Kusvika iye zvino, huwandu hwakawanda hwehutano hwekenza yemukenza, anenge 95%, ndeweadenocarcinoma. Chirwere ichi chakaoma kuongororwa pachigamba chekutanga, sezvo nguva yekutanga inenge isingaenzaniswi. Kubuda kweAdenocarcinoma yemudumbu, dzimwe nyanzvi dzinosangana nekuvapo kweHelicobacter pylori - bhakitiriya inopinda inenge mudumbu. Chirwere ichi chinogona kuzviratidza kupikisana nenzvimbo yegastritis, chironda chemudumbu, kushaya simba kwehutachiona. Kusadya kwakanakisisa, nehuwandu hwekuchengetedza uye nitrites, kunogonawo kukonzera kuitika kwekenza. Chimwe chinhu chinokonzera adenocarcinoma yemudumbu ndechekuonekwa kwemasitasisita pakutanga.
Zviitiko izvo zvine adenocarcenoma
- kubva pamakore makumi mana kusvika makumi mashanu;
- chirwere chacho chinowanzosvibiswa nevarume (2-3 mara kakawanda kupfuura vakadzi);
- kunwa doro uye kusvuta;
- hutachiona nehutachiona Helicobacter;
- chikafu nemuwandu wemunyu, zvigadzirwa zvinopfungaira, zvinodzivirira, zvokudya zvinokurumidza;
- zvakaipa zvedzidzo;
- hereditary predisposition.
Zviratidzo zvechirwere
Sezvambotaurwa kare, nguva yokutanga yeAdenocarcinoma yemudumbu inenge isingazivikanwi. Kana chirwere ichi chinopiwa panguva yakakodzera, ipapo chirwere chakakwana chinogoneka uye njodzi yezvinetso zvishoma. Asi, zvinosuruvarisa, kenza pazera re zero inoratidzika kuti yakangwara uye haigoni kunyanya. Nokufamba kwenguva, zviratidzo zvinotevera zvinotanga kuonekwa:
- kuchinja mune zvido zvekunakidza uye kunzwa;
- kuora kurasikirwa nekuwedzera kumwechetezvo muhutumbu hwemudumbu;
- kushaya simba ;
- kushungurudza uye kurutsa;
- kurwadziwa kwepamuviri munharaunda yedumbu;
- kutaridzika kweropa mune chigaro uye kurutsira pachikamu chekupedzisira chechirwere.
Marudzi eAdenocarcinoma
Iyo adenocarcinoma yemudumbu maererano nerudzi rwechimiro chechikamu chikuru, sekutonga, yakakamurwa kuva mhando mbiri:
- Yakanyatsosiyanisa adenocarcinoma yemudumbu (intumbo yekenza yekenza)-ine mapairi, tubular kana scysttic;
- Kutsika-siyana-siyana adenocarcinoma yemudumbu (scirrus) - zvakaoma kuziva chimiro chekunyora, sezvo tumarara inokura mukati memadziro echirongwa.
Pane chimwe chinhu chakadai sedenocarcinoma yakasiyana-siyana yemudumbu. Iyi mhuka ine nzvimbo yepakati pakati pepamusoro uye yakaderera-grade.
Mukana wekudzikinura nemhando dzakasiyana-siyana dzekenza yakakwirira kwazvo kupfuura nechepasi-grade types.
Kurapa kweAdenocarcinoma
Mushonga mukuru weAdenocarcinoma yemudumbu inorapwa, umo mudumbu wakabviswa zvachose. Lymph nodes inogonawo kubviswa. Mushure mokuvhiyiwa, radiotherapy uye chemotherapy zvinowedzera kuwirirana.
Mumamiriro ezvinhu apo kupindira kwekuvhiya kusati kwaunza hunodiwa, chirongwa chekuchengetedza chinorayirwa. Ichinobatsira kusimbisa zvakanyanya kunogona kunyaradza murwere nekuderedza basa rezviratidzo.
Zviratidzo zvekudzivirira muAdenocarcinoma yemudumbu
Vanovimba nehuwandu hwekukuvara uye danho rechirwere ichi:
- Nhanho 1 - kudzorera muna 60-80%;
- Chikamu 2 - kudzorera 30-40%;
- Nhanho yechitatu - kupora kwe12-20%;
- Nhanho 4 - kurapa hakusi kupfuura 5%.
Kuonekwa kwechirwere, sekutonga, kunoitika kare
Matanho ekudzivirira
Vanachiremba vanokurudzira kuti vawane miongorori yezvokurapa nguva dzose uye makore maviri nematatu kuti vaite gastroenteroscopy, kunyange kana pasina zviratidzo zvinotambudza. Uyezve, kutarisa kwachiremba kunofanira kusanganisira kuongorora ropa, umo kupererwa kwehutachiwana kana kuderera muhuwandu hwemasero matsvuku eropa zvinogoneka.