Dab tsi yog esophageal mob cancer, cov tsos mob tseem ceeb thiab kev kho mob

Zoo Siab

• Cov tsos mob tseem ceeb ntawm kev mob qog noj ntshav
• Yuav kuaj li cas
• Cov tseem ceeb ua
• Yuav kho tus mob li cas
• Khoom noj khoom haus rau kev mob qog noj ntshav

Txoj kev mob esophageal yog hom mob cancer uas tshwm sim vim kev hloov ntawm cov leeg txoj hlab pas, ua rau muaj mob, uas ua rau muaj qee yam tshwm sim thiab cov tsos mob xws li nyuaj rau nqos, qhov tshwm ntawm ib lub qog nyob rau sab saud lub plab thiab cov quav tsaus, txawm li cas los xij cov tsos mob ntawm tus mob qog nqaij hlav hauv txoj hlab pas tsuas yog tshwm sim thaum tus kab mob twb nyob rau theem siab dua thiab nrog metastases, uas tsis tshua muaj siab kho.

Raws li qhov chaw nyob ntawm cov qe cuam tshuam, mob qog ntshav hlav tuaj yeem muab cais ua ob hom loj:

• Squamous cell carcinoma, uas yog hom qog nqaij hlav ntau tshaj nyob hauv txoj hlab pas thiab cuam tshuam rau sab qaum ntawm txoj hlab pas thiab, vim li ntawd, nws nquag tshwm sim hauv cov neeg haus luam yeeb thiab / lossis dej cawv;
• Adenocarcinoma, uas feem ntau pom nyob rau hauv feem uas koom nrog txoj hlab nqos mov mus rau lub plab thiab muaj ntau dua rau cov neeg muaj kev mob plab, Barrett txoj hlab pas thiab thaum tus neeg rog dhau.

Hom mob cancer no feem ntau rau cov neeg muaj hnub nyoog tshaj 50 xyoo thiab tus uas muaj feem phom sij xws li kev rog, tsis kam plab, mob plab, lossis haus luam yeeb. Yog li, yog tias tus neeg muaj kev qhia lossis cov tsos mob cuam tshuam nrog mob qog nqaij hlav hauv txoj hlab pas thiab muaj qee qhov kev pheej hmoo cuam tshuam nrog tus kabmob, nws raug nquahu kom koj sab laj rau tus kws kho mob txhawm rau ua qhov kev kuaj mob thiab kev kho tuaj yeem tsim tau, nyob hauv feem ntau Feem ntau pom zoo ua rau kev phais kom tshem tawm ib feem ntawm txoj hlab pas, nrog rau chemo thiab hluav taws xob kom tshem tawm cov qog nqaij hlav cancer uas tej zaum yuav tsis tau raug tshem tawm thaum phais.

Cov tsos mob tseem ceeb ntawm kev mob qog noj ntshav

Qee cov cim thiab tsos mob uas tuaj yeem qhia txog kev loj hlob ntawm cov qog ntshav hauv txoj hlab pas yog:

• Nyuaj thiab mob mob kom nqos, pib cov zaub mov tawv thiab tom qab ntawd ua kua;
• Nqaj nqaij thiab hnoos tas li;
• Tsis qab los noj thiab hnyav;
• Nkees thaum ua qhov kev qoj ib ce yooj yim, xws li ua lub txaj lossis nce ntaiv;
• Zoo nkaus li hauv plab tag nrho;
• Ntuav nrog ntshav thiab xeev siab;
• Tsaus, pasty, muaj zog-hnov tsw lossis ntshav cov quav;
• Mob plab plhaw uas hla tsis dhau;
• Cais hauv plab, uas yog palpable;
• Cov nplais qog tawm sab laug ntawm sab caj dab;
• Nodules ncig ncig lub puj ntaws.

Feem ntau, mob qog noj ntshav tsis zoo ua rau muaj cov tsos mob lossis cov tsos mob, txawm li cas los xij tus kab mob zuj zus, cov tsos mob tshwm sim tuaj yeem pib pom. Yog li, qhov pib ntawm cov tsos mob qhia tau hais tias tus kab mob no twb nyob rau theem siab dua, thiab kev kuaj mob sai thiab kho yog qhov tseem ceeb.

Yuav kuaj li cas

Kev kuaj mob ntawm txoj hlab pas hlab ntshav yog ua los ntawm kev pom tseeb, uas yog ib qho kev soj ntsuam ua nrog lub hom phiaj xav pom ntawm sab hauv txoj hlab pas thiab lub plab thiab kuaj xyuas seb puas muaj kev txawv txav. Yog tias qog lossis lwm qhov kev hloov kho pom thaum lub sijhawm kuaj xyuas, nws raug nquahu kom kuaj me me ntawm cov qauv ntawm txoj hlab pas kom kuaj cov yam ntxwv ntawm lub hlwb, ntxiv rau txoj hlab pas tsom, tshwj xeeb yog tus neeg muaj teeb meem nqos.

Ib qho ntxiv, tus kws kho mob tuaj yeem taw qhia cov kev kuaj ntshav uas suav nrog cov ntshav los kuaj xyuas ntshav kuaj ntshav thiab kuaj quav ua ntej los kuaj ntshav hauv cov quav.

Thaum lub sij hawm kuaj tshuaj endoscopic, nws tseem muaj peev xwm tus kws kho mob kuaj xyuas theem ntawm tus kabmob raws li cov yam ntxwv pom:

• Theem Kuv - Cov qog nyob rau ntawm cov leeg hlab tau nrog thaj tsam li 3 txog 5 hli thiab tsis muaj metastases, muaj peev xwm kho tau ntau dua;
• Theem II - Kev siv txoj hlab ntaws phab ntsa nrog ntau tshaj 5 hli thiab tsis muaj metastases nrog qee qhov kev pheej hmoo;
• Theem III - Thickening ntawm txoj hlab ntaws phab ntsa uas cuam tshuam cov ntaub so ntswg ib ncig ntawm txoj hlab pas nrog qhov muaj feem tsawg tsawg ntawm kev kho mob;
• Chaw ntau pob IV -Txoj kev mob tshwm sim los ntawm lub cev, nrog txoj hauv kev los tsawg tsawg.

Txawm li cas los xij, cov theem no tuaj yeem piav qhia ntau yam ntxiv raws li hom mob cancer esophageal uas tau kuaj los ntawm tus kws kho mob.

Cov tseem ceeb ua

Cov tsos mob ntawm tus mob esophageal yog txuam nrog qee yam kev pheej hmoo, xws li:

• Kev haus dej haus cawv ntau dhau lawm;
• Kev haus cov dej kub hauv siab tshaj 65º C, xws li kas fes, tshuaj yej lossis chimarrão, piv txwv li;
• Kev siv cov tshuaj alkaline, xws li chlorine siv rau kev ntxuav uas ua rau txoj hlab pas nqaim;
• Keeb kwm mob taub hau lossis caj dab.

Ntxiv rau, hom mob qog noj ntshav no muaj ntau dua rau cov neeg mob uas muaj kab mob xws li gastritis, gastroesophageal reflux lossis Plummer-Vinson syndrome, achalasia lossis Barrett txoj hlab pas, piv txwv li, nrog kev voos txoj hlab pas feem ntau vim yog reflux los ntawm lub plab ntawm cov kua tsib.

Yuav kho tus mob li cas

Kev kho mob rau txoj hlab pas hlab ntsws siv rau hauv thaj chaw ntawm qog thiab theem ntawm tus kabmob, ntxiv rau tib neeg keeb kwm kho mob, hnub nyoog thiab cov tsos mob. Yog li, kev kho mob hom qog nqaij hlav qhia los ntawm kws phais pob qhov ncauj thiab kws kho mob plab ua hauj lwm zoo xws li:

• Kev phais kom tshem tawm txoj hlab pas: feem uas muaj cov qog tawm thiab qhov seem yog txuas rau hauv plab. Txawm li cas los xij, thaum txoj hlab pas yuav tsum tau muab tshem tawm kom meej, nws yog qhov tsim nyog yuav tsum tau tso qhov chaw mos dag dag lossis tshem tawm ib feem ntawm txoj hnyuv los hloov txoj hlab pas, piv txwv;
• Kev Siv Hluav Taws Xob: nws ua tiav los tiv thaiv kev loj hlob ntawm cov qog ntshav hauv txoj hlab pas;
• Kws khomob: los ntawm kev txhaj tshuaj mus rau hauv txoj hlab ntshav lossis leeg thiab hauv qee kis los ntawm kev siv tshuaj los txhawb tseem tshem tawm cov qog nqaij hlav cancer uas tseem tuaj yeem.

Feem ntau, cov kev kho no tsis kho tus mob cancer, lawv tsuas yog pab txo tus tsos mob cancer thiab ua rau lub neej ntev dua ntawm tus neeg mob. Kev kwv yees lub neej ntawm hom mob no txawv nrog hom mob cancer, theem, kho mob ua thiab tus neeg mob teb rau kev kho mob, tab sis raws li tus kab mob no feem ntau kuaj tau ntawm ib theem siab kawg thiab, yog li ntawd, tus neeg mob lub neej muaj hnub nyoog kwv yees li 5 xyoo laus.

Tsis tas li ntawd, kev ua neej nyob ntawm tus neeg mob uas muaj mob cancer hauv txoj hlab pas yog ntau dua thaum cov qog tsuas nyob hauv txoj hlab pas thiab tsis muaj metastases.

Khoom noj khoom haus rau kev mob qog noj ntshav

Kev mob qog noj ntshav, yuav tsum tau hloov qee yam ntawm kev noj zaub mov, vim nyuaj rau nqos thiab qhov tshwm sim ntawm kev kho mob, tshwj xeeb tshaj yog siv tshuaj khomob uas ua rau xeev siab thiab mob plab tsis zoo.

Yog li, nws yuav tsim nyog los npaj cov khoom noj pasty, xws li porridge thiab kua zaub hauv rab, lossis ntxiv cov tuab rau cov zaub mov ua kua. Ib qho ntxiv, nws yuav tsum tau txais cov khoom noj khoom haus ncaj qha los ntawm txoj hlab ntshav lossis siv txoj hlab ntswg, uas yog lub raj xa dej los ntawm lub qhov ntswg mus rau lub plab, kom pab txais cov zaub mov kom raug. Txheeb xyuas qee qhov kev xaiv zaub mov rau thaum koj tsis tau zom.