Khansa ya cecum ndi: zizindikiro zimayambitsa, masiteji

Khansa ya cecum ndi - ndi khansa kuti akupezeka 11% ya anthu. Mu gawo ili la intestine nthawi zambiri kuoneka chosaopsa chikhalidwe cha chotupa, ndipo nthawizina iwo akusinthika mu zilonda.

zifukwa

Panopa, madokotala sizinathe kuphunzira khansa ya cecum kuti mapeto, zifukwa kudziwika pafupifupi yekha.

Njirazi ndi monga:

• Neoplasms chosaopsa ndi zilonda chikhalidwe.
• Matenda a dongosolo m'mimba (tizilombo ting'onoting'ono, anam'peza matenda a m'matumbo, etc.).
• Mphamvu ntchito nyama mafuta ndi chakudya woyengeka lalikulu zedi.
• Wongokhala.
• Chibadwa.
• Age zaka zoposa 48.
• Kusuta fodya.
• Kupezeka kwa mtundu papilloma 16.
• Pafupipafupi mowa.
• Zonse maganizo kupsyinjika.
• Long ntchito mankhwala osokoneza bongo.
• Yopanga Job ntchito zinthu zovulaza.
• njira kagayidwe kachakudya zimene zimachitika mu thupi pamaso pa kunenepa ndi matenda a shuga.

Akamakonda zakudya, lomwe lilibe ndalama zokwanira zipatso ndi mbewu monga chimanga, kwambiri overloading thirakiti m'mimba. Ngati thupi la munthu sakhala chofunika kuchuluka kwa CHIKWANGWANI, ndondomeko nayonso mphamvu iyamba. Chifukwa cha ndondomeko izi zikuyamba kupoletsa zinthu carcinogenic amene amayambitsa mavuto aakulu kwa thanzi.

zizolowezi zoipa kusokoneza yachibadwa magazi ndi sati abwera liti dongosolo ntchito mtima.

moyo wongokhala kumabweretsa stagnation ndipo kudzikundikira zonse ndowe. Izi amasokoneza ntchito matumbo ndipo kumachepetsa mayamwidwe mpanda wa m'matumbo a zinthu zothandiza.

chibadwa azitaya matenda ndi za 34%.

zizindikiro

Zizindikiro za khansa cecal:

• Magazi ndi ntchofu m'manyi.
• The ululu komanso kupweteka m'mimba, limene mwina kuperekedwa pambali bwino.
• Permanent kufooka.
• Kutopa.
• Kusafuna kudya.
• Stagnation wa ndowe.
• Fungo la ndowe amakhala amphamvu ndi zosasangalatsa.
• Aseluka akafuna chimbudzi ulendo.
• Nthawi magazi.
• Aakulu kuwonda.
• Kuonjezera kutentha thupi.
• Nseru.
• Bloating.
• Ululu pamimba m'munsi.

matenda ndi khansa ya cecum ndi zizindikiro zomwe zafotokozedwa pamwamba, n'zovuta kuti muzindikire. Mukadzaona ngakhale chizindikiro umodzi kuwona dotolo.

Mu chithunzi mukuona cecum.

siteji matenda

Madokotala olekanitsidwa 5 magawo khansa cecal.

• Zero siteji. Chotupa ndi yaing'ono. Chidwi yekha chapamwamba zigawo za khoma colonic. Lymph mfundo si anakhudzidwa, palibe metastases.

• Gawo loyamba. Chotupa atagonjetsa kwa wachiwiri ndi wachitatu wosanjikiza makoma m'matumbo. mwanabele si anakhudzidwa, metastases lakutali si matenda.

• Gawo lachiwiri. Chotupa mapangidwe kuwononga kwathunthu m'matumbo khoma likulowerera kupita kutsidya lina. Lymph mfundo si anakhudzidwa, palibe metastases.

• Mbali yachitatu. Chotupa chija kuwonongeka ziwalo moyandikana ndi zimakhala. Wolembedwa kuwonongeka lymph mfundo, ndi metastasis si zotsimikizika.

• 4 cecal khansa siteji. Minofu ndi ziwalo amakhudzidwa maphunziro. Lymph mfundo kuonongeka, pali metastases.

gulu la matenda

Gawo Histological subdivides khansa ya cecum mu mitundu zotsatirazi:

• Adenocarcinoma.
• Cricoid.
• Undifferentiated.
• Osati wachinsinsi.
• Squamous.
• Squamous-akakhala.

Oncologist amachitira khansa ya cecum ndi.

matenda a matenda

Cancer ya cecum madokotala atadziwa njira zosiyanasiyana.

Choyamba iwo amapanga palpation, auscultation ndi percussion. Njirazi kulola kudziwa chotupa malo, udindo, pamaso pa madzimadzi mu M'mimbamo (m'mimba) ndi kukhalapo kwa phokoso zimene zimachitika pamene adamuwumiriza patency pa mundawo matumbo.

Achiwiri ntchito sigmoidoscopy, barium mankhwala ndi colonoscopy. Choncho, madokotala amachita kuyendera zithunzi, mwachindunji kukula kwa zotupa ndi malo malo ake.

Mu malo lachitatu Kwalamulidwa ultrasound ndi CT. Iwo adzalola inu kuwunika kufala kwa chotupa cha.

Pambuyo mankhwala onse madokotala adzatha kuona chithunzi chonse matenda. Malinga ndi zotsatira adzakuperekani ndi matenda zolondola.

chithandizo matenda

Kamodzi dokotala watsimikizira matenda a khansa ya cecum ndi, mankhwala akuyamba yomweyo.

Pali njira zitatu za chithandizo.

1. njira opaleshoni (opaleshoni). Kodi mankhwala waukulu, umene ntchito pa siteji iliyonse ya matenda. Pa ntchito erases mapangidwe zilonda mtundu overlaying anastomosis. Yaikulu njira opaleshoni zimadalira mmene matenda yafalikira.
2. cheza mankhwala njira. Izo ntchito isanafike opaleshoni kuchepetsa chotupa zimakhala. Komanso, pambuyo opaleshoni zimathandiza kupewa kukonzanso kukula. Njira ali zochitika chowawa, iwo amaoneka mu mawonekedwe a chopondapo softener, nseru, kusanza ndi maonekedwe mu magazi m'manyi ndi ntchofu.
3. Morning njira. Njira ntchito monga monotherapy ndi osakaniza ndi wothandizila angapo. Zikuphatikizapo mankhwala, "Fluorouracil" ndi calcium folinate kapena "Fluorouracil" ndi "Mitomycin".

Nthawi zina madokotala zoika kulambalala. Izo ntchito pamene palibe mwayi yochotsa chotupacho zimakhala mu zone sasintha. Anastomosis ali makamaka ntchito mu magawo lotsiriza la matenda. Voliyumu ya opaleshoni kumawonjezera pamene mapangidwe mawonekedwe zilonda chimafikira kwa pafupi ndi zimakhala ndi ziwalo. Komanso, amagwiritsidwanso ntchito mu zotupa kwa mwanabele.

kaonedwe

Ngati mankhwala ikuchitika pa siteji ziro ndipo anadutsa bwinobwino, chandamale madokotala kupulumuka ndi 95%. Chifukwa cha zizindikiro wofatsa ndi matenda ndi zotheka mwakamodzi.

Pamene mankhwala ikuchitika mu gawo loyamba, kuti madokotala ananena zawo ndi 91%. Ichi ndi chifukwa chakuti maselo a khansa bwanji wachiwiri ndi wachitatu wosanjikiza m'matumbo.

Ngati mankhwala ikuchitika mu gawo lachiwiri, mlingo kupulumuka ranges ku 70 82%. Izo zimatengera kuya chotupa utakula mu minofu ozungulira.

Mankhwalawa mu ndime yachitatu zipangitsa kupulumuka moleza% 42-63 yekha. manambala awa zimadalira ziwalo mmene lowonongeka pafupi chotupa ndipo ngati lymph mfundo akhudzidwa.

Therapy pa lomaliza (wachinayi) siteji zipangitsa apulumuke% 6-10 yekha pa zaka 6-7 pambuyo mankhwala.

Chiwerengerochi zimapezeka pa phunzirolo.

kupewa

Pofuna kupewa matenda, muyenera kutsatira malamulo wamba ochepa:

• Pewani mavuto.
• Kudya moyenera.
• Tayani zizolowezi zoipa.
• Sunthani ndi thupi.
• Khalani diso pa ukupeza.

Ngati pali chinthu chinanso cholowa, ndiye kawirikawiri kukaona dokotala ndiponso kuti anayesedwa. Choncho, maonekedwe a matenda monga khansa ya cecum ndi gawo loyamba kapena ziro anapatsidwa kwambiri mwayi moyo wodzala ndi zina phunziro kwa chithandizo yake.

Ngati inu nokha zizindikiro za khansa cecal, ndiye kuchipatala mwamsanga. Choncho, pamene matenda zikutsimikiziridwa, mudzatha kuyamba chithandizo, ndipo mudzakhala ndi mwayi bwino bwino.