Mob plab

Mob plab yog mob qog hais tias pib mob plab.

Muaj ntau hom mob qog noj ntshav yuav tshwm sim hauv lub plab. Feem ntau hom hu ua adenocarcinoma. Nws pib los ntawm ib ntawm cov hom cell muaj nyob hauv ob sab phlu hauv plab.

Adenocarcinoma yog mob khees xaws feem ntau ntawm lub plab zom mov. Nws tsis pom muaj ntau hauv Tebchaws Meskas. Nws kuaj pom ntau nyob hauv cov neeg nyob sab hnub tuaj Asia, thaj tsam ntawm South America, thiab sab hnub tuaj thiab nruab nrab Europe. Nws tshwm sim feem ntau rau cov txiv neej hnub nyoog 40.

Cov neeg hauv tebchaws Meskas uas muaj tus kabmob no tau tsawg dua xyoo dhau los. Cov kws tshaj lij xav tias qhov kev txo qis no yuav yog feem vim tias tib neeg noj tsawg ntsev, kho kom zoo, thiab haus luam yeeb ntau.

Koj ntxim yuav raug mob plab hnyuv yog koj:

• Muaj khoom noj kom tsawg rau cov txiv hmab txiv ntoo thiab zaub
• Muaj tsev neeg muaj keeb kwm ntawm mob caj pas
• Muaj kev kis mob ntawm lub plab los ntawm cov kab mob hu ua Helicobacter pylori (H pylori)
• Muaj ib qho polyp (qhov tsis zoo) loj dua 2 centimeters hauv koj lub plab
• Tau mob o thiab mob ntawm lub plab ntev ntev (mob caj pas atrophic gastritis)
• Muaj kev mob ntshav tsis txaus (muaj cov qe ntshav liab los ntawm txoj hnyuv tsis nqus cov vitamin B12 zoo)
• Haus luam yeeb

Cov tsos mob ntawm lub plab mob tuaj yeem suav nrog cov hauv qab no:

• Mob plab tag nrho lossis mob, uas tej zaum yuav tshwm sim tom qab noj mov me me
• Cov quav dub
• Nyuaj nqos nyuaj, uas yuav dhau sijhawm dhau sijhawm
• Cawv nraub qaum
• Kev poob rau kev noj qab haus huv
• Tsis qab los noj mov
• Xeev siab
• Ntuav ntshav
• Tsis muaj zog lossis nkees
• Lub cev yuag

Kev kuaj mob feem ntau yog ncua sij hawm vim cov tsos mob yuav tsis tshwm sim thaum ntxov ntawm tus kab mob. Thiab ntau yam ntawm cov tsos mob tsis qhia tshwj xeeb rau tus mob qog noj ntshav. Yog li, tib neeg feem ntau kho tus kheej cov tsos mob tias tus mob plab zom mov tau tshwm sim nrog lwm yam, tsis tshua hnyav, muaj teeb meem (tsam plab, roj, kub siab, thiab puv).

Kev ntsuam xyuas uas tuaj yeem pab kuaj mob qog nqaij hlav hauv plab muaj xws li:

• Ua kom tiav cov ntshav suav (CBC) txhawm rau kuaj xyuas ntshav tsis muaj ntshav.
• Txoj hlab ntaws (esophagogastroduodenoscopy (EGD)) nrog kev kuaj me me mus tshuaj xyuas lub plab cov ntaub so ntswg. EGD cuam tshuam tso lub koob yees duab me me tso rau txoj hlab pas (khoom noj khoom haus) kom saib ntawm sab hauv lub plab.
• Kev soj ntsuam quav mus kuaj cov ntshav hauv cov quav.

Kev phais mob kom tshem tawm lub plab (gastrectomy) yog cov qauv kev kho mob uas tuaj yeem kho adenocarcinoma ntawm lub plab. Kev ntsuas hluav taws xob thiab kev siv tshuaj kho mob yuav pab tau. Siv tshuaj tua hluav taws xob thiab kho hluav taws xob tom qab kev phais mob tuaj yeem txhim kho txoj hauv kev ntau ntxiv.

Rau cov neeg uas tsis tuaj yeem phais, siv tshuaj kho mob lossis hluav taws xob yuav ua kom tus tsos mob zoo dua thiab yuav muaj sia nyob ntev, tab sis yuav tsis kho tus mob cancer. Rau qee leej neeg, kev phais mob bypass phais yuav daws cov tsos mob.

Koj tuaj yeem daws kev ntxhov siab ntawm kev muaj mob los ntawm kev koom nrog pawg pab txhawb mob qog noj ntshav. Faib qhia rau lwm tus uas muaj kev paub thiab teeb meem ntau yam tuaj yeem pab koj tsis txhob xav tias yog ib leeg.

Outlook txawv raws ntau npaum li cas cov kabmob kis tau kis los ntawm lub sijhawm kev kuaj mob. Cov hlav hauv lub plab qis dua tuaj yeem kho ntau zaus dua li cov neeg nyob hauv plab siab dua. Feem ntau ntawm kev kho kom zoo kuj yog nyob ntawm seb cov qog tau ua rau lub plab phab ntsa thiab seb puas muaj cov qog ntshav txuam nrog.

Thaum cov qog hlav tawm sab nraud lub plab, kho ib qho mob tsawg dua. Thaum txoj kev kho mob tsis tuaj yeem ua tiav, lub hom phiaj ntawm kev kho mob yog txhawm rau txhim kho cov tsos mob thiab ntev lub neej.

Hu rau koj tus kws kho mob yog tias pom muaj mob qog noj ntshav.

Kev kuaj mob muaj txiaj ntsig yog los kuaj tus kab mob thaum tseem ntxov hauv thaj chaw hauv ntiaj teb qhov kev pheej hmoo mob qog noj ntshav yuav muaj ntau dua nyob hauv Tebchaws Meskas. Tus nqi ntawm kev kuaj mob hauv Asmeskas thiab lwm lub tebchaws muaj ntau tsawg dua tus mob plab tsis paub meej.

Cov hauv qab no tej zaum yuav pab txo koj txoj kev pheej hmoo mob mob plab:

• TSIS TXHOB haus luam yeeb.
• Khaws khoom noj muaj txiaj ntsig zoo rau txiv hmab txiv ntoo thiab zaub.
• Noj tshuaj los kho tus mob reflux (kub siab), yog tias koj muaj.
• Siv tshuaj tua kab mob yog tias koj muaj tshuaj kuaj H pylori kis tau tus mob.

Cancer - mob plab; Mob plab zom mov; Lub plab zom mov carcinoma; Adenocarcinoma ntawm lub plab

• Lub plab zom mov
• Mob plab, xoo hluav taws xob
• Plab
• Gastrectomy - series

Abrams JA, Quante M. Adenocarcinoma ntawm lub plab thiab lwm yam mob plab zom mov. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 54.

Gunderson LL, Donohue JH, Alberts SR, Ashman JB, Jaroszewski DE. Mob qog noj ntshav ntawm lub plab thiab lub plab zom mov sib tshuam. Hauv: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff's Clinical OncologyCov. Thib 5 ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2014: chap 75.

Lub koom haum Cancer National website. Kev kho mob qog noj ntshav (PDQ) - kev noj qab haus huv version. www.cancer.gov/types/stomach/hp/stomach-ntuj-pdq. Hloov tshiab Lub Yim Hli 17, 2018. Nkag mus Lub Kaum Ib Hlis 12, 2018.