Khansa chiwindi, chiwindi metastases Mapa

Mankhwala kwa zaka zambiri chinkhoswe kafukufuku kumunda chitukuko khansa, koma pamene mokwanira kufufuza ndondomeko khansa kwalephera. Mwachitsanzo, chifukwa selo likhoza buluzi mu nthenda ndipo kenako kukhala kuti kuchepetseratu injini kuyambira. zotupa zilonda ndi metastases mu chiwindi - ndi Mapa si zolimbikitsa. Zidzachitika mchikakamizo cha zifukwa zosiyana, zikubweretsa kulephera limba, pakalibe mankhwalawa zotheka kunatsala pang'ono kufa.

khansa chiwindi ndi mawonekedwe pulayimale ndi sekondale. Pulayimale anagawira osati monga ambiri kangapo amavutika kwambiri kwa izo theka wamwamuna wa umunthu. Chinthu chachikulu chomwe mawonekedwe a khansa - kukula kwa chiwindi tizilombo (B, C, D) kudutsa mu mawonekedwe aakulu, chifukwa chachiwiri - mowa chiwindi zikubweretsa matenda enaake. matenda Secondary - chiwindi metastases (mu nkhani iyi, madokotala ananena zawo ndi akumane kwambiri) - akufotokozera pa maziko a chotupa wobala wina limba (m'mapapo, chifuwa, m'matumbo, prostate, chapamwamba kupuma thirakiti, etc.).

Woopsawo chiwindi metastases amatha kukula kukula (zoposa 10 cm) ndi kuyambitsa chiwindi kulephera wamphamvu kuledzera chifukwa kuwonongeka kwa zinthu zotha. Nthawi zambiri anapanga kuchokera metastases a zotupa zilonda thirakiti m'mimba, kuyambira magazi kale "zakhudzana" maselo chotupa, poyamba anatumiza kwa chiwindi chifukwa kusefera zachilengedwe, kumene maselo zakhazikika gululi mtima ndipo anayamba kupanga madera - metastases. Tikumbukenso kuti aliyense mkati limba chotupa metastatic chiwindi.

Ngati panali metastases mu chiwindi, kuti madokotala ananena zawo zambiri akumane Komabe, kukhala yeniyeni kwambiri, dokotala ayenera kugwira chiphasochi zofunika. Malinga ndi chiwindi metastases akatswiri wapezeka mu 1/3 odwala Oncology, makamaka khansa ya m'mapapo, m'mimba, m'matumbo ndi khansa, iwo n'zochepa kwambiri khansa yamchiberekero ndi khansa prostate.

Zizindikiro za khansa chiwindi

Chithunzi matenda ndi pafupifupi ofanana onse chotupa chachikulu ndi sekondale. Kawirikawiri, matenda oopsa, palibe zizindikiro zoonekeratu. Pa siteji koyamba chitukuko zikhoza kufooka, malungo, kutopa mofulumira, kusintha m'manyi, m'mimba nthawi, kusowa chilakolako ndi kunenepa, ululu kapena kumva zolimba mu lamanja nusu chapamwamba. Kawirikawiri zizindikiro Mukulakwitsa chifukwa matenda ena: cholelithiasis, cholangitis, cholecystitis, odwala anayamba kuchitira ndi matenda awa, kuyambira gawo Oncology.

Ululu kumanja akhoza kumatheka pamene kukwaniritsa chidwi chotupa kukula, mu nkhani iyi, amasokoneza ziwalo ozungulira ndi monga Motero, kapisozi chiwindi kwambiri anatambasula. Magawo patsogolo kwambiri, mphamvu chotupa m'kati ndi zimayambitsa chisokonezo cha ntchito chiwindi - yobwezeretsanso ya ndulu akulowa intestine, ndi kusinkhasinkha za mtundu wa khungu, zikopa mucous (azungu cha maso, pakamwa) - iwo tikhale ndi chikasu, dryness ndi kuyabwa angagwe. Ananenanso kuukitsa kutentha (mpaka 39 C).

Kudziwika zotupa ndi metastases chiwindi

Ngakhale metastases lalikulu mu chiwindi, ndiwo akumane kwambiri madokotala ananena zawo, mwina kukhala mongoyembekezera limba ntchito ndi kuyambitsa matenda a chikasu ndiyo. Ya ndulu Pankhaniyi lachokera kupyolera mu njira wathanzi, koma mu magazi mlingo bilirubin udzakhala wautali mwa kangapo. Pakuti matenda amafuna angapo mayesero ndi maphunziro, anthu chachikulu ndi:

• M'mimba ultrasound - Zimathandizanso kudziwa kukula ndi chikhalidwe cha zotupa analipo metastases.
• SKT MR kapena - molondola kwambiri oterewa chotupa chija.
• Chotsatira - ndi puncture chotupa cha. Amapita chitsanzo minofu ndi azikaphunzira mu histology kudziwa mawonekedwe ake.
• Urinalysis, magazi chala ndi mitsempha.

kaonedwe

52% odwala kupulumuka (pasanathe zaka 5 pambuyo opaleshoni), ndi munthu zilonda msonkhano 38% kukhala amoyo mu kukhalapo mayunitsi 2. Ngati wodwalayo 3 mfundo ndi zina zambiri, mwayi ndi kuchepetsa - zosakwana 18%. Ngakhale patapita bwino mlingo kupulumuka opaleshoni 40%. Kuti madokotala ananena zawo zabwino kwambiri kwa zotupa ya m'matumbo ndipo rectum.

Mulimonsemo, m'pofunika kupereka chithandizo kubwerera m'mbuyo kapena kuletsa kukula chotupa ndi kupewa mavuto kukhala. Pankhani ya alowererepo opaleshoni khansa ndi chiwindi metastases anagwira limba resection - kuchotsa formations chotupa. Opaleshoni imeneyi zimathandiza inu wokonzeka kuthana, m'dera la ngozi, monga ife tikudziwira, chiwindi akhoza yafupika kukula - zimatenga miyezi isanu ndi umodzi.