Isibonakaliso somhlaza wesibele: isisiseko kunye nxu lumene

Isiganeko somhlaza wesisu (RJ) siphezulu kakhulu eJapan, e-Iceland, eChile. Kubaluleke kakhulu ekuphuhlisweni kwesi sifo kunesondlo: ukungena kwekhalori ephezulu, ukubhema, ukutya okunesitya kukuyingozi enkulu. Ngokwahlukileyo, ukusetyenziswa kwamavithamini kunye nefiber kuyimpawu yokukhusela. Okwangoku, i-carcinogenic effect yeHelicobacter pylori, igciwane lesifo se-Epstein-Barr, iye yavunywa. Izizathu ezisemngciphekweni zangoku zitshaya kwaye zisela.

Umhlaza wesisu: iimpawu kunye nonyango

Kubalulekile ukwazi iziganeko eziphambili zesifo. Izimpawu zokuqala zomhlaza wesisu zivela kuphela xa i-tumor ikhula ngokwaneleyo, xa i-lumen yelungu liyancipha, umthamo wayo uyancipha kwaye ukukhutshwa kwamanzi kuphazamiseka. Ukubonakaliswa kwe-RJ kunokuqala ngokuphuma kwegazi okanye iimpawu zokuxilisa okukhulu okubangelwa kukubola kwesisu. Uphawu oluphambili lomdlavuza wesisu luxhomekeke ekuhlaleni kwenkqubo kunye nohlobo lokukhula, umzekelo we-hertological, ukubandakanyeka kwamalungu angummelwane, umphumo kuwo wonke umzimba.

Dysphagia

Ngokugqithiseleyo, i-RJ ibonakaliswe ngophula umthetho lobume. Esi sibonakaliso somhlaza wesisu senziwa kwangaphambili kwindawo yendawo yepildiac okanye i-pyloric kwaye phantse ayikho emzimbeni wesisu. Xa usasazeka kwi-esophagus kukho ubunzima ekugwityeni: kuqala uqine, kwaye ke ukutya okumanzi. Lo mzekelo uhamba kunye nokugquma, isenzo kunye nephunga elimnandi, ukhathala, ukulahleka komzimba. Esi sibonakaliso sisoloko sigqitywa ngokukhula kwe-tumophytic tumor.

Iimvakalelo ezibuhlungu

Iimpawu zesifo somdlavuza wesisu zivame ukugqithwa xa i-tumor ikhona kwindawo yesithathu yesigqeba kwaye inxulumene nokunyuka kwe-peristalsis ngenxa yokunciphisa i-lumen. Intlungu ikhona kwindawo yangasemva kwe-sternum okanye phakathi kwamagxa ehlombe, efana ne-pathology ye-cardiac. Ubuhlungu kwi-hypochondrium engasekhohlo livela nomhlaza wesantsi esiswini. Ngokuqhelekileyo, esi sifo sifumaneka kuphela kwizigaba zokugqibela.

Ukwakhiwa okulindelekileyo

Isibonakaliso esibalulekileyo sesisu somhlaza sisisombululo esifanelekileyo esiswini. Eyona nto, iyakunikwa xa i-tumor ikhona kwindawo yesithathu engezantsi yelungu. Ngezinye iindawo, umhlaza wesibeleko unzima.

Izikhalazo eziqhelekileyo

Uphawu oluqhelekileyo lomhlaza wesisu luye lubonakaliswe yi-so-called symptom syndrome:

• Ubuthathaka;
• Uxinzelelo;
• Ukunciphisa ukutya;
• "I-Gastric" ayihlaziyiyo;
• IAnemia;
• Ukunyuka kwesisindo.

Ukucaphula, sinokukufumanisa iimpawu eziphambili zesifo, kukuthi: intlungu, ukunyanzelisa, "isisu," ukuphazamiseka kwegazi, ukuphulwa kwegazi, ukuphulwa komkhumbi.

Metastasis

Ukusasazeka kwe-tumor kwenzeka ngokugqithiseleyo kwisibindi, imiphunga, amathambo; I-lymphogenically - kwintonga, i-metastasis yaseCrookenberg. Xa i-metastasizing kwi-peritoneum, i-ascites ivela.

Diagnostics

Amanyathelo okuxilonga ahlose ukufumana isisu, ukuchonga ukusabalalisa kwendawo kunye nemetastasis, ukuvavanya imeko yombuso jikelele. Ukufumana nokucacisa ukuphuhliswa komhlaza usebenzisa i-rayography kunye ne- endoscopy yesisu. Ukuthatha isiqwenga sesisu kusivumela ukuba sinqume isakhiwo salotolo, imida ecacileyo, iqondo lokuhluma kwodonga lombutho. Ukufumana i-metastasis, i-radiography yamaphaphu, i-angiography, i-MRI, i- laparoscopy yokuxilonga isetyenziswa.

Unyango

Ukufezekisa umphumo omkhulu, kusetyenziswe amanyathelo okuthintela: ukuhlanganiswa kokungenelela kokuphaphaza kunye nokususwa kwe-lymphocyte, i-radiotherapy kunye ne-chemotherapy.