Kev kho mob qog noj ntshav plab tsuas yog ua tau tom qab kuaj pom tseeb. Cov tswv yim niaj hnub no zoo heev yog tias koj tuaj yeem pom tus kab mob thaum ntxov, yog li nws tseem ceeb heev kom paub txog nws cov tsos mob. Tig mus rau tus kws kho mob, sai li sai tau thaum cov tsos mob tsis txaus ntseeg pib thab, ib tus neeg ua rau nws muaj feem cuam tshuam txog kev txhim kho zoo dua.
cov ntaub ntawv dav dav
Ua ntej koj txiav txim siab seb qhov kev kho mob plab yuav tsum yog dab tsi, koj yuav tsum xav txog seb tus kab mob no yog dab tsi. Lub sij hawm yog siv los txheeb xyuas xws li ib tug oncological pathology, thaum ib tug malignant neoplasm tshwm nyob rau hauv tib neeg lub cev. Cov khoom pib rau nws txoj kev loj hlob yog cov hlwb uas tsim lub plab epithelium.
Txheeb cais qhia meej tias cov neeg feem coob xav tau kev kho mob plab hnyuv rau cov neeg muaj hnub nyoog plaub caug xyoo thiab laus dua, txawm hais tias nyob rau xyoo tas los no cov kab mob ntawm cov menyuam yaus tau dhau los ua ntau zaus. Tsis tshua muaj, pathology raug kuaj pom hauv cov neeg muaj hnub nyoog qis dua peb caug.
Tam sim no, mob plab plab yog nyob rauLwm cov kab mob oncological nyob rau hauv cov nqe lus ntawm qhov zaus ntawm qhov tshwm sim thiab kev pheej hmoo ntawm kev tuag khov kho nyob rau qib thib ob, thib ob tsuas yog rau cov qog nqaij hlav cancer hauv lub ntsws.
Kev piav qhia kab mob
Yuav kom tsis tshua ntsib qhov xav tau kev kho mob sai sai ntawm mob qog noj ntshav, koj yuav tsum nkag siab tias lub ntsiab lus ntawm tus kab mob yog dab tsi thiab dab tsi tuaj yeem ua rau nws. Pathology yog ib txwm muaj, yog li txhua tus neeg niaj hnub no yuav tsum muaj lub tswv yim dav dav txog nws. Mob qog noj ntshav tuaj yeem tshwm sim hauv txhua qhov ntawm lub plab, thiab metastases kis thoob plaws lub cev. Ib qho tshwj xeeb yog qhov kev kub ceev ntawm cov txheej txheem no. Feem ntau, cov mob qog nqaij hlav thib ob tau kuaj pom hauv lub ntsws, daim siab.
Kev kho mob plab plab pib lig dhau lawm, tsis quav ntsej cov tsos mob ntawm tus kab mob, nrhiav kev kho mob lig thiab tsis quav ntsej txog classic, cov txheej txheem pov thawj yog qee yam vim tias mob qog noj ntshav plab ua rau tuag taus. Qhov nruab nrab, tus naj npawb ntawm cov neeg raug tsim txom los ntawm tus kab mob no hauv ib xyoos yog kwv yees li ntawm 800 txhiab tus neeg thoob ntiaj teb.
Ntau zaus txiv neej xav tau kev kho mob plab ntau dua li poj niam. Txog li 80% ntawm cov neeg mob tau nrog metastases, uas yog, cov hlwb atypical kis thoob plaws hauv lub cev, cuam tshuam rau cov kabmob tshiab. Cov theem nrog metastases cia peb tham txog ob qho tib si mob qog noj ntshav thiab theem nrab. Nws paub los ntawm kev txheeb cais tias cov neeg mob feem ntau tig mus rau tus kws kho mob ntawm theem plaub ntawm tus kab mob, uas yog tus cwj pwm los ntawm metastases thiab cov tsos mob hnyav ntawm tus mob qog noj ntshav. Hmoov tsis, niaj hnubcov tshuaj tseem tsis tau muaj qhov txhais tau tias yuav ua rau tus neeg mob muaj lub sijhawm zoo rau lub neej ntev. Yog tias koj xav tias muaj tus kab mob pathology, koj tsis tas yuav ncua sijhawm kom txog thaum nws los txog rau theem nrog metastases - koj yuav tsum sau npe rau kev kuaj kom sai li sai tau.
Los ntawm cov ntaub ntawv tau txais los ntawm cov kws kho mob ntau xyoo ntawm kev sim kho mob qog noj ntshav hauv plab (ua tiav, raws li cov duab qhia, tsis tas li), nws ua raws li cov metastases kis nrog cov kua dej thiab cov ntshav. Tsis tas li ntawd, ib tug malignant neoplasm tuaj yeem loj hlob mus rau hauv cov ntaub so ntswg thiab cov kabmob uas nyob ze rau ntawm lub plab. Nyob ntawm tus yam ntxwv ntawm kev faib tawm, nws yog ib txwm hais txog metastases:
- hematogenous;
- lymphogenic;
- implantation.
Tus neeg mob tam sim no thiab yav tom ntej
Mean ciaj sia taus tus nqi sib txawv heev. Qhov kev kwv yees zoo tshaj plaws yog rau cov neeg uas xav tias muaj teeb meem hauv lub sijhawm thiab thov rau kev kuaj mob qog noj ntshav rau lub tsev kho mob. Kev kho mob, tau pib ua raws sijhawm, muab 65% ntawm cov neeg mob uas muaj rau lub hlis muaj sia nyob. Txog rau theem loj, qhov ntsuas no kwv yees tsis pub ntau tshaj 15%, thiab qee tus kws tshaj lij tau hais tias qhov xwm txheej tseem ceeb tshaj plaws - tsuas yog tsib feem pua ntawm cov neeg mob tuaj yeem suav rau rau lub hlis ntawm lub neej tom qab tsim kev kuaj mob.
Ntau tus neeg mob pib mus rau hauv tsev kho mob nrog kev tsis txaus siab, raws li qhov tsis yog kws tshaj lij tsis xav tias oncology. Ntau zaus lawv tuaj yws txog:
- dyspepsia;
- mob plab zom mov;
- cov teeb meem ua zaub mov;
- suav quav.
Nrhiav qhov laj thawj ntawm cov tsos mob,los ntawm kev ua ib qho kev ntsuam xyuas, cov kws kho mob yuav pom tau tias kev kho mob plab yog twb xav tau. Thawj cov tsos mob ntawm tus kab mob no tsis meej, yog li nws nyuaj rau xav tias muaj ib yam dab tsi tsis ncaj ncees lawm thaum tus kab mob nyuam qhuav pib.
pawg pheej hmoo thiab ntau yam
Feem ntau, cov txheej txheem oncological hauv plab tau kuaj pom hauv cov txiv neej hnub nyoog plaub caug xyoo, feem ntau tsawg dua cov kab mob tshwm sim hauv cov hnub nyoog peb caug xyoo, thiab nyob rau hauv cov xwm txheej tsis tshua muaj nws tau sau tseg hauv cov neeg hluas.
cuaj tawm ntawm kaum cov qog pom hauv plab, raws li kev txheeb xyuas kev kho mob, yog qhov phem. Feem ntau ntawm cov neoplasms no yog carcinomas. Hauv cov txiv neej, tus kab mob no feem ntau kuaj pom thaum muaj hnub nyoog 50-75.
Nws yog qhov nyuaj heev los pib kho mob qog noj ntshav raws sijhawm: cov tsos mob muaj ntau yam sib txawv, nyob ntawm tsis yog ntawm tus neeg mob tus yam ntxwv, tab sis kuj nyob ntawm nws qhov chaw nyob, qhov tshwj xeeb ntawm qhov chaw nyob ib puag ncig. Raws li cov ntaub ntawv khaws tseg, cov kws kho mob qhia tias kev loj hlob ntawm qog nqaij hlav yog provoked los ntawm ob peb pawg ntawm yam:
- kev nyab xeeb;
- thaj chaw thaj chaw;
- kev coj noj coj ua;
- lub neej nta.
Lwm yam tshwj xeeb ntawm lub neej niaj hnub tuaj yeem ua lub luag haujlwm.
qhov teeb meem tuaj qhov twg?
Yog tias koj paub zoo txog qhov ua rau muaj tus kabmob, yog li qee qhov koj tuaj yeem cawm koj txoj kev noj qab haus huv, txhais tau hais tias kev kho mob qog noj ntshav hauv plab tsis tshua xav tau. Kev tshuaj xyuas cov kws kho mob, txawm li cas los xij,poob siab: cov kws tshaj lij hais tias feem ntau nws tsis tuaj yeem txiav txim siab raws nraim qhov twg ua rau tus txheej txheem malignant. Nws ntseeg tau tias oncology txhim kho nrog kev sib xyaw ua ke ntawm ntau yam. Yuav tsum ua lub luag haujlwm:
- kab mob helicobacter pylori;
- gastric polyps;
- mob ntev pathologies uas cuam tshuam rau lub plab mucosa;
- genetic predisposition.
Thiab ntau ntxiv?
Helicobacter pylori yog ib daim ntawv microscopic lub neej uas provokes gastritis, plab rwj. Raws li cov kev tshawb fawb tshwj xeeb tau pom, hauv cov neeg uas xav tau kev kho mob rau lub plab (theem - tag nrho), qhov concentration ntawm cov kab mob no hauv lub plab zom mov yog ob peb zaug ntau dua li cov neeg noj qab haus huv.
Polyps yog hu ua xws li kev loj hlob ntawm lub plab mucosa, uas nyob rau hauv lawv tus kheej yog benign, tab sis tuaj yeem ua rau oncology. Lawv tshwm sim ntau dua yog tias tus neeg mob nrog mob plab pathologies. Ib qho kev pheej hmoo tshwj xeeb yog txuam nrog atrophic gastritis - mucous daim nyias nyias nyias, cov kua txiv yog tsim nyob rau hauv me me ntim. Yog tias mob plab polyps tshwm sim, qhov kev pheej hmoo ntawm kev tsim cov txheej txheem malignant hauv neoplasm nce. Qhov xwm txheej tshwj xeeb yog qhov txaus ntshai thaum qhov ntev ntawm polyp yog 2 cm lossis ntau dua, thiab cov qauv muaj cov khoom uas tuaj yeem tsim cov hnoos qeev. Qhov kev pheej hmoo ntawm mob qog noj ntshav nce siab yog tias muaj ntau tus polyps.
Raws li tau pom los ntawm kev tshuaj xyuas, kev kho mob qog noj ntshav feem ntau xav tau rau cov neeg uas nws cov txheeb ze twb mob qog noj ntshav.cov neeg mob, nrog rau cov neeg uas raug kev txom nyem los ntawm pathologies ntawm digestive system. Qhov tshwm sim ntawm tus kab mob malignant neoplasm nce ntau.
Tsis tseem ceeb yog lub neej txhua hnub. Yog li, nrog ntau qhov kev tshwm sim ntau dua, kev kho mob qog noj ntshav hauv plab yuav tsum tau yog tias tus neeg nyiam noj:
- khoom noj kaus poom;
- ntsim;
- fat;
- fried.
Txhua yam khoom siv uas muaj cov tshuaj muaj suab npe, ib zaug hauv plab, ua mob rau cov mucosa, ua txhaum lub ntuj tiv thaiv, uas txhais tau hais tias cov tshuaj muaj peev xwm tuaj yeem nkag mus rau cov qauv ntawm lub cev. Txij li thaum nyob rau hauv lub neej txhua hnub cov neeg raug pom (xws li nyob rau hauv cov zaub mov) nrog ib tug nplua nuj ntawm carcinogens, qhov tshwm sim ntawm tus kab mob cancer yog heev. Ib lub cell uas muaj carcinogen nkag mus tsis tas yuav ua rau muaj kab mob - nws tuaj yeem rhuav tshem los ntawm lub cev tiv thaiv, tab sis qhov kev pheej hmoo ntawm kev yug dua tshiab yog siab heev.
Txheej xwm thiab Habits
Nws paub tias kev phais tsawg dua yuav tsum tau kho mob qog noj ntshav hauv cov neeg noj zaub thiab txiv hmab txiv ntoo. Kev noj zaub mov muaj txiaj ntsig nplua nuj nyob hauv cov vitamins thiab irreplaceable microscopic ntsiab pab kom txo tau txoj kev tsis zoo. Tau kawg, tsuas yog khoom noj khoom haus tsim nyog tsis tuaj yeem lav qhov tsis muaj oncology, tab sis nws txo qis nws qhov tshwm sim.
Tab sis tus neeg haus luam yeeb thiab haus cawv tuaj yeem ua rau lawv tus kheej cov kev kwv yees ua phem. Ob qho no tuaj yeem ua rau mob neoplasms.nyob rau hauv ntau yam ntaub so ntswg ntawm lub cev, thiab qhov tseeb ntawm lawv cov cawv tau tsim los ntev.
Muaj kev pheej hmoo mob qog noj ntshav hauv cov neeg uas raug kev txom nyem los ntawm hormonal tsis txaus. Kev txheeb cais qhia tias tus kab mob no feem ntau pom nyob rau hauv cov neeg uas muaj qhov hnyav dhau, kab mob keeb kwm yav dhau. Ntawm cov predisposing sawv daws yog feem ntau pathologies ntawm lub plab hnyuv ib ntsuj av thiab lub cev xeeb tub, tab sis lwm yam kev noj qab haus huv tsis zoo kuj yuav provoke malignant txheej txheem.
Vim txoj kev kho zoo tshaj plaws yog kev tiv thaiv, kev kho mob zoo tshaj plaws rau mob qog noj ntshav yog txo qis cov yam uas tuaj yeem ua rau nws. Nws yog paub tias oncology feem ntau pom tawm tsam keeb kwm ntawm lub plab, yog li nws yog ib qho tseem ceeb uas yuav tau pib tawm tsam tus kab mob no kom raws sijhawm. Kev yug dua tshiab feem ntau rub rau ntau xyoo, yog li tus neeg mob muaj sij hawm los nrhiav txoj hauv kev thiab tshem tawm qhov mob ua ntej nws ua rau muaj kev puas tsuaj loj.
Tseem muaj cov neeg paub thaum mob qog noj ntshav tsim los ntawm nws tus kheej, tsis muaj kev noj qab haus huv tom qab. Feem ntau, tus kab mob manifests nws tus kheej nrog cov tsos mob zoo ib yam li lub rwj. Yuav kom kuaj tau qhov tseeb, koj yuav tsum mus ntsib kws kho mob. Raws li cov txiaj ntsig ntawm txoj kev tshawb no, tus kws kho mob yuav pom zoo kom xaiv qhov kev kho mob zoo li cas: mob qog noj ntshav lossis mob plab.
Tim thiab pawg
Rau txhua kis, txhua pab pawg, txhua theem, kev kho mob qog noj ntshav muaj nws tus yam ntxwv tshwj xeeb. Txhawm rau xaiv qhov kev pab cuam zoo tshaj plaws, nws yog ib qho tseem ceeb uas yuav tau soj ntsuam tus neeg mob tus mob, txhawm rau txiav txim siab tag nrho cov nuances ntawm tus neeg mob.
Carcinoma yog feem ntau. Cov qog tsim tawm ntawm lub plabmucous. Cov hlwb tseem ceeb yog cov qauv tsim cov mucus.
Yog li hu ua mob qog noj ntshav tau paub. Daim ntawv no tsis yog ntau heev, nws qhov tshwj xeeb yog lub hauv paus rau kev txhim kho cov txheej txheem. Neoplasm tshwm los ntawm cov ntaub so ntswg tuab.
Crystal cell - ib hom kab mob oncology uas tsim los ntawm cov hlwb, nrog kev nce loj, pom tau los ntawm cov duab ntawm cov nplhaib. Cov kab mob no feem ntau tshwm sim sai heev, metastasizes ua ntej lwm cov ntaub ntawv.
Leiomyosarcoma yog mob qog noj ntshav uas tsim los ntawm cov leeg nqaij ntawm lub plab.
Lymphoma tshwm hauv cov qog ntshav.
Nyob ntawm thaj chaw, txhua kis tau muab faib ua pawg hauv qab no:
- mob qog noj ntshav (thaum lub plab mus txog rau txoj hlab pas);
- mob qog noj ntshav (hauv nruab nrab);
- me me curvature (organ phab ntsa ntawm sab xis);
- pyloric (thaum lub sijhawm hloov ntawm lub plab mus rau hauv txoj hnyuv).
Lwm qhov kev faib tawm suav nrog faib txhua qhov xwm txheej ua ob pawg:
- endophytic;
- exophytic.
Thawj - qhov xwm txheej uas cov qog loj hlob hauv phab ntsa ntawm lub plab. Tus kab mob manifests nws tus kheej nrog cov tsos mob zoo ib yam li ulcer. Qhov thib ob qeb yog kis ntawm neoplasm mus rau hauv lub plab lumen. Muaj ntau qhov sib txawv ntawm cov txheej txheem polypoid, nceb-puab, nodular.
theem ntawm tus kab mob
Nws tsis muaj qhov zais cia tias qhov nyuaj (hauv qib) ntawm kev kho mob qog noj ntshav hauv plab sib txawv heev, nws txhua tus nyob ntawm theem ntawm cov txheej txheem malignant tau kuaj pom. Qhov kev kwv yees zoo tshaj plaws yog thaum kuaj pom tus kab mob nyob rau theem xoom, tab sisqhov tshwm sim ntawm qhov no yog qhov tsawg heev. Lub sijhawm no ntawm kev txhim kho kab mob yog tus cwj pwm los ntawm cov hlwb atypical raws li sab hauv ntawm lub plab. Kev nthuav dav tob tseem tsis tau tshwm sim.
kauj ruam tom ntej yog thawj theem. Kev kwv yees rau cov neeg mob: kev muaj sia nyob tsib xyoos yog qhov zoo rau yim tus neeg ntawm txhua kaum tus neeg mob. Cov theem feem ntau yog muab faib ua ob pawg: A thiab B. A yog cov cai uas qhia tias tsis muaj kev sib kis ntawm cov hlwb atypical tob rau hauv lub cev. B - code qhia tias cov neoplasm kis mus rau cov qog nqaij hlav lossis cov leeg nqaij.
Tseem muaj ob pab pawg nyob rau theem ob. Cov theem yog kwv yees li ntawm 56% kev ciaj sia nyob rau tsib xyoos. 2A: lub neoplasm yuav tsis sib sib zog nqus mus rau hauv lub cev, tab sis cuam tshuam rau cov qog nqaij hlav nyob ze (txog rau rau qhov chaw). Chav Kawm 2A kuj suav nrog cov xwm txheej zoo li no thaum kuaj pom cov hlwb atypical hauv cov leeg nqaij thiab tsis pub ntau tshaj ob qhov ntawm cov kab mob lymphatic nyob ze ntawm neoplasm. Yog tias cov kab mob lymphatic huv huv, txawm tias qhov xwm txheej zoo li no suav nrog hauv pawg 2A, thaum txhua txheej ntawm lub plab phab ntsa raug cuam tshuam los ntawm cov hlwb atypical.
2B - kuj yog qeb dav dav, suav nrog ntau qhov xwm txheej:
- cov txheej txheem malignant yog nyob rau sab hauv ntawm lub plab, cov hlwb atypical pom nyob rau hauv xya lossis ntau dua cov qog nqaij hlav;
- cov qog cuam tshuam rau cov leeg nqaij, tsis pub ntau tshaj ob lub qog ntshav;
- lymph nodes huv si, tab sis cov txheej txheem kis tau los ntawm phab ntsa ntawm lub plab mus rau sab nraud (kwv yees rau lub cev) cov qauv.
Kev mob nkeeg
Qhov thib peb yog faib ua 3 pawg: A, B, C. Tsib xyoos kev ciaj sia yog kwv yees li ntawm 15-40%. 3A raug kuaj yog tias cov qog tau cuam tshuam rau cov leeg nqaij plab, xya lossis ntau dua cov qog ntshav. Lwm txoj kev xaiv yog mus txog ob lub qog ntshav qab zib thiab kev swb ntawm tag nrho cov kab mob plab. 3B tau teeb tsa yog tias cov neoplasm tau loj hlob mus rau sab nrauv phab ntsa ntawm lub plab thiab kis mus rau 7 cov qog ntshav thiab ntau dua. Lwm qhov kev xaiv yog qhov swb mus txog rau ob lub pob thiab txhua txheej ntawm cov ntaub so ntswg ntawm lub plab, nrog rau cov nyob ze. 3C - ib qho txawv ntawm tus kab mob, thaum cov hlwb atypical raug kuaj pom sab nraum phab ntsa ntawm lub plab thiab hauv xya lossis ntau dua cov qog los yog tau loj hlob mus rau hauv cov ntaub so ntswg nyob ib puag ncig lub cev thiab kis mus rau cov qog nqaij hlav (txog rau rau daim).
Kev kho mob nyuaj tshaj plaws rau theem 4 mob qog noj ntshav. Qhov kev hloov pauv no tau kuaj pom thaum pathology tau cuam tshuam cov kab mob lymphatic, cov hlwb atypical nrog cov kua dej tau kis thoob plaws lub cev, pib loj hlob hauv lwm yam kabmob thiab cov ntaub so ntswg. Kev kho mob ntawm theem 4 mob qog noj ntshav yog kev tawm tsam metastasis, nrog rau kev kho mob ntawm cov teeb meem hauv qab. Kev kwv yees ua rau poob siab: tsib xyoos kev muaj sia nyob tsawg dua 5%. Txawm li cas los xij, koj yuav tsum tsis txhob tso tseg: kev kho mob ntawm theem 4 mob qog noj ntshav nrog metastases yog ua tau, thiab tsis muaj leej twg tuaj yeem kwv yees qhov tshwm sim 100%.
Yuav ua li cas?
Cov kev kho mob zoo tshaj plaws rau mob qog noj ntshav muaj rau cov neeg mob hauv cov chaw kho mob niaj hnub nrog cov cuab yeej siv siab thiab cov tshuaj tshiab. Cov kev kawm yog raws li nram no:
- kev phais mob;
- chemotherapy;
- irradiation.
Nws kho tsis tau tus kab mob ntawm koj tus kheej. Txawm tias txhim khu kev qha thiab suav hais tias yog cov tshuaj zoo tshaj plaws rau kev kho mob qog noj ntshav hauv plab yuav tsis pom qhov tshwm sim, txawm hais tias koj tuaj yeem siv rau lawv, hauv kev pom zoo nrog tus kws kho mob, ua kev pab txhawm rau txhim kho cov mob.
Kev rov ua dua tso cai rau koj kom tsis txhob muaj cov tsos mob hnyav ntawm tus kab mob thiab ua rau tus neeg mob lub neej zoo dua, txhim kho tus neeg mob lub cev. Cov kev xaiv ntawm txoj kev kho mob ntawm lub plab tseem nyob nrog tus kws kho mob - qee zaum lawv txiav txim siab tshem tawm ib feem ntawm lub cev, qee zaum kev tshem tawm ntawm lub plab yog qhia tag nrho.
Xov tooj cua thiab kws khomob yog cov txheej txheem pabcuam txhawm rau tshem tawm cov kabmob metastases yog tias cov txheej txheem malignant tau kis dhau lub plab. Kev kuaj mob, kev xaiv kev kho mob yog lub luag haujlwm ntawm tus kws kho mob plab, tus kws kho mob oncologist, kws phais.
Ntse thiab kho
Yog tias nws tuaj yeem kuaj pom tus mob neoplasm ntawm xoom lossis thawj theem, kev kuaj xyuas ntxaws ntawm tus neeg mob tau lees paub tias tsis muaj metastases, cov mucous membrane raug cuam tshuam, tab sis cov txheej hauv qab nws tseem tsis tau dhau los ua thaj chaw. ntawm localization ntawm atypical hlwb, koj tuaj yeem tshem tawm qee feem pua ntawm cov phab ntsa hauv plab, cov qog ntshav nyob ze thiab cov ntaub ntim me me. Qhov kev xaiv no yog qhov zoo tshaj plaws, qhov kev cia siab yog qhov zoo tshaj plaws, thiab kev kho kom rov zoo yog qhov yooj yim thiab luv dua li lwm qhov.
Tom qab kev cuam tshuam, lub plab ntim yuav me dua. Yog hais tias kev tshem tawm tag nrho ntawm lub cev yog qhia, txoj hlab pas yog artificially txuas rau txoj hnyuv. Yav tom ntejCov neeg uas tau ua haujlwm zoo li no tsuas yog noj tau feem me me xwb.
Irradiation yog tsim nyog los ua kom qeeb ntawm kev loj hlob ntawm neoplasm, kom txo cov qog me ntsis. Kev kho hluav taws xob tau qhia ua ntej kev phais kom txo qhov ntim uas yuav tsum tau muab tshem tawm, thiab tom qab ntawd los txhawm rau txo qhov kev pheej hmoo ntawm kev rov tshwm sim.
Tshuaj khomob yog lub sijhawm teem sijhawm ntawm cov tshuaj complex rau kev tawm tsam ntawm kev ua haujlwm tseem ceeb thiab kev puas tsuaj ntawm cov qauv cellular degenerated. Tom qab kev phais, cov chav kawm zoo li no tau raug sau tseg los tiv thaiv kev loj hlob ntawm cov hlwb atypical yog tias lawv nyob hauv lub cev, thiab yog li txo qis qhov yuav rov qab los.
Raws li txoj cai, txhua txoj hauv kev tau ua ke kom ua tiav qhov txiaj ntsig zoo tshaj plaws.
Course Features
Thaum kho mob qog noj ntshav plab, tshwj xeeb tshaj yog qhov tseem ceeb ntawm kev noj zaub mov kom zoo, sib npaug, thiab raug. Lub cev, yuam kom tawm tsam mob qog noj ntshav, xav tau cov qauv protein, cov kab mob thiab cov vitamin complexes, thiab qhov tshwj xeeb ntawm tus kab mob yog qhov ua haujlwm ntawm lub plab hnyuv siab raum. Nws yog ib qho tseem ceeb los tswj cov ntsiab lus caloric ntawm cov khoom noj thiab cov khoom noj uas tau noj, kom nyiam cov tais diav uas noj qab nyob zoo.
Muaj cov xwm txheej thaum lub xeev kev nyuaj siab tau tsim tawm tsam keeb kwm ntawm mob qog noj ntshav plab. Cov neeg mob yuav ntxhov siab, ib txhia ua qaug zog, tsis kam noj. Qhov no ua rau cov kua dej nkag rau hauv cov hlab ntsha.
Kab mob thiab kev kho mob: kev phiv
Cov kab mob Oncological tsis zoo heev los ntawm tus neeg, cov teeb meem ua rau tus neeg mob mob hnyav heev. Tsuas yogTsis tas li ntawd, cov txheej txheem ntawm kev tawm tsam cov qog nqaij hlav muaj rau cov kws kho mob niaj hnub no kuj nyuaj rau tib neeg zam. Feem ntau, mob qog noj ntshav nrog ntshav qab zib los ntawm cov ntshav vim kev puas tsuaj rau cov phab ntsa vascular. Yog hais tias neoplasm loj, cov txheej txheem necrosis tuaj yeem ua tau, uas txhais tau hais tias cov co toxins nkag mus rau hauv lub cev qhia tau hais tias muaj cov tshuaj lom. Atypical hlwb nquag siv zog, thiab tus neeg mob poob nws qab los noj mov, yog li tus kab mob feem ntau nrog dystrophy.
Ntev ntev tuaj yeem ua rau kub hnyiab, dermatitis, mob hluav taws xob. Chemo ua rau:
- tsis muaj zog;
- tawg quav;
- xeev siab, ntuav;
- hair poob;
- tawv nqaij;
- eczema;
- kev ua txhaum ntawm lub cev xeeb tub;
- fragility, deformation ntawm tes;
- dermatitis.
Ntau zaus, tawm tsam keeb kwm yav dhau los ntawm kev kho mob antitumor, cov neeg mob raug yuam kom tawm tsam kev kis kab mob ntawm lub cev, vim tias lub cev tiv thaiv kab mob raug txwv los ntawm tus kab mob thiab los ntawm txoj kev muaj rau cov kws kho mob los tawm tsam nws. Tawm tsam keeb kwm ntawm oncology, kab mob yog qhov nyuaj thiab tuaj yeem ua rau muaj teeb meem loj. Cov chav kawm nyuaj tshaj plaws rau cov neeg uas xav tau kev kho mob rau theem 4 mob qog noj ntshav nrog metastases.
Kev Ua Haujlwm: qee qhov nta
Kev kho lub plab yog txoj kev txhim khu kev qha tshaj plaws muaj rau cov txiv neej niaj hnub no, tab sis nws tsis yog ib txwm tuaj yeem siv rau nws. Yog tias cov qog loj, cov txheej txheem tau mus deb, kev ua haujlwm tsuas yog ua tsis tau. Kev cuam tshuam radical yog txwv tsis pub yog cov hlwb atypic altau kis mus rau lwm yam kabmob, vim nws tsis muaj tseeb tshem tawm txhua qhov chaw cuam tshuam thaum tswj lub cev muaj peev xwm ua haujlwm.
Yog tias nws tuaj yeem txheeb xyuas tus kab mob thaum pib, tej zaum tsuas yog kev ua haujlwm txaus xwb, koj yuav tsis tas mus rau hluav taws xob thiab tshuaj khomob. Txawm li cas los xij, hauv kev xyaum, cov xwm txheej zoo li no tsis tshua muaj, vim nws muaj teeb meem heev los kuaj mob qog noj ntshav ntawm qib xoom thiab txawm tias thawj zaug.
Kev kho mob nrog pej xeem tshuaj
mob plab tsis tuaj yeem kho tau hauv tsev. Kev txhim kho tus neeg mob tus mob yog ua tau thaum noj tshuaj antitumor, thiab nruj me ntsis raws li kev saib xyuas ntawm tus kws kho mob, tab sis tsis muaj "magic tshuaj" los yog cov khoom paub yuav txwv tsis pub txoj kev loj hlob ntawm atypical lug. Thiab tseem, koj yuav tsum tsis txhob tso tseg cov zaub mov ntawm pej xeem cov kws kho mob: txawm hais tias kev kho mob plab nrog pej xeem txoj kev tsis yooj yim sua, tab sis lawv zoo rau kev tiv thaiv kev tiv thaiv, uas txhais tau hais tias lawv ua rau lub cev muaj peev xwm tiv taus cov teeb meem.
Thaum tab tom kho hauv tsev kho mob, raws li kws kho mob cov lus qhia, koj tuaj yeem siv cov tshuaj ntxiv dag zog, cov vitamins uas ua rau muaj kev tiv thaiv kab mob. Oncology yeej ib txwm tsis muaj zog tiv thaiv kab mob, yog li ntawd, yuav tsum tau immunomodulators. Lawv tuaj yeem coj mus tsev, thiab tsis yog thaum nyob hauv tsev kho mob xwb, tab sis los ntawm kev pom zoo ua ntej nrog tus kws kho mob, txwv tsis pub koj tuaj yeem ua mob rau koj tus kheej.
Koj yuav tsum tau ceev faj heev txog kev tshuaj xyuas ntawm kev kho mob qog noj ntshav nrog cov tshuaj pej xeem ib la sov. Cov kws kho mob saib xyuas: thermal raug yog contraindicated, vim nws muaj peev xwmtxhawb kev loj hlob ntawm neoplasm. Yog vim li cas tib yam, physiotherapy raug txwv.
Hmoov tsis zoo, tsis muaj kev kho mob plab mob qog noj ntshav nrog cov tshuaj pej xeem uas yuav zam kev phais. Kev tsis saib xyuas tus kws kho mob cov lus pom zoo, tsis kam lees cov txheej txheem ntawm cov tshuaj classical hauv kev pom zoo ntawm cov kws kho mob cov tshuaj, tus neeg mob yog li nkim nws lub sijhawm, ua rau cov kev mob tshwm sim tsis zoo, uas nyob deb ntawm rosy hauv oncology. Txhawm rau txhim kho koj txoj hauv kev rau yav tom ntej, koj yuav tsum pib kho cov kev kho mob uas koj tus kws kho mob tau sau tseg sai li sai tau. Yog hais tias phais tau qhia, koj yuav tsum tau mus rau qhov txheej txheem. Yog hais tias hluav taws xob thiab tshuaj tau pom zoo ntxiv, tsis txhob ncua.
Oncology thiab khoom noj khoom haus
Ib yam yuav tsum tau ua ntawm kev kho mob rau neoplasms hauv plab yog kev noj haus. Koj yuav tsum tau ua raws li cov kev pab cuam noj zaub mov tshwj xeeb txij li lub sijhawm kuaj mob mus txog rau thaum kawg ntawm lub sijhawm kho mob. Ua ntej ua haujlwm, nws yog ib qho tsim nyog los muab cov ntsiab lus siab ntawm cov protein thiab cov vitamins hauv cov zaub mov. Kev nyiam yog muab rau cov khoom uas tsis muaj peev xwm ua rau muaj kev tsis haum tshuaj.
Nws yog ib qho tsim nyog yuav tsum nco ntsoov qhov tseem ceeb ntawm cov qauv protein rau tib neeg lub cev - cov khoom no yog siv los ntawm cov ntaub so ntswg thiab cov khoom nruab nrog cev los ua cov khoom "tsev". Kev noj zaub mov kom zoo, muab cov khoom noj tsis tu ncua ntawm cov protein, koj tuaj yeem muab cov khoom tsim nyog rau lub cev kom kho qhov txhab sai, suav nrog cov uas tau txais thaum phais.
Protein deficiency nyob rau hauv lub cev ua rau qeeb kho, anastomotic tsis ua hauj lwm. Yog tias qhov concentration tsis ua haujlwmcov qauv protein nyob hauv lub cev los ntawm kev noj zaub mov, cov tshuaj txhaj tshuaj ntawm cov amino acid daws tau pom. Lawv mus rau lawv ntau zaus, txij li qhov tshwj xeeb ntawm tus kab mob oncological yog qhov kev zom ntawm cov protein tau los ntawm cov zaub mov tsawg heev.
Txoj kev pabcuam khoom noj khoom haus
Koj yuav tsum tau ua raws li cov kev pabcuam khoom noj khoom haus uas kws kho mob tau sau tseg tom qab ua haujlwm. Yog hais tias qhov txhab yog kiag li, subtotal, ib tug gastrectomy yog ua, cov kws kho mob thaum lub sij hawm lub lag luam tsim ib tug reservoir rau cov zaub mov los ntawm lub auxiliary ntaub so ntswg ntawm lub cev. Qhov no dictates cov cai ntawm kev noj haus: koj yuav tau noj me me ntawm cov zaub mov, sib npaug ntawm cov zaub mov, coj mus rau hauv tus account tag nrho cov tsim nyog Cheebtsam:
- proteins;
- fat structures;
- vitamin complexes;
- mineral compounds;
- carbs.
Nyob rau thawj hnub tom qab ua haujlwm, tus neeg mob tau txwv tsis pub noj kom tsis txhob raug mob ntxiv rau lub plab. Txhawm rau tswj lub zog ntawm lub cev, ib qho kev txhaj tshuaj ntawm cov khoom noj khoom haus tau raug sau tseg. Kev pub mis rau tus kheej feem ntau tso cai rau hnub thib peb lossis plaub tom qab kev cuam tshuam. Thaum xub thawj, cov zaub mov yuav tsum yog kua, ib nrab-kua: tsawg-rog broths ntawm nqaij, tshwj xeeb sib tov. Maj mam, cov qos yaj ywm mashed thiab kua cereals tau nkag rau hauv kev noj haus.
Tom qab tso tawm ntawm lub chaw phais mob, tus kws kho mob qhia tus neeg mob txog kev cai noj zaub mov hauv tsev kom lub cev rov ua haujlwm sai thiab ua tiav. Cov khoom siv pabcuam yog muab rau cov khoom tseem ceeb ntawm cov khoom. Nws yog ib qho tsim nyog yuav tsum noj fractionally, ib hnub - txog li xyaib zaug. Koj yuav tsum tso cov khoom noj ntxhib thiab cov khoom noj uas nyuaj rau zom. Cov tshuaj uas tuaj yeem ua rau lub plab zom mov yog txwv tsis pub. Tshem tawm:
- khoom noj;
- sour;
- ntsim;
- cawv;
- carbonated.
Kev txwv txiav rau cov tais kub.
Tom qab kev ua haujlwm thiab lub sijhawm rov ua haujlwm, tus neeg tau sau npe thiab xa mus rau esophagogastroduodenoscopy.
