Cov tsos mob ntawm mob qog noj ntshav yog dab tsi thiab yuav ua li cas ntxiv

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Hlawv plawv thiab plab zom mov tsis yog ib qho cim ntawm gastritis.

Mob plab plab yog dab tsi

Mob qog noj ntshav / Mayo Clinic yog cov qog nqaij hlav qog nqaij hlav uas txawv txav ntawm cov mucosal tshwm sim thiab proliferate. Gastric Cancer / Medscape nyob rau qib thib rau hauv ntiaj teb hauv kev nthuav dav thiab thib plaub hauv kev mob qog noj ntshav / Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Ntiaj Teb ua rau muaj kev mob qog noj ntshav.

Vim li cas mob plab hnyuv tshwm sim?

Mob qog noj ntshav / Mayo Clinic tsim cov qog yog tias cov qauv ntawm DNA hloov pauv hauv cov ntaub so ntswg ntawm cov mucous membrane. Cov hlwb pib faib sai, tsis txhob muaj hnub nyoog lossis tuag, raws li cov neeg noj qab haus huv yuav tsum ua. Hloov chaw, lawv khaws thiab tsim cov qog uas tuaj yeem rhuav tshem cov ntaub so ntswg. Qee lub hlwb txawm tawg thiab xa mus rau lwm lub cev los ntawm cov ntshav lossis lymph. Metastases tshwm nyob rau ntawd.

Vim li cas cov qauv DNA hloov pauv, cov kws tshawb fawb tsis paub meej. Tab sis lawv tau txheeb xyuas qhov mob qog noj ntshav / Mayo Clinic uas ua rau muaj kev pheej hmoo ntawm kev mob qog noj ntshav:

• Kev rog rog.
• Gastroesophageal reflux tus kab mob yog thaum lub plab cov ntsiab lus tau muab pov rov qab rau hauv txoj hlab pas vim hais tias cov leeg nqaij ntawm lawv tsis muaj compressed.
• Khoom noj khoom haus tsis raug. Nws yog qhov phem rau lub plab yog tias ib tug neeg noj ntau cov khoom qab ntsev thiab haus luam yeeb thiab ob peb txiv hmab txiv ntoo thiab zaub.
• Helicobacter pylori kab mob. Nws yog cov kab mob uas ua rau mob plab.
• Mob plab gastritis.
• Kev haus luam yeeb.
• Mob plab Cancer Risk Factors / American Cancer Society Alcohol Abuse. Qhov kev pheej hmoo siab dua yog tias ib tus neeg haus dej cawv ntau dua / Mayo Clinic ib hnub ntau tshaj li ib liter ntawm npias, lossis ib nrab ib liter ntawm cawv, lossis 130 milliliters ntawm 40-degree cawv.
• Postponed Gastric Cancer Clinical Presentation / Medscape gastric phais.
• Polyps ntawm lub plab. Qhov no yog lub npe ntawm me me benign outgrowths ntawm lub mucous daim nyias nyias.
• Keeb kwm predisposition. Nws ntseeg tau tias 10% ntawm cov neeg muaj mob plab kis los ntawm Gastric Cancer Clinical Presentation / Medscape los ntawm cov txheeb ze ze.
• General immunodeficiency. Nyob rau hauv cov xwm txheej no, lub plab Cancer Risk Factors / American Cancer Society cuam tshuam cov synthesis ntawm cov tshuaj tiv thaiv nyob rau hauv ib tug neeg, yog li ntawd, kev tiv thaiv cov kab mob yog txo. Qhov no ua rau muaj kab mob sib kis, atrophic gastritis, pernicious anemia thiab mob plab.
• Epstein-Barr tus kab mob. Nws ua rau mob plab Cancer Risk Factors / American Cancer Society infectious mononucleosis. Nws ntseeg tau tias tus kab mob no tuaj yeem ua rau mob qog nqaij hlav hauv plab tsawg dua piv rau lwm yam ua rau.
• Malignant Anemia Gastric Cancer Clinical Presentation / Medscape. Qhov no yog qhov txo qis ntawm hemoglobin hauv cov ntshav uas cuam tshuam nrog qhov tsis muaj vitamin B12. Tus kab mob no ua rau muaj kev ua txhaum ntawm synthesis ntawm cov khoom uas tiv thaiv lub plab mucosa.
• Kev phom sij ntawm plab hnyuv siab raum Cancer Risk Factors / American Cancer Society ua haujlwm. Nws ntseeg tau tias cov neeg ua haujlwm hauv cov hlau thiab kev lag luam mining muaj kev pheej hmoo siab dua ntawm kev mob qog noj ntshav.
• Cov ntshav thib ob plab plab Cancer Risk Factors / American Cancer Society.
• Radiation Gastric Cancer Clinical Presentation / Medscape.

Cov tsos mob ntawm mob plab yog dab tsi

Thaum ntxov, qog nqaij hlav yog qhov nyuaj rau kev paub, vim tias nws tsis muaj cov cim tshwj xeeb Gastric Cancer / Medscape. Ntau tus neeg xav tias nws tsuas yog mob me me xwb. Yog li ntawd, feem ntau ntawm cov tsos mob tshwm sim twb nyob rau hauv ib daim ntawv tsis saib xyuas. Nov yog dab tsi los nrhiav hauv Gastric Cancer / Medscape:

• Recurrent xeev siab los yog ntuav.
• Txo qab los noj mov.
• Mob plab hnyuv / Mayo Clinic mob nyob rau hauv lub plab sab sauv ntawm cov tav.
• Kev nqhis dej tsis yooj yim (dysphagia).
• plab hnyuv.
• Xav tias tag nrho tom qab noj tsawg heev.
• Mob plawv.
• Cov quav dub (melena), uas los ntawm cov ntshav hauv plab thiab ua rau cov ntshav tsis txaus.
• Sudden poob phaus.
• ntuav ntshav (hematomesis).
• Loj lymph nodes saum toj ntawm sab laug clavicle thiab nyob rau hauv lub anterior cheeb tsam ntawm lub caj npab.

Yuav ua li cas yog tias muaj cov tsos mob ntawm mob qog noj ntshav

Yog tias ib qho ntawm cov kev hloov pauv tau tshwm sim, koj yuav tsum hu rau tus kws kho mob. Yog tias tsim nyog, nws yuav xa koj mus rau tus kws kho mob oncologist.

Yuav kom kuaj tau qhov tseeb, tus kws kho mob yuav sau ntawv mus kuaj. Nws yuav muaj xws li mob plab hnyuv / Mayo Clinic:

• Endoscopy. Qhov no yog ib txoj hauv kev uas lub raj nyias nyias nrog lub koob yees duab yees duab ntxig los ntawm lub qhov ncauj. Yog li koj tuaj yeem ua tib zoo tshuaj xyuas lub plab mucosa.
• Biopsy. Tus kws kho mob txiav tawm ib daim ntawm cov nqaij mos thaum lub sij hawm endoscopy, thiab tom qab ntawd xa cov qauv mus rau qhov chaw kuaj mob.
• X-ray lossis CT. Cov duab thaij tom qab tus neeg tau haus cov tshuaj barium. Cov tshuaj no yuav pab kom pom cov contours sab hauv ntawm lub plab.

Yog tias cov kws kho mob tsis tuaj yeem kuaj xyuas qhov tseeb thiab txiav txim siab txog theem ntawm tus mob qog noj ntshav, ntau cov qog ntshav qog yuav raug tshem tawm ntawm tus neeg lub plab kab noj hniav kom kuaj xyuas lawv cov qauv hauv chav kuaj.

Yuav kho mob qog noj ntshav plab li cas?

Tus kws kho mob oncologist yuav tsim ib lub tswv yim rau kev kho tus kab mob, tsom mus rau theem ntawm cov qog nqaij hlav, qhov loj thiab qhov chaw ntawm cov qog, nrog rau kev noj qab haus huv ntawm tus neeg mob.

Kev ua haujlwm

Nws lub hom phiaj yog tshem tawm cov ntaub so ntswg hloov los ntawm cov qog. Cov kev xaiv ntawm plab hnyuv / Mayo Clinic yog raws li nram no:

• Endoscopic mucosal resection. Tus kws kho mob yuav ntxig ib lub raj nrog lub koob yees duab thiab cov cuab yeej phais mob los ntawm lub qhov ncauj kom txiav tawm qhov chaw mob qog noj ntshav. Txoj kev no tsuas yog siv thaum ntxov.
• Subtotal gastric resection. Tus kws phais yuav tshem tawm tsis tau tsuas yog ib feem ntawm lub cev uas cuam tshuam los ntawm kev mob qog noj ntshav, tab sis kuj tseem muaj qee cov ntaub so ntswg los ntawm txoj hnyuv me yog tias cov qog nyob hauv qab ntawm lub plab.
• Ua kom tiav gastrectomy. Qhov kev ua haujlwm no yog ua tau yog tias cov qog loj los yog loj hlob hauv lub cev ntawm lub plab lossis ntawm qhov sib txuas nrog txoj hlab pas. Yog li ntawd, tus kws kho mob yuav tshem tawm tag nrho lub plab thiab ib puag ncig cov ntaub so ntswg thiab txuas cov hlab pas rau cov hnyuv. Tus neeg uas tau phais yuav tsum tau ua raws li kev noj haus: noj me me tsib los yog rau lub sij hawm ib hnub twg, tsis txhob haus dej thaum noj mov thiab tom qab ntawd. Tsis tas li ntawd, cov kws kho mob yuav qhia kom noj cov zaub mov muaj protein ntau (nqaij, nqaij qaib, ntses), complex carbohydrates, thaum txo cov khoom qab zib thiab khoom noj siv mis. Thiab nco ntsoov haus 1, 4-1, 9 litres dej ib hnub.

Tshuaj kho mob

Cov tshuaj muaj zog Stomach cancer / Mayo Clinic cov tshuaj pab tua cov qog nqaij hlav cancer uas tau nthuav tawm sab nraum lub plab.

Qee zaum tshuaj kho mob yog muab ua ntej phais kom txo cov qog. Tab sis ntau zaus, cov tshuaj siv tom qab phais lossis ua ke nrog lwm txoj hauv kev.

Kev kho hluav taws xob

Mob qog noj ntshav / Mayo Clinic siv zog X-rays lossis protons los rhuav tshem cov qog nqaij hlav cancer. Yog tias ib tug neeg raug hluav taws xob ua ntej kev phais, nws ua rau cov qog me me thiab yooj yim rau tus kws kho mob tshem tawm. Tom qab kev phais, kev kho hluav taws xob tua cov kab mob qog noj ntshav ntxiv.

Immunotherapy

Mob qog noj ntshav / Mayo Clinic siv cov tshuaj uas pab lub cev tiv thaiv kab mob paub thiab tua cov qog nqaij hlav cancer. Txoj kev no yog siv nyob rau hauv rooj plaub uas cov qog tau kis mus rau lwm yam kabmob los yog rov qab los tom qab kev kho mob.

Hom kev kho mob

Nws tseem hu ua biotherapy. Mob qog noj ntshav / Mayo Clinic siv cov tshuaj uas cuam tshuam rau cov txheej txheem biochemical hauv cov qog nqaij hlav cancer thiab tiv thaiv cov qog tsis loj hlob. Cov txheej txheem feem ntau ua ke nrog kev kho mob.

Palliative care

Qhov no yog lub npe ntawm Kev kho mob plab hnyuv / Mayo Clinic, uas tau muab rau cov neeg mob uas mob hnyav. Piv txwv li, thaum muaj mob qog noj ntshav nyob rau theem kawg, thaum nws tsis tuaj yeem tshem tawm tag nrho cov qog, tus kws kho mob txiav tawm ib feem ntawm lub plab kom tus neeg mob hnov mob tsawg dua thiab ua rau lub cev nyob sib ze.

Palliative care yog siv tom qab kws khomob, hluav taws xob, lossis kev phais kom txo tau cov tsos mob tsis zoo ntawm kev kho mob hnyav.

Yuav ua li cas txo koj txoj kev pheej hmoo ntawm mob qog noj ntshav

Tsis muaj kev lav phib xaub kom zam qhov no. Tab sis txhawm rau txo cov kev pheej hmoo, cov kws kho mob qhia rau mob qog noj ntshav / Mayo Clinic:

• Ua kom lub cev hnyav. Koj tuaj yeem tsom mus rau qhov ntsuas lub cev.
• Noj kom raug. Kev noj zaub mov yuav tsum muaj cov txiv hmab txiv ntoo, zaub, thiab cov nplej tag nrho. Noj tsawg dua cov nqaij liab los yog ua tiav (xws li nqaij npuas kib, nqaij npua, thiab hnyuv ntxwm) thiab haus cov dej qab zib tsawg.
• Tsis txhob haus dej haus cawv lossis txiav cawv.
• Txhob haus luam yeeb.
• Tshem tawm Helicobacter pylori yog tias muaj cov tsos mob tsis zoo: hnyav, kub hnyiab thiab mob plab.