Adenocarcinoma o te kopirua sigmoid: take, tohu, maimoatanga me prognoses

Adenocarcinoma o te kopirua sigmoid - ko te puku mārere e hanga i nga pūtau glandular o pukupuku kopirua. Ko te sigmoid āhua kumete. Ko reira he mea nui ki te whakamahi i ngā kai ra katoa e whai wāhi ana ki te whakaongaonga i ioio. Ki te he kōroke te tangata, hoatu te kumete te pēhanga ki runga i te taiepa o te kopirua sigmoid, e tika ana ki te raruraru circulatory. I tua atu, i te ururua hoki o ngā pūtau epithelial pea no o te matū carcinogenic roto i te feces. Ko enei matū tākaro he wāhi nui i roto i te takenga o ngā pūtau mate pukupuku.

He aha te mea te kopirua sigmoid?

Kei te wehea kōpiro tangata ki e rua wehenga: iti, me te nui. tari Colon ka tona ingoa e tika ana ki te lumen nui. Piro o te tari kāpui te whēkau iti.

Kei te wehea te whēkau nui ki te maha o ngā wāhanga:

• matapo;
• kopirua;
• tika.

wahi Cecum he tukanga, e kiia nei ko te tāpiritanga. E pā ana kopirua Sigmoid ki te wahi o te tari nui. Ko atu noa atu pukupuku o te tahi atu whekau Adenocarcinoma o te kopirua sigmoid. Ko te puku ko te whakaoranga pūtau mārere, e ngā katoa o epithelium glandular. Ko te aha te maha tuku te mate ki rite adenocarcinoma.

kopirua Sigmoid Ko te taahiraa whakamutunga i roto i te whēkau, te wahi mutu ake ngote wai i te tinana, ko tenei te wahi i reira ko te hanganga o feces.

Piro ano ko te wahi o te c-āhua, ka whangai tika, a ka ki te kore o ngā matūkai kohuke i roto i tenei wahi puta feces stagnation. whai wāhi ana tēnei ki te tohanga toto waimaero.

Ka taea te meinga motility heke e te maha o nga mate katoa taea o ngā etiology. I tua atu, he taea te whanaketanga o te stagnation o feces ki atony kahore motility ranei. Tikanga, ka taea te meinga te atony i tau o te manawanui. taea, me te i muri i pangia ngā momo o ngā mahi, i muri i hoatu whanau, ka hohekore Hypoperistalsis. Ko te wa ka te faaruru i te tinana tangata, he aueueraa kaha, rite ki te tikanga, kua tuhia reira kore hormonal.

Te mita o te mate

Adenocarcinoma - Ko tetahi o nga mate tino kino i roto i ngā o ngā tohu haumanu me te therapy muri. Mai maha arata'i te putanga ki te mate. Ko te putanga whakamate he taea e tika ana ki metastases e kua horapa noa i te tinana, ka anga ki te tupu kaha, me te whakawhanake. faataa te matapae e te meka e i roto i te tīmatanga o te mate puta ki ngā tohu rite rite ki tokopā. Te tangata tamata ki kia tukinotia e te tikanga o te rongoā kē, Heoi, kei te tipu haere te puku, me te whakawhanake. Ko etahi wa anake i muri, ka kua tīmata kē te mate, kua oti te unu te manawanui kei ki te kōrero ki te matepukupuku rānei.

Na kotahi ake mita ko te take tairongo. tohu haumanu tā whakamātautau o te nono me te tōu, te manawanui whakamā noa me e kore e hiahia ana ki te haere mo te haerenga ki te mātanga. Ko Ko te aha rere te tātaritanga o te mate pukupuku i roto o te wā. Engari me matau te manawanui: te iti te puku, puta te tātaritanga mua, kia rite wawe tonu ki te timata maimoatanga. Ka rite ki te hua: ka waiho painga noa ora tonu te hua.

whakarōpū

Kei te wehea Adenocarcinoma o te kopirua sigmoid ki te maha momo. He Ia o ratou ona ake āhuatanga. Ngā momo o te pukupuku:

1. Low-māka, te tikanga kua ia he, rere inamata uira-nohopuku o te akoranga. Tenei momo o treatable tino pakeke ki te matapae i roto i te nuinga o te wā kino.
2. adenocarcinoma āhua o te kopirua sigmoid. Hoki tenei momo o matapae kaua anaanatae.
3. adenocarcinoma Tino rerekëtanga o te kopirua sigmoid, whakautu pai te momo o te pukupuku ki te maimoatanga ki whawhe tarukino.

Runga anō i te āhua o hohoro tupu me te whakawhanake i te puku mārere, i reira e rave rahi ngā wāhanga o te tipu:

1. Exophytic, i te tuhituhi i te tupu o te pūtau pukupuku anake i roto i te lumen o te kopirua sigmoid. whai wāhi ana tēnei ki te luminal whāiti, rite he nā: kōroke auau a i whakaware patency o feces.
2. Endophytic, i tenei wā o te tupu o ngā pūtau pathogenic ô te taiepa intestinal.

atamira o te mate

He take nui ko te rerekētanga i roto i Tātarihia te wāhanga puku me ngā puka o faaiteraa. Ngā momo o te pukupuku i ngā wāhanga:

1. Ko te wāhanga tuatahi tīmata patu mariao mucosal. Ko te drawback nui ko te tātaritanga o te whanaketanga mate asymptomatic.
2. I roto i te wā tuarua āta tīmata pūtau mārere ki te whakaki i te muscularis Tunica. I roto i tenei take, whakanui te tangata tokopā. Na kua i roto i te wā tuarua mea tohunga te tupu o te adenocarcinoma o runga ki te 5 cm.
3. whakatairanga atamira Tuatoru te kătahi o ngā pūtau mārere i roto i ngā papa katoa o te whēkau nui. I roto i te toru o nga atamira kore kua ano i whakawhanakehia metastasis.
4. atamira 4 ranei adenocarcinoma rere. Ko te faaiteraa o te mate i roto i te ngaro o te tātaritanga wā, tiaki hauora e tohunga tenei. I te wa ano whakawhanake i reira metastasis ki ētahi atu whēkau. Ko te tikanga kino matapae.

take

He maha me te rerekē nga take o te mate pukupuku. Ko te mea nui, he ohorere ratou. e kore e taea ki te tautuhi i āta nga take o adenocarcinoma o te kopirua sigmoid rongoā Modern. Ka taea e koe te tuwha i te take e meinga te whanaketanga o te mate pukupuku i te te maha ngā rōpū. Ēnei āhuatanga ngā:

1. Kai disorders. He maha tākuta whakapono e pohokore ko te take matua o te tukanga e whai wāhi ana ki te mate pukupuku. hua Rawa kino kai kei roto nui o carcinogens, ngako kararehe, waikawa ngakongako.
2. Mumura o te whēkau nui. Ko te mate tino kino mo te tinana, ko te colitis ulcerative. E mea pinepine te mate ko te paearu predisposing mo te whanaketanga o te mate pukupuku muri. Ko te roa te mate, te tau'a ore o te maimoatanga wā, faarahi te atu te mōrea o ngā pūtau mārere.
3. Polyps. Ko te polyps intestinal Mahere Cancer ko te take predisposing i te whanaketanga o te repara.
4. tauwehe ira.
5. Faatītīraa.
6. Radiation - Ko reira tetahi o nga take ārahi o te kopirua adenocarcinoma.

tātaringa

Ki te kitea me te whakatau mate mātanga kōrero te aronga o te maha ngā tikanga rangahau, i roto i te tua ki whakamātautau toto, kumete me te mimi:

1. tauturu Ultrasound tātaritanga ki te sioloto pukupuku, engari e kore e whakakitea ki te take o te whanaketanga.
2. X-hihi ki te rerekē, titiro te mātanga i te tohu o te inaki o te kopirua sigmoid.
3. MRI, atahanga te kōwarotanga autō ranei. Tokoni ki te tautuhi i te aroaro o te mate pukupuku, ka mea ona takenga.
4. Fibrocolonoscopy. He ako o te whēkau nui te whakamahi i te pūrere motuhake - he uiuia. I roto i tenei take, ka taea e te tohunga tika mōhio te rahi o te puku, tata te tohu o whāiti o te lumen intestinal, whakatau i te take.

tohutanga

I roto i te wā tuatahi o te tupu puku i roto i te mate asymptomatic. Ko Ko te aha te mea raruraru tātaritanga wā, me te rapunga o pukupuku.

pea te mau faaiteraa tuatahi nga disorders kūnatu: mamae puku, kōroke, flatulence. kia raruraru ai enei tohu o te manawanui ki nga disorders kūnatu mua, i te mea he aha i tenei wā o te pakanga ki te tākuta e te manawanui. Tightness i roto i te rangahau e tika ana ki te meka, te wahi takoto te kopirua sigmoid. Tohu o te huaketo e kore e faaite mai i roto i te tīmatanga o te wāhanga.

Ka rite ki te tupu puku mārere me te whanaketanga o faaiteraa haumanu o te mate riro atu kanorau. tuhipoka manawanui:

1. Mamae i roto i te hawhe maui. Āta riro pumau mamae, ko te tohu mārama o te maimoatanga ki te rata tenei.
2. Whakapairuaki me te ruaki.
3. Bloating.
4. Korere kōroke ranei. I te wā matatau te nuinga e kōroke, he tika ki te īnaki o te lumen sigmoid kopirua tenei.
5. Poke i roto i te kumete, toto, pirau me hūpē.

faaiteraa haumanu Common

Common faaiteraa haumanu āhuatanga o adenocarcinoma o te kopirua sigmoid he ngoikore, mate taimaha tere, etahi tūroro hoki o puku toto anemia.

Ko te raruraru nui ko te meka e te mumura e whanake i te kōhao, e rite te mate pukupuku o te kopirua sigmoid. Ko te aha i roto i faaiteraa haumanu tātaritanga pea hape.

I te wā o te metastasis metastasis haere i roto i te tinana i roto i oko, horahia ki runga te mata. Ko te wahi tuatahi o te tupu pūtau mārere, e momo tātaritanga te rata, kei roto i te taikiri, a ka anake haamata te mate o whēkau parenchymal. Ko te kino matua ki te ate he tika.

whakakitea kino ate e jaundice, reka kawa i roto i te mangai. Ka taea e te kaimahi whakamatautau i te metastases i palpation. tuhia hoki metastases i te wa o MRI, ultrasound.

maimoatanga

Ka taea e te pānga haumanu whai hua te nuinga me te pai kia tutuki i roto i therapy, te wāhanga tuatahi, me te tuarua o te mate. rapu Pānga i te utu o te pokanga. Tākuta kia tango o adenocarcinoma o te kopirua sigmoid.

tikanga hāparapara he maha ngā wāhanga:

• I roto i te wā tuatahi i reira he oti tango o te pukupuku ki te āputa iti o te kopirua sigmoid. Doctors whakaaro e hua maimoatanga whai hua tango o neke atu i te 15 cm whēkau, i te mea i raro i te puku, me te hawhe mita te teitei. Ki te kahore he arai, e taea te stapled tahi nga pito. Ki te kahore he arai o te paru, whakaaturia te mutunga o raro o te whēkau kei runga i te pakitara puku ki te kumete taea te whakaatu i roto i te putea motuhake ki te kohikohi.

• I roto i tenei huru, noho tūroro i te marama torutoru. I muri i taua he wawaotanga toutou, kua mahi i te reira mo te whakahokinga mai ki tonu o mahi noa o te gastrointestinal wahi, me te punuatuna uruhanga. e kore e taea Re-wawaotanga i roto i te wā katoa.
• Ko taea hahau i muri i te wawaotanga tuatahi o tākuta. Ko reira ki te ārai matahoki o mate. I muri i te akoranga o te hahau he taea ki te whakahaere i te mahi tuarua.
• Irradiation rite te maimoatanga mō taea hei utu o te hahau sigmoid.
• Ki te whakaiti i te mamae whakaritea he tangata kei te taero whakapōauau. Ki te whakatu a te mate atamira, waitohunga rawakore, he reira whakarite taea o Pë whakapōauau. Te fariiraa e kore e taka tarukino kaha kia pūmau, me te mea i tētahi whiti i mua i te tango i roto i te torutoru haora. e kore te mamae Pë tikanga Katohia.

titau Treatment o te kopirua sigmoid wawaotanga wā o kaiwhakaako. Ki te mahi koe i te pokanga i roto i te wāhanga tuatahi me te wawe o te mate, te tango oti o te pukupuku whai wāhi ki te ora manawanui whānui. Ki te tīmata te wā o te mate e, waiho te manawanui te haerenga ki te wāhi hauora mō te tātaritanga o te mate, ki te haere atamira o metastasis, me te waitohunga kino o te mate. e kore e taea te nekehia atu metastasis i te pokanga.

Adenocarcinoma o te kopirua sigmoid: matapae

Kia kï hoki, e te waitohunga o te maimoatanga puku ko conventionally pai. Ki te pāngia te mate i roto i te wā, i hanga te wa te mahi, ka taea e koe te tatau i runga i te ora tonu i te adenocarcinoma. Ko te tere oranga o tūroro i neke atu i te hawhe o te wā. Ki te whakaaro tatou e te nuinga o ngā tukanga hāparapara i mahi i roto i te tūroro o tau matatau, ko reira te hua pai.

ngā kitenga

Ki te kahore he te mana'o iti i roto i te adenocarcinoma tokopā tohua tūturu, ki te hiahia akiaki kite i te tohunga ki te tātari i te mate tona whakakorenga oti ranei. maimoatanga wawe me te ārai ka āwhina i ki whakawhānui te ora o te manawanui, me te tino whakapai ake i tona kounga.

e kore e taea e tirohanga wahi i ahuareka ai hei tūroro hari, hei utu whakanui tightness. totonu ke mahino ia tangata e te tākuta - he mātanga e te ngana ki te āwhina i, a ko kāore te tightness konei. whakaaro e taha e taea te tātaritanga wā o te pukupuku whakawhānui te ora, kia waiho te paearu matua i mua i te haere ki te tohunga.