A chiratidzo gastric kenza: zvepuraimari uye anoenderana

Kuitika gastric kenza (GC) chaizvo muJapan, Iceland, Chile. Great ukoshi zvokudya Mitambo kukura hosha; negashiro mukuru-mafuta, aisvuta, vava kudya chinhu chikuru ngozi. Mukusiyana, kushandiswa mavhitamini uye faibha ndiyo unodzivirira chinotaurwa. Zvino hunoratidzwa carcinogenic zvinokonzerwa Helicobacter pylori, Epstein-Barr utachiwana. akakodzera zvinokonzera njodzi vari kuputa uye kunwa.

Dumbu Cancer: Zviratidzo neMarapirwo

Zvinokosha kuziva zvinokosha zviratidzo chirwere. Early Zviratidzo kenza mudumbu chete nokuitika yakakwana bundu kukura apo muviri lumen nhete, kudzikira vhoriyamu kwayo uye vasingadzoreki kubvisa. Kuratidzwa RJ angatanga ropa kana zvakakomba zviratidzo kudhaka kwakakonzerwa pokuwa bundu. The chikuru chiratidzo iri gastric kenza kunobva localization muitiro maonero kukura nokuda histology, kunosanganisira pedyo nhengo, migumisiro yose muviri.

dysphagia

Kakawanda kwakaratidzwa RJ kutyora nhego patency. chiratidzo ichi kenza mudumbu mangwanani kana paine localization iri cardiac kana pyloric uye akapotsa kumbobvira - mudumbu. In Mashoko yegurokuro kuonekwa vachinetseka pakuparadza: kutanga, zvikukutu, uye ipapo mvura nezvokudya. Fani iyi achiperekedzwa chirungurira, belching pamwe fetid kwakanaka, kuneta, kurasikirwa uremu muviri. chiratidzo ichi kazhinji akaona endophytic bundu kukura.

marwadzo

Unorwadza zviratidzo gastric kenza zvikuru chakajairika localization pakati bundu iri repamusoro rechitatu muviri uye Rinobatanidzwa zvakawedzera peristalsis nokuda aienda pamusoro lumen. The kurwadziwa vemunyika seri breastbone kana pakati pamafudzi mashizha, zviri chaizvo yakafanana cardiac zvokurwara. Kurwadziwa kuruboshwe repamusoro quadrant kuchimuka gastric kenza pasi. Kazhinji, chirwere chakadai chirwere chete mukupera nezvishoma.

palpable

An chiratidzo chinokosha kenza mudumbu - palpable mudumbu. Kumboda zvikaonekwa panguva bundu nzvimbo iri yepazasi rechitatu muviri. Dzimwe nzvimbo palpable kenza kwakaoma.

Common kunyunyuta

Somatic zviratidzo gastric kenza kunoratidzwa vanonzi chirwere zviratidzo diki:

• simba;
• kuora mwoyo;
• ungaderedza havi;
• "Dumbu" kusagadzikana;
• kupererwa neropa;
• uremu.

Nokupfupikisa, tinogona kuziva huru zviratidzo chirwere vari: kurwadziwa, dyspepsia, "dumbu" kusanzwa, kupererwa neropa, havachanyatsogoni kubvisa.

metastasis

Kupararira bundu kunoitika hematogenically kuti chiropa, mapapu, mapfupa; lymphogenous - dumbu, Krukenberg metastasis. Kana metastasis kunoitika peritoneal ascites.

Diagnostics

Chirwere matanho zvainanga ari kuonekwa anomera, kuziva zvayo womunharaunda kupararira uye metastasis, dzinoongorora somatic sepakutanga. Nokuti kuonekwa uye kushandiswa kenza radiography uye endoscopy mudumbu. Kutora bundu zvidimbu kuona histological nechivako kwayo, kwakajeka miganhu, ukuru kumera muviri rusvingo. Kuti usarudze metastasis vakashandisa radiography, angiography, MRI, chirwere laparoscopy.

mabatiro

Kuti vabudirire mukuru zvazviri, mumwe kunzwisisa kuti kuchirapa matanho: mubatanidzwa wokuvhiya kubvisa limfokollektora, radiotherapy uye himiolecheniya.