M'matumbo Cancer

khansa ya m'matumbo ndi chotupa zilonda kukula kuchokera nembanemba mucous kuti mizere khoma matumbo. The ŵakwenera kutanthauzira - sigmoid, akhungu, ndi rectum.

Zadzidzidzi a khansa ya m'matumbo facilitates pachithunzichi khalidwe kotunga (kwambiri mowa wa mafuta, nyama, zakudya farinaceous, zili osakwanira mankhwala chomera), ndi kudzimbidwa. Zachititsanso kuti maonekedwe a matenda zotupa: tizilombo ting'onoting'ono, matenda a m'matumbo. Unali udindo wa chibadwa mu zosayembekezereka ya m'matumbo zotupa.

Pali ambiri a zinthu zimene zimaonetsa khansa ya m'matumbo. 4 siteji matenda zimachitika nthawi yaitali, kawirikawiri chotupa Umapha okalamba.

magawo oyambirira a matenda zimachitika pafupifupi asymptomatic. A kafukufuku kusamala odwala anasonyeza akuchuluka thanzi akukhudzidwira, utachepa kuchita, utachepa kudya. Neoplastic ndondomeko sichichititsa kuwonda, koma m'malo mwake, odwala akhoza kunenepa.

Mu sitepe yotsatira, pali zizindikiro za matenda matumbo: mwaziwo ndi kugunda mu matumbo a, kudzimbidwa, m'mimba, cramping kapena ululu kobwereza za chikhalidwe okhazikika amene kumphatikiza chakudya. Pamene chotupa kuwukira mwapang'ono lumen wa intestine, ndi imbaenda m'goli unilateral bloating. Pang'onopang'ono aakulu magazi imfa, zomwe zimathera khansa ya dipatimenti lamanja la m'matumbo, zikubweretsa chitukuko cha magazi m'thupi.

Chinthu wotsiriza wa njira yodziwika ndi kukula chotupa zizindikiro matenda. Angayambe ileus, mavuto yotupa (peritonitis, cellulitis, abscess), magazi. Zikavuta amapezeka matumbo perforation, imbaenda chitukuko cha abscess, peritonitis ndi fistula mapangidwe (enteric ukazi, matumbo-vesical).

khansa ya m'matumbo amafuna matenda oyambirira. Kupenda mtima silinena kusintha pathological. Yolondola kwambiri ndi radiography, amene anachita ntchito mosiyana wothandizila (slurry barium). Mu chochitika cha kudzaza malo chilema kapena chiletso anatsimikizira chitukuko cha khansa.

Pakuti kudziwika khansa ya wapotalikira ntchito sigmoidoscopy, colonoscopy. Choncho pali kufufuza zithunzi za mucosa matumbo. Njira yokhayo akatsimikizire khansa za m'mimba ang'ono, amene akhoza kukhala zizindikiro zofanana ndi za kugonjetsedwa kwa m'matumbo.

Pamene wapezeka mu mayeso chopondapo magazi aziika matenda izi. Kuti titsimikizire kuti mu kusanthula magazi carcinoembryonic zili Antigen anatsimikiza.

khansa ya m'matumbo mankhwala pogwiritsa ntchito njira kwakukulu. Malinga ndi malo ndondomeko chotupa, pali zingapo zimene mungachite kuti opaleshoni. Khansa ya cecum ndi, kwa chiwindi flexure, akukwera dipatimenti amafuna kuchotsa kwa theka lonse lamanja la izo. Pambuyo pa opaleshoni anastomosis ndi analengedwa pakati poperechnoobodochnoy ndi ileum.

Pambuyo opaleshoni amagwira ntchito mankhwala umalimbana kulimbana ndi kuledzera, kuchepa madzi m'thupi, mantha. Komanso anatumizidwa Vaselini mafuta amene ali ndi zotsatira mankhwala ofewetsa tuvi tolimba. Izi ndi zofunika pofuna kupewa zoopsa anastomosis sutures. Pa tsiku lachiwiri la kumwa amaloledwa, ndiye kuunika chakudya madzi, pang'onopang'ono kusintha zakudya zabwinobwino.

M'matumbo khansa m'njira zotsogola amafuna opaleshoni palliative. Zikuphatikizapo imposition wa anastomoses anyalanyaza chotupa fecal fistula omwe ntchito popewa chitukuko cha kutsekeka m'matumbo. Kuwonjezera wotuluka ndi mankhwala amphamvu.

Kuti madokotala ananena zawo za matenda chimadalira pa siteji ya chitukuko chotupa, pakalibe metastases ndi ndi yabwino.