Zviratidzo zvokutanga esophageal kenza. Esophageal kenza: wokutanga zviratidzo, kurapwa, fungidziro

esophageal kenza ari mazita rakajairika zvirwere ndiyo wechinomwe. Ndokusaka munyaya ino vanoda tikanyatsoongorora chirwere ichi. Saka, chinangwa munyaya - napo kudzidza pane esophageal kenza: zviratidzo, kurapwa, zviratidzo, zvinokonzera dambudziko.

parenthesis

Pakutanga, unofanira kubata avo pfungwa, izvo chichange vachishingaira kushandiswa munyaya ino. Saka, yegurokuro - ndiro rinokosha nhengo unobatanidza munhu dumbu pamwe nomumukanwa mhango. Panyaya iyi, yegurokuro "haadi" kupisa kana kutonhora, zvakare unopinza kana zvakakangwa. Nokuda izvi zvikonzero mucous Kamudzira muviri kunogona kuva zvomoto, zvichiita kuti chidzoke dambudziko akadai bundu. Uye kana aine benign ano mushonga achiri kugona akaipa yamamota zvinopa ngozi kwete chete kune utano, uye kunyange upenyu murwere. Dambudziko riri kuoma nechirwere zvakaoma chaizvo kuziva tanga chiitiko chacho (kusavapo zviratidzo).

About chirwere

Kuchitaura kuti mukutanga chaizvo zvokukura kenza yegurokuro kuziva chirwere kwakaoma zvisingaiti. Uye zvose nokuti vachava zvachose ndisipo chero zviratidzo kuti anogona kuudza munhu kuti muviri kuti chinhu chakaipa. Yakanga chete pashure mumatenhere nhete yegurokuro kubudikidza vanenge hafu, munhu anogona kunzwa mamwe acho. Kuchitaura kuti esophageal kenza zvikuru nevakawanda vevanhu 4 nguva pane vakadzi. boka pangozi - vanhu vane makore makore 50-60. Kana munhu ane akaipa bundu, zvichaita yakarova muviri vanoiswa. Saka, yokumusoro chikamu yegurokuro kutemwa anenge 10%, avhareji - 40%, uye nechezasi - vanenge 50%.

zvinokonzera

Chinangwa chikuru ino - kudzidza zviratidzo uye zvinokonzera kenza yacho yegurokuro. Saka, zvinotevera zvinogona kuzivikanwa pakati zvinokonzera chirwere:

1. Power. Chinokonzera kenza yegurokuro rokutanga anova kakawanda kunwa zvokudya inopisa uyewo doro uye ayo surrogates. Zvinofanira kunze kubva kudya zvakare Spicy ndiro.
2. The nenzvimbo chinhu. Masayendisiti akaona kuti nzvimbo dzokugara murwere uyewo kunokanganisa panowanikwa chirwere. Asi zvose zvakare anoburuka kuti tsika zvokudya zvinodyiwa. Saka, kuitika carcinoma wakakwirira mune dzimwe nzvimbo China, Iran, uye Central Asia. Uye zvose nokuti rudo pickled zvokudya, achitanga uye zvakare inopisa ndiro.
3. Kushayikwa kwemavhitaminzi. Kushaya mavhitaminzi A uye C kungaita kuti pave esophageal kenza.
4. About katatu pangozi chirwere yepamusoro avo vanosvuta, uye ka12 yepamusoro avo vanoshungurudza doro.
5. Mikana kenza yegurokuro, kana muviri rikapfuta alkali. Kunyange chiitiko kuti pashure pechiitiko, papfuura makore akawanda.
6. Uye, chokwadi, zvimwe zvirwere zvinogona kukonzera kukura nyanyisa anomera. Esophageal kenza kungava nokuda esophageal achalasia, kana kuti vanonzi Barrett kuti yegurokuro.

Chiratidzo 1. Dysphagia

Pakutanga, unofanira kufunga zviratidzo kenza yegurokuro wokutanga. Pamusana kwavari, unogona kuona chirwere. Saka, pakutanga kwezvose, murwere Unozonzwa kuome pakuparadza zvokudya. The munhu Uchanzwa kuti pahuro riri kutadzisa chakaipa ndima kwezvokudya, kuti zvokudya anoramba jamming. Kuti tidzivise kusagadzikana munhu achafanira nokungwarira zvikuru vose dög. Kana chirwere chinosara untreated uye kumhanya, shure kwenguva, kunyange Urume havazokwanisi kufamba anowanzoitwa pamusoro muviri. Pakupedzisira pavaipfuura chirwere munhu haagoni kumedza anowanzoita kunyange mate ake. Chinenge nzendo dzose chirwere (kunze wokutanga) vari pamwe anorwadza nezvekufadza.

zvokukura dysphagia

Kudzidza mangwanani zviratidzo kenza yegurokuro, ndiko kutaura kuti zviomere pakuparadza pakutanga hosha kunoitika kakawanda, hazvina kuramba kunetseka murume. Ndokusaka chirwere chakaoma kusarudza. Pashure pezvose, kana munhu asingadi kunetsa, hapana pfungwa kutaura chiremba. The chaizvo chete dysphagia ane matanho mana:

1. In wokutanga Danho munhu arikutadza mu pakuparadza guru zvidimbu zvokudya, uyewo kwemutemo fibrous zvokudya (nyama, chingwa, mirivo nemichero).
2. In chechipiri Danho murwere arikutadza mu pakuparadza gobvu Porridge uye mashed.
3. Wechitatu Danho kunosanganisira dysphagia dzikatadza kupfuura zvinwiwa kuburikidza yegurokuro.
4. Wokupedzisira Danho - munhu mhingaidzo rakazara yegurokuro.

2. Pain chiratidzo

Chiizve kunoratidzwa kenza yegurokuro? Zviratidzo zvokutanga - zviri marwadzo. Vanouya Varwere zvinenge zvose mumatanho akasiyana-siyana chirwere. Mhando marwadzo anogona kuva akasiyana - zvinogona zvose chakasimba uye obtuse. Kana izvi zvikasaitika kusagadzikana mune huro uye mutsipa, pakati pamafudzi mashizha uye rezasi shaya.

3. Reflux chiratidzo

Ndezvipi zvimwe zviratidzo kenza yegurokuro mangwanani? Saka, vanachiremba vanoti uchapupu chirwere kunogonawo burp (kana kuti mutauro sayenzi - reflux). Zvisinei, kana kunoitika pashure rinorema kudya kana tapedza kudya uye kashoma chakasimba - zvinoitika. Kana regurgitation kunoitika pasinei kudya chero nguva yezuva kana usiku - zvinogona nebhero kuti achidisa kuti ndiongororwe chiremba.

Chiratidzo 3. kurutsa, kuda kurutsa

Kana bundu inokura, murwere angamuka kwete chete kuda kurutsa, uye kunyange kurutsa. Alarm akonzera kusvibisa marara ari vomitus.

Chiratidzo 4. Ropa

We funga zvimwe zviratidzo kenza yegurokuro wokutanga. Sezvambotaurwa pamusoro, pangava ropa mumarutsi murwere. Izvi zvinova zvinogoneka nokuda chitarisiko maronda uye maronda mu yegurokuro (ichi inotungamirira kuti kukura anomera). Part ropa rinogona kubuda pamwe mumarutsi, uye vamwe kuwira mudumbu. Ndokusaka admixture ropa zvinogona kuva murwere pachituru.

Chiratidzo 5. kwakawedzera salivation

Kana munhu ane kenza yegurokuro, zviratidzo zvokutanga - munhikwi uye kunyanya salivation. Munhikwi kunoitika nekuti utrudnennogo mhepo ndima kuburikidza yegurokuro. Uye kunyanya salivation - migumisiro nebundu kuwanda uye matambudziko pakuparadza pachavo mate kwavo. Mvura vane kwokuenda izvozvo rinoungana pamuromo uye unounza munhu dzamira.

Chiratidzo 6. Kuneta, uremu

Next, vanoziva zviratidzo kenza yegurokuro. Saka, munhu anogona kuva kusava simba, uremu, kungawedzera tembiricha. Uye zvose nokuda zvinetso pakuparadza murwere anongotaura rinomira kudya (saka unogona kudzivisa marwadzo). Izvi zvinosanganisira kushomeka yaunodya mavhitamini uye zvicherwa, izvo chinoita zviratidzo zvakafanana. The kwakaderera muviri murwere anogona "kuramba" dzakasiyana-siyana zvirwere zvokufema, izvo zvichaita kuti kuwedzera kupisa.

Chiratidzo 7. Change inzwi, chikosoro

The huru uye zviratidzo zvokutanga kenza yegurokuro - a kakawanda chikosoro uye kuchinja inzwi romunhu. izvi zvose zvinogona kuitika sezvo migumisiro yokuwedzera metastases vari dokeriro, principales. Inzwi hoarseness kuonekwe sezvinoita hwandaiva kufema chirwere. Kazhinji munhu ane marwadzo ari pahuro zvinokonzera.

Chiratidzo 8. Halitosis

Eya, kana chirwere hachisisiri pakutanga danho, murwere anogona kuonekwa zvakaipa mweya. Uyewo anogona kuwedzera node nodes, izvo chaizoratidza kuti pane "akagadzirisa" metastases. Ora muromo kwakanaka iri migumisiro pakuwedzera kenza.

yematambudziko

Zvatakurukura zviratidzo kenza yegurokuro pakutanga, kutaura kuti kuora kenza anotevera yematambudziko kunogona kuitika munguva murwere:

1. Esophageal kubuda ropa. It angaperekedzwa kurutsa ropa, kuda kurutsa, kurasikirwa chavanoziva. Mazhinji ropa bundu murwere anogona kuonekwa dema chair. mamiriro ezvinhu aya zvinoda kukurumidzirwa zvokurapa kupindira.
2. Perforation ane bundu. Murwere zvinogona kuumba buri yegurokuro, zvichiita kuti kukura kuzvimba ari mediastinum. Izvi zvichaita zvose pamwe nemarwadzo, nefivha uye kudhaka.

Diagnostics

We funga zvimwe zvirwere zvakadai kenza yegurokuro. Zviratidzo nezviratidzo - kubata ichi. Ndiani anoda kutaura, neizvo nzira uye pachishandiswa anogona kuongororwa zvakarurama. Saka, mumwe chete vakaongorora yegurokuro haagoni kutadzisa isu, hazvina kupa mufananidzo rakazara chirwere. Zvinotevera ongororo hunozodiwa kuti chirwere:

1. X-ray. nzira Izvi zvinoita kuti kuona vasiri zvechadenga bundu, uyewo kuziva chaiyo nzvimbo yawo.
2. Bronchoscopy kubatsira kusarudza ukuru bundu nechisimba muimba yegurokuro, uyewo kunzwisisa kana metastasis akaonekwa.
3. Delineate miganhu bundu uye kuchinja for yeramangwana kuchabatsira esophagogastroscopy.
4. Ultrassom uye CT - purogiramu zviduku kuti anobatsira kujekesa nechirwere, kuona kukura uye kuvapo bundu metastases.
5. tsvakurudzo Laboratory ropa chinopa mukana kuona oncomarkers.

mabatiro

A yakawanda nematambudziko kununura esophageal kenza. Zviratidzo uye nezviratidzo, chikuva, kurapwa, uye fungidziro - izvi zvose kunokosha zvikuru uye kuti kukurukurwa nachiremba wako. Saka, panguva ino zvingava anodiwa kufunga muudzame ose kurapa kuti vave akakodzera iyi.

1. Radiation mushonga.
2. Surgery. Panyaya iyi, murwere vachabviswa yegurokuro. Vaifanirawo mapurasitiki gastric kana intestinal chubhu.
3. Combined nzira: nemwaranzi kurapa pachiimbwa kuvhiyiwa.

Panyaya mishonga, ipapo sezvo yakazvimirira nzira iri isashande.

Kukunda rezasi uye pakati chikamu yegurokuro. Muchiitiko chino, inobudirira kuvhiya zvichiteverwa nemwaranzi uye mishonga. Kana hazvibviri kubvisa bundu, nemwaranzi kurapa rikashandiswa.

Kana murwere akarova rokumusoro chetatu yegurokuro, umo nyaya musi achava radiotherapy.

Kana chirwere ari chaizvo atanga, uye murwere Danho rokupedzisira dysphagia (nekusagona zvakanaka zvokudya) - kumanikidza gastrostomy. Kuvhiya uku, pasi omunzvimbo yokutindivadza apo murwere mudumbu iri sutured kune abdominal parusvingo, ipapo chubhu dzichifura kutaurwa mariri.

mataridzikiro

Kana tikafunga vokutanga zviratidzo uye zviratidzo esophageal kenza, kurapwa uye fungidziro - kuti ndiro Zvinokoshawo kutaurira. Kana kurapa watopiwa akati, ndiyo nguva kuziva Zvaifungidzirwa kuti upenyu varwere chirwere ichi. Kutanga ndinoda kutaura kuti zvose zvinoenderana ukuru kukura chirwere, murwere zera uye zvimwe zvinhu zvakasiyana-siyana. Kureva, mhaka inofanira kukurukurwa nomumwe. Zvisinei, unogona kupa uye zvinonyatsorehwa nenhamba:

1. Kana esophageal kenza usina kurapwa, asi fungidziro mune iyi haisi kupfuura zvakanaka. Avhareji nguva woupenyu varwere kubvira vasabatwa chirwere - inenge 6-8 mwedzi. Kana chirwere chiri tanga, pasina kurapwa, vamwe varwere akararama makore anenge 5.
2. Kana vakashandisa nemwaranzi kurapa, murwere Kupona ari yekudyidzana ichiwedzerwa.
3. Ari kubatanidzwa kurapwa mushure yakakura kuvhiyiwa, inenge hafu varwere kurarama makore anodarika mashanu.
4. Kana kunzwisisa kurapwa (kana metastases) anenge 57% wevarwere kurarama makore anodarika mashanu.