Perstnevidnokletochny umdlavuza esiswini: izimpawu, onalesi sifo, kanye nokwelashwa izici

Cricoid (noma perstnevidnokletochny) umdlavuza - neoplasm abulalayo yesisu, lifaka yesibili phakathi kwazo zonke izimila pheshana emathunjini. Umhlabathi adenocarcinoma esiswini.

Uma lesi sifo sihlasela iyiphi ingxenye isitho wokugaya ukudla, futhi isimila ke ekhula, luhlanganise zonke Icwele. Kuyinto neoplasm abulalayo kakhulu. Ngokushesha kuvele metastases kwezinye izitho.

pathography

Kukhona kulo isifo kwammangaza olukhethekile amangqamuzana omdlavuza, okuvela kulo igama "perstnevidnokletochny umdlavuza isisu." amaseli atypical, okuyinto bagcwalise epithelium yezindlala, ketshezi aqoqana njengoba mucin. Le into ngokuvamile uyakwazi ukuvikela amaseli ngokumelene amagciwane, kodwa kungase kwenzeke ukuthi mucin lungaphezu. Ngenxa yalokho, le kuyi-nucleus yengqamuzana isibambo, futhi ngeke kwenzeke eduze displacement we ulwelwesi. Sinini Histology, amangqamuzana omdlavuza okungavamile atholakala ngendlela indandatho.

Indandatho umdlavuza esiswini ibizwa ngokuthi umdlavuza, esibonakala by ukukhula endophytic. Kuyinto ukusabalala amaseli angavamile ngaphakathi, lapho lwamafinyila bamba ke izingqimba imisipha nomzimba serous.

Ukwanda izimila Kwenziwa hhayi kuphela ukujula kodwa futhi ububanzi, kusukela akukho isimila imingcele ecacile. Yingakho indlela engcono kakhulu ukukhetha yokwelapha kunzima kakhulu.

Isimila cells yasheshe wonke umzimba nge uketshezi lymph. Cishe isigamu iziguli unomdlavuza perstnevidnokletochny, isimila ukukhula itholwe zonke zamatshe esiswini. Lolu hlobo lomdlavuza esilaphekayo, kodwa kuphela uma usheshe watholakala, ngaphambi ukubukeka metastases.

Lolu hlobo lomdlavuza zivame ukubonakala kwabesifazane abasebasha. Lokhu ngeke okwamanje ukuchaza oncologists.

Izizathu eziyinhloko

kuphakama Perstnevidnokletochny umdlavuza isisu ngenxa yezizathu ezifanayo nezinye izinhlobo zomdlavuza. Lapha kuqala ithonya ukuhlukumeza esiswini lokudla ukudla okufanele nokuvivinya ukudla okungenampilo. Izinto eziyingozi ezingabangela i zihlanganisa:

• thokoza ethile, ukudla okubabayo okunosawoti ngibhema kulolo ketshezi futhi kakhulu ethosiwe;
• ukudla okungajwayelekile, ukudla abandayo, ukudla kushisa noma kubanda kakhulu;
• Ukusetshenziswa ngokweqile ngophuzo oludakayo.

Konke lokhu njalo obulimaza isisu, izinguquko kwengqamuzana, olimaza umsebenzi wabo. Ngenxa yalokhu, kusukela amangqamuzana avamile kwakhiwa zomdlavuza.

Ngaphezu kokudla, zikhona eziningana izimbangela cricoid umdlavuza esiswini:

• Ufuzo - oncologists waqinisekisa iqiniso ukuthuthukisa lolu hlobo lomdlavuza ezimweni lapho umndeni Oncology ogulayo;
• uzingela a esiswini Helicobacter pylori - ke kukhona ukuvuvukala njalo ungqimba lwamafinyila we isisu, ke kuphakamisa isifo esingelapheki ukuthi, ngemva kwalokho umdlavuza kungenzeka;
• khona izimo zokuphila ezingezinhle - uma ekhona inhlabathi abanye izakhi zamakhemikhali (njengoba kwenzeka kwezinye izifunda zezwe), lezi izinto ezibanga umdlavuza buthelela izitshalo, ukuthi umuntu edla;
• eziluthayo - hhayi nje utshwala, kodwa ukubhema kungaba avuse umdlavuza (ugwayi itiyela is ukubola, ngemva kwalokho semali izingxenye umdlavuza, futhi zibulale zonke izinhlaka futhi izinhlelo).

Ngaphezu kwalokho, umuntu angagcina isimo precancerous. Lokhu kungaba yingozi.

Ngu izimo precancerous zihlanganisa khona polyp esiswini, dysplasia, kolwelwesi atrophic. Lezi pathologies kumele zelashwe, kungenjalo kunobungozi ukuwaguqula abe umdlavuza.

Kanjani isifo kubonakala?

Ngokuvamile lesi sifo ngesikhathi izigaba ezimbili zokuqala ngokuvamile akusho ukuzibonakalisa. Yingakho perstnevidnokletochny umdlavuza esiswini sitholakale 3rd futhi izigaba 4. Izimpawu zenzeka ngesikhathi ukukhula isimila ububanzi nokujula.

Izici eziyinhloko lolu hlobo lomdlavuza:

• satiety ekuseni emva kokudla, ukusinda esiswini ngoba yesimila;
• kubangele isicanucanu, ukuhlanza, ukuvuvukala, uhudo, ukuqunjelwa;
• burping emoyeni isilungulela njalo;
• ukutubeka, ukozela;
• imfiva.

Ukugaya liwohloka umzimba ekhathazwa. Umzimba sintula amavithamini namaminerali. -hemoglobin ezingeni uwela. Kukhona ukulahleka kanye izinwele owomile, isikhumba ugodo, ubuthakathaka. Umuntu ehlelwa njalo ubuhlungu ukubelesela esiswini, okuyinto akuxhomekile ukudla.

He is enyanya samanje ukuba inyama kanye nenhlanzi izitsha. Kungenxa yalesi sizathu ukuthi kukhona abukhali kwesisindo. Cardia isimila kubangela dysphagia, okungukuthi umuzwa yinhlama emphinjeni. Uma uhlushwa emathunjini amancane, peristalsis futhi iphazamiseke. Uma isimila likhulu kakhulu, usongela ukuvimbela ngokuphelele, edinga ukuhlinzwa eziphuthumayo.

Ngezinye izikhathi umdlavuza lihlukaniswe ke igcwele ukopha kakhulu esiswini. Futhi kukhona abantu bengasinaki, ukucindezeleka, ukuphazamiseka kokulala. Ngokuvamile, lokhu kwenzeka kakade esigabeni sesithathu.

Yini kuzibonakalisa perstnevidnokletochny umdlavuza isisu esiteji 4? Isigaba 4th libhekene ukungabakhathaleli nhlobo esesuthi, cachexia ezinzima, ascites. Isiguli ngokuvamile itholakala. Kukhona metastases kwezinye izitho, ngakho konke ixhunyiwe, kanye nezinye izimpawu, ngoba izinhlelo ezibalulekile kuphele ngendlela evamile.

esigabeni

izigaba eziningana abahlukene umdlavuza cricoid:

• zero - khona amangqamuzana omdlavuza ungqimba ebusweni esiswini;
• wokuqala - abathintekayo mucosa;
• yesibili - sathinteka olwelwesini;
• wesithathu - ukuvuvukala ufinyelela kuzo zonke izindawo izingqimba eziyishumi nemitshingo eduze (diaphragm, isibindi, izinso, amanyikwe, peritoneum, ubende), abathintekayo zamanzi;
• lesine - izikhungo atholakala izitho ezikude.

ukuhlola

Ukwelashwa ukuba yimpumelelo, kumele kube ngesikhathi esifanele. Ngakho-ke kubalulekile ukuba kudokotela ngesikhathi izifo wokuqala kusukela esiswini (ubuhlungu, dyspepsia, ukusinda, isilungulela). Ngaphezu kwalokho, kuyasiza ukuba kudlule ukuhlolwa isimiso kanye survey oluphelele njalo.

Ukukhomba perstnevidnokletochny umdlavuza isisu, kumele:

• Ukuhlolwa kwegazi (kuhlanganise isimila nakomaka) - ngoba ukuvuvukala wembula emzimbeni, i-hemoglobin ongaphakeme, ukuphazamiseka enhliziyweni isibindi;
• ubambe gastroscopy futhi biopsy kanyekanye (ngenkathi ngamapayipi esiswini iphathwa nge ikhamera sokuphela, bonke izinguquko ku lwamafinyila ababuke kahle ke ngokukhethekile phusha off obuncane ngoba Histology);
• ukuqhuba ultrasound Ukuhlola peritoneum - lembula ukuvuvukala foci yesibili umdlavuza;
• ibhekane umenzeli-X-ray Ngokuphambene ukuthola izinguquko esiswini;
• azokuqhubela scan CT ngenxa yaleli metastases sitholakale kunqunywa endaweni inqubo abulalayo emzimbeni.

Perstnevidnokletochny umdlavuza esiswini: ukwelashwa

Ukwelashwa lokhu uhlobo oluthile lomdlavuza ukuhlinzwa ukhishwe isimila ngokwayo, ingxenye esiswini, izindlala zamanzi. Ngezinye isigaba sekwedlule lesi sifo ekhishiwe kanye kwemizi yesibili. Khona-ke linqume ngamakhemikhali. Kungaba nika ngaphambi kokuhlinzwa, okungase kuholele ekubeni uthunyelelwe wehlise endaweni yenqubo ebulalayo. Lokhu kubalulekile e sitholakele "perstnevidnokletochny umdlavuza isisu." Ukwelashwa ngamakhemikhali nokushiswa emva kokuhlinzwa kuthuthukisa Izibikezelo. Ezincane umdlavuza foci wabhubhisa kuhle kakhulu.

Futhi esetshenziswa okuthuthukisa yokwelapha anticancer izidakamizwa lula isimo lesiguli. Ngakho ungakwazi ukuphila kwakhe.

ukwelashwa ngemisebe isetshenziswa ngempela akuvamile. Area komdlavuza inkulu kakhulu ngokuzishisa ngemisebe. Nge ukwelashwa ekunciphiseni izinhlungu, ukuthuthukisa indlela yekambiso wokugaya ukudla, ivikela inhliziyo nezinso.

Nakhu ukuthi aphathe perstnevidnokletochny umdlavuza isisu ezibhedlela.

ukuphila Ukubikezela

Lolu hlobo nolaka umdlavuza ngesikhathi ube nombono esidumazayo. Kwaba kusenesikhathi kuphela futhi ukwelashwa esifike ngesikhathi bayosinda iminyaka 5 emva kokuhlinzwa. Amathuba 85%.

Uma utholakale esigabeni sesithathu lesi sifo, izinga lokusinda iminyaka 5% 40 kuphela. Ngalesi sikhathi kukhona metastases kwezinye izitho zomzimba yezindlela zesimanje ukwelashwa ukuba banqobe. Lokhu kuyingozi perstnevidnokletochny umdlavuza isisu.

Izibikezelo ngemva kokuhlinzwa uzingela sifo kule 4 embi esiteji. Ukufa ngokuvamile kwenzeka ngokuzumayo. Kodwa uma ukwelashwa yesondlo, uzokwazi ukuchitha izinyanga ezimbalwa ne cricoid umdlavuza isisu. Phila iminyaka 5 emva kokuhlinzwa kungenzeka, kodwa ithuba kuyinto 5-10%.

Amathiphu Dr. Uolloka

Eyaziwa emhlabeni wonke ukwelashwa Dr. Uollok perstnevidnokletochnogo yomdlavuza esiswini kusikisela imali ngokudla. Nakhu akutusayo ukukufaka ekudleni-beta-carotene, vitamin E kanye selenium trace isici. Lokhu kuzosiza, ngokombono wakhe, sehlise ukushona umdlavuza. Kwandzisa izakhamzimba ukudla elaphe futhi kuvimbele nezinye izifo eziningi eziyingozi.

isiphetho

umsoco Okugcwele futhi unempilo - isihluthulelo sokuphila isikhathi eside. Kuyadingeka ukunciphisa zonke imikhuba emibi. Lokhu kuyiqiniso ikakhulukazi ngokuphathelene nabantu kungenzeka sitholwa njengefa. Uma une izifo emathunjini, kubalulekile ukubaphatha kanye prophylactically wahlola (okungenani kanye ngonyaka). Futhi abancikile ezingosini ze-izindlela zokwelapha perstnevidnokletochnogo umdlavuza isisu.