Matumbo adenocarcinoma: sitepe chithandizo opaleshoni, madokotala ananena zawo

Oncology tsopano kale mwa matenda zambiri. Cancer angayambe chiwalo chilichonse cha munthu mwamtheradi. Kubereka khansa ndi kudziwa kuti pa siteji oyambirira kuli kovuta. Ngati zimenezi zachitika, mu nthawi zina kwambiri. Zizindikiro kuonekera kale mu magawo mochedwa, pamene mankhwala ndi kuchira ndi zovuta, ndipo nthawi zina chopanda pake.

matumbo adenocarcinoma - ndi imodzi mwa mitundu khansa yofala kwambiri kuti akupezeka m'matumbo intestine yaing'ono. A aumbike ku chilema ngati maselo glandular wa mucosa lapansi. Monga chotupa ichi akufotokozera, zimakhudza zigawo akulu ndi serosal. Komanso, chotupa ichi akhoza kukula ngakhale matumbo.

Kodi khansa matumbo?

Ambiri ferriferous khansa anthu atengeke zaka 50. Koma zovuta matenda ndi madokotala ananena zawo, iwo ali mwachindunji amadalira mmene khoma m'matumbo anagwidwa.

Matumbo adenocarcinoma amakhudza, monga ulamuliro, osati mafuta, komanso intestine yaing'ono. Koma ambiri a mtundu wa khansa anawona komabe m'matumbo. Mu matenda a akazi ndi pa malo 4. mu zochitika za mitundu yonse zotheka khansa.

mitundu

Adenocarcinoma zimasiyanasiyana mlingo wa kusintha ake mu subtypes zotsatirazi:

• kwambiri kusiyanitsidwa;

• amtengo kusiyanitsidwa;

• bwino kusiyanitsidwa.

Kuyenera anatsindika kuti adenocarcinoma bwino kusiyanitsidwa wa intestine kumachitika kovuta kwambiri. chotupa ichi angasankhe malo analamula mu gawo lirilonse la intestine, koma nthawi zambiri limatifotokozera mu rectum.

Pankhani ya intestine yaing'ono, mu nkhani iyi, chotupacho ndi wapezeka kwambiri kamodzikamodzi. Ngati monzama anagawa milandu onse kuoneka kudwala izi, duodenum ndi akhudzidwa theka la milandu. Ngati ife tikufanizira amuna ndi akazi, anyamata kapena mphamvu zambiri timadwala izi. Ambiri chotero chilema ndi wapezeka zaka zapakati pa zaka 50 ndi 60.

siteji

Koma staging matendawa, nyengo yonse lagawidwa intervals ndi:

• Siteji yoyamba ndi yokhudza okha mucosa;

• mu gawo lachiwiri amapezeka akunde zigawo zonse thupi;

• pa siteji yachitatu ndondomeko ndiyo kale zosalongosoka lymph mfundo ndi mbali;

• ndipo wachinayi sitepe metastasis foci zinayamba kuwonekera zimenezi ndi owopsa kwa anthu.

Pamene gawo matenda matumbo adenocarcinoma anatsimikiza TNM dongosolo lomwe detects ukulu wa chotupa, monga anawapha. lymph mfundo ndi kukhalapo kwa metastasis foci.

Kodi matenda?

Mwatsoka, adenocarcinoma za m'mimba - matenda oopsa kwambiri kuti zingachitike pafupifupi sakhala kudziyerekeza. Monga ulamuliro, chotero chilema aumbike pa maziko a aakulu kutupa m'matumbo, choncho munthu alandira kuonekera kwake kwa akuchuluka matenda ake. Mu adenokartsenoma ambiri ananena zimapangitsa lokha anamva mu choncho, zinaoneka metastases.

Pankhani ya zizindikiro zoyambirira kuti iwo ndi izi:

• mavuto ndi mpando zonse;

• wodetsedwa magazi m'manyi;

• kumaliseche mucous ndi makombo magazi pa chiyambi cha defecation;

• Ngati matenda ili m'kati, munthu ali ndi kupweteka kwambiri kapena kusokoneza mu matumbo dera;

• ululu pa nthawi kukhala yapadera kwambiri;

• gawo lotsiriza akhoza anatsegula m'mimba magazi, magazi m'thupi, ndipo pali poyizoni ambiri a chamoyo wonse.

Choncho akuwonetseredwa adenocarcinoma ya m'matumbo. Kulosera tsogolo la matenda zambiri zokhumudwitsa.

The zambiri pomenyana matenda, anthu ambiri kuyamba kutopa, pali kufooka chifukwa cha khansa kuledzera. A kusokonezeka kwa chimbudzi yachibadwa chakudya kumabweretsa mfundo yakuti munthu amayamba kuonda kwambiri.

The matenda zambiri mwapang'onopang'ono, ndi zizindikiro zazikulu chowawa anthu, gawo lotsiriza angaukitsidwe kukhala thupi kutentha kwa madigiri 38. chopondapo mawonekedwe amadziwikanso kwambiri kusinthidwa, ndi kudzimbidwa alternating ndi kutsekula m'mimba ndipo ndi amphamvu fetid fungo.

Kawirikawiri wodwala amayamba kuona kuti si kwathunthu anadzikhuthula matumbo anu. Chifukwa, pali chidule spasmodic minofu, ndipo pali zilakolako zonyenga Kugawilidwa kwanthaka kayendedwe matumbo. Komanso, munthu akhoza kupita ku chimbudzi nthawi 20 tsiku ndi kumaliseche lamulo la mamina komanso magazi. Izi woopsa matumbo adenocarcinoma.

Pamene metastases chidzachitika chikhodzodzo ndulu ndi chiwindi, ndiye munthu wayamba zowoneka kusunga zotsatira za matenda a chikasu ndiyo. Ngati pamene chotupa limakula mwamphamvu, ndi wokhoza ndigwire lumen, zotsatira zake zimakhala zikusokoneza wa defecation, koma azimveka kupweteka m'mimba, ndipo anawonjezera kuti zizindikiro za kunyansidwa ndi retching.

Monga mukudziwa, imodzi mwa ntchito yaikulu ya m'matumbo - ndi kudzikundikira komanso posungira wa ndowe, zomwe kuchita chotupa, ndi kuchititsa kuti ulcerate. Ngati chikhalidwe wayamba kukhala, ndi chopondapo zambiri zidzawonjezedwa, ndi wodetsedwa a purulent secretions ndi magazi.

Kodi ndi zinthu ziti hule isanayambike matenda?

Adenocarcinoma ya m'matumbo angayambe chifukwa zinthu zosiyanasiyana. Akatswiri ndakufotokozerani ndipo tinakambirana zinthu zotsatirazi kuti lingachititse chitukuko cha chilema awa akuti:

• kukhalapo kwa tizilombo ting'onoting'ono mu m'matumbo;

• anam'peza matenda a m'matumbo;

• mmatumbo chilonda;

• aakulu kudzimbidwa;

• papillomavirus matenda.

Dziwani kuti khansa akhoza adzabadwanso ku zotupa chosaopsa. A kugonjetsedwa vuto ili la duodenum ndi makamaka chifukwa chakuti zingamvekere ya ndulu ndi madzi pancreatic.

Komanso, matumbo adenocarcinoma (chithandizo ayankhidwa pansipa) amayamba ndi zinthu zotsatirazi:

• zosayenera zakudya;

• kumwa mowa;

• kusuta;

• ankachenjeza nkhawa;

• kutengera za kumtundu.

Tiyeneranso kutsindika kuti nthawi zina pangakhale kusonyeza zotupa awiri zilonda - khansa ya m'matumbo ndipo intestine yaing'ono.

Adenocarcinoma ya m'matumbo nthawi zambiri amapezeka mu anthu amene satsatira zakudya kapena akudwala fistula mu chotulukira. Komanso Dziwani kuti nthawi zambiri akapsa chitukuko cha matenda ndi kugwiritsa ntchito mankhwala pa ntchito ndi kunyumba.

Zizindikiro, amene angathe kudziwa chilema

Adenocarcinoma akhoza kulankhula nafe momasuka ndi mbali zotsatirazi. Ngati khansayo ali unaonekera mu intestine yaing'ono, zizindikiro ndi:

• stably akuwonetseredwa ululu pamimba chapamwamba;

• kudzimbidwa alternating ndi ndowe madzi;

• flatulence;

• kunyansidwa ndi retching;

• mwadzidzidzi kuwonda.

Monga matumbo adenocarcinoma (akuloza 3 ndi 4) chidzakula, munthu akhoza kusonyeza zizindikiro za kuledzera. A chizindikiro cha zimenezi ndi kukana kudya kapena kukana kwathunthu kwa chakudya, adzakhala ponseponse. Ngati choncho ndi zovuta chokwanira, magazi kumachitika. Kodi gawo lachinayi vuto ili, khansa amakhudza onse a ziwalo pafupi.

Pamene adenocarcinoma angathe zilonda pa khoma za m'mimba yaing'ono, zotupa ngati kungakhale magazi kutsegula.

Koma adenocarcinoma ya m'matumbo, pali zinthu zingapo zoti:

• anaima ululu pamimba m'munsi;

• kudya palibe kwathunthu;

• mu ndowe ali ambiri ntchofu ndi makombo magazi;

• Nthawi zina m'manyi angapezeke mafinya.

Ngati chidwi ndi ufulu wa pakhoma matumbo, magazi akubwera chobisika. Koma ngati chotupa ndi ntchafu mu gawo kumanzere, ndowe mudzapezeka mdima wofiira magazi. Ndipo ngati chimodzi cha zizindikiro ambiri matenda, ndi chibaba chonyenga ndi matumbo kuyenda.

Ngati munthu adawonekera chimodzi zizindikiro zakumwamba, ndi chizindikiro kwa mungachitepo yomweyo. Musati miyoyo yawo ndi kukhala osasamala zizindikiro.

Zofunika: Ngati munthu ali ndi mkulu amasankha matumbo adenocarcinoma, ambiri amadandaula - magazi kuchokera chotulukira lapansi.

Matenda a m'matumbo adenokartsenomy

matenda, monga khansa ya m'matumbo, pamwamba pa maziko a mwai izi:

• madandaulo a wodwalayo;

• Anasonkhanitsa mbiri;

• zithunzi anayendera;

• Kupenda rectum ntchito palpation;

• zoimbidwa bwino.

Childs, oposa 70% ya onse zotupa m'matumbo khansa zili mu intestine m'munsi Choncho iwo akhoza kuzindikiridwa ndi njira palpation kapena sigmoidoscopy. Ngati malo analamula mkulu, katswiri amagwiritsa colonoscopy. Ndipo kuti agwire toyesa biopsy kufufuza histological, dokotala amagwiritsa colonoscopy, amene amathandiza kusankha nyemba.

Chaka kukula ndi mawonekedwe a chotupa pogwiritsa ntchito radiopaque Kupenda m'matumbo. Pakuti kudziwika metastasis ntchito ultrasound. Komanso, njira imeneyi kukuonetsedwa kukachitika kuti n'zosatheka akachite zinthu endoscopy.

Kuwonjezera njira pamwamba wodwala ayenera mayeso zotsatirazi:

• fecal zamatsenga magazi ;

• amuzolengedwa kusanthula;

• mayesero ambiri magazi ndi mkodzo.

Pamene dokotala anu adzakhala pa dzanja zotsatira zonse za kafukufuku, koma mu nkhani iyi adzatha kukhazikitsa matenda zolondola.

Adenocarcinoma wa matumbo towerengeka; Matendawa

Udindo wofunika kwambiri matenda a zotupa amenewa kusewera mitundu zotsatirazi loyang'anira, akuti:

• X-ray Kupenda;

• enterograph kafukufuku;

• Ndime Kupenda zinthu mosiyana;

• irrirografiya;

• ultrasound;

• yopangidwa tomography;

• Kusankha angiography.

Mokhudzana ndi njira monga colonoscopy ndi enteroscopy, mu nkhani iyi pogwiritsa ntchito njira yoyamba okha koyamba intestine amaufufuza mwatsatanetsatane, ndi kugwiritsa ntchito njira yachiwiri - matenthedwe kulekanitsidwa.

Komanso, pamene chilema ndi amaganiziridwa akusankhidwa ndi mayesero magazi ndi mkodzo. Nthawi zina katswiri mwina mankhwala mayesero zina, malingana ndi kukula kwa vutolo za m'mimba yaing'ono.

Monga osankhidwa machenjerero zachipatala ndi zimene odziŵa za wodwalayo?

Tayani mtundu wa zotupa zitha anadza opaleshoni. Koma musanayambe amathera ndondomeko zimenezi, wodwala ayenera kukayezetsa kufufuza zonse.

Ngati khansayo wapezeka mu intestine laling'ono, resection lonse imagwiridwa. kuchotsa yake akulimbikitsidwa khansa ya duodenum ndi. Ndipo ngati pali kufunika zina, akhoza kuchita, ndipo resection m'mimba.

Nthawi zambiri opaleshoni amenewa pamodzi ndi mankhwala amphamvu. A mankhwala amphamvu a khansa inoperable mawonekedwe - okha mwayi munthu. Pogwira opaleshoni ya 1 ndi 2 siteji asanu chaka kupulumuka chililaka pakhomo la 40% wa odwala.

Ngati anapezeka ndi "khansa ya m'matumbo", nawonso anatumizidwa ku opaleshoni. Pankhaniyi ngati kutupa ndi otsika, ndi yaikulu anapanga. Izi zimathandiza kuwonjezera moyo wa munthu.

Ngati mwakhala matenda kamodzi rectum, m'pofunika kuchita walitsa isanafike opaleshoni ndipo pambuyo. Njira imeneyi zimathandiza inu iyende pazipita.

Koma adenokartsenomy m'matumbo mu gawo loyamba, ndi zaka zisanu mlingo kupulumuka chililaka pakhomo la 90% odwala onse. Mu sitepe yachiwiri ngati yafupika 80%. Ndipo pamene kupeza wachitatu ndi wachinayi pakhomo siteji asanu kugonjetsa kokha theka la odwala onse.

Mwatsoka, chifukwa cha nthawi ndi imperceptible chitukuko cha matenda anthu ambiri amafa chifukwa cha chilema amawapeza pa siteji imene mankhwala sindingathe kuthandiza.

zodzitetezera

Kodi mungatani kuti mupewe matenda a khansa ya m'matumbo? Adenocarcinoma limapezeka pa zifukwa zotsatirazi:

• colorectal tizilombo ting'onoting'ono;

• njira yotupa kuti kukhala m'matumbo;

• osakwanira kuchuluka kwa CHIKWANGWANI ankadya;

• mavuto ndi mpando zonse;

• ukalamba.

Ngati ife mosamala kuyan'ana umoyo wawo ndi nthawi kuzindikira ndi tichotse mavuto onse a pamwamba, munthu adzatha kupewa chitukuko cha matenda. Nkofunika kuwunika mphamvu zawo ndi kuchepetsa kudya chakudya wochuluka ndi zokometsera.

Monga okalamba, ndiye, monga tanenera, iwo ali ambiri sachedwa matenda izi, kotero musati kupewa chiphasochi zonse pa Coloproctology. Musanyalanyaze katswiri ichi, iye anali, ndipo akhoza kupulumutsa moyo wanu. Kenako mu magawo oyambirira angathe kuonedwa matumbo adenocarcinoma. Kuti madokotala ananena zawo pambuyo opaleshoni wabwino.

Pomaliza

Mwatsoka, mankhwala omwe akhoza kwathunthu akunde khansa, alibe kulibe. mankhwala amakono amapereka ndondomeko ndi mankhwala ogwira yekha mu magawo koyamba. Koma pamene matenda amawapeza ndi kale pa siteji zapamwamba, mwayi wa ang'ono. Ndicho chifukwa nkhaniyi ziperekedwe nthawi, chifukwa kudziwika yake khansa zimapereka mwayi waukulu kuti munthuyo kupirira matenda ndi kupitiriza ndi moyo. Nthawi zambiri muyenera kulabadira thupi lanu ndi mwa ubwino pochitika anayendera pachaka.

Tafotokoza matenda a matumbo adenocarcinoma, kuti madokotala ananena zawo akufotokozedwa.