Kenza cecum: zviratidzo, zvinokonzera, nzendo

Kenza cecum - ndiwo kenza kuti kunoitika muna 11% yevanhu. Muchikamu ichi ura dzichitaridzika benign hunhu bundu, uye dzimwe nguva havana tinoshandurirwa nyanyisa.

zvikonzero

Pari, vanachiremba havasati kudzidza nekenza cecum kusvikira pakuguma, saka zvikonzero anozivikanwa chete anofungidzirwa.

Idzi dzinosanganisira:

• Neoplasms benign uye akaipa hunhu.
• Zvirwere zvomudumbu ino (polyps, maronda colitis, etc.).
• Power pakushandisa kwemafuta mhuka uye rakanatswa makabhohaidhiretsi akawanda.
• Nokusarovedza muviri.
• Nhodzera.
• Age kupfuura makore 48.
• Kuputa fodya zvigadzirwa.
• Kuvapo papilloma mhando 16.
• Kakawanda kwedoro.
• Constant Mupfungwa.
• Kushandisa Long zvinodhaka.
• Job Production kushandisa zvinokuvadza okunze.
• Metabolic pezvakaitwa kuti kuitika mumuviri pamberi kufutisa uye chirwere cheshuga.

Kudzikama zvokudya chisingazivi iine zvakakwana mari michero uye zviyo, doro overloading ari zvomudumbu turakiti. Kana muviri munhu haana kuwana inodiwa chitsama faibha, ari chinovira kwacho kunotanga. Nokuda izvi rinotanga generating carcinogenic zvinhu kuti kukuvadza zvikuru utano.

Bad Miitiro kuvhiringidza kwomuzvarirwo ropa kuparadzirwa uye Iwo basa vascular hurongwa.

Ndakagara mararamiro kunotungamirira kurega kunotanga uye kuramba kuunganidza mutsvina yadzo. Izvi kuchambokanganisa intestinal nerevane akazoita Absorção de Água pakati pamasvingo dumbu anoshanda zvinhu.

Nhaka zvinhu zvinowedzera mukana chirwere munenge 34%.

zviratidzo

Zviratidzo cecal kenza:

• Ropa uye madzihwa zviri pachituru.
• The kusanzwa uye kurwadziwa mudumbu, izvo zvinogona kupiwa zvakarurama parutivi.
• Permanent simba.
• Kuneta.
• Kurasikirwa kudya.
• Kurega kunotanga kubva mutsvina yadzo.
• Munhuwi mutsvina yadzo inova simba uye hachifadzi.
• Anoburuka kure chimbuzi kushanya muoti.
• The panowanikwa ropa.
• Zvakakomba uremu.
• Kuwedzera tembiricha muviri.
• Svoto.
• Bloating.
• Kurwadziwa rezasi mudumbu.

Hosha iri nekenza cecum, zviratidzo zviri pamusoro apa, zviri nyore kuona. Paunoona kunyange chiratidzo chimwe chete kuona chiremba.

In mufananidzo unogona kuona cecum.

Danho chirwere

Vanachiremba with 5 cecal kenza nzendo.

• Zero siteji. Bundu iri duku. Mwoyo chete okumusoro akaturikidzana pamusoro colonic rusvingo. Node nodes hadzina kukanganiswa, hapana metastases.

• Danho rokutanga. Bundu rakapinda kuti rukoko ari muura masvingo wechipiri newechitatu. Node nodes hadzina kukanganiswa, metastases kure havana chirwere.

• Danho rechipiri. Bundu kukuvara inotungamirwa zvachose muura madziro uye chinopinda kumhiri. Node nodes hadzina kukanganiswa, hapana metastases.

• Danho rechitatu. Malignancy zvakakanganisika pedyo nhengo uye munyama. Yakanyorwa zvakakanganisika node nodes, uye metastasis haina kutsunga.

• 4 cecal kenza rwakazara. Zvinyama uye nhengo vanokanganiswa dzidzo. Node nodes akakuvadzwa, pane metastases.

kupatsanura zvirwere

Histological kupatsanura subdivides nekenza cecum kupinda marudzi anotevera:

• Adenocarcinoma.
• Cricoid.
• Undifferentiated.
• Not Classified.
• Squamous.
• Squamous-ferrous.

kenza Oncologist anobata ari cecum.

chirwere chirwere

Kenza cecum vanachiremba kuziva dzakasiyana.

Chekutanga vose zvibereko palpation, auscultation uye percussion. Nzira idzi kubvumira kusarudza bundu nzvimbo, chinzvimbo, pamberi mvura iri mhango (abdominal) uye kuvapo ruzha zvinoitika kana wakamanikidza patency pamusoro intestinal turakiti.

Kechipiri kushandiswa sigmoidoscopy, barium enema uye colonoscopy. Saka, vanachiremba kuita chinooneka vaongo-, kutaridzwa kukura namamota uye nzvimbo yaro nzvimbo.

Panzvimbo yechitatu ushandiswe Ultrasound uye CT. Vanobvumira kuti kuongorora kupararira bundu.

Chete pashure zvose kurapa vanachiremba vachakwanisa kuona zvizere mufananidzo chirwere. Maererano zvabuda vachakukumikidzai kuongororwa zvakarurama.

kurapwa chirwere

Kana chiremba dzakatsigira nechirwere kenza yacho cecum, kurapwa kunotanga pakarepo.

Pane chikuru nzira nhatu kurapwa.

1. Uchishandisa nzira (zvomusejari). Nde kurapwa, iro rinoshandiswa chero pavaipfuura chirwere. Panguva mashandiro erases paumbwe akaipa mhando chokufukidza anastomosis. Kukuru kuvhiya nzira zvinoenderana sei chirwere apararira.
2. nemwaranzi mushonga nzira. Rinoshandiswa asati kuvhiyiwa kuderedza bundu munyama. Uyewo, pashure pokuvhiyiwa zvinobatsira kudzivirira apiwa kukura. Nzira iyi ine yaivhuvhuta zviitiko, vanoonekwa muchimiro pachituru softener, kuda kurutsa, kurutsa uye kuwanika pachituru ropa uye madzihwa.
3. mishonga nzira. Nzira iyi inoshandiswa sezvo monotherapy uye akabatana multiple nevamiririri. Izvi zvinosanganisira zvinodhaka, "Fluorouracil" uye calcium yakawanda folinate kana "Fluorouracil" uye "Mitomycin".

Vanachiremba dzimwe nguva kusangomanikidzira yokunzvenga. Rinoshandiswa apo pasina mukana kubvisa bundu nyama iri rokufambira dzisisina. Anastomosis iri iya kushandiswa okupedzisira nzendo chirwere. Vhoriyamu wokuvhiya kunowedzera apo paumbwe imwe akaipa chimiro kunosvika kunharaunda munyama uye zvomukati. Uyewo, rinoshandiswa mune maronda ari node nodes.

mataridzikiro

Kana marapirwo rinoitwa panguva razero pachikuva uye vakapfuura zvinobudirira, kubaya vanachiremba kurarama ndiyo 95%. Nokuda nyoro zviratidzo rokuongorora chirwere chacho pakarepo zvinobvira.

Kana marapirwo rinoitwa mu wokutanga nguva, fungidziro ndiyo 91%. Izvi imhaka yokuti masero kenza sei zvakaturikidzaniswa pamusoro dumbu rechipiri uye rechitatu.

Kana marapirwo rinoitwa yechipiri danho, wokurarama anoda kubva 70 kusvika 82%. It zvinoenderana sei yakadzika bundu watunga iri dzakapoteredza tishu.

The kunorapwa danho rechitatu kunovimbisa murefu Kupona muna 42-63 chete%. nhamba idzi pakuti sei zvakaipa zvaparadzwa nhengo pedyo bundu uye kana node nodes vanokanganiswa.

Zvipatara yekupedzisira (wechina) Danho chendangariro kupona 6-10 chete% pamusoro makore 6-7 mushure mushonga.

Izvi nhamba avapo pachidzidzo.

dziviriro

Kudzivirira chirwere, unofanira kutevera mashomanana mitemo nyore:

• Usataura anoshungurudza ezvinhu.
• Idya akadzikama.
• Rasa tsika dzakaipa.
• Kutama zvakawanda uye muviri.
• Rambai ziso mamiriro utano.

Kana pane nhaka chinhu, zvino nguva dzose kushanyira chiremba uye kuti kuedzwa. Saka, chimiro zvirwere zvakadai nekenza cecum, wokutanga Danho kana razero kupiwa chinokosha mukana kuti upenyu huzere humwe pasi nenguva kurapwa.

Kana ukaona zviratidzo cecal kenza, ipapo kwachiremba pakarepo. Saka, kana chirwere akatsinhira, uchakwanisa kutanga kurapwa, uye iwe uchava mukana nani nani.