Nyuv Cancer

Nyuv cancer yog ib tug kab mob qog hlav loj hlob los ntawm cov qog ua kua membrane uas kab lub plab hnyuv phab ntsa. Lub preferential localization - sigmoid, tus dig muag, lub qhov quav.

Tshwm sim ntawm cov nyuv mob cancer tswj tsis yog cim mov (ntev li ntawm kev noj roj, nqaij, farinaceous zaub mov, tsis txaus cov ntsiab lus ntawm tsob nroj khoom), thiab cem quav. Tsis tas li ntawd ua rau kom cov tsos ntawm cov kab mob qog: polyps, mob plab. Nws muaj pov thawj lub luag hauj lwm ntawm caj nyob rau hauv qhov tshwm sim ntawm cov nyuv hlav.

Muaj heev ib tug xov tooj ntawm cov nta uas characterize cancer ntawm cov nyuv. 4 kab mob theem tshwm sim ib tug ntev lub sij hawm, feem ntau yog cov qog ua rau txoj kev tuag nyob rau hauv cov neeg laus.

Thaum ntxov ua sawv ntawm tus kab mob tshwm sim zoo asymptomatic. Ib tug ceev faj daim ntawv ntsuam xyuas ntawm cov neeg mob tsom ntsuas ntawm tag nrho noj qab haus huv, tsis muaj peev xwm mus ua hauj lwm, tsis qab los noj mov. Neoplastic txheej txheem tsis ua rau poob phaus, tab sis nyob rau hauv tsis tooj, cov neeg mob yuav nce ceeb thawj.

Nyob rau hauv lub kauj ruam tom ntej, muaj cov cim qhia ntawm plab hnyuv mob: ntshav thiab rumbling nyob rau hauv lub bowels, cem quav, raws plab, ntswj los yog recurrent mob ntawm ib tug mus tas xwm uas tsis txuam nrog cov zaub mov. Thaum mob ntxeem tau roj lumen ntawm txoj hnyuv, uas ua rau yus sis tsis ncaj unilateral tsam plab. Qeeb, mob ntshav poob, uas accompanies cancer ntawm txoj cai department ntawm cov nyuv, ua rau txoj kev loj hlob ntawm anemia.

Qhov kawg kauj ruam ntawm tus txheej txheem yog yus muaj los ntawm txoj kev loj hlob ntawm lub qog soj ntsuam tej yam tshwm sim. Yuav tshwm sim ileus, inflammatory mob (peritonitis, cellulitis, rwj), los ntshav. Nyob rau hauv loj heev zaum tshwm sim plab hnyuv perforation, uas leads mus rau kev loj hlob ntawm rwj, peritonitis, thiab fistula tsim (enteric paum, plab hnyuv-vesical).

Nyuv cancer yuav tsum tau kuaj pom thaum ntxov. tus neeg mob kev xeem tsis qhia pathological kev hloov. Lub tshaj plaws yog yog cov radiography, uas yog tau siv zoo ib cov neeg ua hauj (slurry barium). Nyob rau hauv cov kev tshwm sim ntawm sau tus kho raws qhov chaw los yog kev txwv paub tseeb hais tias cov kev loj hlob ntawm cancer.

Rau cov nrhiav kom tau ntawm mob cancer ntawm distal yog siv sigmoidoscopy, xoos hnyuv laus. Yog li muaj yog ib tug yeeb yam kev soj ntsuam ntawm lub plab hnyuv mucosa. Tib txoj kev rau txim tawm cancer hauv cov hnyuv, uas yuav muaj cov tsos mob zoo li lub yeej ntawm cov nyuv.

Thaum kuaj nyob rau hauv cov quav mus kuaj ntshav kuj muab qhov no mob. Yuav kom paub meej tias nws nyob rau hauv lub tsom xam ntawm cov ntshav carcinoembryonic antigen cov ntsiab lus yog txiav txim.

Nyuv cancer yog kho siv radical txoj kev. Nyob rau hauv lub qhov chaw ntawm lub qog txheej txheem, muaj ntau ntau cov kev xaiv rau kev phais. Cancer ntawm lub cecum, hepatic flexure, ascending department yuav tsum tau qhov kev tshem tawm ntawm tag nrho cov cai ib nrab ntawm nws. Tom qab muab hlais tawm lawm lub anastomosis yog tsim ntawm poperechnoobodochnoy thiab ileum.

Tom qab lub lag luam yog muab rau cov tshuaj kho aimed ntawm combating nrog intoxication, lub cev qhuav dej, poob siab. Tsis tas li ntawd muab Vaseline roj uas muaj ib tug laxative nyhuv. Qhov no yog tsim nyog nyob rau hauv kev txiav txim kom tsis txhob muaj kev poob plig anastomosis sutures. On thib ob hnub ntawm cov dej haus yog tso cai, ces lub teeb kua zaub mov, maj mam ua rau txoj kev hloov mus rau ib tug qub zaub mov noj.

Nyuv cancer nyob rau hauv advanced ntaub ntawv yuav tsum tau palliative phais. Cov muaj xws li cov imposition ntawm anastomoses bypassing mob, quav fistula, uas yog siv los mus tiv thaiv cov kev loj hlob ntawm plab hnyuv dab tsi thaiv. Tsis tas li ntawd mus rau lub muas yog cov kws khomob.

Cov raug ntawm tus kab mob nyob rau cov theem ntawm lub qog txoj kev loj hlob, nyob rau hauv lub qhaj ntawv ntawm metastases nws yog tus paaj.