Plob tsis so tswj adenocarcinoma: kauj ruam kev kho mob, phais, raug

Oncology yog tam sim no twb cov feem ntau heev cov kab mob. Cancer yuav tshwm sim nyob rau hauv tej khoom hauv nrog cev ntawm tus neeg kiag li. Uas yuav mob cancer yog ntes nws nyob rau ntawm ib thaum ntxov rau theem yog yuav luag tsis yooj yim sua. Yog hais tias qhov no tshwm sim, nyob rau hauv tsis tshua muaj heev neeg mob. Cov tsos mob yuav tshwm sim twb nyob rau hauv lub lig theem, thaum kev kho mob thiab rov qab yog ib qhov nyuaj, thiab tej zaum kuj piam.

plob tsis so tswj adenocarcinoma - yog ib qho ntawm feem ntau hom mob cancer uas tshwm sim nyob rau hauv cov nyuv thiab hnyuv. Ib tug yog tsim los ntawm xws li ib tug kho raws ntawm glandular hlwb ntawm lub mucosa. Raws li qhov no mob muaj, muaj feem xyuam rau npag thiab serosal khaubncaws sab nraud povtseg. Tsis tas li ntawd, qhov no mob muaj peev xwm loj hlob txawm los ntawm cov hnyuv.

Yuav ua li cas yog plob tsis so tswj cancer?

Feem ntau cov ferriferous cancer raug neeg 50 xyoo ntawm lub hnub nyoog. Raws li rau lub heev ntawm tus kab mob no thiab ntxiv raug, lawv yog ncaj qha nyob rau yuav ua li cas lub plab phab ntsa twb ntaus.

Plob tsis so tswj adenocarcinoma muaj feem xyuam rau, raws li ib tug txoj cai, tsis tsuas muaj roj, tab sis kuj cov hnyuv. Tab sis qhov loj feem ntau ntawm no hom ntawm cancer pom tau nyob rau hauv cov nyuv. Nyob rau hauv no kab mob nyob rau hauv cov poj niam no yog nyob rau lub 4 qhov chaw nyob rau hauv cov xwm txheej ntawm tag nrho cov tau hom mob cancer.

hom

Adenocarcinoma txawv raws li cov neeg kawm ntawv ntawm nws kev hloov mus rau hauv cov nram no subtypes:

• mas differentiated;

• pesnrab txawv;

• tsis zoo txawv.

Nws yuav tsum tau hais txog hais tias ib tug tsis zoo differentiated adenocarcinoma ntawm txoj hnyuv tshwm sim feem ntau nyuaj. Qhov no mob tej zaum yuav xaiv qhov chaw ntawm txiag nyob rau hauv tej ib feem ntawm txoj hnyuv, tab sis feem ntau nws qhia nyob rau hauv lub qhov quav.

Nrog kev xav txog cov me me hnyuv, nyob rau hauv cov ntaub ntawv no, lub qog yog kuaj npaum li cas tsawg zaus. Yog hais tias Benefit muab faib txhua tus neeg mob cov tsos ntawm no pathology, lub duodenum yog cov ib nrab ntawm cov neeg mob. Yog hais tias peb los sib piv cov txiv neej thiab cov poj niam, lub zog txiv neej pw yog raug rau tus mob no. Feem coob ntawm cov xws li ib tug kho raws yog kuaj ntawm cov muaj hnub nyoog ntawm 50 thiab 60 xyoo.

theem

Raws li rau lub staging ntawm tus kab mob, tag nrho cov sij hawm yog muab faib mus rau hauv Team sib yog:

• Tus thawj theem yuav tsuas yog tus mucosa;

• nyob rau hauv lub thib ob theem no tshwm sim defeat tag nrho lub cev khaubncaws sab nraud povtseg;

• nyob rau peb theem nyob rau hauv xws li ib tug txheej txheem yog twb puas qog yog muab kev koom tes;

• thiab ib tug thib plaub kauj ruam metastasis foci pib mus rau manifest xws kauj ruam yog cov feem ntau txaus ntshai rau tib neeg.

Thaum tus kab mob nyob ntev plob tsis so tswj adenocarcinoma txiav txim TNM system uas detects cov magnitude ntawm lub qog, raws li tau ntaus cov qog ntshav hauv thiab muaj cov metastasis foci.

Yuav ua li cas puas muaj tus kab mob?

Tu siab, adenocarcinoma ntawm txoj hnyuv - ib tug heev txaus ntshai tus kab mob uas tsim, suab tsis impersonating. Raws li ib tug txoj cai, xws li ib tug kho raws yog tsim nyob rau hauv lub keeb kwm yav dhau ntawm mob mob ntawm cov nyuv, thiab yog li ntawd tus neeg tau txais nws manifestation ntawm lub ntsuas ntawm nws muaj mob. Nyob rau hauv lub loj heev feem ntau adenokartsenoma ua nws tus kheej muaj nyob rau hauv cov ntaub ntawv, thaum nws los tshwm metastases.

Nrog kev xav txog cov thaum ntxov ceeb toom tej yam tshwm sim hais tias lawv muaj xws li cov nram qab no:

• teeb meem muaj tsis tu ncua lub rooj zaum;

• impurity ntshav nyob rau hauv quav;

• txheej paug nrog cov ntshav tawg tsam thaum pib ntawm defecation;

• Yog hais tias tus kab mob no loj zuj zus, ib tug neeg muaj tus ntse los yog npub mob nyob rau hauv lawv cov quav cheeb tsam;

• mob thaum lub sij hawm ua ntau pronounced;

• kawg theem yuav tsum qhib plab hnyuv los ntshav, anemia, thiab muaj ib tug general lom ntawm tag nrho cov kab mob.

Yog li ntawd manifested adenocarcinoma ntawm cov nyuv. Raug yog feem ntau disappointing.

Qhov ntau zuj tus kab mob no, lub ntau cov neeg pib tau nkees, muaj yog ib tug tsis muaj zog vim hais tias ntawm cancer intoxication. Ib tug muaj kev cuam tshuam ntawm lub cev zom cov zaub mov ntawm cov zaub mov ua rau yus lub fact tias ib tug neeg pib kom poob ceeb thawj dramatically.

Qhov ntau hnyav kab mob, ntau dua qhov lub phiv cov tsos mob nyob rau hauv tib neeg, lub xeem theem yuav tsa lub cev kub rau 38 degrees. quav daim ntawv no kuj zoo heev hloov, thiab cem quav alternating nrog raws plab, thiab muaj ib tug muaj zog tsis hnov tsw fetid.

Feem ntau tus neeg mob pib xav tias nws yuav tsis tag emptied koj bowels. Raws li ib tug tshwm sim, muaj ib tug spasmodic contraction ntawm cov nqaij, thiab muaj cuav siab nyiam qee ntawm plob tsis so tswj taw. Nyob rau hauv tas li ntawd, tus neeg muaj peev xwm mus rau lub tso zis tso mus 20 lub sij hawm ib hnub twg nrog obligatory paug hnoos qeev thiab cov ntshav. Cov txaus ntshai plab hnyuv adenocarcinoma.

Thaum metastases tshwm sim nyob rau hauv lub tsib lub zais zis thiab nyob rau hauv lub siab, ces tus neeg pib visually soj ntsuam cov nyhuv ntawm daj ntseg. Thiab nyob rau hauv lub rooj plaub thaum lub qog hlob xav, nws yeej muaj peev xwm los thaiv lub lumen, qhov tshwm sim yog ib tug disturbance ntawm defecation, tiam sis tsuas yog ua kom nrov loj mob nyob rau hauv lub plab, thiab ntxiv rau cov tsos mob ntawm xeev siab thiab retching.

Raws li koj paub, ib tug ntawm lub ntsiab zog ntawm cov nyuv - yog lub tsub zuj zuj thiab tuav quav, uas ua rau cov qog, ua rau nws ulcerate. Yog hais tias tus mob pib tsim, los ntawm cov quav ntau yuav muab ntxiv, thiab impurity ntawm purulent kua thiab cov ntshav.

Yuav ua li cas yam ua qhov pib ntawm tus kab mob no?

Adenocarcinoma ntawm cov nyuv yuav tshwm sim vim ntau yam. Kws txawj tau qhia thiab pom cov nram qab no yam uas yuav ua rau txoj kev loj hlob ntawm no kho raws, namely:

• lub xub ntiag ntawm polyps nyob rau hauv cov nyuv;

• ulcerative mob plab;

• duodenal rwj;

• mob cem quav;

• papillomavirus kab mob.

Nws yog ib nqi sau cia hais tias cancer yuav los yug dua los ntawm benign qog. Ib tug swb ntawm no defect ntawm lub duodenum yog feem ntau vim lub fact tias nws muaj feem xyuam rau cov kua tsib thiab pancreatic kua txiv.

Tsis tas li ntawd, plab hnyuv adenocarcinoma (kev kho mob yuav tsum tau tham rau hauv qab no) yuav tau triggered thaum uas yam nram qab no:

• kev noj cov zaub mov;

• noj haus dej haus cawv;

• haus luam yeeb;

• tsis tu ncua tau txais kev nyuaj siab;

• kev tshuaj ntsuam genetic predisposition.

Nws yuav tsum tau kev nyaub siab hais tias nyob rau hauv tej rooj plaub tej zaum yuav muaj ib tug manifestation ntawm ob phem hlav - ib tug mob cancer ntawm cov nyuv thiab hnyuv.

Adenocarcinoma ntawm cov nyuv feem ntau tshwm nyob rau hauv cov neeg uas tsis ua raws li ib tug khoom noj los yog raug kev txom nyem los ntawm fistula nyob rau hauv qhov quav. Nws tseem yog nqi sau cia hais tias feem ntau ua txoj kev loj hlob ntawm tus kab mob no thiab kev siv cov tshuaj tom hauj lwm thiab nyob rau hauv lub tsev.

Cov tsos mob, uas muaj peev xwm ntes ib tug kho raws

Adenocarcinoma yuav qhia lawv tus kheej los ntawm cov nram qab no nta. Yog hais tias lub cancer tau manifested nws tus kheej nyob rau hauv cov hnyuv, cov tsos mob yog:

• stably manifested mob nyob rau hauv lub plab;

• cem quav alternating nrog kua faeces;

• flatulence;

• xeev siab thiab retching;

• cia li poob phaus.

Raws li plob tsis so tswj adenocarcinoma (kauj ruam 3 thiab 4) yuav loj hlob, ib tug neeg tej zaum yuav tshwm sim tej yam tshwm sim ntawm intoxication. A cov tsos mob ntawm no yog cov tsis qab los noj mov los sis ua tiav tsis kam ntawm cov zaub mov, yuav ua cai. Yog hais tias yog cov ntaub ntawv yog txoj txaus, lub los ntshav yuav tshwm sim. Thaum yog cov plaub theem ntawm no kho raws, cancer muaj feem xyuam rau tag nrho cov uas nyob ib sab nruab nrog cev.

Thaum adenocarcinoma muaj peev xwm tsim tawm rau ntawm phab ntsa hauv cov hnyuv, xws hlav yuav ntxias los ntshav qhib.

Raws li rau adenocarcinoma ntawm cov nyuv, muaj ntau ntau nta, namely:

• stationed mob nyob rau hauv lub qis lub plab;

• qab los noj mov yog tsis tuaj kiag li;

• nyob rau hauv cov quav muaj ib tug loj tus naj npawb ntawm hnoos qeev thiab ntshav tawg tsam;

• tej zaum nyob rau hauv cov quav yuav pom kua paug.

Yog hais tias koj tau qhuas los ntawm txoj cai ntawm lub plab hnyuv phab ntsa, cov ntshav los zais. Tab sis yog hais tias tus mob yog dislocated nyob rau hauv rau sab laug seem, cov quav yuav tsum tam sim no tsaus nti scarlet ntshav. Thiab raws li ib tug ntawm feem ntau tej yam tshwm sim ntawm tus kab mob no, nws yog ib tug cuav along muaj plob tsis so tswj zog.

Yog hais tias ib tug neeg nyob ntawm tsawg kawg yog ib tug ntawm cov saum toj no cov tsos mob, nws yog ib lub teeb liab rau ib tug tam sim ntawd recourse. Tsis txhob raug lawv tus kheej lub neej thiab las mees cov tej yam tshwm sim.

Tseem ceeb: Yog hais tias ib tug neeg muaj high-qib plob tsis so tswj adenocarcinoma, feem ntau tsis txaus siab - ntshav los ntawm lub qhov quav.

Mob ntawm cov nyuv adenokartsenomy

Qhov no mob, xws li mob cancer ntawm cov nyuv, yog teem rau lub hauv paus ntawm cov hauv qab no manipulations:

• kev tsis txaus siab ntawm tus neeg mob;

• sau keeb kwm;

• kev soj ntsuam;

• kev soj ntsuam ntawm lub qhov quav siv palpation;

• instrumental xeem.

Feem ntau, ntau tshaj 70% ntawm tag nrho cov nyuv mob cancer hlav nyob rau hauv lub qis hnyuv, yog li ntawd lawv yuav tsum tau qhia los ntawm cov qauv ntawm cov palpation los yog sigmoidoscopy. Yog hais tias qhov chaw ntawm txiag yog high, tus kws khomob tshwjxeeb siv ib xoos hnyuv laus. Thiab nyob rau hauv thiaj li yuav ua me nrws rau histological kev xeem, tus kws kho mob yuav siv ib cov xoos hnyuv laus, uas yuav pab tau xaiv cov qauv.

Los laij rau tus loj thiab zoo ntawm lub qog, siv radiopaque kev soj ntsuam ntawm cov nyuv. Rau kom paub tias ntawm metastasis siv ultrasound. Tsis tas li ntawd, qhov no txoj kev yog qhia nyob rau hauv cov kev tshwm sim hais tias nws yog tsis yooj yim sua mus nqa tawm ib qho kev endoscopy.

Nyob rau hauv tas li ntawd mus rau saum toj hom kev kawm rau tus neeg mob yuav tsum xeem dhau rau nram qab no kev ntsuam xyuas:

• quav Occult ntshav ;

• biochemical tsom xam;

• ntau kev ntsuam xyuas rau cov ntshav thiab zis.

Thaum koj tus kws kho mob yuav tsum yog nyob rau tes tag nrho cov kev tshwm sim ntawm lub daim ntawv ntsuam xyuas, tsuas yog nyob rau hauv cov ntaub ntawv no nws yuav tsum tau mus nrhiav kom tau ib tug muaj tseeb kuaj mob.

Adenocarcinoma ntawm lub me me quav: Mob

Qhov tseem ceeb tshaj luag hauj lwm nyob rau hauv lub mob ntawm xws hlav yog ua si rau cov nram qab no ntawm kev soj ntsuam, namely:

• X-ray xeem;

• enterograph sojntsuam;

• xeem tso cai ntawm lub zoo caij;

• irrirografiya;

• ultrasound;

• xoo tomography;

• Selective angiography.

Nrog rau kev hwm mus hom kev kawm xws li mus xoos hnyuv laus thiab enteroscopy, nyob rau hauv cov ntaub ntawv no siv ib tug thawj txheej txheem tsuas pib hnyuv yuav xyuas nyob rau hauv kom meej, thiab siv cov thib ob hom - thermal sib cais.

Tsis tas li ntawd, thaum lub defect yog xav tias tsa los ntawm cov ntshav thiab zis kev ntsuam xyuas. Nyob rau hauv tej rooj plaub tshwj xeeb tej zaum yuav muab ntxiv kev ntsuam xyuas, nyob ntawm seb raws li ntawm kev puas tsuaj ntawm cov hnyuv.

Raws li tus xaiv kev kho mob tactics thiab dab tsi forecasts rau tus neeg mob?

Tau tshem ntawm no hom ntawm hlav yuav tsuas yuav resorted mus rau kev phais. Tab sis ua ntej koj siv xws li ib tug txheej txheem, tus neeg mob yuav tsum yauv mus ua ib tug tag nrho cov kev xeem.

Yog hais tias tus kabmob twb tau pom nyob rau hauv cov hnyuv, lub dav resection yog ua. nws ua kom tiav kev tshem tawm kev pom zoo rau mob cancer ntawm lub duodenum. Thiab yog hais tias muaj yog ib tug ntxiv kev xav tau, nws yuav ua tau, thiab resection ntawm lub plab.

Feem ntau xws phais ua ke nrog cov kws khomob. Ib tug cancer kws khomob inoperable daim ntawv - lub xwb lub caij nyoog ib tug txiv neej. Nyob rau hauv nqa tawm phais rau cov 1st thiab 2nd theem tsib xyoo ciaj sia taus overcomes lub chaw pib ntawm 40% ntawm cov neeg mob.

Yog hais tias mob "nyuv mob cancer", nws kuj yog muab rau kev phais. Nyob rau hauv cov ntaub ntawv no yog hais tias tus o yog tsawg tsawg, cov tsim colostomy. Qhov no ua rau nws tau mus cuag tib neeg lub neej.

Yog hais tias koj tau raug tshuaj lawm ib zaug lub qhov quav, nws yog tsim nyog los ua kev cai irradiation ua ntej phais thiab tom qab. Cov txheej txheem no tso cai rau koj mus cuag nyiaj pab ntau tshaj tau.

Raws li rau adenokartsenomy nyuv nyob rau hauv thawj theem, lub tsib-xyoo ciaj sia taus tus nqi overcomes lub chaw pib ntawm 90% ntawm tag nrho cov neeg. Nyob rau hauv lub kauj ruam thib ob ntawm xws txo kom 80%. Thiab thaum tebchaws thib peb thiab thib plaub pib theem tsib kov yeej tsuas yog cia li ib nrab ntawm tag nrho cov neeg.

Tu siab, vim hais tias ntawm qhov ntev thiab imperceptible txoj kev loj hlob ntawm tus kab mob no feem ntau cov neeg tuag vim hais tias ntawm xws li ib tug kho raws thiaj paub tias yog thaum ib tug nyob ntev thaum cov tshuaj yuav ua tau me ntsis mus pab.

tiv thaiv kev ntsuas

Yuav ua li cas yuav koj tiv thaiv cov nyuv mob cancer? Adenocarcinoma tshwm sim rau cov nram qab yog vim li cas:

• colorectal polyps;

• inflammatory dab uas tsim nyob rau hauv lub gut;

• tsis txaus tus nqi ntawm fiber noj;

• teeb meem muaj tsis tu ncua lub rooj zaum;

• advanced muaj hnub nyoog.

Yog hais tias peb ua tib zoo saib xyuas lawv tus kheej noj qab haus huv thiab lub sij hawm los paub txog thiab tau tshem ntawm tag nrho cov saum toj no teeb meem, tus neeg yuav muaj peev xwm mus tiv thaiv kom txhob loj hlob ntawm tus kab mob no. Nws yog ib qho tseem ceeb los mus saib xyuas lawv tus kheej lub hwj chim thiab txo noj nqos tau cov oily thiab ntsim zaub mov.

Raws li rau cov neeg laus, ces, raws li tau teev los saum no, lawv yog feem ntau nws no mob nkees, thiaj li tsis txhob tu ncua kuaj nyob rau Coloproctology. Tsis txhob las mees no specialist, nws yog nws, thiab yuav txuag tau koj lub neej. Ces nyob rau hauv thaum ntxov ua sawv yuav yuav ntes tau plob tsis so tswj adenocarcinoma. Cov raug tom qab phais yog zoo.

xaus

Tu siab, cov tshuaj uas yuav kiag li defeat cancer, tsis tau ua ib ke. Niaj hnub nimno cov tshuaj muaj cov txheej txheem thiab cov tshuaj uas yog zoo xwb nyob rau hauv thawj zaug rau theem. Tab sis thaum tus kab mob no thiaj paub tias yog nws yog twb nyob rau hauv ib tug theem, qhov uas yuav muaj me me. Yog vim li cas qhov teeb meem no yuav tsum tau them lub sij hawm, vim hais tias raws sij hawm kom paub tias mob cancer muab ib tug yawm sij hawm uas tus neeg yuav tau tiv nrog tus kab mob no thiab yuav tau nyob mus. Feem ntau cov feem ntau koj yuav tsum tau them sai sai mus rau koj lub cev thiab nyob rau hauv txoj kev ntseeg zoo kom dhau lub xyoo soj ntsuam.

Peb tau pom tias tus kab mob ntawm cov plob tsis so tswj adenocarcinoma, lub raug yog piav.