Nyob rau hauv daim tawv nqaij metastases, cov kws tshaj lij txhais tau tias thaj chaw ntawm malignant neoplasms ntawm qhov xwm txheej thib ob. Lawv qhov tshwm sim, raws li txoj cai, tshwm sim hauv thaj tsam ntawm qhov chaw ntawm cov qog ntshav lossis cov hlab ntsha. Ntawm daim tawv nqaij, lawv tuaj yeem pom tsuas yog hauv 0.7-9.0% ntawm tag nrho cov neeg mob kuaj mob cancer.
yam tshwm sim
Metastasis, uas tshwm sim nws tus kheej ntawm daim tawv nqaij, tuaj yeem tshwm sim txawm tias hom mob qog nqaij hlav neoplasm. Txawm li cas los xij, raws li kev xyaum qhia, muaj tsawg heev ntawm daim tawv nqaij metastases nyob rau hauv mob qog noj ntshav hauv lub cev.
Yog tias peb tham txog qhov nyiam ntawm lawv qhov tsim hauv lwm hom qog, ces qhov no lawv tsis zoo ib yam. Yog li, nyob rau hauv rooj plaub ntawm kev sib deev ncaj ncees, cov hauv qab no tuaj yeem dhau los ua qhov tshwm sim ntawm metastases:
- Kev loj hlob ntawm mob qog noj ntshav mis, uas yog qhov tshwm sim ntawm cov kab mob ntawm daim tawv nqaij.
- Malignant lesion of the nylon.
- 5% ntawm lub sijhawmKoj tuaj yeem soj ntsuam seb cov metastases ntawm melanoma ntawm daim tawv nqaij tshwm li cas.
- Malignant neoplasm hauv zes qe menyuam.
Metastases ntawm daim tawv nqaij ntawm txiv neej
Yog tias peb tham txog txiv neej, ces lawv muaj metastasis ntawm daim tawv nqaij tshwm nyob rau hauv cov xwm txheej hauv qab no:
- mob ntsws cancer, uas tshwm sim hauv 25% ntawm cov neeg mob.
- Colon oncology.
- mob qhov txhab ntawm cov ntaub so ntswg ntawm qhov ncauj.
Raws li cov kws kho mob ntau dhau lawm, qhov tseeb tias metastases ntawm daim tawv nqaij yog qhov tshwm sim tsis tshua muaj peev xwm piav qhia los ntawm kev tiv thaiv siab ntawm cov kab mob epidermis. Nws yog vim li no tias feem coob ntawm cov qog nqaij hlav cancer, tau mus txog cov ntaub so ntswg epithelial, tsuas yog tuag.
Ntau hom kab mob qog noj ntshav
Hais txog kev mob qog noj ntshav ntawm daim tawv nqaij, cov kws tshaj lij txhais tau hais tias ntau yam oncological pathologies ib zaug, keeb kwm, cov tsos mob thiab qhov tshwm sim ntawm qhov sib txawv. Pathology xws li metastases ntawm daim tawv nqaij basalioma, squamous cell malignancy ntawm daim tawv nqaij los yog melanoma, raws li kev txheeb cais, feem ntau yog kuaj. Txhawm rau txiav txim siab seb hom kab mob oncological twg tshwm sim, tsuas yog tus kws kho mob tshwj xeeb xws li tus kws kho mob oncologist-dermatologist tuaj yeem ua tau.
Yog tias peb tham txog basilioma, ces hom mob qog noj ntshav ntawm daim tawv nqaij no suav tias yog qhov tshwm sim ntau tshaj plaws thiab tsim los ntawm cov tawv nqaij. Yog tias koj saib ntawm daim duab, metastases ntawm daim tawv nqaij zoo li lub pob me me, nyob rau hauv cov hlab ntsha uas pom. Feem ntau xws lineoplasms tuaj yeem pom ntawm daim tawv nqaij ntawm lub ntsej muag, qee zaum - tawv taub hau. Raws li txoj cai, hom mob qog noj ntshav no nce qeeb heev thiab tsis tsim cov metastases, yog li qhov kev cia siab rau cov neeg mob zoo li no.
Ua li cas daim tawv nqaij metastases zoo li hauv squamous cell carcinoma? Nyob rau hauv cov ntaub ntawv no, lawv zoo li ib tug loj neoplasm, zoo li ib tug wart ntawm ib tug nyias stalk. Hauv yuav luag 100% ntawm cov neeg mob, cov warts no nyob rau ntawm daim di ncauj. Nrog rau ntau yam no, cov txheej txheem pathological tuaj yeem nkag mus rau hauv cov txheej txheem sib sib zog nqus ntawm cov epidermis thiab cuam tshuam rau lwm yam kabmob thiab cov ntaub so ntswg los ntawm cov hlab ntsha.
Melanoma yog tsim vim pigmentation ntawm daim tawv nqaij hlwb. Cov txheej txheem oncological no tsim, raws li txoj cai, nyob rau hauv lub cheeb tsam ntawm localization ntawm moles los yog freckles. Qhov phom sij ntawm melanoma nyob rau hauv qhov tseeb tias nws yog hom mob qog noj ntshav hnyav heev thiab metastasizes twb nyob rau theem pib ntawm kev loj hlob. Yog li ntawd, cov neeg uas muaj ntau moles thiab hnub nyoog me ntsis ntawm lub cev yog qhia kom saib xyuas lawv tus mob tas li. Yog tias peb tham txog cov theem ntawm cov txheej txheem pathological, ces cov qog nqaij hlav ntawm daim tawv nqaij mus ntawm xoom mus rau theem 4.
daim duab kho mob
Txhua tus neeg yuav tsum nkag siab tias qhov tshwm sim ntawm cov cim thib ob ntawm cov txheej txheem mob qog noj ntshav ntawm daim tawv nqaij qhia txog theem 3 lossis theem 4 ntawm cov txheej txheem oncological, thaum daim duab kho mob tau tshaj tawm, thiab txoj hauv kev ntawm kev kho mob tau zoo raug txo kom xoom.. Yog li ntawd, hais txog yuav ua li cas metastases saib ntawm daim tawv nqaij, ib tug yuav tsumnco ntsoov tias lawv qhov chaw nyob yog nyob ntawm thaj tsam ntawm qhov chaw mob oncological.
Cov tsos mob dav dav hauv qhov no yog raws li hauv qab no:
- lub xeev ntawm kev qaug zog thiab qaug zog, nrog rau kev ua haujlwm qis;
- tsis muaj zog lub cev;
- mob hauv thaj tsam ntawm kev txhim kho neoplasm;
- poob ceeb thawj;
- lub cev kub;
- susceptibility rau ntau yam kab mob thiab txo qis hauv lub cev tiv thaiv ntuj;
- lub xeev kev nyuaj siab, thiab lwm yam.
Raws li kev kho mob tshwm sim ntawm cov cim qhia thib ob ntawm daim tawv nqaij, tuaj yeem muaj ntau txoj kev xaiv. Feem ntau, cov tsos ntawm nodules tuaj yeem pom. Tib lub sijhawm, lawv tus lej thiab qhov loj tuaj yeem ncav cuag ntau yam txiaj ntsig.
Cov tawv nqaij hauv thaj chaw uas cov metastases tau tshwm sim tuaj yeem tsis hloov pauv. Txawm li cas los xij, yog tias cov ntsiab lus no nyob ze rau ntawm qhov chaw ntawm daim tawv nqaij, tom qab ntawd daim tawv nqaij yuav dhau los ua xim daj lossis pinkish.
Ib qho ntawm cov cim qhia ntawm metastases ntawm daim tawv nqaij, cov kws tshaj lij xav txog cov qauv ntom ntom ntawm cov nodes thiab tus nqi siab ntawm lawv txoj kev loj hlob. Nws feem ntau tshwm sim tias cov nodules pib ulcerate thiab disintegrate.
Raws li qee tus kws tshaj lij, tsis muaj cov tsos mob tshwj xeeb ntawm daim tawv nqaij nrog cov qog nqaij hlav metastatic. Txawm li cas los xij, raws li kev xyaum qhia, nyob rau hauv cov ntaub ntawv ntawm kev loj hlob ntawm cancer ntawm lub mis ntawm daim tawv nqaij, ib tug muaj peev xwm feem ntau soj ntsuam cov tshwm sim zoo li cov tsos mob ntawm erysipelas los yog scleroderma.
Txoj kev tshawb pomPathology
Kev kuaj pom ntawm daim tawv nqaij metastases yog ua los ntawm cov kws kho mob tshwj xeeb los ntawm kev kawm cov tshuaj kho mob lossis ua cov kev tshawb fawb histological.
Raws li cov cim tseem ceeb ntawm cov qog nqaij hlav, cov kws tshaj lij hu rau qhov tsis muaj cov tsos mob ntawm tus txheej txheem inflammatory. Nyob rau hauv cov ntaub ntawv ntawm cov qog thawj, nyob rau hauv yuav luag tag nrho cov mob, ib tug inflammatory infiltrate yog kuaj.
Kev cuam tshuam kho mob
Hauv kev kho mob metastases ntawm daim tawv nqaij cuam tshuam los ntawm cov txheej txheem oncological, cov kev kho mob hauv qab no tau siv:
- radiotherapy;
- tshuaj kho mob, thaum txhaj tshuaj rau hauv qhov txhab;
- ntsuas txhawm rau txhim kho lub cev tiv thaiv kab mob hauv zos;
- kev kho mob photodynamic;
- tshem tawm ntawm qhov tsom ntawm metastasis los ntawm kev phais.
Hauv kev xyaum, kev kho mob ua ke feem ntau siv nrog kev siv ntau txoj hauv kev ib zaug.
Tshuaj niaj hnub no tsis nyob twj ywm, kev kho tshiab tau tsim los rau ntau tus kab mob, suav nrog mob qog noj ntshav. Hauv qhov no, hyperthermia tuaj yeem raug hu ua lwm txoj kev kho mob los tiv thaiv oncology. Nws hais txog cov nyhuv thermal ntawm tag nrho lub cev lossis ib qho chaw sib cais ntawm qhov txhab. Qhov tseem ceeb ntawm txoj kev no yog qhov tshwm sim ntawm qhov kub thiab txias ntawm qhov txhab, vim tias cov qog nqaij hlav cancer tuag, thiab cov ntaub so ntswg noj qab haus huv tsis overheat. Ntxiv rau, ua tsaug rautxoj kev no ua rau lub cev tsis muaj zog.
zaub mov txawv teb chaws
Koj tuaj yeem siv cov tshuaj ib txwm siv los tua cov kabmob metastases ntxiv rau cov tshuaj kho mob thiab tsuas yog tom qab sib tham txog qhov teeb meem no nrog koj tus kws kho mob. Hauv kev kho mob ntawm cov txheej txheem oncological, cov nroj tsuag tshuaj lom yog siv, thiab yog li nws yog ib qho tseem ceeb uas yuav tsum tau ua raws li qhov ntau npaum li cas thiab lub sij hawm ntawm kev kho mob.
Nws tuaj yeem tso tseg cov txheej txheem ntawm kev loj hlob metastasis siv propolis nrog roj. Ua li no, koj yuav tsum noj butter thiab propolis nyob rau hauv sib npaug zos proportions thiab sov cov khoom no nyob rau hauv ib tug da dej dej kom txog thaum yaj tag. Qhov tshwm sim muaj pes tsawg leeg yuav tsum tau nchuav rau hauv lub thawv thiab khaws cia rau hauv qhov chaw txias uas tiv thaiv tshav ntuj. Cov cuab yeej no pom zoo kom siv 1 teaspoon txhua txhua sawv ntxov ib nrab teev ua ntej noj mov. Kev so ntawm cov kev kho mob zoo li no yuav tsum yog tsawg kawg 2 lub lis piam.
Hmlock noob yog tshuaj lom. Yog li ntawd, nws yog ib qho tseem ceeb kom ua raws li tag nrho cov cai thaum npaj tinctures raws li lawv thiab siv lawv. Nws yog ib qho tseem ceeb kom nkag siab tias qhov ntau npaum li cas yog fraught nrog kev tsis zoo rau kev noj qab haus huv. Txhawm rau npaj cov tshuaj kho mob, ncuav 25 g ntawm cov noob nrog ib nrab ib liter ntawm vodka. Cov kev daws teeb meem yuav tsum tau muab tso rau hauv qhov chaw txias tsaus rau 10 hnub. Cov tshuaj yuav tsum tau noj txhua hnub thaum sawv ntxov 30 feeb ua ntej noj mov. Hauv qhov no, qhov koob tshuaj yuav tsum pib nrog 1 poob, nce txhua hnub los ntawm 1 poob, kom ncav cuag40 poob rau ib daim ntawv thov.
Kev ntsuas rau cov neeg mob
Raws li tau sau tseg saum toj no, qhov tshwm sim ntawm metastases yog qhov qhia txog tus yam ntxwv ntawm cov theem tom ntej ntawm txoj kev loj hlob ntawm pathology. Vim li no, qhov kev cia siab rau cov neeg mob no yog qhov tsis zoo. Qhov nruab nrab lub neej expectancy ntawm cov neeg mob nyob rau theem no yog 6.5 lub hlis. Qee zaum, koj tuaj yeem tham txog 12 lub hlis.
Zoo kawg
Kev tsim cov metastases ntawm daim tawv nqaij tsis yog tsuas yog kev kho kom zoo nkauj xwb, tab sis kuj tuaj yeem ua rau cov neeg mob tsis xis nyob. Rau cov neeg mob zoo li no, kev kho mob raws sijhawm yog qhov tseem ceeb heev, uas yuav ua kom tus mob nyob rau theem txaus siab.
