Alamun da bincike da kuma cututtuka na testicular ciwon daji a cikin maza. Mene ne bayyanar cututtuka na testicular ciwon daji a cikin maza, da yadda za a ayyana shi?

Mutane da yawa maza kai magidanci, zai iya gadara da cewa, dukan rayuwarsa bai taba ziyarci likita. Daga cikin adalci jima'i irin haka da yawa kasa. Wannan shi ne saboda jima'i gabobin a mata a bukatar m hankali, venereal cututtuka shafi su fiye da sau da yawa. Bayan shekaru da dama na wani matsala-free rai na mutum ne har yanzu komo acikin kan rectal jarrabawa, wanda sau da yawa idan aka kwatanta da karshen matasa. Bugu da ƙari, wata karfi filin yawanci ba hašawa yawa muhimmancin ziyarci wani gwani. Duk da haka, shi ne wani mubaya'a ziyarar sau da yawa ya ƙare da cewa mutanen suna kamu quite tsanani cututtuka cewa bukatar wani m magani. Wata irin wannan cuta ne quite m testicular ciwon daji. Hotuna da wannan Pathology za a iya samu a cikin na musamman likita reference books. Don ƙarin bayani game da shi, kuma za mu rufe a wannan labarin.

Description da cutar

Testicular ciwon daji - a gwada rare cuta. Babban Sanadin wannan cuta a adult maza hada cryptorchidism, disturbances a matakin da endocrine tsarin, sakamakon radiation, inji lalacewar da Kwalatai (Scrotum).

A statistics, ãyõyin testicular ciwon daji cancer kamu a maza ne ba fiye da 2% na lokuta. Yana da muhimmanci a lura da cewa cutar halin mutunci. Daga cikin wakilan da karfi jima'i karkashin yana da shekaru 35 da shekaru, da wannan cuta ne sau da yawa a cikin hanyar farkon mutuwa.

A wani uku na lokuta, da farko bayyanar cututtuka suna kamu a yara samãrin. A 90% na su, dalilin da yake a cikin m canji na kirki marurai - teratoma. Ta, bi da bi, ya bayyana a sakamakon cigaban cuta a utero.

Testicular ciwon daji: haddasawa

Yau, ainihin Sanadin irin wannan Pathology, kamar sauran da cutar daji, shi ne ba a sani ba. Duk da haka, masana yarda a kan wata yarjejeniya game da babban dalilai haddasa ci gaban da cututtuka - cryptorchidism. Wannan musamman yanayin a wanda a lokacin fetal ci gaba ko a cikin ta farko 'yan watanni na rayuwa da gwaiwa ba ta sauka a cikin Kwalatai (Scrotum). Yana kawai ya zauna a cikin abin da ake kira inguinal canal , ko ma a cikin ciki. Mafi sau da yawa bincikar lafiya a Oncology marasa lafiya da suke yi sarrafa da kwai kai tsaye a cikin kogon ciki.

Wane ne a hadarin?

A cewar masana, ko da idan yaro da yaron da aka gudanar daidaituwa tiyata, testicular ciwon daji a cikin maza kamar yadda manya iya har yanzu za a kamu. Daga cikin babban dalilai na precursor, wanda kara hadarin tasowa da wannan cuta, kira a matsayin masu biyowa:

• Hereditary predisposition.
• Rashin haihuwa.
• Klinefelter ciwo (a jima'i chromosome lalacewa a kayyade matakin).
• Underdevelopment na al'aurar.
• Hada da tabo nama a cikin testes ga m matakin.
• Cigaba da inji mataki.

asibiti ãyõyi

Babban bayyanar cututtuka na testicular ciwon daji a cikin maza da wadannan:

• a kananan hatimi a cikin shafa yankin.
• jari na ruwa a cikin Kwalatai (Scrotum);
• m rashin jin daɗi, soreness.
• da karuwa a cikin size daga cikin saba qwai.

A farkon cutar bayyanar cututtuka da ciwon daji na golaye a maza ne kusan gaba daya ba a nan. A haƙuri sai ya sami daya daga cikinsu a kananan hatimi. Jikin fara hanzari kara a size, akwai rashin jin daɗi da kuma ko da zafi. Yana da muhimmanci a lura da cewa sosai m ƙari ne da wuya ya haddasa zafi. Yana auku ne kawai a lokacin da ƙari gaba daya kama da spermatic igiyar.

A na gaba mataki na ci gaba da Pathology lura testicular nakasawa da kuma kara da yawa. Saboda da m jari na ruwa lalace ɓangare na Kwalatai (Scrotum) fara ƙara a size. Idan kwan bai ragu, da ƙari za a iya sauƙi bincike kai tsaye zuwa cikin inguinal canal. In ba haka ba, a da sarrafawa a ciki yanki na wani neoplasm iya girma zuwa wani babba size. Akwai lokuta idan ya dauki game da rabi daga cikin rami.

Bugu da ari testicular ciwon daji cututtuka a maza suna hade da samuwar metastases. Wannan, a sama da dukan, shortness na numfashi, ciwo mai tsanani a cikin mayar da makwancin gwaiwa, rashin jin daɗi a cikin kafa edema. Duk wadannan na asibiti ãyõyi ne sosai sauƙi explainable.

Alal misali, ciwon baya da ake dangantawa da wani m matsawa na jijiya tushen retroperitoneal Lymph nodes, wanda ake ma kara a size. Kafar edema bayyana saboda zoba na metastases na baya vena cava. Alamun testicular ciwon daji a cikin maza na iya hada bayyanar cututtuka ko da koda gazawar. Wannan shi ne saboda matsawa na ureter neoplasm.

Wasu siffofin da cutar unsa canje-canje a hormone matakan. A adult marasa lafiya, da suka bayyana a matsayin rashin ƙarfi da kuma rage libido. The boys a cikin matasa iya ci gaba gynecomastia, hirsutism (wuce kima jiki gashi rufe), murya maye gurbi.

rarrabuwa

Testicular marurai na iya zama na biyu iri:

• Jam cell (kara daga epithelium) - seminoma, teratoblastoma, horionepitelioma.
• Negerminogennye (tasowa babbar tsokoki) - leydigoma, sarcoma, sertolioma.

Jam cell ƙari bambance-bambancen (seminoma) ya auku mafi sau da yawa. Seminoma kamu a 50% na maza fama da ciwon daji. Wannan kumburi da aka kafa a cikin wani matsa kumburi. Yawancin lokaci, shi ke tsiro quite sannu a hankali da kuma ba tare da zub da jini da rikitarwa. Seminoma metastasis kagaggun shafi huhu, Lymph nodes da kuma kasusuwa.

matakai na ciwon daji

A halin yanzu zuwa kashi dama, saukarwa da cutar. Saboda wannan rabo daga cikin likitocin yana yiwuwa ya fi daidai rarraba testicular ciwon daji a cikin maza, da kuma bayan - da ya dace magani.

• A mataki na farko. Neoplasm located in gwaiwa ba ya je bayan shi, babu wani metastasis.
• A mataki na biyu. Metastasized marurai suna sarrafa a cikin retroperitoneal nodes.
• The uku da na hudu, saukarwa. Metastases shiga cikin m gabobin ko Lymph nodes.

Kuma wasu a san duniya rarrabuwa na cuta - TNM, bisa ga abin da asali sigogi na wasu cancers ana denoted da wata wasika (T - halaye na ƙari kanta, N - description na jihar nodes, M0 - babu metastases, M1 - gaban m metastases).

bincikowa da

Domin nasara lura da wannan cuta yana da muhimmanci sosai don gane asali da shi. Yadda za a gane testicular ciwon daji?

1. Jiki jarrabawa na haƙuri, ciki har da palpation na Kwalatai (Scrotum) da kanta.
2. Laboratory gwaje-gwaje (LDH, BHG, AFP). Bisa ga taro matakin da ake kira da ƙari alamomi likita bincika tasiri na wannan magani, kazalika da kintace da cutar.
3. Nazarin Kwalatai (Scrotum) da transillumination. Wannan hanya yakan haifar da wani candling shafa yankin tare da kunkuntar katako na haske. A likita assesses ko shi ne hasken gaba ɗaya. Idan nama da Kwalatai (Scrotum) wuya watsa haske iya nuna gaban malignancy.
4. Radiography don gane gaban metastases.
5. Duban jarrabawa na Kwalatai (Scrotum) da pelvic gabobin.
6. CT thorax da ciki.
7. Kashi scan ƙasũsuwa.

A karshe ganewar asali da aka yi dangane da sakamakon da testicular nama biopsy. Analysis na biopsy karkashin madubin damar nuna lokacin musamman irin ƙari, da kuma hasashen da yaduwa gudu daga Pathology.

Da kansa gane da cutar?

A farko wuri shi ne shawarar zuwa ganin look na testicular ciwon daji a cikin maza. Hotuna da shafi gabobin suna samuwa a cikin qware kundayen. Saboda haka, idan akwai wani karkacewa da mãsu haƙuri ya kamata ka nemi likita nan da nan shawara.

Yana da muhimmanci a lura da cewa lafiya golaye ya kamata game da wannan size, amma daya ko da yaushe rataye ƙananan fiye da sauran. In ba haka ba mutum zai iya ba sa ƙafãfunku tare.

Doctors rika bincika kansu a duk wata, da kuma a cikin wani dumi dakin. The abu ne cewa, sanyi Kwalatai (Scrotum) shrinks karfi da isa. Manufa zaɓi an dauke su dubawa a lokacin shawa. Golaye ji kamata yayi kama da dafa wuya Boiled qwai, kuma suna da wani size of kamar 4 cm a diamita. Hukumomi kamata ba m. Wani rashin jin daɗi a lokacin dubawa za a iya fassara a matsayin wani sabawa daga na kullum.

Mene ne testicular ciwon daji? Da taba da raya sama na jiki za a iya sauƙi gano ta appendage - wani bakin ciki igiyar. Duk wani nauyi a haɗe da shi, za a iya daukarsa a matsayin ƙari (yawanci benign). A cikin wani hali, a lõkacin da ta gano wani sabawa daga na kullum ya kamata nan da nan tuntubar likita. Ya sanya wani ƙarin bincike gwaji, sa'an nan, idan ya cancanta - magani.

magani

Yana da yake a wannan cuta ne hadaddun da ya ɗauka a kau da ƙari mayar da hankali, curative resection na Lymph nodes da kuma tsari da tsoka sakamako a kan duk atypical Kwayoyin.

M magani ne cikakken kau na shafa yankin tare da wani appendage. Idan a lokacin aiki metastases a peritoneum sarari an gudanar retroperitoneal lymphadenectomy.

Bayan tiyata, da haƙuri da aka aika zuwa jiyyar cutar sankara. Yana nufin wani igiyar jini gwamnati da kuma yin amfani da musamman shirye-shirye ( "Iofosfamid", "Cisplatin", "Vinblastine") cewa rinjayar da dukan jiki. Shan la'akari da cewa ciwon daji Kwayoyin suna da wani babban rayuwa kudi, da farko nan da nan halakar da kansu.

A wasu lokuta, shi ne shawarar kara radiation daukan hotuna. Ga manyan size da ƙari, wannan Hanyar magani yi amfani da preoperative mataki.

Outlook

A baya cutar da ake bincikar lafiya, da mafi tasiri far da za muhimmanci ƙara da alama na wani tabbatacce sakamako da cutar. A cewar masana, farkon magani damar marasa lafiya rayuwa na tsawon shekaru biyar ko fiye (90%). Lokacin da metastasis rayuwa an rage zuwa 72%.