Adenocarcinoma wa sigmoid m'matumbo: zimayambitsa, zizindikiro, chithandizo prognoses

Adenocarcinoma wa sigmoid m'matumbo - ndi chotupa zilonda kuti ndipamene ku maselo glandular a khansa ya m'matumbo. The sigmoid zooneka chopondapo. Choncho n'kofunika kugwiritsa ntchito tsiku zakudya zonse zimene zimachititsa yotithandiza peristalsis. Ngati munthu ali ndi kudzimbidwa, ndi chopondapo ndi amaumiriza mpanda wa sigmoid m'matumbo, imbaenda mavuto magazi. Komanso, overgrowth maselo zaminyewa mwina chifukwa cha zinthu carcinogenic ali chimbudzi. Ndi zinthu zimenezi mbali yofunika kwambiri mu magwero a maselo a khansa.

Kodi sigmoid m'matumbo?

intestine anthu lagawidwa m'magulu awiri: ang'ono ndi lalikulu. M'matumbo dipatimenti nalo dzina lake chifukwa lumen lalikulu. Guts a dipatimenti uzikuta wa intestine yaing'ono.

m'mimba lagawidwa m'magawo angapo:

• akhungu;
• m'matumbo;
• molunjika.

gawo Cecum ali ndondomeko wotchedwa zakumapeto. Sigmoid m'matumbo amatanthauza gawo la dipatimenti lalikulu. Adenocarcinoma wa sigmoid m'matumbo ndi ambiri kuposa khansa ya m'matumbo ena. Chotupa ndi zilonda selo chitsitsimutso, zomwe zigwirizana kwathunthu cha epithelium glandular. N'chifukwa chake nthendayo zambiri amatchedwa adenocarcinoma.

Sigmoid m'matumbo ndi chinthu chomaliza mu intestine, kumene akutsirizira woyamwa madzi m'thupi, ndiko kumene mapangidwe ndowe.

Intestine palokha ndi gawo la c-mawonekedwe pamene molondola anadyetsa, ndi kusowa kwa zakudya mchere mu gawo izi zimachitika stagnation ndowe. Zimenezi chakhungu magazi.

Yafupika motility bwino zimayamba ndi chiwerengero cha matenda onse amene alipo etiology zosiyanasiyana. Komanso, chitukuko stagnation wa ndowe ndi zotheka ndi atony kapena ayi motility. Childs, atony akhoza chifukwa cha m'badwo wodwalayo. Hypoperistalsis zotheka ndi pambuyo likufa zosiyanasiyana ntchito, akabereka, pamene chilichonse. Iyo inali nthawi imene thupi akukumana kulikhutchumula amphamvu, monga ulamuliro, izo zadziwidwa kulephera m'thupi.

Mokoma matenda

Adenocarcinoma - ndi imodzi mwa matenda aakulu kwambiri mawu zizindikiro matenda ndi mankhwala wotsatira. Popeza zotsatira zambiri limadzetsa imfa. Zotsatira zake woopsa ndi zotheka chifukwa metastases kuti afalitsa thupi lonse, anayamba mwachangu kukula ndi kukhala. Mapa The anafotokoza chifukwa chakuti mu magawo oyambirira a matenda kumachitika ndi zizindikiro zofanana ndi kudzimbidwa. Munthu ayesera kuti asagwidwe mwa mankhwala zina Komabe, chotupacho ikukula ndi osauka. Izo zinali kokha Patapita nthawi, pamene matendawa atayamba kale, mtima wa limachokera kwa upo kuti oncologist lapansi.

Ndipo mmodzi kwambiri nuance ndi nkhani yovuta. zizindikiro matenda kumafuna mosamala chotulukira ndi rectum, wodwalayo chabe manyazi ndipo sakufuna kupita ulendo katswiri. N'chifukwa chake matenda a khansa yikutuluka nthawi. Koma wodwala ayenera kumvetsetsa: ang'onoang'ono chotupacho, matenda kale zinachitika, choncho posachedwapa kuyamba chithandizo. Chifukwa cha: zotsatira zabwino mpaka kuchira bwino.

Gawo

Adenocarcinoma wa sigmoid m'matumbo lagawidwa mitundu yambiri. Aliyense wa iwo ali ndi makhalidwe yake. Mitundu ya zotupa:

1. Low kalasi, iye kawirikawiri amakhala ndi mphezi-kudya, yomweyo otaya la maphunzirowa. Mtundu wa n'ngochiritsika molimbika kuti Mapa nthawi zambiri zovuta.
2. Wongolerani adenocarcinoma wa sigmoid m'matumbo. Pakuti mtundu uwu Zoneneratu m'malo tisafooke.
3. Kwambiri kusiyanitsidwa adenocarcinoma wa sigmoid m'matumbo, mtundu wa zotupa amalabadira mankhwala ndi mwai mankhwala.

Malinga ndi mmene mofulumira kukula ndi kukhala chotupa zilonda, pali magawo angapo kukula:

1. Exophytic, pamene ndikulemba kukula kwa maselo a khansa okha lumen wa sigmoid m'matumbo. Zimenezi luminal kuchepetsa, monga chotsatira: pafupipafupi kudzimbidwa ndi angaletsedwe patency wa ndowe.
2. Endophytic, pa siteji iyi ya kukula kwa maselo tizilombo kudutsa khoma matumbo.

siteji ya matenda

Chinthu chofunika ndi kusiyana Kupeza Vuto magawo chotupa ndi mitundu ya mawonetseredwe. Mitundu ya zotupa pamisinkhu:

1. Gawo loyamba akuyamba kukwapula zilonda mucosal. The drawback chachikulu ndi matenda a chitukuko matenda asymptomatic.
2. Mu gawo lachiwiri maselo zilonda pang'onopang'ono kuyamba kudzaza tunica muscularis. Pankhaniyi, munthu chikondwerero kudzimbidwa. Ndipo kale mu Gawo lachiwiri akatswiri amanena kukula kwa adenocarcinoma wa masentimita 5.
3. Mbali yachitatu amalimbikitsa malowedwe a maselo zilonda mu zigawo zonse za m'mimba. Mu gawo lachitatu silinakwaniritsidwe anakamba metastasis.
4. Siteji 4 kapena akuthamanga adenocarcinoma. Ichi ndi chiwonetsero cha matenda, pakalibe matenda yake, chithandizo ndi akatswiri. Pa nthawi yomweyo akufotokozera metastasis ziwalo zina. Kuneneratu nthawi zambiri zovuta.

zifukwa

Chimayambitsa khansa ambiri ndi mosiyanasiyana. Chofunika, iwo ndi osadalirika. mankhwala amakono sangathe Tchulani zimayambitsa adenocarcinoma wa sigmoid m'matumbo. Mukhoza kugawira zifukwa zimene zimachititsa chitukuko cha khansa ndi magulu angapo. zinthu zimenezi ndi izi:

1. Kudya matenda. madokotala ambiri amakhulupirira kuti zakudya m'thupi ndi chifukwa chachikulu cha njira zimene zimachititsa khansa. Makamaka mankhwala zoipa zakudya zophatikiza wambiri carcinogens, nyama mafuta, mafuta zidulo.
2. Kutukusira kwa m'mimba. The matenda owopsa kwa thupi anam'peza matenda a m'matumbo. Kawirikawiri matenda ndi muyezo zinanso pa chitukuko wotsatira wa khansa. The yaitali matenda, kunyalanyaza chithandizo yake, m'pamenenso kumaonjezera ngozi ya maselo zilonda.
3. Tizilombo ting'onoting'ono. The Plan Cancer matumbo ndi tizilombo ting'onoting'ono ndi zifukwa zinanso mu chitukuko cha chotupa chija.
4. Majini china.
5. Mankhwala osokoneza bongo.
6. Cheza - ndi imodzi mwa ntchito zomwe zikubweretsa ya m'matumbo adenocarcinoma.

diagnostics

Kudziwa ndi matenda katswiri zikusonyeza malangizo a njira zingapo kafukufuku, kuwonjezera MAGAZI, chopondapo ndi mkodzo:

1. Ultrasound matenda amathandiza kuti muzione zotupa, koma silinena chifukwa cha chitukuko.
2. X-ray ndi Mosiyana ndi zimenezi, katswiri amayang'ana pa mlingo wa alipo wa sigmoid m'matumbo.
3. Kujambula, kapena chapamwamba kwambiri. Imathandizanso kupeza pamaso khansa, anati magwero ake.
4. Fibrocolonoscopy. Kuphunzira m'mimba ntchito chipangizo wapadera - ndi kafukufuku. Pankhaniyi, katswiri molondola onani kukula chotupa cha, amanena mlingo wa kuchepetsa wa lumen wa matumbo, kudziwa chifukwa chake.

symptomatology

Mu koyamba gawo kukula chotupa pa matenda asymptomatic. N'chifukwa chake yake matenda ndi kudziwika zotupa ndi mabvuto.

Mawonetseredwe poyamba angakhale matenda m'mimba: ululu m'mimba, kudzimbidwa, flatulence. Zizindikiro wodwala akhoza kusokonezedwa ndi matenda mwachizolowezi m'mimba, nchifukwa chake panthawi imeneyi ya kampeni dokotala amaika wodwalayo. Zikayamba pa kafukufukuyu chifukwa chakuti, kumene sigmoid m'matumbo Chilwa. Zizindikiro za HIV sikuti kusonyeza magawo oyambirira.

Monga zilonda kukula chotupa ndi chitukuko cha mawonetseredwe matenda a matenda umakhala osiyanasiyana. zolemba Mtima:

1. Kupweteka kwa theka kumanzere. Pang'onopang'ono kukhala akupirira zopweteka, izi ndi umboni wosatsutsika wakuti mankhwalawa dokotala.
2. Kunyansidwa ndi kusanza.
3. Bloating.
4. Kutsekula m'mimba kapena kudzimbidwa. Pa siteji patsogolo chogwidwa ndi kudzimbidwa, ichi ndi chifukwa alipo wa sigmoid m'matumbo lumen.
5. Zosafunika m'manyi, magazi, mafinya ndi ntchofu.

Common mawonetseredwe matenda

Common mawonetseredwe matenda khalidwe la adenocarcinoma wa sigmoid m'matumbo ndi kufooka, kusakhala mofulumira thupi, anthu ena odwala chifukwa cha chotupa magazi magazi m'thupi.

The vuto lalikulu n'chakuti kutupa kuti akufotokozera mu M'mimbamo ndi, akufanana ndi khansa ya m'matumbo sigmoid. N'chifukwa chake mu mawonekedwe matenda matenda mwina olakwika.

Pa siteji ya metastasis Metastasis kudutsa thupi mu zotengera, anafalikira padziko. Malo oyamba a chokupsya selo, yomwe diagnoses dokotala, ali mwanabele, ndi pamenepo pokha akuyamba matenda a ziwalo parenchymal. The kuwonongeka waukulu chiwindi n'kofunika.

kuwonongeka chiwindi akuwonetseredwa ndi matenda a chikasu ndiyo, kulawa zowawa mkamwa. Mmisiri akhoza kuyesa metastases ndi palpation. Komanso metastases pa nthawi ya Kujambula, ultrasound.

chithandizo

The kwambiri ndi zabwino achire zotsatira chingapezeke pa mankhwala magawo loyamba ndi lachiwiri la matenda. Zotsatira anafuna likuvutika opaleshoni. Madokotala kupanga kuchotsa adenocarcinoma wa sigmoid m'matumbo.

njira opaleshoni magawo angapo:

• Pa gawo loyamba pali wathunthu kuchotsa zotupa ndi kusiyana wamng'ono wa sigmoid m'matumbo. Madokotala amati zotsatira ogwira mankhwala kuchotsa oposa 15 masentimita intestine, amene ali pansipa chotupa ndi theka mita mkulu. Ngati panalibe kutsekeka, malekezero akhoza stapled pamodzi. Ngati pali kutsekeka kwa matumbo, m'munsi mapeto a matumbo a chimaonetsedwa pa khoma m'mimba ndi chopondapo akhoza kuwonetsedwa thumba lapadera kusonkhanitsa.

• Mu chikhalidwe ichi, odwala amathera miyezi ingapo. Pambuyo kulowererapo Kawiri kawiri, zachitika chifukwa kubwezeretsa zonse za chamoyo yachibadwa ya m'mimba thirakiti m'matumbo permeability. Kachiwiri alowererepo si zotheka milandu onse.
• Morning n'zotheka pambuyo alowererepo loyamba la madokotala. Ndi kuletsa kuyambiranso kumwa matenda. Pambuyo njira mankhwala amphamvu ndi zotheka kuchita opaleshoni chachiwiri.
• Walitsa monga mankhwala sigmoid zotheka m'malo mankhwala amphamvu.
• Kuchepetsa ululu munthu Kwalamulidwa mankhwala chomwa mankhwalawa. Ngati matenda patsogolo siteji, madokotala ananena zawo wosauka, n'zotheka kuika analgesics chomwa mankhwalawa. Kulandira kukonzekera amphamvu mankhwala akhoza kukhala okhazikika, izo ziyenera kukhala kagawo asanadye maola angapo. Ochiritsira analgesics ululu si cropped.

Chithandizo cha sigmoid m'matumbo amafuna alowererepo yake madokotala. Ngati inu kuchita opaleshoni mu magawo woyamba ndi oyambirira a matenda, kuchotsedwa kwathunthu kwa zotupa kumathandiza kuti mukhale woleza mtima kuchira. Ngati siteji ya nthendayo anayamba, wodwalayo ananyalanyaza ulendo malo ndi mankhwala kwa matenda a matenda ngati wapita siteji ya metastasis, ndi madokotala ananena zawo kusalabadira kwa matenda. Metastasis sangathe kuchotsedwa ndi opaleshoni.

Adenocarcinoma wa sigmoid m'matumbo: Zoneneratu

Mwina kudziŵika kuti madokotala ananena zawo mankhwala chotupa ndi conventionally yabwino. Ngati nthendayo matenda m'njira yake, pa nthawi imeneyi ntchito, mungathe kudalira kuchira chonse adenocarcinoma. Mlingo kupulumuka odwala ndi oposa theka milandu. Ngati timaona kuti ambiri popanga munthu opaleshoni anachita odwala cha ukalamba ndi zotsatira zabwino.

anapezazo

Ngati pali mfundo pang'ono mu adenocarcinoma kalekale amalembedwa kudzimbidwa, Akufunika kuwona katswiri matenda kapena kuwonongedwa kwake kwathunthu. chithandizo mwamsanga ndi kupewa kudzakuthandizani kutalikitsa moyo wa wodwala ndipo kwambiri kusintha khalidwe lake.

Wosakhwima malo anayendera sangasangalale odwala, m'malo chikondwerero zikayamba. Munthu aliyense ayenera kudziwa kuti dokotala - katswiri amene akuyesera kuti andithandizire, ndi zikayamba siwoyenera pano. Amene anaganiza kuti matenda yake ya zotupa angathe kutalikitsa moyo, ayenera kukhala muyezo waukulu asanapite katswiri.