Kev puas tsuaj ntawm kev tsom xam ntawm oncology txhais tau tias kev tuag ntawm cov qog hlwb uas tawg thiab tso cov co toxins. Lub cev qhuav dej ntawm cov qog nws tus kheej yog ib qho tshwm sim nquag pom nyob rau hauv ntau tus neeg mob uas mob qog noj ntshav. Cov txheej txheem no ua rau tus neeg mob hnyav dua, ua rau lub cev lom nrog cov khoom lag luam metabolic txaus ntshai, thaum kawg ua rau tuag.
Background
Txhua qhov nyuaj ntawm qhov xwm txheej thaum qog nqaij hlav, ua ntej ntawm tag nrho, yog cov txheej txheem zoo li no feem ntau tshwm sim los ntawm kev kho tsis tu ncua, uas tsuas yog tsom rau kev rhuav tshem cov qog hlwb. Tias yog vim li cas cov txheej txheem no yog qhov tshwm sim ntawm kev kho mob qog noj ntshav. Nws yuav tshwm sim tsis tu ncua vim muaj kev cuam tshuam kho.
Kev puas tsuaj tshwm sim, raws li txoj cai, yog tus yam ntxwv ntawm neoplasms uas zoo nkauj loj, txij li nrog qhov loj me me qee lub hlwb tuag. Cov qog nqaij hlav malignant,localized nyob rau hauv txoj hnyuv los yog gastric mucosa, tuaj yeem raug puas ntsoog. Lawv tuaj yeem raug puas los ntawm enzymes thiab hydrochloric acid.
Sudden Decay Syndrome
Kev tuag ntawm cov qog hlwb ua rau tsim cov qog nqaij hlav sai sai, uas yog nrog los ntawm kev mob hnyav heev. Vim li no, uric acid ntsev raug tso tawm, thiab nws tus kheej ncaj qha. Tsis tas li ntawd, muaj kev tso tawm ntawm phosphates thiab potassium. Tag nrho cov khoom no nkag mus rau hauv cov hlab ntsha, dhau los ntawm lawv nkag mus rau ntau qhov chaw ntawm lub cev, qhov chaw uas lawv ua rau lub cev puas tsuaj thiab tsim kom muaj qhov tsis txaus ntawm alkaline. Acidity tsim nyob rau hauv cov ntshav loj, uas muaj kev cuam tshuam rau lub raum kev ua haujlwm.
Tshuaj kho mob raws li qhov kev puas tsuaj
Thaum uric acid ntau dhau nyob rau hauv cov ntshav loj, sai lossis tom qab nws yuav ua rau txhaws ntawm cov lumen ntawm lub raum tubules. Qhov tshwm sim ntawm cov txheej txheem no feem ntau yog kev txhim kho raum tsis ua haujlwm.
Qhov teeb meem no feem ntau cuam tshuam rau cov neeg mob uas, txawm tias ua ntej cov qog nqaij hlav, muaj kev cuam tshuam hauv kev ua haujlwm ntawm lub cev. Vim qhov tso tawm ntawm phosphate los ntawm cov kab mob qog noj ntshav tuag, qhov concentration ntawm calcium hauv cov ntshav ntshav txo qis. Qhov no tshwm sim ua rau convulsions thiab ua rau tsaug zog. Ntawm lwm yam, cov poov tshuaj ntau dhau los tas li los ntawm oncocenter, uas ua rau arrhythmia, uas, dhau los, tuaj yeem ua rau tuag.
Ntxiv rau cov metabolites tau piav qhia, cov qog hlwb tuaj yeem tsim cov enzymes thiab lwm yamCov khoom txhoj puab heev. Tias yog vim li cas qog nqaij hlav feem ntau nyuaj los ntawm kev kis kab mob, o, kev puas tsuaj rau cov hlab ntsha loj, uas ua rau los ntshav ntau. Cov teeb meem no ua rau kev kho mob nyuaj. Tsis tas li ntawd, muaj qhov tsis zoo ntawm tus neeg mob lub cev tag nrho. Yog tias tsis muaj kev kho mob raws sij hawm, cov kev ua txhaum cai teev tseg yuav ua rau muaj kev poob ntshav hnyav.
Symptoms
Cov tsos mob hauv qab no ntawm cov qog nqaij hlav tau pom:
- fever tshwm;
- ntuav thiab xeev siab;
- mob tsis xis nyob, uas yog nyob hauv plab;
- poob sai sai ntawm lub cev hnyav, uas tuaj yeem ua rau oncological cachexia;
- daim tawv nqaij tsis zoo (lawv tig daj ntseg, ib qho icteric tint tuaj yeem tshwm);
- ua rau lub siab ua haujlwm tsis zoo.
Nws yuav tsum nco ntsoov tias cov kab mob sib txawv yuav muaj lawv tus kheej cov tsos mob, uas yuav nyob ntawm seb hom mob qog noj ntshav thiab qhov chaw ntawm tus mob qog noj ntshav.
Hom mob qog noj ntshav thiab cov tsos mob yam ntxwv
Rau ntau hom mob qog noj ntshav, ntxiv rau cov cim qhia dav dav tau piav qhia saum toj no, lwm cov tsos mob kuj yog yam ntxwv, uas tau pom ntawm qee qhov chaw ntawm neoplasm.
Piv txwv li, nrog lub cev qhuav dej ntawm lub mis, feem ntau muaj qhov laj thawj rau kev ua rau cov kab mob mus rau theem plaub. Nrog loj cell necrosis, kev koom tes ntawm daim tawv nqaij nyob rau hauv cov txheej txheem thiab nws cov kab mob, loj thiab ntev lub sij hawm tsis kho ulcers yog tsim, uas nyob rau hauv feem ntau tsis cia tus oncologist pib kho cov qog sai li sai tau, txij li thaum tom kawg.tej zaum yuav exacerbate qhov lwj. Nrog rau kev tshem tawm cov tshuaj tua kab mob thiab tshuaj tua kab mob, tus neeg mob cov qog txuas ntxiv mus ntxiv thiab loj hlob, feem ntau tsis muaj chaw rau kev kho mob phais.
Qhov teeb meem ntawm kev kho mob rau cov qog mis decomposing yog mob heev, tshwj xeeb tshaj yog muab cov neeg mob lig mus ntsib ntau tus neeg mob thiab cov kab mob siab heev. Los ntawm txoj kev, ntau tus xav txog dab tsi yog qhov kev tshwm sim rau kev lwj ntawm cov qog. Xav paub ntau ntxiv hauv qab no.
Cov qog plab tuaj yeem tawg ntawm qhov ntau thiab tsawg, qhov no, muaj peev xwm ntawm perforation ntawm phab ntsa ntawm lub cev thiab tso tawm nws cov ntsiab lus ntxiv rau hauv cov kab noj hniav peritoneal - peritonitis. Cov kab mob no yog nrog los ntawm kev kis kab mob ntawm peritoneum nrog cov khoom siv digestive, qhov mob tseem ceeb thiab tuaj yeem ua rau tuag taus yog tias tus neeg mob tsis tau txais kev kho mob xwm txheej ceev. Lwm qhov tshwm sim ntawm cov qog nqaij hlav hauv plab tuaj yeem ua rau los ntshav hnyav, tshwm sim los ntawm ntuav nrog ntshav xws li "chaw kas fes", tachycardia, tsis muaj zog, ntshav siab, thiab lwm yam.
Lub cev qhuav dej ntawm cov qog nqaij hlav hauv plab ua rau muaj kev puas tsuaj rau cov hlab ntsha hauv plab hnyuv thiab los ntshav, hauv qhov quav tsis yog tsuas yog mob hnyav, suppuration thiab o tuaj yeem tshwm sim, tab sis kuj muaj cov kab mob fistulous tsim nyob rau hauv lwm yam kabmob ntawm lub plab me me (lub tsev menyuam hauv cov neeg mob, zais zis).
Lub cev qhuav dej ntawm lub ntsws yog qhov txaus ntshai vim qhov nkag ntawm huab cua mus rau hauv cov kab noj hniav pleural (pneumothorax), los ntshav hnyav, cov tsos mob ib txwm ua tsis taus pa, hnoos thiabKev mob yog qhov nyuaj los ntawm qhov tso tawm ntawm cov hnoos qeev ntau heev.
Cov qog nqaij hlav hauv tsev menyuam tuaj yeem tawg thaum lub neoplasm loj. Yog tias cov qog nqaij hlav cancer raug rhuav tshem, tom qab ntawd kev nkag mus thiab hais tawm qhov mob ntawm cov ntaub so ntswg ib puag ncig tshwm sim, fistulas tshwm hauv qhov quav thiab zais zis, los ntawm cov txheej txheem neoplastic yuav kis mus rau cov kabmob no.
Cov kab mob qog noj ntshav nrog qhov chaw zoo li no yog ua npaws, mob hnyav heev, kis tus txheej txheem inflammatory hauv lub plab me me.
Cov tsos mob ntawm qhov pib ntawm cov qog lwj hauv oncology ib txwm yog lub cim ceeb toom uas tsis tuaj yeem tsis quav ntsej, thiab yog li ntawd ib qho kev puas tsuaj ntawm tib neeg txoj kev noj qab haus huv yuav tsum yog vim li cas thiaj li tshem tau cov xwm txheej txaus ntshai. Nws yog ib qho tseem ceeb heev los saib xyuas tus mob ntawm cov neeg mob uas tau txais kev kho mob qog noj ntshav.
Diagnosis
Kev kuaj mob raws li cov cim qhia hauv chaw kho mob, kev tshawb pom thiab kev kuaj sim. Thawj cov tsos mob ceeb toom feem ntau yog txo cov zis tso zis.
txhawm rau kuaj xyuas qhov lwj ntawm cov qog (nyuaj pom hauv daim duab), koj yuav tsum txiav txim siab qib ntawm uric acid, creatinine, calcium thiab phosphate hauv cov ntshav. Lub xeev ntawm daim siab raug soj ntsuam raws li cov txiaj ntsig ntawm kev kuaj lub siab. Yog tias tsim nyog, tus neeg mob tau muab tshuaj ultrasound ntawm lub raum, CT thiab ECG.
Kev kho mob
Kev kho mob qog noj ntshav yuav tsumnqa tawm tsuas yog nyob rau hauv kev saib xyuas ntawm tus kws kho mob hauv tsev kho mob. Nws suav nrog:
- Antiemetics, laxatives, sorbents. Yog tias lawv tsis muaj txiaj ntsig, enemas tau muab, uas tsis tsuas yog tshem tawm cov quav, tab sis kuj txo qis kev qaug cawv nrog cov khoom lag luam metabolic.
- Kev kho mob txhawm rau kho qhov sib npaug ntawm cov kua qaub thiab alkalis - kev taw qhia rau tus neeg mob ntawm calcium, aluminium hydroxide, kua qabzib thiab insulin, txhuas, yog tias phosphates hauv cov ntshav nce ntxiv, sodium bicarbonate.
- Acidosis hauv neoplastic decay yog kab tias tsuas yog ib qho tsim nyog siv dej qab zib hauv kev mob qog noj ntshav, tab sis kev kho mob tsuas yog ua tau los ntawm tus kws kho mob thiab nyob rau hauv kev saib xyuas nruj ntawm cov kua qaub hauv cov ntshav.
- Thaum cov tsos mob ntawm lub raum tsis ua haujlwm tshwm sim, hemodialysis tau ua.
- Kev kho mob ntshav qab zib rau lub plawv dhia tsis zoo.
- Anemia yog kho nrog tshuaj ntxiv hlau.
- Cov tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob uas ntxiv rau kev txo qhov mob, txo qhov kub taub hau.
- haus dej kom txaus thiab noj zaub mov kom tiav.
- Ua ntej chemotherapy rau kev tiv thaiv, muaj teeb meem yuav tsum tau haus dej ntau, kev kho dej rov qab rau ib hnub lossis ob hnub.
Tam sim no cia peb tshawb pom, thaum lub qog tawg, tus neeg mob yuav tsum nyob ntev npaum li cas?
Huab cua
Yog tias kev kho mob pib raws sijhawm, qhov kev mob tshwm sim rau tus mob qog noj ntshav feem ntau yog qhov zoo. Thaum twg lawv khoKev cuam tshuam ntawm metabolic, rov ua kom lub raum ua haujlwm tau sau tseg. Yog tias kev kho tsis tuaj lossis pib lig, tej zaum yuav muaj qhov tshwm sim tuag vim mob raum tsis ua haujlwm, cov teeb meem tshwm sim los ntawm cov qog nqaij hlav (los ntshav sab hauv, kis mob hnyav, peritonitis vim yog perforation ntawm cov phab ntsa ntawm lub plab khoob) lossis mob plawv.
Yuav nyob ntev npaum li cas nrog kev tawg ntawm cov qog thaum mob qog noj ntshav ntawm qib 4? Hmoov tsis zoo, qhov zoo tshaj plaws, koj tuaj yeem nyob tau ob peb lub hlis nrog kev kho kom raug.
Kev Tiv Thaiv
Txhawm rau tiv thaiv qhov tshwm sim ntawm qhov tsis sib xws ntawm cov qog nqaij hlav, koj yuav tsum haus dej kom ntau 1-2 hnub ua ntej pib siv cov tshuaj khomob, saib xyuas cov qib ntawm uric acid, creatinine, calcium. thiab phosphates hauv cov ntshav. Hauv thawj lub lim tiam ntawm kev kho mob, kev sim ua txhua hnub. Yog tias qhov chaw kuaj mob lossis cov tsos mob tshwm sim ntawm neoplasm decay syndrome tshwm sim, kev sim kuaj tau ua ntau zaus hauv ib hnub.
