Wamathumbu adenocarcinoma: isinyathelo ukwelashwa, ukuhlinzwa, onalesi sifo

Oncology manje kakade phakathi izifo njalo kakhulu. Umdlavuza singenzeka kunoma yiluphi uhlaka umuntu ngokuphelele. Ingozi yomdlavuza inkulu ukuthola ke ngendlela efanele usaqala cishe kungenakwenzeka. Uma lokhu kwenzeka, ezimweni ezingajwayelekile kakhulu. Izimpawu avele kakade emabangeni ngasekupheleni, lapho ukwelashwa nokululama kunzima, futhi ngezinye izikhathi into engenamsebenzi.

wamathumbu adenocarcinoma - ingenye izinhlobo ezivame kakhulu zomdlavuza ezenzeka kapopopo emathunjini amancane. Kumiswa lisuselwa isici okufana lamaseli yezindlala we mucosa. Njengoba lokhu isimila eba, kuthinta izingqimba kwemisipha ne serosal. Ngaphezu kwalokho, lokhu isimila uyakwazi sikhule ngisho ngokusebenzisa namathumbu.

Kangakanani umdlavuza wamathumbu?

Iningi umdlavuza ferriferous abantu singangena engu-50 ubudala. Ngokuqondene ngobucayi isifo futhi Izibikezelo okwengeziwe, bancike ngqo sendlela odongeni esiswini washaywa.

Wamathumbu adenocarcinoma kuthinta, njengoba umthetho, hhayi kuphela amafutha, kodwa futhi emathunjini amancane. Kodwa iningi lama-yalolu hlobo lomdlavuza wazibona njengamanje ikholoni. Kulesi sifo abesifazane ivuliwe endaweni 4th kwezehlakalo zonke izinhlobo kungenzeka umdlavuza.

izinhlobo

Adenocarcinoma buyehluka kuye ngezinga ushintsho lwalo subtypes ezilandelayo:

• kakhulu umahluko;

• ngokulinganisela umahluko;

• kahle umahluko.

Kufanele kugcizelelwe ukuthi adenocarcinoma kahle umahluko emathunjini kwenzeka nzima kakhulu. Lokhu kuwuphawu lwesimila bangase bakhethe indawo ukuthunyelwa kunoma iyiphi ingxenye ye emathunjini, kodwa ngokuvamile kakhulu yembula ku ingemuva.

Ngokuphathelene emathunjini amancane, kulesi simo, isimila itholwa ingasaphathwa njalo. Uma ngobubanzi ihlukaniswe zonke izimo ukuvela kwalesi zokugula, i-duodenum uhhafu ethintekile ala macala. Uma siqhathanisa abesilisa nabesifazane, wobulili namandla usengozini yokuthola lesi sifo. Iningi lwesici onjalo itholwa abaneminyaka ephakathi kwengu-50 no-60.

esigabeni

Ngokuqondene zesiteji lesi sifo, lonke isikhathi sehlukaniswe ngezikhawu yilezi:

• Isigaba sokuqala sihilela kuphela mucosa;

• esigabeni sesibili kwenzeka ukunqoba izingqimba umzimba;

• esigabeni sesithathu kunqubo esinjalo sesikhona kakade engaphelele lymph node ezihilelekile;

• bese kuthi owesine isinyathelo Ukudlulela foci aqale ukuze sibonakalise leso sinyathelo iyona ayingozi kakhulu ngabantu.

Lapho lesi sifo esiteji wamathumbu adenocarcinoma kunqunywa TNM uhlelo okuyinto kuthola ubukhulu isimila, njengoba ahlaselwa lymph node kanye khona Ukudlulela foci.

Kanjani lesi sifo?

Ngeshwa, adenocarcinoma emathunjini - isifo esiyingozi kakhulu esakheka, cishe akusho ngokuzenza. Njengomthetho, kwakheka isici onjalo is on isizinda ezingamahlalakhona ukuvuvukala ikholoni, ngakho-ke lo muntu wamukela ukubonakaliswa kwayo we eziya ziba zimbi yokugula kwakhe. Esikhathini Abaningi adenokartsenoma izenze wazizwa endabeni, lapho kwakubonakala sengathi metastases.

Ngokuphathelene izimpawu eziyisixwayiso ekuqaleni ukuthi zihlanganisa lezi ezilandelayo:

• izinkinga nge esihlalweni njalo;

• okuphothula igazi e sezinyawo;

• osenyameni lwamafinyila ngegazi izingcezwana ekuqaleni sokuzikhulula;

• Uma isifo siqhubeka, umuntu has ubuhlungu obuhlabayo noma buthuntu esifundeni wamathumbu;

• ubuhlungu ngokuhamba kwesikhathi baba evelele;

• esigabeni sokugcina angavulwa ukopha emathunjini, ukuntuleka kwegazi emzimbeni, futhi kukhona ubuthi jikelele wonke umzimba.

wabonakaliswa Ngakho adenocarcinoma we-colon. ngokuvamile Izibikezelo kuyinto esidumazayo.

Lapho ehlasela lesi sifo, abantu abangaphezu uqale usukhathele, kukhona ubuthakathaka ngenxa yomdlavuza ukudakwa. A ukuphazamiseka ukugayeka evamile ukudla kuholela yokuthi umuntu uqala ukuba ulahlekelwe isisindo kakhulu.

Lesi sifo ezithuthukayo ezingaphezu, aba maningi izimpawu omubi abantu, esigabeni yokugcina lingavuswa lokushisa lomzimba kuya degree 38. ifomu sezinyawo nayo Ushintshe kakhulu, futhi ukuqunjelwa kushintshana sohudo, futhi ube nephunga eqinile fetid.

Ngokuvamile isiguli siqala ukuba nomuzwa wokuthi akakhulumi akhishwe ngokuphelele amathumbu akho. Ngenxa yalokho, kukhona ukusikwa spasmodic kwemisipha, futhi kukhona izifiso zamanga ukwabiwa wamathumbu ukunyakaza. Ngaphezu kwalokho, ukuze umuntu akwazi ukuya ethoyilethi izikhathi afinyelela ku-20 ngosuku nge osenyameni oyisibopho isikhwehlela negazi. Lezi esiyingozi adenocarcinoma emathunjini.

Lapho metastases zenzeka esinyeni nenyongo futhi esibindini ke umuntu uqala ukuba zibukeke ukubona umphumela jaundice. Futhi endabeni lapho isimila ikhula kakhulu, uyakwazi ukuvimba mafutha anciphisa isikhala esingaphakathi, umphumela uba ukuphazamiseka sokuzikhulula, kodwa khulisa kuphela ubuhlungu esiswini, bese yengezwa izimpawu nesicanucanu retching.

Njengoba wazi, omunye Imisebenzi esemqoka ikholoni - ukunqwabelana kanye nokugcinwa endleni, okuyinto isinyathelo isimila, wabangela ukuba ulcerate. Uma isimo siqala ukuthuthukisa by kwesihlalo ngaphezulu, niyozenezelelwa, ukungcola purulent uketshezi negazi.

Yiziphi izici kushiya ukuqala lesi sifo?

Adenocarcinoma kapopopo singenzeka ngenxa izici ezihlukahlukene. Izazi ziye wembula futhi bahlonze lezi zinto ezilandelayo engabangela ukuba ukuthuthukiswa le nkinga, okuyilezi:

• khona polyp ku colon;

• izilonda emathunjini;

• isilonda duodenal;

• ukuqunjelwa okungamahlalakhona;

• isifo Papillomavirus.

Kuyaphawuleka ukuthi umdlavuza kungenziwa kabusha kusukela ezimileni kungavamile ukuba ingozi. A kokunqotshwa le nkinga ye duodenum ngokuyinhloko ngenxa yokuthi ukuthi kuthinta Bile futhi juice pancreatic.

Ngaphezu kwalokho, adenocarcinoma emathunjini (ukwelashwa kuzoxoxwa ngezansi) ingase ibangelwe lezi zinto ezilandelayo:

• Ukudla okungalungile;

• ukusetshenziswa uphuzo oludakayo;

• ukubhema;

• njalo wathola ukucindezeleka;

• yofuzo.

Kufanele kugcizelelwe ukuthi kwezinye izimo kungase kube ibonakalisa izimila ezimbili abulalayo - umdlavuza kapopopo emathunjini amancane.

Adenocarcinoma kapopopo avame livela abantu abangafuni ukulandela ukudla noma uhlushwa fistula e ingquza. Kubalulekile ukuphawula ukuthi zivame ukubangela ukuqhuma kwentukuthelo ukuthuthukiswa kwalesi sifo futhi ukusetshenziswa amakhemikhali emsebenzini futhi ekhaya.

Izimpawu, elikwazi ukuzwa isici

Adenocarcinoma ativete izici ezilandelayo. Uma umdlavuza ubonakalisiwe ngokwayo emathunjini amancane, izimpawu:

• stably wabonakaliswa ubuhlungu esiswini engenhla;

• ukuqunjelwa nese indle uketshezi;

• ukubuyisa;

• nesicanucanu retching;

• okungazelelwe kwesisindo.

Njengoba wamathumbu adenocarcinoma (izinyathelo 3 no 4) luyokhula, umuntu bangase balwisane izimpawu zokudakwa. A uphawu lena ukungakuthandi ukudla noma ukwala oluphelele ukudla, ngeke kuyinsakavukela. Uma kunjalo liyinkimbinkimbi ngokwanele, ukopha kungenzeka. Lunini esigabeni sesine sale isici kulo, umdlavuza sithinta bonke kwezitho eduze.

Lapho adenocarcinoma ingaqala Izilonda odongeni emathunjini amancane, izimila enjalo kungaba avuse ukopha ukuvulwa.

Kepha adenocarcinoma we ikholoni, zikhona izici eziningana, okuyilezi:

• wamisa ubuhlungu esiswini aphansi;

• esesuthi engekho ngokuphelele;

• endleni has inqwaba isikhwehlela negazi izingcezwana;

• ngezinye izikhathi e kwesihlalo zingatholakala ubomvu.

Uma bahlatshwa umxhwele kwesokudla odongeni emathunjini, ukopha iza ezifihliwe. Kodwa uma isimila is dislocated esigabeni ngakwesokunxele, ngemva kwalokho angene endleni uzoba khona ebumnyameni ebomvu igazi. Futhi njengoba omunye izimpawu ezivamile yalesi sifo, kuba nesifiso zamanga ukuba wamathumbu ukunyakaza.

Uma umuntu uvele okungenani omunye izimpawu ngenhla, iyisiginali i Sokuzivikela ngokushesha. Musa engozini zabo futhi bengenandaba nokuthi lezo zimpawu.

Okubalulekile: Uma umuntu eba ephezulu grade wamathumbu adenocarcinoma, isikhalazo ezivamile - ngopha ingquza.

Ukuxilongwa ikholoni adenokartsenomy

Lokhu uphethwe, ezifana nomdlavuza kapopopo, isethwe ngesisekelo the manipulations ezilandelayo:

• izikhalazo isiguli;

• umlando izinombolo;

• kuhlolwe ngamehlo;

• Ukuhlola ingemuva usebenzisa palpation;

• luhlolo wezinsimbi.

Ngokuvamile, ezingaphezu kuka-70% azo zonke izimila umdlavuza colon zitholakala emathunjini ephansi, ngakho-ke bungabonakala indlela palpation noma sigmoidoscopy. Uma esikhundleni ukuthunyelwa kuphezulu, onguchwepheshe isebenzisa colonoscopy. Futhi ukuze enze zezinhlobo biopsy luhlolo histological, udokotela isebenzisa colonoscopy, esiza ukukhetha isampula.

Ukulinganisa isayizi shape yesimila, usebenzisa luhlolo radiopaque we-colon. Ukuze ukuthola Ukudlulela usebenzisa ultrasound. Futhi, le ndlela kuboniswa kwenzeka ukuthi akunakwenzeka ukuba afeze Endoscopy.

Ngaphezu amasu ngenhla isiguli kumele ovivinyweni olubangelwa ezilandelayo:

• fecal igazi okulumba ;

• ukuhlaziywa kwamakhemikhali;

• ukuhlolwa evamile igazi kanye nomchamo.

Lapho udokotela wakho kuyoba esandleni zonke imiphumela yocwaningo, kuphela kuleli cala ukuthi uzokwazi ukusungula i ukusazi ngokunembile isifo esikuphethe.

Adenocarcinoma wamathumbu ezincane: Ihlahlubo

Indima ebaluleke kunazo zonke e zokuba uchwepheshe wokuhlola izimila ezinjalo adlala lezi zinhlobo ezilandelayo ukuhlolwa, okuyilezi:

• -X-ray luhlolo;

• Uphenyo enterograph;

• luhlolo ukudlula element nekuphikisana;

• irrirografiya;

• ultrasound;

• computed tomography;

• angiography okukhethwayo.

Mayelana emasu lafana colonoscopy futhi enteroscopy, kulesi simo usebenzisa inqubo yokuqala amathumbu kokuqala kuphela angayihlola ngokuningiliziwe, futhi usebenzisa indlela yesibili - ezishisayo ahlukaniswe.

Futhi, uma isici esolwa aqokwe ukuhlolwa kwegazi kanye nomchamo. Kwezinye izimo onguchwepheshe angabeka ukuhlolwa eyengeziwe, kuye kube sezingeni ukulimala emathunjini amancane.

Njengoba amacebo wezokwelapha akhethwe futhi yini izibikezelo isiguli?

Lahla lolu hlobo izimila kungenziwa kuphela yakhetha ukuhlinzwa. Kodwa ngaphambi kokuba ukuchitha inqubo enjalo, isiguli kufanele ahlolwe ngokugcwele.

Uma umdlavuza Kuye kwatholakala emathunjini amancane, i-resection ububanzi wenziwa. kususwe ngokuphelele Kunconywa umdlavuza duodenum. Futhi uma kukhona isidingo eyengeziwe, ongenza, futhi resection isisu.

Ngokuvamile ukuhlinzwa okunjalo kuhlangene ngamakhemikhali. A umdlavuza ngamakhemikhali okwamenza ifomu inoperable - ithuba nje indoda. Lapho efeza ukuhlinzwa phezu 1 no 2 esiteji ezinhlanu sokusinda ngonyaka kuyalinqoba embundwini 40% eziguli.

Uma ethola ukuthi unesifo "umdlavuza colon", it is bunikezwe ukuhlinzwa. Kulokhu uma ukuvuvukala uphansi, le ipayipi lokukhipha indle kwakhiwa. Lokhu kwenza kube nokwenzeka ukunweba ukuphila komuntu.

Uma uke kwatholakala uma ingemuva, kubalulekile ukuqhuba ngemisebe ngaphambi kokuba uhlinzwe futhi emva. Le nqubo ikuvumela ukuba kuzuzwe imiphumela esiphezulu.

Kepha adenokartsenomy ikholoni e esigabeni sokuqala, ngonyaka emihlanu-rate sokusinda kuyalinqoba embundwini 90% yazo zonke iziguli. Esikhathini isinyathelo esinjalo yesibili sehliselwe 80%. Futhi lapho uzingela lesithathu nelesine embundwini esiteji ezinhlanu unqobe kuphela nje kwesigamu zonke iziguli.

Ngeshwa, ngenxa ukuthuthukiswa eside futhi imperceptible yalesi sifo abantu abaningi abafa ngenxa yezinhlekelele isici onjalo sitholakale esikhathini lapho umuthi bangenzi lutho ekusizeni.

izinyathelo

Ungakuvimbela kanjani umdlavuza colon? Adenocarcinoma kwenzeka ngenxa yezizathu ezilandelayo:

• polyp colorectal;

• izinqubo ukuvuvukala ukuthi ukuthuthukisa esiswini;

• Inani enganele fibre yokuqothulwa;

• izinkinga nge esihlalweni njalo;

• ukuguga.

Uma thina ukuqapha ngokucophelela impilo yabo ngesikhathi ukuhlonza kanye balahle zonke izinkinga ngenhla, umuntu uzokwazi ukuvimbela ukuthuthukiswa yalesi sifo. Kubalulekile ukuqapha amandla abo futhi ukunciphisa ukusetshenziswa ukudla oily futhi okubabayo.

Njengoba for the asebekhulile-ke, njengoba kuboniswe ngenhla, zingabantu babonakala bethambekele kakhulu ngalokhu kugula, ngakho musa ukugwema ukuhlolwa njalo Coloproctology. Musa indiva lesi onguchwepheshe, nguye, futhi ukuphila kwakho. Khona-ke lapho kusaqalwa kungatholakala wamathumbu adenocarcinoma. Onalesi sifo ngemva kokuhlinzwa muhle.

isiphetho

Ngeshwa, imithi ezingaba ukukunqoba ngokuphelele umdlavuza, ayikho. imithi yesimanje linikeza izinqubo kanye yizidakamizwa ngempumelelo kuphela izigaba sokuqala. Kodwa lapho isifo sitholakale isivele Usuqhubekile, amathuba mancane. Yingakho lolu daba kufanele ikhokhwe isikhathi, ngoba ukuthola esifike umdlavuza kunikeza ithuba elikhulu ukuthi umuntu ngeke babhekane nalesi sifo futhi bakwazi ukuqhubeka siphila. Ngokuvamile kudingeka ukuba banake umzimba wakho futhi ngokholo okuhle ukudlula ukuhlolwa yonyaka.

Sesihlole ngesifo adenocarcinoma wamathumbu, onalesi sifo kuchazwa.