Adenocarcinoma of sigmoid muura: zvinokonzera, zviratidzo, kurapa uye prognoses

Adenocarcinoma of sigmoid muura - ndiwo akaipa nebundu rinoumbwa kubva glandular masero kenza muura. The sigmoid zvakaumbwa chetsoka. Saka zvinokosha kushandisa ose zuva zvokudya dzinobatsira havi peristalsis. Kana munhu ane kupatirwa, pachituru iri vomanikidza parusvingo sigmoid muura, iyo inotungamira matambudziko kweropa. Mukuwedzera, overgrowth pakati epithelial masero zvichida nemhaka carcinogenic zvinhu zviri mutsvina yadzo. Zviri izvi zvinhu zvinoita basa rinokosha mune kwakabva masero kenza.

Chii sigmoid muura?

ura nevanhu rakakamurwa muzvipoka zviviri: zviduku. Muura dhipatimendi akamuka zita raro nokuda guru lumen. Ushingi wedhipatimendi envelop duku ura.

huru ura rakakamurwa muzvikamu akawanda:

• mapofu;
• muura;
• twasu.

Cecum mugove ane chichiitwa, anonzi okuwedzera. Sigmoid muura zvinoreva chikamu guru dhipatimendi. Adenocarcinoma of sigmoid muura zvikuru zvinozivikanwa pane nekenza vamwe neura. Bundu iri akaipa muchitokisi rumutsiriro, acho zvachose kuti glandular epithelium. Ndokusaka chirwere zvinowanzooneka kunzi adenocarcinoma.

Sigmoid muura ndeyekupedzisira danho iri ura, apo rinoguma yakayamwa mvura kubva pamuviri, ichi ndipo pane inotungamirwa mutsvina yadzo.

Ura pachayo chikamu C-chimiro kana zvakarurama zvokudya, uye nokusava chicherwa zvinovaka muviri ari mugove ichi chinoitika kurega kunotanga mutsvina yadzo. Izvi zvinobatsira kuti vakadhakwa kweropa.

Akaderedza motility zvinogona kukonzerwa vanoverengeka zvichibvira zvirwere zvose siyana etiology. Uyezve, ndiyo kukura kurega kunotanga kubva mutsvina yadzo zvinogoneka atony kana pasina motility. Kazhinji, asi atony zvinogona kukonzerwa murwere zera. Hypoperistalsis zvinogoneka uye pashure tawirwa siyana remapazi, pashure pokusununguka, kana basa. Yaiva nguva apo muviri ari kusangana simba jolt, sezvinoita mutemo, izvozvo rinozivikanwa hormone kukundikana.

The nuances chirwere

Adenocarcinoma - chimwe chezvinhu zvikuru nezvirwere mashoko kunotoda kurapwa zviratidzo kwaizotevera kurapa. Sezvo zvaitika kazhinji kunotungamirira kurufu. Inouraya Mugumisiro zvinogoneka nokuda metastases kuti dzakapararira muviri, akatanga achishingaira akure. The kushurudzira rinotsanagurwa ndechokuti mukutanga nzendo chirwere kunoitika zvakafanana zviratidzo sezvinoitwa fufune. Man anoedza kubatwa pachishandiswa kungaitwa pane kwakajairika, zvisinei, bundu iri kukura uye kukura. Yakanga chete imwe nguva gare gare, apo chirwere yakatotanga atanga, murwere wavhomorwa kuti zano kuna oncologist.

Uye mumwe nuance ndiyo inonyatsoshanda nyaya. Clinical zviratidzo kunosanganisira kuzviongorora horo uye mugaranhoko, murwere nyore vainyara uye haadi kuenda kuti kushanya kune nyanzvi. Ndokusaka chirwere kenza anomhanya kubva nguva. Asi murwere unofanira kunzwisisa: duku bundu, kwokutanga zvokuongorora zvaitika, saka nekukurumidza kutanga kurapwa. Somugumisiro, tichava kubatsira kusvikira kunaya zvakakwana.

kupatsanura

Adenocarcinoma of sigmoid muura rakakamurwa marudzi anoverengeka. Mumwe nomumwe wavo ane pachake zvachiri. Types anomera:

1. Low-mugwaro, iye kazhinji ane mheni-yokutsanya, nguva imwe chokubuda kosi. Izvi kwakadai rinorapika here zvakaoma for kakawanda zvisingafadzi..
2. Mwero adenocarcinoma of sigmoid muura. Nekuti Zvaifungidzirwa pane tariro mhando iyi.
3. kusiyaniswa zvikuru adenocarcinoma pamusoro sigmoid muura, mhando anomera sei zvakanaka kurapwa pamwe zvinodhaka manipulations.

Zvichienderana nokukurumidza sei akure ane akaipa bundu, pane matanho anoverengeka kukura:

1. Exophytic, apo tikacherechedza kukura kenza chete lumen pamusoro sigmoid muura. Izvi zvinobatsira kuti luminal aienda, Somugumisiro: kakawanda kupatirwa uye makadzivisa patency pamusoro mutsvina yadzo.
2. Endophytic, panguva ino ari kukura masero pathogenic zvinopfuura intestinal rusvingo.

pavaipfuura chirwere

Chinhu chinokosha ndechokuti kusiyana diagnosing bundu mumatanho uye siyana kuratidzwa. Types anomera pa mumatanho:

1. Danho rokutanga anotanga achirova mucosal maronda. The guru drawback ndiyo chirwere kubva asymptomatic chirwere kukura.
2. In yechipiri Danho masero nyanyisa zvishoma nezvishoma kutanga vazadze tunica muscularis. Muchiitiko chino, murume vakapemberera fufune. Uye kare yechipiri Danho nyanzvi vanoti kukura adenocarcinoma anosvika 5 cm.
3. Danho rechitatu chinosimudzira kupinda masero nyanyisa mune akaturikidzana dzose huru ura. In pachikuva wechitatu asati dzakabudirira metastasis.
4. 4th Danho kana achimhanya adenocarcinoma. Izvi ndizvo nekuratidza chirwere pasina nenguva nechirwere, mishonga kubudikidza unyanzvi. Panguva iyoyo zvinoita metastasis kune dzimwe nhengo. Kufembera ingori kazhinji zvisingafadzi..

zvikonzero

The zvinokonzera kenza akawanda uye zvakasiyana-siyana. Chikurukuru, ivo nezvimwewo. mushonga ano hachisi kukwanisa zvakananga kuziva zvinokonzera adenocarcinoma yacho sigmoid muura. Unogona kuparadzira zvikonzero kuti anokonzera kukura kenza nemapoka akawanda. Zvinhu izvi zvinosanganisira:

1. Kudya zvirwere. vanachiremba vakawanda vanodavira kuti kushaya zvokudya zvinovaka muviri ndicho chikonzero chikuru pamusoro pezvakaitwa kuti pave kenza. Kunyanya zvokudya zvinogadzirwa zvinokuvadza ane yakawanda carcinogens, mafuta mhuka, mafuta acids.
2. Kuzvimba huru ura. The chirwere kupfuura ngozi muviri maronda colitis. Kazhinji hosha iri predisposing yokuona nayo haizopereri kukura kenza. Kureba chirwere, kuregeredza nenguva kurapwa, zvikuru kunowedzera ngozi masero nyanyisa.
3. Polyps. The Cancer Plan intestinal polyps tiri predisposing chinhu kukura malignancy.
4. Genetic chikonzero.
5. Muropa.
6. Radiation - ndiwo mumwe vaitungamirira zvinokonzera muura adenocarcinoma.

Diagnostics

Kuti zvikavengwa rokuongorora nyanzvi chirwere kunoratidza kutungamirirwa anoverengeka tsvakurudzo nzira, kunze miedzo ropa, chetsoka uye weti:

1. Ultrassom chirwere kunobatsira kufungidzira namamota, asi haritauri chikonzero okukura.
2. Maekisirei pamwe Asi nyanzvi anotarisa mwero bindepinde pakati sigmoid muura.
3. MRI, kana simba rinonzi magnetic resonance kuri. Anobatsira kuziva pamberi kenza, akati kwaari mavambo.
4. Fibrocolonoscopy. Kudzidza guru ura uchishandisa zano rinokosha - munhu vachiongorora. Panyaya iyi, nyanzvi inogona zvakarurama ona kukura bundu, kufungidzira mwero aienda pamusoro intestinal lumen, kuziva chikonzero.

symptomatology

In Paunotanga bundu kukura munguva asymptomatic chirwere. Ndokusaka nenguva chirwere uye kuonekwa anomera ndiyo matambudziko.

The kuratidzwa wokutanga zvingava nomudumbu: abdominal marwadzo, kupatira, flatulence. Izvi zviratidzo murwere anogona kuvhiringidzwa zvatinosiita nomudumbu, ndokusaka Panguva iyi yomushandirapamwe kwachiremba anoisa murwere. Tightness ari kuongorora nokuti, apo sigmoid muura rakamiswa. Zviratidzo zviri utachiona asingadi kuratidza mukutanga nezvishoma.

Somunhu akaipa nebundu kukura kunotoda kurapwa zvinoratidza chirwere hunowedzera siyana. Patient manotsi:

1. Kurwadziwa rworuboshwe nehafu. Vanova achitsungirira kurwadziwa, ichi ndicho chiratidzo zvakajeka kurapwa nachiremba.
2. Svoto uye kurutsa.
3. Bloating.
4. Manyoka kana kupatira. At azara hunodzorwa kupatira, izvi nokuda bindepinde pakati sigmoid muura lumen.
5. Kuchena zviri pachituru, ropa, pus uye madzihwa.

Common zvekuchipatara kuratidzwa

Common zvekuchipatara kuratidzwa runozivisa adenocarcinoma of sigmoid muura vari utera, kukurumidza uremu, vamwe varwere nokuti bundu ropa kupererwa neropa.

Dambudziko guru ndechokuti chokutsva kuti anova iri mhango, anoita akafanana nekenza sigmoid muura. Ndokusaka kurapwa kuratidzwa zvichida yakakanganiswa kuongorora chirwere.

Panguva padariro metastasis Metastasis napakati muviri mumidziyo, ndokuwarira pamusoro pemvura. Nzvimbo chokutanga akaipa muchitokisi kukura, izvo diagnoses chiremba, vari node nodes, uye chete anotanga utachiona kuti parenchymal nhengo. The huru kuvadza chiropa kunokosha.

kukuvara chiropa kunoratidzwa jaundice, shungu kuravira pamuromo. The Artisan anogona kuidza metastases kubudikidza palpation. Uyewo yakanyorwa metastases panguva MRI, Ultrasound.

mabatiro

Inonyatsobudirira uye zvakanaka kuchirapa zvinogona kuitwa panguva yokurapa, rokutanga uye rechipiri nzendo chirwere. Effect akatsvaka tichiregeredza pakuvhiya. Vanachiremba kuti kusukwa adenocarcinoma yacho sigmoid muura.

zvomusejari dzinoshandiswa matanho akawanda:

• Mumwedzi wokutanga Danho pane kubviswa zvachose anomera duku pakaputsika sigmoid muura. Vanachiremba vanoti kuti zvinobudirira kurapa zvabuda kubviswa dzinopfuura 15 masendimita ura, riri pazasi bundu nehafu mita mukuru. Kana paiva pasina kudzongonyedzwa, kumugumo inogona stapled pamwechete. Kana paine mhingaidzo pakati ura, rezasi kuguma bowel unoratidzwa pamusoro abdominal madziro pachituru kunogona kuratidzwa mubhegi chaiyo kuunganidza.

• Mumamiriro ezvinhu aya, varwere vanopedza mwedzi mishoma. Mumwe Kupindira akadzokorora, zvaitwa kuti uzere kudzorerwa dzose kushanda nemudumbu uye dumbu permeability. Re-kupindira hazvibviri nguva dzose.
• Mishonga zvinogoneka pashure kupindira vanovhiya okutanga. Zviri kudzivirira kuitazve zvirwere. Mushure nzira mishonga zvinobvira kuitisa yechipiri oparesheni.
• Irradiation sezvo kurapa nokuda sigmoid zvinobvira pane mishonga.
• Kuderedza marwadzo munhu ushandiswe mishonga marwadzo. Kana maperembudzi azara, murombo fungidziro, zvinokwanisika kugadzwa marwadzo analgesics. Kugamuchira simba mushonga kugadzirira kungasava kwechigarire, inofanira kuva Excerpt vasati kutora mumaawa mashomanana. Kwakajairika analgesics marwadzo haisi yakasvikawo.

Pakurapa sigmoid muura kunoda nenguva vanachiremba. Kana ukaita kuvhiyiwa rokutanga uye tanga chirwere, kwakakwana kubviswa namamota chinowedzera zvinonakisa murwere apore. Kana padariro maperembudzi atanga, murwere kuteerera kushanya kuti vezvokurapa nzvimbo kuti chirwere chirwere kana aenda padanho metastasis, uye vanoshorwa fungidziro chirwere. Metastasis hachibvi nokuda kuvhiyiwa.

Adenocarcinoma of sigmoid muura: Zvaifungidzirwa

Zvinogona kucherechedzwa kuti fungidziro kuti bundu kurapwa conventionally zvakanaka. Kana maperembudzi akanzi mu nenguva nenzira, panguva akaita oparesheni, unogona kuvimba zvizere kuzoita adenocarcinoma. Wokurarama wevarwere vane vanopfuura hafu mhosva. Kana tikafunga kuti vakawanda maoparesheni aakaitira varwere vakwegura, ndiyo migumisiro yakanakisisa.

zvakawanikwa

Kana pane zvishoma pfungwa iri adenocarcinoma muchimucherechedza zvechigarire fufune, yaida kuona nyanzvi rokuongorora chirwere kana rakwo kubviswa. Early kurapwa uye kudzivirira kuchabatsira kuwedzera upenyu murwere uye yekudyidzana kuvandudza unhu kwayo.

Kusimba nzvimbo rokuongorora haangavi varwere kufara, pachinzvimbo vakapemberera tightness. Mumwe munhu anofanira kunzwisisa kuti chiremba - nyanzvi ari kuedza kubatsira, uye tightness ari kukodzera pano. Mumwe akafunga kuti nenguva zvokuongorora nezvemapundu anomera anogona kuwedzera upenyu, zvinofanira kuva huru yokuona vasati nyanzvi.