Yintoni unyango lomhlaza esiswini kwaSirayeli

umhlaza esiswini libhekisela umhlaza, sisifo esichaphazela abantu kungakhathaliseki ngesondo, kodwa ukuxhomekeka ubudala ekhoyo nabantu ikakhulu abagulayo ngaphezu kweminyaka engamashumi amane anesihlanu. Ukongeza factor ubudala, kubalulekile ukukhumbula ukuba umngcipheko ukunyuka sifo abantu izilonda ezingapheliyo kunye gastritis, kwakunye nabo odla ukudla okuneziqholo kakhulu kunye neemveliso ukutya umhlaza, ukusebenzisa kakubi utywala, ukutshaya njalo njalo.

Iimbangi ngqo komhlaza isisu ngalo mzuzu akukasekwa. Oogqirha specialising entsimini Oncology ithathwa izizathu kangangoko kunokwenzeka, kunye nolwazi kumzimba ziyingozi yokuphila, into njengelifa.

Unyango womhlaza esiswini phantsi kwaSirayeli zoba kwinqanaba eliphezulu. Ukusetyenziswa iindlela ezintsha zonyango kunye nokusetyenziswa kwezixhobo mihla kwenza kube lula ukuba bancede izigulane somhlaza esiswini sizimele kweqonga uphuhliso kwesi sifo.

Symptomatology luphawulwa zonke iintlobo zomhlaza esiswini kunye nezinye izifo ezichaphazela iphecana zesisu, yaye ngenxa yoko, inani elininzi lezigulane abanesifo somhlaza esiswini abafunyenwe kwizigaba kamva, ngenxa apho unyango olusebenzayo akusoloko kusenzeka. Ngenxa yesi sizathu, kufuneka ube ingqalelo ngenyameko ekubonakalisweni eyothusayo iimpawu kunokwenzeka. Ngokuqinisekileyo phambi umhlaza esiswini kungenziwa kuphela emva kokuba iimvavanyo ethembekileyo diagnostic, njengoko iimpawu kungangabikho ngokupheleleyo, okanye okuphakathi kwezinye iimeko. Phofu ke, kuyimfuneko ukuba babuyele ugqirha ezikhethekileyo xa kukho ilahleko umdla esempilweni, intlungu nakumphezulu isisu, imvakalelo ubunzima bavakalelwa esiswini, ukwehla kobunzima, ukuqunjelwa, ukuqhina, belching rhoqo, isicaphucaphu.

Kukho iintlobo ezininzi ezahlukeneyo yamathumba:

Adenocarcinoma ngokuba uhlobo, ukuba kukho ithumba iiseli ndlala na isifo esiswini ukuba isasazeke kakhulu. Olu hlobo lomhlaza ithathwa ukuba eqhelekileyo kakhulu.

Carcinomas cell carcinoma esiswini. Ngophuhliso olu hlobo iiseli caba achaphazelekayo ukuba ezifanayo ukubonakala iiseli esikhumbeni. Bakha isifo esiswini, izithuthi isakhiwo iseli kwamadlala esiswini.

Lymphoma - uhlobo onge noko zomhlaza umzimba.

Noko ke, eyona ezinqabileyo uhlobo lomhlaza somzimba a nee-. Nophuhliso, oko kuchaphazela inyama nokuqina esiswini okanye ukhuseleko. Olu hlobo Ithumba zesisu stromal nee- kwaye uqala ukuphuhlisa kule nwebu kwezihlunu esiswini.

yamathumba Neuroendocrine iyaphuhliswa ukusuka izihlunu unoxanduva lokuyila hormone. Olu hlobo nalo akuxhaphakanga.

Uxilongo womhlaza esiswini kwaSirayeli

Efumanise umhlaza esiswini kwaSirayeli kunokwenzeka nakweliphi na inqanaba kwesi sifo. X-reyi, kwaye endoscopy (kubandakanywa biopsy esiswini kunye fibrogastroduodenoscopy) Uphononongo olwenziwe kwaSirayeli, nkqu ukungabikho kweempawu libizwe ngumhlaza ukuba sikwinqanaba lokuqala.

Kumanqanaba kamva zophuhliso ithumba, uhlolisiso kwaSirayeli yakhiwa:

- ultrasound endoscopic (kukuvumela ukuba ucwangcise umthombo lokuqala sifo, ukufumanisa imeko kwiindawo nkovu emelene eludongeni isisu);

- ngekhompyutha Itomography (kujongwa ubukho metastases ezikude).

amatyala Rare ifuna laparoscopy xa uzingela iqondo yokuxhaphaka esi sifo.

Iindlela zonyango lomhlaza esiswini kwaSirayeli

Indlela ephambili ukuba bancede abaguli kunye nomhlaza esiswini kwaSirayeli na ukusetyenziswa zotyando. Nokhanjiswa kangako ithumba, nto leyo imi uphume esiswini, esebenzisa ubuchule resection losuku. Kwiimeko ezinjalo, isigulana osala isahlulo sesihlanu esiswini. Zonke ezinye iimeko zifuna ukususwa epheleleyo organ abachaphazelekayo (kulo mzekelo, emphinjeni liqhagamshelaniswe emathunjini amancinci). Kwakhona nya zonke iinkalo kwithishyu kunye iindawo nkovu, apho kukho ithuba ithumba Ukudlulela.

Kudibaniso utyando ukuze ukunyanga olu hlobo lomhlaza ngamanye amaxesha wathumela izigulane ukuba radiation okanye unyango ngamachiza. Chemotherapy kusebenza kwiimeko apho kungekho kungenzeka ukususa thumba. Emva koko isuswe ngu unyango ibonwa kakhulu zomhlaza. Nangona kunjalo, olu hlobo unyango ukuthintela imbonakalo Ukudlulela emva kotyando.

Ukwenza yonyango adjunctive kwi unyango lomhlaza kwaSirayeli ivumela kakhulu ngokukhawuleza ngempumelelo balahle esi sifo, kwaye ixesha ekuphulukenwe post-operative iya kuba mfutshane kakhulu.