb ose nyejt limfatike, ekzistojn\u00eb metastaza t\u00eb organeve si m\u00ebl\u00e7ia, mushk\u00ebrit\u00eb, peritoneumi, eshtrat dhe truri.<\/p>\n\n\n\nSi aplikohet trajtimi kirurgjik?<\/h4>\n\n\n\n
N\u00eb t\u00eb gjitha fazat trajtimi primar te karcinomi kolorektal \u00ebsht\u00eb operacioni. Megjithat\u00eb, forma e trajtimit kirurgjik mund t\u00eb ndryshoj\u00eb var\u00ebsisht nga lokalizimi i tumorit n\u00eb zorr\u00ebn e trash\u00eb dhe n\u00eb rektum, madh\u00ebsia e tij, fazat dhe n\u00eb rastet urgjente te pacient\u00ebt, t\u00eb cil\u00ebt kan\u00eb komplikime (atrezioni, perforacioni, gjakderdhja etj.). Sot metodat laparoskopike mbeten mjaft t\u00eb p\u00ebrfaq\u00ebsuara n\u00eb trajtimin kirurgjik. N\u00eb vijim jan\u00eb p\u00ebrmendur teknikat primare:<\/p>\n\n\n\n
\u2022Te disa tumore t\u00eb vogla rektale aplikohet ekscizioni lokal n\u00eb kuptimin e prerjes dhe m\u00ebnjanimit vet\u00ebm t\u00eb pjes\u00ebs me tumor p\u00ebrmes anusit.<\/p>\n\n\n\n
\u2022Resekcioni paraqet prerjen dhe m\u00ebnjanimin e nj\u00eb pjese t\u00eb zorr\u00ebs s\u00eb trash\u00eb (ose t\u00eb t\u00ebr\u00eb) dhe nj\u00eb pjes\u00eb t\u00eb rektumit (ose n\u00eb t\u00ebr\u00ebsi) var\u00ebsisht nga lokalizimi i tumorit. Te k\u00ebto teknika kirurgjike nyejt limfatike fqinje m\u00ebnjanohen bashk\u00eb e zorr\u00ebn. N\u00ebse tumori \u00ebsht\u00eb p\u00ebrhapur n\u00eb organet fqinje, k\u00ebto organe gjithashtu duhet t\u00eb m\u00ebnjanohen me operacion radikal. Pjes\u00ebt e sh\u00ebndosha nga zorra bashkohen (anastomoza).<\/p>\n\n\n\n
\u2022 Konstruimi i anusit jo anatomik (ileostomia ose kolostomia) e cila lidhet me zorr\u00ebn e holl\u00eb ose murin abdominal t\u00eb zorr\u00ebs s\u00eb trash\u00eb. Kjo realizohet pasi t\u00eb b\u00ebhet resekcioni i b\u00ebr\u00eb i zorr\u00ebs s\u00eb trash\u00eb dhe t\u00eb rektumit. P\u00ebrmbajtja e zorr\u00ebs s\u00eb trash\u00eb zbrazet n\u00eb qese plastike, e cila \u00ebsht\u00eb e lidhur me murin e stomakut p\u00ebrmes anusit jo anatomik. P\u00ebr disa pacient\u00eb gjendja e k\u00ebtill\u00eb mund t\u00eb jet\u00eb e p\u00ebrhershme. Te ata pacient\u00eb tek t\u00eb cil\u00ebt nuk ekziston shkaku mjek\u00ebsor, anusi jo anatomik mbyllet dhe pacient\u00ebt kan\u00eb jasht\u00ebqitje normale.<\/p>\n\n\n\n
\u2022 Metastaza n\u00eb mushk\u00ebri dhe n\u00eb m\u00ebl\u00e7i mund t\u00eb m\u00ebnjanohen p\u00ebrmes teknik\u00ebs kirurgjike, metastazektomia<\/p>\n\n\n\n
\u2022 Kur s\u00ebmundja zbulohet n\u00eb stadiumin e m\u00ebvonsh\u00ebm, kur kirurgjia radikale nuk \u00ebsht\u00eb opsion p\u00ebr trajtim, aplikohen intervenimet kirurgjike paliative, t\u00eb cilat kan\u00eb p\u00ebr q\u00ebllim ta p\u00ebrmir\u00ebsojn\u00eb jet\u00ebn e pacientit.<\/p>\n\n\n\n
\u2022 Hemoterapia dhe\/ose radioterapia \u00ebsht\u00eb e p\u00ebrfshir\u00eb n\u00eb planin p\u00ebr trajtim para dhe\/ose pas operacionit, var\u00ebsisht nga stadiumi i s\u00ebmundjes.<\/p>\n","protected":false},"excerpt":{"rendered":"
Karcinomi i kolonit dhe i rektumit kryesisht zhvillohet nga polip\u00ebt, t\u00eb cil\u00ebt gjenden n\u00eb k\u00ebto organe. P\u00ebr \u00e7do vit nj\u00eb milion njer\u00ebz n\u00eb bot\u00eb s\u00ebmuren nga karcinomi i kolonit dhe i rektumit. \u00c7far\u00eb paraqet? Emri tjet\u00ebr i karcinomit t\u00eb zorr\u00ebs s\u00eb trash\u00eb ose karcinomi i kolonit dhe i rektumit \u00ebsht\u00eb karcinomi kolorektal. P\u00ebr \u00e7do vit […]<\/p>\n","protected":false},"author":1,"featured_media":8458,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[367],"tags":[],"doktori":[],"class_list":["post-8455","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kancer-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/8455","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/comments?post=8455"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/8455\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/8458"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=8455"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=8455"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=8455"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=8455"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Emri tjet\u00ebr i karcinomit t\u00eb zorr\u00ebs s\u00eb trash\u00eb ose karcinomi i kolonit dhe i rektumit \u00ebsht\u00eb karcinomi kolorektal. P\u00ebr \u00e7do vit rreth 1 milion njer\u00ebz n\u00eb bot\u00eb s\u00ebmuren nga kjo s\u00ebmundje malinje. Gjasat p\u00ebr paraqitjen e k\u00ebsaj s\u00ebmundje jan\u00eb m\u00eb t\u00eb m\u00ebdha te gjinia mashkullore 4,5%, p\u00ebr dallim nga femrat me 3,2%. Karcinomi kolorektal kryesisht zhvillohet nga adenom\u00ebt (polip\u00ebt). K\u00ebto tumore beninj, t\u00eb cil\u00ebt rrjedhin nga mukoza e rektumit, kryesisht nuk v\u00ebrehen, pasiq\u00eb mund t\u00eb jen\u00eb pasive me vite. Shkalla e paraqitjes s\u00eb adenomave rritet me mosh\u00ebn. Megjithat\u00eb, edhe pse zhvillimi i karcinomit i lidhur me ad-enom\u00ebt \u00ebsht\u00eb v\u00ebrtetuar para do kohe, faktor\u00ebt e jasht\u00ebm q\u00eb e shkaktojn\u00eb k\u00ebt\u00eb proces akoma nuk jan\u00eb definuar t\u00ebr\u00ebsisht. <\/p>\n\n\n\n
Cilat jan\u00eb metodat p\u00ebr diagnoz\u00eb?<\/h4>\n\n\n\n
Kontrollet t\u00eb cilat jan\u00eb t\u00eb domosdoshme p\u00ebr evoluim t\u00eb karcinomit kolorektal dhe caktimi i faz\u00ebs s\u00eb s\u00ebmundjes b\u00ebhet p\u00ebrmes metodave diagnostifikuese. Hulumtimet rentgenologjike t\u00eb zorr\u00ebs s\u00eb trash\u00eb, kolonoskopia, tomografia kompjuterike e abdomenit, ultra z\u00ebri, incizimi me rezonanc\u00eb magnetike, ultrasonografia endorektale dhe tomografia rrezatuese pozitronike (PET) mund t\u00eb nevojiten var\u00ebsisht nga gjendja e pacientit dhe nga karakteristikat e tumorit. Me ndihm\u00ebn e tyre caktohet shkalla e \u00e7rregullimit, pas \u00e7ka p\u00ebrgatitet plani p\u00ebr trajtimin e s\u00ebmundjes.<\/p>\n\n\n\n
Cilat teste zbatohen?<\/h4>\n\n\n\n
Pas konsultimit me mjekun specialist dhe ekzaminimin e holl\u00ebsish\u00ebm klinik, b\u00ebhen k\u00ebto teste:<\/p>\n\n\n\n
\u2022Ekzaminimi i gjakut n\u00eb fe\u00e7e<\/strong> Karcinomi i kolonit dhe i rektumit trajtohen me metoda t\u00eb ndryshme. Operacioni, hemoterapia (terapi me ila\u00e7e) dhe radioterapia jan\u00eb metodat m\u00eb t\u00eb shpeshta t\u00eb p\u00ebrdorura p\u00ebr mjekim, Para planifikimit t\u00eb trajtimit me r\u00ebnd\u00ebsi t\u00eb madhe \u00ebsht\u00eb informata p\u00ebr shkall\u00ebn e \u00e7rregullimit, si dhe gjendja e p\u00ebrgjithshme e pacientit.<\/p>\n\n\n\n Karcinomi kolorektal \u00ebsht\u00eb klasifikuar n\u00eb kat\u00ebr faza:<\/strong><\/p>\n\n\n\n Faza I:<\/strong> Kjo \u00ebsht\u00eb faza m\u00eb e hershme e s\u00ebmundjes. Qelizat kancerogjene i kan\u00eb p\u00ebrfshir\u00eb shtresat e brendshme dhe t\u00eb mesme t\u00eb zorr\u00ebs. Nyejt limfatike dhe organet e larg\u00ebta akoma nuk jan\u00eb prekur. N\u00eb t\u00eb gjitha fazat trajtimi primar te karcinomi kolorektal \u00ebsht\u00eb operacioni. Megjithat\u00eb, forma e trajtimit kirurgjik mund t\u00eb ndryshoj\u00eb var\u00ebsisht nga lokalizimi i tumorit n\u00eb zorr\u00ebn e trash\u00eb dhe n\u00eb rektum, madh\u00ebsia e tij, fazat dhe n\u00eb rastet urgjente te pacient\u00ebt, t\u00eb cil\u00ebt kan\u00eb komplikime (atrezioni, perforacioni, gjakderdhja etj.). Sot metodat laparoskopike mbeten mjaft t\u00eb p\u00ebrfaq\u00ebsuara n\u00eb trajtimin kirurgjik. N\u00eb vijim jan\u00eb p\u00ebrmendur teknikat primare:<\/p>\n\n\n\n \u2022Te disa tumore t\u00eb vogla rektale aplikohet ekscizioni lokal n\u00eb kuptimin e prerjes dhe m\u00ebnjanimit vet\u00ebm t\u00eb pjes\u00ebs me tumor p\u00ebrmes anusit.<\/p>\n\n\n\n \u2022Resekcioni paraqet prerjen dhe m\u00ebnjanimin e nj\u00eb pjese t\u00eb zorr\u00ebs s\u00eb trash\u00eb (ose t\u00eb t\u00ebr\u00eb) dhe nj\u00eb pjes\u00eb t\u00eb rektumit (ose n\u00eb t\u00ebr\u00ebsi) var\u00ebsisht nga lokalizimi i tumorit. Te k\u00ebto teknika kirurgjike nyejt limfatike fqinje m\u00ebnjanohen bashk\u00eb e zorr\u00ebn. N\u00ebse tumori \u00ebsht\u00eb p\u00ebrhapur n\u00eb organet fqinje, k\u00ebto organe gjithashtu duhet t\u00eb m\u00ebnjanohen me operacion radikal. Pjes\u00ebt e sh\u00ebndosha nga zorra bashkohen (anastomoza).<\/p>\n\n\n\n \u2022 Konstruimi i anusit jo anatomik (ileostomia ose kolostomia) e cila lidhet me zorr\u00ebn e holl\u00eb ose murin abdominal t\u00eb zorr\u00ebs s\u00eb trash\u00eb. Kjo realizohet pasi t\u00eb b\u00ebhet resekcioni i b\u00ebr\u00eb i zorr\u00ebs s\u00eb trash\u00eb dhe t\u00eb rektumit. P\u00ebrmbajtja e zorr\u00ebs s\u00eb trash\u00eb zbrazet n\u00eb qese plastike, e cila \u00ebsht\u00eb e lidhur me murin e stomakut p\u00ebrmes anusit jo anatomik. P\u00ebr disa pacient\u00eb gjendja e k\u00ebtill\u00eb mund t\u00eb jet\u00eb e p\u00ebrhershme. Te ata pacient\u00eb tek t\u00eb cil\u00ebt nuk ekziston shkaku mjek\u00ebsor, anusi jo anatomik mbyllet dhe pacient\u00ebt kan\u00eb jasht\u00ebqitje normale.<\/p>\n\n\n\n \u2022 Metastaza n\u00eb mushk\u00ebri dhe n\u00eb m\u00ebl\u00e7i mund t\u00eb m\u00ebnjanohen p\u00ebrmes teknik\u00ebs kirurgjike, metastazektomia<\/p>\n\n\n\n \u2022 Kur s\u00ebmundja zbulohet n\u00eb stadiumin e m\u00ebvonsh\u00ebm, kur kirurgjia radikale nuk \u00ebsht\u00eb opsion p\u00ebr trajtim, aplikohen intervenimet kirurgjike paliative, t\u00eb cilat kan\u00eb p\u00ebr q\u00ebllim ta p\u00ebrmir\u00ebsojn\u00eb jet\u00ebn e pacientit.<\/p>\n\n\n\n \u2022 Hemoterapia dhe\/ose radioterapia \u00ebsht\u00eb e p\u00ebrfshir\u00eb n\u00eb planin p\u00ebr trajtim para dhe\/ose pas operacionit, var\u00ebsisht nga stadiumi i s\u00ebmundjes.<\/p>\n","protected":false},"excerpt":{"rendered":" Karcinomi i kolonit dhe i rektumit kryesisht zhvillohet nga polip\u00ebt, t\u00eb cil\u00ebt gjenden n\u00eb k\u00ebto organe. P\u00ebr \u00e7do vit nj\u00eb milion njer\u00ebz n\u00eb bot\u00eb s\u00ebmuren nga karcinomi i kolonit dhe i rektumit. \u00c7far\u00eb paraqet? Emri tjet\u00ebr i karcinomit t\u00eb zorr\u00ebs s\u00eb trash\u00eb ose karcinomi i kolonit dhe i rektumit \u00ebsht\u00eb karcinomi kolorektal. P\u00ebr \u00e7do vit […]<\/p>\n","protected":false},"author":1,"featured_media":8458,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[367],"tags":[],"doktori":[],"class_list":["post-8455","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kancer-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/8455","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/comments?post=8455"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/8455\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/8458"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=8455"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=8455"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=8455"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=8455"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\u2022Ekzaminime radiologjike<\/strong>
\u2022Ekzaminime laboratorike<\/strong>
\u2022Ekzaminime endoskopike<\/strong><\/p>\n\n\n\nSi mjekohet?<\/h4>\n\n\n\n
Fazat e karcinomit kolorektal<\/h4>\n\n\n\n
Faza II:<\/strong> Qelizat kancerogjene i kan\u00eb p\u00ebrfshir\u00eb t\u00eb gjitha shtresat e zorr\u00ebs s\u00eb trash\u00eb dhe mund t\u00eb p\u00ebrhapen n\u00eb organet fqinje. Nyejt limfatike dhe organet e larg\u00ebta akoma nuk jan\u00eb prekur.
Faza III:<\/strong> Ma marr\u00eb parasysh shkall\u00ebn e p\u00ebrfshirjes n\u00eb murin e kolonit, tumori p\u00ebrhapet n\u00eb nyejt lim-fatike fqinje.
Faza IV:<\/strong> Kjo \u00ebsht\u00eb faza m\u00eb e vonshme e s\u00ebmundjes. Pavar\u00ebsisht nga shkalla e p\u00ebrhapjes s\u00eb tumorit n\u00eb murin e zorr\u00ebs s\u00eb trash\u00eb ose nyejt limfatike, ekzistojn\u00eb metastaza t\u00eb organeve si m\u00ebl\u00e7ia, mushk\u00ebrit\u00eb, peritoneumi, eshtrat dhe truri.<\/p>\n\n\n\nSi aplikohet trajtimi kirurgjik?<\/h4>\n\n\n\n