Kenza yesophageal

Esophageal gomarara igomarara rinotanga mudumbu. Iyi ndiyo chubhu inotakurisa chikafu kubva mumuromo kuenda mudumbu.

Kenza yesophageal haina kujairika muUnited States. Inoitika kazhinji muvarume vanopfuura makore makumi mashanu.

Kune maviri akakosha marudzi ekenza yesophageal; squamous cell carcinoma uye adenocarcinoma. Aya marudzi maviri anotaridzika akasiyana kubva kune mumwe nemumwe pasi pe microscope.

Squamous cell kenza esophageal cancer yakabatana nekusvuta uye kunwa doro rakawandisa.

Adenocarcinoma ndiyo inowanzozivikanwa kenza yesophageal. Kuve neBarrett esophagus kunowedzera njodzi yerudzi urwu rwegomarara. Acid Reflux chirwere (gastroesophageal Reflux chirwere, kana GERD) inogona kukura kuita Barrett esophagus. Zvimwe zvinhu zvine njodzi zvinosanganisira kuputa, kuve murume, kana kufutisa.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kudzokera kumashure kwechikafu kuburikidza nesophagus uye pamwe muromo (kudzokazve)
• Kurwadziwa pachifuva kusinei nekudya
• Zvakaoma kumedza solid kana zvinwiwa
• Kushungurudza
• Kusvipa ropa
• Kuonda

Miedzo inoshandiswa kubatsira kuongorora kenza yesophageal inogona kusanganisira:

• Nhevedzano yeX-ray inotorwa kuti iongorore esophagus (barium swallow)
• Chest MRI kana thoracic CT (inowanzo shandiswa kubatsira kuona danho rechirwere)
• Endoscopic ultrasound (zvakare dzimwe nguva inoshandiswa kuona danho rechirwere)
• Kwayedza kuti ubvise uye kubvisa muyenzaniso weiyo lining yegurokuro (esophagogastroduodenoscopy, EGD)
• PET scan (dzimwe nguva inobatsira pakusarudza danho rechirwere, uye kana kuvhiya kuchikwanisika)

Stool kuyedza kunogona kuratidza mashoma eropa muduru.

EGD inozoshandiswa kuwana sampuro yeshuga kubva mudumbu kuti uone chirwere chegomarara.

Kana gomarara rangove mudumbu uye risina kupararira, kuvhiya kuchaitwa. Kenza uye chikamu, kana zvese, zveyesophagus zvinobviswa. Kuvhiya kwacho kunogona kuitwa uchishandisa:

• Vhura kuvhiya, panguva iyo 1 kana maviri makuru akachekwa anoitwa.
• Kuvhiya kushoma kunoparadza, panguva iyo maviri kusvika mana madiki maitiro anoitwa mudumbu. Laparoscope ine kamera diki inoiswa mudumbu kuburikidza nechimwe chezviitiko.

Radiation therapy inogona zvakare kushandiswa pachinzvimbo chekuvhiyiwa mune zvimwe zviitiko kana gomarara risina kupararira kunze kwesophagus.

Chero chemotherapy, radiation, kana ese ari maviri anogona kushandiswa kudzikamisa bundu uye kuita kuti kuvhiya kuve nyore kuita.

Kana munhu akarwara zvakanyanya kuti asavhiyiwa zvakanyanya kana gomarara rapararira kune dzimwe nhengo, chemotherapy kana radiation inogona kushandiswa kubatsira kudzikisa zviratidzo. Izvi zvinonzi kurapa kwekurapa. Mumamiriro ezvinhu akadaro, chirwere ichi hachiwanzo kurapwa.

Kunze kwekuchinja mukudya, mamwe marapirwo anogona kushandiswa kubatsira murwere kumedza anosanganisira:

• Kuwedzera (kuwedzera) iyo esophagus uchishandisa endoscope. Dzimwe nguva stent inoiswa yekuchengetedza esophagus yakavhurika.
• Iyo yekudyisa chubhu mudumbu.
• Photodynamic Therapy, umo mushonga unodhonzwa wakaiswa mukati mebundu uye wobva waburitswa muchiedza. Chiedza chinomutsa mushonga unorwisa bundu.

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa

Kana gomarara risati rapararira kunze kwesopu, kuvhiyiwa kunogona kuvandudza mukana wekupona.

Kana kenza yapararira kune dzimwe nzvimbo dzomuviri, kurapwa hakuwanzo kuitika. Kurapa kunoitirwa kurerutsa zviratidzo.

Zvinetso zvinogona kusanganisira:

• Chirwere chemabayo
• Yakanyanya kuonda kubva mukusadya zvakakwana

Fonera wako mupi wezvehutano kana iwe uchinetseka kumedza pasina chikonzero chinozivikanwa uye hazviite nani. Zvakare fona kana iwe uine zvimwe zviratidzo zvecancer esophageal.

Kuti uderedze njodzi yako yekenza yesophagus:

• USASVIRA.
• Ganhurira kana KUSANWA zvinwiwa zvinodhaka.
• Tarisa nachiremba wako kana uine GERD yakaoma.
• Gara uchiongororwa kana uine Barrett esophagus.

Gomarara - yegurokuro

• Esophagectomy - kubuda
• Gastrostomy yekudyisa chubhu - bolus
• Jejunostomy yekudyisa chubhu

• Kugaya chirongwa
• Kudzivirira chirungurira
• Kenza yesophageal

Ku GY, Ilson DH. Kenza yegurokuro. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 71.

National Cancer Institute webhusaiti. Esophageal cancer kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/esophageal/hp/esophageal-treatment-pdq. Yakagadziridzwa Mbudzi 12, 2019. Yakasvika muna Zvita 5, 2019.

National Yakakwana Cancer Network webhusaiti. NCCN kiriniki yekudzidzira maitiro mune oncology (NCCN nhungamiro): esophageal uye esophagogastric junction cancer. Shanduro 2.2019. www.nccn.org/professionals/physician_gls/pdf/esophageal.pdf. Yakagadziridzwa May 29, 2019. Yakasvika Nyamavhuvhu 4, 2019.