Kenza dumbu: zviratidzo uye nokuratidzwa rokutanga zviratidzo. Nzira dzekufambisa pakurapa gastric kenza fungidziro

kenza dumbu - ichi chirwere chakakomba zvikuru dzinoratidzwa kubudikidza inondimukira chokuwanziridza masero mwero. zvokurwara Izvi kakawanda kakawanda chirwere nevanhu uye pashure pemakore 50. Munyaya ino tichataura pamusoro sei kutanga kenza dumbu (zviratidzo uye nekuratidza chirwere pakutanga mumatanho) uyewo chii kurapwa ano mushonga zvinowanika.

tsananguro

kenza dumbu - munhu chirwere oncological hunhu, iyo inozivikanwa nokuva kukura munhu akaipa neoplasm pamusoro mucosal epithelium. Bundu ingangoumbwa munzvimbo dzose dzomuviri. Risk zvirwere inowedzera yekudyidzana varume, uye vakadzi pashure pemakore 50. Kana mubvunzo nenzvimbo kuparadzira chirwere, nepo Russia chirwere ichi chechipiri chete kakawanda nechirwere anomera zvose akaipa. Saka, vanenge 36 varwere por 100 zviuru vanhu hwakanaka. Kuipa mamiriro ezvinhu ari kuJapan, dzekuma Scandinavia uye Brazil.

Maererano nenyanzvi, mumakore 30 apfuura, mamiriro ezvinhu akachinja zvinoshamisa. Doctors cherechedza zvishoma nezvishoma kuderera kuitika kenza. Somuenzaniso, muna America, zvokurwara iri panoonekwa tichishandisa Kazhinji (chete nyaya shanu chete 100 000 population).

Nhasi, masayendisiti vakaratidza kuti zvachose utano dumbu oncology havagoni simuka. The chirwere anogara pashure vanonzi premalignant danho, kana kuchinja hunhu masero vakachengeta lining mukati muviri. Paavhareji, mamiriro ichi kunotora 10 makore anenge 20.

Zviratidzo kenza mudumbu pakutanga mumatanho anogona kuvhiringidzwa gastritis kana urikanwi. Pakutanga kuumbwa bundu diki. Nokufamba kwenguva, izvozvo zvinogona kuwedzera kukura, kukura kudzika uye upamhi. Panguva iyi, chirwere pachena sezvo mumatumbu nyonganyonga. Somugumisiro, mumwe munhu anotanga kuderedza uremu pasina chikonzero. Pokumera kuburikidza mudumbu rusvingo, kuti neoplasm anogona mberi kune dzimwe nhengo (muura, rwatata).

The chirwere kunoratidzwa okutanga chimiro metastases (kupatsanurwa masero kenza kubva bundu uye kwavakazoita kupararira munyika muviri). Ivo kazhinji sei node nodes uye chiropa. Uyewo ari pathological muitiro kungasanganisira mumapapu, mapfupa, peritoneum nzvimbo ovaries. Zvishoma nezvishoma kuchinja kushanda vose ane zvomukati, iyo inotungamirira kurufu.

The zvikonzero

Panguva ino, chaiwo zvinokonzera kuti pave nekukurukurirana kukura hosha haina aizvinzwisisa. Nyanzvi chete govera chine zvinhu, migumisiro iyo pamwe chete kuita kuti paumbwe kenza.

• Utachiona Helicobacter Pylori. Masayendisiti refu nekusimba kuti utachiona ichi anokwanisa kurarama kwete chete zvakakwana nenzira acidic ezvinhu, asi kuva chikonzero nemaronda uye gastritis. Sezvinoratidzwa okurapa, dzimwe nguva chirwere vakaderera kupinda kenza. Helicobacter Pylori zvishoma nezvishoma deforms ari mucous muviri, hydrochloric asidhi anotanga kurova usina kuzvidzivirira dumbu rusvingo, zvichikonzera dzakawanda Kuparara. mhando iyi ulceration anoonekwa rakaisvonaka ezvinhu upenyu masero kenza.
• Rwara madyiro. Kuvapo mune zvokudya zvakakanyiwa namafuta, zara mafuta, Spicy uye vava nezvokudya kanoverengeka kunowedzera mukana wokuti dzichiri kenza.
• Kuvapo mumuviri nitrates uye nitrites. Zvinofungidzirwa kuti zvinhu izvi vane yakakwirira namakemikari basa. Vanogona kuvhiringa uye kupinda mumba nechivako dzavo zvavaisiita kuvimbika gastric mucosa masero. Panobva nitrates uye nitrites munharaunda nyika yedu, ave mutemo, ndizvo miriwo. Uyezve, munyu pamusoro nitrous uye nitric asidhi akawanda zviri zvokudya, zvimwe chizi, fodya, doro.
• Bad tsika. Kunze chokwadi kuti panyaya iyi zvinogona kuita doro varipowo pamatunhu mishonga nitrates uye nitrites, provocateur nyanyisa neoplasms. Masayendisiti dzakaratidza kuti yakareba munhu anosvuta mabhokisi, chikuru rinofanira zviratidzo kenza mudumbu uye ura chichange kuzivikanwa panguva muduku.
• kushandiswa Long-rokuti zvinodhaka. Mishonga, Anti-anogumbura zvinodhaka, corticosteroids - vose mishonga iyi vane zvimwe nemishonga, izvo zvinosanganisira kukura mudumbu maronda. Sezvo tichiziva kuti aigona dzikava bundu chaiye.
• Kuonana nemwaranzi.

Boka pangozi inosanganisirawo vanhu vari kufuta, nhoroondo yemhuri uye zvimwe zvirwere oncological.

Ndezvipi zvirwere anogona asati kenza mudumbu?

1. Kupererwa neropa nokuda vhitamini B12 kukanganisika. vhitamini ichi anobatsira zvakananga basa pakugadzirwa vazhinji masero omuviri.
2. Gastric polyps.
3. Vamwe subtypes echirwere gastritis (atrophic chimiro, Menetrier nehosha uye zvichingodaro. D.).
4. Gastric urikanwi. Maererano nenyanzvi, 12% kuti zvokurwara ichi achikura kuva kenza mudumbu.

Zviratidzo uye zviratidzo chirwere

chirwere ichi muna tanga kukura, sezvo mutemo hakuna chaizvo unhu. Murwere vanganzwa kuneta dzose nguva, vachinyunyuta nokuneta uye youtsinye. uremu. Pashure pokudya zvokudya murwere anogona kuonekwa chirungurira, kunzwa waziya mudumbu, bloating kana fufune. Kwakadaro gastric kenza zviratidzo mukutanga mumatanho (Photo vanorwara anogona kuwanikwa mumabhuku medical) vanofanira kuva chikonzero kutsvaka mazano ezvokurapa.

Zviratidzo zvitsva zvose kunogona kuitika pamwe kuchiita chirwere uye mota kukura:

• Kutyora chair.
• Kusagadzikana mune repamusoro mudumbu nzvimbo.
• Kukurumidza saturation.
• Kuwedzera kukura mudumbu.
• Iron-kushaikwa kupererwa neropa.
• Kurutsa neropa.

Zvose pamusoro zviratidzo kazhinji dzinoratidza kenza mudumbu. Zviratidzo, zvinoratidza chirwere hadzikwani kuzosimbisa chirwere, sezvo ivo zvingaratidza mamwe gastrointestinal zvokurwara. Zvinokosha kuwana hwakadzama ongororo.

kupatsanura zvirwere

Zvichienderana chii masero ndivo hwaro namamota, pane zvinotevera mhando gastric kenza:

• Adenocarcinoma. Ichi ndicho chimiro chirwere. Bundu inotungamirwa anotora nzvimbo nokuda kwevaya masero kuti vari zvakananga kukonzera kugadzirwa madzihwa.
• Leiomyosarcoma. Neoplasm rinoumbwa zvikurukuru tsandanyama mumasero nenyere.
• Rwekenza yelymphoma. At chinoumba bundu masero vari node.
• Solid kenza mudumbu. Photos of zvokurwara ichi inogona kuonekwa chete kushandiswa kwemabhuku, sezvazvakanyorwa kunoratidzwa apo neapo.
• Perstnevidnokletochny kenza. Kukurukura anomera yakadaro pasi maikorosikopu rinozivisa zvakafanana. fomu rin'i yaiva chikonzero zita rayo. Nokuti chimiro ichi chirwere dzinoratidzwa nokukurumidza kuwedzera masero pathological uye mangwanani metastasis.

pavaipfuura chirwere

Nhasi, nyanzvi conditionally kusiyanisa mumatanho wandei chirwere kukura, nemhaka iyo zvinoita patsanura gastric kenza. Zviratidzo uye zviratidzo chirwere pakutanga mumatanho okukura angasava kuwanikwa, iro zvinoomesa zvikuru kuongorora chirwere chacho.

Shoko rokuti "Kupona-gore mashanu" rinoshandiswa zvikuru kufanotaura kurapwa kenza. Kana pashure kurapwa murwere anogara 5 makore, rinogona kunzi vatano. murwere kwakadaro ane mukana wakanaka kuti haambofi nechiso kwakadai kenza.

Kunopindirana Kupona nezvirwere ichi, maererano nenhamba, 20% wevarwere zvose. Ichi chikamu muzana vachiri pasi akatsanangura akazotevera chirwere zvirwere. Zvisinei, mumwe nyaya iri nomumwe asi, kana kutanga pavaipfuura chirwere kana dumbu kenza pamwe metastases 4 inegumi. Vanhu vangani kurarama nechirwere ichi kunobva achinyanya nenguva kurapwa uye zvinoenderana vanorumbidza dzose chiremba.

• Zero siteji. Panguva ino pathological kwacho kwaisanganisira chete gastric mucosa. Treatment anoitwa endoscopic kuvhiyiwa. Muna 90% wevarwere kupora zvachose.
• Danho rokutanga. Bundu chinopinda zvakadzama mucosa, achiumba metastases ari node nodes akapoteredza mudumbu. With nenguva kunaka mukana wokuti nokupora neeSultan kubva 60 kusvika 80%.
• Danho rechipiri. Neoplasm kwete chete kunokanganisa tsandanyama tishu. -Gore shanu wokurarama nokuda diagnosing chirwere ndiyo 56%.
• Danho rechitatu. Masero Pathological zvinopfuura muviri rusvingo, node nodes akarova zvachose. With nechirwere "kenza dumbu, Stage 3" Upenyu hunotarisirwa yakaderera (15 kubva vanhu zana anogona kurarama kwemakore mashanu kana kupfuura).
• Danho wechina. The kenza chinopinda zvikuru kwete chete nhengo pacharo, asiwo metastasizes kune dzimwe nhengo dzomuviri (rwatata, chiropa, ovaries, mapapu). In chimiro ichi chirwere iri chirwere muna 80% wevarwere. Makore Zvisinei, mukana wokurarama shanu kana kupfuura vane vanhu vashanu chete kubva ane zana.

Nyanzvi vanonyevera kuti kunyange mushonga kenza kwakakwana haisi nyaya dzose pane maonero akanaka. The ndechokuti chirwere ichi ane tsika kudzokazve, izvo chete kashoma inogona kubviswa nokuda kudzokororwa kuvhiyiwa. Late kuonekwa chirwere munyika yedu zvinotsanangurwa chaizvo nyore. Chekutanga, vanachiremba vakawanda havana zivo mumunda uyu mushonga, panguva kuzosimbisa chirwere. Chechipiri, varwere yapera kutsvaka rubatsiro Somuenzaniso, kana chirwere chinonzi "kenza dumbu, Stage 3". Vangani vanogara varwere dzakadaro? Chokwadi, kwokuregeredza utano hwavo pachavo rinobatanidza vakaipisisa Zvaifungidzirwa.

Diagnostics

Kunokwanisa kubudirira chete kana nyanzvi mune tanga kenza mudumbu anogona kusimbisa. Zviratidzo chirwere rokutanga vanofanira yazivisa uye achava chikonzero kutsvaka mazano kubva chiremba, mumwe gastroenterologist.

Nhasi, chikuru nzira nokudzidza zvokurwara kunoonekwa sechinhu gastroscopy (endoscopy). Panguva nzira iyi, chiremba anoyera mukuru mamiriro mucous muviri, kuiita biopsy pakati fungidzira nzvimbo. Histological kuzviongorora zvinhu vakawana kuona yezvakaita anomera (nyanyisa / benign). Dzimwe nguva mberi yakatarwa:

• X-ray pakuongorora zvomudumbu turakiti.
• Abdominal Ultrasound.
• CT.
• Nemakemikari Kuongororwa ropa kupererwa neropa.

mabatiro

Zvinoita kukurira kenza mudumbu? Kuratidzwa nyanyisa namamota, metastases, namamota saizi, ukuru yamera mu pedyo munzvimbo - zvose izvi zvinhu zvikurukuru kuona mazano ose kuchirapa kupindira. mushonga Modern inopa zvitatu nokuda Mabatirwo zvokurwara kwakadaro: bundu Kubviswa kuburikidza vavhiyiwa, mishonga uye nemwaranzi mishonga. Marapiro nzira akasarudzwa chiremba pashure azere kuzviongorora murwere.

Kana mangwanani nechirwere pakati bundu (razero kana wokutanga Danho), apo pasina metastases anogona kupedza excision pamusoro kenza bundu. Pakuvhiya, chiremba inobvisa mugove mudumbu rusvingo, zvinyama pedyo uye node nodes.

Radiation kurapa inokurudzirwa kumisa kukura masero kanganisika uye kuderedza kukura bundu pachayo. By mishonga zvinokosha kushandisa pa nechirwere "kenza dumbu pamwe metastases 4 inegumi." How Varwere vakawanda vanogara pashure yawapiwa, vanoti chaizvo, zvinosuruvarisa haagoni. Kakawanda, vanachiremba akarayira nemwaranzi uye mishonga pamwe kuti dzikurukure zvakwakanakira.

dhayeti

Chokwadi, pamwe chirwere ichi vanokurudzirwa kupa ngwariro chaiyo zvakananga hanya kwete chete, asiwo nezuva kudya. Nyanzvi angarayira kudzivisa zvinhu izvo varipo vari Zvinoumba nitrates. The ndechokuti izvi zvinhu anogona panoda kupinda nitrites uye chimiro nitrosamines. The yokupedzisira, akavapindurawo, kazhinji kuita huru chinokonzera kenza mudumbu. Paumbwe nitrosamines zvinogona kudziviswa nokugara kunwa mishonga pamwe antioxidant mavhitaminzi C uye E. Uyezve, nezuva zvokudya murwere zvokuongorora kwakadaro kunofanira kusanganisira zvokudya pamwe yakaderera glycemic indekisi. zvokudya vakadaro ozeyewa zvishoma nezvishoma, kubatsira kuramba yakatsiga ropa shuga yomuropa.

Nyaya ino dzakanyorwa dzinokosha nzira sei rokuongorora kenza dumbu mukuvamba nezvishoma. Kamwe chiremba wako dzakatsigira pamberi chirwere uye zvakakodzera kurapwa, mubvunzo unomuka, sei kudya. Zvokudya murwere vanofanira kuva pakati nepakati uye akapfuma mavhitaminzi. Zvinokurudzirwa kudya michero nemiriwo (zvimwe mbishi), huku uye hove dzakaonda (mapuroteni source).

Kurega nuna zvose uye zvakakanyiwa namafuta zvokudya, zvihwitsi uye pastries, chikawira pasi nokurambidzwa dzvuku nyama. In sungano chiremba anogona kunze zvokudya munyu. The ndechokuti norukosoro yaro yakawanda zvinoita kuti paumbwe nemaronda pamadziro kare simba nokuda kurapwa mudumbu.

Kufembera uye kudzivirira

kenza dumbu (mufananidzo kubva chirwere ichi varwere vari munyaya ino) kakawanda chirwere panguva isingarapiki Danho ane bundu. 40 chete% vanachiremba tizive bundu umo pane mukana wokuti vabudirire pakurapa kushurudzira. Pano tiri kutaura chirwere pakutanga mumatanho uye pasina metastases. Fast nokuti chirwere chinonyanya chakajairika nechirwere kuti "kenza mudumbu, Stage 3". The hunotarisira varwere izvi uye dzavo hurumende upenyu regai vakasiyana nevaya panyaya kwechikuva rechina chirwere. In zvose ezvinhu, kuti fungidziro varwere murombo chaizvo.

Kuvhiya kurapwa pamwe nzira siyana anticancer mishonga inopa-gore mashanu kupona 12% wevarwere. Kana zviratidzo kenza dumbu pakutanga mumatanho zvaionekwa varwere pachavo, uye ivo pakarepo vakatsvaka rubatsiro kubva chiremba, wokurarama inowedzerawo 70%.

Achitaura nyaya muzvidzivirire, penyanzvi zvino dzinokurudzira zvakasimba nenguva mushonga zvirwere zvose, kuva nemararamiro ane utano uye kudya zvakanaka. Uyezve, zvinokosha kuti kubvisa tsika dzakaipa, uchinyanya kufunga negashiro mishonga.

Mukugumisa, zvinofanira kucherechedzwa kuti nhasi zvakawanda uye kakawanda kenza mudumbu. Zviratidzo uye zviratidzo chirwere kunofanira chikonzero zano nyanzvi. Kwokutanga chiremba achasimbisa ari zvokurwara uye taurira yakakodzera kurapwa, nani mikana yakanaka fungidziro. kazhinji Kurasika nguva, kana kushaya hanya nomunhu muviri pachake ndiwo upenyu munhu.