Chirwere cheAcological, chinozivikanwa nekupararira kwemuviri wakagadzirwa pamadziro ehuputi, inonzi chirwere chekushama. Rudzi urwu rwehutachiona ndewechisere hunozivikanwa zvikuru, kazhinji hunoonekwa kuvanhu vemazera, asi inogona kukura muvarwere vaduku. Nokudaro, zvakakosha zvikuru kuziva izvo zviratidzo zvekutanga zvekushanduka kwekenza ndezvipi.
Nzira yekuziva sei kenza yecheophageal?
Kutanga, tinodzidza kuti chinonzi chii uye kuti chii chinoshanda. Inophagus igomba risina chimiro chakafanana nebhuruti rine masvingo ane mavara akawanda anobatanidza muromo wemuromo nemudumbu. Iri nhengo inoshandiswa kuendesa zvokudya mudumbu, iyo inobatsirwa nehutu hwakavanzwa nemasikisi ayo, uye kudzivirira kugadzika kwekudya kwechikafu chezvokudya mukati mechikamu chekudya nemhepo.
Nekuonekwa kwayo zviri nyore, sophagus inoda maitiro asina kunaka uye pasi pesimba rezvinhu zvakasiyana-siyana, kusanganisira kusvuta, kunwa doro, zvinwiwa zvinopisa uye ndiro, zvinogona kubatanidzwa mukugadzirisa zvirwere. Kenza mutsara mukati maro inotanga kukura nekuonekwa kwemasero asina kujairika ane chokuita nekuchinja kwemuDNA, iyo inoramba ichiparadzanisa uye ichikura. Zvinyorwa izvi hazvisi kungovhiringidza nhengo, asi zvinogonawo kupinda mumasukirwo ari pedyo, zvinopararira kune dzimwe nzvimbo dzomuviri neropa uye lymph flow.
Kenza yeAsophageal kutanga zviratidzo haisi kubudiswa pachigamba chekutanga, asi ikozvino nekukudziridzwa kwekukura kwekukura kwemashoko makuru. Munyaya iyi, varwere vanoverengeka vachiri kunyora kushungurudzika kwezviratidzo, izvo zvisinei, zvisingaiti uye zvinowanzoonekwa kune dzimwe zvirwere - gastritis, reflux esophagitis, neurocirculatory dystonia, etc. Izvi zvinosanganisira:
- kusagadzikana mu sternum, yakabatana kana kusabatanidzwa nekudya;
- kutsva kunzwa mukati muno.
Nzira yekuziva sei kenza yecheophage pachigamba chekutanga?
Vaya vanocherechedza uye vanoteerera utano hwavo vachakwanisa kuona zviratidzo zvekutanga zvekushaya chirwere chepachirwere panguva yekutanga, izvo zvinowedzera mikana yekubudirira mukurapwa. Ihwo hukuru hunoratidzika hunoonekwa, hunoti hunofanira kurira tera uye kutarisa kune imwe nyanzvi, inoratidza zviratidzo zvepanyika zvinokonzerwa nokukundwa kwemasukirwe esophageal:
- Dysphagia , isina kukonzerwa nemichina, chemikemikari kana kushungurudzika kwepamuviri, iyo chiito chakakomba chokumedza, pakutanga kusati chakatumidzwa, uye inokumanikidza kuramba zvokudya zvakasimba;
- chirevo chechirevo chekutapudza bundu rezvokudya kuburikidza nehuputi, kusuruvara kusingafadzi panguva yekudya kana kunwa;
- kutinhira kwezwi, kusabatanidzwa nezvirwere zvecatarrha;
- kuwedzera salivation;
- kubata zvokudya shure kana panguva yekudya;
- kuchema;
- nausea;
- kazhinji hiccough;
- zvinoenderana nekukanganiswa, izvo zvinoonekwa kana uchinwa;
- mweya wakaipa.
Zviratidzo zvekutanga zvekushaya kenza, zvakabatana nezviratidzo zvinowanzobatanidzwa nekudhakwa kwemuviri nemishonga yekuora kwemasero anouraya, zvinosanganisira:
- pfungwa inogara iine simba;
- kuneta zvakaneta;
- kuwedzera kuora kurasikirwa;
- anemia.
Yakaparadzaniswa zvikuru squamous cell carcinoma yeeophagus
Kubva pamaitiro ake echetological emakumbo mune iri chimiro, anotsanangurwa kuva mhando dzakasiyana. Chimwe chinowanzozivikanwa ndeye squamous cell carcinoma, umo masero akapfava uye akaonda maasypical anoumbwa pamusoro penheyo. Tsvina yakadaro inowanzokonzera chikamu chepakati chenhengo. Kana chirume chesafamous chinokonzerwa zvakanyanya, hachikure nokukurumidza, masero ayo anowanzoita keratinini. Muchiitiko ichi, yekutanga zviratidzo, zviratidzo zvekushanduka kenza zvinoratidzika zvishoma nezvishoma, zvirwere zvinowanikwa mumashure ekupedzisira.
Low-grade grade squamous cell carcinoma yeeophagus
Urwu urwere hwehutano hunoratidzwa nekuumbwa kwemasero asina keratinini, anotarirwa kukura nokukurumidza nekufambira mberi. Ichi chimiro chinoshungurudza, icho chinoratidzwa nekuwedzera kukurumidza mukuratidzwa uye njodzi huru yekupararira nokukurumidza mumuviri wose. Nzira yekuziva nayo kenza yemuongorori, sarudza kuonekwa kwayo uye gumbo shure kwekuona zviratidzo zvinotyisa, zvinogona kukurudzira chiremba. Kazhinji, munyaya iyi, yakagadzwa X-ray kana zofagoskopiya, inogadzirisa kuona zviratidzo zvakaipa mumuviri.
Mukana wekenza weeopopus
Chirwere chinotanga kukura kwayo mumasero anonyanyisa chinonzi chichero, rimwe zita ndiro adenocarcinoma. Kakawanda iyi iyi inocology inoumbwa muchikamu chezasi chesophagus. Kanzera reEsophageal, zviratidzo zvokutanga izvo zvingave zvisingabviri mune izvi, pane dzimwe nguva zvinotarisana nechemukati hwehutano hwakadai saBarrett's syndrome. Zviratidzo zvekutanga mune izvi zvinogona kuva: kuora mwoyo, kurutsa neropa, kurwadziwa mumimba.
Izvozvo zviratidzo zvokutanga zvekushaya chirwere muvakadzi
Zviratidzo zvekenza yekushayikwa mumadzimai hazvisiyane neyevarume, zvisinei, zvichienderana nehuwandu, huwandu hwehutano hwakanaka hwakawanda kakawanda. Pamusana pekusagadzikana kwekuonekwa kwekutanga, chirwere ichi chinowanzoonekwa kune mwedzi yakawanda mushure mekuonekwa kwemuviri. Munguva iyi, zvinogona kutotanga kuve nekuputika kwechigunwe chekenza kunze kwemasvingo ekugadzirira, pamwe chete nezviratidzo zvechipiri:
- kupfupika kwemhepo;
- kuwedzera lymph nodes;
- kurutsa;
- shandura the sonority of the voice;
- bradycardia, nezvimwewo.
Kenza Esophageal - yekutanga zviratidzo, vangani vanogara?
Kanzera yeAsphagus, yekutanga zviratidzo zvayo zvinoonekwa panguva yekutanga, uye nekurapa kwakakodzera kwakakodzera kunoratidzwa nekunyaradza kunonyaradza. Nokudaro, vanopfuura 90 muzana yevarwere vakagamuchira kurapwa, chirwere chemo- uye remishonga inonzi radiation , vane makore mashanu uye vazhinji vanorarama. Nenguva isipi yaongororwa nekenza yesophageal ine kukanganisa kwakasiyana: pasina kurapwa mune varwere vakawanda, mhedzisiro inouraya inoitika mushure memwedzi 5-6, uye mukurapwa kwemakore mashanu ekupona ndeye 10% chete yevarwere ava.