Muura Cancer

kenza muura chinhu akaipa nebundu kukura kubva mucous Kamudzira kuti mitsetse yacho intestinal rusvingo. The zvaunoda localization - sigmoid, mapofu, iyo mugaranhoko.

Panowanikwa kenza muura hwezvekukurukurirana kururama hunhu wedzerai (kunyanya kunwa mafuta, nyama, farinaceous zvokudya, kushomeka zviri chirimwa zvigadzirwa), uye kupatira. Vanobatsirawo chimiro namamota zvirwere: polyps, colitis. Rakaratidza basa yedzinza ari panowanikwa muura anomera.

Kune vazhinji zvinhu zvaizobatsira kenza yacho muura. 4 Danho chirwere kuitika nguva refu, kazhinji bundu kunotungamirira kurufu mune vakwegura.

nzendo chirwere Early kuitika chinenge asymptomatic. Kunyatsodzidza Kuongorora varwere kwakaratidza kuwedzera pamusoro kunopindirana utano, ungaderedza kugona kushanda, ungaderedza kudya. Neoplastic muitiro haiiti uremu, asi nekusiyana, varwere vanogona uremu.

In danho rinotevera, pane zviratidzo intestinal zvirwere: ropa uye kutinhira ari muura, kupatira, manyoka, cramping kana idzokororo marwadzo wechigarire hunhu dzisina chokuita kudya. Kana bundu kubvuta kujekesa lumen pamusoro ura, iyo inotungamirira kuupenyu gogonera yaitsigira divi bloating. Slow, chisingaperi kurasikirwa neropa, izvo kuitwawo kenza rworudyi dhipatimendi muura, zvichiita kuti pave kupererwa neropa.

The wokupedzisira danho nedanho vanoonekwa ne kukura bundu zvekuchipatara zviratidzo. Anogona kuitika ileus, anogumbura matambudziko (peritonitis, cellulitis, pute), kubuda ropa. In kwazvo Muzviitiko kunoitika intestinal perforation, zvinoita kuti pave pute, peritonitis, uye fistula inotungamirwa (enteric kusangana nekutsi kwemukadzi, intestinal-vesical).

kenza muura kunoda mangwanani kuongorora chirwere. anoshivirira kuongororwa haitauri Kumwe kuchinja kunotanga. The yakarurama zvikuru ndiro radiography, iro rinoitwa kushandisa musiyano nevasori (slurry barium). Kuri rokuzadza kuremara nzvimbo kana mutemo akasimbisa kukura kenza.

Nokuti kuonekwa kenza distal rinoshandiswa sigmoidoscopy, colonoscopy. Saka pane kuona kuongorora intestinal mucosa. The chete nzira ushe kubva nekenza ura duku, izvo zvinogona zviratidzo zvakafanana kukundwa ari muura.

Kana kuona pabvunzo pachituru ropa kuisawo chirwere ichi. Kuti muTesitamende Kuongororwa kweropa carcinoembryonic antigen kugutsikana akatsunga.

kenza muura ikarapwa kushandisa okunyanyisa nzira. Zvichienderana nzvimbo bundu kwacho, pane nzira dzakawanda kuti kuvhiyiwa. Kenza cecum, hepatic flexure, akwira dhipatimendi kunoda kubviswa yose zvakarurama hafu. Pashure pokuvhiyiwa ari anastomosis akasikwa pakati poperechnoobodochnoy uye ileum.

Pashure pokuvhiyiwa iri basa husaberekana zvainanga chinorwisa pamwe kudhaka, kupera muviri, kuvhunduka. Also basa mafuta vaseline iro rine laxative nomugumisiro. Izvi zvinokosha kuti vadzivise kunotevera anastomosis sutures. Pazuva kunwa rechipiri anobvumirwa, ipapo chiedza chacho zvokudya, zvishoma nezvishoma yezwi hwandaiva kudya.

kenza muura mu chamber siyana kunoda palliative kuvhiyiwa. Izvi zvinosanganisira nokuiswa anastomoses pavaigona kutora chikepe chaienda bundu, fecal fistula, izvo zvinoshandiswa kudzivirira kukura intestinal mhingaidzo. Kuwedzera kwacho kuri mishonga.

The fungidziro chirwere kunoenderana padariro bundu kukura, pasina metastases zvingava zvakanaka.