Raum mob cancer - cov tsos mob, tsos mob, theem thiab kev kho mob raum mob cancer. Kev kuaj mob ntawm tus kab mob, lawv nyob ntev npaum li cas?

Cov txheej txheem:

Raum mob cancer - cov tsos mob, tsos mob, theem thiab kev kho mob raum mob cancer. Kev kuaj mob ntawm tus kab mob, lawv nyob ntev npaum li cas?
Raum mob cancer - cov tsos mob, tsos mob, theem thiab kev kho mob raum mob cancer. Kev kuaj mob ntawm tus kab mob, lawv nyob ntev npaum li cas?
Anonim

mob raum yog dab tsi?

raum mob qog noj ntshav yog ib yam kab mob uas ua rau mob qog noj ntshav loj hlob. Cov qog tuaj yeem tshwm sim ntawm ib lossis ob lub raum ntawm tus neeg mob. Feem ntau, cov neeg mob kuaj mob raum mob cancer muaj metastases nyob rau hauv ntau yam kabmob. Feem ntau, tus kab mob no tshwm sim hauv cov txiv neej ib nrab ntawm cov pejxeem, cov poj niam tsis tshua muaj kev cuam tshuam qhov teeb meem no.

Cov neeg nyob nrog mob qog noj ntshav ntev npaum li cas? Cov ntaub ntawv txheeb cais ntiaj teb

mob qog noj ntshav
mob qog noj ntshav

Cov kws kho mob thiab cov kws tshawb fawb los ntawm thoob plaws ntiaj teb tau ntau xyoo lawm tau mob siab ua haujlwm los txhim kho txoj kev kho mob uas yuav tso cai rau kev kho mob oncological zoo dua. Raws li kev txheeb cais tawm hauv xov xwm, ntau dua 40,000 tus neeg mob qog noj ntshav tau kuaj pom txhua xyoo hauv ntiaj teb. Txog niaj hnub no, tus nqi tuag los ntawm lub raum mob cancer tseem muaj ntau heev. Kwv yees li ntawm 12,000 tus neeg tuag tau sau tseg txhua xyoo hauv ntau lub tebchaws hauv ntiaj teb.

Qhov phom sij ntawm tus kab mob oncological no nyob rau hauv qhov tseeb tias thaum ntxov nws tuaj yeem ua tsis tau zoo, thiab yog li ntawd, cov neeg mob nrhiav kev pab kho mob lig dhau lawm. Txawm hais tias qhov kev phais ua tau zoo tshaj plaws los tshem tawm cov mob neoplasm lossis lub raum tsis tuaj yeem lav tus neeg mob lub neej ntev. Qhov no yog vim qhov tseeb tias ob peb xyoos tom qab kev phais, tus neeg mob tuaj yeem tsim metastases. Cov txheej txheem ntawm metastasis ntawm lub cev yuav luag ib txwm deprives tus neeg mob ntawm lub caij nyoog kom rov zoo.

Raws li kev txheeb cais hauv ntiaj teb, cov neeg mob qog noj ntshav hauv lub raum muaj lub neej expectancy hauv qab no:

  • Qib 1 raum mob qog noj ntshav - 81% ciaj sia taus
  • Qib 2 raum mob qog noj ntshav - 74% ciaj sia taus;
  • Qib 3 raum mob qog noj ntshav - 53% ciaj sia taus;
  • Qib 4 raum mob qog noj ntshav tsuas yog 8% ciaj sia taus.

Hnub no, cov kws kho mob tau siv cov tswv yim tshiab los tawm tsam mob qog noj ntshav hauv lub raum, ua tsaug rau qhov kev cia siab ntawm cov neeg mob tau nce mus rau 71.5%:

  • tom qab kuaj pom mob qog noj ntshav, 53% ntawm cov neeg mob muaj sia nyob mus txog 5 xyoos;
  • tom qab kuaj mob qog noj ntshav, 43% ntawm cov neeg mob muaj sia nyob mus txog 10 xyoo.

Cov tsos mob rau mob raum

Cov tsos mob ntawm lub raum mob cancer
Cov tsos mob ntawm lub raum mob cancer

Cov neeg mob feem ntau kuaj mob raum mob qog noj ntshav nrog cov tsos mob hauv qab no:

  • mob hnyav hauv cheeb tsam lumbar;
  • thaum defecation, tus neeg mob kuaj pom muaj cov ntshav sib xyaw hauv cov zis;
  • pom lub raum colic;
  • mob nkees;
  • kev qaug zog thiab qaug zog;
  • poob ceeb thawj;
  • mob thaum tso zis;
  • poob qab los;
  • tawm hws ntau dhau;
  • hlab ntshav siab;
  • o ntawm qis extremities;
  • kub nce;
  • deep vein thrombosis;
  • daim siab ua haujlwm tsis zoo;
  • nce qhov loj ntawm lub raum cuam tshuam (cov qog ua palpable), thiab lwm yam.

Thaum metastasizing cov kabmob sab hauv hauv cov neeg mob lub raum mob cancer, qee cov tsos mob tau pom:

  • hlwb metastases - mob taub hau hnyav, kev loj hlob ntawm neuralgia;
  • ntsws metastases - hnoos hnyav; hnoos ntshav;
  • daim siab metastases - jaundice, mob nyob rau hauv txoj cai hypochondrium, iab hauv qhov ncauj;
  • pob txha metastases - pob txha, mob thaum tsiv ceg, thiab lwm yam.

Malignant neoplasms ntawm qhov me me feem ntau tshwm sim asymptomatically, thiab yog li ntawd, cov neeg mob tau kuaj pom tias mob qog noj ntshav twb nyob rau theem uas lwm lub cev raug cuam tshuam los ntawm metastases.

Ua rau mob qog noj ntshav

Yog vim li cas rau qhov pom ntawm malignant neoplasms hauv ob lub raum muaj xws li cov hauv qab no:

  • tus cwj pwm phem. Kev haus luam yeeb ua rau muaj kev puas tsuaj loj rau tib neeg lub cev, vim tias nicotine muaj cov carcinogens uas muaj kev cuam tshuam rau lub raum cov ntaub so ntswg. Raws li muaj kev txheeb cais, ntawm cov tib neeg kuaj mob raum mob cancer, feem ntau ntawm cov neeg mob muaj qhov kev tiv thaiv no;
  • rog dhau. Txawm tias thaum ntxov ntawm kev rog rog, tib neeg tuaj yeem tsim cov qog nqaij hlav malignant hauv ob lub raum. Noj cov zaub mov muaj rog thiab qua ntxi ua rau muaj kev pheej hmoo mob qog noj ntshav;
  • raug mob thiab ntog. Txhua yam kev cuam tshuam rau lub raum tuaj yeem ua rau muaj qhov tshwm sim ntawm qhov tsis zoo neoplasm;
  • tshuaj. Kev siv cov tshuaj tas li, hauv kev kho mob ntau yam, ua rau muaj kev pheej hmoo ntawm qog nqaij hlav;
  • genetic predisposition. Qee qhov xwm txheej, kev ua tsis zoo yog qhov ua rau mob qog noj ntshav;
  • Tiv tauj nrog chemistry thiab hluav taws xob;
  • kab mob hnyav, thiab lwm yam.

Kuj:Lwm yam ua rau mob qog noj ntshav thiab pheej hmoo

theem thiab qib ntawm lub raum mob qog noj ntshav

Cov theem thiab qib ntawm lub raum mob cancer
Cov theem thiab qib ntawm lub raum mob cancer

Cov tshuaj niaj hnub tau txiav txim siab theem ntawm kev loj hlob ntawm lub raum mob cancer. Ua tsaug rau qhov kev faib tawm uas twb muaj lawm, cov kws tshaj lij tuaj yeem txiav txim siab nrog qhov raug siab:

  • kab mob;
  • qauv ntawm malignant neoplasm;
  • qib ntawm nws txoj kev loj hlob, thiab lwm yam.

Cov kws kho mob nqaim feem ntau koom nrog kev kho mob raum mob qog noj ntshav siv cov kev faib thoob ntiaj teb ntawm tus kab mob no hu ua TNM thaum kuaj mob, qhov twg:

M - tso cai rau koj txheeb xyuas qhov muaj metastases hauv tus neeg mob lub cev (txawm tias nyob deb);

N - ntsuas qhov mob ntawm tus neeg mob cov qog nqaij hlav;

T - tso cai rau tus kws tshaj lij los ntsuas qhov tseem ceeb ntawm tus mob neoplasm.

Ntxiv rau qhov kev faib tawm thoob ntiaj teb, Robson kev faib tawm, uas txawv 4 theem ntawm tus kab mob no, pab ntsuas tus mob qog nqaij hlav cancer.

Qib 1 mob raum

Thawj theem ntawm kev loj hlob ntawm malignant neoplasm feem ntau mus tsis pom los ntawm tus neeg mob. Cov qog nqaij hlav cancer feem ntau tsis tshaj 2.5 cm hauv txoj kab uas hla. Nws nyob hauv nws cov tshuaj ntsiav thiab tsis ntev dhau ntawm cov npoo ntawm lub raum, uas ua rau nws nyuaj rau pom ntawm palpation. Yog tias cov neeg mob tau kuaj pom tus kab mob no nyob rau thawj theem, tom qab ntawd hauv 90% ntawm cov neeg mob lawv yuav tau lees tias rov zoo thiab rov qab los sai sai rau lawv txoj kev ua neej ib txwm muaj.

theem 2 raum mob cancer

Nyob rau theem thib ob, qhov loj ntawm tus mob cancer pib nce. Ib tug malignant neoplasm hlob me ntsis. Nyob rau theem ntawm txoj kev loj hlob no, cov qog tseem nyuaj rau kev kuaj mob (khoom kho vajtse thiab kev kuaj mob yuav tsum tau kuaj). Nrog rau kev tshawb pom ntxov ntawm mob qog noj ntshav, cov neeg mob tseem muaj qhov pom zoo.

theem 3 raum mob cancer

Nyob rau theem thib peb ntawm kev loj hlob ntawm cov qog nqaij hlav cancer, cov qog tuaj yeem loj tuaj. Feem ntau, ib tug malignant neoplasm kis mus rau cov qog adrenal. Cov qog nqaij hlav cancer pib ua rau cov qog nqaij hlav thiab tuaj yeem cuam tshuam rau lub raum lossis cov vena cava tsis zoo.

Qib 4 raum mob qog noj ntshav

theem plaub ntawm kev loj hlob yog nrog los ntawm kev loj hlob ntawm ib tug malignant neoplasm. Cov neeg mob tsim cov metastases nyob rau hauv ntau yam kabmob: ntsws, siab, hnyuv, thiab lwm yam. Qhov no theem ntawm kev loj hlob qog nqaij hlav yuav tsum tau kev phais tam sim ntawd. Cov neeg mob muaj qhov txo qis ntawm qhov ua tau zoo.

Metastases ntawm lub raum mob cancer

Metastases ntawm lub raum mob cancer
Metastases ntawm lub raum mob cancer

40-60% ntawm cov neeg mob kuaj mob raum mob qog noj ntshav tshwm sim nyob rau lub sijhawm, cuam tshuam rau ntau yam kabmob, nyob ntawm qhov hnyav ntawm tus kabmob thiab qhov chaw ntawm qhov malignancy.

Feem ntau cov metastases tshwm sim hauv cov neeg mob qog noj ntshav hauv cov kabmob hauv qab no:

  • Nyob hauv siab;
  • Nyob hauv ntsws;
  • Nyob hauv hlwb;
  • Nyob rau hauv cov qog adrenal;
  • Nyob hauv cov qog ntshav;
  • Nyob qaum teb;
  • Nyob hauv lub cev pob txha;
  • Nyob rau hauv qhov chaw costoclavicular, thiab lwm yam.

Nyob rau hauv cov tshuaj niaj hnub no, cov txheej txheem ntawm metastasis yog hais txog qhov tshwm sim ntawm cov tsos mob ntawm cov foci thib ob ntawm malignant neoplasms. Hauv qee cov neeg mob qog noj ntshav, metastases raug kuaj pom 10 xyoo tom qab pib mob qog noj ntshav 1. Nyob rau hauv rooj plaub thaum lub ntsws raug cuam tshuam los ntawm ib leeg metastases, ces rau cov neeg mob muaj lub caij nyoog uas lawv yuav rov qab los ntawm lawv tus kheej. Kev kuaj mob ntxov ua rau cov neeg mob muaj feem ntau rau kev kho mob kom zoo thiab rov zoo sai.

Kev kuaj mob raum mob cancer

Thaum teem sijhawm nrog tus kws kho mob urologist, tus neeg mob uas muaj kev tsis txaus siab ntawm qhov mob hauv lub raum yuav raug kuaj thawj zaug. Tus kws kho mob nqaim-profile tshwj xeeb yuav sau cov kab mob anamnesis, ua palpation, thiab sau cov kev ntsuam xyuas tsim nyog. Txhawm rau kom paub meej tias lawv qhov kev xav thiab ua qhov kev kuaj mob kom raug, tus neeg mob tau muab kho kho kho mob.

Thaum ua qhov kev ntsuas ntsuas, lub hom phiaj yog txhawm rau kuaj pom tus mob neoplasm hauv lub raum, cov kws tshaj lij tau sau ntau yam kev kuaj mob rau lawv cov neeg mob:

  • ultrasonic;
  • laboratory;
  • radioisotope;
  • X-ray thiab lwm yam

Txhawm rau kom paub meej qhov kev kuaj mob ua ntej ntawm lub raum mob qog noj ntshav, tus kws kho mob tshwj xeeb yuav tsum paub nws tus kheej nrog cov txiaj ntsig ntawm kev kuaj mob ntawm nws tus neeg mob.

Txhua tus neeg mob, yam tsis muaj kev zam, raug pom zoo los xeem cov hauv qab no:

  • kuaj ntshav biochemical thiab kuaj ntshav;
  • cytology;
  • urinalysis (general), thiab lwm yam.

Yog hais tias muaj ib tug malignant neoplasm nyob rau hauv lub raum, uas tau lees paub los ntawm kev kuaj sim, tus kws kho mob yuav sau ib tug ntxiv kho vajtse rau tus neeg mob.

Tumor localization tuaj yeem ua tiav los ntawm:

  • magnetic resonance imaging;
  • xam tomography;
  • radionuclide scan;
  • radiocontrast urography;
  • raum mob ntshav siab;
  • excretory urography;
  • nephroscintigraphy, thiab lwm yam.

Feem ntau, cov neeg mob qog nqaij hlav hauv lub raum yog biopsied raws li kev taw qhia ultrasound. Thaum lub sij hawm tus txheej txheem no, tus kws kho mob ua ib tug kaw puncture rau tus neeg mob, uas yog tsim nyog los noj cov khoom lom los ntawm ib tug malignant neoplasm. Cov qauv qog nqaij hlav cancer tau raug xa mus rau kev kuaj morphological.

Yog tsis ua tsis tiav, cov neeg mob raug xa mus rau X-ray ntawm bronchopulmonary system thiab rau kev kuaj ultrasound ntawm lub plab zom mov. Kev kuaj mob ntxiv tso cai rau koj los txiav txim seb muaj cov metastases hauv tus neeg mob lub cev.

kho mob rau lub raum

Kev kho mob raum mob cancer
Kev kho mob raum mob cancer

Thaum kho mob raum mob cancer, cov kws kho mob siv ntau yam kev tsim kho:

  • kev kho mob phais;
  • Yhormone therapy;
  • chemotherapy;
  • radiotherapy;
  • immunotherapy, thiab lwm yam

Kev kho mob raum mob cancer zoo tshaj plaws yog kev phais.

Nyob ntawm theem ntawm tus kab mob, nws qhov loj thiab qhov chaw, cov kws phais tuaj yeem ua tau:

  • resection - ib feem ntawm lub raum uas pom tus kabmob kheesxaws raug tshem tawm;
  • nephrectomy - tag nrho lub raum raug tshem tawm.

Ua ntej xaiv ib txoj hauv kev kho tus mob neoplasm, tus kws kho mob tshwj xeeb yuav tsum ua cov kev ntsuas tsim nyog:

  • muab keebkwm khomob tiav;
  • tshuaj xyuas cov txiaj ntsig ntawm kev txheeb xyuas thiab histology;
  • txiav txim siab theem ntawm tus kab mob;
  • xav txog lub hnub nyoog ntawm tus neeg mob;
  • txheeb xyuas qhov sib txawv, thiab lwm yam.

Feem ntau, cov kws phais mob sim khaws tus neeg mob lub cev kom ntau li ntau tau, siv cov tswv yim zoo dua rau qhov no. Nyob rau hauv xyoo tas los no, cov kws kho mob tshwj xeeb tau sim ua kom tsis txhob ua haujlwm hauv plab, uas ua rau hauv daim tawv nqaij. Txij li thaum nruab nrab-1990s, cov chaw kho mob tau pib siv cov kev hloov tshiab hauv cov tshuaj. Ua tsaug rau qhov tshwm sim ntawm cyberknife, cov kws phais neeg muaj lub sijhawm los tshem tawm thiab tseem tuaj yeem nres qhov kev loj hlob ntawm malignant neoplasms. Cov neeg mob uas tau txais kev phais cyberknife tsis tas yuav tau txais kev kho mob chemotherapy debilitating. Lub hauv paus ntsiab lus ntawm kev ua haujlwm ntawm cov cuab yeej no yog txhawm rau rhuav tshem DNA ntawm cov qog hlwb.

Nyob rau xyoo tas los no, cov kws tshaj lij tab tom sim txhua txoj hauv kev los cawm tus neeg mob lub cev. Lawv siv cov tswv yim tshiab hauv lawv txoj kev kho mob:

  • radiofrequency ablation;
  • cryoablation, thiab lwm yam.

Kev xaiv ntawm cov txheej txheem kho mob ncaj qha nyob ntawm cov yam ntxwv hauv qab no ntawm tus mob neoplasm:

  • qog loj;
  • localization;
  • theem mob qog noj ntshav;
  • hnub nyoog ntawm tus neeg mob, thiab lwm yam.

Yog tias tus neeg mob tau kuaj pom tus mob qog nqaij hlav me me (txog li 4 cm inch), ces cov kws kho mob tshwj xeeb ua rau lub raum resection. Thaum muaj kev cuam tshuam kev phais, cov khoom siv roj ntsha raug coj los ntawm tus neeg mob, uas tam sim ntawd hloov mus rau qhov chaw kuaj mob histological.

Ib txoj hauv kev zoo tshaj plaws ntawm kev phais mob raum mob cancer yog nephrectomy, thaum tus neeg mob lub raum thiab cov ntaub so ntswg uas nyob ib sab raug tshem tawm: lub raum fascia, perirenal fatty cov ntaub so ntswg, cov qog ntshav hauv cheeb tsam, thiab lwm yam.e. Yog tias thaum lub sijhawm ua haujlwm pom cov qog uas tau kis mus rau lub raum sab saud, tus kws kho mob txiav txim siab txiav cov qog adrenal.

Tom qab kev kho mob phais, cov neeg mob tau txais kev kho mob tom qab phais. Lawv raug muab tshuaj kho mob, xov tooj cua, tshuaj tiv thaiv kab mob, thiab lwm yam. Qee zaum (nyob rau hauv lub raum ib leeg), cov neeg mob raug xa mus rau hemodialysis, thiab tom qab ntawd lawv raug pom zoo rau kev hloov pauv hauv nruab nrog cev.

Yog tus qog tsis muaj sij hawm los kis tawm sab nraud ntawm lub cev, tus neeg mob muaj txhua txoj hauv kev los kov yeej tus kab mob no mus ib txhis. Nyob rau hauv rooj plaub thaum, ua ntej los yog tom qab kev kho mob, cov neeg mob metastasize, ces muaj unfavorable prognosis rau lawv. Lub neej expectancy ntawm tus neeg mob yuav ncaj qha nyob ntawm theem ntawm mob qog noj ntshav uas nws tau thov mus rau lub tsev kho mob.

Tshuaj kho mob raum mob cancer

Tshuaj khomob yog tshuaj rau feem ntau rau mob qog noj ntshav. Tus neeg mob, raws li ib txoj kev npaj, yuav tsum noj tshuaj tshwj xeeb. Thaum nkag mus rau hauv cov ntshav ntawm tus neeg mob, cov tshuaj tshwj xeeb pib muaj kev cuam tshuam rau lub cev. Cov kws khomob coj tau cov txiaj ntsig zoo tsuas yog ua ke nrog lwm txoj kev kho mob. Nws lub hom phiaj tseem ceeb yog ua tsis tau tsuas yog ntawm malignant neoplasms, tab sis kuj ntawm metastases uas tuaj yeem cuam tshuam rau ib qho khoom nruab nrog cev ntawm tus neeg mob.

Cov kws kho mob ceev faj heev hauv kev xaiv cov tshuaj uas yuav muab rau tus neeg mob rau kev kho mob. Lawv sim xaiv cov tshuaj uas tuaj yeem ua kom lub neej zoo tshaj plaws los ntawm kev txo qis ntawm cov qog nqaij hlav qog noj ntshav.

Hnub no, cov tshuaj khomob zoo tshaj plaws yog:

  • Nexavar - tuaj yeem nres tag nrho cov hlab ntsha tshiab ntawm cov qog nqaij hlav malignant, uas muab cov khoom noj rau nws. Cov tshuaj no tau muab rau cov neeg mob uas nyob rau theem 4 ntawm kev loj hlob ntawm lub raum mob cancer;
  • Sutent - muaj peev xwm thaiv cov hlab ntsha uas muab khoom noj rau cov qog nqaij hlav malignant. Cov tshuaj no tau muab tshuaj rau hauv cov chav kawm, txhua yam uas kav tsis pub dhau 4 lub lis piam;
  • Inhibitor - muaj kev cuam tshuam ncaj qha rau ntawm qhov tsis zoo neoplasm. Thaum noj cov tshuaj no, cov ntaub so ntswg uas nyob ib sab ntawm cov qog tsis puas. Cov neeg mob zam tshuaj kho nrog cov tshuaj no zoo heev.

Targeted therapy

Hom Kev Kho Mob
Hom Kev Kho Mob

Tsis ntev los no, cov neeg mob kuaj mob raum mob cancer tau raug kho los ntawm kev siv cov phiaj xwm kho mob. Cov txheej txheem no tso cai rau cov tshuaj muaj txiaj ntsig tsim nyog rau cov qog nqaij hlav cancer. Targeted tshuaj provoke kev tuag ntawm qog hlwb. Lawv siv tsis yog nrog los ntawm kev mob tshwm sim hnyav. Lawv xyaum tsis muaj qhov tsis zoo rau cov hlwb noj qab haus huv ntawm lub raum thiab cov kab mob nyob ze.

Nyob hauv qee lub tsev kho mob, cov tshuaj tsom tau siv ua ke nrog cov txheej txheem ib txwm siv rau kev kho mob qog nqaij hlav neoplasms ntawm ob lub raum. Lawv ua hauj lwm zoo nyob rau hauv parallel nrog chemotherapy los yog radiotherapy. Ntau tus kws tshaj lij tau sau cov tshuaj tsom rau lawv cov neeg mob txhawm rau tiv thaiv kev mob qog noj ntshav.

Cov tshuaj tiv thaiv ntawm qib molecular nres kev txhim kho ntawm malignant neoplasms. Txoj kev kho no pab tiv thaiv kev loj hlob ntawm cov nqaij mos ntawm cov nqaij mos ntawm lub cev. Kev kho mob nrog cov tshuaj tsom yog nyob ntawm qhov hnyav ntawm tus kab mob, nrog rau cov xwm txheej ntawm tus neeg mob lub cev.

Kev tshem lub raum rau mob qog noj ntshav

Thawj laparoscopy tshem lub raum tau tshwm sim hauv xyoo 1990. Txij thaum ntawd los, cov chaw kho mob thoob ntiaj teb tau pib siv cov txheej txheem no rau kev phais nephrectomy rau mob qog noj ntshav. Tam sim no, txhua lub tsev kho mob niaj hnub uas muaj chav ua haujlwm yuav tsum tau nruab nrog lub laparoscope.

Laparoscopy tso cai rau cov neeg mob kom luv luv lub sijhawm tom qab phais thiab rov qab mus rau lub neej zoo li qub. Raws li kev txheeb cais, tus nqi rov tshwm sim tom qab laparoscopic tshem tawm ntawm cov qog nqaij hlav qog nqaij hlav qis qis dua tom qab nephrectomy ntawm malignant neoplasm thaum phais plab.

Ua ntej laparoscopy, tus neeg mob yuav tsum tau txais kev cob qhia tshwj xeeb:

  • yuav tsum tau xeem dhau (kev kuaj ntshav biochemical thiab kuaj ntshav, kuaj zis dav dav, thiab lwm yam);
  • pass histology;
  • Ydo fluorography;
  • make a cardiogram;
  • kuaj ntshav txhaws;
  • ua kev kuaj mob dav dav thiab tau txais kev tso npe mus rau kev phais los ntawm tus kws kho mob.

Ib lub lis piam ua ntej kev phais, tus neeg mob yuav tsum tsis txhob noj tshuaj - tshuaj tiv thaiv kab mob. Hnub ua ntej kev ua haujlwm, tus neeg mob yuav tsum tau ntxuav lub plab thiab tsis txhob noj.

Qhov no tuaj yeem ua tau ob txoj hauv kev:

  • thov ib qho enema;
  • nrog kev pab los ntawm cov tshuaj tshwj xeeb uas tso tseg cov plab hnyuv thiab ua rau mob raws plab (fortran feem ntau tau sau tseg).

Tam sim ntawd ua ntej laparoscopy (ob peb teev) tus neeg mob tau muab tso rau hauv lub zais zis catheter, uas yuav raug tshem tawm rau hnub tom qab tom qab kev phais. Laparoscopy, nrog rau kev phais mob plab, yog ua raws li kev siv tshuaj loog (nrog rau txoj hlab pa txuas nrog). Tom qab tus neeg mob raug coj mus rau chav kho mob, nws yuav muab cov tshuaj txhaj rau hauv cov hlab ntsha thiab drips. Tam sim ntawd tom qab kev phais, tus neeg mob tau txhaj tshuaj muaj zog uas thaiv qhov mob. Rau ob peb hnub tom ntej no (tom qab ua haujlwm), cov tshuaj tua kab mob tau muab thaum hmo ntuj, tom qab tus neeg mob tau tshuaj xyuas los ntawm tus kws tshuaj loog, uas, los ntawm kev sib tham nrog tus neeg mob, kos cov lus xaus txog nws tus mob.

See also: Lwm yam kev kho mob

Kev noj qab haus huv rau lub raum

Noj zaub mov
Noj zaub mov

Nrog rau cov kab mob oncological, thiab tshwj xeeb tshaj yog nrog rau mob qog noj ntshav, tus neeg mob yuav tsum noj kom raug. Cov kws kho mob pom zoo kom cov neeg mob ua raws li kev noj haus.

Cov zaub mov hauv qab no yuav tsum raug tshem tawm tag nrho:

  • smoked meats;
  • -marinades thiab pickles;
  • dej qab zib;
  • kas fes thiab tshuaj yej muaj zog;
  • khoom qab zib, tshwj xeeb tshaj yog nrog cream;
  • ntses thiab nqaij;
  • taum, taum pauv, chickpeas thiab lwm yam legumes;
  • -nqaij thiab ntses breen;
  • sausages thiab sausages;
  • lard thiab fatty nqaij, thiab lwm yam.

Tus neeg mob lub raum mob cancer yuav tsum tsis txhob haus cawv thiab haus cawv tag.

Cov zaub mov hauv qab no yuav tsum muaj nyob rau hauv cov zaub mov noj txhua hnub ntawm tus neeg mob uas muaj tus mob neoplasm:

  • Nkauj Ntxawm Thiab Ntxawm;
  • zaub mov;
  • txiv hmab txiv ntoo thiab lwm yam

Cov khoom noj hauv qab no yuav tsum tau noj kom tsawg:

  • nqaij ntshiv (boiled);
  • lean ntses (boiled);
  • butter;
  • cream;

Kev noj zaub mov txhua hnub ntawm tus neeg mob (muaj 4-6 pluas noj), tag nrho, yuav tsum tsis pub tshaj 3 kg. Cov kua dej uas koj haus yuav tsum raug txo kom tsawg li 1 litre kom tsis txhob ua rau lub raum hnyav.

kwv yees cov ntawv qhia rau tus neeg mob mob raum mob qog noj ntshav rau ib lub lis piam:

Hnub Monday:

  • Noj tshais: mov nplej porridge, decoction ua los ntawm sawv hips.
  • Breakfast (thib ob): vinaigrette, hlais cov nplej tag nrho, tshuaj ntsuab tshuaj ntsuab.
  • Noj su: Neeg tsis noj nqaij borscht, hlais cov nplej tag nrho, cov txiv hmab txiv ntoo qhuav.
  • Noj hmo: nqaij ntses uas tsis muaj rog, zaub, kua zaub ua los ntawm cov pob txha.
  • Noj hmo (lig): ib khob ntawm yogurt.

Tuesday:

  • Breakfast: buckwheat mis nyuj porridge, tshuaj ntsuab tshuaj ntsuab.
  • Noj tshais (thib ob): tsev cheese casserole, decoction ua los ntawm sawv hips.
  • Noj su: mis nyuj kua zaub nrog vermicelli, jelly.
  • Noj hmo: ntshiv nqaij npuas, zaub, tshuaj ntsuab tshuaj ntsuab.
  • Noj hmo (lig): ib khob ntawm curdled mis nyuj.

Wednesday:

  • Noj tshais: oatmeal mis nyuj porridge, decoction ua los ntawm sawv hips.
  • Noj tshais (thib ob): txiv hmab txiv ntoo nyias, tshuaj ntsuab tshuaj ntsuab.
  • Noj su: ntau yam zaub kua zaub, wholemeal qhob cij hlais, kua txiv hmab txiv ntoo.
  • noj hmo: ntses (steam) cutlets, buckwheat porridge, rosehip decoction.
  • Noj hmo (lig): ib khob ntawm yogurt.

Thursday:

  • Noj tshais: semolina mis nyuj porridge, tshuaj ntsuab tshuaj ntsuab.
  • Breakfast (thib ob): zaub stew, hlais ntawm cov qhob cij tag nrho, congee ua los ntawm sawv hips.
  • Lunch: neeg tsis noj nqaij zaub qhwv kua zaub, ib daim ntawm cov nplej tag nrho, jelly.
  • noj hmo: nqaij qaib (steam) cutlets, oatmeal, tshuaj ntsuab tshuaj ntsuab.
  • Noj hmo (lig): ib khob ntawm curdled mis nyuj.

Friday:

  • Noj tshais: oatmeal mis nyuj porridge, decoction ua los ntawm sawv hips.
  • Noj tshais (thib ob): tsev cheese casserole, tshuaj ntsuab tshuaj ntsuab.
  • Noj su: mis nyuj kua zaub nrog mov, kissel.
  • noj hmo: steamed veal, carrot thiab zaub xam lav, rosehip congee.
  • Noj hmo (lig): ib khob ntawm yogurt.

Hnub Saturday:

  • Breakfast: rice milk porridge, herbal tea.
  • Noj tshais (thib ob): tsev cheese tsis muaj rog + qaub cream, decoction ua los ntawm sawv hips.
  • Noj su: borsch nrog zaub kua zaub, ib daim ntawm qhob cij tag nrho, txiv hmab txiv ntoo qhuav compote.
  • Noj hmo: steamed ntses, zaub zaub xam lav, tshuaj ntsuab tshuaj ntsuab.
  • Noj hmo (lig): ib khob ntawm curdled mis nyuj.

Sunday:

  • Noj tshais: buckwheat mis nyuj porridge, ib decoction ua los ntawm sawv hips.
  • Noj tshais (thib ob): grated carrot + qaub cream, tshuaj ntsuab tshuaj ntsuab.
  • Noj su: kua zaub ntawm ntau yam zaub, ib daim ntawm cov qhob cij tag nrho, ib lub khob cij ua los ntawm cov pob txha.
  • noj hmo: steam cutlets, oatmeal, tshuaj ntsuab tshuaj ntsuab.
  • Noj hmo (lig): ib khob ntawm yogurt.

Pom zoo: