Matumbo Oncology: zizindikiro zimayambitsa, chithandizo

The intestine ndi mbali ya chitetezo cha m'mimba ndi lagawidwa pawiri: m'matumbo, intestine yaing'ono. Nawonso m'matumbo amapanga rectum ndi m'matumbo. Nkhani ikufotokozanso matendawa monga Oncology matumbo. Zizindikiro, chithandizo, matenda, zimayambitsa matenda - mbali zonse izi liyankhidwe kugonjera, koma choyamba ayenera kulimbana ndi mfundo mmene kapangidwe ndi ntchito ya umene uli thupi.

matumbo thunthu

Chakudya chosakanikirana ndi munthu koyamba pa kholingo. Umadutsa ndi kulowa mmimba komwe chimbudzi akuyamba. Ndiye chakudya akulowa intestine kakang'ono, ndipo panthawi imeneyi lake kwa izo zimatenga zakudya zonse. Mu m'matumbo, limene limayamba m'chigawo cha zinthu zonse m'mimba, kudzanja pansi pa madzi kuphika amatenga chamoyo. Mbali yoyamba ya m'matumbo, amene akupita - kuuka intestine kulambalala. Ndiyeno kuchokera kwa kumanzere kwa peritoneum imafika yopingasa m'matumbo. Komanso pansi akutsika m'mimba atsikira m'matumbo. m'mimba itha sigmoid m'matumbo, ndi rectum ndi mapeto gawo - m'njira kumatako. The rectum kudziunjikira chifukwa chimbudzi ndondomeko zinyalala. Chifukwa iwo defecation kudzera chotulukira ndi excreted. Pafupi ndi mfundo m'matumbo lymph adakali kukula kwa mtola a.

Zina mwa zifukwa

Matumbo Oncology, zizindikiro amene ayankhidwa pansipa, zambiri khansa ya m'matumbo: 2/3 ya m'matumbo akhudzidwa ndi 1/3 - molunjika. M'madera ena a thupi la chotupa anapanga kawirikawiri. Funso mmene fufuzani intestine khansa, osati zofunika kwambiri. Chinthu chachikulu - kudziwa mfundo ziti zimene zimachititsa maonekedwe a zotupa. Pali zinthu zitatu:

• matenda m'thupi;
• zosayenera zakudya;
• chibadwa.

Ife kulankhula za aliyense.

matenda matumbo

Pali matenda amene azitaya khansa ya thupi. Zikuphatikizapo anam'peza matenda a m'matumbo ndi matenda amene amatupitsa. Odwala amene ankaikidwa diagnoses zimenezi, anakonza chiwopsezo kuti mapangidwe chotupa.

chakudya

Oncology m'matumbo, zizindikiro zimene magawo woyamba wa matenda ndi kwina, bwino zimayamba ndi kumwa wambiri zakudya zokhala ndi zomanga thupi ndi mafuta, malinga kuchepa kudya zipatso ndi ndiwo zamasamba. Pankhaniyi, ngozi za khansa ya m'matumbo kumawonjezera kwambiri. Kutupa angayambe ndi amene amamwa mowa.

chibadwa

Kuposa ena, sachedwa khansa za m'mimba anthu m'banja amene kale milandu matenda. Makamaka wapatali kwambiri nkhawa anthu amene achibale zowawa khansa ya thupi pansi ndi zaka 45. chiopsezo ndi apamwamba kwambiri, kufala kwa matenda m'banja. Mu kukhalapo kwa kutengera za kumtundu ndi mantha akudwala ayenera kuonana ndi apadera bungwe zachipatala ndi pochitika pa matumbo kusanthula Oncology. Madokotala ndi iye mudzatha kudziwa Mwina wa yatsoka ndi khansa. Anthu amene ali mu gulu chiopsezo, m'pofunika kuomba alamu, osati pamene zizindikiro woyamba wa khansa matumbo, ndipo ngakhale kale kuti. Ndi kuti kafukufuku nthawi zonse, kotero kuti mu nkhani za chiyambi zotupa ankatha kuzindikiridwa pa siteji oyambirira.

Kuwonjezera mfundozi pa zosayembekezereka khansa zingakhudze zinthu ngakhale monga moyo wongokhala, kunenepa, kusuta.

Oncology matumbo: Zizindikiro

Malingana ndi kumene chotupa zingachitike zizindikiro zingasiyane ndi khansa. Zizindikiro zoyambirira za khansa matumbo pa nkhani ya zotupa ya m'matumbo:

• mwadzidzidzi kuwonda;
• magazi pa defecation ngati chimbudzi ndi mkati iwo (mwazi sizingathe kukhala kuwala ndi mdima);
• ululu pamimba ndi chotulukira;
• kusintha m'manyi popanda chifukwa akuoneka (kudzimbidwa kapena m'mimba kuti kumatenga masabata zoposa zisanu);
• matumbo kutsekeka ;
• Ndikumva incompleteness pambuyo kayendedwe matumbo.

Oncology zizindikiro matumbo zingachititse ena, ngati chotupa akufotokozera mu rectum. Pankhaniyi pali mawonetseredwe monga:

• kupweteka kwa coccyx, perineum, kuchepetsa kumbuyo, sacrum;
• maonekedwe mu ndowe magazi, mamina kapena mafinya;
• kowawa ndipo kawirikawiri adzafune defecate;
• lingaliro la kukhalapo mu rectum chinachake extraneous;
• kudzimbidwa;
• ogulidwa ndowe gulu woboola pakati.

Kodi zizindikiro - zikutanthauza kansa?

Musawachite zizindikiro pamwamba monga chizindikiro mtheradi wa khansa. Ngakhale kuti zidzachitika, sizitanthauza kuti muli ndendende Oncology matumbo. Zizindikiro zingasonyeze matenda ena QDSL ngati kapena anam'peza matenda a m'matumbo. Komanso musaiwale kuti khansa thupi zambiri amapezeka anthu zaka zoposa 50. Ngati muli a achinyamata, ndi zambiri chifukwa zizindikiro zosasangalatsa lagona kwina.

Komabe, ngati pali zizindikiro za khansa matumbo ndi chiyani kutha mwa masabata, koma kuonjezera, ayenera yomweyo pitani kuchipatala.

diagnostics

Thumbo Kupenda - sitepe yoyamba kwa chizindikiritso cha chotupa cha. Pa malo ake katswiri wa macheke chotulukira chala pamaso pa apezeka. The mmunsi mwa intestine, amene nthawi zambiri akufotokozera khansa, angaonedwe ntchito sigmoidoscopy - chubu kusintha anadzetsa rectum. mpheto si nthawi zonse kulola ife kuti molondola kudziwa chifukwa zizindikiro Chowawa. Imodzi mwa njira zikuluzikulu za mmene fufuzani intestine khansa - ndi colonoscopy.

colonoscopy

Kudzifufuza chiyani anapereka thupi amawapopa, kotero tsiku musanagulitse anatumizidwa wodwala Mankhwalawa kolandira, kuledzera, ndi matumbo lavage. Ndondomeko palokha ndi sabweretsa chisoni, ngakhale kuti akhoza kupulumutsa ena nkhawa.

Choyamba, wodwala kutumikiridwa ndi sedative, kenako kupyolera mwa chotulukira ku m'matumbo ndi anaikapo wokonzeka kusintha chubu yaitali. Kupita zokhotakhota ake intestine, dokotala amaziona thupi pamaso pa anomalies. Inu mukhoza kutenga zitsanzo minofu ndi kutenga zithunzi ntchito paipi imeneyi.

barium mankhwala

Ndondomeko imeneyi zimathandiza kufufuza pamwamba mkati mwa thupi. Ndi kwambiri zovuta ndiponso yosasangalatsa, kuwonjezera zikhoza cramping. Muyenera tithe kufufuza komanso chifukwa colonoscopy a. njira tichipeza mu oyamba mu chotulukira barium osakaniza mpweya ndi kukhazikitsa mndandanda wa x-ray. Chotengeka cheza nyukiliya barium zionekera, ndipo Katswiri akhoza inamva pa nsalu yotchinga X-ray makina kukusonyeza kudzera matumbo, ndi chotupa anawona khoma matumbo.

Pambuyo ndondomeko, m'masiku awiri akhale woyera chopondapo - ndi barium pang'onopang'ono inathetsedwa ndi thupi. Ziyenera kukhala kwa masiku angapo kutenga mankhwala ofewetsa tuvi chifukwa mankhwala amatha kupangira kudzimbidwa.

Kuti apeze ngati khansa yafalikira mpumulo wa chamoyo akhoza ikuchitika maphunziro monga ultrasonography chiwindi, CT jambulani a chiwindi ndi pamimba, chifuwa x-ray.

matumbo Oncology: chithandizo

Njira yaikulu yochotsa chotupacho ndi opaleshoni. Childs, pa ntchito yeniyeniyo excised chotupa ozungulira zimakhala ndi pafupi lymph mfundo. Malekezero awiri a intestine ndi Kenako ndinalowa. Ngati zimenezi sizingatheke, kuchita yaikulu, umene uli kumapeto lotseguka za m'mimba kulowetsa pamwamba khungu la pakhoma m'mimba ndi kujowina matumba stoma. Izo zimachitika kuti yaikulu kanthawi, ndipo patapita kanthawi madokotala kachiwiri kupanga pofuna kulumikiza malekezero a intestine lapansi. Ngati kwalephera, matumba yaikulu adzakhala kosatha. Kawirikawiri izi zimachitika pamene gawo operable lili m'matumbo ndi otsika kwambiri, pafupi rectum, ndiyeno mu njira ya opaleshoni n'kosatheka kuti aswe sphincter kumatako kuti asaaonerera pa chiyambi matumbo.

mankhwala ena

Panopa patsogolo opaleshoni zathandiza kuti azichitira khansa ya intestine popanda yaikulu ndi. M'malo stitching ndi dzanja tsopano kawirikawiri ntchito stapler kuti amalola popanda kusokoneza ntchito ya sphincter kumatako kuchita ntchito pa mmunsi ya m'matumbo.

Mmodzi nzeru njira ndi laparoscopic opaleshoni, dokotalayo akuchita opaleshoni kupyolera ang'ambe thupilo yaing'ono peritoneum, ndipo sanali kuulula kwathunthu. Wodwala, njira imeneyi amapereka ayambe kudya.

mankhwala adjuvant

Ngakhale ngati chotupa kwathunthu kuchotsedwa, pali imabwera zisadzachitikenso a khansa ya m'matumbo. Kodi chachikulu ndi, angapezeke mu kuona tosaoneka zotupa kuchotsedwa. Ngati ngozi ya matenda kubwerera mkulu, dokotala n'kukulemberani mankhwala umalimbana popewa kumwa. Mankhwalawa amatchedwa mankhwala adjuvant, ndi kulandira mankhwala osiyanasiyana, amene chimawononga n'chiyani tizilombo toyambitsa matenda.

Ngati chotupa wakhala yapangidwa rectum ndi utakula khoma thupi, okhudza lymph mfundo, ndi zisadzachitikenso zotheka ziwalo m'chiuno ndi ziwalo zina za thupi. Pankhaniyi, pamodzi ndi adjuvant Morning amawononga adjuvant radiotherapy. Njira imeneyi imagwira amachitira ena achisangalalo, ngakhale maselo khansara mu thupi osati kumanzere.

pomaliza

Mothandizidwa ndi opaleshoni, adjuvant mankhwala amphamvu ndi radiotherapy tsopano n'zotheka kuchiza pafupifupi theka la odwala onse amene amapezeka matumbo Oncology. mitengo mankhwala ndi kuwonjezeka chaka chilichonse, omwe amatipatsa chiyembekezo kuti imfa tsogolo matenda oopsa kudzakhala kuli. Chinthu chachikulu - mosamala kuyan'ana mkhalidwe wawo ndi zizindikiro zilizonse Muzisamala yomweyo kufunsa dokotala. Khalani wathanzi!