Adenocarcinoma of endlaleni: inkcazelo, izinto, izigaba, iimpawu kunye nonyango

Adenocarcinoma ye endlaleni - kunzima nomhlaza. Ngaphambili, yena ingqalelo omnye unobangela wokufa phakathi kwamadoda amakhulu. Namhlanje le sifo liya kwafunyaniswa eselula. Ngaba kunokwenzeka ukuba iyaluthintela uphuhliso zomhlaza? Indlela ukuqaphela iimpawu zayo usaqala?

ulwazi jikelele

Yesinye Adenocarcinoma - a neoplasm onobungozi epithelial, elibhekisela izifo oncological. Kwihlabathi esi sifo siya kungqinwa ngonyaka kwi-500 000 izigulane ezitsha. Nangona ukuphuculwa rhoqo iindlela zokuxilonga ngamayeza nokunyanga, ukususela adenocarcinoma lokufa ihlala phezulu. Kutheni? Izigulane badla ngoyaba iimpawu kokuqala ingxaki kwaye musa ukusondela kugqirha uncedo.

Eyona eziphambili ezibangela isifo

Adenocarcinoma oluphuhliswe ukuntshula ithumba kwi yesinye okanye kufudukela ngokusebenzisa imibhobho emithanjeni. Eyaziwa ityala ngqo kwesi sifo - nophinda-phindo kwamalweyile ngendlela kweeseli ezingaqhelekanga. Bona ngcembe ukungena ephilile. izinto Nedlac kwakheka ngenxa kwiDNA. Kutheni le nto isenzeka, amayeza yanamhlanje ayikwazi ukuphendula ngqo. Noko ke, oogqirha ukwahlula lonke iqela izinto ezandisa amathuba yokuphuhlisa sifo:

1. yofuzo. Umngcipheko wokuhlaselwa adenocarcinoma na ukunyuka prostate kabini, ukuba loo ukungaqheleki bene ngaphambili kunye nezalamane.
2. Age.
3. Ukuchaneka adla (intsilelo zokutya zezityalo kwizidlo).
4. Utyebile, ukungazilolongi.
5. Ukutshaya. izinto umhlaza equlethwe umsi wecuba, ibe nefuthe elibi emzimbeni wonke.
6. iimpawu hormone. Adenocarcinoma ye endlaleni kukuphinda eziliqela rhoqo olufunyanwa ngamadoda kunye kumanqanaba aphezulu testosterone. Kule sifo kuzo lwenzeka ngendlela ndlongondlongo.

Ezinye impembelelo ezithwala kunye nezinye izinto ziqhelekilyo zonke iintlobo zezifo zomhlaza. Le radiation, eziphilayo embi, basebenza kwiindawo ezinobungozi, njalo-njalo.

Indlela ukuqaphela adenocarcinoma?

Mbonakaliso sifo ayikwazi kubizwa ngokuba ekuso. Kaninzi abantu baye iimpawu ezifanayo umfanekiso bezonyango zizifo enzala. Ukuba Ithumba incinane, oko akumenzi kwaziwa ixesha elide. Njengoko kunyebeleziso yamathumba imeko yesigulane kuguga. Nazi ezinye iimpawu wendlala adenocarcinoma:

1. echama rhoqo. Ngaloo ubungakanani ulwelo osetyenzisiweyo kuhlala ingatshintshanga.
2. Cramping intlungu esisu kunye ezimpundu.
3. Imvakalelo yokulahla engaphelelanga lwesinye emva kokuya kwindlu yangasese.
4. Iingxaki ne amandla.
5. Ubukho igazi incindi kunye nomchamo.

Iimpawu okuqala ayafana nalawo abebalwa adenoma wendlala. Ngoko ke, sigaba ngakumbi diagnostic kubalulekile ukuba umahluko omnye komnye ngezifo. Emva kokuba ukuvela metastases (isigaba 4-th isifo) ukunyuka iintlungu ukungaphatheki, ukudumba kweqondo asezantsi ibonakala. Ngamanye amaxesha iphuhlisa ukukhubazeka phezu yangasemva ucinezelo lomqolo ithumba.

Iintlobo wendlala adenocarcinoma

Omnye zinto zijongwayo sesona sicwangciso unyango umahluko adenocarcinoma. Eli gama libhekisela iqondo lokuvuthwa nethumba, umahluko phakathi kwiiseli esempilweni ukusuka zophendlo lwezifo. Isetyenziswa lokuhlela izifo. Thina Makangagocagoci phakathi kwizinga elisezantsi, eliphakathi kwaye kakhulu neenkalo neoplasms iziqalelo. Ngomhla izehlo sifo bekela iintlobo ezifana adenokartsenomy njenge:

• melkoatsinarnaya;
• uqhagamshelwano lwetshiphu emsebenzi-grade;
• eliphantsi-grade;
• carcinomas.

Melkoatsinarnaya adenocarcinoma ye endlaleni - lolona hlobo luqhelekileyo esi sifo. Umthombo kwayo epithelium wendlala acini. Neoplasms ngokuqhelekileyo ukuphuhlisa ngexesha elinye kwiindawo eziliqela, uze hlanganisa kunye. Kuba unyango: utyando, hormone testosterone kwafa kunye radiotherapy.

Uhlobo luqhelekileyo lesibini adenocarcinoma - ophezulu-grade. Ngokuqhelekileyo, nethumba iphuhlisa ngokucothayo kwaye ayiniki metastases. sezulu musa ayashiyana isakhiwo iiseli eziqhelekileyo. Nge ubhaqo ngexesha le ALS ngokuba unyango sisihle.

Le fom ezinqabileyo ngxwaba adenocarcinoma carcinomas na. Oku yohlulwe Ukudlulela ezikhawulezayo ithambo. unyango hormone kunye ichemotherapy kule ndlela esi sifo ayisasebenzi. Izigulane bacetyiswa ukuba prostatectomy olukhulu.

Ayikaqondwa adenocarcinoma enomahluko ye endlaleni une avareji isidanga sandla. Ithumba iphawulwa isakhiwo sekhombuya, kunye Gleason amanqaku 8-10 iyavumelana. Neoplasm ngokukhawuleza uyakhula amalungu ezikufutshane.

lokufunyaniswa kwesifo

Xa iikliniki European onke amadoda phezu 45 igciwane inyanzelekile ukuba ubhaqo izifo wendlala. Oku kuquka thethwano womchamo, yaye uvavanyo igazi ngenxa iantigens ethile. Le yokugqibela ithathwa vavanyo ulwazi moshilongo ezisaqalayo zomhlaza. A inqanaba eliphezulu PSA egazini ngqo ibonisa ubukho yenkqubo yezifo.

Enye indlela ibonisa uphando luvavanyo efakwa. It ikuvumela ukuba ukuhlola imeko umzimba kunye nobungakanani kusebenziso. Adenocarcinoma ye endlaleni unalo uqikelelo entle kuphela ukuba sikwinqanaba lokuqala lophuhliso. Kwezinye iimeko, imfuneko unyango olubiza kakhulu ixesha elide.

Ukuba ukrokrela ukuba esi sifo amisele ngaphezulu:

• ultrasound;
• biopsy;
• MRI;
• scintigraphy;
• urinalysis, negazi.

Kwizibhedlela ezininzi mihla ukuvavanya imeko endlaleni usebenzisa uphenyo ekhethekileyo efakwa. Ivumela usebenzisa okukhawulezayo-inaliti ucingo imveliso eziphathekayo ngeenjongo zophando. Esi sixhobo yaziswa isikali, kwaye iziphumo nenkqubo eboniswe eskrinini.

Isigaba isifo

Phambi unyango ukuba loluphi uhlobo acinar adenocarcinoma ye endlaleni (koko sachaza ngasentla) kwakunye iqondo inkqubo yezifo. Uphuhliso kwesi sifo lilandela amanyathelo efanayo nezinye iintlobo zomhlaza wendlala. Ekuphela mahluko - sezulu lunyango epheleleyo. Umzekelo, uhlobo carcinomas zonke izigaba nokukhula ngokukhawuleza. Lidla Uphuhliso speed eliphezulu kwaye luphawulwa adenocarcinoma abangaxhalabisiyo umahluko we endlaleni. Noko ke, ekufumanekeni lokuqala inqanaba lophuhliso kuthathwa ummangaliso. ixesha ukuba ukuqala unyango, kunokwenzeka ukuba nethemba yabaneziphumo ezihle.

Yintoni amanqanaba prostate adenocarcinoma sisodwa? Xa iyonke kukho ezine:

1. Inqanaba lokuqala lunqabe sifo. Utshintsho kubume lolwabo sakugcina, ukuba kungabonwa kuphela ngokuthi biopsy. Iimvavanyo ngokuqhelekileyo ukubonisa unxaxho kancinane ukusuka izikhombisi eqhelekileyo.
2. Inqanaba lesibini luphawulwa izitshanguba iindawo nobubovu kunye iinwebu zayo. Utshintsho kubume bayo bangonakala ukubonwa Ngokucofa.
3. Xa inyathelo wesithathu kukho ukukhula ithumba eyomeleleyo, ukuzala, iiseli umhlaza. Inkqubo yezifo ngcembe kwanwenwa maqampu wendlala.
4. Ngelo xesha yesine sisilonda esidumbileyoesingaphakathi amalungu ezikufutshane. Kokwanda iiseli zomhlaza kuyaqhubeka. Metastases kungabonwa kwiindawo nkovu kunye neendonga kwisisu.

imigaqo esisiseko unyango

Adenocarcinoma ungayinqoba kuphela kwi lokuqala sifo. Nokuphathwa eyaneleyo nezipheleleyo iyasilela ukuthintela iimpawu inciphise ukuqhubela phambili inkqubo zophendlo lwezifo kulo nakweliphi na ibakala. Lo mgaqo-nkqubo ethile unyango kuxhomekeke iqondo ithumba kwasasazeka. Ezinye zabo indawo yamathumba kuvumela ukwenza ukusebenza ngomhla Ukusikwa webele neendawo zengingqi. Namhlanje, oogqirha zama ukusebenzisa ubuchule kancinane invasive ukuba musa ukuba ixesha kwimo elide. adenocarcinoma lwasekhaya esinobubovu prostate rhoqo kufuna ulawulo okhulelweyo esweni okokoko. Ipredikshini lokusinda akusoloko kunyusa sizoku lwisana unyango olusebenzayo.

unyango Conservative kunye zoqhaqho adenocarcinoma

Ukuba Ithumba inikezelwe ukususwa, isigulane emiselweyo ukusebenza - prostatectomy. Okwangoku, kuliwa usebenzisa laparoscope okanye umncedisi irobhothi. Emva prostatectomy kufuna ixesha kwimo elide. Oku kuquka amanyathelo ukubuyisela amalungu zangasese, amandla eyindoda (ukuba nangoku).

Kumanqanaba kamva onyango zihambisana unyango hormone radiotherapy. Le yokugqibela inenani lokukhethwa. umthombo radiation inokufunyanwa ngaphandle okanye ngaphakathi (ngokufakelwa kweli philisi ngayo izinto ezineeathom ezilinganayo radioactive iodine). Xa prostatectomy sele contraindicated, indawo yayo ithathwe cryotherapy. Ngexesha le nkqubo nethumba bubambene, apho iiseli elinobuhlungu zibhuqiwe.

adenocarcinoma Acinar le wesinye amanqaku 7 ngaphezulu kwizigulane abadala basoloko phantsi ungenelelo yotyando. Kwimeko enjalo wabelwa ukuba esweni obuluqilima kunye namanyathelo lokudambisa.

Outlook

Yintoni umphumo enakho ukwenzeka lokufunyaniswa 'adenocarcinoma ye endlaleni'? I-ALS kwesi sifo kuxhomekeke eqongeni yophuhliso inkqubo pathologic, ubudala yomguli kunye imeko yakhe jikelele. Kumanqanaba okuqala ngayo abahlelwa ngoku kakuhle. Ngelishwa, lingekho adenocarcinoma sikwinqanaba lokuqala lophuhliso umfanekiso eliqaqambileyo clinical. Ngoko ke izigulane khawuleza kugqirha uncedo. Inkoliso yabo wabona ingxaki eqongeni 3-4th, xa kukho sele metastases. Kwimeko enjalo, esi sifo ayibuyiseki umva.

isiphelo

izifo Oncological ehlabathini mihla kuya kusanda unobangela wokufa yokuqala. Abameli besini ngokomelela, lo adenocarcinoma kakhulu yenkohlakalo endlaleni. Unyango lwesi sifo inde kwaye kunzima kakhulu. Lokufunyaniswa kwesifo kwi zigaba emva kwexesha ngokuqhelekileyo iphela kufa. Ukuthintela uphuhliso sifo singanyangekiyo ezinjalo, kuyimfuneko ukuba balandele indlela yokuphila esempilweni kunye bahlolwe rhoqo. Hlala uphilile!