Ib hom mob qog noj ntshav niaj hnub no yog mob plab. Adenocarcinoma yog ib hom qog nqaij hlav uas tsim los ntawm glandular epithelium ntawm lub cev. Qhov no yog ib daim ntawv txaus ntshai heev ntawm tus kab mob - yuav luag ib feem peb ntawm cov neeg tuag los ntawm oncological ua rau nws. Cov neeg mob qog nqaij hlav plab ntau dhau yog txuam nrog adenocarcinoma - tsuas yog 5% ntawm cov neeg mob tau kuaj pom lwm hom qog.
hom qog no yog insidious - rau lub sij hawm ntev nws tsis ua rau nws tus kheej hnov los yog " nkaum" nyob rau hauv lub guise ntawm lwm yam kab mob plab. Yog li ntawd, tus neeg mob uas tau tshawb pom cov tsos mob ntawm, piv txwv li, gastritis, kuj yuav raug kuaj mob cancer.
gastric adenocarcinoma yog dab tsi
Cov qog no tshwm sim los ntawm kev puas tsuaj rau lub plab hauv ob sab phlu. Kev tiv thaiv ntawm cov hlwb ploj, uas, raug rau sab nraud ib puag ncig, pib hloov thiab tig mus rau hauv cov qog nqaij hlav cancer. Feem ntau, adenocarcinoma yog nyob rau hauv ob qhov chaw ntawm lub plab hauv qab:
- pyloric - lub tuam tsev no hu ua "tus saib xyuas", vim nws yog nws tus thawj coj digestedzaub mov rau kev ua tiav hauv duodenum;
- antral - yog lub luag haujlwm rau kev ua tiav cov zaub mov kawg rau lub xeev ntawm homogeneous pawg ua ntej muab rau thaj tsam pyloric.
Qhov teeb meem tseem ceeb ntawm hom mob qog noj ntshav no yog qhov thaum ntxov nws nyuaj heev rau kev kuaj mob vim tsis muaj cov tsos mob sab nraud. Feem ntau, thaum ib tug neeg mus ntsib kws kho mob nrog gastric adenocarcinoma, qhov kev tshwm sim twb poob siab lawm.
Kev faib tawm ntawm adenocarcinomas
Ib qho ntawm cov cim tseem ceeb tshaj plaws uas hom qog no tau faib ua pawg yog qhov sib txawv. Qhov ntsuas no siab dua, cov qog nqaij hlav qog tsawg dua txawv ntawm cov kab mob epithelial zoo tib yam. Muaj peb hom qog:
- poorly differentiated;
- sib txawv nruab nrab;
- sib txawv heev.
Kev sib txawv tsis zoo ntawm plab hnyuv adenocarcinoma yog suav tias yog qhov txaus ntshai tshaj plaws thiab muaj ntau yam mob hnyav.
Kev faib tawm ntawm adenocarcinomas raws li "kev tshwm sim" thiab qhov kev loj hlob kuj tseem muaj:
- Polypoid qog - lub npe tau muab rau nws zoo ib yam li polyp ntawm lub plab, cov ciam teb tau cim meej.
- Cancer ulcer - ib lub qog tiaj tiaj nrog lub plab hauv nruab nrab.
- mob qog noj ntshav - muaj qhov muaj zog heev zoo ib yam li mob plab. Tib txoj hauv kev los kuaj xyuas hom mob qog noj ntshav no yog los ntawm kev kuaj ntshav.
- Scirrhous qog yog ib qho "invader" tiag tiag, nws kis tau sai sai raws phab ntsa ntawm lub plab thiab nyuaj rau kev kuaj mob. Metastasizes ntxov.
Qhov kawg ob hom yog qhov txaus ntshai, tshwj xeeb tshaj yog tiasgastric adenocarcinomas tsis zoo sib txawv. Lawv nyuaj nrhiav, tab sis lawv txhoj puab heev thiab kis tau sai.
Kev tshwm sim
Adenocarcinoma pib tsim thaum lub mucous daim nyias nyias ntawm lub cev puas lawm. Hauv lub plab, qhov no tuaj yeem tshwm sim los ntawm cov laj thawj hauv qab no:
- Khoom noj muaj nitrites - haus luam yeeb, kib zaub mov, cov kaus poom thiab zaub mov ceev.
- Cov kab mob Helicobacter pylori, yog li feem ntau hais hauv TV tshaj tawm. Cov kab mob no zais cov tshuaj uas ua kom cov txheej txheem tiv thaiv ntawm lub plab thiab ua rau mob tsis tu ncua. Cov neeg kis tus kab mob no, tshwj xeeb tshaj yog nyob rau hauv lub xub ntiag ntawm rwj los yog gastritis, raug pom zoo kom mus xyuas ib ntus tshwj xeeb - fibrogastroduodenoscopy (FGDS).
- cwj pwm phem - cawv, haus luam yeeb thiab lwm yam.
- Hereditary predisposition - cov neeg uas nws cov txheeb ze tau kuaj pom tus kab mob no yog qhov tshwj xeeb.
- Duodenogastric reflux (DGR), tshwm sim los ntawm ntau yam ua rau, thaum zaub mov los ntawm duodenum raug thawb rov qab rau hauv plab.
Y Kev tsis txaus ntawm cov vitamins A, C thiab E.
Txhua yam kab mob plab kuj ua rau muaj qhov tshwm sim ntawm adenocarcinoma - gastritis, peptic ulcer, hloov pauv hauv cov hlwb epithelial lossis polyps.
Symptoms
Adenocarcinoma ntawm lub plab tuaj yeem tsis pom tau ntev. Kev qaug zog, tsis muaj zog, qee qhov poob phaus yog qhov nyuaj rau unambiguously txuas rau txoj kev loj hlobmob qog noj ntshav - cov teeb meem no tuaj yeem tshwm sim los ntawm txhua yam. Ib me ntsis tom qab, cov tsos mob tshwm sim uas feem ntau yuam kev rau gastritis:
- pib mob plab tom qab noj mov;
- yog cov qog nyob rau thaj tsam ntawm lub plab ze ntawm lub plawv (lub plawv) - belching thiab heartburn pib;
- kev tshaib plab.
Cov tsos mob tshwj xeeb tshwm sim thaum tus kab mob no twb txaus lawm. Hmoov tsis zoo, feem ntau cov neeg mob mus ntsib kws kho mob twb nyob rau theem no ntawm gastric adenocarcinoma. Qhov kev kwv yees hauv qhov no tsis zoo:
- Kev noj zaub mov hloov. Feem ntau muaj aversion rau nqaij noj.
- Lub plab zoo li puv txawm tias tom qab noj khoom txom ncauj, zaub mov pib stagnate, xeev siab tshwm sim - cov tsos mob zoo li no yog tus yam ntxwv ntawm cov qog nyob rau hauv lub plab ntawm lub plab.
- Cov qog pib los ntshav, ua rau muaj ntshav liab nrog cov tsos mob sib xws: qaug zog, mob taub hau, qaug zog, pw tsaug zog, thiab lwm yam. Cov quav yuav zoo li tar.
Cov cim qhia tias tus kab mob no tau mus deb txaus. Txoj hauv kev yuav rov qab los ntawm qhov no yog tsawg.
theem ntawm gastric adenocarcinoma
Nyob rau theem sib txawv ntawm tus kab mob, muaj cov ntaub ntawv txheeb xyuas qhov tshwm sim ntawm tus neeg mob rov ua tiav:
- Thawj theem - tsuas yog cov mucosa cuam tshuam, feem pua ntawm kev rov zoo siab thiab nce mus txog 100%.
- Thawj theem ntawm gastric adenocarcinoma - cov qog nqaij hlav hauv zos pib raug kev txom nyem, qhov tshwm simrov qab - 60-80%.
- Cov qog ntawm theem thib ob kis mus rau cov qog ntshav hauv cheeb tsam thiab loj hlob mus rau cov leeg nqaij ntawm lub plab. Qhov kev cia siab rau kev ciaj sia yog 30-40%.
- Thib Peb - tag nrho cov ntaub so ntswg ntawm lub plab raug cuam tshuam, cov qog "nce" txawm mus rau cov qog ntshav nyob deb heev. Kwv yees li 12-20% ntawm cov neeg mob rov zoo.
- pib ntawm metastasis yog theem 4 ntawm gastric adenocarcinoma. Qhov tshwm sim ntawm kev muaj sia nyob rau tus neeg mob yog qhov tsawg heev - tsawg dua 5%.
Kev ntes tus kab mob nyob rau theem pib tsis tshua muaj peev xwm ua tau rau cov kws kho mob - raws li txoj cai, qhov no tshwm sim los ntawm lub sijhawm thaum kuaj tsis muaj feem cuam tshuam txog kev mob qog noj ntshav. Ntev npaum li cas lawv nyob nrog adenocarcinoma ntawm lub plab yog nyob ntawm qhov tsis saib xyuas ntawm tus kab mob. Lub neej expectancy nyob rau theem tom ntej yog qhov nruab nrab ntawm 5 xyoo. Tab sis yog tias tus neeg mob tau kov yeej lub sijhawm no, raws li txoj cai, nws nyob rau lwm 5 xyoo. Cov neeg mob hnub nyoog qis dua 50 xyoo rov zoo yuav luag ob zaug ntau dua piv rau cov neeg laus.
Diagnosis
Thaum tus neeg mob muaj cov tsos mob thawj zaug, ua tiav cov ntshav suav. Cov ntsuas hauv qab no qhia tias muaj tus kabmob:
- cov qe ntshav liab qis txhais tau tias ntshav ntshav;
- coob tus leukocytes yog pov thawj ntawm cov txheej txheem inflammatory.
Biopsy nrog ua ntej gastroscopy tau lees paub tias yog txoj kev kuaj mob txhim khu kev qha tshaj plaws. Ua ntej, kws kho mob tshuaj xyuas cov mucous daim nyias nyias nrog ib qho endoscope. Yog tias xav tias oncology, ib qho piv txwv ntawm epithelium raug coj los tshuaj xyuas,txoj kev tshawb fawb uas tso cai rau tsim adenocarcinoma nrog qhov tshwm sim ze li 100%.
X-rays kuj tseem siv - tus neeg mob noj cov kua tshwj xeeb, uas tom qab ntawd, thaum x-ray, tso cai rau koj pom qhov tsis xws luag hauv cov phab ntsa ntawm lub plab, qhia tias muaj qog.
Yog xav tias metastases, tag nrho suav tomography lossis ultrasound ua tiav. Raws li txoj cai, nrog adenocarcinoma ntawm lub plab, thawj metastases tshwm sim hauv daim siab thiab cov qog nqaij hlav ntsig txog lub plab thiab cov hnyuv.
Kev kho mob nrog tshuaj kho ib txwm
Nyob rau hauv kev kho mob ntawm adenocarcinoma ntawm lub plab, ntau txoj kev kho yog siv - kws khomob, phais, kev kho hluav taws xob. Cov tshuaj tseem siv tau.
Tsis ntev los no, tau muaj kev tshawb fawb txog kev siv cov qia hlwb rau kev kho mob plab adenocarcinoma. Tseem tsis tau muaj kev tshuaj xyuas txog qhov kev kho mob no, tab sis cov kev taw qhia tau cog lus.
Hom kev kho mob tshwj xeeb, nws lub sijhawm thiab kev siv zog yog nyob ntawm qhov xwm txheej ntawm tus neeg mob, theem ntawm cov qog loj hlob, nrog rau muaj cov kab mob metastases thiab cov kab mob sib kis. Kev kho mob tuaj yeem siv tau ib leeg, lossis ob peb zaug ib zaug, lossis txawm tias tag nrho tib lub sijhawm.
- Kev kho mob nrog tshuaj kho mob. Nws yog siv los inhibit qog kev loj hlob, txo cov tsos mob thiab nres metastasis. Nws yog siv, raws li txoj cai, tom qab kev phais mob, ob qho tib si sib cais thiab ua ke nrog kev kho hluav taws xob. Hmoov tsis, cov tshuaj chemotherapy, txawm tias feem ntauniaj hnub no, tsis yooj yim rau kev zam los ntawm lub cev thiab tau hais tawm cov kev mob tshwm sim - poob phaus thiab plaub hau poob, ntuav, xeev siab, thiab lwm yam. Txawm li cas los xij, hom kev kho mob no yog qhov tsim nyog thiab zoo heev, yog li koj yuav tsum tsis txhob tsis kam lees. Cov kws khomob tau cawm ntau tus neeg mob, thiab cov kev mob tshwm sim rov qab los thiab ib ntus.
- Kev cuam tshuam kev phais. Thaum tsis muaj metastases, kev phais yog tib txoj hauv kev kom tshem tawm cov qog nqaij hlav cancer hauv lub cev tag nrho. Nws tuaj yeem siv rau txhua theem ntawm kev loj hlob ntawm tus kab mob. Cov kev zam yog cov xwm txheej thaum lub qog tsis saib xyuas thiab yog li "entrenched" hauv lub cev uas kev phais tsis tuaj yeem ua tsis tau. Hauv qhov xwm txheej zoo li no, tus neeg mob qhov xwm txheej yuav luag tsis muaj kev cia siab, yog li peb tab tom tham txog seb tus neeg mob plab adenocarcinoma yuav nyob ntev npaum li cas.
- Immunotherapy - activates lub cev lub peev xwm los tua cov qog thiab tiv thaiv rov qab. Cov tshuaj uas cuam tshuam rau lub cev tiv thaiv kab mob kuj tseem pab txo qis kev loj hlob ntawm metastases.
- Kev kho hluav taws xob. Qhov no yog ib qho kev kho mob uas tsis muaj mob uas tsis muaj kev cuam tshuam rau tus neeg mob lub cev. Qee qhov ntawm lub cev raug hluav taws xob, uas tso cai rau koj kom tsis txhob muaj cov kab mob metastases thiab txo qhov mob. Nyob rau lub sijhawm tom qab phais tas, kev kho hluav taws xob tso cai rau koj "tiav" cov qog nqaij hlav cancer sab laug tom qab kev phais, thiab tiv thaiv los ntshav.
- Stemhlwb. Hom kev kho no tseem muaj kev sim thiab tsuas yog muaj nyob hauv ob peb lub tsev kho mob hauv tebchaws Russia. Txawm li cas los xij, nws muaj kev cia siab heev thiab yav tom ntej tuaj yeem ua rau muaj kev cuam tshuam tiag tiag hauv kev kho mob qog noj ntshav.
Kev kho mob nrog pej xeem tshuaj
Rau qhov nruab nrab adenocarcinoma ntawm lub plab, cov zaub mov hauv qab no yog siv:
- Aconite tincture. Rau kev ua noj, koj yuav tsum noj 100 grams ntawm aconite paus, ncuav boiling dej thiab tawm rau ib teev. Tom qab ntawd lub hauv paus yuav tsum tau crushed thiab ncuav nrog cawv nrog lub zog ntawm kwv yees li 60 degrees. Insist 21 hnub. Koj tuaj yeem yuav tau npaj ua tincture hauv lub tsev muag tshuaj. Siv lub tincture los ntawm dissolving nws nyob rau hauv ib khob dej sov. Kev nkag mus kawm yog 10 hnub, qhov ntau npaum li cas pib nrog ib qho poob, ib qho ntxiv ntxiv txhua hnub. Noj cov tincture ib nrab teev ua ntej noj mov.
- Decoction of qos paj. Sau qos yaj ywm paj thaum lawv nyob rau hauv tag nrho Bloom. Qhuav nyob rau hauv ib qho chaw tsaus, ces grind. Ncuav ib tablespoon ntawm crushed xim nrog ib nrab ib liter ntawm boiling dej thiab tawm rau 3 teev. Noj ib decoction yuav tsum yog ib nrab ib teev ua ntej noj mov, 150 milliliters 3 zaug ib hnub twg. Hoob no kav ob lub lis piam, ces muaj ib lub sij hawm so. Lub sijhawm kho tag nrho tuaj yeem yog rau lub hlis.
Tseem siv tshuaj tuaj yeem txo cov tsos mob ntawm mob qog noj ntshav thiab txhim kho kev noj qab haus huv tag nrho, tab sis lawv tsis zoo li hloov cov tshuaj ib txwm siv. Txawm li cas los xij, kev siv cov tshuaj pej xeem yuav tsum tau pom zoo nrog tus kws kho mob tuaj koom. Kev kho tus kheej rau cov kab mob loj xws li gastric adenocarcinomainvalid.
Txoj kev kho neeg pej xeem tsis tas yuav muaj txiaj ntsig xwb, vim lub cev ntawm txhua tus neeg yog tus kheej. Tsis tas li ntawd, kev kho mob qog noj ntshav yog nqa tawm nrog cov tshuaj muaj zog heev uas tuaj yeem hnov mob unpredictably nrog tshuaj ntsuab npaj noj. Thaum kawg, tus neeg mob yuav muaj kev fab tshuaj banal rau ib lossis lwm yam khoom, uas tuaj yeem ua rau tag nrho cov duab kho mob. Tus kws kho mob yuav txiav txim siab seb cov zaub mov twg nrov tshaj plaws yog siv rau hauv ib qho xwm txheej tshwj xeeb.
Muaj Teeb Meem
Yeej, cov teeb meem ntawm plab adenocarcinoma tshwm nrog cov qog nqaij hlav loj heev lossis los ntawm kev kho mob:
- thaum cov qog nkag mus rau ntawm phab ntsa ntawm lub plab thiab ua rau cov hlab ntsha loj puas tsuaj, tus neeg mob yuav muaj kev cuam tshuam los yog tsis tu ncua los ntshav ntawm qhov sib txawv;
- muaj cov metastases hauv txhua lub cev (lub ntsws, siab, thiab lwm yam) cuam tshuam rau lawv txoj haujlwm thiab tuaj yeem ua rau tsis txaus;
- qog nqaij hlav nyob rau hauv pyloric ntawm lub plab feem ntau ua rau muaj teeb meem nrog kev noj zaub mov ntawm lub plab mus rau txoj hnyuv - pyloric stenosis;
- mob qog noj ntshav, squeezing cov hlab ntsha, ua rau cov hlab ntsha tsis zoo hauv lub plab kab noj hniav, uas yog nrog los ntawm cov kua dej ntau ntxiv (ascites, lossis dropsy).
Kev phais mob plab adenocarcinoma feem ntau nyuaj los ntawm ntau yam: tom qab los ntshav, caws pliav thiab stagnation ntawm cov zaub mov hauv plab. Yuav kom daws tau qhov teeb meem no, ib tug gastrostomy yog siv - nyob rau hauv lub plab mogib lub qhov nyob rau hauv phab ntsa, thiab tus neeg mob noj los ntawm nws.
Kev Tiv Thaiv
Muaj qee yam uas koj tuaj yeem ua los pab txo koj txoj kev pheej hmoo kis mob:
- khoom noj kom raug. Nws yuav tsum yog feem ntau (tsawg kawg peb zaug hauv ib hnub), yog tias ua tau, noj ntau zaus, tab sis nyob rau hauv me me. Khoom noj khoom haus yuav tsum nyob rau hauv ib tug nruab nrab kub - tsis kub heev. Nws yog ib qho tsim nyog kom tsis suav cov zaub mov haus luam yeeb thiab cov pickles, cov zaub mov ceev thiab cov tais diav ntau dhau. Qhia cov zaub mov uas muaj cov vitamins A, C thiab E rau hauv koj cov zaub mov.
- Kev tsis lees paub tus cwj pwm phem. Kev haus luam yeeb thiab haus cawv ua rau muaj kev pheej hmoo ntawm kev mob qog noj ntshav thiab ntau yam kab mob.
- Kev tshuaj xyuas kev tiv thaiv tsis tu ncua. Txawm tias tsis muaj kev tsis txaus siab ntawm lub plab, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas txhua 2 xyoos - ua fibrogastroduodenoscopy thiab soj ntsuam seb puas muaj cov kab mob Helicobacter pylori.
- Yog tias koj muaj mob hauv plab thiab lwm yam kev xav tsis zoo, koj yuav tsum hu rau tus kws kho mob sai sai - cov tsos mob tsis tuaj yeem zam tau.
Adenocarcinoma ntawm plab yog ib yam kab mob loj heev. Vim tias lub sijhawm ntev nws tuaj yeem ua tiav yam tsis muaj kev tshwm sim sab nraud, koj yuav tsum tau saib xyuas koj txoj kev noj qab haus huv thiab sab laj nrog kws kho mob raws sijhawm - tom qab ntawd tus kab mob yuav raug kuaj pom thaum ntxov thiab ua tiav tiav.
