Cov tsos mob thiab kho tus mob qog nqaij hlav hlav

Qhov chaw thib plaub nyob hauv qhov naj npawb ntawm cov neeg tuag yog nyob ntawm cov hlav qog nqaij hlav hauv lub hlav hlav.

Lub siab ntawm qhov ntxim nyiam ntawm kev txhim kho pathology tshwm sim ntawm 70, tab sis kev pheej hmoo ntawm ib qho neoplasm tshwm sim tom qab 30 xyoo.

Lub insidiousness ntawm tus kab mob nyob rau hauv lub fact tias malignant thiab benign formations tsim yuav luag asymptomatically, uas complicates tus mob thaum pib theem thiab txo qhov uas yuav muaj txiaj ntsig tshwm sim.

Cov ua rau mob neoplasm

Cov laj thawj rau kev loj hlob ntawm cov qog yog mutated hlwb uas tshwm sim hauv lub cev, tab sis lawv txoj kev loj hlob yog suppressed rau lub sijhawm ua los ntawm kev tiv thaiv kab mob. Thaum lub cev tiv thaiv kab mob tsis muaj zog, cov hlwb ua tsis zoo pib faib thiab ib qho neoplasm yog tsim, uas lub cev tsis tuaj yeem tiv thaiv nws tus kheej.

Vim li cas cov cell nrog hloov pauv DNA tshwm sim tseem tsis tau paub, tab sis cov yam ntxwv zoo li no tuaj yeem cuam tshuam txog kev loj hlob ntawm cov qog:

• cawv thiab quav yeeb quav cawv;
• kev tshuaj ntsuam genetic thiab hereditary predisposition;
• haiv neeg thiab tub los ntxhais - ntau zaus pathology raug kuaj pom nyob rau hauv tus txiv neej, nrog rau cov neeg ntawm cov haiv neeg Negroid;
• yam hnub nyoog - cov neeg laus dua 65 xyoos yog cov raug rau tus kab mob yooj yim tshaj plaws;
• mob caj dab ntev;
• lom lub cev nrog tshuaj lom thiab tshuaj lom neeg;
• mob plab zom mov;
• cov kab mob endocrine;
• cirrhosis ntawm daim siab;
• kev siv dag zog tsawg tsawg ntawm kev tawm dag zog hauv kev sib xyaw nrog cov rog nyhav dhau mus;
• lub xub ntiag ntawm oncological pathologies hauv lub cev;
• ulcerative mob plab thiab Crohn's mob;
• phais plab;
• noj tsis zoo;
• kab mob ntawm lub qhov ncauj ua kab mob;
• cov kab mob ua xua.

Adenoma, cystic tsim nyob rau hauv lub caj pas thiab pancreatitis feem ntau ua rau tshwm sim ntawm qog nqaij hlav cancer.

Yeeb yaj duab video qhia txog lub luag haujlwm ntawm tus txiav ua kab mob hauv lub cev:

Benign cov qog

Cov hlav hlav loj tsis yog cov yuav txo tau txoj sia, tab sis tuaj yeem loj hlob mus rau qhov tsis zoo. Yog li, lawv txoj kev kuaj mob thiab kev kho mob tsis tu ncua tsis muaj tsawg tshaj li kev kuaj mob qog nqaij hlav cancer.

Hom

Kev faib tawm ua cov thooj hlav ntev faib ua hom:

• fibromas - yog tsim los ntawm fibrous hlwb;
• lipomas - yog tsim los ntawm cov rog rog;
• adenoma - muaj cov ntaub so ntswg glandular;
• insuloma - lub qog neuroendocrine;
• hemangioma - tsim los ntawm cov hlab ntshav;
• leiomyoma - tsim los ntawm cov leeg leeg;
• neurinoma - muaj cov hlab ntaws ua ke.

Muaj ob theem ntawm kev loj hlob ntawm cov qog benign:

• thaum pib - lub qog ntawm qhov loj me tau tsim;
• lig dhau los - lub neoplasm pib nyem lub ducts, cov hlab ntsha ntawm lub caj pas thiab cov hlab ntsha kawg, pib abut tawm tsam cov kabmob uas nyob ib sab.

Cov tsos mob

Thaum pib ntawm txoj kev loj hlob, cov qog tsis qhia lawv tus kheej hauv txhua txoj kev, tab sis nyob rau hauv cov txheej txheem ntawm kev loj hlob ntxiv, koj tuaj yeem pom qee cov cim:

• qab los txo thiab xeev siab tshwm sim;
• kev kawm zuj zus;
• muaj mob hauv plab thiab hauv qab txoj cai, muab sab nraub qaum;
• qhov mob tom qab noj mov tag thiab mob heev thaum hmo ntuj.

Kev loj zuj zus mus, qhov tsim yuav cuam tshuam kev ua haujlwm ntawm lub qog, thiab cov tsos mob ua haujlwm tshaj:

• raws plab pib lub teeb quav;
• xeev siab hloov mus rau hauv ntuav;
• tso zis darkens;
• tsis tu ncua ntawm kev coj khaub ncaws mus tsis tu ncua;
• nce hws;
• ua daus no thiab mob nyob rau hauv daim siab tshwm sim;
• daim tawv nqaij thiab cov leeg nqaij ntawm lub qhov muag tig daj;
• khaus tawv.

Yellowness thiab khaus ntawm daim tawv nqaij feem ntau tshwm sim yog tias muaj qog hlav nyob rau hauv lub taub hau ntawm tus txiav ua leeg.

Nyob rau theem no, koj tsis tuaj yeem ncua ib qho kev mus ntsib kws kho mob. Cov kev kawm sai dua tau txheeb pom, feem ntau nws yog los tiv thaiv kev txhim kho ntawm oncology.

Kev kuaj mob

Kev kuaj mob pib nrog kev khaws cov ntaub ntawv hais txog kev tsis txaus siab, tus neeg mob lub neej, kev sib kis thiab cov kab mob yav dhau los, thiab cov mob ntawm oncology ntawm cov txheeb ze nyob ze. Hauv lub neej yav tom ntej, kev tshawb nrhiav kev kuaj mob raug muab tshuaj.

Hmoov tsis zoo, lub caj pas yog zais los ntawm lwm cov plab hnyuv siab raum thiab tsis pom zoo thaum lub caij ultrasound, yog li kev kuaj mob suav nrog:

• MRI thiab CT;
• sib nqus resonance pancreatocholangiography;
• endoscopic retrograde cholangiopancreatography.

Kuj yuav tsum muaj kev ntsuam xyuas:

• kev saib xyuas cov ntshav thiab zis;
• ntshav biochemistry;
• cov ntshav ntawm cov cim qog ntshav;
• coprogram
• kev kawm ntawm ib qho tawg ntawm lub qog rau histology.

Kev kho thiab ntsuas qhov tseeb

Benign formations tsis pub siv cov kev tawm tsam kev cia siab vim muaj kev pheej hmoo siab ntawm kev cuam tshuam mus rau qog cov hlav. Yog li, txoj kev kho tsuas cuam tshuam kev phais mob xwb.

Nyob ntawm cov teeb meem nyuaj ntawm cov xwm txheej, laparoscopy lossis kev phais plab yog xaiv, thaum lub sijhawm tsim thiab, yog tias tsim nyog, qee qhov ntawm lub qog nws tus kheej raug tshem tawm.

Nrog kev tshem tawm kom raws sijhawm thiab yog tias tshawb nrhiav keeb kwm tsis tau qhia tawm cov hlwb tsis zoo, tom qab kev kuaj pom tau muaj txiaj ntsig zoo.

Malignant neoplasms

Feem ntau, ib qho kev mob qog taub hau hlav tawm los ntawm cov ntaub so ntswg epithelium ntawm ducts ntawm lub caj pas. Nrog rau kev ua tus mob carcinoma thiab sarcoma, cov no yog hom feem ntau ntawm pancreatic oncology.

Neignant malignant tseem muaj lawv kev faib tawm:

• sarcoma - lymphosarcoma, carciosarcoma, angiosarcoma, fibrosarcoma;
• malignant cystic formations - carcinomatous, sarcomatous;
• mob cancer - oncology ntawm cov islets ntawm Langengars, acinous adenocarcinoma, cylindrical, squamous.

Ua raws li qhov loj ntawm kev tsim thiab kis mob qog, ntau theem tau muab faib:

1. Qhov xoom theem yog qhov pib ntawm kev txhim kho ntawm cov qog ua hlav, thaum tsuas muaj qee cov hlwb hloov pauv. Lub sijhawm no, kev kawm tsuas tuaj yeem raug kuaj pom siv ua cov ntawv sau tomography lossis MRI. Thaum kuaj pom oncology nyob rau theem no, kwv yees ntawm kev kho kom tiav yog 99%.
2. Lub theem ib faib ua lub hauv paus - hauv ib kis (hloov pauv 1A) kev tsim yog 2 cm loj, nyob rau lwm qhov (hloov 1B) cov qog loj hlob mus rau 5 cm. Nyob rau thawj theem, lub qog tsis tawm lub qog thiab tsis overgrow nrog metastases, yog li, nws tuaj yeem tshem tawm los ntawm kev phais mob Cov.
3. Theem 2 - nyob rau qib no, lub qog yuav hlav ntawm cov bile ducts thiab cov plab hnyuv uas nyob ib sab (hloov 2A) lossis ntawm lub qog ua haujlwm (2B).
4. Theem 3 - metastases cuam tshuam rau cov leeg loj thiab cov hlab ntshav.
5. Theem 4 - metastases kis mus rau lwm qhov chaw nyob deb. Qhov kawg theem, thaum lub sijhawm ua haujlwm yuav tsis pab ntxiv.

Cov tsos mob thiab kuaj mob

Lub qog ua haujlwm loj hauv lub cev tsis tuaj yeem hloov kho, thiab tsuas yog thaum cov kabmob nyob sib ze raug mob, cov tsos mob pib tshwm:

• tsis qab los noj mov thiab ntuav;
• tsam plab thiab raws plab;
• lub teeb cov quav thiab tso zis tsaus nti;
• mob plab.

Mob qog noj cancer rau ntawm lub cev lossis ko tw ntawm cov txiav ntshav ntxiv rau cov tsos mob li nram no:

• tsam raug hnoos qeev;
• hnov mob hauv qab tav;
• yuag pom raws qhov ceeb thawj;
• ascites loj hlob.

Yog tias lub taub hau ntawm cov qog cuam tshuam, ces cov tsos mob tshwm sim raws li hauv qab no:

• mob hauv qab txoj cai;
• yellowing ntawm daim tawv nqaij thiab mucous daim nyias nyias ntawm lub qhov muag pom;
• muaj qhov zoo ces khaus;
• cov quav ua roj.

Kev kuaj pom tus mob maloplant neoplasm pab kuaj thiab ntsuas cov cuab yeej:

• cholangiography;
• magnetic resonance kev ntsuam xyuas;
• xam tomography;
• me
• Ultrasound
• ntshav rau bilirubin;
• saib xyuas ntshav thiab tso ntshav kuaj tawm.

Nrog kev pab los ntawm biopsy, kev tshuaj xyuas keeb kwm raug ntsuas thiab hom mob cancer yog txiav txim siab.

Kev kho thiab ntsuas qhov tseeb

Ntawm cov sijhawm ua haujlwm, lub qog tau raug tshem tawm phais.

Tab sis feem ntau nyob rau theem no, pathology tsis tshua muaj neeg pom, tsis ntau tshaj li ib ntawm 10 kis, thiab tom qab ntawd mob qog nqaij hlav lub taub hau ntawm caj pas, vim tias nws mob sai dua vim yog yuag tawv nqaij.

Thaum pib ntawm txoj kev loj hlob, kev tsim yuav raug tshem tawm nrog ib feem ntawm cov ntaub so ntswg noj qab haus huv ntawm lub caj pas, thiab, yog tias tsim nyog, nrog rau qee qhov ntawm cov kabmob uas nyob ze, thiab kev kho yog raug hais kom txo cov tsos mob thiab tiv thaiv kom rov huam mob tuaj.

Lub sijhawm tshuaj tua kab mob, co toxins tau nkag mus rau hauv tus neeg mob lub cev, thaiv qhov kev loj hlob ntawm metastases thiab rhuav tshem cov qog nqaij hlav cancer (fluorouracil, Semustin). Cov kev kho mob zoo li no tuaj yeem nqa tom qab kev phais lossis npaj rau nws.

Kev ntsuas hluav taws xob yog kwv kho nrog kev siv tshuaj. Tus neeg mob lub cev tau raug rau cov pa hluav taws xob ntau, vim qhov tshwm sim ntawm qhov mob qog nqaij hlav tsawg dua thiab qhov mob ua kom tsawg dua.

Tsis tas li, cov neeg mob tau txais ASD feem. Txais tos yog nqa tawm los ntawm kev kawm. ASD txo qhov mob, txhawb kev rov ua haujlwm thiab cov metabolism hauv lub cev, thiab txhawb kev tiv thaiv kab mob.

Txoj kev ua pa (pancreatic enzyme) (Pancrease, Creon) kuj tseem yog kho rau cov neeg mob.

Cov khoom siv video hais txog mob qog noj ntshav:

Ib qho tseem ceeb ntawm kev kho yog ua raws kev noj haus nrog kev noj haus kom zoo rau lub cev thiab noj zaub mov seem tsawg ntawm ntu me me.

Nyob rau hauv cov ntaub ntawv ntawm kev tshem tawm ntawm qog malignant nyob rau ntawm thawj theem, qhov kev kuaj pom tau zoo heev.

Qhov loj dua nyob rau theem thaum lub sijhawm nrhiav kom tau, qhov qis qis dua qhov uas muaj txiaj ntsig zoo. Yog li, qhov pib ntawm kev kho mob ntawm theem 2 ua rau kev kub ntxhov ua kom tsis muaj peev xwm ua kom tiav kev tsim lub cev. Feem ntau nws yuav tsum tau tshem tawm txhua lub qog thiab txawm tias qhov chaw nyob sib ze, tab sis feem pua ​​ntawm cov mob rov huam tuaj yog qhov tseem thiab tsuas yog li ib feem peb ntawm cov neeg mob nyob txog 5 xyoo tom qab phais mob.

Cov theem peb thiab theem thib plaub tsis tuaj yeem ua tau, vim tias feem ntau cov plab hnyuv siab raum raug txhom los ntawm metastases thiab kev ua haujlwm yuav tsis pab, tab sis tsuas yog cuam tshuam cov xwm txheej. Hauv cov xwm txheej zoo li no, txoj kev kho kom zoo yog coj los pab tus neeg mob lub neej. Cia li hais tias, cov neeg mob nyob rau theem kawg yog txhawb los ntawm narcotic painkillers. Feem ntau, cov neeg mob zoo li no tsis nyob ntev dua 6-8 lub hlis tom qab pom ntawm oncology.