Adenocarcinoma na sigmoid ciwon: haddasawa, cututtuka, jiyya da kuma prognoses

Adenocarcinoma na sigmoid ciwon - shi ne mai m ƙari cewa suranta daga glandular sel ciwon daji ta hanji. A sigmoid dimbin yawa stool. Saboda haka muhimmanci don amfani a kowace rana abinci da taimakawa wajen rura hanginsu. Idan mutum yana maƙarƙashiya, da stool aka sa matsa lamba a kan bango na sigmoid ciwon, wadda take kaiwa zuwa Sistem matsaloli. Bugu da kari, da overgrowth na epithelial Kwayoyin yiwu saboda carcinogenic abubuwa dauke a cikin tumbi. Yana da wadannan abubuwa suna taka muhimmiyar rawa a cikin asalin ciwon daji Kwayoyin.

Mene ne sigmoid ciwon?

mutum hanji ne zuwa kashi biyu ƙungiyoyin: ƙanana da manyan. Ciwon sashen samu da sunan saboda da manyan lumen. Kuru zaa daga cikin sashen envelop da kananan hanji.

da manyan hanji ne zuwa kashi da dama sassan:

• makafi.
• ciwon.
• mike.

Cecum rabo yana da wani tsari, wanda ake kira da appendix. Sigmoid ciwon nufin da wani ɓangare na manyan sashen. Adenocarcinoma na sigmoid ciwon ne fiye da na kowa fiye da cancers na sauran hanjinsu. A ƙari ne a m cell Tarurrukan, wanda ya kunshi duka-duka na glandular epithelium. Wannan shi ne dalilin da ya sa cutar ne sau da yawa ake magana a kai a matsayin adenocarcinoma.

Sigmoid ciwon ne karshe mataki a cikin hanji, inda ta ƙare har tsotsa ruwa daga cikin jiki, wannan shi ne inda akwai wani samuwar tumbi.

Hanji kanta ne rabo daga wani c-siffar lokacin daidai ciyar, kuma tare da wani rashin ma'adinai na gina jiki a cikin wannan rabo na faruwa stagnation tumbi. Wannan na taimaka wa sosai jini wurare dabam dabam.

Rage motility za a iya sa da dama da duk yiwu cututtuka na daban-daban etiology. Bugu da kari, ci gaban stagnation na tumbi ne yiwu tare da atony ko babu motility. Yawanci, da atony za a iya lalacewa ta hanyar haƙuri da shekaru. Hypoperistalsis yiwu kuma bayan jurewa daban-daban iri gudanar, bayan haihuwa, a lokacin da rashin aiki. Yana wani lokacin da jikin mutum ne fuskantar mai karfi jolt, kamar yadda mai mulkin, shi ne lura da hormonal gazawar.

A nuances da cutar

Adenocarcinoma - shi ne daya daga cikin mafi tsanani cututtuka cikin sharuddan asibiti cututtuka da kuma m far. Tun da sakamako sau da yawa take kaiwa zuwa mutuwa. A mutuwa sakamako ne zai yiwu saboda metastases cewa sun bazu ko'ina cikin jiki, ya fara rayayye girma da kuma ci gaba. A hasashen da aka bayyana ta da cewa a farkon matakai da cutar faruwa a tare da irin wannan cututtuka kamar yadda tare da bacin. Man yayi da za a bi ta hanyar madadin magani, duk da haka, da ƙari da aka girma da kuma masu tasowa. Shi ne kawai dan lokaci daga baya, lokacin da cutar ya riga ya fara, da mãsu haƙuri ne kõma zuwa ga shawara zuwa ga oncologist.

Kuma wanda mafi nuance ne m batun. Clinical cututtuka shafi jarrabawa na dubura da kuma dubura, da mãsu haƙuri kawai m, kuma ba ya so ya tafi zuwa ziyara a wani gwani. Wannan shi ne dalilin da ya sa cutar ciwon daji gudanar fitar lokaci. Amma da mãsu haƙuri dole ne fahimci: da karami da ƙari, da a baya ganewar asali ya faru, don haka maza maza su fara magani. A sakamakon: sakamakon zai zama da amfani har da cikakken maida.

rarrabuwa

Adenocarcinoma na sigmoid ciwon ne zuwa kashi da dama iri. Kowace daga cikinsu yana da halaye. Iri marurai:

1. Low-sa, ta yawanci yana da wani walƙiya-sauri, instantaneous kwarara daga cikin shakka. Wannan irin daman gaske wuya ga hasashen da a mafi yawan lokuta ya fi karfinsu.
2. Matsakaici adenocarcinoma na sigmoid ciwon. Domin irin wannan hasashen wajen kaffa.
3. Sosai bambancin adenocarcinoma na sigmoid ciwon, da irin siffofin maruran amsa da kyau zuwa lura da miyagun ƙwayoyi jan.

Ya danganta da yadda sauri girma da kuma samar da wani m ƙari, akwai dama, saukarwa na ci gaba:

1. Exophytic, yayin da a lura da ci gaban da ciwon daji Kwayoyin kawai a cikin lumen na sigmoid ciwon. Wannan na taimaka wa luminal takaita, kamar yadda wani sakamako: m maƙarƙashiya kuma suka kange patency na tumbi.
2. Endophytic, a wannan mataki na ci gaban pathogenic Kwayoyin shiga cikin hanji bango.

mataki da cutar

An muhimmanci factor ne bambanci a diagnosing ƙari, saukarwa da kuma siffofin bayyana. Iri marurai a saukarwa:

1. A mataki na farko ya fara karin mucosal ulcers. A babban drawback ne ganewar asali asymptomatic cuta ci gaba.
2. A cikin mataki na biyu m Kwayoyin a hankali fara cika Tunica muscularis. A wannan yanayin, wani mutum ya yi bikin bacin. Kuma riga a cikin mataki na biyu masana sun ce ci gaban da adenocarcinoma na zuwa 5 cm.
3. Uku mataki na inganta shigar azzakari cikin farji daga m Kwayoyin a duk yadudduka da manyan hanji. A cikin uku mataki ya ba tukuna aka ɓullo metastasis.
4. 4th mataki ko a guje adenocarcinoma. Wannan shi ne wata alama ce ta cutar da in babu dace ganewar asali, kula da lafiya, da kwararru. A daidai wannan lokaci shi tasowa metastasis zuwa wasu gabobin. Hasashen ne yawanci ya fi karfinsu.

dalilai

A Sanadin ciwon daji ne da yawa da bambance bambancen. Mafi muhimmanci, su ne unpredictable. Modern magani ba zai iya musamman gano Sanadin adenocarcinoma na sigmoid ciwon. Za ka iya raba dalilai da suka haddasa ci gaban da ciwon daji ta hanyar da dama kungiyoyin. Wadannan dalilai sun hada da:

1. Cin cuta. Mutane da yawa likitoci yi imani da cewa yunwa ita ce babban dalilin da matakai da taimakawa wajen ciwon daji. Musamman cutarwa kayayyakin abinci dauke da manyan yawa na Carcinogens, dabba fats, m acid.
2. Kumburi daga cikin manyan hanji. A mafi hatsari cutar ga jiki ne ulcerative colitis. Sau da yawa da cutar ne a predisposing rarrabẽwa ga m cin gaban ciwon daji. A daina cuta, rashin kula na dace magani, da karin kara hadarin m Kwayoyin.
3. Polyps. A Cancer Shirin hanji polyps ne a predisposing factor a ci gaba da malignancy.
4. Halitta factor.
5. Addictions.
6. Radiation - shi ne daya daga cikin manyan Sanadin ciwon adenocarcinoma.

bincikowa da

Don gane da kuma gane asali cutar gwani da shawara da shugabanci na dama bincike hanyoyin, ban da jini gwaje-gwaje, stool da fitsari:

1. Duban ganewar asali taimaka wajen ganin marurai, amma ba ya bayyana hanyar ci gaba.
2. X-haskoki da bambanci, da gwani ya dubi a mataki na zoba na sigmoid ciwon.
3. MRI, ko Magnetic rawa Dabarar. Taimaka wajen gano gaban ciwon daji, ya ce ta asalin.
4. Fibrocolonoscopy. A binciken da manyan hanji ta amfani da musamman na'urar - a bincike. A wannan yanayin, da gwani zai iya daidai lura da girman da ƙari, kimanta mataki na takaita na hanji lumen, gano dalilin.

symptomatology

A matakin farko na ƙari girma a lokacin asymptomatic cuta. Wannan shi ne dalilin da ya sa dace ganewar asali da kuma ganewa na marurai ne matsala.

A farko manifestations iya zama narkewa kamar cuta: ciwon mara, maƙarƙashiya, flatulence. Wadannan alamu na haƙuri iya rikita batun tare da saba narkewa kamar cuta, wanda shi ne dalilin da ya sa a wannan mataki na yaƙi da likita ya sanya haƙuri. Tightness a cikin binciken saboda gaskiya, inda sigmoid ciwon ayi. Alamun cutar ba bayyana a farkon matakai.

Kamar yadda wani m ƙari girma da kuma ci gaban na asibiti manifestations da cutar zama more bambancin. Haƙuri rubutu:

1. Pain a hagu da rabi. A hankali zama zaunanniya zafi, wannan shi ne nuna qarara na magani ga likita.
2. Tashin zuciya da kuma amai.
3. Bloating.
4. Zawo ko maƙarƙashiya. A wani ci-gaba mataki mamaye maƙarƙashiya, wannan ne saboda da zoba na sigmoid ciwon lumen.
5. Impurities a stool, jini, ruɓaɓɓen jini da kuma gamsai.

Common asibiti manifestations

Common asibiti manifestations halayyar adenocarcinoma na sigmoid ciwon ne wani rauni, m nauyi asara, wasu marasa lafiya saboda ciwon daji na jini anemia.

A babban matsala ne da cewa da kumburi da cewa tasowa a cikin rami, ba kama wani ciwon daji na sigmoid ciwon. Wannan shi ne dalilin da ya sa a asibiti manifestations yiwu erroneous ganewar asali.

A mataki na metastasis Metastasis tafi ta cikin jiki a tasoshin, yada a kan surface. A farko wurin m cell girma, wanda diagnoses da likita, suna a cikin Lymph nodes, kuma kawai sai ya fara kamuwa da cuta daga parenchymal gabobin. Babban lalacewar da hanta zama dole.

Hanta lalacewar tana bayyana ta jaundice, m dandano a cikin bakinsa. A artisan iya gwada metastases da palpation. Kuma rubuta metastases a lokacin MRI, duban dan tayi.

magani

A mafi inganci da kuma m warkewa sakamako za a iya cimma a lokacin far, da farko da na biyu, saukarwa da cutar. Effect nemi a kudi na tiyata. Surgeons sa kau na adenocarcinoma na sigmoid ciwon.

m hanyoyin su ne dama, saukarwa:

• A lokacin mataki na farko akwai cikakken kau na marurai da kananan rata na sigmoid ciwon. Doctors bayar da shawarar cewa tasiri magani sakamakon kau na fiye da 15 cm hanji, wanda shi ne kasa da ƙari kuma rabin mita high. Idan akwai wani toshewa, da iyakar za a iya stapled tare. Idan akwai toshewa da hanjinsu, da ƙananan ƙarshen hanji da aka nuna a kan na ciki bango zuwa stool za a iya nuna a musamman jakar tattara.

• A wannan yanayin, marasa lafiya ciyar 'yan watanni. Bayan da cewa a maimaita baki, shi ne yake aikata domin maido da cikakken al'ada aiki na gastrointestinal fili da kuma Gut permeability. Sake-baki ne ba zai yiwu a duk lokuta.
• Jiyyar cutar sankara ne zai yiwu bayan na farko da baki na likitoci. Yana da su a hana sake komowa daga cuta. Bayan wani hanya na jiyyar cutar sankara ne mai yiwuwa a gudanar da wani na biyu aiki.
• Sakawa a iska mai guba kamar yadda wani magani domin sigmoid yiwu maimakon jiyyar cutar sankara.
• Don rage zafi da mutum An wajabta narcotic kwayoyi. Idan cutar ci gaba mataki, matalauta hangen nesa, shi ne zai yiwu nada narcotic analgesics. Karbar karfi miyagun ƙwayoyi shirye-shirye bazai m, shi dole ne ya zama sharhin, an ɗauko kafin shan a cikin 'yan sa'o'i. Al'ada analgesics zafi ba cropped.

Jiyya na sigmoid ciwon bukatar dace baki na likitoci. Idan ka yi tiyata a farko da kuma farkon matakai na cuta, da cikakken kau na marurai na taimaka wa sauran haƙuri dawo. Idan mataki na cutar da ake fara, da mãsu haƙuri watsi da ziyarar zuwa wani likita da makaman ga ganewar asali na cutar idan tafi mataki na metastasis, da ya fi karfinsu hangen nesa da cutar. Metastasis ba za a iya cire ta tiyata.

Adenocarcinoma na sigmoid ciwon: kintace

Yana iya lura da cewa, da hangen nesa da ƙari magani ne conventionally m. Idan cutar da ake bincikar lafiya a dace hanya, a lokacin sanya aiki, za ka iya ƙidaya a kan cikakken maida daga adenocarcinoma. A rayuwa kudi na marasa lafiya da fiye da rabin da lokuta. Idan muka yi la'akari da cewa mafi yawan m hanyoyin yi a cikin marasa lafiya na ci-gaba shekaru, shi ne sakamako mafi kyau.

binciken

Idan akwai wata 'yar alamar shawara a adenocarcinoma har abada alama bacin, an gaggawa bukatar ganin wani gwani don gane asali cutar ko ta da cikakken kawar. Jiyya da wuri da kuma rigakafin da zai taimaka wajen mika rayuwar da haƙuri da muhimmanci inganta da inganci.

M wuri dubawa ba zai iya zama farin ciki da marasa lafiya, maimakon bikin tightness. Kowane mutum kamata su sani cewa likita - wani gwani wanda yake ƙoƙarin taimakawa, da kuma tightness ne da bai dace ba a nan. Daya zaton dace ganewar asali na marurai iya mika rayuwar, ya zama babban mai rarrabẽwa kafin zuwa wani gwani.