Leukoplakia ntawm txoj hlab pas: ua rau, tsos mob thiab kev kho mob

Cov txheej txheem:

Leukoplakia ntawm txoj hlab pas: ua rau, tsos mob thiab kev kho mob
Leukoplakia ntawm txoj hlab pas: ua rau, tsos mob thiab kev kho mob

Video: Leukoplakia ntawm txoj hlab pas: ua rau, tsos mob thiab kev kho mob

Video: Leukoplakia ntawm txoj hlab pas: ua rau, tsos mob thiab kev kho mob
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Kev puas tsuaj rau hauv plab hnyuv, lossis leukoplakia, cuam tshuam nrog cov txheej txheem nyuaj ntawm kev tuag ntawm cov hlwb epithelial. Cov kab mob siab heev ua rau muaj kev hloov pauv ntawm lub cev, uas cuam tshuam nws lub peev xwm thauj khoom los ntawm pharynx mus rau lub plab. Hauv tsab xov xwm, peb yuav nyob ntawm qhov ua rau thiab txoj hauv kev kho mob leukoplakia, thiab tseem qhia rau koj tias vim li cas koj yuav tsum tsis txhob haus cov tshuaj yej kub nrog rau cov kab mob hauv plab.

Kev mob nkeeg

Ntau yam pathologies ntawm lub plab zom mov yog cuam tshuam nrog kev puas tsuaj rau cov mucous epithelium. Esophageal leukoplakia yog tsis muaj kev zam.

Tus kab mob no tshwm sim nyob rau theem. Ua ntej, txheej submucosal ntawm txoj hlab pas yog deformed. Tom qab ntawd nws daim nyias nyias thiab cov qog ntshav tau suav nrog cov txheej txheem pathological. Nws kis mus rau tag nrho cov cheeb tsam ntawm lub cev, ua rau nqaim lub lumen. Cov ntaub so ntswg nyob ze tsis cuam tshuam. Ib txheej xim dawb tshwm rau ntawm qhov ncauj mucosa. Plaques uas tsim nyob rau hauv txoj hlab pas pib harden thiab nce loj. Maj mam tsim mob qog noj ntshavo.

kab mob ntawm esophagus
kab mob ntawm esophagus

Ntau yam ntawm leukoplakia

Esophageal leukoplakia tuaj yeem yooj yim thaum cov hlwb sib faib sai. Yog li ntawd, lawv tsis ntev dhau los ua tus txheej txheem ntawm keratinization. Ib txheej tawv yog tsim rau ntawm lub cev nws tus kheej. Hom thib ob ntawm tus kab mob yog atypical, thaum pom kev hloov pauv ntawm atrophic thaum lub sijhawm faib cell.

Tsis tas li ntawd, cov ntaub ntawv hauv qab no ntawm pathology yog qhov txawv:

  1. Paj. Ib daim yeeb yaj kiab dawb ua rau ntawm qhov mucosa ntawm txoj hlab pas. Tom qab ntawd nws kis mus rau sab hauv ntawm lub puab tsaig, tus nplaig thiab cov pos hniav. Plaque tshem tawm tsis tau.
  2. Vim. Nws yog qhov tshwm sim ntawm ntau hom kab mob. Es tsis txhob plaque ntawm qhov ncauj mucosa, daj ntseg plaques, lumps thiab warts tshwm. Lawv txawv xim los ntawm cov ntaub so ntswg noj qab haus huv, loj hlob sai.
  3. Nyob zoo. Nyob rau hauv txoj hlab pas, kho tsis zoo kab nrib pleb thiab mob tshwm sim. Tag nrho cov txheej txheem pathological yog nrog los ntawm qhov mob hnyav.
  4. Tuppeiner's leukoplakia. Clouding ntawm palate mucosa yog pom. Sij hawm dhau mus, cov pob liab liab tshwm rau ntawm nws.
  5. Soft. Nrog los ntawm o ntawm mucosa, nws tev tawm. Tsis muaj tsos mob tshwm sim.

Kev txiav txim siab hom kab mob thaum kuaj xyuas pab xaiv txoj kev kho mob zoo tshaj plaws.

Qhov laj thawj tseem ceeb

Kev swb ntawm cov phab ntsa ntawm txoj hlab pas feem ntau tshwm sim vim kev coj tsis zoo ntawm tib neeg. Tus kab mob sib npaug cuam tshuam rau txiv neej thiab poj niam, tab sis feem ntau tom qab 30 xyoo. Kev kho mob ib txwm zoo ib yam. Cov laj thawj tseem ceeb ntawm cov kab mob esophageal leukoplakia yog:

  1. Kev haus luam yeeb. Qhov cuam tshuam ntawm luam yeeb tar rau ntawm txoj hlab pas ua rau keratinization thiab o ntawm nws cov mucosa.
  2. Kev quav cawv. Cawv muaj zog tuaj yeem hlawv cov mucosa, ua rau nws tuab.
  3. Vitamin deficiency. Peb tab tom tham txog cov vitamins A, B, C thiab folic acid.
  4. Dentures. Cov hlau los ntawm cov qauv tsim oxidizes thiab ua rau cov hlab pas.
  5. khoom noj kub. Kev kub nyhiab tsis tu ncua ua rau pom qhov caws pliav thiab coarsening. Tias yog vim li cas koj tsis tuaj yeem haus dej tshuaj yej kub thiab lwm yam dej qab zib - kom tsis txhob muaj kab mob hauv plab.
  6. Kev sib txawv ntawm qib caj ces.
  7. Kev muaj papillomavirus hauv lub cev.

Los ntawm cov npe ntawm cov laj thawj nws pom tseeb tias feem ntau nws yog tus neeg uas, los ntawm nws tus cwj pwm thiab kev ua neej, ua rau muaj kev loj hlob ntawm tus kab mob.

kom tsis txhob haus luam yeeb
kom tsis txhob haus luam yeeb

daim duab kho mob

Thawj cov tsos mob ntawm cov kab mob esophageal leukoplakia tshwm nyob rau hauv qhov ncauj kab noj hniav. Ib txheej grey npog lub puab tsaig, cov pos hniav thiab ib feem ntawm tus nplaig. Cov neeg feem coob tsis xyuam xim rau qhov ua txhaum cai, pom tias nws yog qhov ua tsis tau zoo ntawm lub cev tiv thaiv kab mob. Txawm li cas los xij, plaques tshwm sim tom qab lub sijhawm luv luv. Loj hlob, lawv hloov mus rau erosion. Cov theem tom ntej ntawm cov txheej txheem pathological yog mob qog noj ntshav.

Raws li tus kab mob mus ntxiv, muaj lwm cov tsos mob tseem ceeb uas yuav tsum tau saib xyuas:

  • hnoos haum tom qab txhua pluas noj;
  • khaus thiab mob caj pas;
  • suab nrov;
  • coma xav hauvcaj pas.

Dysphagia tshwm sim hauv qee cov neeg mob thaum pib ntawm tus kab mob. Nws yog tus cwj pwm los ntawm kev tsis xis nyob thaum noj mov. Kuj tseem muaj ntau salivation, nyuaj nqos. Tej zaum yuav muaj belching, xeev siab, ua tsis taus pa. Vim qhov mob rhiab heev uas nrog rau qhov kub hnyiab thaum lub plab zom mov, cov neeg mob poob ceeb thawj sai heev.

Cov tsos mob ntawm esophageal leukoplakia
Cov tsos mob ntawm esophageal leukoplakia

Txoj kev kuaj mob

Ua ntej pib kho, nws yuav tsum tau kuaj los ntawm tus kws kho mob gastroenterologist. Nws tau ua tiav txhawm rau txheeb xyuas daim ntawv thiab qhov hnyav ntawm cov txheej txheem pathological.

Kev kuaj mob ntawm esophageal leukoplakia suav nrog kev kuaj xyuas cov ntaub so ntswg ntawm lub cev. Kev tshuaj xyuas histological thiab cov qauv ntawm cov ntaub so ntswg los ntawm thaj chaw cuam tshuam rau FGDS tau ua. Tom qab ntawd, kev kho tus kheej raug sau tseg, suav nrog kev kho tshuaj thiab kev noj haus. Qee zaum, yuav tsum tau phais.

Lub hom phiaj tseem ceeb ntawm kev kho yog tshem tawm cov hauv paus hauv paus ntawm tus kab mob. Yog hais tias nws yog provoked los ntawm kev haus luam yeeb los yog cawv, nws yog tsim nyog los tshem tawm kev quav yeeb quav tshuaj. Nyob rau hauv cov ntaub ntawv ntawm hlau oxide lom, hniav hniav raug tshem tawm ntawm lub qhov ncauj kab noj hniav. Thaum leukoplakia yog tshwm sim los ntawm kev ua haujlwm hauv kev lag luam phom sij, ib tus neeg raug xa mus rau lwm txoj haujlwm thaum tuav nyiaj hli. Qhov no yog muab los ntawm txoj cai lij choj ntawm Lavxias Federation. Lub plab thiab duodenum poob rau hauv kev ntsuas kho.

FGDS
FGDS

kev kho mob

Kev kho mobLeukoplakia ntawm txoj hlab pas pib nrog kev teem caij ntawm cov vitamins ntawm pab pawg A. Tsis tas li ntawd, nws raug nquahu kom noj cov microelements uas ntxiv dag zog rau lub cev tiv thaiv kab mob. Hauv tsev kho mob, kev kho mob suav nrog kev txhaj tshuaj intramuscular ntawm "Thiamin bromide". Qhov ntau npaum li cas thiab lub sijhawm ntawm chav kawm nkag yog txiav txim siab los ntawm tus kws kho mob tuaj koom.

tshuaj sedative tau sau tseg kom rov ua haujlwm ntawm lub paj hlwb. Nws tuaj yeem yog lub npe nrov motherwort lossis valerian tincture. Txhawm rau tshem tawm cov txheej txheem inflammatory, cov tshuaj tiv thaiv kab mob tau sau tseg.

kev kho mob ntawm esophageal leukoplakia
kev kho mob ntawm esophageal leukoplakia

Kev tswj cov tshuaj khomob

Cov mucosa ntawm txoj hlab pas tiv taus cov tshuaj kho mob heev. Yog li ntawd, txoj kev kho no tsis tshua siv. Txawm li cas los xij, ua tsaug rau txoj kev loj hlob ntawm cov tshuaj, cov kws kho mob tau tswj kom ua tiav cov txiaj ntsig zoo los ntawm kev siv chemoradiotherapy. Raws li txoj cai, nws suav nrog kev noj cov tshuaj hauv qab no: Methotrexate, Cisplatin, Etoposide. Raws li qhov tshwm sim, qhov mob hnyav zuj zus, thiab cov txheej txheem ntawm degeneration ntawm cov hlwb noj qab haus huv mus rau cov kab mob malignant qeeb.

Dieting

Kev noj zaub mov rau leukoplakia tsis muaj cai nruj. Txawm li cas los xij, qee qhov kev txwv yog tsim nyog los tso cai rau cov mucosa kho thiab pib ua haujlwm tag nrho. Cov txuj lom, cov tais diav kub, cov zaub mov ntsim raug txwv. Qhov no yuav pab kom tsis txhob muaj cov khoom noj tshiab kub hnyiab thiab khaus ntawm txoj hlab pas.

Cov zaub mov yuav tsum nyob rau hauv chav tsev kub. Lawv yog qhov zoo tshaj plaws steamed los yog ci hauv qhov cub. Qhov tseem ceeb nyob rau hauv kev noj haus yuav tsum yog dej cereals,zaub soups, lean meats.

Qhov kev xaiv zoo tshaj plaws yog kev noj zaub mov tsim los ntawm tus kws tshaj lij raws li tus kheej tus yam ntxwv ntawm lub cev. Kev noj haus hauv qhov no yuav sib npaug thiab noj qab nyob zoo.

Surgery

Yog tias kev kho mob ntawm txoj hlab pas leukoplakia yog qhov tsis zoo, ua haujlwm rau kev phais. Txawm li cas los xij, txawm tias tom qab tshem tawm ntawm thaj chaw keratinized, kev kho tshuaj tsis tuaj yeem nres. Nrog nws cov kev pab, koj tuaj yeem tiv thaiv kev rov qab los ntawm tus kab mob thiab ua kom cov txheej txheem kho kom zoo.

Cov tshuaj niaj hnub muaj ntau txoj kev xaiv rau kev phais tshem tawm ntawm leukoplakia:

  1. Electrocoagulation. Nrog kev pab los ntawm high-frequency tam sim no, tus kws kho mob tshem tawm cov cheeb tsam ntawm keratinized mucosa.
  2. Laser phais. Neoplasms yog excised los ntawm raug rau ib lub teeb ntawm lub teeb.
  3. Cryodestruction. Cov txheej txheem siv qhov kub thiab txias txias kom khov thiab tshem tawm cov ntaub so ntswg tuag.

Kev xaiv txoj kev cuam tshuam nyob ntawm qhov hnyav ntawm tus kab mob thiab kev noj qab haus huv ntawm tus neeg mob. Daim duab kho mob, hnub nyoog ntawm tus neeg mob thiab muaj cov kab mob sib kis kuj raug coj mus rau hauv tus account.

phais kho ntawm esophageal leukoplakia
phais kho ntawm esophageal leukoplakia

pab tshuaj tshuaj ntsuab

Kev kho mob pej xeem rau leukoplakia ntawm txoj hlab pas tso cai tsuas yog tom qab sab laj nrog kws kho mob. Kev siv cov tshuaj ntsuab thiab infusions tsis paub yuav ua rau cov txheej txheem pathological ua rau muaj kev cuam tshuam tsis zoo rau lub xeev ntawm txoj hnyuv, thiab ua rau muaj teeb meem ntau dua..

Cov zaub mov hauv qab no ntawm cov kws kho mob ib txwm raug lees paub tias ua tau zoo tshaj plaws:

  1. Hamlock tincture. Ob peb inflorescences yuav tsum tau crushed, ncuav nrog me me ntawm vodka, insisted rau 2 lub lis piam. Tom qab ntawd lub tincture yuav tsum tau lim. Siv ntawm qhov sib piv ntawm 1-2 tee rau ib khob dej. Kev noj txhua hnub yuav tsum tau nce mus rau 40 tee rau ib nrab khob dej.
  2. dej hiav txwv. Ob peb dia ntawm cov nroj tsuag koob yuav tsum tau brewed nyob rau hauv boiling dej ntawm tus nqi ntawm 130 g ntawm raw cov ntaub ntawv ib 0.5 l dej, sab laug kom languish tshaj tsawg tshav kub. Tom qab ntawd, cov khoom yuav tsum tau muab tso rau hauv qhov chaw tsaus rau li 10 teev. Txoj kev kho yog pom zoo kom noj ob peb lub thoob ib hnub.
  3. zaub kua zaub. Cov mis nyuj kub thiab lwm yam fermented mis nyuj yog txwv tsis pub rau leukoplakia, thiab cov kua txiv hmab txiv ntoo muaj txiaj ntsig. Carrot thiab beetroot xaiv soothe esophageal mucosa zoo, muaj txiaj ntsig zoo rau kev zom zaub mov.

xaiv cov tshuaj zoo ua ke nrog kev kho mob ua kom cov txheej txheem kho kom zoo.

pej xeem kev kho mob ntawm esophageal leukoplakia
pej xeem kev kho mob ntawm esophageal leukoplakia

Kev ntsuas kom rov zoo

Nrog kev kho tsis raws sijhawm lossis tsis muaj qhov ntawd, qhov tshwm sim ntawm qhov tshwm sim ntawm cov qog nqaij hlav malignant nce. Lawv tsim nrog erosive thiab verrucous daim ntawv ntawm tus kab mob. Leukoplakia teb tau zoo rau cov kev kho mob thaum ntxov, yog tias cov kab mob ntawm cov hlab pas thiab cov cwj pwm tsis zoo raug tshem tawm.

Pom zoo: