Cov mob qog nqaij hlav cancer yog ib qho ntawm cov hlav malignant uas muaj kev txhaum ua txhaum tib neeg lub neej. Muaj 1.09 lab tus neeg mob tshiab hauv ntiaj teb txhua xyoo, thiab tus naj npawb ntawm cov neeg mob tshiab hauv kuv lub tebchaws yog siab li 410,000. Uas yog hais, kwv yees li 1,300 tus neeg nyob hauv kuv lub tebchaws yog kuaj mob qog noj ntshav txhua txhua hnub.
Tus nqi muaj sia nyob ntawm cov mob qog nqaij hlav cancurt muaj feem cuam tshuam nrog cov qib siab ntawm cov qog nqaij hlav cancer. Tus kho tus nqi ntawm cov mob plab cancer thaum ntxov tuaj yeem ncav cuag 90%, lossis txawm tias kho tau. Tus kho tus mob ntawm lub cev nqaij hlav-theem nrab yog nyob nruab nrab ntawm 60% thiab 70%, thaum kho tus mob mob hnyuv siab yog 30%. nyob ib ncig ntawm, yog li ntxov lub plab qog nqaij hlav cancer tau pom. Thiab kev kho mob thaum ntxov yog tus yuam sij los txo cov pa roj plab cancer tuag. Qhov zoo, nrog kev txhim kho ntawm endoscopic thev naus laus zis nyob rau hauv kuv lub teb chaws tsis ntev los no, uas tau txhim kho cov kabmob kheesxaws tsis ntev los no, uas tau txhim kho cov kabmob muaj zog ntawm cov mob hauv plab hnyuv;
Yog li, yog dab tsi mob plab cancer thaum ntxov yog dab tsi? Yuav ua li cas txhawm rau txhawm rau txhawm rau thaum ntxov mob qog nqaij hlav cancer? Yuav kho nws li cas?
1 lub tswvyim ntawm cov mob qog noj ntshav thaum ntxov
Clinically Cancer, Thaum Ntxov Cancort Cancer feem ntau yog hais txog cov qog nqaij hlav cancer nrog rau mob txhab ua ntej, kuj muaj cov mob tsawg thiab tsis muaj cov tsos mob pom tseeb. Mob plab cancer thaum ntxov yog feem ntau pom los ntawm patopsy pathology. Pathologically, cov pa cancer thaum ntxov yog hais txog cov qog nqaij hlav cancer txwv rau cov qog nqaij hlav tsawg npaum li cas thiab txawm tias muaj cov qog qog nqaij hlav cancer. Nyob rau hauv xyoo tsis ntev los no, loj dysplasia thiab high-qib incitaipithelial Neoplasia tseem muaj cov kabmob kheesxaws tseem muaj cov qog nqaij hlav cancer thaum ntxov.
Raws li qhov loj me ntawm cov qog, mob plab cancer tau muab faib ua: cov mob plab hnyuv siab raum: txoj kab uas hla ntawm cov kabmob kheescoog yog 6-10 hli. Cov mob plab hnyuv qog nqaij hlav me me: txoj kab uas hla ntawm cov qog foci tsawg dua los yog sib npaug rau 5 hli. PaucoCa Bitrica Bitric Mottrica Biopsy yog Cancery yog Cancer, tab sis tsis muaj cov nqaij mos rau cov kab mob rov qab.
Endoscopically, mob plab cancer thaum ntxov yog muab faib ua ntxiv rau hauv: Hom (Hom (Polypoid hom) Hom II (hom superficial): Cov qog nqaij loj yog txhawb lossis muaj kev ntxhov siab tsis pub dhau 5 hli. Hom III (Ulcer Hom): Qhov tob ntawm kev nyuaj siab ntawm kev mob qog ua rau muaj ntau dua 5 hli, tab sis tsis tshaj qhov submucosa.
2 Cov tsos mob tshwm sim ntawm cov mob plab hnyuv thaum ntxov
Feem ntau cov qog nqaij hlav plab zom mov tsis muaj cov tsos mob tshwj xeeb, uas yog los hais, cov tsos mob ntawm cov mob plab cancer tsis muaj tsos mob dab tsi. lub network
Cov uas tau hu cov cim ntxov ntawm cov mob plab hnyuv qog noj ntshav hauv internet yog qhov tsis tau ntxov. Seb nws yog kws kho mob lossis tus neeg zoo kawg nkaus, nws nyuaj rau kev txiav txim los ntawm cov tsos mob thiab cov cim. Qee tus neeg yuav muaj qee cov tsos mob uas tsis yog cov tsos mob uas tsis yog, xws li mob plab, thiab lwm yam mob plab, thiab mob plab, yog li ntawd lawv feem ntau tsis nyiam tib neeg lub siab. Yog li ntawd, rau cov neeg muaj hnub nyoog tshaj 40 xyoos, yog tias lawv yuav tsum mus rau tom tsev kho mob hauv lub sijhawm, thiab ua haujlwm tsis tau, yog li tsis txhob plam lub sijhawm zoo tshaj plaws los kuaj mob plab.
3 Yuav ua li cas txhawm rau txhawm rau txhawm rau thaum ntxov mob qog nqaij hlav cancer
Xyoo tsis ntev los no, cov kws kho mob hauv peb lub tebchaws, ua ke nrog cov xwm txheej ntawm peb lub tebchaws, tau tsim cov "kws tshaj lij ntawm kev kuaj mob qog nqaij hlav cancer thaum Suav".
Nws yuav ua lub luag haujlwm zoo hauv kev txhim kho tus nqi kuaj mob thiab kho tus nqi ntawm cov mob qog nqaij hlav cancer thaum ntxov.
Cov mob ntshav paug kuaj mob thaum ntxov yog tsom rau qee cov neeg mob helicobacacter, cov neeg mob uas muaj hnub nyoog ntawm Helicobacter, cov neeg mob Helicobacter pantric, cov neeg mob txog 35 xyoo, thiab cov khoom noj ntev ntev.
Kev tshuaj ntsuam thawj zaug feem ntau yog txiav txim siab cov pej xeem muaj kev pheej hmoo siab los ntawm kev kuaj mob oxouric los ntawm kev kuaj mob ntawm cov plab zom mov thiab cov pa roj plab thiab cov tshuaj tiv thaiv kab mob Helicobracy. Tom qab ntawd, cov pab pawg-pheej hmoo muaj nyob rau hauv thawj cov txheej txheem yog ua tib zoo saib xyuas los ntawm kev magnival, thiab lwm yam, yog li yuav txiav txim siab seb puas muaj mob qog noj ntshav Thiab seb lawv puas tuaj yeem kho tau hauv qab lub tshuab tsom.
Yog lawm, nws tseem yog txoj hauv kev zoo dua los txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau hauv cov khoom siv lub cev hauv kev noj qab haus huv.
4 Dab tsi yog kev ua pa tawm thiab kev kuaj mob plab hnyuv tshuaj ntsuam xyuas cov txheej txheem
Kev ntsuam xyuas kev ua haujlwm paitric yog txhawm rau txheeb xyuas qhov sib piv ntawm PepSinogen 1 (PGI), Pepsinogen (PBL1, thiab muaj kev tiv thaiv) hauv Ntshav Dej.
(PGR, PGI / PGII) Gastrin 17 (G-17) Cov ntsiab lus, thiab cov qhab nia mob plab zom mov, thiab cov tshuaj tiv thaiv helicobacter pylori, hnub nyoog thiab poj niam txiv neej, los txiav txim rau cov Txoj kev muaj kev pheej hmoo mob qog noj ntshav, los ntawm kev kuaj mob plab hnyuv tshuaj ntsuam, tuaj yeem screen tawm hauv cov pab pawg nruab nrab thiab qib siab ntawm cov pab pawg hnyuv ntxig.
Endoscopy thiab taug qab yuav nqa tawm rau cov pab pawg nruab nrab thiab qib siab. Cov pab pawg neeg pheej hmoo siab yuav raug tshuaj xyuas tsawg kawg ib zaug ib xyoos, thiab cov pab pawg nruab nrab yuav tshuaj xyuas tsawg kawg ib zaug txhua 2 xyoos. Qhov kev tshawb pom tiag yog thaum ntxov cancer, uas tuaj yeem kho tau los ntawm phais endoscopic. Qhov no tsis tuaj yeem txhim kho kev paub thaum ntxov ntawm cov mob qog nqaij hlav cancer, tab sis kuj txo cov kev tsis tsim nyog endoscopy hauv cov pab pawg muaj pheej hmoo.
5 Dab tsi yog gastrastroscopy
Txhawm rau muab nws yooj yim, gastroscopy yog ua rau endoscopic morpholopy tsom xam tib lub sijhawm, suav nrog kev ua kom zoo nkauj Lub qhov txhab yog txiav txim siab ua rau benign lossis tsis txaus ntseeg rau malignancy, thiab tom qab ntawd biopsy ntawm tus neeg xav tias lub siab phem tau ua, thiab kev kuaj mob zaum kawg yog tsim los ntawm pathology. Txhawm rau txiav txim siab seb puas muaj kab mob qog noj ntshav, qhov kawg ntawm kev sib txawv, kev sib txawv ntawm kev sib txawv, thiab seb puas muaj kev qhia txog kev kho me me.
Piv nrog rau tib neeg cov pob gastroscopy, kev kuaj mob hauv plab zom mov yuav tsum tau ua nyob rau hauv lub xeev tsis muaj tseeb, cia cov neeg mob kom huv lub xeev thiab ua kom muaj kev nyab xeeb. Gastroscopy muaj qhov ua haujlwm siab rau cov neeg ua haujlwm. Nws yuav tsum tau raug cob qhia thaum ntxov muaj mob qog nqaij hlav, thiab cov kev kawm endoscopists tuaj yeem ua kom pom cov ncauj lus kom ntxaws ntxiv, yog li txhawm rau txhawm rau tshuaj thiab ua kom tsim nyog thiab txiav txim.
Gastroscopy muaj lub siab xav tau ntawm cov cuab yeej, tshwj xeeb nrog cov duab ua thev naus laus zis xws li Chromoendoscopy / Hluav Taws Xob Chromoendoscopy lossis magnifying endoscopy lossis magnifying endoscopy lossis magnifying endoscopy lossis magnifying endoscopy lossis magnifying endoscopy lossis magnifying endoscopy lossis magnifying endoscopy. Ultrasound Gastroscopy kuj yuav tsum tau yog tias tsim nyog.
6 Kev kho mob rau lub cev qog nqaij hlav cancer thaum ntxov
1. Endoscopic Resection
Ib zaug thaum ntxov mob plab hnyuv qog nqaij hlav yog kuaj tau, kev hloov kho Endoscopic yog thawj qhov kev xaiv. Compared with traditional surgery, endoscopic resection has the advantages of less trauma, fewer complications, faster recovery, and lower cost, and the efficacy of the two is basically the same. Yog li ntawd, kev rov qab qhib endoscopic raug pom zoo hauv tsev thiab txawv teb chaws raws li qhov kev kho mob qog noj ntshav thaum ntxov.
Tam sim no, feem ntau siv cov kev tawm tsam endoscopic feem ntau suav nrog Ovoscopic mause resection (EMR) thiab endoscopic xa tawm (ESD). Lub thev naus laus zis tshiab tsim, ESD ib-channel endoscopy, tuaj yeem ua tiav qhov chaw nyob hauv plab sib sib zog nqus kom txo qis kev rov muaj dua.
Nws yuav tsum raug sau tseg tias kev phais mob endoscopic yog qhov kev phais mob tsawg dua, feem ntau yog tias muaj mob los ntshav, kev mob plab, kev rov ua kom tiav, thiab tshuaj xyuas yuav tsum nquag koom tes nrog tus kws kho mob txhawm rau kom rov zoo li sai tau.
2 laparoscopic phais
Kev phais laparoscopic tuaj yeem txiav txim siab rau cov neeg mob uas muaj mob plab hnyuv qog noj ntshav uas tsis tuaj yeem yauv rov pib dua. Kev phais laparoscopic yog qhib me me raws nyob rau hauv tus neeg mob lub plab. Laparoscopes thiab cov cuab yeej ua haujlwm tau muab tso rau ntawm cov kev ua phem no nrog me ntsis cov ntaub ntawv hauv plab hnyuv, uas tau ua tiav rau hauv cov kev taw qhia ntawm Laparoscope. Pais plab cancer phais. Kev phais laparoscopic tuaj yeem ua tiav cov haujlwm ntawm cov laparotomy, thiab lwm yam mob ntxiv, thiab rov qab mob dua, thiab nrawm dua ntawm kev phais mob tom qab phais tas.
3. Kev phais mob qhib
Txij li 5% rau 6% ntawm kev mob qog nqaij hlav cancer thiab 15% rau 20% ntawm cov poj niam cov pob txha muaj kev sib tw, uas tuaj yeem raug txiav txim siab rau cov tub ntxhais hluas.
lub ntsiab
Txawm hais tias cov mob qog nqaij hlav cancurt muaj kev phom sij heev, nws tsis txaus ntshai. Tsuav ntawm kev paub txog kev tiv thaiv tau txhim kho, cov mob plab cancer tuaj yeem kuaj pom nyob rau hauv lub sijhawm thiab kho thaum ntxov, thiab nws muaj peev xwm ua tiav kev kho tiav. Yog li ntawd, nws raug nquahu tias cov pab pawg muaj kev pheej hmoo ntau tom qab muaj kev soj ntsuam mob plab, lossis kev soj ntsuam lub plab zom mov, yuav tsum tau ntxiv rau cov kev kuaj mob plab zom mov Cancer thiab txuag lub neej thiab tsev neeg muaj kev zoo siab.
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Lub sij hawm Post: Jun-21-2022