188体育

About Lynch syndrome

????? ????? ????

????? ?????????/????? (?? ???? ??????????(HNPCC) ????? ??????? ???? - ??????? ???-????????? ?????????? ??????) ? ???????? ????? ?????? ?? ?? ????????? ????????? ?????? ????? ????????? ????? ??? ??. ?? ????????? ?????? (????????????? ??????), ??????, ??? ??? ?????????? ?????? ???? ???????? ?????? ????? ????????? ?? ????? ??.

????? ?????????/????? ?? ???? ??? ???????? ???????? ????? ??? ?? ?? ??????? ???? ???????? ????? ???? ??? ??? ??. ? ??????? ?????? ????? (MMR) ???? ????? ???????? ??? ??. ? ??????? MLH1, MSH2, MSH6, PMS2 ??? EPCAM ???????? ??? ??. ?????? (MMR) ????? ??????? ???? ????? (DNA)??? ???? ??????? ???? ??? ??? ??, ????? ?????? ? ???????? ?????? ??? ?? ?????? DNA????? ????? ???? ?????????? ???? ???, ?? ???????? ???????? ?????? ??? ??.

Why we offer bowel cancer screening to people with Lynch syndrome

????? ?????????/ ????? ???? ?????? ??? ???????????? ?? ???? ?????? ???? ???

????? ?????????/????? ?????? ???? ???? ???????????? ??????? ?????? ???? ?????? ???????? ???????? ????? ???? ????? ?????? ?? ?????? ??????? ?????? ??? ??? ??, ???? ???? ???????? ???????? ??????? ?????? ?? ??? ??? ??.

???? ???? ? ?? ?? ???????????? ?????? ?????????? ???????? ???????? ???? ??? ?? ?????? ?? ????????? ?????? ??? ?? ?????? ?????? ??????? ?????? ??????? ????? ??? ?? ?? ??????? ?? ???? ??? ??. ? ???????? ????? ???? ???? ?????? ??. ??????? ? ?????? ???, ????? ??? ???? ????????? ?????? ?? ??? ??. ????????? ??????? ??? ??? ???? ??, ?? ???????? ???????? ???????? ???? ????? ??.

????? ???????? ????????? ??? ???? ????? ???? ????? ?????????/??????? ????????? ??? ????? (??? ?? ?????? ??? ??????? ????) ??????? ??????? ??? ??????? ???? ?????.

Who we invite

??? ???? ??????? ???? ???

NHS ???????? ?????? ?????????? ????????? ????? ????????? / ????? ??? ????? ?????? ?????? ?? 2 ????? ???????????? ?????? ???????????? ??? ??? ??. MLH1 ???? MSH2 ???? EPCAM ???? ???????? ?????? ?????? ??????? ???? ????? 25?? ???????? ??? ? ???????? ??????? ????. MSH6 ???? PMS2 ???? ???????? ?????? ?????? ??????? ???? ????? 35?? ???????? ??? ? ???????? ??????? ????.

?? ??? ???? ???????????? ????? ???, ?? ?????? ????? ????? ???????????? ???? ??? ?????? NHS ???????? ?????? ?????????? ????????? ???? ??????? ?????? NHS ???????? ?????? ?????????? ????????? 75 ?? ???? ??? ???? ?????? ?????? ???????? ????? ???, ????? ??? 0800 707 60 60 ?? ????? ??? ????????? ?? ??? ????? ?? 2 ????? ???????????? ?????? ??? ??? ??.

???? NHS ???????? ?????? ?????????? ????????? ????? ??????? ?????? ?? ???? ?? ????? ????????? ???? ???? ?????? ?? ?? ???? ???? ????????? / ????? ??. ?? ???? ?????? ??? ?? ???? ???? ?????????/ ????? ?? ???? ???? ?? ?? ?? ??? ?? ???? ????? ???, ?? ???? ????? ????? ??? ??????????? 0800 707 60 60 ?? ??? ???.

How the bowel works

?????? ???? ???? ??? ??? ??

?????? ????? ???? ??????? ?? ??? ?? ?? ?????????? ??????????? ??? ???? ?? ?? ??? ?? ???? ??? ?? ???? ?? (??, ?? ???? ???????? ??? ????? ?? ???????? ??? ??) ????? ????? ??.

Risk (chance) of developing bowel cancer ????????? ?????? ?????? ???? (??????) ????? ?????????/????? ?????? ??????? ?????? (???? ????) ???????? ?????? ????? ?????? ??? ??? ??. ???? ?????????/????? ?????? 100 ????????? 15 ??? 80 ?? ????? ????? ??????? ??????? ???????? ???????? ????? ??? ???? ????? ???????? ???? ?????????/????? ???? ?????? ??? ??. ? ?????? ?????? ????? ??????? ???? ????? ?????? ????? ??. ????? ?????????/????? ?????? ???? ? ??? ?? ???? ????????? ?????? ???, ????? ???? ????? ?????? ????? ???? ?????? ??? ??? ??. ???? ????? ?? ?? ???? ????????? ?????? ????? ?????? ????? ??? ?? ????? ????? ??? ? ??????? ????? ?????????/????? ???? ?? ???????? ????? ?? ? ????? ????
? ?????????? ?????? (???? ???)

Reducing your chance of developing bowel cancer

????????? ?????? ????? ????? ???????? ??????

???? ????????? ???? ????? ???? ????????? ?????? ??? ????. ?? ?????? ???? ?????????/ ????? ?? ??? ??? ?????? ???????????? ????? ?? ?? ??????? ?????? ????? ??????? ??? ??? ??, ??? ???? ????????? ?????? ??? ?? ???? ???. ? ???? ???? ?? ???? ?? ???? ???? ?????????/ ????? ?? ?? ?????? ???? ????? ????? ?????? ?? ??? ?? ??? ?????? ????????? ?????? ???? ??? ?? ???? ????? ??????? ??? ??? ??? ?? ???? ???? ?????? ??? ??????? ???? ??? ????. ??? ??? ?????? ?? ????????? ?????? ????? ?????? ????? ??? ??: ? ??????? ???? ?????? ?????? ? ???????? ??? ??????? ? ?????? ????? ?????, ?????? ????? ??? ???? ??? ??? ???????????? ???? ??? ? ?????? ????????? ??????? ??? ??? ????? ? ???? ??? ???? ????? ??? ??? ????? ??? ????????? ???? ??? ?? ???? ???? ????? ? ??? ???? ???? ? ???????? ? ????? ? ????????- ?????? ?????? ????? ?????? ?? ?? ????? ???????? ?????? ????? ?????????/????? ?????? ??????? ???????? ?????? ???? ?????????? ??? ??? ??? ?? ?? ??? ???????? ???? ???? ??? ????? ?????? ??? ?? ????? ????? GP ???? ???????? ????????? ??? ???? ??? ???? ????.

Possible benefits and risks of bowel cancer screening

NHS ???????? ?????? ?????????? ??????????? ?????? ????? ??? ?????

?????? ????? ??? ???????? ????? ??????? NHS ???????? ?????? ?????????? ???????????? ??? ???? ?? ???? ?? ????? ??????? ???? ??? ????. ????: ???????????? ????????: ? ???????? ???????? ????? ???????? ??????? ????? ??. ?? ??? NHS ???????? ?????? ?????????? ???????????? ??? ?? ?? ??? ?????? ???????????? ??? ??, ?? ???????? ???????? ?????? ??????? ??????? ???? ??? ??. ? ???? ?????????/????? ?????? 100 ????????? ?? 40 ?? 60 ?????? ????????? ?????? ??? ?????? ??. ? ?? ????????? ?????? ????????? ?????? ???? ?? ?????? ?? ??? ?????? ????? ??? ?? ? ???? ???????????? ??????? ????? ????? ????????? ??? ?????? ?????? ??? ??, ?? ????????? ?????? ????? ?????? ????? ??.

?????: ???????????? ?????? ?????? ? ? ???? ???? ??????????:

? ?????????? ???? ??? ??, ?????? ?????, ???????????? ??????? ???? ???

??? ?? ?????????? ????? 100 ??? ??????? ???. ? ???? ???? ?? ???? ?? ????????? ?????? ?????????? ????? ?????? ?? ??? ??. ???????????? ?????? ???? ????? ???? ??? ???? ?? ???? ??????? ?? ?? ?? ?????? ????????? ?????? ??? ??

How bowel cancer screening works

NHS ???????? ?????? ?????????? ????????? ???? ???? ????? ??? ??

??? ???? ??????? ?????????? ?????? (??????? ???? ???????????) ???????????? ??? ??????. ? ????? ?????? (????????????)?? ??????? ???? ?????? ????? ???? ???? ??. ?? ??? NHS ???????? ?????? ?????????? ??????????? ???? ?????? ???????????? ?????? ??? ??, ??? ??????? ???? ?? ??????????? ????? ??? ?? ???? ???? ???? ??? ??????????? ???????????? ??? ??????? ??? ??? ??.

???????????? ? ???? ???? ?? ?? ??? ??? ????? ?? ???? ??? ?????? ???? ?? ???? ??? ?????? ?? ???? ???????? ???? ??. ?? ??????? ?????????? ??????????? (SSP) ????? ???? ???????????? ???? ????? ????, ????? ?????? ????? ????????? ???? ???? ??? ???? ???? ?? ??? ????????? ???? ????? ????????? ??? ?? ?? ????. ?? ??? ?????? ???????????? ????? ??? ?? ?? ????? ??????? ?????????? ??????????? ???? ??????????????? ????? ?????? ???? ????. ?? ??? ???????????? ???? ????? ?? ??? ?????????? ??? ???? ????? ??, ?? ??? ????? ???? ?????????????? ???????? ??????. ?? ???? ??? ?????? ?? ??? ??????? ???? ????? ??, ?? ??? ???? ??????? ?????????? ???? ???????????? ??? ??? ???? ???.

Colonoscopy

???????????? (Colonoscopy)

???????????? NHS ???????? ?????? ?????????? ??????????? ??? ??, ??????? ???? ????????????. ??????????????? (??????????????? ??? ????? ?????? ???????) ??????? ??? ??. ??????????????? ????? ???????? ???? ???? ???? ?????? ???? ?????? ???? ????? ??? ????? ????? ??? ??. ???????????? ????????? ?????? ???? ??? ??. ?? ??????? ?? ???? ??? ??, ???? ??????? ???? ??? ??? ???? ?? ???? ??? ????????? ?????? ??? ?????? ???. ??????????????? ??????? ???? 30 ?? 45 ??????? ??? ???? ??, ?? ?? ??? ?????????? ???? 2 ?????? ??? ???? ??? ??.

Before your colonoscopy

????? ???????????? ??????

SSP ???? ???????????? ?????? ??? ????? ???? ??????? ???? ??? ???? ??????? ???? ??? ??? ??. ??? ???? ????? ???????? ??? ?????? ??? ?? ???? (?? ????? ????). ????? ???? ?????? ??????? ???? ?? ???? ??????????????? ???????? ??????? ?????? ???? ??? ???. ??? ??? ?????? ?? ?? ?? ????? ????????? ??? ?? ?????? ????? SSP ???? ????? ????? ????. ???? ????? ????? ??????????? ????? ??? ??????. ?? ???????? ?? ?? ??? ????? ?????? ??? ??. ?????? ???? ???, ???? ????? ???????? ???? ??????? ???? ????.

?? ??? ??? ??????? ??? ??????? ???? ??? ??, ?? ????? ????? ???????????? ??? ???? ??? ?? ??? ???? ????? ???????? ?????? ???? ???? ???? ?? ? ???? ?????????? ????? ??? ??. ????? ???????????? ???? SSP ????? ???? ? ???? ????? ????

Having your colonoscopy

????? ???????????? ??????

?????? ??? ????? ???????????? ???? ??? ?? ?????? ??? ????? ??? ?????? ???? ????? ????? ?????? ???? ??????? ???? ??? ??? ????. ??? ???? ????? ??????? ???? ??? ?????? ????? ???? ?????? ???? ?? ??????? ??????. ??? ???? ????????/ ???????? ??? ???? ???. ??? ???? ??? ??????? ??? ?? ??? ???? ???. ? ????? ?? ???? ?? ????? ?????? ??. ?? ??????? ???? ????? ????? ????? ????????? ???? ????? ???? ???? ??? ????-???? ??? ??? ??? ?? ?? ???? ???? ???? ??? ?????????????? ??? ???????? ?????? ???? ??.

??? ??????? ????? ????????, ????? ? ? ????? ????:

? ???? ??? ????? ????? (???? ??? ?? ??? ???? ????? ???? ????) ? 24 ???? ???? ???? ???? ? 24 ???? ?????? ?????

??????????????? ????? ???????????? ????.

1. ??????????????? ????? ?????? ????? (?????????) ?????? ????? ???? ????????? ??????????? (????? ??? ???) ?????.
2. ??? ??? ??????? ?????? ??? ???????? ?????? ?????????? ????? ???? ??? ????. ? ???????? ???? ?? ???? ??? ??????? ?????? ???? ??? ???. ?? ?????? ?????? ???? ???????? ???????? ???? ??? ??? ??.
3. ??????????? ???? ?????? ??????? ?? ????? ???????? ?????? ??? ????? ??. ?? ???? ?????? ???, ?? ????????????????? ?????. ???? ???? ?????? ???????? ?????? ??? ??? ??? ????? ?? ?? ???? ??? ??.

After your colonoscopy

????? ???????????? ???

??????????????? ???? SSP ???? ????? ?? ??? ???? ??? ??????? ???? ???????? ????? (????????) ?? ???????? ??? ????? ??. ?? ??? ??? ????, ?? ??????????? ????? ???? ???? ??? ??? ???? 2 ?????????? ???? ??????? ?????? ??????. ??? ????? GP ?? ????? ????????? ?? ??? ?? ????????. ?? ???? 2 ???????? ??? ????? ??????? ? ????? ???, ?? ???? ????? 0800 707 60 60 ???? ????? GP ?? ????? ??????????? ?????? ???. ????? ???????????? ??? ???? ???? ???? ??????? ?? ???. ??? ??? ???? ??? ???? ???? ??????????? ????? ??????? ??????? ??? ??? ??.

???????????? ???, ??? ????? ?????? ??? ?? ???? ?????? ???? ?????? (???) ???? ?????? ?????? ?? ?? ???? ??? ???? ???? ?????? ??? ??. ????? ?? ??? ????? ???? ?? ??? ??? ??. ?? ?????? ????? ??? ???? 2 ??????? ??? ? ???, ?? ????? ????? GP ?? ????? ????. ??? ?????????? ???????? ?? ?????? ??? ??? ?? ????? ????? ???????????? ??? ???.

Reliability of colonoscopy

?????????????? ???????????

????????? ??????? ???? ?????? ????? ???? ???????????? ? ?? ????? ??????? ??. ????? ?? ???? ?? ?? (?? 100 ????????????????? ???? 3) ?? ???????????? ?????? ???? ????? ???? ??? ?? ?? ?????? ????????? ?????? ??? ??. ? ???? ??? ??? ??: ? ?????? ?????????? ???? ? ??? ? ???????? ??????? ??????????? ??????? ??????? ???? ? ?????? ??????????, ??????????????? ????? ???? ?????? ??? ???? ???

Risk of colonoscopy

??????????????? ????

???? ????? ???? ???? ???????????? ???? ???? ??? ??. ????? ????????? ????? ???????????? ???, ??????? ?? ??? ??. ?????? ??????????, ???????????? ???????? ?????? ???????? ??? ??. ?????? ?????????? ????? ??? ? ??????????? (1700??? ???? 1 ???????)?? ????? ????????? ????? ??? ??. ????????? ???? ???? ?????? ???? ??????? ???? ?????????????? ???? ???? ? ???? ??????????? ???????? ???? ??? ?? (2,400 ??? ???? 1 ???????) ?? ???? ????????? ??? ?? ???? ????? ??????? ?? ???? ????? ????????? ?? ????? ?? ???? ?????????????? ???? ??, ?? ??? ???? ??? ? ??????????? ???? ??????. ?????? ??????????, ?????????????? ??????? ????????? ?????? ??? ??. ?? ??, 2011??? ??? ??????? ????? 20,085 ?????????????? ?? ????????? ???????, ??? ?????? ???????? ? ????.

Results

???????

??? ??????? ???? ???? ??????? ?? ???? ???????? ???? ???: ?? ??? ??????? ???? ????? ???? ??????? ?? ?? ????????? ????????? ????? ??????? ???, ?? ? ???? ??? ?????? ???? ????? ????. ??? ???? 2 ??????? ???????????? ?????? ???????? ???????? ???? ???? ???????? ?????? ?? ??? ??? ?? 75 ?????? ??? ?????? ???. ??????? ???? ???? ?????:

??????? ???? ???? ???????????????? ???? ??? ???? ???? ????? ????? ????? ???????????? ??????? ???????? ???? ????????? ??? ???? ???. ??????????????? ????? ????????????/ ???????????? ????? ???? ???? ???? ???????? ??????? ?? ???? ????? (????????) ?? ?? ??? ??. ????? ???? ????? ??? ?? ?????? ???? ? ??? ????? ???? (??????? ????? ??? ??????? ??? ??? ?? ??? ?? ???? ???? ????) ?? ??? ????? ??????? 75 ?????? ??? ?????? ??? ?? ???? 2 ??????? ???????????? ?????? ???????? ???????? ???? ???? ???????? ??????? ???? ????????? ??? ?????? ???? ??

?????? ??????? (???? ???????? ?????? ??) ?? ???? ??? ??????? ? ??? ?? ?? ????????? ????????? ????? ?????? ????? ??. ???????????? ??????? ? ????????? ??? ????? ??? ??????? ??? ??? ?? ?? ???? ? ???????? ?????????? ??? ?? ??? ??? ?? ????? ????? ?????? ?????? ???? ??? ??????? ?????????????? ???? ??? ??? ??.

????????? ??????: ?? ?????? ??? ??? ?? ??? ???? ?????????? ??? ???? ???????? ?? ????? ????? ?????. ???????? ???????? ????? ?????? ???????????? ??. ?????? ??????????, ???????? ???? ??????????, ????????????? ???? ???????????? ??? ??? ??.

???? ???? ???? ???????? ???????? ???? ?? ??? ??? ???. ????? ?? 100 ???? ?? ????? ????????? ?????? ???? ????????? ?????? ???? ??? ??, 90 ?? ??? ???? 5 ???? ??? ?? ????? ??.* *???? ??? ????? ????????????? ??????? ‘????????? ???????? ???????????? - ????? ???? ??????? ????? ????’, ?? ????? 2019 ??? ???????? ???? ????. ???? ?????? ??: Cancer survival in England - adults diagnosed - Office for National Statistics (ons.gov.uk)

Bowel cancer symptoms

???????? ???????? ??????

???????????? ?????? ? ????? ????? ??? ?? ???? ????????? ?????? ??? ???? ?? ????????? ??????? ?????? ??? ????. ????????? ?????? ?????? ??? ?? ???? ??, ??? ??? ???? ???: ? ??????????????? ??????? ????? ??? ? ???? ??????? ????? ?? ???? ??? ?????? ???? ??? ? ???? ??????? ????? ?? ???? ??? ??? ????? ???????? ???????? ?????? ???? ????? ?????? ?????????? ??. ???? ????? ??: ? ????? ?? (??)??? ???? ? ????? ?? (??), ??? ??? ?? (??) ????? (????) ???/???? ??????? ? ????? ?????? ?????? ???? ????? (???) ? ???? ??? ???? ??????? ???? ??? ??? ????? ? ??? ?????? ???? ??? ??? ?????? ???? ????? ??? ???? ?? ? ???????? ???? ? ??? ?? ???? ????????? ?????? ??. ????? ?? ???? 3 ???????? ?? ???? ??? ??? ???? ?????? ????? ?????? ???, ?? ???? ????? ????? GP ???? ??? ???. ?? ??? ????????? ???????????? ????? ??? ???? ???? ???????? ???????????? ???????? ??? ?? ?? ? ????? ???????? ??. ?????? ???? ?????? ??? ?????? ???????? ???????? ???? ? ??? ??????? ???.

Further support

??? ????

NHS ???????? ???????? ???? ???? ??? ?????? ???? ???? ????? 0800 707 60 60 ?? ????? ??? ????????? ?? ??? ???. ??? ? ?? ??? ??? ??: ? ????? GP ???? ??? ??? ? ????? ????????? ??? ???? ??? ??? ? www.nhs.uk/bowel ?? ??????? ?? ? www.lynch-syndrome-uk.org ?? ??????? ?? ? www.bowelcanceruk.org ?? ??????? ?? ? ??????? ?? Lynch Syndrome information - RM Partners

?? ????? ???? 75 ?????? ??? ??? ??? ???? ???? ?????????/ ????? ??????? ????? ???? ???, ?? ??? ????? ????????? 0800 707 60 60 ?? ??? ????? ?? 2 ????? ???????????? ?????? ??? ??? ??.

?? ???? ?????? ??? ?? ????? ???????????? ???????? ???? ?? ????? ???? ??????? ?????? ???, ?? ???? ????? ????? ??????????? 0800 707 60 60 ?? ??? ???

Privacy statement ???????? ?????? NHS ?????????? ??????????? ???? ????? ???? ?????????? ???? ???????? ???? ???? ????? NHS ???????????? ????????? ???????? ????? ??? ??. NHS ????????? ?? ????? ???????? ????? ???? ???? ?????????? ????? ??? ???? ????? ???? ??? ?????????? ??????????? ??????? ???? ??? ??. ???? ???? ????? ???????? ????? ??? ???????? ??????? ??? ??, ??? ????? ??????? ???? ??? ????: www.gov.uk/phe/screening-data