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Hiki ke loaʻa i ka maʻi maʻi ʻo Sigmoid colon i kēlā me kēia makahiki. Akā ma 60% o nā hihia i loaʻa i nā poʻe maʻi maʻi ma kahi o 50 mau makahiki. I kēia hihia, pilikia pinepine nā kāne.
Aia ka ʻāpana sigmoid ma luna o ka rectum ma ka ʻaoʻao hema o ka ʻōpū. He kino-S kona. ʻO ia ke kumu e noho lōʻihi ai ka bolus meaʻai, e neʻe ana i loko o ka ʻōpū. Hoʻonui ka manawa o ka hoʻolaha ʻana i nā huahana meaʻai i ka mucosa organ. Hoʻonui kēia i ka loaʻa ʻana o ka maʻi kanesa.
He aha ka sigmoid colon cancer
ʻO ka maʻi maʻi ʻo Sigmoid colon kahi maʻi oncological. Ma 95% o nā hihia, ʻo ke ʻano o ka neoplasm i loaʻa he adenocarcinoma. Hoʻokumu pinepine ʻia kahi ʻōpū ma ka papa luna o ka ʻōpū - ka mucosa.
Wahi a nā ʻikepili, ʻike pinepine ʻia kēia ʻano maʻi maʻi i nā pae hope loa. He paʻakikī ke ʻike ʻana i ka maʻi i ka wā mua, pinepine ʻaʻole ia e ʻike iā ia iho. He mea nui ia e akahele i na hōʻailona kānalua a pau, no ka mea, ʻaʻole hiki ke mālama ʻia ka maʻi ʻaʻai colon sigmoid. Hoʻomaha wale ka mea maʻi i nā hōʻailona.
ʻO nā meaʻai maikaʻi ʻole a me nā ʻano ʻai maikaʻi ʻole e hoʻopilikia i ka ʻōpū. ʻO ka pinepine, ʻo ka ʻai ʻole ke kumu o ka constipation - stagnation o nā feces, hoʻemi i ka motility intestinal.
ʻO nā kumu o ka maʻi maʻi ʻaʻai sigmoid
Hoʻoulu ʻia ke kanesa o ka colon sigmoid e nā kumu he nui. ʻO ka hui pū ʻana o nā kumu he nui hiki ke alakaʻi i ia maʻi.
He kuleana koʻikoʻi ka predisposition genetic. Inā ua loaʻa mua kekahi ʻohana i ka maʻi maʻi ʻōpū, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi. Aia kekahi predisposition i ka hoʻokumu ʻana o polyps - benign formations. Akā i ka wā lōʻihi, hiki iā lākou ke lilo i ʻano ʻino.
Hoʻonāukiuki ia i nā maʻi a me nā kaʻina hana inflammatory mau i loko o ka ʻōpū - colitis, maʻi Crohn a me nā maʻi ʻē aʻe.
Me ka makahiki, piʻi aʻe ka pilikia o ka maʻi maʻi colon sigmoid. Akā ʻaʻole nā makahiki ke kumu, akā he hoʻololi i ka nohona o ke kanaka: haʻahaʻa haʻahaʻa, momona, lāʻau lapaʻau pinepine.
No ka poʻe a pau, ʻo ka makemake nui i nā meaʻai carcinogenic, ka ʻiʻo, a me nā haʻahaʻa wikiwiki e pilikia. ʻO ka maʻi maʻi ma muli o ka waiʻona a me ka puhi paka.
ʻO ka ʻona mau o ke kino me nā huahana palaho, ka ʻike ʻana i nā toxins ma ka mucosa intestinal alakaʻi i ka ulu atypical o ka epithelium. ʻO ka epithelium e ulu ana he hōʻailona ia ua hoʻomaka ka polyp e hana. Ua manaʻo ʻia kēia ʻano he precancerous a me ka nānā ʻole ʻana a me ka mālama ʻana, hiki ke hānau hou ʻia ka polyp.
I loko o ke kolo sigmoid, hoʻolohi ke kahe o ke koko. Hoʻopaneʻe kēia i ka ulu ʻana o nā ʻōpū, no laila hiki iā lākou ke ulu no ka manawa lōʻihi. ʻAʻole ʻae ka pā o ka peritoneum e ʻike i kekahi mau hōʻailona waho o ka ulu ʻana o ka maʻi tumora. ʻO kēia mau mea a pau, me ka haʻalele pinepine ʻana o nā hōʻailona, mea paʻakikī ke ʻike ʻana i ka maʻi kanesa colon sigmoid.
Nā ʻanuʻu o ka maʻi maʻi maʻi sigmoid colon
Hoʻokaʻawale ʻia ke kanesa ma muli o ka mālama ʻole ʻia o ka maʻi. Me kēlā me kēia pae, e emi ana ka manawa o ka mea maʻi e ola a hoʻolōʻihi i ke ola ma hope o ka mālama ʻana no 5 mau makahiki.
Hana 0. Ua kapa ʻia ʻo ia ʻo "cancer in situ" - in situ. ʻO kēia ka pae mua loa o ka maʻi. I kēia manawa, hele wale ke kaʻina hana pathological i ka mucosa intestinal.
Hana 1. Aia ka ulu ʻana o ka maʻi maʻi ma ka mucous membrane, akā ʻaʻole ia e hele ma mua o ia. He kiʻekiʻe loa ka hiki ke ho'ōla ma kēia pae - ma 96 - 99% o nā hihia.
Hana 2. Ua māhele ʻia i ʻelua ʻano ma muli o ke ʻano o ka ulu ʻana o ke koko.
- ʻano II-A - hoʻolaha nā ʻiʻo i hoʻopili ʻia i loko o ka lumen intestinal, e kāohi ana iā ia ma kahi kokoke i ka hapalua, ʻo ke ola ola ma kahi o 95%;
- ʻano II-B - hohonu ka ʻōpū i loko o ka ʻiʻo o ka paia o ka digestive tract, akā ʻaʻole pālahalaha nā cell metastatic, ʻoi aku ka haʻahaʻa o ke ola o kēia ʻano.
Hana 3. I kēia manawa hiki ke ʻike ʻia nā metastases. Hoʻokaʻawale ʻia ka pae 3 i nā subtypes.
- ʻano III-A - hoʻolaha ka ʻōpū i loko o ka lumen intestinal, ʻaʻohe metastasis, akā nui ka puʻupuʻu e pili ana i ka lumen o ka ʻōpū holoʻokoʻa, ʻike ʻia kahi prognosis maikaʻi no 58 - 60% o nā maʻi;
- ʻano III-B - komo ka ʻōpū i nā paia o ka ʻōpū, ʻike ʻia nā metastases hoʻokahi i nā lymph nodes, ke emi nei ke ola ola - 40 - 45% wale nō o nā hihia.
Hana 4. I ka pae hope loa, hoʻolaha ʻia nā metastases i nā ʻāpana mamao a me nā lymph nodes. ʻO ka maʻi maʻi i ka manawa hoʻokahi e hohonu i loko o nā ʻiʻo o nā kino e kokoke ana - ʻo ka pinepine i loko o ke ake. He paʻakikī ke kōkua i nā maʻi ma kēia pae; ʻO 8-10% wale nō o nā maʻi hiki ke hoʻōla.
I kēia pae, aia kekahi mahele i nā ʻano subtypes, no ka mea, pili ka maʻi maʻi i nā wahi like ʻole.
- subtype 4A - ulu ka ʻōpū ma nā ʻāpana āpau o ka ʻōpū, aia ma kahi o 1 metastasis mamao (no ka laʻana, i ka māmā), ʻoiai ʻaʻole hiki ke hoʻopilikia ʻia nā ʻōpū e pili ana i ka ʻōpū;
- subtype 4B - ʻo ka ʻōpū a i ʻole ka ʻōpuʻu ʻana i ka paia o ka ʻōpū, aia ma ka liʻiliʻi he 1 metastasis i nā kino mamao a i ʻole kekahi i nā lymph nodes, aia a ʻaʻole paha he metastases i nā kino kokoke;
- subtype 4C - ua ulu ka ʻōpū ma ka paia o ka ʻōpū. Aia nā metastases i loko o nā ʻāpana kokoke, hiki i ka ʻōpū ke pālahalaha i nā wahi mamao o ka peritoneum, ʻaʻole paha he metastases mamao.
Nā hōʻailona o ka maʻi maʻi ʻaʻai sigmoid
I nā pae mua, ʻaʻohe hōʻailona ʻē aʻe, a ʻo ia ka pilikia o ka maʻi. ʻO kēlā mau hōʻailona e ʻike ʻia, huikau pinepine me nā maʻi ʻē aʻe a ʻaʻole hele i ke kauka.
Hiki ke hōʻike ʻia ka maʻi maʻi o ka colon sigmoid e ka flatulence, belching, rumbling i loko o ka ʻōpū. Hoʻololi pinepine ʻia ka ʻōpū a me ka constipation. Hiki ke ʻike ʻia nā ʻōpala a me ke koko i loko o ka feces - nui ka poʻe e huikau i kēia me ka hemorrhoids. Me ka hoʻomohala ʻana o kahi maʻi maʻi, ʻeha i ka ʻōpū, ʻeha i ka wā o ka neʻe ʻana o ka ʻōpū, ka manaʻo o ka hemo ʻole ʻana o ka ʻōpū.
I nā pae hope o ka maʻi, ʻike ʻia nā hōʻailona maʻamau: luhi, nausea pinepine, kuni, poʻo. Pau ke kaumaha o ke kanaka, pau ka makemake. He hina a melemele paha ka ʻili. Hiki ke hoʻonui ʻia ke akepaʻa a hoʻemi ʻia ka hemoglobin i loko o ke koko.
Lapaʻau ʻana i ka maʻi maʻi ʻaʻai sigmoid
He paʻakikī mau ka mālama ʻana i ia maʻi - ʻaʻole hiki iā ʻoe ke hana me hoʻokahi ala, ʻoi aku ka maikaʻi. Hoʻokomo ʻia ka lāʻau lapaʻau i ke ʻoki, radiotherapy a me ka chemotherapy.
Hāʻawi ʻia kahi hana koʻikoʻi i ka lāʻau lapaʻau. Inā liʻiliʻi ka ʻōpū a maopopo kona ʻano, hiki ke wehe ʻia ka ʻiʻo i pili. Pono pono e hoʻokaʻawale i kahi ʻāpana o ka ʻōpū i hoʻopilikia ʻia, a me nā nodes lymph. Inā "maʻalahi" ka'ōpū - liʻiliʻi a haʻahaʻa, hiki ke hoʻoneʻeʻia me keʻano mālie. Ma o nā punctures liʻiliʻi, hoʻokomo ʻia kahi endoscope, kahi e pale ai i ka ʻoki ʻana o ka ʻōpū.
I ka mālama ʻana i ka maʻi kanesa o ka pae hope loa i nā hihia kiʻekiʻe, ʻaʻole hiki ke hoʻopau piha ʻia ka colon sigmoid. No ka wehe ʻana i nā feces a me nā kinoea, ua hoʻokomo ʻia kahi colostomy, i kekahi manawa no ke ola, no ka mea hiki ʻole ke wehe i nā huahana meaʻai ma ke ʻano maʻamau.
lapaʻau '
Pono ka hoʻokolokolo ʻana, he mea weliweli loa ka huikau ʻana i ka maʻi kanesa me nā maʻi ʻē aʻe, ʻoi aku ka pōʻino.
Inā loaʻa nā hoʻopiʻi, hiki i ke kauka ke hana i kahi hoʻokolokolo kikohoʻe o ka rectum. A laila, kuhikuhi ʻia kahi hoʻokolokolo endoscopic: colonoscopy, sigmoidoscopy. He ʻeha nā kaʻina hana, i kekahi manawa koi ʻia ka anesthesia. ʻAʻole pono e loaʻa i kekahi mau maʻi kahi colonoscopy. I ka wā o ke aʻo ʻana, hoʻokomo ʻia ka endoscope i loko o ka anus, e nānā ana i ka ʻōpū. Lawe pū lākou i kahi biopsy o nā wahi kānalua - hiki ke hoʻoholo i ke ʻano a me ke ʻano o ka ʻōpū, kona ʻano. E pili pū ana ka mālama ʻana i kēia.
Aia kekahi ʻano hana invasive - irrigoscopy. Lawe ka mea maʻi i kahi hopena barium e hoʻopiha ai i ka ʻōpū. A laila, lawe ʻia kahi x-ray, e hōʻike ana i ke ʻano o ka ʻōpū a me kona mau piko.
Hoʻohana ʻia ka ultrasound a me ka MRI o ka ʻōpū o ka ʻōpū. Me kā lākou kōkua, hiki iā ʻoe ke loiloi i ka nui o ka ʻōpū, ka hele ʻana o nā metastases. Pono nō hoʻi ka hoʻāʻo ʻana i ke koko no nā hōʻailona tumor.
Nā lāʻau lapaʻau hou
Ma waho aʻe o ka lāʻau lapaʻau, ua ʻoi aku ka maʻalahi o ka maʻi maʻi. Hoʻopau ka Chemotherapy i ka ʻiʻo i hoʻopilikia ʻia a pale i ka ulu ʻana o ke koko. Hoʻopilikia nā lāʻau ʻawaʻawa i ke kino holoʻokoʻa, akā maikaʻi loa ka mālama ʻana. Kāohi ka Chemotherapy i ka ulu ʻana o ka maʻi maʻi a pale i ka hoʻi hou ʻana o ka maʻi. Ua kuhikuhi ʻia ma mua a ma hope o ke kaʻina e hoʻohui i ka hopena.
Hoʻohana ʻia ka radiotherapy me ka akahele, no ka mea, aia ka pōʻino i nā paia ʻōpū. He mea maikaʻi nō hoʻi ia i ka maʻi maʻi o ka colon sigmoid.
Ka pale ʻana i ka maʻi kanesa colon sigmoid ma ka home
Pono e nānā ʻia nā kānaka a pau. Aia kekahi mau papahana mokuʻāina no ka nānā ʻana i ka maʻi kanesa o ka ʻōpū - kūpono ia no nā mea āpau ma luna o 50 mau makahiki. Aia ka papahana i ka ho'āʻo koko fecal (e lawe ʻia i kēlā me kēia 2 makahiki) a me kahi colonoscopy (i kēlā me kēia 5 makahiki).
He mea nui e nānā i kāu meaʻai, pale i ka constipation a me ka maʻi maʻi, e ʻai i ka liʻiliʻi o ka ʻiʻo a me ka palaoa keʻokeʻo, a me nā mea kanu a me ka fiber. ʻO nā haʻuki, kahi ola ola e kōkua, inā ʻaʻole e lohi ka motility intestinal.
He mea nui ʻaʻole e hoʻomaka i ka mālama ʻana i nā maʻi ʻeha e like me ka colitis. E pale i ka paka a me ka waiʻona.
Nā nīnau a me nā pane kaulana
No ka pale ʻana iā ʻoe iho mai kēlā ʻano maʻi weliweli, e hoʻopaʻa iā ʻoe iho me ka ʻike a kipa i ke kauka i ka manawa me ka kānalua iki. Ua pane ʻia nā nīnau koʻikoʻi e pili ana i ka maʻi maʻi maʻi sigmoid ʻo Yulia Tkachenko.
Ua hōʻike ʻia nā haʻawina nui e pili ana ka meaʻai kiʻekiʻe i ka ʻiʻo ʻulaʻula, a me ka haʻahaʻa o ka fiber o nā mea kanu, nā kīʻaha holoʻokoʻa, a me ka calcium, me ka ulu ʻana o ka maʻi kanesa colon. Ua ʻike ʻia ka poʻe noho kūlanakauhale i ka liʻiliʻi o nā kīʻaha piha a no laila ʻoi aku ka maʻi o ka ʻōpū ma mua o ka poʻe noho kuaʻāina.
ʻO ka hoʻohaʻahaʻa ʻana i ka hana kino a me ka momona ka mea nui, ʻoi aku ka maʻamau o nā kamaʻāina o ke kūlanakauhale ma mua o ka poʻe e noho ana ma nā kauhale a me nā kauhale.
ʻO nā hōʻailona hopohopo he hoʻololi i ke ʻano o ka pehu. Hoʻololi ka constipation me nā pehu hoʻomāinoino. Aia paha kahi hui o ke koko, ka ʻeha, ka manaʻo o ka hemo ʻole.
Eia kekahi, aia kekahi mau hōʻailona maʻamau, e like me ka mahana o ke kino mau e kau ana a hiki i ka 37-37,5 degere, ke kaumaha o ke kaumaha, ka pau ʻana o ka makemake a me ka pale ʻana i ka meaʻai, nāwaliwali maʻamau. Hōʻike kēia mau hōʻailona a pau e pono ʻoe e ʻike koke i ke kauka.
Inā hopohopo ʻoe e pili ana i ka ʻeha o ka ʻōpū a i ʻole ka hoʻololi ʻana i ka stool, a laila pono ʻoe e hoʻomaka me ke kūkākūkā me kahi gastroenterologist. A inā he pilikia me ka neʻe ʻana o ka ʻōpū a me ke ʻano o ke koko i loko o ka waihona, ʻoi aku ka maikaʻi o ka hoʻopili ʻana i kahi proctologist. Inā pilikia wale nā hōʻailona maʻamau iā ʻoe, pono ʻoe e nīnau i ke kauka lapaʻau a i ʻole ke kauka lapaʻau.
ʻO ka mea pōʻino, ʻaʻole hiki iā mākou ke hoʻololi i ka predisposition genetic, no laila pono e hoʻoponopono i nā kumu ola. ʻO ka haʻalele ʻana i ka puhi paka, ka ʻeleu, a me ka lilo ʻana o ke kaumaha i nā pae maʻamau e kōkua i ka hōʻemi ʻana i ka pilikia o ka maʻi kanesa colon. Pono ʻoe e nānā i kāu ʻai. He mea nui ka hoʻomaopopo ʻana i ka pono o nā kānana maʻamau, ma hope o 50 mau makahiki e pono ai nā mea a pau.