Mob plab cancer - ua rau, cov tsos mob, kev kho mob thiab kev mob ntawm txhua theem ntawm tus kab mob

Qee lub sij hawm, plab hnyuv tau pom tias muaj kev hloov loj hauv cov hauv nruab nrog cev. Malignant gastric cancer yog ib hom kab mob khees xaws tshaj plaws. Vim yog paub ntxov thiab mob ceev nrooj, nws muaj cov kab mob ntshav siab heev.

Mob plab cancer - Hom

Muaj ntau txoj kev xaiv rau kev cais txog tus kab mob no. Nyob ntawm seb cov keeb kwm ntawm lub plab oncology ntawm plab yog muab faib rau cov nram qab no: mob cancer:

• glandular (tubular, papillary, mucinous adenocarcinoma);
• nplhaib-celled;
• me-celled;
• squamous cell;
• glandular-squamous;
• undifferentiated.

Raws li hauv daim ntawv ntawm txoj kev loj hlob, mob plab cancer yog cais hauv cov hom nram qab no:

• polypoid;
• riam phom;
• diffuse-infiltrative;
• ib tus mob hnyav.

Ua raws li cov kev hloov nyob rau hauv qhov chaw surrounding mucous membranes, malignant hlav ntawm lub plab yuav ua tau:

• plab hnyuv;
• diffuse;
• tov.

Cov kab lus qog ntawm kev mob qog nqaij hlav (TNM) yuav txawv cov kev ntsuam xyuas pathology nyob ntawm 3 yam:

1. Theem (T). Qhov hnyav yog kwv yees li ntawm 0 mus rau 4.
2. Muaj kev tiv thaiv ntawm cov kab mob hauv cov qog (N). Yog tias lawv tsis tuaj yeem, qhov nqi 0 teev, qhov qhia tau tias yog qhov twg tshaj 3.
3. Kev kis tus mob nrog cov pa ntawm cov nqaij thiab cov kab mob hauv lub cev (M). 0 - yog hais tias lawv yog, 1 - thaum lawv tsis yog.

Cancer ntawm lub plab - ua rau

Txhawm rau kom meej meej yog vim li cas qee cov qog muaj qee qhov kev hloov thiab ua rau malignant kom txog thaum lawv ua tiav. Tsuas yog qhov tseem ceeb tshaj plaws uas paub hais tias lub plab mob tshwm sim ntau dua:

• haus luam yeeb;
• cov qauv ntawm qhov chaw nyob;
• deficiency ntawm ascorbic acid hauv daim ntawv qhia zaub mov;
• quav quav cawv;
• mob plab cancer los ntawm tus txheeb ze ze;
• cov noob caj noob ces;
• xwm ntawm kev noj haus;
• kab mob nrog rau cov kab mob hu ua Helicobacter pylori ;
• cov haujlwm yav dhau los ntawm lub plab;
• duodenal-gastric reflux ;
• peptic ulcer;
• lwm yam kab mob oncological hauv cov cheeb tsam ze;
• polyps ntawm mucous daim nyias nyias.

Cancer ntawm lub plab - cov tsos mob

Cov tsos mob ntawm cov kab mob piav qhia nyob ntawm seb nws hom, qhov chaw nyob ntawm cov txheej txhooj li cas, lawv qhov hnyav. Cov ntaub ntawv kho mob sib raug mus rau theem ntawm mob plab, ntev tshaj tus kab mob kev vam meej, qhov qhia tau tias nws cov tsos mob. Nyob rau hauv thaum ntxov ua sawv ntawm txoj kev loj hlob nws yog nyuaj rau xav tias muaj ib tug malignant qog, yog li qhov mob kab mob tau qhia ntau tshaj txhawm rau ib tug loj degree.

Cancer ntawm lub plab - 1 theem

Thaum pib mob loj heev, ib tus mob qog nqaij hlav tsis muaj kev cuam tshuam rau txhua yam kev tshwm sim. Vim tias lawv cov kev tsis txaus siab los yog tag nrho cov tsis tuaj yeem, nws yog qhov nyuaj rau kev txheeb xyuas mob qog nqaij hlav thaum ntxov - cov tsos mob, thawj cov cim ntawm pathology tsis cuam tshuam nrog oncology. Lawv zoo li tus mob gastritis lossis lub rwj, feem ntau pom tau tias yog ib qho xwm txheej uas tshwm sim los ntawm cov kabmob lossis tsis muaj kev noj haus hauv kev noj haus.

Cov tsos mob ntawm tus kab mob hauv plab thaum ntxov:

• tsis xis nyob hauv plab;
• eructation;
• flatulence;
• kev xav ntawm lub plab tag nrho;
• periodic gravity nyob rau hauv lub plab ;
• hloov nyob rau hauv saj nyiam.

Cancer ntawm lub plab - 2 theem

Raws li tus kabmob tsim, nws cov duab saib ua kom khov kho, tabsis nyob rau theem tam sim no nws tseem tsis tau zoo. Lub plab mob kheesxaws ntawm qhov hnyav yog ntsuam xyuas feem ntau ntawm kev sib tsoo. Qhov no tshwm sim thaum kuaj xyuas cov plab zom hauv plab los yog tom qab tiv thaiv tus kws kho mob nrog rau kev xav ntawm peptic ulcer.

Tej yam tshwm sim ntawm plab mob cancer ntawm theem 2:

• deterioration ntawm qab los noj mov;
• anemia ;
• tsis pom kev qaug zog thiab kev qaug zog;
• aversion rau qee yam khoom;
• poob lub cev hnyav;
• tsis kaj siab nyob rau hauv plab;
• dyspeptic ntshawv siab.

Mob plab cancer - theem 3

Nrog rau qhov nruab nrab ntawm cov kab mob oncological, muaj ntau hom kev qhia tshwj xeeb uas tsim ib tus neeg tuaj nrog kws kho mob tham. Kev mob qog nqaij hlav - cov tsos mob thiab qhov tshwm sim ntawm tus mob hlav ntawm 3 theem ntawm txoj kev loj hlob:

• nyuaj hauv nqos cov zaub mov thiab dej;
• ruaj thiab kub siab;
• ntuav;
• mob hauv plab, tuaj yeem muab sab nraub qaum;
• nce mob plab;
• poob phaus;
• quav mob;
• nquag xeev siab;
• palpable khoom tsim nyob rau hauv thaj chaw hnub ci plexus;
• ua haujlwm tsawg.

Mob plab cancer - Theem 4

Nyob rau theem kawg ntawm kev mob kev nkeeg, daim duab kab mob yog tshwm sim rau ntawm keeb kwm ntawm kev mucosal disintegration thiab kev loj hlob ntawm lub qhov rai. Oncology ntawm lub plab - cov tsos mob thiab cov cim qhia ntawm tus kab mob nyob rau theem 4:

• nyiag quav tawv dub;
• rov qab ntuav nrog impurities ntawm cov ntshav, tej lub sij hawm cov masses zoo li kasfes;
• pallor ntawm daim tawv nqaij;
• tshaj tawm kiv taub hau, txog thaum tsis nco lawm;
• muaj zog tsis muaj zog.

Feem ntau cov mob plab oncology ntawm lub plab yog kuaj pom - cov tsos mob muaj ntxiv nrog qhov txhab ntawm cov plab hnyuv siab raum thiab cov ntaub so ntswg, uas ua rau cov kab mob ntawm cov qog muaj germinated. Tej yam tshwm sim xws li:

• mob hauv cov hnyuv, gall zais zis, ob lub raum;
• ua tsis taus pa;
• tsis muaj dej nqaj lossis zaub mov;
• tsis xis nyob hauv plawv;
• sab hauv los ntshav .

Yuav ua li cas mus xyuas lub plab rau oncology?

Kev kuaj kom pom ntawm cov qog thaum ntxov yuav tsis tshua muaj tsawg, vim tias cov neeg tsis tshua mus rau hauv tsev kho mob rau cov kev kuaj mob. Thawj cov cim qhia tias mob plab yog qhov tsis tuaj kawm ntawv los yog tsis yog, uas yog vim li cas lawv thiaj li tsis quav ntsej. Ib txoj kev txhim khu kev qha ntawm kev kuaj mob oncological pathology yog gastroscopy, uas ua rau pom kev ntawm mucous daim nyias nyias thiab tau ntawm cov nqaij mos. Ntxiv mus, tus kws kho mob kuj yuav tau sau cov kev tshawb fawb nram qab no:

• computed tomography;
• radiography nrog kev qhia txog kev sib luag ntawm cov nruab nrab;
• kev ntsuam xyuas rau ntawm cov neeg ua haujlwm;
• kuaj ultrasound.

Kev kho mob plab cancer

Cov kev kho mob ntawm tus kab mob nyob rau hauv nqe lus nug yog nyob ntawm nws cov theem thiab qhov ntau ntawm cov tsos mob. Txoj kev kho tseem ceeb thiab tsuas yog txoj kev khomob yog phais, uas yog ib feem lossis ua tiav ntawm lub cev raug mob. Yog tias cov metastases hauv plab mob cancer mus rau hauv cov qog ntshav siab, lawv kuj raug hlais tawm. Cov kev tsis pub muaj kev phais yog siv ua ntej thiab tom qab phais neeg siv phom los pab tshem tawm cov qog thiab kev puas tsuaj ntawm cov qoob loo ntxiv ntsws.

Kws khomob rau kev mob plab

Cov kev kho mob uas tau piav qhia tshwm sim hauv 2 hom:

1. Neoadjuvant. Kws khomob yog ua ntej kev phais mob kom txo tau qhov loj ntawm qhov lesion thiab simplify nws excision.
2. Adjuvant. Cov tshuaj no yog txhaj tshuaj tom qab phais kom lub plab mob cancer tsis tau rov qab, thiab cov hlwb uas mutated ntxiv lawm.

Chemotherapy feem ntau nrog cov radiotherapy, uas zoo sib xws ua ntej hnub thiab tom qab ua haujlwm. Yog palliative resection ntawm lub plab tau ua rau oncology, kev taw qhia txog cov tshuaj tshwj xeeb thiab kev siv ionizing hluav taws pab kom pab txhawb lub neej ntawm tus neeg mob. Qhov kev qhia no yuav pab tshem tawm lossis txo qhov mob, txhim kho cov plab zom mov, thiab ua kom lub neej ntawm tus neeg mob.

Cancer ntawm lub plab - haujlwm

Muaj 2 cov kev xaiv rau kev phais mob rau kev kho tus kab mob no. Kho cov kab mob hauv plab mob cancer:

1. Kev Tshawb Fawb. Tshem tawm ntawm ib qho tseem ceeb ntawm lub cev uas cuam tshuam los ntawm ib tus mob malignant. Cov kev phais xws li phais plawv yog distal, proximal thiab subtotal, nyob ntawm qhov chaw ntawm lub plab uas tus kabmob muaj mob loj zuj zus.
2. Gastrectomy. Tshem tawm ntawm tag nrho cov khoom. Hom kev lag luam no tau qhia nyob rau theem qis ntawm kev mob khees xaws. Yog tias metastases tuaj, tus kabmob uas kis los ntawm lawv - cov qog nqaij hlav, cov qe menyuam yaus, tus kabmob, lub siab (ib nrab) thiab lwm tus raug muab cais tawm.

Kev noj haus nrog oncology ntawm lub plab

Noj cov zaub mov uas tsim los ntawm kev ua kom lub cev muaj zog thiab kev txhim kho kev noj qab haus huv. Txawm hais tias tus mob cancer ntawm lub plab ua haujlwm zuj zus, nws yog ib qho tseem ceeb kom ua raws li cov ntawv qhia curative. Qhov no yuav pab kom qeeb qeeb ntawm cov kabmob metastases thiab qog kev loj hlob, ua kom lub neej ntev me ntsis.

Kev noj qab haus huv nrog oncology ntawm lub plab kiag li excludes:

• cawv;
• kib zaub mov thiab rog;
• cov khoom qab ntsev;
• cov zaub mov kaus poom;
• marinades;
• txuj lom;
• nceb noj;
• cov kua ntsw;
• qaub tais diav;
• vanillin;
• lard;
• kas fes;
• carbonated dej;
• muaj zog tshuaj yej;
• cov khoom uas muaj dyes, preservatives;
• txias heev lossis kub zaub mov.

Tso cai siv:

• mucous thiab khov zoo;
• Cov mis thiab zaub soups nrog cov khoom xyaw pureed;
• cov ntses uas muaj roj tsawg, nqaij thiab nqaij qaib;
• nag hmo cov mov dawb;
• butter (tsawg);
• tsawg-rog tsev cheese;
• boiled soft-boiled thiab qe qe;
• kissels;
• chav omelettes;
• ripe zaub, txiv hmab txiv ntoo, txiv hmab txiv ntoo;
• zaub ntsuab;
• citrus txiv hmab txiv ntoo;
• freshly squeezed juices;
• zaub roj;
• alkaline mineral dej tsis muaj roj;
• herbal, ntsuab tshuaj yej.

Kev noj haus yuav tsum tau muaj ntau cov cai:

1. Feem ntau yuav tsum me me, thiab khoom noj kom tsawg - nquag, txog li 10 zaug ib hnub twg.
2. Qhov kub ntawm cov tais diav yog li 37 degrees.
3. Cov zaub mov yuav tsum tau muab lo los yog crushed rau lwm txoj kev, kom huv si.
4. Tag nrho cov khoom yuav tsum yog tshiab.
5. Koj tsuas ua tau mov noj los yog ua noj rau ob peb leeg.
6. Tsis txhob haus dej ntsev, nws zoo dua los siv qhov tsawg kawg nkaus.
7. Cov roj cov ntsiab lus hauv cov ntawv qhia zaub mov muaj li 30%, feem ntau yog cov zaub keeb kwm.

Mob plabmob plab - kev mob

Hauv kev mob oncology, nws yog ib qho kev ntsuam xyuas txoj kev kho tus mob thiab qhov yuav zoo rov qab tau hauv 5 xyoos. Ntau npaum li cas lawv nyob nrog lub plab mob cancer nyob ntawm seb cov ntawv tau ntsuam xyuas, daim ntawv ntawm pathology, lub hnub nyoog ntawm tus neeg mob thiab lwm yam. Nyob rau hauv raws li cov heev ntawm tus kab mob, qhov kev nyab xeeb yog raws li nram no:

• Theem 1 - 57-70%;
• Theem thib ob - 33-45%;
• Theem 3 - 10-20%;
• Theem 4 - mus txog 5%.