Kev kho mob plab hnyuv - Theem 4
Mob qog noj ntshav plab yog hom mob qog noj ntshav tseem ceeb uas yuav tsum tau kho. Koj tuaj yeem nyeem peb cov ntsiab lus txuas ntxiv kom paub meej txog hom mob qog noj ntshav no, uas yuav tsum tau ua tiav kev phais mob qog noj ntshav lossis kev kho mob.
Lub plab Cancer
Mob qog noj ntshav plab yog hom mob qog noj ntshav nyuaj heev los kho. Feem ntau, nws tuaj yeem kuaj tau nyob rau theem lig heev vim nws tsis ua rau muaj tsos mob. Qhov no piav qhia txog qhov muaj nyob ntawm theem uas nyuaj rau kev kho mob qog noj ntshav. Txhawm rau kom ua tiav kev kho mob qog noj ntshav plab, nws yuav tsum tau kuaj pom thaum ntxov thiab ua tiav los ntawm tus kws phais. Txhawm rau nrhiav tus kws kho mob ua tiav hauv kev kho mob qog noj ntshav hauv plab, tib neeg tuaj yeem nrhiav kev kho mob hauv lwm lub tebchaws.
Cov kev tshawb fawb no feem ntau tshwm sim hauv Turkey. Vim li no, peb cov ntsiab lus yog hais txog cov ntaub ntawv hais txog mob qog noj ntshav plab thiab kev kho mob qog noj ntshav hauv qaib ntxhw. Yog tias koj xav tau txais kev kho mob qog noj ntshav hauv qaib ntxhw, koj tuaj yeem nrhiav cov ncauj lus kom ntxaws txog nws txoj kev vam meej thiab qhov zoo ntawm peb cov ntsiab lus.
Mob plab plab yog dab tsi?
Mob qog noj ntshav, ib yam li lwm cov qog nqaij hlav, yog tshwm sim los ntawm kev coj cwj pwm txawv ntawm cov hlwb. Kev txav ntawm tes txawv txav, deactivating cov hlwb noj qab haus huv, tuaj ua ke thiab tsim cov qog. Kev tshem tawm lossis kho cov qog no kuj txawv nyob ntawm qee yam. Vim li no, peb cov ntsiab lus suav nrog cov ntaub ntawv hais txog cov tsos mob thiab kev kho mob qog noj ntshav plab.
Dab tsi ua rau mob plab
Qhov ua rau mob qog noj ntshav plab tsis paub. Hauv lwm lo lus, cov laj thawj uas ua rau tus neeg mob qog noj ntshav tsis tuaj yeem hais meej meej. Hloov chaw, muaj cov xwm txheej txaus ntshai uas ua rau tus neeg mob qog noj ntshav plab. Cov yam no yog yam uas ua rau tib neeg muaj feem yuav mob qog noj ntshav. Ntawm qhov tod tes, cov neeg uas muaj tsev neeg keeb kwm mob qog noj ntshav plab muaj qhov pheej hmoo siab dua. Cov neeg no yuav tsum tau kuaj xyuas txhua hnub.
Mob plab Cancer Risk Factors
- gastroesophageal reflux tus kab mob
- rog
- Kev noj zaub mov kom qab ntsev thiab haus luam yeeb
- Kev noj zaub mov tsawg hauv txiv hmab txiv ntoo thiab zaub
- tsev neeg keeb kwm ntawm mob plab
- Ntev-ntev plab o (gastritis)
- Kom haus luam yeeb
- plab polyps
Cov theem mob plab
Mob plab hnyuv muaj 4 theem. Qib 0 piav qhia tias muaj qhov txawv txav ntawm tes tab sis tseem tsis tau muaj qog nqaij hlav, thaum theem 4 piav qhia tias mob qog noj ntshav tau kis mus rau cov ntaub so ntswg thiab cov kab mob nyob ze. Ntawm cov theem ntawm 0 mus rau 4, qhov yooj yim kho yog theem 0, thaum qhov nyuaj tshaj plaws yog 4.
| theem 1 | Mob qog noj ntshav ntxov lossis tsawg | Cov qog pom tsuas yog nyob rau hauv lub plab phab ntsa hauv ob sab phlu |
| theem 2-3 | Mob qog noj ntshav hauv zos | Cov qog tau kis mus tob rau hauv cov khaubncaws sab nraud povtseg ntawm lub plab thiab rau cov qog ntshav nyob ze |
| 4 xyaum ua haujlwm | Metastatic lossis mob qog noj ntshav | Cov qog tau kis dhau ntawm lub plab mus rau cov qog nqaij hlav nyob ze lossis qhov chaw ntawm lub cev, lossis mus rau cov qog ntshav nyob deb thiab qhov chaw ntawm lub cev. |
Cov tsos mob ntawm plab hnyuv
Lawv tuaj yeem cuam tshuam koj lub plab zom mov, xws li:
- Mob plawv los yog acid reflux
- Teeb meem nqos (dysphagia)
- Ua npaws
- Burping ntau dhau
- O
- Ceev ceev ntawm fullness
- Lwm cov tsos mob muaj xws li:
- Anorexia
- poob phaus yam tsis muaj kev noj haus
- Kev xav ntawm pob hauv plab
- Mob hauv plab
- Xav tias nkees lossis tsis muaj zog
Hom mob plab
Hom mob qog noj ntshav ntau tshaj plaws yog adenocarcinoma. Adenocarcinoma suav txog li 90 feem pua ntawm tag nrho cov mob qog noj ntshav hauv plab.
Adenocarcinoma yog ib hom mob qog noj ntshav uas tshwm sim los ntawm cov qog nqaij hlav.
Adenocarcinoma ntawm lub plab tshwm sim los ntawm cov hlwb uas tsim cov txheej sab hauv ntawm lub plab hauv cov qog ua kua hu ua mucosa.
Gastric lymphomas: Mob qog noj ntshav ntawm lub cev tiv thaiv kab mob hauv lub plab. Lub cev tiv thaiv kab mob tiv thaiv lub cev tiv thaiv kab mob thiab kab mob.
Gastrointestinal stromal qog: Kuj hu ua GIST, hom kab mob plab no yog tsim nyob rau hauv cov hlwb interstitial ntawm Cajal. Lawv kuj feem ntau benign.
Carcinoid qog: Cov qog nqaij hlav hauv plab no yog hom mob qog noj ntshav uas tsis tshua muaj, qeeb qeeb uas tshwm sim los ntawm cov hlwb ntawm lub paj hlwb thiab endocrine system.
Kev kuaj mob plab
Ntshav kuaj: Kev kuaj ntshav yog cov kev ntsuam xyuas uas qhia txog seb puas muaj qhov txawv txav hauv lub cev. Nrog rau cov kev ntsuam xyuas no, qhov txawv txav ntawm cov khoom yuav yog ib qho cim ntawm tus kab mob. Yog li ntawd, yog tias tus neeg mob xav tias mob plab, tus kws kho mob yuav xub nug cov ntshav. Yog li, nws yuav nkag siab seb puas xav tau lwm yam kev sim.
Upper endoscopy: Nyob rau hauv rooj plaub ntawm ib qho kev txawv txav hauv kev kuaj ntshav, nrog rau lwm cov tsos mob, tus kws kho mob yuav xaiv txoj kev no yog tias nws xav tias muaj teeb meem plab; Nws suav nrog saib hauv txoj hlab pas, plab, thiab thawj feem ntawm txoj hnyuv me. Ib qho endoscope tau dhau los ntawm qhov ncauj thiab caj pas mus rau txoj hlab pas kom lub koob yees duab lub teeb ntawm qhov kawg ntawm qhov endoscope yuav cuam tshuam rau lub monitor thiab nws yuav nkag siab tias puas muaj teeb meem.
Barium nqos: Nws suav nrog kev siv X-rays ntawm txoj hlab pas thiab lub plab. Tus neeg mob tau muab cov kua uas muaj barium. Cov kua npog cov hlab pas thiab lub plab, thiab tom qab ntawd X-rays raug coj mus.
CT scan: Cov txheej txheem no tseem hu ua xam tomography. Nws koom nrog kev thaij duab ntawm lub plab los ntawm ntau lub ces kaum. Qhov no yuav suav nrog kev txhaj tshuaj rau hauv cov hlab ntsha txhawm rau kuaj mob qog noj ntshav, kom lub plab tuaj yeem pom zoo dua.
Raug me: Lub xub ntiag ntawm cov cim qhia ntawm mob qog noj ntshav nyob rau hauv lub plab yuav tsum tau kuaj biopsy kom paub meej cov ntaub ntawv. Cov txheej txheem no, uas suav nrog kev tshuaj xyuas cov hlwb pom hauv lub plab nyob rau hauv lub tshuab kuaj kab mob, yog ua los ntawm txoj kev endoscopy thiab suav nrog;
Muaj pes tsawg HER2 noob muaj?
HER2 protein ntau npaum li cas?
Yog tias muaj ntau hom HER2 lossis siab dua HER2 protein ntau dua li qub, tus mob qog noj ntshav hu ua HER2 zoo.
Puas yog mob plab Cancer kho tau?
Ntau qhov mob qog noj ntshav tsis tuaj yeem kho tau tag nrho, tab sis tseem tuaj yeem txo cov tsos mob thiab txhim kho lub neej zoo siv tshuaj kho mob thiab, qee zaum, kev kho mob hluav taws xob thiab phais.
Kev phais kom tshem tawm ib feem lossis tag nrho lub plab yog hu ua gastrectomy. Cov kev phais no tuaj yeem tshem tau cov qog nqaij hlav tag nrho. Txawm li cas los xij, tom qab cov haujlwm no, koj yuav tau hloov qee yam hauv koj lub neej. Koj yuav tsum txo koj txoj haujlwm thiab ua raws li kev noj haus.
Rau lwm cov tes, cov kev kho mob uas koj yuav tau txais los ntawm cov kws phais neeg ua tiav yuav ua rau muaj txiaj ntsig zoo dua. Vim li no, nws yuav yog qhov tseeb los sab laj nrog lwm tus kws phais neeg ua ntej txiav txim siab txog kev kho mob.
Tshuaj kho mob los yog radiotherapy kuj yog ib txoj kev kho mob. Cov kev kho mob no kuj yog ua ntej ua haujlwm; txo cov qog nqaij hlav cancer thiab pab txhawb nws tshem tawm
tom qab ua haujlwm; Nws tuaj yeem siv los tshem tawm cov qog nqaij hlav cancer uas tseem tshuav lossis ua kev kho mob tseem ceeb. Koj tuaj yeem txuas ntxiv nyeem peb cov ntsiab lus kom tau txais cov ntaub ntawv ntxaws ntxiv txog cov kev kho mob no.
Lub plab Cancer Treatment
Kev kho mob plab hnyuv txawv raws li nws cov theem. Thaum siv tshuaj khomob lossis siv xov tooj cua tuaj yeem siv tau hauv qee theem, kev phais yog ua tau hauv qee theem. Koj tuaj yeem nyeem ntxiv peb cov ntsiab lus kom paub meej txog kev kho mob qog noj ntshav raws li nws cov theem.
Theem 0 Kev kho mob plab plab
- Kev phais (tag nrho lossis subtotal gastrectomy)
- Endoscopic mucosal resection
Total Gastrectomy: Nws suav nrog kev tshem tawm tag nrho ntawm lub plab. Yog li, nws muaj peev xwm tshem tawm tag nrho cov qog nqaij hlav. Txoj kev no, uas tuaj yeem siv rau hauv hom mob qog noj ntshav uas kuaj pom thaum ntxov, tuaj yeem ua ke nrog lwm yam kev kho mob hauv qee kis.
Subtotal gastrectomy: Nws yuav tshem tawm ib feem ntawm lub plab. Nws yog qhov ua tau tias mob qog noj ntshav tsis tuaj yeem raug tshem tawm tag nrho. Nws tsis yog feem ntau siv los ua kev kho mob tseem ceeb. Hloov chaw, nws yog ib qho kev kho mob uas muaj los txo qhov mob thiab los ntshav.
Endoscopic mucosal resection: Nrog rau txoj kev edoscopy, cov txheej txheem tuaj yeem ua nrog lub raj txuas ntawm tus neeg mob lub qhov ncauj mus rau lub plab. Txhawm rau tshem tawm cov qog nqaij hlav cancer hauv lub plab, scraping yog ua rau thaj tsam ntawd. Tom qab khawb qhov chaw nrog cov qog nqaij hlav cancer, cov kua tshwj xeeb yog txhaj rau hauv qab cov ntaub so ntswg. Rau qhov no, ib rab koob yog dhau los ntawm endoscope. Lub hom phiaj ntawm cov txheej txheem no yog txheej txheem embossing. Nws pab cais cov qog nqaij hlav cancer ntawm lwm cov khaubncaws sab nraud povtseg. Nrog rau cov txheej txheem no, cov ntaub so ntswg uas nws ciam teb ua kom pom tseeb tsis tuaj yeem raug tshem tawm yooj yim.
Sab los
Dumping syndrome: Cov tsos mob Nws yog qhov tsis muaj peev xwm ntawm txoj hnyuv me kom zom cov zaub mov loj tib lub sijhawm. Yog tias qhov no tshwm sim, koj yuav ua rau ntuav, xeev siab lossis ntuav. Qhov no feem ntau pib ob peb teev tom qab noj mov;
Yog tias koj hnov mob ob peb teev tom qab noj mov, koj cov ntshav qab zib yuav nce thiab poob sai heev. Nws yog ib qho kev tawm hws, muaj lub plawv dhia ceev, lossis nkees lossis tsis meej pem.
Hloov koj txoj kev npaj noj mov tuaj yeem pab koj tswj cov tsos mob no. Tom qab phais plab, koj yuav tsum tau siv rau qhov version no rau 3-6 lub hlis. Tom qab ntawd ntau yam kev phiv yuav dhau mus.
Theem 1 Kev kho mob plab plab
lag luam
Endoscopic mucosal resection
Kev kho mob chemoradiotherapy.
tag nrho gastrectomy: Nws suav nrog tshem tag nrho lub plab.
subtotal gastrectomy: Nws yuav tshem tawm ib feem ntawm lub plab.
Endoscopic mucosal resection: Nws suav nrog kev tshem tawm cov qog nrog mob qog noj ntshav hauv plab. Qhov no yog ua los ntawm txoj kev endecopic.
Kev kho mob chemoradiotherapy: Nws suav nrog kev tswj hwm ib txhij ntawm hluav taws xob thiab chemorerapin tom qab kev phais. Qhov no yog txhawm rau rhuav tshem cov qog nqaij hlav tsis pom nyob hauv ib puag ncig.
Theem 2 Kev kho mob plab plab - Theem 3 Kev kho mob plab plab
Kev phais mob: Kev phais yuav tshem tawm ib feem lossis tag nrho lub plab. Txawm li cas los xij, tom qab kev phais tau ua nyob rau theem no, feem ntau xav tau kev kho mob ntxiv.
Chemoradiation: Nws suav nrog kev muab tshuaj tua kab mob thiab kev kho hluav taws xob tom qab kev phais. Qhov no yog txhawm rau rhuav tshem cov qog nqaij hlav me me uas tsis tuaj yeem pom nrog cov txheej txheem duab.
Kws khomob: Kev kho tshuaj yog kev kho mob tom qab phais.
Theem 4 Kev kho mob plab plab
Hmoov tsis zoo, nws tsis tuaj yeem kho mob qog noj ntshav ntawm cov theem no. Vim li no, kev kho mob palliative tuaj yeem muab tau los txo qhov mob thiab ua kom tus neeg mob lub neej ntev me ntsis. Cov kev kho mob no muaj xws li:
Kws khomob raws li kev kho palliative los txo cov tsos mob thiab txhim kho lub neej zoo.
Targeted therapy nrog monoclonal antibody nrog lossis tsis muaj tshuaj khomob.
immunotherapy nrog pembrolizumab.
Endoluminal laser kho los yog endoluminal stent qhov chaw los daws qhov txhaws hauv plab lossis gastrojejunostomy kom hla qhov kev cuam tshuam.
Radiation therapy raws li kev kho mob palliative kom tsis txhob los ntshav, txo qhov mob, lossis ua kom cov qog ua rau lub plab.
phais raws li kev kho mob palliative kom txo cov qog ua rau lub plab los yog kom tsis txhob los ntshav.
Kev kho mob plab hnyuv hauv qaib ntxhw
Dab tsi yog yam uas ua rau Qaib Cov Txwv, lub teb chaws uas nquag nyiam hauv kev kho mob qog noj ntshav, kom ua tiav hauv kev kho xr?
Qaib ntxhw yog lub teb chaws vam meej heev hauv kev kho mob qog noj ntshav. Nws yog ib lub tebchaws xaiv thawj zaug rau ntau tus neeg mob qog noj ntshav hauv xyoo tas los no. Dab tsi ua rau Turkey txawv ntawm lwm lub tebchaws?
Ua ntej tshaj plaws, nws yog ib qho tsim nyog los tshuaj xyuas cov yam tseem ceeb hauv kev kho mob qog noj ntshav. Hauv kev kho mob qog noj ntshav, lub tsev kho mob muab kev kho mob yuav tsum muaj cov cuab yeej siv thev naus laus zis. Qhov no tseem ceeb heev los txo cov kev mob tshwm sim ntawm cov tswv yim xws li kev siv hluav taws xob siv hluav taws xob hauv kev kho mob qog noj ntshav thiab muab kev kho mob ntau dua.
Ntawm qhov tod tes, tus neeg mob uas xav tau kev phais hauv kev kho mob qog noj ntshav yuav tsum tau txais kev kho mob phais kom tiav. Cov kev kho mob no yuav ua rau tus neeg tau txais kev kho mob zoo heev. Thaum kawg, txawm hais tias peb yuav tshuaj xyuas tag nrho cov no nyob rau hauv nqe lus txuas ntxiv ntawm cov ntsiab lus, lwm qhov laj thawj vim li cas qaib ntxhw feem ntau nyiam hauv kev kho mob qog noj ntshav yog kev kho mob yam tsis tos. Tus kab mob, uas yuav tsum tau tos ntev heev hauv ntau lub tebchaws, tuaj yeem kho hauv Turkey yam tsis tau tos ib hnub. Kev kho mob qog noj ntshav hauv Turkey suav nrog;
- Cov kws kho mob ua tiav Oncology
- Kev kho mob qog noj ntshav yam tsis tos
- Kev kho mob qog noj ntshav nrog Innovative Technology
Cov kws kho mob ua tiav Oncology
Cov kws phais neeg ua tiav, uas yog ib qho tseem ceeb hauv kev kho mob qog noj ntshav, yog cov neeg uas koj tuaj yeem nrhiav tau yooj yim hauv Turkey. Cov kev kho mob ua los ntawm cov kws phais neeg paub txog thiab ua tau zoo muaj qhov ua tau zoo dua. Vim li no, tus neeg yuav tsum tau txiav txim siab zoo heev hauv kev kho mob qog noj ntshav thiab tau txais kev kho mob los ntawm cov kws phais neeg paub txog. Qhov yooj yim ntawm kev nkag mus rau cov kws kho mob tshwj xeeb hauv Turkey kom ntseeg tau tias qhov no tuaj yeem ua tau yooj yim. Yog li ntawd, tau txais kev kho mob qog noj ntshav hauv Qaib Cov Txwv yuav ua rau koj qhov kev ua tau zoo. Qhov yooj yim ntawm kev mus cuag kws kho mob tshwj xeeb yuav tso cai rau koj yooj yim qhia tag nrho koj cov kev ntshai nrog peb tus kws kho mob thaum kho mob qog noj ntshav.
Kev kho mob qog noj ntshav yam tsis tos
Cancer yog ib yam kab mob uas tuaj yeem ua rau muaj kev puas tsuaj ntau dua nrog txhua qhov thib ob. Lub sijhawm xav tau rau kev kuaj mob thawj zaug thiab kev kho mob tseem ceeb heev. Tom qab kuaj pom tus kab mob qog noj ntshav, lub sijhawm pib kho yuav tsum yog ntxov heev. Txawm hais tias peb tuaj yeem tau txais kev kho mob yam tsis tau tos ob peb hnub, kev kho mob Cancer tuaj yeem cuam tshuam tau zoo heev.
Vim li no, tus neeg mob yuav tsum xaiv qhov kev kho mob zoo tshaj plaws rau nws tus kheej. Rau qhov no, nws yuav tsum tau txais kev kho mob uas tsis muaj lub sijhawm tos. Txwv tsis pub, nws muaj peev xwm ua rau muaj kev kho mob phem heev. Ntawm qhov tod tes, tus neeg mob yuav tsum tau mus rau lwm lub tebchaws rau kev kho mob uas tsis muaj sijhawm tos.
Kev kho mob qog noj ntshav nrog Innovative Technology
Hauv kev kho mob qog noj ntshav, muaj cov xwm txheej uas cov kev kho tshiab tuaj yeem siv sib nrug los ntawm cov kev kho mob ib txwm muaj. Cov txheej txheem no tuaj yeem siv tau ntau lub sijhawm thaum muaj cov khoom siv thev naus laus zis txaus. Yog li ntawd, lub npe no tiag tiag rau kev txawj ntse. Nyob rau hauv luv luv, cov cuab yeej siv kho mob yuav tsum nyob rau hauv zoo nyob rau hauv lub teb chaws koj yuav xaiv.
Yog vim li cas rau qhov no yog tias nws yog ib qho tseem ceeb los txo cov kev mob tshwm sim los ntawm kev kho mob, ua ke nrog qee txoj kev siv thaum kho. Yog tias koj tab tom xav txog kev kho mob hauv qaib ntxhw, tsis txhob hnov qab tias cov kev kho mob uas koj yuav tau txais yuav ua rau muaj kev phiv tsawg kawg nkaus. Kev tsom xam siv thev naus laus zis yog siv rau hauv cov kev kho mob no, uas tuaj yeem ua rau muaj kev phom sij heev, tshwj xeeb tshaj yog siv xov tooj cua. Nyob rau hauv txoj kev no, rays tsuas yog muab rau cov qog nqaij hlav cancer tsis tuaj yeem ua mob rau cov hlwb noj qab haus huv ntawm tus neeg mob.
Mob plab Cancer Survival Rate
| SEER theem | 5-xyoo tus txheeb ze ciaj sia taus |
| Laus | 70% |
| regional | 32% |
| Deb | 6% |
| Txhua qeb SEER ua ke | 32% |
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**Zoo tshaj tus nqi lav. Peb ib txwm lav muab tus nqi zoo tshaj rau koj.
**Koj yuav tsis ntsib kev them nyiaj zais. (Tsis txhob zais tus nqi)
**Free Transfers (Tshav Dav Hlau - Tsev so - Tshav Dav Hlau)
**Peb pob nqi nrog rau kev pab.