Okwangoku, uninzi lwesifo somhlaza wesisu somzimba, malunga nama-95%, sino-adenocarcinoma. Esi sifo kunzima ukuxilonga kwinqanaba lokuqala, ekubeni okokuqala kuvele kungabonakali. Ukuvela kwe-adenocarcinoma yesisu, ezinye iingcali zidibanisa nobukho be-Helicobacter pylori-ibhaktheriya enomoya ehlala esiswini. Isifo sinokuzibonakalisa ngokuchasene nemvelaphi yesifo se-gastritis, izilonda zesisu, ukunyanzeliswa kwe-immunity. Ukutya okunokungalungi, kunye nobuninzi bezilondolozo kunye ne-nitrites, kunokubangela ukuba kwenzeke umhlaza. Into ehlukile ye-adenocarcinoma yesisu yinto yokubonakala kweemastastase ekuqaleni.
Izinto ezine-adenocarcenoma
- ubudala ukusuka kwiminyaka engama-40 ukuya kuma-50;
- esi sifo sithandwa ngabantu (2-3 amaxesha amaninzi ngaphezu kwabafazi);
- utywala kunye nokutshaya;
- ukusuleleka kwiibhakteria iHelicobacter;
- ukutya kunye nobuninzi benetyuwa, iimveliso zokutshaya, izilondolozo, ukutya okukhawulezayo;
- zendalo ezimbi;
- ifa.
Iimpawu zesifo
Njengoko kubonisiwe ngaphambili, ixesha lokuqala lo-adenocarcinoma yesisu lincinci. Ukuba ukuxilongwa kuhanjiswe ngexesha elifanelekileyo, ngoko utsho unyango olupheleleyo kwaye unobungozi beengxaki ezincinci. Kodwa, ngelishwa, umhlaza kwisigaba se-zero ufunyanwe ngengozi kwaye unqabile kakhulu. Emva kwexesha, iimpawu ezilandelayo ziqala ukuvela:
- utshintsho kwiintetho ezithandwayo kunye nokuziva;
- ukunyuka kwesisindo kunye nokwanda kwangexesha elifanayo kwindumbu yesisu;
- buthathaka ;
- isicaphulo kunye nokuhlanza;
- intlungu yesisu kwindawo yesisu;
- ukubonakala kwegazi kwisihlalo kunye nokuhlanza kwisigaba sokugqibela sesi sifo.
Iintlobo ze-adenocarcinoma
I-adenocarcinoma yesisu ngokwelo hlobo lwesakhiwo senxalenye ebalulekileyo, ngokomthetho, yahlula iindidi ezimbini:
- I-adenocarcinoma ephakamileyo kakhulu isisu (uhlobo lomathumbu lomhlaza) - luneziphopheli, i-tubular okanye i-cystic;
- I-adenocarcinoma ephantsi-hlukileyo yesisu (i-scirrus) - kunzima ukucacisa isakhiwo se-glandular, kuba i-tumor ikhula ngaphakathi kweendonga zelungu.
Kukho into efana ne-adenocarcinoma ehlukeneyo yesisu esiswini. Olu hlobo luhlala kwindawo ephakathi phakathi kwezinga eliphezulu kunye nezantsi.
Ithuba lokubuyiselwa kunye neentlobo ezahluke kakhulu zomhlaza ziphezulu kakhulu kuneendlela eziphantsi.
Unyango lwe-adenocarcinoma
Unyango oluphambili lwe-adenocarcinoma yesisu lugqirha, apho isisu sisuswe ngokupheleleyo. I-lymph nodes nazo zingasuswa. Emva kokusebenza, i-radiotherapy kunye ne- chemotherapy zixhunyiwe.
Kwiimeko apho ingenelelo lokuphaphaza esele ivelise umphumo oyifunayo, unyango lokulondolozwa luyalelwe. Kuya kunceda ukudala induduzo enkulu kwisigulane ngokunciphisa umsebenzi weempawu.
Isalathiso sokubuyisela kwi-adenocarcinoma yesisu
Zixhomekeke kwinqanaba lomonakalo kunye nesigaba sesifo:
- Isigaba 1 - ukubuyisela kwi-60-80%;
- Isigaba sesi-2 - ukubuyisela i-30-40%;
- Isigaba sesi-3 - ukubuyiswa kwe-12-20%;
- Isigaba 4 - ukubuyiswa akukho ngaphezu kwama-5%.
Ukufunyanwa kwesi sifo, njengomthetho, kwenzeka kakade
Amanyathelo okukhusela
Oogqirha bacebisa ukuba baphononwe rhoqo kwiimviwo zezokwelapha kunye neminyaka emithathu ukuya ku-2-3 ukuba benze i-gastroenteroscopy, nangona kungekho ziimpawu eziphazamisayo. Kwakhona, ingqalelo ugqirha kufuneka ifake ukuhlolwa kwegazi jikelele, apho i-anemia okanye ukuncipha kwinani lamaseli obomvu.