Cancer yog ib yam kab mob uas ntshai tshaj plaws hauv ntiaj teb niaj hnub no. Ntau tus neeg mob, tau hnov qhov kev kuaj mob no, tam sim ntawd pib ntshai. Txawm li cas los xij, tsis ntev los sis tom qab, cov neeg mob xav tau ntev npaum li cas lawv tuaj yeem nyob nrog mob qog noj ntshav thib plaub nrog metastases. Muaj ntau thiab ntau tus neeg tuag los ntawm mob qog noj ntshav. Txawm li cas los xij, nws tsis yooj yim los muab cov lus teb kom raug, vim tsuas muaj cov ntaub ntawv kho mob qhuav qhuav. Lub neej expectancy ntawm tus neeg mob kuaj mob cancer ntawm ntau theem, ob qho tib si nrog thiab tsis muaj metastases, yog cuam tshuam los ntawm ntau yam. Qee lub sij hawm nws tshwm sim tias tus neeg mob tsis tuag los ntawm mob qog noj ntshav.
Statistics
Tam sim no koj tsuas tuaj yeem muab cov ntaub ntawv kwv yees txog mob qog noj ntshav ntawm qee yam. Ib tug qog ntawm ib tug malignant xwm, uas yog localized nyob rau hauv lub caj pas prostate, muaj lub siab tshaj plaws ciaj sia taus tus nqi - 30%. Malignant formations nyob rau hauv lub mis tsis tas yuav tuag tsuas yog nyob rau hauv 15% ntawm cov neeg mob. Nrog mob qog noj ntshav plab, ib ntawm tsib tuaj yeem muaj sia nyob. Qhov txaus ntshai tshaj plaws yog lub siab ua haujlwm tsis tau thiab mob ntsws cancer - 6 thiab 10%raws.
Cov lus qhia dav dav txog tus kabmob
Yuav kom nkag siab zoo txog yam uas cuam tshuam rau lub neej expectancy ntawm tus neeg mob, koj yuav tsum nrhiav kom paub cov ntaub ntawv ntau npaum li sai tau txog tus kab mob nws tus kheej.
Hmoov tsis zoo, txawm tias txhua qhov kev nce qib hauv cov tshuaj niaj hnub hauv kev kho mob qog noj ntshav, cov kws tshaj lij tseem tsis tau tsim qhov ua rau muaj tus mob zoo li no thiab tsis tuaj yeem piav qhia vim li cas cov hlwb atypical metastasize txawm mus rau cov kabmob uas nyob deb tshaj plaws. Cov hauv qab no tau teev tseg raws li feem ntau tshwm sim thiab yuav ua rau:
- genetic predisposition;
- tus cwj pwm phem;
- raug rau lwm yam (kev ua haujlwm hauv kev lag luam tshuaj lom neeg, raug mob).
Cov kab mob ntawm ntau yam kab mob oncological muaj qhov sib txawv loj nyob ntawm seb cov qog nyob qhov twg. Txawm li cas los xij, tus neeg mob feem ntau tsis hnov lossis tsuas yog tsis quav ntsej cov tsos mob, thiab yog li ntawd tuaj rau lub tsev kho mob nkaus xwb thaum nws lig dhau los ua ib yam dab tsi, thiab mob qog noj ntshav tuaj yeem tshwm sim hauv lub sijhawm nrawm. Yog vim li cas tus kab mob no feem ntau kuaj tau nyob rau theem plaub nrog cov tsos mob ntawm metastases. Koj yuav tsum paub tias cov kab mob pathology tau tsim tshwj xeeb hauv cov tub ntxhais hluas, txij li cov txheej txheem metabolic ua haujlwm zoo heev, thiab lawv cov metabolism hauv siab. Tsis tas yuav tham txog qhov tseeb tias koj tuaj yeem rov qab los ntawm kev mob qog noj ntshav ntawm theem plaub, tab sis koj yuav tsum tsis txhob ua kom koj lub neej tas mus li. Tsis muaj tus kws tshaj lij yuav ua nws qhov kev txiav txim,qhia txog lub neej expectancy ntawm kev mob qog noj ntshav, vim nws tsuas tsis muaj cov ntaub ntawv no.
mob qog noj ntshav thib plaub: cov neeg mob ntsws puas nyob ntev npaum li cas?
Nyob rau hauv lub ntsws cancer, qhov kev soj ntsuam muaj qhov sib txawv tseem ceeb, uas yog txiav txim los ntawm hom histological ntawm cov qog. Kev txiav txim los ntawm kev muaj sia nyob cov txheeb cais ntawm cov neeg mob uas muaj cov qog nqaij hlav me me, nyob rau lub sijhawm tsib xyoos, daim duab no tsis siab dua 1%, thiab qhov no yog vim qhov kev loj hlob hnyav heev ntawm cov neoplasm no. Mob ntsws cancer loj ntawm tes muaj tus nqi siab dua ntawm 12%.
Lub neej expectancy ntawm cov neeg mob uas muaj mob qog noj ntshav tsis tuaj yeem raug txo vim qhov kev kis tus kab mob no mus rau cov kab mob nyob sib ze thiab hauv nruab nrog cev, metastases tau tsim. Cov chav kawm ntawm pathology yog cuam tshuam zoo los ntawm kev tshem tawm tag nrho lub ntsws los yog ib feem ntawm nws. Nrog rau qib plaub ntawm tus kab mob ntsws, kev siv tshuaj khomob thiab kev kho hluav taws xob tuaj yeem, rau qee qhov, txo cov kev txom nyem ntawm tus neeg mob. Hauv 70% ntawm cov neeg mob, cov tsos mob ntawm cov kua dej pathological vim yog qhov tsis xws luag ntawm lub pleura. Txhawm rau tso cov kua dej tawm ntawm cov kab noj hniav pleural, cov kws tshaj lij ua cov thoracocentesis.
Plaub qib siab mob qog noj ntshav nrog metastases
Malignant neoplasms nyob rau hauv daim siab mob tshwj xeeb tshaj yog sai thiab dhau los ntawm thawj theem mus rau lig ib tug nyob rau hauv tsuas yog 3-4 lub hlis. Nws yog vim qhov kev loj hlob hnyav no uas mob qog noj ntshav muaj qhov tsis txaus siab heev, thiab qhov no tau tshwm sim hauv cov ntawv txheeb cais,sib npaug li tsib xyoos. Nws feem pua yog 6.
Thaum cov kab mob oncological ntawm daim siab ntawm qib plaub, tag nrho cov lobes thiab cov hlab ntsha portal raug cuam tshuam los ntawm cov txheej txheem malignant. Kev pab ib txwm siv rau cov neeg mob no yog cov tshuaj tua kab mob ntawm cov keeb kwm narcotic, nrog rau laparocentesis, uas yog, tshem tawm cov kua dej hauv lub plab kab noj hniav. Tseem muaj ntau tus neeg tuag los ntawm hom mob qog noj ntshav no.
Nyob rau theem siab ntawm daim siab mob qog noj ntshav, lub neej tuaj yeem txuas ntxiv nrog cov thev naus laus zis kho mob qog noj ntshav: radiofrequency kho thiab chemoembolization.
mob plab plab ntawm qib plaub
Piv rau lwm hom mob qog noj ntshav, mob qog noj ntshav nrog kev tsim cov metastases muaj qhov muaj sia nyob ntau tshaj plaws, txij li 15 txog 20%. Cov kws kho mob tshwj xeeb kuaj xyuas theem kawg yog tias lub plab, ib qho khoom nruab nrog cev nyob ze, thiab tsawg kawg ib lub qog ntshav hauv cheeb tsam raug cuam tshuam.
Txoj hauv kev zoo tshaj plaws los tswj cov txheej txheem oncological hauv plab yog cov tshuaj khomob txhaj rau hauv cov hlab ntsha. Nyob rau theem siab, kev phais yuav ua tau yog tias muaj los ntshav lossis plab hnyuv.
Nrog kev loj hlob ntawm exophytic ntawm neoplasm (thaum lub lumen ntawm lub plab zom mov raug thaiv), cov kws tshaj lij muab kev phais mob palliative. Xws li kev ua haujlwm kom tshem tawm cov qog rov ua kom lub patency ntawm cov zaub mov. 10-15% ntawm cov neeg mob raug phaisib qho kev lag luam thaum lub sij hawm uas lub raj tshwj xeeb rau parenteral noj zaub mov yog cog.
mob qog nqaij hlav pancreatic tsis ua haujlwm
Vim tias tsis muaj kev kho mob phais rau cov neeg mob nrog qhov kev kuaj mob no, qhov ciaj sia nyob hauv qhov no yog ob feem pua. Thiab vice versa - cov neeg mob uas tau txais kev phais radical muaj lub sijhawm nyob mus txog tsib xyoos hauv 15-20%.
Rau mob qog noj ntshav pancreatic, hom kev phais feem ntau yog qhov tseem ceeb ntawm Whipple kev ua haujlwm. Nws cov txheej txheem yog raws li qhov tseeb hais tias lub taub hau ntawm cov qog nqaij hlav cancer raug tshem tawm ib txhij nrog ib feem ntawm lub plab, gallbladder thiab duodenum.
Kev phais radical tsis tuaj yeem ua rau cov neeg mob uas muaj qhov tsis xws luag hauv cov hlab ntsha uas nyob ib sab thiab ntau yam metastases. Txhawm rau txhim kho lub neej zoo ntawm cov neeg mob uas tsis tuaj yeem ua haujlwm ntawm pancreatic cancer, cov kws kho mob tshwj xeeb tuaj yeem tshem tawm cov ducts ntawm lub gallbladder. Tsis tas li ntawd, kev kho mob nyuaj nyuaj suav nrog cov tshuaj tua kab mob narcotic.
Kev mob qog noj ntshav tsis zoo yog qhov tsis zoo.
Fourth degree mob qog noj ntshav
Kev ciaj sia rau cov neeg mob qib 4 mob qog noj ntshav muaj li ntawm 10% mus rau 15% yog tias tau ua mastectomy. Txhawm rau txiav txim siab qhov loj me ntawm kev cuam tshuam kev phais, tus kws kho mob tshwj xeeb xav tau cov ncauj lus kom ntxaws tomography ntawm thaj chaw cuam tshuam. Thaum twg yog qhov radicalkev cuam tshuam, uas yog qhov tseeb tshwj xeeb rau cov poj niam uas muaj qhov txhab ntawm lub fascia ntawm lub mis thiab metastases nyob rau hauv ob peb pawg ntawm cov qog ntshav, tus kws kho mob tau sau cov tshuaj cytostatic ntawm qhov ntau npaum li cas. Cov xwm txheej ntawm tus neeg mob cuam tshuam rau lub neej ntev ntawm kev mob qog noj ntshav tsis tuaj yeem. Hauv particular, nws muaj qhov thib ob foci ntawm cov qog loj hlob hauv daim siab, ntsws thiab lub raum. Yuav ua li cas nrog kev mob qog noj ntshav hauv lub tsev menyuam tsis tau?
Uterine mob cancer qib plaub: lub neej expectancy
Malignant neoplasms hauv tsev menyuam nyob rau theem kawg ntawm oncogenesis kis dhau ntawm nws ciam teb thiab cuam tshuam rau cov kabmob uas nyob hauv lub plab me me, thiab qee zaum metastatic foci tuaj yeem kuaj pom hauv cov ntaub so ntswg. Nrog mob qog noj ntshav ntawm lub tsev menyuam nrog metastases, lub neej expectancy ntawm cov neeg mob feem ntau yog vim kev paub ntawm cov kws kho mob. Feem ntau, kev kho mob yog nyob ntawm tej thaj chaw deb irradiation nrog ntxiv intracavitary radiation therapy. Hmoov tsis zoo, kev saib xyuas mob qog noj ntshav, txawm tias nyob hauv qhov loj, ua rau muaj kev muaj sia nyob tsib xyoos ntawm 3-9% ntawm cov neeg mob.
Qhov no yog qhov txaus ntshai mob qog noj ntshav nrog metastases yog li cas.
Lub neej expectancy rau theem 4 prostate cancer
Cov tsos mob tuaj yeem suav nrog cov zis los ntshav. Qhov thib plaub theem ntawm mob qog noj ntshav prostate nyob rau hauv txhua rooj plaub cuam tshuam nrog metastasis ntawm cov qog nqaij hlav mus rau lwm lub cev thiab lub cev, uas cuam tshuam rau qhov zoo, lub neej expectancy thiab prognosis, thiab tseem ua rau tuag ntawm cov neeg mob tsis yog los ntawm.tus kab mob nws tus kheej, tab sis los ntawm nws cov teeb meem nrog.
Cov neeg nyob nrog mob qog noj ntshav prostate ntev npaum li cas?
Pob txha thiab daim siab yog qhov tshwj xeeb tshaj plaws ntawm cov kab mob metastasis, uas ua rau lub neej luv luv ntawm cov neeg uas muaj qib kawg ntawm kev mob qog noj ntshav prostate. Yog hais tias metastases cuam tshuam rau cov pob txha ntawm tus txha nraub qaum, ces rov qab compression yog tsim. Hauv cov neeg mob nrog qib plaub. Qhov no tuaj yeem ua rau muaj tus kab mob paraplegia, uas yog, tuag tes tuag taw, immobilization thiab mob hnyav.
Thaum kuaj mob metastases, qhov kev mob tshwm sim hnyav dua, txawm tias kev phais thiab kws khomob tau muab tshuaj raws sijhawm, thiab cov neeg mob tseem hluas (tom qab plaub caug xyoo). Nws yog ib qho nyuaj hais tias tus neeg yuav nyob ntev npaum li cas rau qhov no. Nws nyob ntawm lub xeev ntawm nws lub cev hauv nruab nrog cev, kev kho mob zoo, muaj cov metastases, nrog rau lawv muaj nyob hauv cov pob txha. Qhov nruab nrab, qhov ntsuas no yog los ntawm ib mus rau peb xyoos.
Yog li peb tau saib qib 4 mob qog noj ntshav.
