Perstnevidnokletochny umhlaza esiswini: iimpawu, ALS, kunye neempawu unyango

Cricoid (okanye perstnevidnokletochny) umhlaza -, neoplasm amabi, isisu zeeteksi obengowesibini zonke nangezilonda nesiqephu zesisu. Ngenxa yomhlaba adenocarcinoma esiswini.

Ukuba sifo sichaphazela nayiphi na inxalenye organ yokwetyisa, kwaye ithumba ikhula ngoko, unabela ngaphezulu onke layers zayo. Kuyinto neoplasm amabi kakhulu. Ngokukhawuleza kuvela metastases kwezinye izigqeba.

pathography

Kukho kule sifo utshintsho eyodwa ziiseli zomhlaza, ukusuka apho kufike igama "umhlaza nesisu perstnevidnokletochny." iiseli Nedlac, abazalisa lo epithelium glandular, iyeza oluhlala njenge mucin. Le nto ke ngokwesiqhelo uyakwazi ukubakhusela iiseli nxamnye iintsholongwane, kodwa kwenzeka kusenokwenzeka ukuba mucin leyo kakhulu. Ngenxa yoko, ngumongo iseli angalinandiphi, kwaye oko kuya kwenzeka kufutshane ukubana le ndizayo. Xa na histology, iiseli umhlaza ezingaqhelekanga zifumaneka ngohlobo umsesane.

Enophawu umhlaza esiswini ibizwa ngokuba umhlaza, esibonakala kukukhula endophytic. Yeyona ukusasazeka iiseli ezingaqhelekanga ngaphakathi, kuyo yangaphakathi na capture, ngoko oomaleko izihlunu umzimba serous.

Ukukhula yamathumba ikhutshwa phandle kuphela nzulu, kodwa kwakhona ububanzi balo, ekubeni akukho imida ithumba ecacileyo. Kungenxa yoko le ndlela ibhetele ukukhetha uthomalaliso nzima kakhulu.

iiseli Ithumba ngokukhawuleza wonke umzimba nge kulwelo emithanjeni. Phantse isiqingatha izigulane unesifo somhlaza perstnevidnokletochny, ukukhula ithumba kwafunyanwa zonke iimaleko esiswini. Olu hlobo lomhlaza ngcono, kodwa xa kuphela ukubhaqwa, phambi ukuvela metastases.

Olu hlobo lomhlaza ngokufuthi kwabasetyhini abasebatsha. Oku okwangoku ukuchaza oncologists.

Izizathu

kuvela umhlaza isisu Perstnevidnokletochny ngenxa yezizathu ezifanayo ukuba ezinye iintlobo zomhlaza. Apha kuqala azinampembelelo isisu olwaphula idayethi ukutya okungekho mpilweni. Izinto Risk ziquka:

• ebathanda ethile ngenxa okuneziqholo, ezinetyuwa, ukutya etshaya, okufakwe kwaye kakhulu eqhotsiweyo;
• ukutya mgaqweni, ukutya ebandayo, ukutya eshushu okanye ebandayo kakhulu;
• Ukusetyenziswa ngokugqithisileyo iziselo ezinxilisayo.

Konke oku njalo ukubacaphukisa isisu, utshintsho isakhiwo yeseli, ezehlisa umsebenzi wabo. Ngenxa yoko, ukususela iiseli eziqhelekileyo kwasekwa zomhlaza.

Ukongeza ukutya, kukho eziliqela ezibangela umhlaza cricoid esiswini:

• Esinazo - oncologists yaqinisekisa into yoqulunqo olu hlobo lomhlaza kwiimeko apho izihlobo Oncology abagulayo;
• uzingela a Helicobacter pylori esiswini - ngoko kukho umtshiso lomgadi maleko kwiinwebu esiswini, oko kuphakamisa sisifo esingapheliyo ukuba, emva koko umhlaza kunokwenzeka;
• ubukho iimeko ezimbi - uma ekhona emhlabeni ezithile imichiza (njengoko yenzeka kwezinye iingingqi elizweni), ezi zinto umhlaza yande kwizityalo, loo ndoda odla;
• mikhwa - hayi nje utywala, kodwa nokutshaya kungabangela umhlaza (icuba Tar ibolile, emva koko isixa esikhulu amacandelo umhlaza, yaye kakubi kuchaphazela onke amalungu kunye neenkqubo).

Ukongeza, umntu unakho ukwenza imeko precancerous. Oku kunokuba yingozi kakhulu.

Xa iimeko precancerous ziquka ubukho polyp esiswini, dysplasia, gastritis atrophic. Ezi ezimbi kufuneka kophilisiweyo, kungenjalo kukho umngcipheko zibe ngumhlaza.

Njani isifo kuziveza?

Ngokufuthi sifo kumanqanaba ezimbini zokuqala ngokubanzi akuthethi ukuzibonakalisa. Yiloo nto umhlaza perstnevidnokletochny esiswini zabonwa-3 kunye nezigaba 4. Iimpawu zenzeke ngexesha lokukhula thumba ububanzi kunye nobunzulu.

Iimpawu eziphambili olu hlobo lomhlaza:

• kuhluthe yokuqala emva kokutya, ubunzima esiswini ngenxa nethumba;
• zingakwenza ukuba ube nesicefucefu, ukugabha, ukuqunjelwa, urhudo, ukuqhina;
• burping umoya heartburn rhoqo;
• Ukudinwa rhoqo, ukozela;
• umkhuhlane.

Ekugayeni kuguga lokugaya uphazamiseke. Umzimba engenazo iivithamini kunye neeminerali. kwinqanaba mpilo uyawa. Kukho ilahleko noboya owomileyo, isikhumba luthuthu, buthathaka. Umntu uba buhlungu engapheliyo rhoqo esiswini, leyo akuxhomekekanga ekudleni.

Yena nenzondo langoku ukuya inyama kunye nentlanzi izitya. Kungenxa yesi sizathu ukuba kukho ilahleko ubunzima elibukhali. Cardia qhuma dysphagia, oko kukuthi imvakalelo iqhuma emqaleni. Ukuba unesifo emathunjini amancinci, peristalsis saphazamisa. Ukuba Ithumba inkulu kakhulu, oko esongela isithintelo epheleleyo, leyo kufuneka uqhaqho olungxamisekileyo.

Ngamanye amaxesha wahlulelene umhlaza, ngoko ke igcwele ukopha esiswini. Kwakhona kukho namdla, ukudakumba, ukuphazamiseka kokulala. Amaninzi, oku kwenzeka sele kwinqanaba lesithathu.

esizibonakalisa Yintoni ngokwayo perstnevidnokletochny isigaba umhlaza isisu 4? Inqanaba 4 iphawulwa ukungabikho ngokupheleleyo wokutya, cachexia kakhulu, ascites. Isigulane idla ilele. Kukho metastases kwamanye amalungu, ngoko yonke into enxulumene, kunye nezinye iimpawu, kuba iinkqubo ebalulekileyo kuyeka ukusebenza ngokuqhelekileyo.

isigaba

Ezininzi izigaba enomahluko umhlaza cricoid:

• zero - ubukho iiseli zomhlaza kumphezulu inwebu esiswini;
• kuqala - abachaphazelekayo isifo;
• yesibini - wachukunyiswa umaleko bangaphandle;
• lesithathu - ukudumba kudlulela zonke zoleko kunye namaziko ezikufutshane (uvalo, isibindi, intso, injeke, peritoneum, udakada), abachaphazelekayo iindawo nkovu;
• sesine - amaziko afumaneka amalungu ezikude.

ekuxilongweni

Unyango ukuba uphumelele, kufuneka ube ngexesha elifanelekileyo. Ngoko kuyimfuneko ukuba udibane nogqirha xa izifo zokuqala ukusuka esiswini (iintlungu, ukuqunjelwa, edandatheka, heartburn). Ngaphezu koko, kubalulekile ukuba kudlula ihlolwe kwaye yesiqhelo uphando olubanzi rhoqo.

Ukuze ukubona umhlaza isisu perstnevidnokletochny, kufuneka:

• uvavanyo lwegazi (kubandakanywa amagosa amakishayo ithumba) - njengoko ukudumba kutyhilwa emzimbeni, ihemoglobin ephantsi, ukuphazamiseka entliziyweni wesibindi;
• ubambe gastroscopy kunye biopsy ngaxeshanye (ngexesha ityhubhu isisu zifakwa kunye ikhamera ekupheleni, zonke iinguqu kwi yangaphakathi zibonwa kakuhle, ngoko ngokukodwa aliqhawule intwana encinane histology);
• ukuqhuba uviwo ultrasound le peritoneum - lityhila nokudumba nakujoliso olutsha lesibini zomhlaza;
• ahlolwe arhente X-ray nshita ukubona utshintsho esiswini;
• ukuqhuba CT scan ngenxa yale metastases zaqatshelwa kwaye emiselwe kummandla inkqubo amabi emzimbeni.

umhlaza esiswini Perstnevidnokletochny: unyango

Unyango olu hlobo lomhlaza na utyando ukususa nethumba ngokwayo, inxalenye esiswini, iindawo nkovu. Ngelo seladlula Inqanaba esi sifo ezisusiweyo kunye eziko eziziisekondari. Ke makanikwe chemotherapy. Kunokuba ukwabela phambi msebenzi, nto leyo enokukhokelela ekubeni ukwehla kule ndawo inkqubo amabi. Oku kubalulekile xa lokufunyaniswa "umhlaza isisu perstnevidnokletochny." Chemotherapy emva kotyando kuphucula abane. umhlaza nakujoliso olutsha engabonakali wabulala indoda elungileyo kakhulu.

Kwakhona wasebenzisa iziyobisi yonyango anticancer lokudambisa ukuququzelela imeko yesigulane. Ngoko unako ukuphila kwakhe.

therapy Imitha isetyenziswa kakhulu kunqabile. Indawo ezinezigulo inkulu kakhulu ukuba zokukhanya. Ukunyangelwa ubuhlungu, ukuphucula inkqubo yokucola ukutya, ukukhusela intliziyo kunye nezintso.

Apha yokuphatha njani umhlaza isisu perstnevidnokletochny kwizibhedlele.

impilo Ipredikshini

Olu hlobo ngxwaba sifo sengqondo yedanisayo. Yaba kuphela ukubhaqwa kunye nonyango ngexesha baya kusinda iminyaka emi-5 emva kotyando. Amathuba 85%.

Ukuba yafunyanwa kwisigaba sesithathu esi sifo, umlinganiselo ukusinda iminyaka emi-5 ngu-40% kuphela. Ngeli xesha kukho metastases kwezinye izigqeba ukuba iindlela zale mihla unyango ukulwa. Oku kuyingozi perstnevidnokletochny umhlaza isisu.

Abantu abane emva intsebenziswano uzingela sifo kweqonga embi 4. Ukufa rhoqo eyenzeka ngequbuliso. Kodwa ukuba unyango yesondlo, uya kuba nako ukuchitha iinyanga ezimbalwa kunye nomhlaza isisu cricoid. Phila kweminyaka 5 emva kotyando kunokwenzeka, kodwa ithuba yi-5-10%.

Tips Dr. Uolloka

Eyaziwa emhlabeni Dr. Uollok perstnevidnokletochnogo unyango lomhlaza esiswini lubonisa inkcitho ukutya. Yena icebisa ukuba bahlanganise ezityiwa beta-carotene novithamini E kunye selenium umkhondo element. Oku kuya kunceda, ngokwembono yakhe, isifo ngumhlaza. Enrichment izakhi ukutya ukunyanga kunye nokuthintela ezinye izifo ezininzi yingozi.

isiphelo

Apheleleyo kunye nempilo isondlo - isitshixo ubomi obude. Kuyimfuneko kwakhona ukunciphisa yonke imikhwa emibi. Oku kuyinyani ingakumbi kubantu abane sifuze amafa. Ukuba une izifo ezondeleyo zesisu, kuyimfuneko ukuba sibaphatha kwakunye ndimncinile prophylactically (ubuncinane kanye ngonyaka). Kwaye musa bathembele unyango perstnevidnokletochnogo somhlaza isisu.