Gallbladder cancer

Cancer nke gallbladder - a obere ọrịa na-amalite na-adịghị ala ala cholecystitis, ọrịa gallstones. The akpụ na-emi odude na ala na n'olu nke eriri afo. Ọ bụ ajọ. Akpụ ọcha agbasa ngwa ngwa na nke imeju, hepatic duodenal ọgọdọ, ọkụkụ extrahepatic opi mgbailu. N'ọnụ ụzọ imeju guzobere data na-gwakọtara n'ime otu oké ụyọkọ na eriri afo n'olu, eke overlapping ndụdụ enyocha maka imeju ducts. Metastasis bụ lymphatic ụzọ na gburugburu anụ ahụ, para-aortic anụ ahụ, pancreas, peritoneum parietal.

Cancer nke gallbladder ekewa atọ na edemede (site ọkwa). Kpebisie tụnyere nkịtị anụ ahụ nke gallbladder. Akpa ntaifiọk - ogbenye, nke abụọ ogo - onye n'etiti atọ ogo - elu.

Prognosis dabeere na ogo malignancy. Nkezi afọ ndụ ndị ọrịa - 50-70 afọ. The puru nke ọrịa na ndị ikom na bụ ubé elu puru nke ọrịa na ndị inyom.

The ihe ize ndụ ihe na-n'ụzọ zuru ezu na-akọwa. Otú ọ dị, dị ka ọnụ ọgụgụ, banyere 90% nke ọrịa nwere nkume na -adịghị ala ala mbufụt nke ahu. Ma ọnụnọ nke nkume bụghị a mkpa nke cancer. E wezụga ndị ọrịa, na-akwalite ọdịdị etuto ahụ:

- adịghị ala ala cholecystitis,

- ibu oké ibu,

- polyps ńsí eriri afo,

- n'ụzọ nke mmanya,

- ịba ahụ ọkụ,

- adịghị ala ala cholecystitis,

- ọjọọ nri.

Cancer nke gallbladder. mgbaàmà

Ńsí ọrịa nke eriri afo na mmalite bụ ike ikpebi. Atọ adakarị na anatomical syndrome:

- ọzịza nke eriri afo;

- amụba imeju;

- jaundice (afụ na-adịghị ụba).

Dị ka kwuru, oge nke ugbu a cholelithiasis agbanwe ya agwa. The etiti oge n'etiti oké nke mgbu akwụsị, persistent mgbu. Na nke a, na mbụ irè ọgwụgwọ bụ agaghịkwa susceptible. Ọ bụrụ na ndị gallstone ọrịa cancer na-adịghị kpọkwasịwo, na cancer nwere ike ikwu na e nwere a mgbu na nri subchondral ebe. (Okenye mbu), na dyspeptic mgbaàmà (ọnwụ nke agụụ nakwa).

Gallbladder cancer na e ji a dị iche iche ụdị ihe mgbu: persistent mgbu, na-ejighị n'aka (mpaghara nke ńsí eriri afo), nwere ihe ọ bụla jikọrọ ya na ihe mgbu n'oge ihe na nwunye nke biliary colic. Ọ bụ ezie na mwute na-abiaghi kpam kpam.

Otu ihe dị mkpa atụmatụ maka achọpụta ọrịa (hụrụ a ụzọ n'ụzọ anọ nke ihe nile ikpe) na-probing na gallbladder na ok, mkputamkpu mgbe ụfọdụ ọtụtụ maloboleznennoy akpụ. Ya edidu na njikọ na mkpesa, e ji mara maka nke a ọrịa (karịsịa ma ọ bụrụ na ihe mgbu gbanwere ọdịdị), bụ ịrịba mgbaàmà nke cancer. Jaundice bụ n'ebe ahụ. The ọrịa nwere ike so fever, na-eru kọwara mkpali Filiks na otu aka, na "kansa fever", a na-hụrụ akpụ ibu, na ndị ọzọ.

X-ụzarị, dị mwute ikwu, ọ bụghị mgbe nile enyere iji gosi ma ọ bụ agọnahụ a presumptive nchoputa. The foto ike nanị mgbe ụfọdụ ịhụ a na-adịghị ike onyinyo nke afụ nkwarụ.

Tụlee ọdịdị akpụ ike, ma na-akara jaundice, imeju nditat, plus niile ebelata agụụ, e iskhudanie.Vozmozhno ọnụnọ nke ọbara na stool. Mgbe akpụ ibu na ntụziaka n'ebe imeju imeju na-na-emekarị ụba. Blood na ọmụmụ na-egosi leukocytosis, mụbara erythrocyte sedimentation ọnụego.

gallbladder cancer nwere ike a na-emeso, ma ọ bụrụ na usoro bụghị metụtara nanị akụkụ ụfọdụ na bụ na n'oge nkebi nke development. Ya mere, n'oge nwetụrụ ihe ịrịba ama kọwara n'isiokwu a (jaundice, ihe mgbu, okpomọkụ) ga-atụle. Ma ọ bụrụ na a akpụ na-achọta, ọ dị mkpa iji chọpụta ya ogbo. Na na na-elekwasị anya na ogbo, dọkịta nwere ike ime ka a amụma na ọgwụgwọ kwesịrị ekwesị. Ọ bụrụ na ụdị esesịn a ulo oru iji mee ka ihe mgbu palliation rụrụ.