Qhov xwm txheej mob plab (GC) muaj siab heev hauv Nyiv, Iceland, Chile. Khoom noj khoom haus yog qhov tseem ceeb hauv kev loj hlob ntawm tus kab mob: kev noj cov calorie ntau ntau, haus luam yeeb, qab ntsev yog qhov tseem ceeb ntawm kev pheej hmoo. Hauv qhov sib piv, kev siv cov vitamins thiab fiber ntau tiv thaiv. Tam sim no, cov nyhuv carcinogenic ntawm Helicobacter pylori, Epstein-Barr tus kab mob tau raug pov thawj. Cov xwm txheej tam sim no yog kev haus luam yeeb thiab haus cawv.
mob plab: cov tsos mob thiab kev kho mob
Nws tseem ceeb heev kom paub cov cim tseem ceeb ntawm tus kab mob. Cov tsos mob thaum ntxov ntawm mob qog noj ntshav tshwm sim tsuas yog thaum cov qog loj hlob txaus, thaum lub lumen ntawm lub cev nqaim, nws qhov ntim qis thiab kev khiav tawm yog cuam tshuam. Qhov tshwm sim ntawm cov qog nqaij hlav plab tuaj yeem pib los ntawm cov ntshav los yog cov tsos mob ntawm kev mob hnyav heev los ntawm qog nqaij hlav. Cov tsos mob tseem ceeb ntawm mob qog noj ntshav yog nyob ntawm qhov chaw ntawm cov txheej txheem nrog hom kev loj hlob, ntawm daim duab histological, kev koom tes ntawm cov khoom nruab nrog cev, thiab cuam tshuam rau tag nrho lub cev.
Dysphagia
Feem ntau, mob plab hnyuv yog tshwm sim los ntawm kev ua txhaum ntawm lub cev patency. Cov tsos mob ntawm plab mob qog noj ntshav tshwm sim ua ntej thaum nyob hauv lub plawv lossispyloric cheeb tsam thiab yuav luag tsis muaj nyob rau hauv lub cev ntawm lub plab. Thaum kis mus rau txoj hlab pas, muaj teeb meem hauv kev nqos: thawj zaug, thiab tom qab ntawd ua kua zaub mov. Qhov no tshwm sim yog nrog los ntawm kub siab, belching nrog ib tug fetid tsw, qaug zog, poob ntawm lub cev hnyav. Cov tsos mob no feem ntau pom nrog kev loj hlob ntawm cov qog endophytic.
pab
Cov tsos mob ntawm plab mob qog noj ntshav feem ntau pom thaum cov qog nyob rau sab sauv thib peb ntawm lub cev thiab cuam tshuam nrog peristalsis nce ntxiv vim qhov nqaim ntawm lumen. Qhov mob yog nyob tom qab lub sternum lossis nruab nrab ntawm lub xub pwg hniav, uas zoo ib yam li lub plawv pathology. Mob nyob rau sab laug hypochondrium tshwm sim nrog mob qog noj ntshav ntawm lub plab. Feem ntau cov mob no tsuas yog kuaj tau tom qab theem.
Palpable mass
Ib qho tsos mob tseem ceeb ntawm mob qog noj ntshav hauv plab yog palpable loj hauv plab. Yeej, nws yog txiav txim los ntawm lub localization ntawm cov qog nyob rau hauv qis peb ntawm lub cev. Mob qog noj ntshav nyuaj rau palpate ntawm lwm qhov chaw.
Kev tsis txaus siab dav dav
Cov tsos mob ntawm tus kab mob qog noj ntshav hauv plab yog tus cwj pwm los ntawm lub npe hu ua mob me me:
- tsis muaj zog;
- kev nyuaj siab;
- kev tshaib plab;
- "paj" tsis xis nyob;
- ntshav qab zib;
- poob phaus.
suav nrog, peb tuaj yeem hais txog cov tsos mob tseem ceeb ntawm tus kab mob, cov no yog: mob, dyspepsia, "pas plab" tsis xis nyob, anemia, impaired evacuation.
Metastasis
qog nqaij hlav hematogenously rau daim siab, ntsws, pob txha; lymphogenous - nyob rau hauvumbilicus, Krukenberg metastasis. Thaum metastasizing nyob rau hauv lub peritoneum, ascites tshwm sim.
Diagnosis
Kev ntsuas ntsuas yog tsom rau kev kuaj mob qog noj ntshav, txiav txim siab nws qhov kev kis mob hauv zos thiab metastasis, thiab tshuaj xyuas cov kab mob somatic. Txhawm rau kuaj xyuas thiab txiav txim siab txog kev loj hlob ntawm qog noj ntshav, x-rays thiab endoscopy ntawm lub plab yog siv. Noj ib daim ntawm cov qog tso cai rau koj los txiav txim siab nws cov qauv histological, thaj tsam meej, qib ntawm cov kab mob ntawm cov kab mob hauv lub cev. X-ray ntawm lub ntsws, angiography, MRI, diagnostic laparoscopy yog siv los txiav txim metastasis.
Kev kho mob
Txhawm rau ua tiav cov txiaj ntsig zoo tshaj plaws, kev siv tshuaj kho mob nyuaj: kev sib xyaw ua ke ntawm kev phais mob nrog kev tshem tawm cov lymphocollector, kev kho hluav taws xob thiab tshuaj khomob.
