Na naau oʻu adenocarcinoma:ʻanuʻu lapaʻau,ʻoki kino, prognosis

Oncology ka manawa ia i waena o ka loa pinepine maʻi. Cancer ke hana i kekahi hui, o ka kanaka loa. 'Ākena o ka maʻi 'aʻai mea, e huai ae ia ma ka kakahiaka nui ke kahua mea aneane hiki ole i. Inā keia hana, i ka mea pohihihi keia hihia. Symptoms hōʻike mua i loko o ka hopena o kahua o ka hoʻonaʻauao, ka wā lapaau, a loaa ka pilikia, a me kekahi manawa lapuwale.

na naau oʻu adenocarcinoma - o kekahi o ka loa e like me ka ano o ka maʻi 'aʻai e ia lŘlŘ ma ka AeXIeAaOIePEAaI a me ka uuku liʻiliʻi. A ua hana mai ia i ka hewa o glandular keena o ka mucosa. E like me keiaʻeho e hoʻomōhala ai, e loli ai muscular a me ka serosal papa. Eia kekahi, uaʻeho mea hiki ke ulu a hiki ma ka liʻiliʻi.

Pehea ka na naau oʻu maʻi 'aʻai?

Most ferriferous Ka maʻi 'aʻai susceptible kanaka 50 makahiki o ka makahiki. Like no me ka oolea o ka maʻi a me ka hou prognosis, ka mea, e pono e kaukaʻi ma ana i ka gut pa i pepehi.

Na naau oʻu adenocarcinoma e loli ai, e like me ka rula,ʻaʻole wale nō momona, akā, i ka mea uuku liʻiliʻi. Akā, me ka uie kekahi hapanui hewahewa o kēia 'ano o ka maʻi' aʻai ike hou i loko o ka AeXIeAaOIePEAaI. Ma keia maʻi i loko o nā wāhine mea ma luna o ka 4th wahi i loko o ka mea hiki wale mai o ka hiki a pau ano o ka maʻi 'aʻai.

ano

Adenocarcinoma loli aʻe e like me ke degere o kona loli i loko o ka kēia subtypes:

• mahalo differentiated;

• moderately differentiated;

• poorly differentiated.

It E e ua hoʻokoʻikoʻiʻia i ka poorly differentiated adenocarcinoma o ka naʻau liʻiliʻi ia lŘlŘ loa pilikia. Kēiaʻeho ke koho wahi o ke kuhikuhi i ka hana i loko o kekahi hapa o ka naʻau liʻiliʻi, akā loa pinepine ia hōʻike mai i loko o ka rectum.

Me ka pili ana i ka meaʻuʻuku naʻau liʻiliʻi, i loko o keia hihia, no kaʻeho ua 'akomi i ka emi pinepine ia. Inā broadly puunaueia na hihia a pau i ke ano o keia pathology, ka duodenum mea maikaʻiʻole ia ma ka hapalua o ka hihia. Inā mākou e hoohalike ai i na kanaka a me na wahine, me ka ikaika keka mea oi susceptible i kēia maʻi. Ke uie kekahi hapanui hewahewa o ia he kina ua 'akomi i waena o nā makahiki o 50 a me 60 makahiki.

ke kahua me

Like no ka staging o ka maʻi, ua māheleʻia ka mea a pau au i loko oʻanuʻu i:

• Ka mua ke kahua komo ai wale ka mucosa;

• i loko o ka lua o ke kahua ia lŘlŘ hoʻolilo i nā mea a pau kino papa;

• ma ke kolu o ke kahua ma ka ia o ka hana o ua hemahema lymph aka wahi e hoʻomau ana;

• a me ka ha o kaʻanuʻu metastasis foci hoʻomaka e hoike e like me ka anu u o ka noho pilikia loa i kānaka.

A hiki i ka maʻi ke kahua na naau oʻu adenocarcinoma hoʻoholo TNM'ōnaehana a huai ae ka nui o kaʻeho, like i pepehi lymph aka wahi, a imua o ka metastasis foci.

Pehea e holo ai i ka maʻi?

Eia naʻe, adenocarcinoma o ka naʻau liʻiliʻi - he pilikia loa maʻi e hoʻomōhala ana i, kokoke 'aʻole i impersonating. E like me ka rula, e like me ka kina ua hanaʻia ma luna o ke kāʻei kua o ka maʻi li nui o ka AeXIeAaOIePEAaI, a no ia mea, i ke kanaka e launa mai i kona hoike ana o ka worsening o kona maʻi. Ma ka mea uie kekahi hapanui hewahewa adenokartsenomaʻo ia ia iho ma kona i loko o ka hihia, i ka wa e ikea metastases.

Me ka pili ana i na kakahiaka nui nā hōʻailona i ka mea loaʻa i ka kēia:

• pilikia me ka mau noho;

• huikala koko ma ka noho;

• mucous hookuuia me ke koko hakina i ka hoʻomaka o ka defecation;

• Inā ka maʻi progresses, he kanaka i ka pahikaua a hoopaa hoi i kaʻeha ma ka naʻau i māhele 'āina;

• eha ma manawa i oi'ōlelo ai;

• ka hope ke kahua hiki ke wehe intestinal kahe ana ke koko, anaemia, a me he mea he nui kaʻapu kōheoheo o ka pau meaola.

A hoike aku adenocarcinoma o ka AeXIeAaOIePEAaI. Prognosis Ua pinepine loaa ole ia.

Ke hou aku kaua i kēia maʻi, i ka nui kanaka hoʻomaka e kiʻi māluhiluhi, aia no he nawaliwali no ka maʻi 'aʻai intoxication. A ka hoʻohuikau 'o ka maʻamau digestion o ka ai hele aku ai a hiki i ka mea i kekahi kanaka hoʻomaka e mi kino dramatically.

Ka hou e holumua ai maʻi, ka mea i oi aku ka adverse symptoms i loko o kānaka, i ka hope ke kahua hiki ke hoalaia kino mahana i ka 38 degere. noho palapala ua hoi nui Hoʻololi ', a me ka constipation alternating me ka diarrhea, a i ka ikaika fetidʻala.

Pinepine i ka hoʻomanawanui hoʻomaka e haha aku i ka mea, ua pau kahe aku la ia i ko oukou mau naau. E like me ka hopena, aia no he spasmodic contraction o na nāʻiʻo, a me he mea wahahee makemake e auaaeaiea o ka naʻau i ka neʻe 'ana. Eia hou, i ke kanaka ke hele i ka 'Ia i ka 20 manawa i ka lā me ka obligatory hookuuia o mucus a me ke koko. Mau pilikia intestinal adenocarcinoma.

I ka metastases ana i loko o ke au bladder, a ma ke akepaa, a laila, i ke kanaka hoʻomaka e visually malama i ke kanawai o ke jaundice. A i loko o ka hihia i ka wa a kaʻeho ulu ikaika, ia mea hiki ke aeie i ka lumen, i ka hopena o ka haunaele o ka defecation, akā, listen wale nō kaʻeha i loko o ka opu, a hou i ka symptoms o nausea a me ka retching.

E like me oe i ike, i kekahi o na kumu nui mana o ka AeXIeAaOIePEAaI - o ka hoʻomāhuahua a me ka mālama o feces, a hana ma kaʻeho, ma o na la ia e ulcerate. Inā ke ano hoʻomaka e ulu, ma ka noho hou e e hoʻohuiʻia, a me ka huikala ana o purulent secretions a me ke koko.

He aha kumumea kāhea i ka hoouka kaua ana o keia maʻi?

Adenocarcinoma o ka AeXIeAaOIePEAaI ke'ākoʻakoʻa ma muli o ia mau aʻe. Mau loea, ua ho'ākākaʻia mai, a me ka hōʻike 'ana i kēia kumumea i ke kāhea i ka hooulu ana o keia kina, oia hoi:

• i ke alo o polyps i loko o ka AeXIeAaOIePEAaI;

• ulcerative colitis;

• duodenal ulcer;

• maʻi constipation;

• papillomavirus maʻi.

Ua mea waiwai 'ana i kumumanaʻo ia maʻi' aʻai hiki ke reborn mai benign hikoko. A ua lilo o keia kina o ka duodenum mea kuhikuhi no i ka mea i mea e loli ai i ka bile, a pancreatic wai.

Eia kekahi, intestinal adenocarcinoma (lapaʻau e e kūkā mai ma lalo nei) i ke triggered ma ke kēia kumumea:

• kūponoʻai;

• hokii no kanakaʻona mau nā mea inu;

• e uwahi ana;

• mau loaa stress;

• aaiaoe predisposition.

Ua E hoi e ua hoʻokoʻikoʻiʻia ia i loko o kekahi mau hihia loaʻa paha e kekahi kīnā o ka elua malignant hikoko - he maʻi 'aʻai o ka AeXIeAaOIePEAaI a me ka uuku liʻiliʻi.

Adenocarcinoma o ka AeXIeAaOIePEAaI loa pinepine i ke kanaka ka mea e ole hahai i kaʻai a me koʻu hoomanawanui ana'ku ia mai ka fistula ma anus. Ua mea i ke kumukuai o 'ana i kumumanaʻo mea pinepine triggers ka hooulu ana i keia mai, a me ka hoʻohana' ana o Nine Inch i ka hana, a ma ka hale.

Symptoms, a hiki huai ae i ke kina

Adenocarcinoma hiki ka hoike ana ia lakou iho ma ke kēia mau hiʻona. Inā i ka maʻi 'aʻai ua hoike ia iho ma o ka poe uuku naʻau liʻiliʻi, na symptoms i:

• stably hoike akuʻeha i loko o ka luna abdomen;

• constipation alternating me ka wai a faeces;

• flatulence;

• nausea a me ka retching;

• koke kaumaha me keia poho.

Me na naau oʻu adenocarcinoma (u 3 a me 4) e ulu, he kanaka i hoike mai i na hoailona o ka intoxication. A symptom o keia mea i ka poho o ka ikaika loa ka makemake a piha hoole ana o ka ai, e lilo i ka kūmau. Inā ka hihia o luna 'lawa, ke kahe ana ke koko ke kānāwai. I ka wā o ka ha o ke kahua o keia kina, Ka maʻi 'aʻai e loli ai a pau o ka moku e nā loko.

I ka adenocarcinoma hiki hoʻomōhala na mai hehe ma luna o ka paia o kaʻuʻuku naʻau liʻiliʻi, ua hikoko hiki hoʻonāukiuki kahe ana ke koko puka.

Like no ka adenocarcinoma o ka AeXIeAaOIePEAaI, loaʻa nō kekahi mau hiʻona, oia hoi:

• hoʻonohoʻeha ma ka lalo abdomen;

• ikaika loa ka makemake o loa kahi e;

• ma feces i ka nui helu o mucus a me ke koko ke koena ai;

• i kekahi manawa ma ka noho hiki ke loaʻa pus.

Inā 'oe i holoʻokoʻa i hele mai ma ka pono o ka intestinal paia, i ke kahe ana ke koko ke hele mai i hūnāʻia. Akā, inā i kaʻeho ua dislocated ma ka pauku hema, na feces e e noho pouli ulaula koko. A me kekahi o ka loa e like me ka hoailona o kēia maʻi, ia mea he koi aku ia wahaheʻe no i na naau oʻu neʻe.

Inā he kanaka iʻikeʻia ma ka liʻiliʻi loa kekahi o na luna symptoms, ia mea he hoailona no koke i 'āinana apau. Mai aa aku i ko lakou mau ola, a kāpae'ōlelo mai ua mau hōʻailona.

Nui: Inā kekahi kanaka e hoʻomōhala ana i kiʻekiʻe-papa na naau oʻu adenocarcinoma, o ka loa e like me ka hoopii - kahe ana ke koko mai ka anus.

ʻike, o ka AeXIeAaOIePEAaI adenokartsenomy

Kēiaʻike, e like me Ka maʻi 'aʻai o ka AeXIeAaOIePEAaI, ua kau aku ma luna o ke kumu o ka kēia mau manipulations:

• hoopii o ke ahonui;

• ohi ia moʻolelo;

• pilikia makapō nana;

• hookolokolo ana o ka rectum hoʻohana palpation;

• vocal ninaninau.

Nō kāu, oi ma mua o 70% o nā mea a pau AeXIeAaOIePEAaI Ka maʻi 'aʻai hikoko i aia i loko o ka naʻau liʻiliʻi lalo, nolaila, e hiki ke hōʻike' ia ma ke ano o ka palpation a sigmoidoscopy. Inā mea kiʻekiʻe o ka wahi o ka kuhikuhi i ka hana, i ka hoʻomalu hoʻohana he colonoscopy. A ma ka mea e hana biopsy specimens no histological ninaninau, ke kauka hoʻohana he colonoscopy, i kokua, e koho i ka hāpana.

E manaʻo i ka nui a me ke kinona o kaʻeho, hoʻohana radiopaque ninaninau o ka AeXIeAaOIePEAaI. No ka loaʻaʻana o ka metastasis hoʻohana 'ultrasound. Nō hoʻi, i kēia iaoia ua hoike mai ia ma ka hoʻok & ucirckû ia he mea hiki ole ke lawe mai i ka endoscopy.

Ma waho aʻeo ia i ka luna 'ana i kūpono i ka hoʻomanawanui pono kekahi i ke kēia mau ho'āʻo ma:

• fecal occult koko ;

• biochemical Ka Ikepili;

• pono ole, e ho'āʻo ai no ke koko a me ka mimi.

I ka kou kauka e ia ma ka lima a pau o ka hopena o ke anamanaʻo, wale ma keia hihia oia e e hiki ke hookupaa nui ae i ka pololeiʻike.

Adenocarcinoma o ka mea liilii, na naau oʻu:ʻike,

Ka loa nui kūlana i loko o kaʻike, o ka hikoko e hookani i ka hahai ana i ke ano o ka nana, oia hoi:

• X-Ray keia hookolokolo ana;

• enterographʻimi;

• hookolokolo ana e hooholo ia ana o ka Akä naÿe hehee ai;

• irrirografiya;

• ultrasound;

• Me tomography;

• E wae angiography.

Me ka mahalo i ka 'ana i kūpono e like me colonoscopy a me ka enteroscopy, ma keia hihia hoʻohana i ka mua' ana i kūpono wale loiloi mua liʻiliʻi ke nana i ka au mamuli, a me ka hoʻohana 'ana i ka lua o ka iaoia - thermal kaawale.

Nō hoʻi, i ka wa a ke kina ua kēia hoonohoia ma ke koko a me ka mimi ho'āʻo ma. Ma kekahi hihia i ka hoʻomalu e koi 'ia nā ho'āʻo ma, ke kaumaha ma muli o ka nui o ka poino o ka mea uuku liʻiliʻi.

E like me ka mea i koho 'inikua nā kaʻa mokulele a me ka Time] no ke hoʻomanawanui?

Pakele ana i kēia 'ano o ka hikoko hiki wale ke io, eʻoki kino. Akā, ma mua oe i lilo ia i ke kaʻina hana, i ka hoʻomanawanui e undergo i ka piha ninaninau.

Inā ua, ua loaʻa i ka maʻi 'aʻai i loko o ka poe uuku naʻau liʻiliʻi, ke akea resection ua hana. kona piha wehe 'paipai no ka maʻi' aʻai ana i ka duodenum. A ina he mea kekahi i nā pono, ka mea hiki ke hana, a me ka resection o ka'ōpū.

Pinepine iaʻoki kino hui me ka chemotherapy. A Ka maʻi 'aʻai chemotherapy inoperable palapala - ka manawa wale nō ke kanaka. Ma ka hooko ana maiʻoki kino ma ka 1st a me ka 2nd ke kahua me elima makahiki ola lanakila i ka paepae puka o ka 40% o nā mea maʻi.

Inā diagnosed me "AeXIeAaOIePEAaI Ka maʻi 'aʻai", ka mea, ua i häʻawi mai ai iäʻoki kino. Ma keia hihia ina ka nani mea haʻahaʻa, ka mea i hana colostomy. Kēia i mea e hiki ai, e hohola aku kanaka ola.

Inā 'oe i ua diagnosed koke ka rectum, ia mea pono e hoʻomaka irradiation ma mua o keʻoki kino, a ma hope. Kēiaʻano hana apono 'oe e loaʻa ai i kā mākou i nā hualoaʻa.

Like no adenokartsenomy AeXIeAaOIePEAaI i loko o ke kahua mua, i ka elima-makahiki ola ana lanakila i ka paepae puka o ka 90% o nā mea a pau nā mea maʻi. Ma ka lua o ka mua o ka hoemi i ka 80%. A i ka wā kaʻimiʻana i ke kolu a me ka ha o ka paepae kahua elima lanakila wale pono hapalua o nā mea a pau nā mea maʻi.

Eia naʻe, no ka mea, o ka mea lōʻihi, a imperceptible? Acaeoey o keia mai e make no ka ia he kina loa kanaka ua diagnosed ma ke kahua wā lapaau ke hana iki, e kōkua.

kāohi ana

Pehea la e hiki ai oe i pale ai AeXIeAaOIePEAaI Ka maʻi 'aʻai? Adenocarcinoma ia lŘlŘ no ka mea kēia mau kumu:

• colorectal polyps;

• hoʻoʻino keʻano o ka hanaʻana i hoʻomōhala i loko o ka gut;

• lawa ka nui o ka puluniu ka lukuia;

• pilikia me ka mau noho;

• holomua makahiki.

Inā mākou pono kanaka hoʻoponopono i ko lakou mau ola a me ka manawa e hōʻike, a kiʻi pohaku uinihepa, o nā mea a pau o ka luna pilikia, i ke kanaka e e hiki ke pale aku i ka ulu ana o keia maʻi. He nui ke kanaka hoʻoponopono i ko maua mana, a me ka loa kń i ka hokii o oily a me ka spicy ai.

Like no ka mea kūpuna, a laila, e like me ka maopopo luna, ka mea i prone loa a hiki i keia maʻi, no laila mai e loaʻa maʻamau ka nānā 'ana i ka Coloproctology. Mai Mai kāpae'ōlelo i kēia hoʻomalu, ka mea, ua la ia, a ua hiki ke hoola i kou ola. A laila, i loko o ke kakahiaka nui kahua o ka hoʻonaʻauao hiki ke 'akomi i na naau oʻu adenocarcinoma. Ke prognosis ma hope oʻoki kino ka maikai.

ka hopena

Eia naʻe,ʻo ka lapaʻauʻia e loa lanakila hiki maʻi 'aʻai,' aʻole i keia manawa nei. Hoikehonua, lapaau kaumaha ana i ke kaʻina hana a me ka ai 'ana i ka hoʻokō wale nō i loko o ka loiloi mua kahua o ka hoʻonaʻauao. Akā, i ka wa a ka maʻi ua diagnosed ia mea mua ma ka holomua ke kahua, na hiki wale mai i uuku. A no ke aha i kēia pukana e e uku ia manawa, no ka mea, ka mea 'eleu ka loaʻaʻana o ka maʻi' aʻai, oia ka manawa e nui i ke kanaka, e Makuakane me ka maʻi, a e hiki ke hoʻomau i ke ola. Ka hapanui o pinepine oe Pono, e hoʻolohe ana i kou kino, a me ka manao maikai i kekahi, i ka makahiki nana.

Mākou Ua manaoia i ka maʻi o ka naʻau i adenocarcinoma, ua ho'ākāka 'ia ma ka prognosis.