Cancer ntawm lub duodenum: thawj cov tsos mob, mob, kev kho mob, raug

Lub ntsiab ntawm tsab xov xwm yog ib tug mob cancer ntawm lub duodenum thiab cov thawj tsos mob ntawm tus kab mob. Hauv qab no, no lub npe yuav tsum tau tham nyob rau hauv kom meej. Peb kawm txog cov tsos mob, mob, kev kho mob thiab txoj hau kev yuav uas muab cov tub txawg. Txhua yam koj yuav tsum paub txog qhov no cancer, nyeem tsab xov xwm.

Yuav ua li cas yog nws hais txog?

Duodenal cancer - ib tug kab mob uas tshwm sim nyob rau hauv cov txiv neej thiab cov poj niam sib npaug zos zaus. Nws muaj feem xyuam rau feem ntau cov neeg tshaj 55 xyoo. Cov tub ntxhais hluas kuj nquag mus pathologies 12 poob hnyuv, tab sis cov no tsis tshua muaj.

yog vim li cas

Rau ib tug pib nws yog tsim nyog sau cia hais tias lub qhov thiab ua rau mob cancer rau cov kws kho mob yog tseem muaj ib tug paub tsis meej. Qhov no txhais tau tias cov kws kho mob tsim tej yam kev xav, tiam sis, sib cav hais tias nws yog ib tug zoo tshaj ua Oncology, nws yog tsis yooj yim sua. Lub hom, xws li lub ntsiab yog vim li cas tsis paub hais tias txawm mus rau science, tab sis nws yog ua tau rau piav ntau zog ntxiv rau ob ua rau mob cancer, uas yog los tham txog muaj tej yam. Tej zaum lawv yuav ua rau kom lub rov tshwm sim ntawm 12-duodenum cancer.

muaj tej yam

Nws yog ntseeg hais tias cancer yuav tshwm sim rau ob peb yog vim li cas. Cancer 12 duodenum yuav pab rau cov nram qab no yog vim li cas:

• haus luam yeeb tsim txom thiab haus dej haus cawv yees;
• pancreatitis, mob ntshav qab zib, los yog lub pob zeb nyob rau hauv lub urogenital system;
• heev heev noj ntawm cov khoom noj ntawm cov tsiaj keeb kwm;
• Genet.

Lwm yam uas yuav muaj yam kuj ecological ib puag ncig qhov teeb meem no, thiab cov nyhuv ntawm tshuaj raug carcinogens. Zoo li hlav thiab tej zaum yuav ua rau kom cov kev siv ntawm cov tsiaj rog, raws li ib tug tshwm sim ntawm no nce qib ntawm cholecystokinin, uas nyob rau hauv lem yuav ua tau kom hyperplasia ntawm lub sab sauv hau ntawm lub digestive ib ntsuj av.

Tsis ntev los no, soj ntsuam ntawm muaj tshwm sim hais tias ib co Cheebtsam ntawm kas fes, dhau lawm, yuav ua rau kom mob cancer. Yog li ntawd, qhov ua tau ua yuav tsum tau ntxiv rau ntev li siv ntawm no haus dej.

pathogenesis

Kev loj hlob ntawm Oncology paub qhov txawv cancer vim duodenal papilla, raws li zoo li mob cancer ntawm lub kua tsib ciav. Lub qog muaj feem xyuam rau cov plob tsis so tswj tsis yog kiag li, tiam sis tsuas yog ib tug ob peb qhov chaw. Feem ntau cov feem ntau nws yog lub Upper thiab qis kab rov tav feem, thiab ib sab saum toj-down department. Cov kev soj ntsuam kev kawm ntawm tus kab mob nyob lom zem ntau nyob rau hauv cov mob cancer localization.

localization

Cancer nqis ib feem 12 ntawm poob lub rwj yog heev, hais txog 75% ntawm cov neeg. Tsim los ntawm cov epithelium ntawm tag nrho cov mucosa. Tsim kom muaj lub caij nyoog qhov chaw yeej ib txwm tau yooj yim, tshwj xeeb tshaj yog yog hais tias tus daim ntawv ntsuam xyuas yog ua nyob rau hauv lub tom qab ua sawv. Cancer ntawm lub duodenum, thawj cov tsos mob uas yuav tsis sai li sai tau dhia mus rau hauv lub ob lub qhov muag, yog txaus ntshai, vim hais tias kev kho mob yog ib qhov nyuaj rau nws tus kheej, tab sis nyob rau hauv lub theem kawg ntawm ib tug txiv neej me ntsis sij hawm.

Lub sab sauv kab rov tav ib feem ntawm txoj hnyuv yog cancer localization xwb nyob rau hauv 12-15% ntawm cov neeg. Tumor nyob rau hauv lub qis kab rov tav feem tseem hu ua infrapapilyarnym cancer. Nws zaus yog mus txog rau 10%.

cov tsos mob

Raws li manifested cancer ntawm lub duodenum? Thaum xub thawj mas zoo heev rau cov neeg uas neeg kev nyob rau hauv Oncology plab. Nyob rau hauv kev txiav txim los xyuas txog cov mob cancer nyob rau hauv lub sij hawm, oncologists coj peb pab pawg ntawm cov tau tej yam tshwm sim.

Cov thawj pab pawg neeg yog raug mus rau lub phenomenon ntawm intoxication. Yus mob plab, tsis qab los noj mov, nkees thiab poob phaus. Nws kuj sau tseg indifference rau lub ntiaj teb no nyob ib ncig ntawm lawv.

Qhov thib ob pab pawg neeg kev txhawj xeeb tshwm sim muaj dab tsi thaiv. Nws tag nrho cov pib thaum lub qog pib mus nias rau lwm yam kabmob. Thaum lub sij hawm no, pib biliary tawg, tsub kom nyob rau hauv lub loj ntawm lub siab, cov quav yuav tsis muaj kob. Daj ntseg yuav tshwm sim. Cov kws kho mob nco ntsoov irregularities nyob rau hauv cov hlab plawv system, lub raum thiab lub siab tsis ua hauj lwm muaj peev xwm tshwm sim thiab yuav ua rau metabolic dab.

Cov tshwm sim ntawm compression tshwm sim nyob rau hauv lub lig theem ntawm tus kab mob thaum ib tug neeg pom tau tias mob los ntawm lub qog presses rau lub qab haus huv ntawm lub pancreas.

Nyuaj cai nyob rau hauv cov nqe lus ntawm cov kws kho mob yog tus duodenum. Qhov uas nws yog thiab yuav ua li cas nws mob, tsis paub tag nrho cov neeg. Nws yog lub plab cia li hauv qab no lub plab nyob rau sab xis, saum toj no lub puj ntaws. Cancer mob yuav sib txawv, ntau npaum li cas nyob rau cov theem ntawm tus kab mob thiab duodenal rwj kab mob localization. Nyob qhov twg thiab yuav ua li cas nws mob, koj muaj peev xwm nug koj tus kws kho mob yog hais tias muaj yog ib tug suspicion ntawm Oncology.

Txiav txim seb tus kab mob nyob rau hauv lawv tus kheej yog tsis yooj yim. Cov tsos mob ntawm duodenal cancer nyob rau ntawm ib thaum ntxov rau theem yuav tsis yuav ntes tau, txij li thaum tus kab mob no yog asymptomatic. Tab sis tom qab ib tug thaum tus neeg pib txhawj txog nws kev noj qab nyob vim hais tias ntawm nws torment pib kev mob plab. Yuav ua li cas puas mob cancer ntawm lub duodenum nrog rau cov zaj uas lub sij hawm? Lub ntsiab tsos mob muaj xws li mob loj heev mob plab, cia li poob, jaundice, kub taub hau, khaus thiab tsis qab los noj mov.

Cancer nyob rau hauv lub tom qab ua sawv

Cancer theem duodenal rwj yog 4. Tus thawj peb kev kho mob muaj peev xwm pab tau tus neeg mob, tiam sis thaum kawg theem yuav tsis yeej ib txwm pab, vim hais tias tsis txhua yam nyob rau cov kev kho mob. Txawm li cas los, xws li mob tshwm sim.

Needless hais txog cov tsos mob ntawm tus mob cancer nyob rau hauv lub tom qab ua sawv vim hais tias thaum no tus taw tes nws yuav ntxias teeb meem nyob rau hauv lwm yam kabmob. Nyob rau hauv feem ntau tus kab mob manifests tej yam tshwm sim ntawm intoxication. Tsis tas li ntawd muaj xws ces:

• kub;
• dryness ntawm txheej week;
• kam noj cov zaub mov;
• ntuav, raws plab, quav tawv, xeev siab;
• daj ntawm daim tawv nqaij;
• general tsis muaj zog ntawm lub cev;
• puas siab puas ntsws tej teeb meem.

Txawm hais tias ib tug tsis mloog cov tsos mob thiab tsis xav pom ib tug kws kho mob, rau ib tug yuav tsum tau hauv paus yuav tsum xyuam xim rau cov tej yam tshwm sim ntawm tus kab mob:

• ntuav tom qab noj mov, tom qab uas tseem nkawd hais tias lub plab yog tag nrho;
• ntshav nyob rau hauv cov quav;
• daj ntseg.

Nws yuav tsum tau muab sau tseg tias tej yam tshwm sim ntawm duodenal cancer nyob rau hauv cov txiv neej yog tib yam li nyob rau hauv cov poj niam.

diagnostics

Yuav kom kho tau tus kab mob, nws yog ib qho tseem ceeb rau pib kho mob rau lub sij hawm, thiab qhov no nws yog tsim nyog los xyuas txog cov mob cancer. Rau hnub tim, mob yog los ntawm laboratory thiab instrumental txoj kev. Analysis ntawm lub qog npiv zas rau mob cancer ntawm lub plab thiab duodenum yuav pab txheeb xyuas cov kev mob hlwb nyob rau hauv lub sij hawm. Nws yog ib nqi sau cia hais tias lub qog markers - tshuaj uas ua rau kom txoj kev loj hlob ntawm kev mob hlwb. Mob muaj peb theem:

1. Yuav pib tsom xam ntawm pathologies thiab kev kho mob yav dhau los. Ib tug kws kho mob tshuaj xyuas ib tug neeg mob siv plab palpation. Noj rau hauv cov nyiaj rau cov tib neeg soj ntsuam kev tsis txaus siab xws li ntuav, mob plab, tsis qab los.
2. Thaum lub thib ob theem, txoj kev kuaj txoj kev tshawb no ntawm tus neeg mob, muaj raws ntawm ib tug general ntshav tsom xam, cov zis thiab quav tsom xam, biochemical ntshav tsom xam thiab mob marker.
3. Qhov thib peb theem yog instrumental xeem.

Qhov kawg kauj ruam yog lub tseem ceeb tshaj plaws nyob rau hauv lub mob ntawm duodenal cancer. Tus thawj cov tsos mob tej zaum yuav yuam kev los yog pov thawj ntawm lwm yam kab mob, tab sis kev tshawb fawb lub cuab tam tso cai rau koj mus ua ib tug muaj tseeb kuaj mob. Tus kws kho mob tuas esophagogastroduodenoscopy uas nais maum kuaj cov hlab pas, plab, kua tsib ciav, thiab 12-Palaia hnyuv. Thaum lub sij hawm tus tsom xam cov ntaub so ntswg coj rau biochemical kev tsom xam.

Tom qab ntawd, tus kws kho mob guides tus neeg mob nyob rau hauv lub hauv siab X-rays thiab sib piv radiography 12 duodenal rwj thiab lub plab. Tsis tas li ntawd, koj tus kws kho mob yuav muab tshuaj rau ib tug ultrasound, magnetic resonance thiab xoo tomography. Nyob rau tib lub sij hawm tus neeg mob yog raug soj ntsuam los ntawm tag nrho cov kws txawj.

kev kho mob

Txhua txhua xyoo ntau thiab ntau cancer ntawm lub duodenum. Yuav ua li cas muaj ntau yam nyob nrog tus kab mob no, nws yog tsis yooj yim sua teb, vim hais tias nws nyob tsis tau tsuas yog rau cov theem uas pib ntawm kev kho mob, tab sis kuj los ntawm lub xeev ntawm kev kho mob ntawm lub cev, nws muaj peev xwm tiv thaiv kab mob.

Feem ntau, kev kho mob yog nqa tawm los ntawm lub classical tswvyim. Ua ntej, lub qog yog muab tshem tawm surgically. Nws yuav tsum tau ib nrab tshem tawm ntawm lub 12-duodenum. Phais yog pom zoo rau cov neeg mus txog rau 75 xyoo, tab sis tsuas yog nyob rau mob uas muaj tsis muaj metastasis.

Tom qab phais tshem tawm ntawm lub qog cov kws khomob yog tias yog tsim nyog los sau cov ntsiab. Nws yog obligatory, raws li nws guarantees kev puas tsuaj ntawm txawv txav hlwb thiab lawv loj hlob.

Tawg txoj kev kho yog feem ntau nqa tawm nyob rau hauv thaum ntxov ua sawv ntawm tus kab mob, thaum nws yog ua tau los kho tus neeg mob tsis muaj kev phais.

Thaum lub kawg los yog thaum pib ntawm cov kev kho mob kev kho tej zaum yuav tsum tau, uas yog tswj tau tshem ntawm cov tsos mob ntawm tus neeg mob. Thaum xub thawj nws yog tsim nyog los pab tus neeg yuav tsum tau kho, thiab nyob rau thaum xaus yog zaum kawg kev ntsuas.

phais

Kev kho mob tej zaum yuav surgically 3 ntawm lub embodiment. Kev tshem tawm ntawm ib feem ntawm cov nyuv yog tsim nyog nyob rau hauv tag nrho peb tus neeg mob. Tus thawj qhov teeb meem no yog qhov loj tshaj plaws, tshwm sim thaum lub qog ncua mus rau excretory ciav thiab doudenalny lub txiv mis. Nyob rau hauv cov ntaub ntawv no, tus kws kho mob tshem tawm tsis tsuas yog tus ib feem 12 ntawm poob hnyuv, tab sis kuj ntawm lub ciav thiab cov pancreatic lub taub hau. Yog hais tias ib tug me me qog resection ua yeej, uas txhais tau hais tias tshem tsuas cuam tshuam hloov khoom nruab nrog qhov chaw uas muaj tau rov qab. Ib tug thib peb kev xaiv no kuj hu ua yeej resection, tab sis resorted mus rau nws thaum lub hnyuv yog kev cob cog rua kawg mus xaus, uas yog tseem tau.

outlook

Yuav kom huab cua yav tom ntej ntawm tus neeg mob tus kws kho mob yuav nyob rau hauv cov ntaub ntawv uas, yog tias koj paub, thaum kho mob pib. Cov nram qab no yam tseem ceeb heev: tus neeg lub hnub nyoog, muaj cov metastasis thiab inflammatory dab nyob rau hauv lub mob huam kabmob. Qhov teeb meem no worsens, yog metastases yog pom nyob rau hauv lub plab, lymphatic system thiab biliary ducts. Tau teeb meem yuav ua tau kom faulty lag luam ntawm lub genitourinary system. Tej zaum kuj muaj yog ib tug stenosis ntawm 12-poob nyuv, cov ntshav. Nws yog hais tias lub zuag qhia tag nrho outlook rau cov neeg mob yog unfavorable, tab sis tsis tsis cia siab. Qhov teeb meem yog hais tias ntes cancer nyob rau hauv nws thaum ntxov ua sawv, thaum kev kho mob yog yuav luag guaranteed pab, nws yog heev yooj yim.

Yuav kom tiv thaiv koj tus kheej los ntawm qhov no txaus ntshai tus kab mob ntawm cancer thiab lwm yam lub cev, yuav tsum muab mus tsis tau phem thiab reconsider koj noj. Txawm yuav zoo li yooj yooj yim lub tswv yim, tab sis lawv ua hauj lwm. Khoom noj kom zoo thiab kev haus luam yeeb tas thiab haus dej haus cawv yuav tiv thaiv ib tug xov tooj ntawm cov kab mob, thiab tsis tsuas oncological xwm.

Peb paub hais tias yog mob cancer ntawm lub duodenum, raws li zoo raws li tag nrho nws cov hoob kawm thiab kev kho mob. Tu siab, tsis muaj ib tug yuav lav tsis tau los tiv thaiv lawv tus kheej los ntawm cancer. Peb twb tham txog qhov tseem ceeb ntawm ib tug noj qab nyob zoo txoj kev ua neej, tab sis tsis muaj tsis tseem ceeb yog cov xim rau koj tus kheej thiab koj lub cev Pib ntsais koj teeb. Tej zaum nws yog zoo dua ib zaug dua mus rau tus kws kho mob thiab mus soj ntsuam.