Ka mua hoailona o esophageal Ka maʻi 'aʻai. Esophageal Ka maʻi 'aʻai: ka mua hoailona, lapaʻau, prognosis

esophageal Ka maʻi 'aʻai i loko o ka papa inoa o ka loa e like me ka maʻi o ka hiku. I mea no ke aha la i loko o kēia 'atikala makemake i ka pilina nana i kēia maʻi. Ke'ī mai, i ka manao o ke 'atikala - like ka nui me ka hiki ke aʻo e pili ana i ka mea esophageal Ka maʻi' aʻai: symptoms, lapaʻau, symptoms, ke kumu o ka pilikia.

parenthesis

Ma ka hoʻomaka, e pono e hana i ua mau manaÿo, a e e hoʻohana 'Imi i loko o kēia' atikala. No laila, i ka esophagus - o ka mea nui hui, e hoʻohuiʻia ke kanaka'ōpū me ka moʻolelo o ka lua. Ma keia hihia, ke esophagus " 'Aʻole i makemake" wela a me ke anu, he pahi a palai. Ma muli o ia mau kumumea, ka mucousʻili lahilahi o ke kino ke lilo i wela ai, e alakai ana i ka muli o ka pilikia e like me kaʻeho. A ina me ka benign laekahi lapaau hiki nō lawelawe i ka malignant hikoko i ka hoʻoweliweli 'ole wale i ola, a me ke ola o ka hoʻomanawanui. Ka pilikia ua hoi huikau ma ka loa paʻakikī maʻi, e kuhikuhi i na kahua o ka hoʻonaʻauao kakahiaka nui o kona hanana (e kaawale aku ai symptoms).

About maʻi

Ua mea waiwai i ka i ana ia ia ma na kahua o ka hoʻonaʻauao loa kakahiaka nui o ka maʻi 'aʻai o ka esophagus, e hooholo i ka maʻi mea aneane hiki ole i. A me nā mea a pau no ka mea, e e loa lede kekahi symptoms e hiki hai aku i ke kanaka i ke kino i ka mea i hewa. Ka mea, ua wale ma hope o ka nani narrows ka esophagus ma ka aneane hapalua, he kanaka hiki ke haha aku i kekahi discomfort. Ua mea waiwai i ka i ana i esophageal Ka maʻi 'aʻai mea oi, he pono ole i na kanaka, he 4 mau manawa ma mua o nā wāhine. kamepiula pūʻulu - kanaka elemakule 50-60 makahiki. Inā he kanaka i ka malignantʻeho, ka mea e ku i ke kino unevenly. Pela, e e luku aku la ma kahi o 10%, o ka awelika o ka luna o ka esophagus - 40%, a malalo - ka hola 50%.

kumu o ka

O ka papa kuhikuhi hana o keia 'atikala - e noiʻi i nā symptoms a me nā kumu o ka maʻi' aʻai o ka esophagus. Ke'ī mai, i kēia 'hiki ke hōʻike' i waena o nā kumu o ka maʻi.

1. Mana. Ke kumu mua o ka maʻi 'aʻai o ka esophagus i pinepine hokii o ka wela o ka ai, e like me ka lama a me kona surrogates. It E e hoʻokoe 'hoi mai i kaʻai pū spicy mau kiaha.
2. Ke Leeuwerikplein ololi. ua i kekahi 'epekema i ka wahi o ka noho ana o ka hoʻomanawanui nō hoʻi e loli ai i ka hanana o ka maʻi. Akā, hou iho a pau i ka moʻomeheu o ka meaʻai hokii. Ke'ī mai, i ka mea hiki wale mai o ka carcinoma mea kiekie ae ma kekahi mau wahi o Kina, Iran, a me Central Asia. A pau no ka mea, aloha aku pickled ai, ka hopena he , a ua wela mau kiaha.
3. Deficiency o nā wikamina. Ka nele o nā wikamina A a me C ke alakai i ka hooulu ana o esophageal Ka maʻi 'aʻai.
4. ekolu No manawa o ka pilikia o ka maʻi i kiekie ae i loko o ka poʻe i ka uahi, a me 12 mau manawa ma luna o ka poʻe i hoʻomāʻewaʻewa mai ka waiʻona.
5. Hoonuiia pilikia o ka maʻi 'aʻai o ka esophagus, ina ke kino ua wela me ka mekala' åkilikai. E like ma ka hoʻok & ucirckû ia ma hope o ka hana 'ia, ua hala aku na makahiki.
6. A, o ka papa, mai kekahi mau hiki i ka hooulu ana o malignant hikoko. Esophageal Ka maʻi 'aʻai paha e ukuia i ka esophageal achalasia, a no laila,-kapa o Barret ka esophagus.

Symptom 1. Dysphagia

Ma ka hoʻomaka, e pono e noonoo i ka hoailona mua o ka maʻi 'aʻai o ka esophagus. Mahalo iā ia, oe ke hooholo i ka maʻi. No laila, mua o nā mea a pau, i ka hoʻomanawanui, e ike 'ole i ka moni' ia ai. Ke kanaka, e haha mai i loko o kona puu i ua hikiʻole i ka maʻamau e hooholo ia o kaʻai, iʻai mālama jamming. E pale discomfort ke kanaka, e i i loa akahele i ka māna a pau. Inā ka maʻi ua waiho untreated, a holo, alaila, ma hope o ka manawa, a hiki i ka loli eʻaʻole e hiki oni ana maʻamau ma ke kino. Ma ka hope ke kahua o ka maʻi he kanaka hiki ole ke ale wale iho maʻamau a hiki i kona iho tuha. Kokoke a pau o ke kahua o ka maʻi (koe nae ka mua) i pu e ola ka waiʻona ma ke.

kahua o ka hoʻonaʻauao o ka dysphagia

Këia i ke kakahiaka nui na hoailona o ka maʻi 'aʻai o ka esophagus, ia mea e olelo aku i ka pilikia i ka moni' ia i ka hoʻomaka o ka maʻi ia lŘlŘ pinepine, ka mea, ua i mau uuku au ke kanaka. Ia mea ke kumu o ka maʻi i hiki ole ke hooholo. Ma hope o nā mea a pau, ina he kanaka, aole ia i bother, aole he ano e leka uila i kekahi kauka. Ka loa ia dysphagia i eha anuu:

1. Ma ke kahua mua i ke kanaka, he pilikia i ka moni 'ia nui na apana o ka ai, e like me ka mea e hooholo ia ana o fibrous ai (ai, i ka berena, i kekahi mau lau a me nā hua).
2. Ma ka lua o ke kahua o ka hoomanawanui, he pilikia i ka moni 'ia mānoanoa porridge a me Masa.
3. Ke kolu o ke kahua komo ai dysphagia pilikia i ka hele fluids ma ka esophagus.
4. Ka hope ke kahua - he piha iaʻi o ka esophagus.

2. Pain Symptom

He aha hou aʻe ua wehewehe aku ma ka maʻi 'aʻai o ka esophagus? Ka hoailona mua - ka mea, Aloha eha. Ka mea, e hele mai ana ma Aneane pau nā mea maʻi i kahua o ka hoʻonaʻauao likeʻole o ka maʻi. Ke ano o kaʻeha hiki e kekahi mau - mea hiki e nā huʻi a me ka obtuse. A ike keia, aole ia e ana discomfort i loko o ka puu a me ka ai, ma waena o ka'ūhā mua kōmi 'ana, a ma ka lalo iwi ā.

3. Reflux Symptom

He aha e kekahi kakahiaka nui na hoailona o ka maʻi 'aʻai o ka esophagus? No laila, kauka i aku nei au i ka hoike ana o ka maʻi hiki i burp (a me ka 'ōlelo o ka' epekema - reflux). Naʻe, ina mea ia lŘlŘ ma hope o mea kaumahaʻai a ma hope oʻai, a kākaʻikahi huʻi - keia mea maʻamau. Inā regurgitation ia lŘlŘ ka nānā 'ana i ka palaoa i kekahi manawa o ka lā a me ka po - mea hiki ia i ka bele no ia urgently pono e e hookolokoloia e ke kauka.

Symptom 3. ka luaʻi, nausea

I ka wā o kaʻeho ulu, ka hoʻomanawanui i ala mai ole wale nausea, a me ka luaʻi. Alarm E i puaʻa pūkoʻa a impurities ma vomitus.

Symptom 4. koko

ka hoailona mua o ka maʻi 'aʻai o ka esophagus mākou noonoo no hoi ia. Me ua i haiia ae maluna, hiki mai ke koko i loko o ka luaʻi o ka hoʻomanawanui. Kēia i hiki no i ka ikea ana o eha a me ulcers ma ka esophagus (keia hiki aku ai i ka ulu ana o hikoko). Part o ke koko ke hele mai me ka luai, a me kekahi hāʻule i loko o ka'ōpū. Ia mea ke kumu o ka admixture o ke koko i kekahi e ma ka hoomanawanui i ka noho.

Symptom 5. mahuahua salivation

Inā he kanaka maʻi 'aʻai o ka esophagus, o ka mua na hoailona - hiccup a excessive salivation. Hiccup ia lŘlŘ no ka mea, utrudnennogo ea e hooholo ia ma ke esophagus. A excessive salivation - heʻilihune o kaʻeho ka hoʻonuiʻana a me ka pilikia moni 'ia kā lākou mau tuha. Ke kinowai i wahi e hele ai, e accumulates i loko o ka waha, a lawe mai i ke kanaka ke koikoi.

Symptom 6. 'ė aʻe, ke kaupaonaʻana poho

Next,ʻike mai i ka hoailona o ka maʻi 'aʻai o ka esophagus. Penei, he kanaka e no hoi ia i ka nele o ka ikehu, ke kaupaonaʻana poho, e hoonui i ka mahana. A pau no ka pilikia me ka moni 'ia i ka hoʻomanawanui wale mahana ai (no laila, e hiki ke pale aku ka eha). Kēia entails lawaʻai ana o nā wikamina a me nā minelala hao, i ke kumu like symptoms. Ka mea hoʻonāwaliwali maoli nō o ke kino a hiki i ka hoʻomanawanui hiki "pili" Heʻano o naehana maʻi, a e i ke ala ma ka ana wela.

Symptom 7. Change i ka leo, cough

Ke kumu nui, a me ka mua symptoms o Ka maʻi 'aʻai o ka esophagus - he pinepine cough a me ka loli i ka leo o ke kanaka. A pau i kēia e hana ana i kaʻilihune o ka hoʻonuiʻana o metastases i loko o ka larynx, bronchi. Ka leo hoarseness hou e like me ka maʻamau naehana maʻi e. Pinepine i kekahi kanaka i kaʻeha ma nā kaula vocal.

Symptom 8. Halitosis

Pono, i ka wa a ka maʻi mea hou i loko o ke kahua mua, i ke ahonui e ikea ino hanu. Kekahi ke hoʻonui i ka lymph aka wahi, a e hoike i ka mea, "noho" metastases. Popoʻole waha ala o heʻilihune o ka anoe o ka maʻi 'aʻai.

complications

A noʻonoʻo nā symptoms mua o Ka maʻi 'aʻai o ka esophagus, ia mea e olelo aku i ka hoʻopöʻino' ia o ka maʻi 'aʻai kēia mau complications e hana ana i loko o ka hoomanawanui:

1. Esophageal kahe ana ke koko. Ua hiki e ukali ma ka luaʻi koko, nausea, poho o ka ike paka i. Ua hooloihi kahe ana ke koko mai kaʻeho hoomanawanui hiki ke ikeia ʻeleʻele e kū. Kēia mau wahi, i hiki noi aku ka manaʻo 'inikua' uao.
2. Perforation o kaʻeho. Ke hoomanawanui hiki no hoi i hana i ka puka i loko o ka esophagus, e alakai ana i ka hooulu ana o ka li nui i loko o ka mediastinum. Kēia, e nā mea a pau e ukali ma ka eha, kuni, a me ka intoxication.

lapaʻau '

no hoi ia i na maʻi like maʻi 'aʻai o ka esophagus mākou noonoo. Symptoms a me na hoailona - e hana i kēia. Owai la ka mea makemake e kamailio ai, ma ka mea kāu kiʻina hana a me nā kaʻina hana hiki e i pololeiʻike. Penei, hoʻokahi wale nō nana o ka esophagus hiki ole kaupalena ia makou iho, ka mea, aole ia e haawi i ka piha kiʻi o ka maʻi. ʻO kēia mau haʻawina e e pono ke hana i kaʻike,:

1. X-Ray. Kēia kaʻina hana i ka mea hiki e hooholo i ka physiological ano o kaʻeho, e like me ka ike i kona mau wahi.
2. Bronchoscopy e kōkua hooholo ma ke degere o kaʻeho kaua i loko o ka esophagus, e like me ka maopopo, ina metastasis ikea.
3. Ho'ākāka 'ana hoʻii nā palena o kaʻeho, a hoʻomaʻa i ka kēla no ka wā e hiki mai, e kōkua esophagogastroscopy.
4. Ultrasound a HI - nīnūnē kūmau e kōkua e möakäka hou i kaʻike,, e hooholo i ka Ana a me ke alo o kaʻeho metastases.
5. Keʻena hoʻokolohua koko noiʻi hoʻolako i ka manawa, e hooholo i ka oncomarkers.

lapaʻau

A hailona o ka pilikia ka hoopakele ana esophageal Ka maʻi 'aʻai. Symptoms a me na hoailona, ke kahua, lapaʻau, a me ka prognosis - a pau i kēia mea nui a me ka i, e ke kūkākūkā me kou kauka. No laila, ma kēia kahua mea makemake e pono e noonoo i hou aku au mamuli a pau i ka nohoʻana i ke e pili ana i keia hihia.

1. Ka pāhawewe ke Inc.
2. ʻoki kino. Ma keia hihia, ke hoʻomanawanui, e e wehe esophagus. I pono ka ea gastric paha intestinal Tube.
3. Hui hana: pāhawewe Inc i loko o ka huipūʻana iʻoki kino.

Me ka pili ana i ka chemotherapy, laila, me he kuokoa iaoia mea ineffective.

Hoʻolilo i ka lalo, a mawaena konu hapa o ka esophagus. Ma keia hihia, ka hoʻokō meaʻoki kino i hahai aku ma ka pāhawewe a me ka chemotherapy. Inā he mea hiki ole ke wehe i kaʻeho, pāhawewe Inc ua noi ia.

Inā ka hoʻomanawanui hahau i ke kee na hapakolu o ka esophagus, ma a ina o ka lā, e e radiotherapy.

Inā ka maʻi ua nui ka hoʻomaka ', a me ka hoʻomanawanui ka hope kahua o ka dysphagia (hikiʻole i ka pono hānai) - hoʻokō i kekahi gastrostomy. Kēiaʻoki kino, ma lalo o kūloko anesthesia ka wā o ka hoʻomanawanui i ka'ōpū ua sutured i ka abdominal paia, alaila, ua wahahee şarkı, e ai ana i loko o laila.

Outlook

I ka ka hoailona mua a me ka symptoms o esophageal Ka maʻi 'aʻai, lapaau a me ka prognosis ua noonoo - i ka mea ka i nui, e hai aku. Inā ka iapaau ana i mua, ua i mai la, ia ka manawa e ike i ka Time] no na ola o nā mea maʻi i kēia maʻi. Mua no au e makemake, e olelo aku i ka mea a pau hilinaʻi nui ma luna o ka degere o? Acaeoey o ka maʻi, i ka hoʻomanawanui i ka makahiki, a me ka 'ē aʻe likeʻole aʻe a pau. Ia mea, pono e noonoo pākahi kekahi hihia. Eia naʻe, e hiki i, a me ka nohona ma huahelu:

1. I ka esophageal Ka maʻi 'aʻai ua i hana, i ka prognosis ma keia hihia mea ole ka loa maikaʻi. Ka awelika lōʻihi like 'ole o ke ola ana o nā mea maʻi, mai ka ka loaʻaʻana o ka maʻi - ka hola 6-8 mahina. Inā i kaʻike, i loko o ke kakahiaka nui kahua o ka hoʻonaʻauao, me ka lapaʻau, kekahi e hoomanawanui i ka noho ana ma kahi o 5 makahiki.
2. Inā pili pāhawewe Inc, hoʻomanawanui ola ua me ka nui loa mahuahua.
3. Ma ka hui iapaau ana ma hope o'ano'ēʻoki kino, e pili ana i ka hapalua o nā mea maʻi ola oi ma mua o elima makahiki.
4. I ka wa a ka luna 'lapaʻau (kekahi ina metastases) mea e pili ana i 57% o nā mea maʻi ola oi ma mua o elima makahiki.