Cov qog ntawm lub plab sigmoid yog ib qho ntawm cov kab mob uas muaj ntau heev thiab yog qhov txaus ntshai malignant neoplasms. Tus kab mob no yog tus cwj pwm los ntawm qhov tshwm sim ntawm kev tswj tsis tau ntau lub hlwb uas tuaj yeem nkag mus rau hauv cov ntaub so ntswg nyob ze thiab metastasize.
Dab tsi yog tus kab mob sigmoid
Sigmoid nyuv yog ib feem ntawm txoj hnyuv. Nws yuav luag mus rau lub qhov quav. Nws yog nyob rau hauv nws uas tsim cov quav thiab nqus cov as-ham tshwm sim.
Cov qog ntawm lub plab sigmoid yog ib qho ntawm cov kab mob qog nqaij hlav feem ntau, uas yog txiav txim los ntawm cov qauv anatomical ntawm thaj chaw no. Fecal masses ua ntau thicker, yog li cov mucous daim nyias nyias yog nyob rau hauv kev sib cuag nrog tshuaj lom rau lub sij hawm ntev. Raws li qhov tshwm sim ntawm kev cuam tshuam nrog cov ntaub so ntswg ntawm txoj hnyuv, tsim cov polyps uas dai rau hauv txoj hnyuv lumen, thiab fleecy, cov qog liab liab, qhov chaw uas yog velvety, yuav tsim.
Ntxhais kab mob
Cov qog nqaij hlav ntawm lub plab sigmoid yog hais txog cov neoplasms uas tsim rau ntawm cov ntaub so ntswg ntawm thaj tsam sigmoidtxoj hnyuv. Cov hnyuv no nyob rau pem hauv ntej ntawm lub qhov quav. Nws yog nyob rau hauv no department uas quav yog tsim. Yog tias muaj kev ua txhaum ntawm txoj kev zom zaub mov hauv lub cev, cov quav yuav nyob twj ywm hauv cov plab hnyuv siab rau lub sijhawm ntev, vim tias nws ncab, hloov nws qhov chaw thiab ua ntau dua voluminous.
Vim qhov tshwm sim ntawm kev khaws cia cov quav, kev haus luam yeeb ntawm lub cev tshwm sim, nrog rau kev xav hnyav hauv plab thiab tsis xis nyob. Cov qog ntawm cov hnyuv ntawm sigmoid nyob rau theem pib tsis tshwm sim nws tus kheej, uas yog qhov txaus ntshai heev. Cov tsos mob pib tshwm sim tsuas yog thaum tus kab mob nyob rau theem kawg. Yog li ntawd, yog tias muaj qhov tsis xis nyob hauv cov hnyuv thiab muaj cov tsos mob tshwm sim, koj yuav tsum sab laj nrog kws kho mob tam sim, vim tias tus kab mob tuaj yeem ua rau tus neeg mob tuag.
Tumor type classification
Ib qog nqaij hlav zoo ntawm cov nyuv sigmoid tuaj yeem txhim kho mus rau hauv cov qog nqaij hlav malignant dhau sijhawm. Ntawm cov hom tseem ceeb ntawm tus kab mob no yog cov hauv qab no:
- mucoid adenocarcinoma;
- sib txawv heev;
- sib txawv nruab nrab;
- Ricoid cell cancer.
Kev sib txawv tsis zoo ntawm adenocarcinoma yog suav tias yog hom mob hnyav tshaj plaws ntawm malignant neoplasm. Nws muaj cov tsos mob qhia tau zoo thiab kev loj hlob sai.
theem kab mob
Muaj ntau theem ntawm cov qog ntawm cov hnyuv sigmoid, uas yog cov tsos mob sib txawv. Hauv thawj theem, cov qog me me thiab tsuas yog nyob hauvmucous daim nyias nyias. Nrog rau kev kho raws sij hawm, qhov kev soj ntsuam tau zoo heev, thiab tus neeg muaj peev xwm nyob tau ntau dua 5 xyoos.
Nyob rau theem thib ob, cov qog loj hlob mus rau hauv cov hnyuv, nws loj tuaj, tab sis tsis muaj metastases. Nyob rau theem thib peb, tus mob neoplasm txuas mus rau ib nrab ntawm txoj kab uas hla ntawm sigmoid nyuv, thiab tib lub sijhawm metastases pib tsim hauv cov qog ntshav. Kev muaj sia nyob tom qab kev kho mob tsawg dua 50%.
Ib qog ntawm cov hnyuv ntawm sigmoid ntawm theem 4 yog qhov tshwm sim los ntawm kev loj hlob ntawm cov qog nqaij hlav malignant hauv lwm cov kabmob thiab cov ntaub so ntswg thiab tsim cov metastases. Nyob rau theem no, kev kho mob nyuaj heev.
Kev tshwm sim
Cov tshuaj niaj hnub tau nce mus deb dhau los hauv kev txiav txim siab qhov laj thawj tseem ceeb ntawm tus kab mob no. Cov txheej txheem ntawm kev kho mob, nrog rau cov txiaj ntsig ntawm kev kho mob, feem ntau nyob ntawm qhov no. Muaj qee yam kev pheej hmoo uas cuam tshuam rau qhov tshwm sim ntawm mob qog noj ntshav ntawm sigmoid nyuv, tshwj xeeb xws li:
- hereditary factor;
- khoom noj khoom haus;
- muaj tus cwj pwm phem;
- mob rwj.
Feem ntau tus kab mob no cuam tshuam nrog ib qho kev cuam tshuam los ntawm keeb kwm. Yog li ntawd, yog tias cov neeg txheeb ze muaj tus kab mob no, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas ib ntus los ntawm tus kws kho mob, tshwj xeeb tshaj yog thaum lub hnub nyoog laus, kom cov txheej txheem pathological tuaj yeem kuaj pom txawm tias nyob rau theem thaum lub qog.zoo heev.
kev noj zaub mov tsis zoo, tshwj xeeb yog kev noj zaub mov ceev, cov khoom noj muaj carcinogens, nrog rau kev haus dej cawv thiab haus luam yeeb, tuaj yeem ua rau muaj tus kab mob. Tag nrho cov no provokes tsim cov tshuaj lom nyob rau hauv lub cev, uas, thaum lawv nkag mus rau hauv cov hnyuv, provoke lub inhibition ntawm zoo microflora, uas ua rau mob nyob rau hauv lub plab thiab cov hnyuv.
Cov txheej txheem mob ntev ua rau muaj kev hloov pauv loj hauv plab hnyuv mucosa. Muaj kev pheej hmoo yog cov neeg uas muaj kab mob peptic ulcer thiab colitis. Lawv tuaj yeem ua rau muaj teeb meem hauv daim ntawv ntawm malignant neoplasms.
Cov tsos mob tseem ceeb
Sigmoid qog cov tsos mob tshwm sim tom qab theem, yog li tus kab mob no nyuaj heev kom paub thiab kho kom raws sijhawm. Ntawm thawj cov cim qhia, ib tus tuaj yeem tso tawm qhov tshwm sim los ntshav, uas tej zaum yuav yog vim muaj kev raug mob rau neoplasm nrog quav.
Feem ntau muaj ib qho degeneration ntawm cov qog spongy, uas ua rau cov txheej txheem inflammatory. Metastases ntawm cov qog ntawm lub plab sigmoid feem ntau pom nyob rau hauv cov neeg laus. Cov txheej txheem asymptomatic ntawm cov txheej txheem oncological yog ib txwm txaus ntshai rau ib tus neeg, txij li thawj cov cim tshwm sim nyob rau theem kawg, thiab qhov no ua rau muaj teeb meem txaus ntshai thiab hem lub neej.
Villous qog ntawm sigmoid nyuv nyob rau theem pib tuaj yeem kuaj pom thaum lub sijhawmtiv thaiv kev ntsuas thiab kev tshawb fawb soj ntsuam. Nws, zoo li polyps, teb zoo rau kev kho mob thiab muab kev pom zoo zoo tom qab phais. Lawv yuav tsum tau muab tshem tawm tsuas yog nrog cov kab mob benign thiaj li tiv thaiv kev hloov mus rau qhov tsis zoo neoplasm.
Nrog kev ceev faj thiab ceev faj tus cwj pwm rau tus kheej txoj kev noj qab haus huv, nws muaj peev xwm xav tias muaj cov tsos mob ntawm tus mob neoplasm. Cov tsos mob hauv qhov no yuav yog tus yam ntxwv ntawm tag nrho cov hnyuv thiab ntev. Koj yuav tsum sab laj nrog kws kho mob yog tias koj muaj cov tsos mob xws li:
- cuam tshuam ntawm cov txheej txheem digestive;
- xav nro hauv lub peritoneum;
- muaj purulent tsuj hauv quav;
- pain.
x
Yog tias koj xav tias mob qog nqaij hlav, koj tsis tuaj yeem tsis quav ntsej txog kev noj qab haus huv, vim lawv tuaj yeem qhia txog theem 3 ntawm tus kabmob. Tus neeg mob lub ntsej muag tau txais grey tint, anemia tshwm sim, lub cev hnyav zuj zus, nws nkees sai sai thiab qaug zog.
Nyob rau hauv cov poj niam, cov tsos mob yuav zoo ib yam li cov tsos mob ntawm cystitis, nrog rau cov kab mob ntawm cov zis, nrog rau cov qog nqaij hlav zes qe menyuam.
Diagnostics
Kev tshawb fawb instrumental yuav pab txiav txim seb qhov ua rau thiab theem ntawm tus mob neoplasm. Kev ntsuas ntsuas suav nrog kev tshawb fawb, nrog kev pab los ntawm tus kws kho mob tuaj yeem qhia cov duab kho mob ntawm chav kawm ntawm tus kab mob, raws li qhov kev txiav txim siab kho mob. Thaum xub thawjnws nug tus neeg mob txog cov kev tsis txaus siab uas twb muaj lawm, cov cim qhia thiab qhov chaw ntawm qhov mob siab.
Vim tias cov nyuv sigmoid nyob rau sab laug ntawm lub peritoneum, qhov mob feem ntau yog nyob rau thaj tsam no. Tom qab ntawd, tus kws kho mob palpates lub plab, thiab yog hais tias tus qog malignant loj, ces nws yuav hnov. Tom qab ntawd tus kws kho mob tau sau ntau qhov ntsuas ntsuas thiab ntsuas ntsuas, tshwj xeeb xws li:
- colonoscopy;
- irrigoscopy;
- tomogram;
- laboratory diagnostics.
Nyob rau hauv ib tug malignant neoplasm, tus neeg mob tau pom ib tug colonoscopy, uas yog ua los ntawm ib tug tshwj xeeb apparatus - ib tug colonoscope. Cov cuab yeej no yog lub raj hloov tau yooj yim thiab nyias nyias nruab nrog lub koob yees duab me me thaum kawg, uas ua rau nws tuaj yeem pom lub xeev ntawm lub cev cuam tshuam ntawm lub khoos phis tawj saib. Tus kws kho mob tshuaj xyuas qhov chaw cuam tshuam ntawm txoj hnyuv, txiav txim siab qhov muaj neoplasms, lawv qhov chaw, nrog rau lawv qhov loj me. Thaum lub sijhawm kawm, cov khoom siv roj ntsha raug coj mus rau biopsy.
Irrigoscopy, lossis x-ray, yog tus cwj pwm los ntawm qhov tseeb tias cov duab ntawm thaj chaw peritoneal raug coj mus, uas pom cov qog pom. Rau txoj kev tshawb no, tus neeg sawv cev zoo sib xws yog thawj zaug txhaj rau hauv txoj hnyuv, uas tso cai rau koj ua kom pom tseeb thiab pom tseeb dua.
Khoos phis tawj thiab magnetic resonance imaging yog sau rau cov neeg mob uas xav tias muaj qog. Cov kev tshawb fawb notso cai rau koj los txiav txim seb qhov loj ntawm neoplasm, nws qhov chaw, qhov hnyuv thiab cov kab mob nyob ze raug cuam tshuam li cas.
Tsis tas li ntawd, kev kuaj mob kuaj tau ua tiav. Tus neeg mob tau txais ntau qhov kev sim uas yuav tsum tau ua, suav nrog ntshav, tso zis thiab quav rau cov ntshav thiab cov kua paug thaum muaj kev puas tsuaj rau cov qog nqaij hlav ntawm lub raum thiab cov kab mob genitourinary.
Txoj kev kho mob
Kev kho mob ntawm cov qog ntawm cov hnyuv sigmoid yog ua tiav tshwj xeeb los ntawm kev phais. Cov txheej txheem endoscopic yog suav tias yog txoj hauv kev zoo tshaj plaws. Laparoscopy pab tsis tau tsuas yog txo cov theem ntawm kev raug mob los ntawm kev phais, tab sis kuj tiv thaiv qhov tshwm sim ntawm cov teeb meem nyob rau hauv daim ntawv ntawm tus kab mob los yog los ntshav. Tsis tas li ntawd, yog tias cov qog ntawm sigmoid nyuv raug tshem tawm siv cov txheej txheem endoscopic, tom qab ntawd lub sijhawm rov ua haujlwm tau txo qis. Tom qab ob peb hnub, ib tug neeg yuav rov qab mus rau lawv txoj kev ua neej li qub.
Nrog kev pab ntawm endoscopy, nws muaj peev xwm tshem tawm qhov cuam tshuam ntawm txoj hnyuv los ntawm qhov kev txiav me me, thiab tib lub sijhawm, cov kab mob nyob ze tau tiv thaiv los ntawm kev puas tsuaj los ntawm cov kab mob malignant.
Nyob rau hauv thawj theem ntawm tus kab mob, kev tshem tawm ntawm cov qog ntawm cov hnyuv sigmoid yog ua thaum lub sij hawm colonoscopy. Hauv qhov no, nws zoo heev ua ke nrog electroplasma coagulation. Cov txheej txheem endoscopic yog siv feem ntau hauv cov neeg laus uas muaj mob hnyav heev. Qhov no yog vim qhov tseeb tias cov neeg nyob rau hauv tus mob no tsuas yog tsis tuaj yeem tiv taus cov txheej txheem phais mob, uas txhais tau hais tias qhov kev txiav ntawm phab ntsa plab.
Raws li tus yam ntxwv ntawm cov qog ntawm lub plab sigmoid, kev ua haujlwm tuaj yeem ua tau ntau txoj hauv kev thiab cov tswv yim ntawm nws qhov kev hloov pauv thaum muaj kev cuam tshuam. Hauv qhov no, lub xeev ntawm txoj hnyuv yog qhov tseem ceeb heev. Yog tias tus neeg mob tseem hluas thiab nws tus mob nyob ruaj khov, ces cov kws kho mob pom zoo kom ua cov txheej txheem ua haujlwm nrog kev tshem tawm ib feem tseem ceeb ntawm txoj hnyuv.
Yog tias muaj cov qog loj ntawm lub plab sigmoid, kev ua haujlwm tsis ua raws li tus qauv txheej txheem. Cov neeg mob zoo li no tau pom muaj kev cuam tshuam palliative, tsom tsis yog kho tus neeg mob, tab sis tsuas yog txo nws qhov mob. Nyob rau hauv lub xub ntiag ntawm plab hnyuv obstruction, ib tug colostomy yog tsim.
Thaum tus kab mob tau nce siab, cov qog ntawm cov hnyuv ntawm sigmoid tsis raug tshem tawm, tab sis kev kho tshuaj kho mob tau sau tseg. Tsis tas li ntawd, chemotherapy yog muab rau tus neeg mob tom qab kev phais kom rov zoo li qub txheej txheem ntawm tso zis thiab defecation. Kev kho hluav taws xob siv hluav taws xob tsis tshua muaj, vim tias qhov tawg ntawm cov phab ntsa hauv plab tuaj yeem tshwm sim, vim qhov no malignant neoplasm yog rhiab heev rau hluav taws xob.
Dieting
Nyob rau hauv ib tug malignant neoplasm nrog localization nyob rau hauv lub plab hnyuv cheeb tsam, tus neeg mob tau muab fractional zaub mov 5-6 zaug ib hnub twg. Cov tais diav tsuas yog sov thiab grated.
Kev noj qab haus huv tom qab phais muajtshwj xeeb tshaj yog los ntawm kua txiv, kua zaub purees thiab tshuaj ntsuab decoctions. Cov zaub mov no yuav tsum yog 5-6 hnub. Kev noj txhua yam zaub mov yuav tsum tau koom tes nrog tus kws kho mob nruj me ntsis. Kev noj zaub mov tom qab rau cov qog nqaij hlav qog nqaij hlav ua rau txo qis ntawm cov nqaij noj los yog nws qhov kev cais tawm tag nrho, cov khoom noj kib, cov zaub mov kaus poom, khoom qab zib, thiab cov khoom ua tiav. Nco ntsoov cais cov zaub mov ntsim thiab tawv los ntawm koj cov zaub mov ib txwm.
Koj yuav tsum haus cov zaub mov tshiab xwb, tshwj xeeb yog zaub, txiv hmab txiv ntoo thiab cereals. Khoom noj khoom haus yuav tsum sib npaug, ua kom tiav, tsis muaj coarse inclusions. Nws yog qhov zoo tshaj kom noj zaub mov kom ntau li ntau tau. Tom qab ib hlis, koj tuaj yeem maj mam suav nrog cov nqaij ntshiv thiab ntses, ntau yam khoom noj siv mis hauv koj cov zaub mov.
Txoj hauv kev ntawm kev kho neeg
Kev kho mob plab hnyuv los ntawm kev siv pej xeem txoj hauv kev ntxiv rau kev phais, nrog rau kev siv tshuaj khomob. Folk txoj kev rau cov qog malignant pab txhawb lub cev tiv thaiv kab mob, ua rau koj zoo dua tom qab siv tshuaj kho mob, normalize cov hnyuv, thiab ua rau lub neej ntawm tus neeg mob. Kev kho mob nrog cov tshuaj pej xeem thiab cov hau kev qhia txog kev siv:
- tshuaj ntsuab;
- cawv tinctures;
- soda, minerals, goji berries.
Txoj kev kho mob qog noj ntshav ntawm lub plab sigmoid muab txoj hauv kev zoo rau kev ua tiav thiab rov qab sai. NeegCov tshuaj tiv thaiv kab mob muaj nyob rau hauv txoj kev kho mob thiab pab ua kom muaj kev noj qab haus huv zoo tom qab kev phais thiab kev siv tshuaj khomob. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias ntau yam tshuaj ntsuab muaj tshuaj lom heev, yog li yuav tsum ua raws li kev ua raws li kev npaj tshuaj.
Survival forecast
Nrog rau cov qog ntawm lub plab sigmoid, qhov kev mob tshwm sim feem ntau nyob ntawm theem ntawm cov kab mob, nrog rau cov yam ntxwv ntawm qhov mob qog nqaij hlav. Qhov kev cia siab ntawm kev ciaj sia nyob ntawm ntau yam, tshwj xeeb xws li:
- theem mob qog noj ntshav;
- hnub nyoog ntawm tus neeg mob thiab qhov hnyav ntawm nws tus mob;
- puas muaj kab mob ntxiv.
Ib qog nqaij hlav tshwm sim nws tus kheej tom qab theem, thiab qhov no, txoj kev ntawm tus kab mob muaj qhov tshwm sim tsis zoo. Hauv qhov no, cov neeg mob tsis raug phais, thiab lawv tsuas yog tso siab rau cov txiaj ntsig tau los ntawm kws khomob.
Qhov muaj lossis tsis muaj qog nqaij hlav qog nqaij hlav yog qhov tseem ceeb heev. Thaum tsis muaj metastases nyob rau hauv tus neeg mob lub cev, qhov kev tshwm sim zoo heev thiab cov ciaj sia taus yog siab. Yog hais tias tus neeg mob muaj metastases, ces tsuas yog ob peb tus neeg mob muaj sia nyob 5 xyoo tseem ceeb.
ntsuas kev tiv thaiv
Txhawm rau tiv thaiv qhov tshwm sim ntawm qog, koj yuav tsum txhawj xeeb txog kev tiv thaiv. Txhawm rau ua qhov no, nws yog ib qho tsim nyog yuav tsum ua raws li kev noj haus kom raug, kev kho mob raws sijhawm rau cov txheej txheem inflammatory,coj txoj kev ua neej zoo, mus kuaj tsis tu ncua, thiab tso tus cwj pwm phem.
Ntxiv rau, yog tias muaj teeb meem ntawm lub plab zom mov, nws yuav tsum tau kuaj xyuas raws sijhawm kom pom qhov teeb meem raws sijhawm.
