Txhua tus paub tias mob qog noj ntshav yog ib yam kab mob txaus ntshai heev, tshwj xeeb tshaj yog tias nws tau kuaj pom nyob rau theem lig. Ib yam ntawm cov kab mob no yog metachronous cancer. Tab sis nws sawv cev li cas? Metachronous cancer yog ib qho ntawm peb hom kev mob qog noj ntshav ntawm ob sab ntawm cov qog lossis cov kabmob, uas nyob rau hauv tib neeg lub cev muaj nyob rau hauv khub, piv txwv li, ntawm sab xis thiab sab laug ntawm tib lub cev, lossis cov qog uas muaj cov qog nqaij hlav. tib histological qauv. Hauv qab no koj tuaj yeem kawm paub ntau ntxiv txog lub tswv yim no, qhov ua tau ntawm kev loj hlob ntawm tus kab mob, nrog rau cov tsos mob.
Kev piav qhia dav dav
Hais txog qhov mob qog noj ntshav metachronous yog dab tsi, ib tus yuav tsum tau ua tib zoo saib xyuas qhov tseeb tias thawj zaug ib qho neoplasm tshwm sim ntawm qee lub cev, thiab tom qab ib ntus nws kuj tsim nyob rau hauv lub cev thib ob, yog tias muaj ib khub. Secondary nodules ntawm tus kab mob no me me npaum li cas.piv rau qhov tseem ceeb. Feem ntau, mob qog noj ntshav metachronous raug kuaj pom hauv cov qog mammary, hauv ntsws, thiab hauv plab hnyuv. Tsis tas li hauv kev xyaum muaj cov kab mob lymphoproliferative.
kab mob cancer metachronous yog dab tsi, tus kab mob tuaj qhov twg?
Peb tseem xav txog cov yam ntxwv ntawm tus kab mob oncological no. Mob qog noj ntshav ntau metachronous yog dab tsi? Qhov no yog ib daim ntawv ntawm oncology uas muaj 2-6 thawj qog hlav. Hauv qhov no, thawj neoplasm tuaj yeem tsim nyob rau hauv ib lub cev, thiab lwm cov qog yog tsim nyob rau hauv lwm lub cev. Ib lub pob thib peb tuaj yeem rov tsim dua ntawm thawj lub cev. Muaj ntau qhov sib xyaw ua ke ntawm thawj-ntau yam mob qog noj ntshav metachronous.
Feem ntau, lub tswv yim no yog hais txog cov txheej txheem thaum ob lub qog mammary cuam tshuam. Txawm li cas los xij, muaj ntau zaus hauv kev xyaum thaum lub qog mammary thib ob raug cuam tshuam tsuas yog ib xyoos tom qab kuaj pom tus qog ntawm thawj zaug.
Nyob rau hauv cov tshuaj, tau muaj ntau yam ntawm thawj hom mob qog noj ntshav metachronous. Piv txwv li, cov neeg mob muaj 6 cov txheej txheem malignant sib txawv uas tau ua nrog lub sijhawm tsis sib xws ntawm kev tso tawm. Ntawm cov kws kho mob tshwj xeeb, muaj qhov kev xav tias qhov xwm txheej zoo li no pib txhim kho nrog kev tshawb pom ntxov ntawm qhov pib ua kom pom tseeb thiab siv cov kev kho mob feem ntau los yog sparing txoj kev kho, uas yog, tsis muaj kev txiav tawm ntawm cov qog nws tus kheej.
Tsis tas li ntawd, cov kws tshawb fawb tau ua cov kev tshawb fawb uas qhia tias muaj nyobCov kev ntsuas tus kheej ntawm kev ua enzyme muab lub sijhawm los txheeb xyuas cov pab pawg muaj kev pheej hmoo. Neoplasms nyob rau hauv thawj metachronous cancer tshwm sim nrog ib tug txiav txim lub sij hawm. Yog tias tus kab mob no tau kuaj pom thaum ntxov ntawm txoj kev loj hlob, thiab ntawm cov txheej txheem ntawm kev kho cov radical tshaj plaws yog xaiv, ces qhov kev cia siab ntawm kev ciaj sia yog qhov zoo rau ib tug neeg.
Kev txheeb cais qhia tias hauv thawj ntau yam mob qog noj ntshav (raws li ICD-10 nws cov cai yog C97), feem ntau cov qog thib ob yog tsim nyob rau hauv 5-10 xyoo tom qab thawj zaug. Lub luag haujlwm loj kuj tseem ua si los ntawm lub sijhawm ntawm lub sijhawm nruab nrab ntawm qhov pom ntawm cov neoplasms. Cov kws tshawb fawb ntseeg tias yog tias tom qab 5 xyoos ntawm kev soj ntsuam thiab nyob rau hauv cov xwm txheej uas tus neeg mob hnov zoo li qub, lub hom phiaj tshiab tau tsim, ces muaj ntau yam mob qog noj ntshav ntawm lub mis lossis lwm yam kabmob.
Yog vim li cas
Tus kab mob no yog dab tsi? Cov laj thawj tshwj xeeb ntawm kev loj hlob ntawm metachronous cancer tseem tsis tau txheeb xyuas. Cov kws kho mob tseem tab tom ua cov kev tshawb fawb txog qhov muaj peev xwm ntawm kev siv tshuaj khomob thiab raug hluav taws xob. Kuj tseem muaj cov lus sib cav txog qhov tsis zoo ntawm kev kho mob ua ntej, thaum cov kws kho mob tom qab phais, nrog rau hluav taws xob, tsis muaj peev xwm ua tau zoo li no.
Metachronous cancer ntawm lub mis lossis lwm yam kabmob tuaj yeem tshwm sim vim kev haus luam yeeb, vim qhov no yog qhov ua rau muaj kev loj hlob ntawm cov txheej txheem oncological. Yog li ntawd, txhawm rau tiv thaiv oncologists, cov neeg mob raug pom zoo kom tso tseg qhov teeb meem nocwj pwm.
Feem ntau, qhov ua rau muaj ntau yam qog nqaij hlav yog suav tias yog kev hloov caj ces uas tshwm sim vim qee yam. Nyob rau hauv tag nrho, nws yog kev cai kom paub qhov txawv peb hom neoplasia:
- hlav hlav tshwm sim los ntawm kev hloov pauv sai sai.
- Neoplasms tsim los ntawm induced somatic mutation.
- qog nqaij hlav uas yog tshwm sim los ntawm kev hloov caj ces uas tau xeeb los.
Ntau zaus cov kev hloov pauv no tuaj yeem ua ke nrog ib leeg, thiab lawv cov kev sib txuas sib txawv kuj tseem yuav muaj. Qhov laj thawj tseem ceeb ntawm kev hloov pauv yog:
- Nyob rau hauv qhov tsis zoo ib puag ncig, piv txwv li, nrog cov pa taws muaj zog hauv huab cua, nrog ntau cov tshuaj khib nyiab hauv dej, thiab lwm yam.
- Kev ua haujlwm txaus ntshai, piv txwv li, ntawm cov chaw cog tshuaj, ntawm tsob ntoo nuclear.
- Ntau x-ray kuaj ntawm tib neeg lub cev.
- Kev noj zaub mov tsis zoo, tshwj xeeb tshaj yog kev noj ntau dhau ntawm cov khoom hloov pauv caj ces, nrog rau cov khoom noj yooj yim.
- Ntau yam kev kho mob xws li kws khomob thiab xov tooj cua.
- Ib tug lej ntawm cov kab mob tiv thaiv kab mob sib txawv.
- Ntau yam kab mob sib kis.
- Kev ua haujlwm tsis raug ntawm cov tshuaj hormonal.
Txoj kev kuaj mob
Kev mob qog noj ntshav yuav tsum tau ua tiag tiag. Oncologists yeej tsis txiav txim siab qhov ua tau ntawm ntau yam qog noj ntshav. Yog vim li ntawd lawv thiaj li ua qhov ntsuas ntsuas ntxiv. Piv txwv li, yog tias ib tug poj niam tau kuaj pom tias muaj mob qog noj ntshav ntawm lub mis sab laug lossis sab xis, ces cov kws kho mob yuav tshuaj xyuas qhov mob ntawm lwm tus. Tsis tas li ntawd, kev saib xyuas tshwj xeeb yog them rau cov xwm txheej ntawm lub cev ntawm tag nrho cov kab mob genitourinary.
Cov neeg mob uas raug kev txom nyem los ntawm cov kab mob oncological yuav tsum tsis tu ncua mus ntsib tus kws kho mob, ua cov kev ntsuam xyuas uas yuav tsum tau ua thiab tau txais kev kuaj mob los ntawm tus kws kho mob tshwj xeeb. Raws li rau cov txheej txheem kuaj mob, nws tuaj yeem txiav txim siab tus kab mob oncological siv cov hauv qab no:
- Urine tsom xam.
- pub ntshav tsis tu ncua.
- Magnetic resonance imaging.
- Computed tomography.
- X-ray.
Ib yam li qhov no, qhov ncauj keeb kwm ntawm qhov ncauj tseem ua lub luag haujlwm tseem ceeb. Tus kws kho mob oncologist nug tus neeg mob txog lub sijhawm ntawm cov tsos mob, mob hnyav, ua tau yog vim li cas rau kev loj hlob ntawm cov tsos mob, nrog rau cov caj ces predisposition rau ntau yam kab mob. Tus kws kho mob tshwj xeeb yuav tsum kawm cov ntaub ntawv hais txog tus neeg mob lub neej niaj hnub, cov xwm txheej ntawm nws txoj haujlwm thiab ib puag ncig ntawm qhov chaw nws nyob. Koj yuav tsum nug tus neeg mob txog qhov muaj cov kab mob tiv thaiv kab mob thiab lub xeev ntawm kev tiv thaiv kab mob.
Hmoov tsis zoo, qhov kev kuaj mob ntawm cov kab mob oncological malignant tseem yog feem ntau ua nyob rau theem kawg ntawm tus kab mob. Feem ntau, qhov no yog vim qhov tseeb tias cov neeg moblig dhau mus rau tus kws kho mob kom pab. Qee lub sij hawm tus kab mob tsis tshwm sim nws tus kheej hauv txhua txoj kev, yog li thaum ntxov tus neeg yuav luag tsis xav tias muaj kev hloov pauv hauv nws lub cev.
Tsuas yog nyob rau theem lig, tus neeg mob pib hnov mob tsis xis nyob, yws yws ntawm qhov mob, nrog rau qhov tsis zoo ntawm tag nrho cov mob. Qee zaum, thaum muaj qee yam tsos mob, cov neeg mob tsis tig mus rau tus kws kho mob oncologist, vam tias cov cim qhia no yuav ploj mus sai sai. Txawm li cas los xij, nyob rau hauv txoj kev no lawv tsuas ua rau muaj qhov tsis txaus ntseeg uas twb muaj lawm, thiab tus kab mob pib mus ntxiv.
Synchronous thiab metachronous
Yog tias ob lossis ntau dua cov qog tau pom hauv tus neeg mob, lossis tus qog thib ob tau kuaj pom tsis pub dhau rau lub hlis tom qab thawj zaug, ces qhov no peb tab tom tham txog kev mob qog noj ntshav synchronous. Yog tias, tom qab kuaj pom, cov qog thib ob thiab tom qab tshwm sim tom qab 6-12 lub hlis tom qab kuaj pom thawj zaug, qhov no qhia tau tias muaj kab mob qog noj ntshav metachronous. Tsis tas li ntawd, nyob rau tib tus neeg mob, ntau cov qog tuaj yeem kuaj tau ntau zaus sib law liag, qee zaum tom qab kev sib xyaw ua ke. Nyob rau hauv cov ntaub ntawv no, ib tug hais txog synchronous-metachronous cancer los yog metachronous-synchronous.
Ntau hom qog nqaij hlav tseem raug faib ua ntau yam hauv qab no:
- Malignant ntau yam neoplasms uas pib ntawm tib lub cev.
- Cov qog nqaij hlav uas tau tshwm sim hauv lub cev sib luag lossis ua ke, xws li cov qog mammary lossis ob lub raum.
- Muamqog nqaij hlav ntawm ntau yam kabmob uas tsis muaj qhov systematization.
- Kev sib xyaw ntawm cov kab mob thiab cov kab mob tsis zoo.
- Kev sib xyaw ntawm malignant neoplasms nrog benign ones.
Txoj Kev Kho Mob
Kev kho mob rau ntau yam qog nqaij hlav yuav tsum ib txwm ua tus kheej, suav nrog qee yam, piv txwv li:
- Ntxim ntawm qog.
- Localization ntawm neoplasms.
- Hnub nyoog ntawm tus neeg mob.
- Cancer stage.
- Intolerance rau tej yam tshuaj.
Surgery
Nws yuav tsum tau muab sau tseg tias cov kws kho mob tshwj xeeb siv rau kev phais mob tsuas yog nyob rau hauv cov xwm txheej uas lwm yam kev saib xyuas kev kho mob tsis tuaj yeem ua rau muaj txiaj ntsig zoo, thiab tseem yog theem ntawm tus kab mob siab heev uas nws tsis tuaj yeem ua tiav. tau txais txiaj ntsig zoo tsuas yog siv cov kev saib xyuas kev noj qab haus huv xwb.
Kev phais yog hais txog kev tshem tawm cov qog thiab cov qog. Kev kho mob ntawm ntau cov qog tuaj yeem ua tiav ib txhij, uas yog, thaum lub sijhawm ua haujlwm, tag nrho cov neoplasms thiab metastases raug tshem tawm ib zaug. Cov kev kho zoo li no tuaj yeem ua tiav hauv theem, hauv qhov no, tsuas yog ob peb txoj kev cuam tshuam los tshem tawm cov neoplasm.
Kev kho mob
Raws li lub tswv yim ntawm cov kev kho mob ntawm cov kev kho mob, nws yuav loj nyob ntawm tus neeg mob tus mob, vim hais tias lub hom phiaj tseem ceebyog kev khaws cia ntawm lub cev. Synchronous thiab metachronous cancer tuaj yeem kho nrog kev pab ntawm cov tshuaj uas yog tsom rau kev kho mob oncological. Cov tshuaj no yuav tsum tau muab tshuaj nruj me ntsis rau tus kheej, nyob ntawm qhov chaw ntawm cov qog.
Tsis tas li ntawd, cov kws tshaj lij tau sau tshuaj immunostimulating rau cov neeg mob, nrog rau cov vitamin complexes los txhawb kev tiv thaiv kab mob. Nyob rau tib lub sijhawm, cov tshuaj tua kab mob kuj tau sau tseg, suav nrog cov tshuaj yeeb tshuaj.
Tshuaj khomob
Feem ntau, cov neeg mob uas mob qog noj ntshav tau muab tshuaj kho mob. Cov txheej txheem no yog kev kho mob nrog co toxins lossis tshuaj lom uas muaj kev cuam tshuam rau cov qog nqaij hlav malignant uas twb muaj lawm.
kev kho mob tsis zoo
Nws yog txoj cai los tham txog hom kev kho mob no tsuas yog thaum qhov kev tshem tawm ntawm neoplasms tsis ua rau muaj txiaj ntsig zoo. Nrog kev pab los ntawm txoj kev no, nws muaj peev xwm txo tau cov tsos mob ntawm tus kab mob, nrog rau kev pab cuam puas siab puas ntsws rau tus neeg mob thiab nws tsev neeg. Lub hom phiaj tseem ceeb ntawm hom kev kho no yog txhawm rau txhim kho lub neej zoo ntawm cov neeg mob uas raug kev tuag, mob hnyav, kho tsis tau.
Zoo kawg
Raws li cov lus hais saum toj no, peb tuaj yeem txiav txim siab tias tus neeg mob yuav tsum ua raws li tag nrho cov lus pom zoo ntawm cov kws kho mob tshwj xeeb, noj cov tshuaj thiab cov tshuaj vitamin complexes, ntxiv dag zog rau lub cev tiv thaiv kab mob, noj zaub mov kom zoo, siv sijhawm ntau hauv huab cua ntshiab. Kuj ua raws likho tau zoo.
