Adenocarcinoma o ka sigmoid AeXIeAaOIePEAaI: mea, lalau mai, symptoms, ohe. A me prognoses

Adenocarcinoma o ka sigmoid AeXIeAaOIePEAaI - mea he malignantʻeho i lilo 'mai ka glandular keena o ka AeXIeAaOIePEAaI Ka maʻi' aʻai. Ke sigmoid hoʻokino noho. He nolaila, nui e hoʻohana i kēlā lāʻai e hoʻonui i ka hoʻoulu peristalsis. Inā he kanaka i constipation, ke noho ua i puʻe ma luna o ka paia o ka sigmoid AeXIeAaOIePEAaI, i hiki aku ai i circulatory pilikia. Eia hou, i ka overgrowth o epithelial keena paha, no ka mea o carcinogenic waiwai maloko o ka feces. He mau waiwai hula kūlana nui i loko o ke kumu o ka maʻi 'aʻai keena.

He aha ka ke sigmoid AeXIeAaOIePEAaI?

kanaka liʻiliʻi ua maheleia i mau māhele: ka poe liilii, a me ka nui. AeXIeAaOIePEAaI Oihana la kona inoa ma muli o i ka lumen nui. Guts o ka oihana o Hoamakeikekula i ka uuku liʻiliʻi.

i ka naʻau liʻiliʻi nui ua maheleia i loko o kekahi mau pauku:

• makapo;
• AeXIeAaOIePEAaI;
• pololei.

Cecum hapa i ke kaʻina hana, a ua kapaia ka i paiiaʻi. Sigmoid AeXIeAaOIePEAaI pili ia i ka hapa o ka oihana nui. Adenocarcinoma o ka sigmoid AeXIeAaOIePEAaI mea oi, he pono ole ma mua o Ka maʻi 'aʻai ana i nā naʻau liʻiliʻi. Kaʻeho mea he malignant ke kelepona hele hou, a iloko loa o glandular epithelium. Ia mea ke kumu o ka maʻi ua pinepine haawi ia ia e like me adenocarcinoma.

Sigmoid AeXIeAaOIePEAaI o ke koe hope i loko o ka naʻau liʻiliʻi, kahi e welau a i omo i ka wai, mai ke kino, keia mea ma laila mea i ka ho okumu ana o feces.

Liʻiliʻi iho o kekahi hapa o ka e-shape ka wā pono hānai, a me ka nele o ka mea pōhaku māhuaola i loko o kēia kuleana ia lŘlŘ stagnation feces. Kēia ka poʻea pau i hihia hoʻi ke koko holo.

Hoemiia motility hiki ke kauoha ma ka helu ana i hiki mai a pau o ia wahi etiology. Eia hou, i ka ulu ana o ka stagnation o feces mea hiki me ka atony ai ole motility. Nō kāu, ka atony hiki e kena ae la e ka hoʻomanawanui o ka makahiki. Hypoperistalsis hiki, a ma hope o undergoing acee? Iuo oeiia o ana, ma hope o ka hānau keiki, ka wā inactivity. Ua i kekahi manawa i ka wa a na kanaka kino uaʻike piʻi i ka ikaika ka lele, e like me ka rula, ka mea, ua kaulana hormonal ole.

Nā nuances o ka maʻi

Adenocarcinoma - o kekahi o na maʻi loa ka wī ma ka hua'ōlelo o ka lapaʻau symptoms, a mahope Inc. Mai ka hoʻokūkū pinepine hele aku ai i ka make. Ke lethal hoʻokūkū Ua hiki no i ka metastases i ua palahalaha ae ma ke kino, hoomaka ae la e 'Imi ulu a me ka hoʻomōhala. Ke kēla ua wehewehe ia e ka mea i loko o nā kuʻina kakahiaka o ka maʻi ia lŘlŘ me ka like symptoms like me ka indigestion. Man UOAAaOON ia e hana ma ka mea ana i kekahi papa hana lapaau, nae, o kaʻeho ua ulu a me ka ulu. Ka mea, ua wale kekahi manawa ma hope, i ka wa a ka maʻi i ua hoʻomaka ', ua unuhi i ka hoʻomanawanui i ke kuka i ka oncologist.

A me kekahi hou nuance mea he ikepili koʻikoʻi pukana. Lapaʻau symptoms komo ai ka ninaninau ana i ka anus a me ka rectum, i ke ahonui wale hilahila, a aole makemake ole e hele i ka makaikai ana i ka hoʻomalu. Ia mea ke kumu o kaʻike, o Ka maʻi 'aʻai holo mai o ka manawa. Akā, i ka hoʻomanawanui pono ike: ka uuku o kaʻeho, ka muaʻike, ana, no laila, e like me ka hikiwawe e loaa ana i ka hoʻomaka lapaau. E like me ka hopena: i ka hopena, e e pono a piha ke ola.

Mea Maluna

Adenocarcinoma o ka sigmoid AeXIeAaOIePEAaI ua maheleia i loko o kekahi mau ano. Kēlā me kēia no ia i kona mau 'ano. Ano o ka hikoko:

1. Low-papa, oia IeAUPIIe, IAa IO mea he uwila-e hoʻokēʻai ai, instantaneous kahe ana o ka papa. Kēiaʻano o treatable maoli paʻakikī i kēla i loko o ka hapanui hihia noho lakou malaila.
2. Pae lōpū adenocarcinoma o ka sigmoid AeXIeAaOIePEAaI. No kēiaʻano o ka Time]ʻano optimistic.
3. Lahui differentiated adenocarcinoma o ka sigmoid AeXIeAaOIePEAaI, ke 'ano o ka hikoko pane pono i ka iapaau ana me ka lāʻau manipulations.

Ke kaumaha ma muli pehea koke ulu, a kūkulu i ka malignantʻeho, loaʻa nō kekahi mau kahua o ka hoʻonaʻauao o ka ulu ana:

1. Exophytic, oiai 'ana i kumumanaʻo o ka ulu ana o ka maʻi' aʻai keena wale i loko o ka lumen o ka sigmoid AeXIeAaOIePEAaI. Kēia ka poʻea pau i ka luminal hou, e like me ia i kaʻilihune: pinepine constipation a i keakea patency o feces.
2. Endophytic, ma keia kahua o ka ulu ana o pathogenic keena komo iloko o ka intestinal pa.

ke kahua o ka maʻi

An nui ololi o ke koena unuhi i loko o diagnosingʻeho kahua o ka hoʻonaʻauao a me ka ano o ka hoike ana. Ano o ka hikoko ma kahua o ka hoʻonaʻauao.

1. Ka mua ke kahua hoʻomaka luku mucosal ulcers. Ke nui drawback o kaʻike, o asymptomatic maʻi? Acaeoey.
2. Ma ka lua o ke kahua malignant aeee i nā olalo, e hoʻopiha i ka tunica muscularis. Ma keia hihia, he kanaka kaulana indigestion. A mua i loko o ka lua o ke kahua poe akamai i olelo aku i ka ulu ana o adenocarcinoma o i ka 5 knm.
3. Kolu o ke kahua paipai 'ana i ka anal o malignant aeee i loko o nā papa o ka naʻau liʻiliʻi nui. Ma ke kolu o ke kahua i ole i ua ulu metastasis.
4. 4th ke kahua a holo adenocarcinoma. He He hoike ana o ka maʻi i loko o ka wa e kaawale aku o ka 'eleuʻike, mālama' ia e hoʻomalu. I ka Ia manawa ia e hoʻomōhala ana i metastasis i nā nā loko. Ka olelo wanana a ka IeAUPIIe, IAa IO noho lakou malaila.

kumu

Nā kumu o ka maʻi 'aʻai, he lehulehu a me ka e lauwili. Loa importantly, ka mea, ua unpredictable. Hoikehonua, lapaau mea,ʻaʻole hiki ke manaʻoi kuhikuhi i na kumu o ka adenocarcinoma o ka sigmoid AeXIeAaOIePEAaI. Oe ke hāʻawi i nā kumu e i ka hooulu ana o ka maʻi 'aʻai ma kekahi mau pūʻulu. Mau kumumea nā:

1. Ai kāna hana. He nui nā kauka manaoio ia malnutrition o ka papa kuhikuhiE kumu o ka keʻano o ka hanaʻana i hoʻonui i ka maʻi 'aʻai. No nā palapala ai nā huahana i loaʻa ka nui dala o carcinogens, holoholona bipi kūpaluʻia, momoma nāʻakika.
2. Li nui o ka naʻau liʻiliʻi nui. Ka noho pilikia loa maʻi no ke kino, ua ulcerative colitis. Pinepine i ka maʻi o ka predisposing ana no ka hope kūpono 'ana o ka maʻi' aʻai. Ka hou o ka maʻi, malama ole o ka 'eleu lapaʻau, ka nui maoli ka pilikia o malignant keena.
3. Polyps. Ka Cancer Plan intestinal polyps mea he predisposing ololi i loko o ka ulu ana o ka malignancy.
4. Aaiaoe ololi.
5. Lama.
6. Ka pāhawewe ke - ia o kekahi o ka alakai kumu o ka AeXIeAaOIePEAaI adenocarcinoma.

lapaʻau '

E huai ae a diagnose maʻi hoʻomalu paipai i ka olelo ana o kekahi mau noiʻi ki ina hana like, ma ka hou ana i ke koko o Kaoleioku, noho a me ka mimi:

1. Ultrasoundʻike, kōkua i visualize hikoko, akā, 'aʻole e hōʻike mai i ke kumu o ka? Acaeoey.
2. X-kukuna me Akä, i ka hoʻomalu nana ma ka degere o ke ano o ka sigmoid AeXIeAaOIePEAaI.
3. MRI, aʻume mākenēki resonance kiʻi. Kōkua e kuhikuhi i ke alo o ka maʻi 'aʻai, i mai la ia kêia kanaka.
4. Fibrocolonoscopy. A like o ka naʻau liʻiliʻi nui ka hoʻohana 'ana i ka kūikawā mea - heʻimi. Ma keia hihia, ke akamai hiki pololei nana i ka nui o kaʻeho, manaʻo i ke degere o ka hou o ka intestinal lumen, hooholo i ka hihia.

symptomatology

Ma ka loiloi mua pae o kaʻeho ka ulu ana i loko o ka asymptomatic maʻi. I mea no ke aha 'eleuʻike, a me ka loaʻaʻana o ka hikoko mea problematic.

Ka mua hoike ana i ia i ka digestive kāna hana: abdominal eha, constipation, flatulence. hiki e hookahuli ai i kēia mau'ōuli o ka hoomanawanui a me ka mea mau digestive kāna hana, i mea no ke aha la ma keia kahua o ke kai eʻe a hiki i ke kauka e ukuhi i ka hoʻomanawanui. Tightness i loko o ka anamanaʻo aie i ka mea, ma ka sigmoid AeXIeAaOIePEAaI e waiho. Symptoms o ka mea hoʻomaʻi, aole ia e hoike i ka kakahiaka kahua o ka hoʻonaʻauao.

E like me ka malignantʻeho ka ulu a me ka ulu ana o lapaʻau hoike ana mai o ka maʻi i oi like. Hoʻomanawanui memo:

1. Pain ma ka hapa hema. Ua lilo hoi i hoomanawanui i ka eha, keia mea he maopopo PAaIEN no ka lapaau ana i ke kauka.
2. Nausea a me ka luaʻi.
3. Bloating.
4. Diarrhea a constipation. Ma ka holomua ke kahua me Kīwala'ō ma lalo constipation, keia mea aie a hiki i ke ano o ka sigmoid AeXIeAaOIePEAaI lumen.
5. Impurities ma ka noho, koko, pus a me mucus.

Common lapaʻau hoike ana

Common lapaʻau hoikeana ano o adenocarcinoma o ka sigmoid AeXIeAaOIePEAaI i nawaliwali, kokololio kaumaha poho, kekahi hoʻomanawanui iki mai no o kaʻeho kahe ana ke koko anaemia.

Ka nui pilikia o ka mea i ka li nui e hoʻomōhala ana i loko o ka lua, aole ia e hoohalike ai i ka maʻi 'aʻai o ka sigmoid AeXIeAaOIePEAaI. I mea no ke aha la i lapaʻau hoikeana hiki erroneousʻike.

Ma ke kahua o ka metastasis Metastasis e hele ma ke kino i loko o na moku, hohola iho la maluna o ka ili honua. Ka mua wahi o malignant ke kelepona hele ka ulu, a diagnoses ke kahuna lapaau, i loko o ka lymph aka wahi, a wale laila, hoʻomaka ka maʻiʻaʻai o parenchymal nā loko. I ka papa kuhikuhiE poino i ke akepaʻa mea pono.

Ake poho ua hoikeia mai ma ka jaundice, awaawa ho'āʻoʻana i loko o ka waha. Ke artisan ke hoao i ka metastases ma palpation. I kākau metastases i ka manawa o MRI, ultrasound.

lapaʻau

Ka loa pono a me ka maikaʻi pākōlea hooko hiki ke loaʻa i Inc, na kahua o ka hoʻonaʻauao mua a me ka lua o ka maʻi. Hookoia imi iho la ma ka lilo o keʻoki kino. Surgeons e wehe 'ana o ka adenocarcinoma o ka sigmoid AeXIeAaOIePEAaI.

ʻoki lāʻau lapaʻau kāu kiʻina hana i kekahi mau kahua o ka hoʻonaʻauao.

• Iloko o ke kahua mua he mea piha ana o ka hikoko me ka uuku nahā o ka sigmoid AeXIeAaOIePEAaI. Kauka paipai i ka hoʻokō wale i nā hualoaʻa ana o ka oi ma mua o 15 knm naʻau liʻiliʻi, i mea o lalo o kaʻeho, a ka hapalua o ka mika kiʻekiʻe. Inā ua alalai ole iaʻi, i ka welau hiki e stapled pu. Inā he mea iaʻi o ka naʻau liʻiliʻi, ka haahaa pau ana o ka naʻau i ua hōʻike 'ia ma luna o ka abdominal paia a hiki i ka paepae hiki ke hōʻike i loko o ka hana eke, e ohi.

• Ma keia ano, e hoomanawanui i pana aku au i kekahi mau mahina. Ma hope o ia i ka hai 'uao, ka mea, ua hanaia no ka piha hoihoi hou ia ana o ka maʻamau functioning o ka gastrointestinal'āpana a me ka gut permeability. Hou-uao mea,ʻaʻole e hiki i loko o nā hihia.
• Chemotherapy Ua hiki ma hope o ka piʻiʻana mua o surgeons. Ua mea e pale aku relapse o ka maʻi. Ma hope o ka papa o ka chemotherapy mea hiki, e hoʻomaka i ka lua o ka hana.
• Irradiation like me ka iapaau ana no ka sigmoid hiki no kahi o ka chemotherapy.
• E emi i ka eha i kekahi kanaka ua hoakaka ia narcotic ai '. Inā ka maʻi i hoʻonoho mai ke kahua, ilihune prognosis, he mea hiki hookohu o narcotic analgesics. Loaa ana ikaika lāʻau hoomakaukau ana e ole e paʻa, e pono ia i excerpt mua ka lawe ana i loko o kekahi mau hola. ʻike mau analgesicsʻeha ua i paʻapū.

Lapaau o ka sigmoid AeXIeAaOIePEAaI koi 'eleu' uao o ke kauka. Inā e hana i kaʻoki kino i loko o ke kahua o ka hoʻonaʻauao mua, a kakahiaka nui o ka maʻi, i ka piha ana o ka hikoko ka poʻea pau i ka pono hoʻomanawanui ke ola. Inā i ke kahua o ka maʻi ua hoʻomaka ', i ka hoʻomanawanui AOON ke kipa i ka' inikua nā kaʻa no kaʻike, o ka maʻi ina hele kahua o ka metastasis, a me ka noho lakou malaila prognosis o ka maʻi. Metastasis hiki ole ke wehe ia eʻoki kino.

Adenocarcinoma o ka sigmoid AeXIeAaOIePEAaI: Time]

Ua hiki ke hoʻomaopopo i ka prognosis o kaʻeho lapaʻau mea conventionally maikaʻi. Inā ka maʻi ua diagnosed i loko o ka 'eleu kūpono, i ka manawa i ka hana, e hiki ke helu i ka piha hou ana o ka adenocarcinoma. Ke ola ana o nā mea maʻi i oi ma mua o ka hapalua o ka hihia. Inā mākou e noonoo ana i ka hapanui o kaʻoki lāʻau lapaʻau ke kaʻina hana i hana i loko o nā mea maʻi o ka nui elemakule, ka mea, o ka mea maikaʻi i nā hualoaʻa.

mea, ua ulu

Inā he mea i ka iki kamaʻilio ma ka adenocarcinoma paʻa ia indigestion, he mamao nele i ka ike i ka hoʻomalu e diagnose i ka maʻi a me kona piha hoʻopau. I lapaau a me ka Kāohiʻana, e kōkua e hohola aku i ke ola ana o ke ahonui, a me ka nui loa hoʻoikaika 'ana i kona mea e like ai.

Nä meaʻai wahi nana hiki ole e hauʻoli nā mea maʻi, kahi kaulana tightness. Kēlā me kēia kanaka e ike i ke kauka - he hoʻomalu i ke ho'āʻo nei e kōkua, a me ka tightness mea kūpono 'ole ka' aneʻi. manao iho la kekahi i ka 'eleuʻike, o ka hikoko ke ana i ke ola, e ia i ka papa kuhikuhiE ana ma mua e hele ana i ka hoʻomalu.