Oncology isisu: iimpawu, izinto, unyango

Yethumbu iyinxalenye yenkqubo yokwetyisa kwaye yahlulwe kabini: ikholoni kunye emathunjini amancinci. Ngenxa yoko, ikholoni abumba isikali kunye colon. Eli nqaku ijolise kule ukugula Oncology emathunjini. Iimpawu, unyango, uxilongo, ezibangela izifo - zonke ezi zinto ziza kusonjululwa kwi komphuta, kodwa kuqala kufuneka ijongane nesibakala njani isakhiwo umsebenzi apho loo mzimba.

wamathumbu nokwakheka

Ukutya wendele ngumntu wokuqala livela emphinjeni. Oku kungenela singenelayo, kwaye kungena esiswini apho ekugayeni iqala. Emva koko kutya kuya emathunjini amancinane, kwaye ngeli nqanaba eziphilayo kulo ethintela zonke izondlo. Xa ikholoni, eqala kummandla kwisisu, kwi ezantsi ekunene amanzi yokupheka kuthatha ephilayo. Inxalenye yokuqala ikholoni, ukuba uyenyuka na uye phezulu - ukufukuka emathunjini bypass. Ke kuwo kwicala lasekhohlo peritoneum ithanda colon ezinqamlezayo. Ngokubhekele phaya emazantsi somthi esibuyiselweyo esiswini ukwehla wamathumbu. Amathumbu amakhulu iphela colon sigmoid, isikali kunye nesiphelo isabelo - lomsele ezimpundu. Isikali angemi kubangela inkunkuma inkqubo ekugayeni. Ngenxa yokuba defecation nge ingquza salawo aphumayo. Ecaleni kwiindawo ethunjini nkovu nangoku ubungakanani-ertyisi.

ubungozi

Oncology isisu, iimpawu eziza kuxoxwa ngezantsi, kusoloko kukho umhlaza colon: 2/3 we ikholoni abachaphazelekayo 1/3 - ngqo. Kwezinye iindawo umzimba ithumba ukusekwa enqabile. Umbuzo of ukujonga indlela emathunjini umhlaza, ayonto ibalulekileyo. Eyona nto ibalulekileyo - ukwazi ukuba izinto engabangela imbonakalo yamathumba. Kukho iimeko ezintathu ezisisiseko:

• isifo umzimba;
• ukudla engafanelekanga;
• yofuzo.

Siza kuthetha okungakumbi nganye.

isifo wamathumbu

Kukho izifo ukuba kwandisa umngcipheko wokuhlaselwa ngumhlaza umzimba. Ezi zibandakanya okwenziwa sisilonda sikabhobhosi kunye Crohn kaThixo nezifo. Izigulane ezazibekwe iSifo ezinjalo, walungisa susceptibility ukuba ithumba ukwakhiwa.

ukudla

Oncology ikholoni, iimpawu ezo yokuqala izigaba zesifo abangekhoyo, ezinokubangelwa ukuselwa elikhulu lemali okune e iiprothini namafutha, ngokuxhomekeka ngokwaneleyo lokuthathwa iziqhamo kunye nemifuno. Kulo mzekelo, ingozi wokuhlaselwa ngumhlaza wamathumbu kwandisa kakhulu. Ukudumba zingenzeka nabo kakubi utywala.

ufuzo

Ngaphezu kwabanye, sonke siyazenza umhlaza yethumbu abantu entsatsheni babesele ukuqhambuka kwesi sifo. Ingakumbi ixabisa kakhulu nexhala kwabo izalamane zabo close ubunzima umhlaza umzimba abangaphantsi kweminyaka engama-45. Umngcipheko kukuthi ephakamileyo, kukokona kweziganeko kwesi sifo intsapho. Phambi yofuzo kunye noloyiko abagulayo kufuneka baye iziko lonyango ezizodwa Kwathi kucazululo Oncology emathunjini. Oogqirha nguye baya kuba nako ukubala ngenene ingenzeka lomhlaza. Abantu abakulo iqela lomngcipheko, kuyimfuneko ukuba alamu, kungekhona xa imiqondiso yokuqala somhlaza namathumbu, de elide ngaphambi koko. Kubalulekile ukuba ihlolwe rhoqo, kangangokuba kwimeko yamathumba yayo imvelaphi nto ezichongiweyo kusekwangoko.

Ukongeza kule miba zokuqhambuka somhlaza zingachaphazela iimeko enje njengokuba umzimba, ukutyeba, ukutshaya.

Oncology wamathumbu: Ukunyuka

Kuxhomekeka apho ithumba iphuhlisa, iimpawu inokwahluka kunye nomhlaza. Iimpawu zokuqala zomhlaza namathumbu kwimeko izitshanguba le colon:

• ngequbuliso komzimba;
• igazi ngexesha defecation njengoko ilindle kunye ngaphakathi kubo (igazi lingaba izithunzi ezikhanyayo nezimnyama);
• intlungu esisu kunye ingquza;
• utshintsho njengesihlalo ngaphandle kwesizathu (ukuqhina okanye ukurhuda olungapheliyo elingaphezu kweeveki ezintandathu);
• wamathumbu kokuphazamiseka ;
• imvakalelo incompleteness emva isisu.

Iimpawu yesisu Oncology kunokubangela nabanye abambalwa, ukuba ithumba kuphuhliswa kwi isikali. Kule meko kukho kubonakaliswa;

• intlungu coccyx, perineum, yehlisa umva, sacrum;
• imbonakalo endleni igazi, yencindi yomlomo okanye ubomvu;
• umnqweno ebuhlungu rhoqo ukuze azikhulula;
• ingqondo phambi kwi isikali into zangaphandle;
• nokuqunjelwa;
• ukuthengwa ndle ezimile band-.

Ngaba iimpawu - mean umhlaza?

Musa ukulithatha ngasentla iimpawu njengoko eliphelele sisalathisi zomhlaza. Nokuba zithi zenzeke, oko akuthethi ukuba ncam Oncology emathunjini. Iimpawu asenokubonisa ezinye izifo QDSL okanye okwenziwa sisilonda sikabhobhosi. Kwakhona musa ukulibala ukuba lo mhlaza umzimba ngokuqhelekileyo kwenzeka abantu abangaphezu kweminyaka engama-50. Ukuba unecawa yakho kwisizukulwana esitsha, mhlawumbi unobangela iimpawu ezingathandekiyo ilala kwenye indawo.

Nakuba kunjalo, ukuba kukho iimpawu zomhlaza namathumbu kwaye musa zinyamalale kwisithuba ezimbalwa iiveki, kodwa ukwandisa kuphela, ngoko nangoko kufuneka uye kwagqirha.

ekuxilongweni

iimviwo efakwa - inyathelo lokuqala ukuya ngokuchonga nethumba. Ngexesha endaweni yakhe abaziingcali zale iitshekhi empundu ngomnwe ubukho lunamahlwili amhlophe. Inxalenye esezantsi emathunjini, nto leyo edla iphuhlisa umhlaza, zingajongwa usebenzisa sigmoidoscopy - ityhubhu bhetyebhetye eyaziswa isikali. izakhi olunjalo alusoloko kusenza sikwazi ukubona kakuhle unobangela iimpawu ezibuhlungu. Enye yeendlela ezingundoqo ukujonga indlela emathunjini lomhlaza - yinto colonoscopy.

colonoscopy

Uviwo musa wasinika umzimba ezimpontshelwa, ngoko ke imini phambi kokuba zinikwe laxatives nomonde nje nina, ukusela kakhulu, kunye lavage emathunjini. Le nkqubo ngokwayo yalula, nangona sinikezele uqeqeshwa.

Okokuqala, isigulana ilawulwa sine, uze emva koko ngalo empundu kwi ikholoni ifakiwe ityhubhu bhetyebhetye elide. Moving amagophe ayo emathunjini, ugqirha iqwalasela umzimba kubukho okungahambi. Unako ukuthatha iisampulu zeethishu kwaye uthathe ifoto usebenzisa le ityhubhu.

barium enema

Le nkqubo ivumela ukuhlola kumphezulu zombilini. Kuyinto lenkathazo kwaye usoloko udiniwe, ukongeza kunokubangela cramping. Kufuneka ukuba balungiselele iimviwo kwakunye ukuba colonoscopy. Indlela iqulathe kwintshayelelo kulo umxube empundu barium ngomoya kunye nokuphunyezwa uthotho lwe-x reyi. Zakuphenjelelwa radioactive imitha barium uba libonakala, kunye nengcali inakho kulandelelwa kwi umkhusane kumatshini X-ray njengoko uhamba amathumbu, kwaye ithumba kubonwa eludongeni emathunjini.

Emva kokuba inkqubo, ngethuba leentsuku ezimbini inokuba isitulo emhlophe - a barium kancane kancane emzimbeni. Kufuneka ube iintsuku ezimbalwa ukuthatha laxatives kuba into uyakwazi eyenga ukuqhina.

Ukuze ufumanise ukuba umhlaza sinwenwile Ezinye eziphilayo mazenziwe izifundo ezifana zesibindi ultrasonography, CT scan kwesibindi kunye nesisu, isifuba x-reyi.

Oncology isisu: unyango

Indlela engundoqo ukususa Ithumba uqhaqho. Ngokuqhelekileyo, ngexesha lokusebenza ngokwayo excised ithumba, ancedisana iindawo nkovu kufutshane eziyingqongileyo. Emancamini omabini emathunjini ke ngoko wajoyina. Ukuba oku akwenzeki, enze indle, oko kukuthi, isiphelo kwamadoda isitofu emathunjini kulo umphezulu isikhumba eludongeni esiswini kunye nokuzimanya iibhegi stoma. Kwenzeka ke ukuba indle kuphela zethutyana, yaye emva kwexesha elithile oogqirha kwakhona enze ilinge ukudibanisa iziphelo emathunjini. Ukuba oku akuphumeleli, iingxowa indle uhlala ngonaphakade. Ngokuqhelekileyo oku kwenzeka xa isahlulo operable ise ikholoni iphantsi kakhulu, kufutshane isikali, uze emva koko ngethuba umsebenzi akunakwenzeka ukuba ndimaphule sphincter ezimpundu ukuba olawula imvelaphi emathunjini.

ezinye indlela zonyango

Ngokwangoku, inkqubela kutyando ziye zenza kube lula ukuba ukunyanga imihlaza yethumbu ngaphandle olukandonci. Endaweni ukuthunga ngesandla ngoku wayedla stapler ekuvumela ngaphandle kokuphazamisa umsebenzi sphincter ezimpundu ukwenza imisebenzi kumazantsi ikholoni.

Enye indlela ezintsha na utyando laparoscopy, ugqirha uphumeza utyando ngokusebenzisa liqatywe elincinane peritoneum, abayityhilela ngokupheleleyo. Isigulane, le ndlela inika bachache ngokukhawuleza.

therapy adjuvant

Nokuba nethumba ishenxiswe ngokupheleleyo, kukho amathuba okuba ukwenzeka unomhlaza wamathumbu. Mkhulu kangakanani na, lungafumaneka kwi iimviwo ezincane yamathumba isusiwe. Ukuba ingozi yesifo abuyele aphakamileyo, ugqirha ubeka unyango ezijolise ekuthinteleni likakade. Olu nyango kuthiwa unyango adjuvant, ngayo ukufumana imichiza ezahlukahlukeneyo, nto leyo kungaba yingozi ngamagciwane.

Ukuba Ithumba sele luphuhlisiwe isikali futhi yahluma udonga umzimba, echaphazela kwiindawo nkovu, ukuba ukubuyela kunokwenzeka izitho isinqe kunye namanye amalungu omzimba. Kulo mzekelo, kunye adjuvant ichemotherapy bachitha radiotherapy adjuvant ngakumbi. Le ndlela zokunyanga okwetyeli, kwanokuba umhlaza iiseli nomzimba lo ngasekhohlo.

Ekuphetheni

Ngoncedo kotyando, chemotherapy adjuvant kunye radiotherapy kunokwenzeka ngoku ukunyangeka malunga nesiqingatha zonke izigulane abafunyenwe Oncology emathunjini. amazinga umlingo ziyanda unyaka wonke, nto leyo esinika ithemba lokuba ukufa elizayo kwesi sifo eloyikekayo liya kuba ngaphantsi kakhulu. Eyona nto ibalulekileyo - esweni ngenyameko imeko yabo kunye naziphi na iimpawu ibitheni dibana kwangoko nogqirha wakho. Hlala uphilile!