Adenocarcinoma we wendlala: incazelo, izimbangela, izigaba, izimpawu kanye nokwelashwa

Adenocarcinoma we wendlala - kunzima umdlavuza. Ngaphambili, sasibhekwa yezimbangela ezihamba phambili zokufa kwalaba amadoda amadala. Namuhla lesi sifo uya kutholakala ukuthi uphethwe yini esemncane. Kungenzeka yini ukuvimbela ukuthuthukiswa zomdlavuza? Indlela ukuqaphela izimpawu zaso kusaqalwa?

ulwazi olujwayelekile

Zendlala Yesinye Adenocarcinoma - a neoplasm abulalayo EPITHELIAL, obhekisela izifo oncological. Ezweni le uphethwe kuqinisekisiwe ngonyaka ngesikhathi iziguli ezintsha 500 000. Naphezu ngcono njalo zokupopola nokwelapha, kusukela adenocarcinoma ngokwempilo yangenyama sisalokhu siphakeme. Kungani? Iziguli ngokuvamile indiva izimpawu kokuqala inkinga futhi musa ukusheshe udokotela usizo.

Ziyini izimbangela eziyinhloko zalokhu lesi sifo

Adenocarcinoma akhiwa ukuhluma yesimila ku wendlala noma ngokuthutha ngokusebenzisa Amapayipi lymph. Akwaziwa imbangela eqondile sifo - ukubuyabuyelela engalawuliwe amaseli angavamile. Kancane kancane zingene inyama ephilile. izakhi atypical akhiwa ngenxa ukuguquka kwezakhi zofuzo. Kungani kwenzeka, ezokwelapha zesimanje Awukwazi ukuphendula ngokuqondile. Nokho, odokotela ukuhlukanisa yonke iqembu izici ezandisa amathuba asathuthuka lesi sifo:

1. yofuzo. Ingozi yokuba adenocarcinoma ukwanda wendlala kabili, uma okungavamile ezifana ngaphambilini ukuthi nginesifo izihlobo.
2. Ubudala.
3. Ukunemba Ukudla (kusilela ukudla isitshalo ekudleni).
4. Ukhuluphele, ukungawuvivinyi umzimba.
5. Ukubhema. izinto ezibanga umdlavuza eziqukethwe yogwayi, abe nomthelela omubi wonke umzimba.
6. izici kwama-hormone. Adenocarcinoma we wendlala yabesilisa kaningana ngokuvamile kutholakala amadoda nge amazinga aphezulu testosterone. Kulesi isifo kuzo kuthatha indawo ngendlela nolaka.

Ezithile ithonya sife kanye nezinye izinto, ngoba zivamile kule zonke izinhlobo izifo umdlavuza. Lokhu ngemisebe, ngemvelo ezimbi, ukusebenza ezindaweni eziyingozi, nokunye.

Indlela ukuqaphela adenocarcinoma?

Izenzo sifo asikwazi ngokuthi ejwayelekile. Ngokuvamile amadoda unezimpawu afana isithombe emtholampilo izifo urogenital. Uma isimila incane, kungaqali ngokwako eyaziwa isikhathi eside. Njengoba kunezindlela eziningi zokuhlola i izimila isimo lesiguli liwohloka. Nazi ezinye izimpawu wendlala adenocarcinoma:

1. ukuchama kaningi. Ngakho nenani uketshezi idliwe uhlala ingashintshiwe.
2. Cramping ubuhlungu esiswini futhi ingquza.
3. Umuzwa bethulula akuphelele kwesinye ngemva kokuya ethoyilethi.
4. Izinkinga potency.
5. Ukuba khona igazi e isidoda kanye nomchamo.

Izimpawu zokuqala kukhona afana nalawo alotshwe ngesikhathi adenoma wendlala. Ngakho-ke, eminye esiteji zokuxilonga kubalulekile ukuhlukanisa omunye komunye egunjini lokuhlolwa kwezifo. Ngemva ukubukeka metastases (isigaba 4-th zesifo) ubuhlungu ukungakhululeki inyuka, ukuvuvukala wemikhawulo aphansi livela. Ngezinye izikhathi ithuthukisa ukukhubazeka ku isizinda kokucindezelwa emgogodleni lwesimila.

Izinhlobo wendlala adenocarcinoma

Enye yezinto sokunquma kuyinto isu ukwelashwa kwamangqamuzana adenocarcinoma. Le nkulumo ibhekisela degree of ukuvuthwa yesimila, umehluko phakathi amaseli enempilo kusuka sokugembula. Isetshenziselwa zokuhlukanisa izifo. Sikwazi ukwehlukanisa phakathi low-, medium- futhi umahluko kakhulu neoplasms izakhi. On nokudlondlobala isifo ukwaba izinhlobo ezinjalo adenokartsenomy njengoba:

• melkoatsinarnaya;
• ephezulu grade;
• ongaphakeme-ebangeni;
• squamous.

Melkoatsinarnaya adenocarcinoma we wendlala - iyona ifomu evamile sifo. Umthombo waso epithelium ka wendlala acini. Neoplasms ngokuvamile ukuthuthukisa kanyekanye ezindaweni eziningana, bese uhlangane ndawonye. Ukuze ukwelashwa: ukuhlinzwa, i-hormone testosterone ukuvinjelwa kanye radiotherapy.

Eyesibili owande kakhulu adenocarcinoma - ephezulu grade. Ngokuvamile, isimila eba kancane ayinikezi metastases. izakhi zayo musa kuhluke isakhiwo kusukela amangqamuzana avamile. Nge ukuthola ngesikhathi esifanele onalesi sifo ngoba impatho sisihle.

Ifomu ezingavamile kakhulu futhi nolaka adenocarcinoma squamous kuyinto. It is zihlukaniswa Ukudlulela okusheshayo ethanjeni. ukwelashwa kwama-hormone , ngelashwa nangemithi kuleli fomu lesi sifo ngokuvamile lokhu akuphumeleli. Iziguli belulekwa ukuba prostatectomy olukhulu.

Kahle adenocarcinoma umahluko we wendlala ine degree isilinganiso zaba namandla kakhulu. Ithumba libhekene isakhiwo egqinsiwe, futhi Gleason amaphuzu 8-10 ifana. Neoplasm ngokushesha sikhule sibe izitho eduze.

sitholakele isifo

Semitholampilo European wonke amadoda phezu 45 ibhekane ukuhlolwa kuphoqelekile ukuthola izifo wendlala. Kuhlanganisa Urologist kokubonisana, futhi ukuhlolwa igazi okwesikhathi antigen athile. Lesi sakamuva kubhekwa isivivinyo kakhulu ulwazi ngenxa ekuhlonzweni umdlavuza. Izinga eliphansi PSA egazini ngokungaqondile kubonisa khona inqubo sokugembula.

Enye indlela engokomfanekiso ucwaningo uhlolo rectal. It ikuvumela ukuba bahlole isimo umzimba nezinga ukusebenza yayo. Adenocarcinoma we wendlala has a umhlahlo omuhle kuphela izigaba sokuqala nentuthuko. Kwezinye izimo, isidingo ukwelashwa okubizayo kanye yesikhathi eside.

Uma usola ukuthi lesi sifo ukhethe ngaphezulu:

• ultrasound;
• biopsy;
• MRI;
• scintigraphy;
• urinalysis, igazi.

Ngo izibhedlela eziningi zanamuhla ukuhlola isimo wendlala usebenzisa uphenyo ekhethekile rectal. It ivumela usebenzisa okusheshayo-inaliti umkhiqizo kocingo impahla ucwaningo. Le divayisi busuka ingemuva, futhi imiphumela inqubo ziboniswa esibukweni.

esigabeni isifo

Ngaphambi ukwelashwa ukunquma ukuthi yiluphi uhlobo acinar adenocarcinoma we wendlala (lokho ezichazwe ngenhla nje) kanye degree of inqubo sokugembula. Ukuthuthukiswa lesi sifo kulandela izinyathelo ezifanayo njengoba nezinye izinhlobo umdlavuza wendlala. Okuwukuphela umehluko - isibikezelo ikhambi eliphelele. Ngokwesibonelo, ifomu squamous zonke izigaba zokukhula kukhona ngokushesha. ukuthuthukiswa high speed Abaningana impela futhi esibonakala ngokuqina adenocarcinoma ngokulinganisela umahluko we wendlala. Nokho, lo ukuthola of esigabeni sokuqala nentuthuko kubhekwa isimangaliso. Uma isikhathi ukuqala ukwelashwa, kungenzeka ukuba nethemba umphumela omuhle.

Ayini izigaba wendlala adenocarcinoma isehlane? Sekukonke kunezinhlobo ezine:

1. Isigaba sokuqala kuyaqabukela kutholakala ukuthi uphethwe yini. Izinguquko ukwakheka kwezicubu sakugcina, angathungathwa kuphela esebenzisa biopsy. Ukuhlolwa zivamise ukukhombisa ukuphambuka kancane kusukela izinkomba ejwayelekile.
2. Isigaba sesibili libhekene izilonda izingxenye indlala kanye ulwelwesi lwalo. Izinguquko Ezenzeka oyiyo kungatholakala by palpation.
3. In the isinyathelo sesithathu kukhona ukukhula oluqinile isimila, imifanekiso, amangqamuzana omdlavuza. Inqubo sokugembula kancane kancane usabalala wendlala Bubbles.
4. Ngesikhathi esigabeni sesine, le lesion izitho eduze. Proliferation zamangqamuzana omdlavuza uyaqhubeka. Metastases kungatholakala e-lymph kanye ezindongeni komgodi ongaphakathi kwamathumbu.

izimiso eziyisisekelo yokwelapha

Adenocarcinoma zingenza kuphela lapho besanda kuqala lesi sifo. Ngempatho ezanele futhi ephelele alukunqandi izimpawu bese wehlisa ukuqhubeka inqubo sokugembula kunoma yisiphi isigaba. I ikakhulukazi inqubomgomo ukwelashwa incike ngezinga elithile isimila ukusabalala. Ezinye okuhlukile indawo izimila ivumela ukwenza ukusebenza ku excision webele futhi ISIZINDA lesifunda. Namuhla, odokotela bazama ukusebenzisa amasu kancane koda angadingi isikhathi nokuvuselelwa eside. adenocarcinoma Kuhunyushelwe we endlaleni engasesinyeni ngokuvamile kudinga ukuphathwa okhulelwe kanye nokuqapha okuqhubekayo okwenziwa. Ukubikezela sokusinda akuyona njalo kwandisa ngokumelene okwenza ukwelashwa okusebenzayo.

ukwelashwa okulondoloza futhi kuhlinzwa ka adenocarcinoma

Uma isimila iyatholakala ukuze kususwe, isiguli ezinqunyiwe operation - prostatectomy. Okwamanje, kwenziwa kusetshenziswa laparoscope noma umsizi irobhothi. Ngemva prostatectomy kudinga isikhathi nokuvuselelwa eside. Kuhlanganisa izinyathelo ukubuyisela izitho okhalo, potency besilisa (uma sisasebenza).

Ezigabeni kamuva ukwelashwa umphelelisi yokwelapha ama-hormone radiotherapy. Lesi sakamuva enezinto eziningi ongakhetha. umthombo ngemisebe kungenzeka engaphandle noma ngaphakathi (ukufakwa capsule ka isotopes enemisebe iodine). Lapho prostatectomy is contraindicated, ke esikhundleni cryotherapy. Phakathi nale nqubo isimila buhlangene, lapho amaseli abulalayo ubhujiswe.

adenocarcinoma Acinar we wesinye amaphuzu 7 ephakeme ezigulini esezikhulile ngokuvamile engakutholanga kokungenela kuhlinzwa. Esimweni esinjalo sabelwe ukuqapha onamandla futhi izinyathelo okuthuthukisa.

ukuba nombono ongafani ngeke

Yini umphumela kungenzeka sitholakele "adenocarcinoma we wendlala '? Onalesi sifo lesi sifo kuncike esigabeni ukuthuthukiswa inqubo pathologic, ubudala lesiguli kanye isimo sakhe jikelele. Okwakuhlalwa kuzo lapho kusaqalwa ke ukalwe njengoba kunemibandela evumayo. Ngeshwa, adenocarcinoma kusaqalwa yentuthuko ayibonakali elikhanyayo isithombe emtholampilo. Ngakho iziguli musa ugijimele udokotela usizo. Iningi lazo waphawula inkinga esiteji 3-4th, lapho kukhona kakade metastases. Esimweni esinjalo, lesi sifo singumbulali engelapheki.

isiphetho

izifo Oncological emhlabeni yanamuhla uya eba imbangela yokufa ngaphambi kwesikhathi. Laba bameleli be-wobulili namandla, adenocarcinoma okwandile iningi wendlala. Ukwelashwa nokuvikelwa lesi sifo ziningi futhi zaba nzima kakhulu. Sitholakele isifo emabangeni ngasekupheleni ngokuvamile kuyaphela ngoba wayebona ukuthi usezokufa. Ukuvimbela ukuthuthukiswa isifo esikhohlisayo ezinjalo, kubalulekile ukuba banamathele ngendlela enempilo futhi njalo siyohlolwa. Hlala uphilile!