Bowel adenocarcinoma: danho kurapwa, kuvhiyiwa, fungidziro

Oncology zvino watova zvezvisarudzo kakawanda zvirwere. Kenza anogona kuitika chero nhengo munhu zvachose. Ngozi kenza ndiko kuziva nayo achiri Danho kwakaoma zvisingaiti. Kana izvi zvikaitika, mune mashoma chaizvo nyaya. Zviratidzo kuonekwa kare mukupera mumatanho, kana kurapwa uye kupora kwakaoma, uye dzimwe nguva maturo.

bowel adenocarcinoma - chimwe chezvinhu zvakafanana mhando kenza kuti rikaitika muura uye ura diki. A achiumbwa kubva kuremara glandular mumasero mucosa kwakadaro. Sezvo bundu ichi chingaitika, chinobata tsandanyama uye serosal akaturikidzana. Uyezve, bundu ichi anokwanisa kukura kunyange kuburikidza muura.

Sei kenza bowel?

Most ferriferous kenza muvamwe vanhu makore 50. Kana kwokuomerwa chirwere uye zvakare fungidziro, vari zvakananga novimba sei dumbu rusvingo akarohwa.

Bowel adenocarcinoma chinobata, sezvinoita mutemo, kwete mafuta chete, asiwo diki ura. Asi ruzhinji kwakadai kenza kuonekwa asi ari muura. In chirwere ichi mu vakadzi uri 4th nzvimbo kuitika mhando dzose zvinogoneka kenza.

mhando

Adenocarcinoma kunoenderana dhigirii yawo change zvinotevera subtypes:

• kusiyaniswa zvikuru;

• mwero kusiyaniswa;

• havaratidzi kusiyaniswa.

Zvinofanira kusimbiswa kuti kusiyaniswa havaratidzi adenocarcinoma pamusoro ura kunoitika akaoma. bundu Izvi vangasarudza nzvimbo nekutumirwa kwemauto chero chikamu ura, asi kazhinji Rinozivisa iri mugaranhoko.

Maererano ura duku, munyika iyi, bundu iri dzakaonekwa ndoda kakawanda. Kana broadly yakakamurwa zvose zviitiko zvinenge zvokurwara ichi, kuti duodenum iri njodzi hafu mhosva. Kana tikaenzanisa varume nevakadzi, zvepabonde vakasimba zvikuru kubatwa nechirwere ichi. Ruzhinji zvakakanganisika akadaro dzakaonekwa pakati pemakore 50 uye 60 makore.

siteji

Kana inoshandiswa pakutsigira kwechirwere chacho, wose nguva rakakamurwa zvikamu zviri:

• Danho rokutanga kunosanganisira chete mucosa;

• yechipiri Danho kunoitika kukunda zvose muviri akaturikidzana;

• panguva Danho rechitatu zvakadaro zvichiitika kare chakaremara node nodes unobatanidzwa;

• uye danho metastasis chechina foci vanotanga kuratidza danho rakadaro ndiyo ngozi nokuda kwevanhu.

Kana chirwere Danho bowel adenocarcinoma vakatsunga TNM ino iyo anoona kwakakura bundu, sezvo vakanga vakundwa node nodes nokuvapo metastasis foci.

chirwere sei?

Zvinosuruvarisa adenocarcinoma of ura - chirwere ngozi chaizvo kuti zvikamuka, kushanda asingadi sevanhu. Kazhinji, zvakakanganisika yakadaro achiumbwa pamusoro mamiriro echirwere kuzvimba muura, uye saka munhu anogamuchira kuratidzwa kwake kuwedzera yokurwara kwake. In ruzhinji adenokartsenoma inoita pachayo sokuti kuna, kana akazviratidza metastases.

Panyaya Zvaipa kuti zvinosanganisira zvinotevera:

• nematambudziko dzose cheya;

• tsvina ropa chetsoka;

• mucous kubuda neropa nezvimedu pakutanga defecation;

• Kana hosha mberi, mumwe munhu ane jeko kana patainzwa kurwadziwa bowel nharaunda;

• marwadzo pamusoro nguva kuva raidudzwa;

• wokupedzisira Danho anogona kuzarurwa intestinal ropa, kupererwa neropa, uye pane vakawanda chepfu yose muviri.

Saka akaratidza adenocarcinoma ari muura. Fungidziro kazhinji mwoyo.

The zvakawanda kurwisa chirwere ichi, zvikuru vanhu vanotanga kuti kuneta, pane simba nokuda kenza kudhaka. A nokuvhiringidzirwa kunowanzoitika kugaya zvokudya kunotungamirira kuti munhu anotanga kuderedza uremu zvinoshamisa.

The zvakawanda mberi chirwere, chikuru kukanganiswa zviratidzo muvanhu, wokupedzisira Danho anogona vachamutswa muviri tembiricha kuti 38 inegumi. chetsoka chimiro chiri dzakachinjwa chaizvo, uye kupatirwa rakatumbuka pamwe manyoka, uye kuva simba fetid kunhuwa.

Kazhinji murwere anotanga kunzwa kuti iye asina zvachose vachidurura muura hwako. Somugumisiro, pane spasmodic marwadzo tsandanyama, uye varipo venhema zvido hurumende ichiisa bowel masangano. Uyezve, munhu anogona kuenda chimbuzi kusvika ka20 pazuva kwairayirwa chokubuda madzihwa uye ropa. Izvi ngozi intestinal adenocarcinoma.

Kana metastases kuitika munduru dundira uye chiropa, ipapo munhu anotanga nemaziso kuchengeta nezvaizoitwa jaundice. Uye panyaya kana bundu inokura zvakasimba, zviri anokwanisa kuvhara lumen, zvinoguma nyonganyonga pamusoro defecation, asi chete kuatsanangura kurwadziwa mudumbu, uye akawedzera kuti zviratidzo svoto uye retching.

Sezvaunoziva, mumwe mukuru mashandiro ari muura - ndiye kuunganidza uye chengetedzo pamusoro mutsvina yadzo, izvo chiito bundu, zvichiita kuti ulcerate. Kana mamiriro anotanga kukura, kubudikidza pachituru yakawanda zvichawedzerwa, uye kusachena purulent secretions uye ropa.

Zvii chirwise kutanga chirwere ichi?

Adenocarcinoma of muura anogona kuitika nokuda siyana zvinokonzera. Nyanzvi kwakaratidza uye akazivisa zvinhu zvinotevera zvinogona kukonzera kukura kuremara ichi, zvinoti:

• kuvapo polyps ari muura;

• maronda colitis;

• duodenal urikanwi;

• chisingaperi kupatira;

• papillomavirus chirwere.

Zviri kucherechedza mutengo kuti kenza anogona unoberekwazve kubva benign anomera. A kukundwa kuremara chino duodenum anongofunga nokuti kuti zvinokanganisawo bile uye pancreatic muto.

Uyezve, intestinal adenocarcinoma (kurapwa ichakurukurwa pazasi) anogona kukonzerwa zvinhu zvinotevera:

• Kudya kukodzera;

• kunwa zvinwiwa zvinodhaka;

• kusvuta;

• rwaigara kushushikana;

• magene kubatwa.

Zvinofanira kusimbiswa kuti mune zvimwe zviitiko pangava nokuratidzwa nyanyisa anomera maviri - nekenza yacho muura uye ura diki.

Adenocarcinoma of muura kazhinji anooneka mune vanhu vasingateveri zvokudya kana vanotambura fistula mu horo. Uyewo kucherechedza kuti Kazhinji zvinokonzera kukura chirwere ichi uye kushandisa makemikari kubasa uye mumba.

Zviratidzo, izvo zvinogona kubata urema

Adenocarcinoma anogona kutaura pachavo nokuda anotevera zvinhu. Kana kenza pachena pachayo iri ura duku, zviratidzo vari:

• stably akaratidza kurwadziwa rokumusoro mudumbu;

• kupatirwa rakatumbuka mura faeces;

• flatulence;

• svoto uye retching;

• kungoerekana uremu.

Sezvo bowel adenocarcinoma (matanho 3 uye 4) kuchawedzera, munhu anogona kuratidza zviratidzo kudhaka. A chiratidzo ichi ndicho kurasikirwa havi kana kuramba zvokudya zvakakwana, ichava vasingambooni chakaipa nazvo. Kana nyaya yacho yakaoma zvakakwana, kubuda kweropa kunogona kuitika. Kana iri dariro rechina kuremara ichi, kenza kunokanganisa vose pedyo nadzo.

Kana adenocarcinoma angatanga maronda pamusoro pamadziro ura duku, namamota kwakadaro kungakonzera ropa buri.

Kana adenocarcinoma ari muura, pane zvakawanda features, kureva:

• Akamisa marwadzo ari dzakaderera mudumbu;

• Nzara iri chose vasipo;

• mune mutsvina yadzo ine vakawanda madzihwa uye ropa zvimedu;

• dzimwe nguva ari pachituru anogona kuwanikwa pus.

Kudai mwoyo Nokururamisira intestinal rusvingo, kubuda kweropa anouya yakavanzika. Asi kana bundu iri dislocated muchikamu kuruboshwe, kuti mutsvina yadzo achava aripo rima mutsvuku ropa. Uye sezvo rimwe vakawanda zviratidzo chirwere ichi, icho uchida wenhema kuti bowel kufamba.

Kana munhu akaonekwa kupfuura rimwe pamusoro zviratidzo, ndiwo mureza pakarepo kupiwa mukana wokuzvidzivirira. Regai kuisa upenyu hwavo uye hanya zviratidzo.

Inokosha: Kana munhu ave mukuru-sosaiti bowel adenocarcinoma, vakawanda kunyunyuta - ropa kubva horo.

Chirwere kuti muura adenokartsenomy

chirwere ichi, akadai nekenza muura, zvinoiswa pachishandiswa zvinotevera manipulations:

• zvichemo murwere;

• Nhoroondo inounganidzwa;

• chinooneka rokuongorora;

• kuzviongorora mugaranhoko kushandisa palpation;

• batsira chaizvo kuzviongorora.

Kazhinji, vanopfuura 70% yose kenza muura mapundu dziri munzvimbo dzakaderera ura, saka vanogona kuzivikanwa nokuda nzira palpation kana sigmoidoscopy. Kana nzvimbo nekutumirwa kwemauto zvakakwirira, asi chiremba anoshandisa colonoscopy. Uye kuti aite biopsy specimens kuti histological kuongororwa, chiremba anoshandisa colonoscopy, iyo inobatsira kusarudza mharidzo.

Kufungidzira kukura uye pezvakaita bundu, uchishandisa radiopaque kuzviongorora muura. Nokuti kuziva miedzo metastasis kushandisa Ultrasound. Uyewo, nzira iyi unoratidzwa chiitiko kuti hazvibviri kuti vaite imwe endoscopy.

Kuwedzera pamusoro apa unyanzvi murwere unofanira kupfuura zvinotevera miedzo:

• fecal zvemashiripiti ropa ;

• nemakemikari ongororo;

• zvakafanana miedzo ropa uye weti.

Kana chiremba wako achava pamusoro ruoko zvose migumisiro muongororo, chete muchiitiko ichi achakwanisa kumisa kuongororwa zvakarurama.

Adenocarcinoma of bowel diki: kuongorora chirwere

Basa rinokosha mune chirwere anomera vakadaro vari kutamba zvinotevera mhando rokuongorora, anoti:

• X-ray ongororo;

• enterograph vachiongorora;

• Kuongorora ndima kusiyana eremendi;

• irrirografiya;

• Ultrasound;

• computed tomography;

• Kusarudza angiography.

Panyaya unyanzvi hwakadai colonoscopy uye enteroscopy, muchiitiko ichi uchishandisa yokutanga Nzira imwe chete pakutanga ura anogona kuongorora zvose, uye kushandisa nzira yechipiri - chafariz vakaparadzana.

Uyewo, kana kuremara vakafunga akagadzwa ropa uye weti nemiedzo. Mune zvimwe zviitiko nyanzvi anogona mishonga mimwe miedzo, zvichienderana rwakadini kuzotadzira ura duku.

Sezvo akasarudzwa zvokurapa zvidobi uye chii Zvaifungidzirwa kuti murwere?

Paradza ichi mhando anomera chete zvinogona kuita kuvhiyiwa. Asi usati tipedze nzira yakadaro, murwere vanofanira rakagara kuongorora zvizere.

Kana kenza awanikwa ari ura duku, mhami resection rinoitwa. rakwo kubviswa pachii nekenza duodenum. Uye kana pane chimwezve chikonzero, anogona kuita, uye resection mudumbu.

Kazhinji Kuvhiya kwakadaro pamwe mishonga. A kenza mishonga inoperable chimiro - chete mukana munhu. Patinoita kuvhiyiwa pamusoro 1st uye 2nd Danho mashanu gore Kupona chinokunda kuchikumbaridzo 40% wevarwere.

Kana nechirwere "kenza muura", izvozvo anopiwawo kuvhiyiwa. Panyaya iyi kana mumatenhere yakaderera, iyo yakaumbwa colostomy. Izvi zvinoita kuti tikwanise kuwedzera upenyu hwevanhu.

Kana wanga chirwere kamwe ari mugaranhoko, zvakakodzera kuitisa irradiation asati oparesheni uye pashure. nzira iyi kunoita kuti vawane kunonyanyisa zvabuda.

Kana adenokartsenomy muura rokutanga danho, kwemakore mashanu wokurarama chinokunda kuchikumbaridzo 90% wevarwere zvose. In danho kudaro rechipiri wakaderedzwa kusvika 80%. Zvino Detective wechitatu uye chechina chikumbaridzozve Danho shanu kukurira chete chete hafu wevarwere zvose.

Zvinosuruvarisa nokuda refu uye imperceptible kukura chirwere ichi vanhu vakawanda vanofa pamusana chakaremara akadaro akanzi padanho kana mushonga anogona kuita shoma kubatsira.

matanho

Ungadzivisa sei kenza muura? Adenocarcinoma kunoitika nokuda kwezvikonzero zvinotevera:

• colorectal polyps;

• anogumbura pezvakaitwa kuti munguva dumbu;

• kushomeka yakawanda faibha kuparadzwa;

• nematambudziko dzose cheya;

• kukwegura.

Kana isu nokungwarira akuteerere utano hwavo uye nguva kuziva uye kubvisa zvose pamusoro matambudziko, munhu achakwanisa kudzivisa kukura chirwere ichi. Zvakakosha kuti akuteerere simba ravo uye kurerutsa kudyiwa jikichira uye Spicy chikafu.

Kana vakwegura, zvino, sezvo akataura pamusoro, ndivo vakawanda kuita chirwere ichi, saka regai kudzivisa nguva inspections panguva Coloproctology. Usarera nyanzvi ichi, ndiye, uye aigona kuponesa upenyu hwako. Zvadaro muna tanga dzinogona kuonekwa bowel adenocarcinoma. The fungidziro pashure pokuvhiyiwa zvakanaka.

mhedziso

Zvinosuruvarisa, mishonga kuti anogona kukunda zvachose kenza, haasati iripo. mushonga ano rinopa nzira uye zvinodhaka kuti zvinobatsira chete kwokutanga matanho. Asi kana maperembudzi chirwere yatova nenguva azara, mikana zvidiki. Ndokusaka nyaya iyi inofanira kubhadharwa nguva, nokuti nenguva kuonekwa kenza rinopa mukana mukuru kuti munhu achava kutsungirira chirwere uye kukwanisa vachirarama. Kazhinji unofanira kuteerera muviri wako uye mukutenda zvakanaka zvakaitika wepagore kuongorora.

Tataura chirwere ari bowel adenocarcinoma, kuti fungidziro inorondedzerwa.