????? ????????
??????? ???????? ????????? ????????? ????????? ????? ??????????? ??????? ???? ????????????? ?????????????? ?????? ????????? ???? ??????? ??? ??????? ???????? (?????) ????????? ????????? ?????????? ??? ????? ???? ?? ????? ?????? ?? ????????? ?????? ?????? ????????? ???? ??????? ????
Applies to England
???????
?????????
About Lynch syndrome
????? ???????? ????????
????? ????????? (??? HNPCC ???? ?????? - ????? ??-???????? ??????????? ?????????) ???? ????????????????? ??????? ??????????????? ?? ???? ???????? ???????? (?????) ????????? ?????? ???????? ???????? ????? ??? ?????????? ????????? (??????????????? ?????????), ?????????, ???????? ??? ?????????? ?? ???????? ????? ????????? ?????? ????????? ???????? ?????
????? ???????? ?? ?? ?????? ????? ?????????? ????? ??? ?? ??????? ????????? ????????? ??? ???? ?? ??????? ???????? ??????? (??????) ??? ?????? ??????? ????????? MLH1, MSH2, MSH6, PMS2 ??? EPCAM ??? ???? ?????? ??? ??????? ?????-?? ??? ?????? ???? ??? ???, ?????? ??? ?? ???? ???????? ??? ??? ?????-?? ???? ??? ?????? ??? ??? ??, ?? ??????????? ????? ????? ?????
Why we offer bowel cancer screening to people with Lynch syndrome ##??? ???? ????? ????????? ???????? ?????????? ??????????? ???? ???
????? ????????? ???????? ?????????? ????, ???????????? ??? ??????? ????????? ??? ??? ?? ?????????? ?????? ?????? ?? ???????? ?????????? ???? ??????? ???????? ????? ???? ????, ??????? ?????? ???????? ????????? ?????? ???????? ?????? ?????
?? ???? ?? ???????????? ??????? ????????? ???????? ????????? ?????? ???? ???? ??? ??? ???????? ???????? ???? ??? ???????? ??????? ?????? ???????? ???? ????? ??? ????? ????? ???? ????? ????? ???????? ???????? ??? ??? ??? ????????????? ???? ????????? ??? ?????? ?????? ???? ???? ?????????? ????? ??? ????? ???????? ????? ?????? ??? ????, ?? ???????? ??????????? ????? ????? ???? ????? ????????? ????????? ??? ?????? ????? ???????? ????? ??????????? ?????? ??? ????? (???? ????? ??? ???? ???????) ???????? ???? ??????? ?????
Who we invite
???? ???? ???????? ?????
??????? ???????? ????????? ????????? ????????? ????? ????????? ???????? ?????????? ????? ? ??? ????? ???????????? ??????? ????????? ???? ????
MLH1 ?? MSH2 ?? EPCAM ??? ?????????? ??????? ??????? ????? ???? ????????? ???? ???????? ?????? ???? MSH6 ?? PMS2 ??? ?????????? ??????? ??????? ????? ???? ????????? ???? ???????? ?????? ????
????? ??? ?????? ???? ??????????? ???? ????, ????? ????? ??????? ??????????? ???? ???? ??????? ??????? ????????? ????????? ????????? ?????? ???? ???????? ???????
??????? ???????? ????????? ????????? ????????? ???????????????? ?? ??? ?? ??? ???? ????? ??????? ????????????? ???? ???????? ?????? ??, ??? ???? ???? ??? ?? ?? ?????? ?????? ?????????? ?????????? ?? ??? ????? ? ??? ?? ?? ????????????? ?????? ???? ?????
???? ??????? ???????? ????????? ????????? ????????? ???? ???? ???????? ???????? ???? ????? ????????? ??? ?????? ????? ?? ????? ????? ????????? ???? ???? ??? ??? ???? ?? ?? ????? ????? ???????? ??? ?? ????? ??? ???? ?? ??????? ??, ??????? ??? ?????? ??????????? ?????????? ???? ??? ?? ?? ? ?? ?????
How the bowel works
?????? (?????) ?????? ??? ???
?????? ????? ???????????? ???? ??? ????? ???? ?????? ??? ?? ????? ??? ??? ?? ??????? ???? ?? ???? ????? ??? (?? ??, ??????? ?? ???????? ??? ????? ??????)?
Risk (chance) of developing bowel cancer
???????? ????????? ?????? ????? (????????)
????? ????????? ???????? ???? ????????? ?? ??? ???? ??????? ????? ???????? ??? ??? ??????? ??????????? ??? ??? ????? ????? ????????? ?????? ???????? ???? ??, ????? ??????, ????? ????? ???????? ??? ?????? ???? ????? ???
????? ????????? ???????? ?????????? ???? (?? ???) ????? ????????? ?????? ???????? ????? ????? ????????? ???????? ??? ???? ????? ?? ???? ?? ???? ????? ????? ?????????? ????? ?????????? ??? ?????? ??? ????? ?????????? ???????? ????????? ???? ??? ??????????? ???????? ??????? ??? ???? ?? ??????? ????? ?????? ????? ????????? ????? ???? ?? ??? ?? ???? ?????? ??????????? ????? ??????, ??? ?? ??????? ????? ???? ???????? ??? ???? ????
???????? ????? ?? ????? ???????? ????????? ?????? ???????? ???????? ????? ???? ??? ????? ??????:
? ????????? ????? ????????? ??? ?? ????? ????? ????????? ???
? ??? ????? ????
? ?????????? ???????? (???? ?????)
Reducing your chance of developing bowel cancer
????? ???????? (?????) ????????? ?????? ???????? ????? ???
????? ???????????? ????? ????????? ??? ??? ????? ????? ????????? ??? ?????? ????? ?? ????? ??????? ???? ??????? ????? ???????? ??? ??? ???? ??????? ???????????-? ??? ???? ????? ????? ????????? ?????? ???????? ???? ??? ?? ???? ?? ????? ????? ????????? ??? ???? ?????? ??????? ???????? ??????? ????? ???? ??? ????????? ???????? ???????? ?????? ???? ?? ??????? ???? ??????? ???? ???? ???? ??? ??? ??????????? ???????? ??? ????? ??????? ???? ???????? ????????? ?????? ???????? ????? ?????: ? ??????????? ??????? ???? ? ???? ??????????? ??? ???? ? ?????? ??????? ???????? ????? ??????, ???????????? ???? ???? ??? ???? ????? ???? ??? ? ?????? ??????? ??? ?? ?????? ? ?? ??? ???? ??? ????? ??? ?? ????????????? ???? ???? ???? ?? ???? ?????? ? ?? ????????? ??? ??? ? ?????? ?? ? ?????????? ?????- ???????? ???? ???? ?? ???????? ?????????? ????? ????? ????????????? ?????????? ????? ??????????? ????? ??? ???? ??????? ???? ???? ??? ?????????? ????? ???????? ??? ????? ??? ??? ????? ???? ?? ??????????? ????????? ???? ???? ??? ??? ?????
Possible benefits and risks of bowel cancer screening
??????? ???????? ????????? ????????? ??????????? ???????? ?????? ??? ?????
???????? ????? ??? ?????? ???????? ????? ????? ?????? ??????? ???????? ????????? ????????? ?????????? ??? ???? ?? ?? ?? ????????? ???? ??????? ????? ??????: ??????????? ???: ? ???????? ????????? ???? ????? ??????? ???????? ????? ???? ???? ??? ??????? ???????? ????????? ????????? ?????????? ???????? ???? ??? ??????? ??????????? ???? ????? ????? ???????? ?????????? ???? ??????? ???????? ???????? ???? ??? ????
? ????? ????????? ???????? ??? ???? ????? ??? ?? ???? ?? ???? ???????? ????????? ????? ???? ???? ????? ? ????????? ?? ??? ??????? ??????? ???????? ????????? ?????????? ???????? (??? ??? ??? ?????????????) ????? ????? ? ??? ????? ???????? ????????? ??????? ???? ???????? ?????? ???, ??? ??? ????????????? ??? ??? ????? ???????? ???????? ?????? ????? ? ?????? ???????????? ? ???? ?????? ?? ???? ???? ?????? ???? ?????? ????, ?? ????? ???????? ????????? ?????? ???????? ?????? ?????
?????: ???? ???? ???????? ???? ??????????? ??? ????: ? ?????? ?????? ???, ????????????, ???????????? ? ???? ?? ???
???? ????????? ??????? ???% ??????? ???? ???? ????????? ???????? ????? ???????? ????????? ??? ????? ??????? ???? ??? ???????????? ???? ????????? ?? ???? ??? ?????? ???????? ?????? ?? ????????? ?????????? ????? ??? ????
How bowel cancer screening works
??????? ???????? ????????? ????????? ????????? ?????? ??? ???
???? ?????? ???? ???????? ????????? ???????? (??????? ???? ?????????) ???? ???????????????? ???? ???? ??? ?? ????? ???????? ???? ??????? (????????????) ????? ?????? ???? ???? ??? ??????? ???????? ????????? ????????? ??????????? ????? ??????? ???????????? ??? ????? ??? ???? ??????? ?? ????????? ??? ??? ???? ?????? ???? ????? ????????? ?????????????????? ???????? ?????? ??? ?????
???????????? ?? ??? ??? ???? ??? ?? ?????? ???? ??? ?? ??? ??? ????????? ??? ??? ??????? ???????? ??? ????? ????? ???? ???????? ????????? ????????????? (SSP) ????? ???? ???????????? ????? ?????? ?????, ????? ?????? ???????? ????? ????? ??? ???? ????????? ???? ?????? ??????? ???? ?? ??????? ?????? ????? ??? ???????????? ??? ?????? ?????? ???? ???????? ????????? ???????????? ???? ????????????????? ??? ???? ????
???? ??? ???????????? ? ???? ??????? ?? ??? ????????? ?????? ???? ???, ???? ????? ???? ???? ?????????????????? ???????? ???? ??? ???? ??? ??? ?? ?? ???? ???????? ???? ?????? ???????, ???? ?????? ?????? ??????????????? ????? ???? ???????????? ???? ???? ?????
Colonoscopy
????????????
???????????? ??????? ???????? ????????? ????????? ???????? ???, ??????? ?????????? ???? ??????????????? (?????????????? ????????? ?????????? ???) ????????? ???????? ????? ??????????????? ????? ???????? ????? ????? ???? ???????? ???? ??? ???????? ?? ???? ????? ?????? ???? ??????? ????? ???????????? ???????? ????????? ????? ???? ????? ??? ????????? ????? ???? ????, ?? ??????? ?????????? ????? ??? ???? ???? ????? ???? ????? ?????????????? ??????? ?? ???? ?? ????? ???? ????, ???? ???? ????????????????? ?????? ? ????? ???? ????? ?????
Before your colonoscopy ##????? ????????????? ???
?????? ?????? ????? ????????????? ??? ??? ???? ??? ??? ??????? ??? ??????? ?????? ???? ????? ???? ?????? ????? ?????? ???????? ???? ???? ???? ????? ???? (???? ????????? ????)? ????? ???? ???? ?????? ????? ??? ???? ??????????????? ???????? ?????? ???????????? ????? ?????? ???? ??? ???? ??? ?? ????? ?????????????????? ?????? ??? ?????? ????? ?????? ?????? ????? ????????? ?????? ??????? ??? ???????? ?????? ?????? ????? ??? ?????? ????? ??????????? ???????? ??? ????? ??? ????????????? ?? ??? ????????? ???, ??? ?????? ???????? ???????? ????? ???? ???? ??? ???? ??????????? ???? ??? ????? ?????? ????? ????????????? ??? ????? ??????? ????? ??????? ???????? ???? ??? ???? ??? ?????? ????????????? ??? ????? ????? ????? ????????????????? ?????? ????? ???? ??? ????? ?????? ??????
Having your colonoscopy
????? ????????????? ????????
???? ??? ????? ?????????????????? ???? ???????? ??? ????? ????? ?????? ?? ?????? ???????? ????? ??? ?????????? ???? ??? ???? ??????? ???? ?????? ????? ??? ???? ???? ???????? ????? ????? ?????? ???????? ???? ???? ???? ?????? ????????? ???? ???? ????? ???? ?????? ???? ????????? ???? ????? ??? ????? ???? ??? ????? ?????? ??? ??????? ????? ?????? ???? ???? ?? ????? ??????? ???? ???? ????? ???????? ?????? ???? ???????? ??? ?????? ????? ??? ??? ?????????????? ??? ????????? ??? ????? ????? ???? ???????? ?????? ???, ????? ???? ???: ? ??? ??????? ????? (??????? ????? ??????? ???? ????? ???? ???????? ???) ? ?? ?????? ???? ????????? ??? ??? ? ?? ?????? ???? ?????????? ?????? ???? ??????????????? ????? ???????????? ?????? 1. ??????????????? ????? ?????? ???? (???????) ??????? ????? ??? ??????? ???? ??????????? (????? ?????? ????) ??????? 2. ????? ???? ????? ????? ????? ???? ????????? ?????? ??? ??????? ????? ????? ????? ??? ???????? ???? ???? ???? ???? ???????? ???????????? ????? ????? ?? ??? ??? ???? ?? ?????? ??????? ??? ????? 3. ????????????? ?????????? ???? ???????? ????? ???????? ?????? ??? ??????? ??? ???? ????? ????? ????, ????????????????? ?????? ?????? ???? ????? ????????? ???? ???? ?? ???? ?? ???????? ???? ?????
After your colonoscopy
????? ????????????? ???
??????????????? ?? ?????? ?????? ????? ?? ???? ???? ???? ?? ???????? ???????? ????? (????????) ?????? ?????? ????? ??? ???? ??? ????, ???? ??????????? ????? ??????? ????? ??? ???? ?????? ? ???????? ????? ????? ?????? ???? ???? ????? ??????? ???? ??????? ????? ??????? ?????? ???? ??? ? ???????? ???? ????? ????? ?? ??? ????? ??????? ??? ?????? ?????????? ??????? ???? ???? ??? ?? ?? ?? ????? ???? ? ????? ????????????? ??? ???? ?????? ????????? ?? ????? ?????? ???? ???? ??? ??? ?? ???????? ??????????? ????? ????? ?????? ???? ?????? ????????????? ???, ???? ?????? ??? ???? ????? ?? ???? ????? ?? ??? ???? ?? ?? ??? ???? ???? ??? ????? ???? ?????? ????? ?????????? ???? ????? ????? ????? ??? ????????? ?????? ??? ?? ? ????? ????? ??? ?? ???? ??? ????? ?????? ???? ????? ???? ????????? ????????? ????? ??????? ???? ????? ?????? ???? ????? ???????????? ?????????
Reliability of colonoscopy
????????????? ?????????????
???????????? ??????? ???? ?? ????????? ????? ??? ???? ???? ???? ??? ???????? ?????? ???? ??? ???????? ?????? (????? ????? ????????????? ????? ?????? ???) ?? ???????????? ????????? ?? ???? ??? ??? ?? ????????? ?????????? ????? ??? ????? ??? ??? ???? ????: ? ?????? ???????? ???? ??? ?? ? ???????? ??????? ??????????? ????? ???? ??? ? ???? ????????, ??????????????? ???? ?? ????????? ????? ?????
Risk of colonoscopy
????????????? ?????
???????? ??????? ????, ???????????? ????????? ?????? ???????? ??????? ??????? ???, ?????? ???? ????? ???? ????????, ???????????? ???????? ????? ???? ????? ???????? ??????? ????? ??????: ? ??????????? ?????? ????? ??????? ???? ???? (?????) (???? ???? ?????? ? ??); ?????????? ?????? ?????? ????? ??? ??????? ???? ????????????? ???????? ??? ? ???? ????????? ???? ???????????? ???????? (?,??? ??? ? ??) ??? ????? ??????? ???? ??? ???? ??? ?? ????? ??????? ???? ????? ??? ??? ????????????? ???????? ??? ???? ?????? ?????? ????????? ????? ???? ???? ????????, ???????????? ??????? ??? ?????? ??? ????? ??????, ???? ???? ???? ??? ??,????? ????????????? ?????? ??????????, ???? ?????? ?????? ??? ??????
Results
?????
??? ???? ?? ??? ???? ??? ??? ???????? ???????? ???:
??? ???? ???? ?? ????????? ??? ???? ?????? ???? ?? ?????????? ????? ?????? ???????? ??? ??, ??? ?? ????? ?? ???? ??????? ???????? ??? ??? ???? ?????? ? ????? ????? ???????? ????????? ????????? ???????????? ??????? ???? ???? ???????? ????? ??? ???? ???? ?? ????? ???? ??????
???? ?? ???????? ?????:
??????? ???? ????????????? ???? ????? ?????? ???? ??? ????? ??? ??????? ??? ????????????? ???? ???????????? ??? ???????? ?????? ????? ??????????????? ???????? ???????? ???? ??? ????? (????????) ??? ???? ?????????????? ???? ????? ?????? ????? ??? ????? ???????? ???? ???????? ?? ??? (?? ?????? ???? ???? ?????? ??? ??????? ?? ??????? ???? ????) ?????? ? ????? ????? ???????? ????????? ????????? ???????????? ??????? ???? ???? ???????? ?????? ??? ??? ???? ???? ?? ????? ?? ???
???? ?????? ????????:
???? ???? (???????? ??? ???) ??? ?????? ?? ??? ??? ??? ?????????? ????? ?????? ???????? ????? ????????????? ???? ?? ???????? ?????? ??? ??? ???? ??? ????? ??? ???? ?? ????? ?????? ???? ????? ??? ??? ??????? ?????? ????? ??????????? ?? ??? ???????? ????????????? ???????? ??? ?????
???????? ?????????:
????????? ?????? ???? ???? ?????? ??????????? ???? ???? ???? ????? ???? ????? ???????? ?????
???????? ??????????? ?????? ??????? ?? ????????? ???? ????????, ?????????? ?????? ??????????, ???????????? ?? ??????????? ???? ??????
???????????? ?????? ????? ???????? ????????? ???????????? ???? ?????? ????? ??? ???? ???? ????? ???????? ????????? ???????? ???????? ?????? ????, ?? ???? ???? ? ??? ???? ????? ????*
* ???? ?? ???????? ?????????????? ??????? ’????????? ?????????? ?? ?????????-?????????? ?????????’, ????? ???? ? ???????? ??????? ?????? ?????? ???: Cancer survival in England - adults diagnosed - Office for National Statistics (ons.gov.uk)
Bowel cancer symptoms
???????? ??????????? ?????
???? ???????????? ??? ?????????? ???? ?? ?? ????? ???????? ????????? ??? ?? ??? ???????? ???? ??? ??? ???? ???????? ????????? ????? ????? ???? ????? ???: ? ?????????????? ???? ???? ?????? ?????? ? ??? ???? ?????? ???? ?? ?????? ???????? ???????? ??? ? ??? ???? ?????? ???? ?? ???? ?????? ????? ???????? ??????????? ????? ???????? ????? ????? ????????????? ?? ????? ??????: ? ????? ???????? ???? (??) ? ???????? ????????, ?? ?? ??????? (?????????) ???/???? ???????????? ? ????? ???? ????? ?? ????? ???? (???) ? ???? ?????? ???? ??????????? ????? ???? ??????? ??? ??? ? ??? ???????? ???? ?????? ??? ????? ??????? ??? ??? ?????? ?? ?? ??????????? ???? ?? ??? ?? ????? ???????? ????????? ???? ?????? ????? ??? ? ?????? ?? ??? ???? ???? ??? ?? ??????????? ?????? ????, ????? ??????? ??? ????? ????? ???? ??? ????? ????? ???????? ???? ???????????? ??? ????? ?? ????? ????? ????? ???????????? ???? ????? ??? ??? ????????????? ???????? ??????????? ????????? ????? ??????????? ???? ???? ??????? ????
Further support
??? ??????
??????? ???????? ????????? ????????? ????????? ???????? ??? ?????? ???? ??????? ??? ?????? ?????????? ????????? 0800 707 60 60 ? ?? ????? ???? ???? ???? ?????: ? ????? ????? ???? ??? ???? ? ????? ????????? ???? ???? ??? ???? ? ????? ?????www.nhs.uk/bowel ? ????? ????? www.lynch-syndrome-uk.org ? ????? ?????www.bowelcanceruk.org ? ????? ????? Lynch Syndrome information - RM Partners ???? ??? ?? ????? ???? ????? ?? ??? ????? ????????? ??? ?????, ???? ???? ??? ?? ?? ?????? ?????? ?????????? ?? ??? ????? ? ??? ?? ?? ????????????? ?????? ???? ??????
???? ??? ??? ???? ?? ????? ????????????? ??? ??? ???? ?????? ???????? ??? ?????? ??? ?????? ????????? ???? ??? ?? ?? ?????? ?? ???? ?
Privacy statement
????????? ??????
???? ????? ????????? ???? ???? ?????? ???????? ?????? ??????? ????????? ????????????? ????? ??????? ?????? ???? ????????? ???? ??????? ???? ???? ???? ????? ???? ??? ??? ????????? ????????? ????? ???? ????? ????? ??????? ????????? ??????? ???? ?????? ????? ???? ??????? ??? ???????? ??? ??? ??? ????? ?????????? ???????? ??? ?????: www.gov.uk/phe/screening-data