Perstnevidnokletochny pais plab mob cancer: cov tsos mob, raug, thiab kev kho mob yam ntxwv

Cricoid (los yog perstnevidnokletochny) cancer - phem neoplasm ntawm lub plab, Qib thib ob ntawm tag nrho cov hlav ntawm tus mob huam. Cov av yog pais plab adenocarcinoma.

Yog hais tias tus kab mob no muaj feem xyuam rau txhua qhov ntawm lub digestive hloov khoom nruab nrog, thiab ces loj hlob mob, extending tshaj tag nrho nws cov khaubncaws sab nraud povtseg. Nws yog tsis tshua muaj phem neoplasm. Sai sai tshwm sim metastases nyob rau hauv lwm yam kabmob.

pathography

Muaj nyob rau hauv tus kab mob no ib tug tshwj xeeb transformation ntawm cancer hlwb, los ntawm uas los lub npe thiab "perstnevidnokletochny plab mob cancer." Atypical hlwb, uas sau lub glandular epithelium, lub substance accumulates raws li ib tug mucin. Qhov no tshuaj yog feem ntau muaj peev xwm tiv thaiv lub hlwb tiv thaiv kab mob, tab sis tej zaum nws yuav tshwm sim hais tias tus mucin yog heev npaum li cas. Raws li ib tug tshwm sim, lub cell nucleus yog squeezed, thiab nws yuav tshwm sim los ze zog mus rau lub xaav ntawm daim nyias nyias. Thaum yog cov histology, txawv txav cancer hlwb yog pom nyob rau hauv daim ntawv ntawm ib tug nplhaib.

Signet nplhaib pais plab mob cancer yog hu ua ib tug mob cancer, uas yog yus muaj los ntawm endophytic txoj kev loj hlob. Nws yog kis ntawm txawv txav hlwb sab hauv, nyob rau txheej yog capture, ces cov nqaij khaubncaws sab nraud povtseg thiab serous lub cev.

Cov kev loj hlob ntawm cov qog yog nqa tawm tsis tau tsuas yog nyob rau hauv qhov tob tab sis kuj dav, vim yog tsis muaj tseeb mob ib thaj tsam. Uas yog vim li cas qhov zoo tshaj plaws txoj kev uas yuav xaiv txoj kev kho nyuaj heev.

Pob hlwb sai sai kis thoob plaws hauv lub cev ntawm lub lymphatic kua. Yuav luag ib nrab ntawm cov neeg mob mob perstnevidnokletochny cancer, lub pob loj hlob twb pom nyob rau hauv tag nrho cov khaubncaws sab nraud povtseg ntawm lub plab. Qhov no hom ntawm cancer yog kho tau, tab sis tsuas yog thaum ntxov, ua ntej cov tsos ntawm metastases.

Qhov no hom ntawm kev mob feem ntau nyob rau hauv cov tub ntxhais cov poj niam. Qhov no yuav tsis tau piav oncologists.

Lub ntsiab yog vim li cas

Perstnevidnokletochny plab mob cancer tshwm sim rau tib lub yog vim li cas hais tias lwm hom mob cancer. Ntawm no feem cawv rau lub plab ua txhaum ntawm kev noj haus thiab tsis zoo khoom noj khoom haus. Risk yam tseem ceeb muaj xws li:

• ib tug heev rau ntsim, qab ntsev, haus luam yeeb, marinated thiab hnyav ncawv kib zaub mov;
• lus cov zaub mov, cov zaub mov txias, kub los yog ib yam nkaus thiab cov zaub mov txias;
• ntev li siv haus dej haus cawv.

Tag nrho cov no yeej muaj thab plaub lub plab, lub cell qauv kev hloov, impairs lawv muaj nuj nqi. Vim hais tias ntawm no, los ntawm ib txwm hlwb tsim mob qog nqaij hlav.

Nyob rau hauv tas li ntawd rau cov zaub mov, muaj ib tug xov tooj ntawm ua ntawm lub cricoid pais plab mob cancer:

• Caj - oncologists paub tseeb hais tias qhov tseeb ntawm txoj kev loj hlob ntawm no hom ntawm cancer nyob rau hauv tus neeg mob qhov twg cov txheeb ze twb mob Oncology;
• tebchaws pais plab Helicobacter pylori - yog li ntawd muaj yog ib qhov mob ntawm lub qog ua kua txheej ntawm lub plab, nws provokes ib tug kab mob uas, tom qab uas tau cancer;
• lub xub ntiag ntawm phiv nyob tej yam kev mob - yog hais tias tam sim no nyob rau hauv cov av ib co tshuaj ntsiab (raws li nws tshwm sim nyob rau hauv ib co thaj tsam ntawm lub teb chaws), cov carcinogenic tshuaj noog nyob rau hauv cov nroj tsuag, hais tias txiv neej noj;
• muaj yees - tsis yog haus cawv, tab sis haus luam yeeb yuav ntxias cancer (haus luam yeeb ib yog decomposed, tom qab uas ib tug loj npaum li cas ntawm carcinogenic Cheebtsam, thiab lawv adversely cuam tshuam tag nrho nruab nrog cev thiab tshuab).

Nyob rau hauv tas li ntawd, ib tug neeg tej zaum yuav tsim ib tug precancerous mob. Qhov no yuav ua tau heev txaus ntshai.

Los ntawm precancerous tej yam kev mob muaj xws li cov nyob ntawm polyps nyob rau hauv lub plab, dysplasia, atrophic gastritis. Cov pathologies yuav tsum tau kho, txwv tsis pub muaj yog ib tug uas yuav ntawm transforming mus rau mob cancer.

Yuav ua li cas tus kab mob manifests nws tus kheej?

Feem ntau tus kab mob no nyob rau thawj ob theem feem ntau tsis manifest nws tus kheej. Uas yog vim li cas perstnevidnokletochny pais plab mob cancer kuaj txog tus thib 3 thiab 4 theem. Cov tsos mob tshwm sim thaum lub sij hawm lub pob loj hlob nyob rau hauv dav thiab qhov tob.

Cov yam ntxwv tseem ceeb ntawm no hom ntawm cancer:

• thaum ntxov satiety tom qab noj mov, heaviness nyob rau hauv lub plab vim hais tias ntawm lub qog;
• ua xeev siab, ntuav, tsam plab, raws plab, cem quav;
• Tiam sis huab cua heev kub siab;
• qhov nkees, nkees nkees;
• kub ib ce.

Plab zom mov deteriorates metabolism yog disturbed. Lub cev lacks vitamins thiab minerals. hemoglobin theem ntog. Muaj yog ib tug poob thiab cov plaub hau qhuav, tawv nqaij daj, tsis muaj zog. Tus neeg muaj kev ib qhov nagging mob nyob rau hauv lub plab, uas tsis yog nyob ntawm seb cov zaub mov kom tsawg.

Nws yog tam sim no aversion rau cov nqaij thiab cov ntses tais diav. Nws yog vim li no hais tias muaj yog ib tug ntse poob phaus. Cardia mob ua dysphagia, uas yog cov kev xav ntawm ib tug pob nyob rau hauv lub caj pas. Yog hais tias koj raug kev txom nyem los ntawm cov hnyuv, peristalsis kuj cuam tshuam. Yog hais tias lub qog yog loj heev, nws threatens rau tag nrho rhuav txhua, uas yuav tsum tau thaum muaj xwm ceev kev phais.

Tej zaum mob cancer yog muab faib, ces nws yog fraught nrog pais plab los ntshav. Tsis tas li ntawd muaj yog apathy, kev nyuaj siab, pw tsaug zog ntxaug. Feem ntau cov feem ntau, qhov no tshwm sim twb nyob rau hauv lub thib peb theem.

Yuav ua li cas nws ua nws tus kheej perstnevidnokletochny plab mob cancer theem 4? Tus 4 theem yog yus muaj los ntawm ib tug ua tiav tsis qab los noj mov, mob cachexia, ascites. Tus neeg mob feem ntau yog lus dag. Muaj metastases nyob rau hauv lwm yam kabmob, li ntawd, txhua yam yog kev cob cog rua, thiab lwm yam kev mob, vim hais tias qhov tseem ceeb heev systems tsum ua txhua zaus.

theem

Ob peb cov theem cricoid cancer:

• zero - lub xub ntiag ntawm cancer hlwb nyob rau hauv tus nto txheej ntawm lub plab;
• thawj - cuam tshuam mucosa;
• thib ob - kov los ntawm cov txheej txheej;
• peb - o extends rau tag nrho cov khaubncaws sab nraud povtseg thiab nyob ib sab nruab nrog cev (lub diaphragm, daim siab, raum, pancreas, peritoneum, tus po), cuam tshuam cov qog ntshav hauv;
• plaub - lub chaw zov me nyuam muaj nyob rau hauv nyob deb kabmob.

diagnostics

Kev kho mob rau muaj kev vam meej, nws yuav tsum yog raws sij hawm. Yog li ntawd nws yog tsim nyog los tham ib tug kws kho mob ntawm thawj ailments los ntawm lub plab (mob, dyspepsia, heaviness, kub siab). Nyob rau hauv tas li ntawd, nws yog ib pab tau kom dhau niaj hnub mus kuaj mob thiab kev tshawb fawb rau ib tug tsis tu ncua.

Yuav kom qhia tau tias perstnevidnokletochny plab mob cancer, koj yuav tsum:

• cov ntshav mus kuaj (nrog rau mob markers) - raws li qhia o nyob rau hauv lub cev, uas tsis muaj hemoglobin, disruptions nyob rau hauv lub plawv thiab mob siab;
• tuav gastroscopy thiab me ib txhij (thaum ib plab raj yog muab nrog lub koob yees duab nyob rau thaum xaus, tag nrho cov kev hloov nyob rau hauv lub qog ua kua saib zoo, ces yeej de tawm ib tug me me daim rau histology);
• kev ultrasound kev soj ntsuam ntawm lub peritoneum - nws qhia o thiab theem nrab foci ntawm cancer;
• undergo ib tug X-ray zoo neeg sawv cev rau ntes hloov nyob rau hauv lub plab;
• coj ib lub CT scan vim hais tias ntawm no kuaj metastases thiab yog txiav txim los ntawm lub cheeb tsam ntawm lub phem txheej txheem nyob rau hauv lub cev.

Perstnevidnokletochny pais plab mob cancer: kev kho mob

Kev kho mob ntawm no hom ntawm cancer yog phais kom tshem tawm cov qog nws tus kheej, ib feem ntawm lub plab, cov qog ntshav hauv. Nyob rau ib lub lig theem ntawm tus kab mob yog raug tshem tawm thiab ib theem hearth. Ces muab cov kws khomob. Nws muaj peev xwm muab ua ntej lub lag luam, uas tej zaum yuav ua rau txo tau nyob rau hauv lub cheeb tsam ntawm lub phem txheej txheem. Qhov no yog ib qho tseem ceeb nyob rau hauv qhov mob ntawm "perstnevidnokletochny plab mob cancer." Kws khomob tom qab phais pab txoj kev raug. Me me cancer foci puas lawm yog li zoo heev.

Kuj siv palliative kho anticancer tshuaj los pab txhawb rau tus neeg mob tus mob. Yog li ntawd koj yuav tau sim haum nws lub neej.

Tawg txoj kev kho yog siv heev tsis tshua muaj. Cheeb Tsam malignancies loj heev rau irradiation. Nrog kev kho mob kom tsis txhob mob, los txhim kho lub digestive txheej txheem, kev tiv thaiv lub plawv thiab ob lub raum.

Ntawm no yog yuav ua li cas los kho perstnevidnokletochny plab mob cancer nyob rau hauv cov tsev kho mob.

lub neej twv ua ntej

Qhov no txhoj puab heev hom cancer thaum lub sij hawm ib tug disappointing outlook. Nws tsuas yog kom tau thaum ntxov thiab raws sij hawm kev kho mob yuav ciaj sia rau 5 xyoo tom qab phais. Qhov txawv yog 85%.

Yog hais tias twb pom cov thib peb theem ntawm tus kab mob, cov ciaj sia taus tus nqi rau 5 xyoo no xwb 40%. Thaum lub sij hawm no muaj cov metastases nyob rau hauv lwm yam kabmob uas niaj hnub txoj kev kho mob los mus kov yeej. Qhov no yog txaus ntshai perstnevidnokletochny plab mob cancer.

Raug tom qab lub lag luam nyob rau hauv tebchaws tus kab mob nyob rau hauv lub 4 theem phem. Tuag feem ntau tshwm sim mam li nco dheev. Tab sis, yog hais tias txij nkawm txoj kev kho, yuav tsum tau siv ib ob peb lub hlis uas cricoid plab mob cancer. Nyob 5 xyoo tom qab phais yog ua tau, tab sis lub sij hawm yog 5-10%.

Lub tswv yim Dr. Uolloka

Paub thoob ntiaj teb Dr. Uollok perstnevidnokletochnogo kev kho mob ntawm pais plab mob cancer qhia kev siv nyiaj ntawm kev noj haus. Nws xav kom muaj xws li nyob rau hauv cov khoom noj ntawm beta-carotene, vitamin E thiab cov kab keeb selenium. Qhov no yuav pab tau, nyob rau hauv nws lub tswv yim, txo tau lub neej los ntawm cancer. Enrichment ntawm khoom noj khoom haus cov as-ham yuav kho tau thiab tiv thaiv kom txhob muaj ntau yam lwm yam kab mob.

xaus

Tag nrho thiab noj qab nyob zoo noj haus - tus yuam sij rau lub neej ntev ntev. Nws tseem yog tsim nyog los txo tag nrho cov phem tsis tau. Qhov no yog tshwj xeeb tshaj yog muaj tseeb ntawm cov neeg uas muaj roj ntsha predisposition. Yog hais tias koj muaj mob hnyuv kab mob, nws yog tsim nyog los kho lawv zoo li raws li prophylactically nais maum kuaj (yam tsawg kawg ib xyoos ib zaug). Thiab tsis txhob cia siab rau lwm kho mob perstnevidnokletochnogo plab mob cancer.