Gastric adenocarcinoma

Ilaa hadda, inta badan qiyaasta kansarka naasaha ee la ogaado, qiyaastii 95%, ayaa leh adenocarcinoma. Cudurkaan wuxuu ku adag yahay in la ogaado marxaladda hore, tan iyo markii ugu horreysey ee ku dhawaad ​​asymptomatic. Soo bixitaanka adenocarcinoma ee caloosha, khubarada qaarkood waxay la xiriiraan joogitaanka Helicobacter pylori - bakteeriyada spiral ah ee ku nool caloosha. Cudurku wuxuu u muuqan karaa inuu ka soo horjeedo astaamaha caloosha, caloosha caloosha, daciifinta difaaca jirka. Nafaqo aan fiicnayn, oo leh tiro badan oo ah walxaha ilaaliya iyo nitrit, ayaa sidoo kale kicin kara dhacdada kansarka. Muuqaalka muuqda ee adenocarcinoma ee caloosha ayaa ah muuqaalka kore ee metastases marxaladda hore.

Cunsurrada leh 'adenocarcenoma'

• da'da 40-50 sano;
• cudurku wuxuu u nugul yahay ragga (2-3 jeer ka badan dumarka);
• khamriga iyo tubaakada;
• infekshanka bakteeriyada Helicobacter;
• raashin badan oo cusbo ah, alaab la cabbo, cunto kariye, cunto karis ah;
• ecology xun;
• saadaalinta dhaxalka.

Calaamadaha cudurka

Sida hore loo sheegay, marka ugu horeysa ee adenocarcinoma ee caloosha waa asymptomatic. Haddii cilad-celinta loo bixiyo waqti-gaaban, markaa daaweyn dhamaystiran ayaa suurtagal ah, khatarta dhibaatooyinka waa mid aad u yar. Laakiin, nasiib daro, kansarka marxaladda eber ayaa lagu ogaanayaa shil aan macquul ahayn. Waqti ka dib, calaamadaha soo socda ayaa bilaabmaya inay muuqdaan:

• isbeddel ku yimaad doorashooyinka dhadhanka iyo dareenka;
• miisaanka lumay iyada oo kor u kaca ah ee mugga caloosha;
• daciifnimo ;
• lallabbo iyo matag;
• xanuunka caloosha ee gobolka caloosha;
• muuqaalka dhiigga ee saxarada iyo matagidda marxaladda ugu dambaysa ee cudurka.

Noocyada cudurka adenocarcinoma

Adenokarcinoma ee caloosha ku xiran nooca dhismaha ee qaybta ugu muhiimsan, sida caadiga ah, wuxuu u qaybsan yahay laba nooc:

1. Adenocarcinoma aad u kala duwan ee caloosha (nooca mindhicirka ee kansarka) - wuxuu leeyahay qaabdhismeedka jirka, tuubbada ama dhismaha cystic;
2. Adenocarcinoma-ka hooseeya ee caloosha (scirrus) - way adagtahay in la go'aamiyo qaabka glandular, maadama uu burku ku koro gudaha derbiyada jirka.

Waxaa jira waxyaabo sida adenocarcinoma dhexdhexaad ah ee caloosha. Noocani waxay ku dhex jirtaa meel dhexaad ah oo u dhexeeya heer sare iyo mid hoose.

Fursada dib u soo kabashada noocyada kala duwan ee kansarka ayaa aad uga sareeya noocyada hoose.

Daaweynta cudurka adenocarcinoma

Daaweynta ugu weyn ee adenocarcinoma ee caloosha waa qaliinka, taas oo caloosha si buuxda looga saaro. Lymph nodes ayaa sidoo kale laga saari karaa. Qalliinka ka dib, daaweynta shaybaarka iyo kemotherabi ayaa lagu daray.

Xaaladaha qaliinka qaliinka horay u soo qaadin natiijada la rabay, daaweynta dayactirka ayaa laguu qorey. Waxay ka caawineysaa sameynta raaxada ugu weyn ee suurtogalka ah ee bukaan-socodka adigoo yareynaya hawsha calaamadaha.

Saadaasha cilladda adenocarcinoma ee caloosha

Waxay ku xiran yihiin heerka dhaawaca iyo heerka cudurku:

• Heerka 1aad - soo kabashada 60-80%;
• Heerka 2aad - soo kabashada 30-40%;
• Marxaladda 3 - soo kabashada 12-20%;
• Marxaladda 4 - soo kabashada waa in ka badan 5%.

Ogaanshaha cudurka, sida caadiga ah, ayaa horayba u dhacda marxaladaha dambe. Laakiin haddii bukaan-socodka, qaba cudurkan sida daaweynta iyo daweynta ku habboon, ku noolaan jirtey 5 sano, markaa natiijada wanaagsan ee noolaanshaha waxay sii siyaadeysaa 10 sano. Bukaannada yaryar (ilaa 50 sano) ayaa soo kabanaya 20-22%, halka dadka da'da ah ay yihiin 10-12% oo keliya.

Tallaabooyin ka hortag ah

Dhakhaatiirtu waxay kugula talinayaan in ay maraan baaritaanno caafimaad oo joogto ah iyo 2-3 sano oo kasta si ay u sameeyaan gastroenteroscopy, xitaa haddii aysan jirin calaamado dhib badan. Sidoo kale, dareenka takhtarku waa inuu ku lug yeesho baaritaanka dhiigga, kaas oo dhiig-yaraanta ama hoos u dhaca tirada unugyada dhiigga cas cas oo macquul ah.