Perstnevidnokletochny gastric kenza: zviratidzo, fungidziro, uye kurapwa unhu

Cricoid (kana perstnevidnokletochny) kenza - akaipa neoplasm mudumbu, pokutanga wechipiri pakati namamota vose nemudumbu. Pasi ndiro gastric adenocarcinoma.

Kana chirwere chinobata chero chikamu zvomudumbu nhengo, uye ipapo kukura bundu, kuvakoka pamusoro zvose zvayo akaturikidzana. Zviri zvikuru akaipa neoplasm. Kurumidzai kuzviratidza metastases mune dzimwe nhengo.

pathography

Pane vari chirwere ichi rinokosha kusanduka masero kenza, panobva zita uye "kenza mudumbu perstnevidnokletochny." masero Atypical, izvo kuzadza glandular epithelium, nefuma rinoungana somunhu mucin. fuma iyi dzinowanzoona anokwanisa kudzivirira masero pamusoro utachiona, asi izvozvo zvingaitika kuti mucin kwakakuomerai. Somugumisiro, sero neerekitironi riri batwa, uye zvichaitika pedyo misha yacho membrane. Kana riri histology, masero zvemamiriro kenza inowanikwa muchimiro mhete.

Chimhete gastric kenza anonzi kenza, iyo inozivikanwa nokuva endophytic kukura. Ndicho kupararira masero kanganisika mukati, sezvamakaropafadzwa mucous iri kubatwa, zvino tsandanyama akaturikidzana uye serous muviri.

The kukura anomera rinoitwa kwete chete zvakadzama asiwo nohupamhi, sezvo pasina pachena bundu miganhu. Ndokusaka yakanakisisa nzira yokusarudza kurapa zvakaoma.

Bundu masero vakakurumidza dzakapararira muviri vachishandisa nhengo dzinobudisa mvura. Chinenge hafu varwere nechirwere perstnevidnokletochny kenza, bundu kukura yakawanikwa akaturikidzana ose mudumbu. Izvi mhando kenza iri rinorapika, asi chete kana mangwanani kuonekwa pamberi chimiro metastases.

Izvi mhando kenza kazhinji vakadzi vaduku. Izvi hazvigoni asi kutsanangura oncologists.

The zvikonzero

Perstnevidnokletochny kenza dumbu zvauya nokuda chete nezvikonzero kuti mamwe marudzi kenza. Pano pokutanga rokuchinja mudumbu kukanganisa zvataidya uye hakuvaki chikafu. Zvinhu Risk dzinosanganisira:

• imwe achivada Spicy, wakawanda, aisvuta, Marinated uye doro zvakakanyiwa namafuta zvokudya;
• mugari zvokudya, zvokudya kuchitonhora, kupisa kana akanyanya chando zvokudya;
• kunyanya kunwa doro.

izvi zvose kuramba kutsvinyira dumbu, sero mamiriro kuchinja, kunokanganisa basa ravo. Nokuda kwaizvozvi, kubvira masero akaumba kenza.

Kuwedzera zvokudya, pane wandei zvinokonzera kuti cricoid gastric kenza:

• Nhodzera - oncologists akasimbisa chokwadi pamusoro pokumuka ichi mhando kenza muzviitiko apo hama vairwara oncology;
• Detective munhu gastric Helicobacter pylori - saka pane kuramba kuzvimba mucous rukoko mudumbu, izvozvo chinokurwadzai chirwere chirwere kuti, pashure izvo zvinoita kenza;
• kuvapo rwakashata Magariro - kana chipo muvhu zvimwe zvinhu zvine maatomu akafanana (sezvo zvinoitika mune dzimwe nzvimbo munyika), izvi carcinogenic zvinhu kuunganidza mune miti, kuti murume anodya;
• kupindwa muropa - kwete doro, asi kusvuta kungakonzera kenza (fodya tara iri yaora, pashure iyo yakawanda carcinogenic zvinoriumba, uye ivo kukanganisa nhengo dzose uye hurongwa).

Uyezve, munhu anogona kuva precancerous ezvinhu. Izvi zvinogona kuva nengozi zvikuru.

By precancerous ezvinhu zvinosanganisira kuvapo polyps mudumbu, dysplasia, atrophic gastritis. pathologies izvi zvinofanira murapwe zvimwe pane njodzi ndura kenza.

Sei chirwere pachena pachayo?

Kazhinji chirwere panguva mumatanho maviri okutanga kazhinji hakuiti unooneka. Ndokusaka perstnevidnokletochny gastric kenza padzakacherechedza pamusoro 3rd uye 4th nzendo. Zviratidzo munguva bundu kukura pahupamhi nokudzika.

The chikuru zviri kwakadai kenza:

• mangwanani mukaguta pashure pokudya, kufundumwara mudumbu nokuda bundu;
• kukonzera kuda kurutsa, kurutsa, bloating, manyoka, kupatira;
• burping mhepo kakawanda chirungurira;
• Kugara kuneta, hope;
• Fivha.

Kugaya kuipa muviri akashatirwa. The muviri haana mavhitaminzi uye zvicherwa. Chizenga pamwero Falls. Pane kurasikirwa uye bvudzi yakaoma, ganda rakachenuruka, utera. Munhu ruchiramba chenguva anokakavara kurwadziwa mudumbu, izvo hakunei chikafu yaunodya.

Iye aripo mukupandukira nyama uye hove ndiro. It iri chikonzero kuti pane rakapinza uremu. Cardia bundu chinokonzera dysphagia, kuti ndiwo manzwiro bundu iri huro. Kana kutambudzika kubva ura duku, peristalsis vo kwakakanganiswa. Kana bundu iri guru, izvozvo zvingangoisa mungozi zvakakwana mhingaidzo, chinoda kuvhiya kukurumidzirwa.

Dzimwe nguva kenza inokamukana, zvino hwakazara gastric kubuda ropa. Uyewo pane kusakendenga, kuora mwoyo, hope nyonganyonga. Kakawanda, izvi zvinoitika atova pachikuva rechitatu.

Chii hworatidza pacharo perstnevidnokletochny kenza dumbu Danho 4? The 4th Danho kunoratidzwa nokushayikwa rakazara kudya, zvikuru cachexia, ascites. Kazhinji murwere nhema. Pane metastases mune dzimwe nhengo, saka zvose zvakabatana, uye zvimwe zviratidzo, nokuti hurongwa zvinokosha kurega ishande zvakanaka.

siteji

vakasiyana Several matanho cricoid kenza:

• razero - kuvapo kenza masero ari pose paiva mudumbu;
• kutanga - sei mucosa;
• chechipiri - mwoyo rokunze rukoko;
• wechitatu - mumatenhere asiwo akaturikidzana zvose uye pedyo zvomukati (the diaphragm, chiropa, itsvo, rwatata, peritoneum, chirwatata), dzakachinja node nodes;
• chechina - the nzvimbo inowanikwa mune kure nhengo.

Diagnostics

Treatment kuti abudirire, anofanira kuva rakakodzera. Naizvozvo zvakafanira kuti chiremba pakutanga zvirwere kubva mudumbu (marwadzo, dyspepsia, kufundumwara, chirungurira). Uyezve, zvinobatsira kupfuura dzose uchiongororwa uye nzwisisika kuongorora nguva dzose.

Kuziva perstnevidnokletochny kenza dumbu, unofanira:

• bvunzo ropa (kusanganisira bundu zvezvinangwa) - rinotaurwa kuzvimba mumuviri, yakaderera Chizenga, disruptions mumwoyo uye chiropa;
• abate gastroscopy uye biopsy panguva (apo munhu mudumbu chubhu vari kutarisirwa aine kamera kuguma, vose zvachinja mucous vanoonekwa zvakanaka, ipapo zvakananga agure duku chimedu nokuda histology);
• kuitisa Ultrasound kuzviongorora peritoneum - Rinozivisa kuzvimba uye yechipiri foci kenza;
• achindireverera X-ray musiyano mumiririri kuziva kuchinja mudumbu;
• kuitisa CT scan nokuda ichi dzakaonekwa metastases uye pakutsvaga nzvimbo akaipa kwacho mumuviri.

Perstnevidnokletochny gastric kenza: kurapwa

Kurapa kwaiita kenza ndiko kuvhiyiwa kubvisa bundu racho pacharo, chikamu mudumbu, node nodes. At kunonoka pavaipfuura chirwere hwaputswa uye yechipiri muchaenga. Zvadaro varayire mishonga. Inogona basa pamberi oparesheni, izvo zvingaita kutapudzwa munzvimbo yacho akaipa muitiro. Izvi zvinokosha nechirwere kuti "perstnevidnokletochny kenza mudumbu." Mishonga pashure pokuvhiyiwa kunonatsiridza fungidziro. Nemaziso kenza foci akaparadzwa zvakanaka chaizvo.

Akashandisawo palliative kurapa anticancer mishonga kuti zviite murwere ezvinhu. Saka unogona achawedzera hwake.

Radiation kurapa rinoshandiswa zvikuru kazhinji. Area malignancies wakanyanyisa kukura irradiation. With kurapwa kuderedza marwadzo, vanatsiridze zvomudumbu muitiro, kudzivirira mwoyo neitsvo.

Heano mazano kubata perstnevidnokletochny kenza dumbu muzvipatara.

upenyu Kufembera

Izvi hasha mhando kenza panguva mwoyo maonero. Yakanga chete kuonekwa mangwanani uye nenguva kurapwa vachapukunyuka kwemakore 5 makore kuvhiyiwa. Sezvisingaiti vane 85%.

Kana akawanikwa wechitatu pavaipfuura chirwere, wokurarama kwemakore 5 makore ndiyo 40 chete%. Panguva ino pane metastases mune dzimwe nhengo kuti nzira yemazuva kurapwa kukurira. Izvi zvine ngozi perstnevidnokletochny kenza mudumbu.

Fungidziro avhiyiwa mu Detective hosha iri 4th Danho yakaipa. kazhinji rufu kunoitika nokukurumidza. Asi kana munyu kurapa, achakwanisa kupedza pemwedzi mishomanana cricoid kenza mudumbu. Rarama 5 Makore pashure pokuvhiyiwa zvinokwanisika, asi mukana uri 5-10%.

Tips Dr. Uolloka

Vanozivikanwa munyika yose Dr. Uollok perstnevidnokletochnogo Mabatirwo gastric kenza inoratidza mari kuburikidza zvokudya. Anokurudzira kuti zvinyorwe zvokudya Beta-carotene, vhitamini E uye chero chinhu selenium. Izvi zvichabatsira kuti zvaanofunga, kuderedza kufa nekenza. Vapfume muviri chikafu kunogona kurapa uye kudzivirira zvimwe zvirwere zvakawanda ngozi.

mhedziso

Full uye utano kunovaka muviri - kiyi upenyu hurefu. Zvinokoshawo kuti kuderedza miitiro yose yakaipa. Izvi ndezvechokwadi kunyanya vanhu vane enhaka kubatwa. Kana uine chirwere gastrointestinal zvirwere, zvinokosha kuvabata uyewo prophylactically amutsvaka (kanenge kamwe pagore). Uye hativimbi kumwe kurapa perstnevidnokletochnogo kenza mudumbu.