Kev Tiv Thaiv Kab Mob Esophageal

Cov Ntaub Ntawv Qhia Txog Kab Mob Esophageal

Esophageal cancer yog ib yam kab mob uas malignant (cancer) hlwb tsim nyob rau hauv cov ntaub so ntswg ntawm txoj hlab pas.

Lub esophagus yog lub hollow, cov leeg nqaij uas txav cov zaub mov thiab kua los ntawm caj pas mus rau lub plab.Phab ntsa ntawm txoj hlab pas yog tsim los ntawm ntau txheej ntawm cov ntaub so ntswg, nrog rau cov mucous membrane (puab hauv ob sab phlu), cov leeg, thiab cov ntaub so ntswg.Kev mob qog noj ntshav hauv plab pib nyob rau hauv sab hauv ntawm txoj hlab pas thiab kis mus rau sab nraud los ntawm lwm txheej thaum nws loj tuaj.

Ob hom mob qog noj ntshav feem ntau muaj npe rau hom hlwb uas ua rau mob qog noj ntshav (cancerous):

• Squamous cell carcinoma:Mob qog noj ntshav uas tsim nyob rau hauv nyias, tiaj cov hlwb nyob rau sab hauv ntawm txoj hlab pas.Qhov mob qog noj ntshav no feem ntau pom nyob rau sab sauv thiab nruab nrab ntawm txoj hlab pas tab sis tuaj yeem tshwm sim nyob txhua qhov chaw ntawm txoj hlab pas.Qhov no tseem hu ua epidermoid carcinoma.
• Adenocarcinoma:Mob qog noj ntshav uas pib hauv cov qog nqaij hlav.Glandular cells nyob rau hauv ob sab phlu ntawm txoj hlab pas tsim thiab tso kua dej xws li mucus.Adenocarcinoma feem ntau pib nyob rau sab qis ntawm txoj hlab pas, ze ntawm lub plab.

Kev mob qog noj ntshav esophageal feem ntau pom hauv cov txiv neej.

Cov txiv neej muaj li peb npaug ntau dua li cov poj niam los tsim mob qog noj ntshav esophageal.Txoj kev pheej hmoo ntawm kev mob qog noj ntshav esophageal nce nrog hnub nyoog.Squamous cell carcinoma ntawm txoj hlab pas muaj ntau dua nyob rau hauv cov xim dub dua li cov dawb.

Kev Tiv Thaiv Kab Mob Esophageal

Zam kev pheej hmoo thiab kev tiv thaiv ntau ntxiv tuaj yeem pab tiv thaiv qog noj ntshav.

Kev zam txim rau mob qog noj ntshav yuav pab tiv thaiv qee yam mob qog noj ntshav.Cov xwm txheej txaus ntshai muaj xws li haus luam yeeb, rog dhau, thiab tsis tau txais kev tawm dag zog txaus.Kev tiv thaiv ntau ntxiv xws li kev txiav luam yeeb thiab kev tawm dag zog kuj tseem tuaj yeem pab tiv thaiv qee yam qog noj ntshav.Tham nrog koj tus kws kho mob lossis lwm tus kws saib xyuas kev noj qab haus huv txog seb koj yuav txo koj txoj kev pheej hmoo ntawm mob qog noj ntshav.

Cov yam tseem ceeb thiab kev tiv thaiv rau squamous cell carcinoma ntawm txoj hlab pas thiab adenocarcinoma ntawm txoj hlab pas tsis zoo ib yam.

Cov xwm txheej hauv qab no ua rau muaj kev pheej hmoo ntawm squamous cell carcinoma ntawm txoj hlab pas:

1. Kev haus luam yeeb thiab haus cawv

Cov kev tshawb fawb tau pom tias qhov kev pheej hmoo ntawm squamous cell carcinoma ntawm txoj hlab pas yog nce rau cov neeg haus luam yeeb lossis haus dej ntau.

Cov kev tiv thaiv hauv qab no tuaj yeem txo qhov kev pheej hmoo ntawm squamous cell carcinoma ntawm txoj hlab pas:

1. Zam kev haus luam yeeb thiab cawv

Cov kev tshawb fawb tau pom tias qhov kev pheej hmoo ntawm squamous cell carcinoma ntawm txoj hlab pas yog qis dua rau cov neeg uas tsis haus luam yeeb thiab cawv.

2. Chemoprevention nrog nonsteroidal anti-inflammatory tshuaj

Chemoprevention yog siv cov tshuaj, cov vitamins, los yog lwm yam tshuaj los sim txo kev pheej hmoo ntawm mob qog noj ntshav.Nonsteroidal anti-inflammatory tshuaj (NSAIDs) muaj xws li tshuaj aspirin thiab lwm yam tshuaj uas txo qhov o thiab mob.

Qee qhov kev tshawb fawb tau pom tias kev siv NSAIDs tuaj yeem txo qhov kev pheej hmoo ntawm squamous cell carcinoma ntawm txoj hlab pas.Txawm li cas los xij, kev siv NSAIDs ua rau muaj kev pheej hmoo ntawm lub plawv nres, lub plawv tsis ua haujlwm, mob stroke, los ntshav hauv plab thiab txoj hnyuv, thiab lub raum puas.

Cov xwm txheej hauv qab no ua rau muaj kev pheej hmoo ntawm adenocarcinoma ntawm txoj hlab pas:

1. Gastric reflux

Adenocarcinoma ntawm txoj hlab pas yog txuas nrog rau tus kab mob gastroesophageal reflux (GERD), tshwj xeeb tshaj yog thaum GERD kav ntev thiab cov tsos mob hnyav tshwm sim txhua hnub.GERD yog ib yam mob uas cov ntsiab lus ntawm lub plab, nrog rau lub plab acid, ntws mus rau hauv qis ntawm txoj hlab pas.Qhov no irritates sab hauv ntawm txoj hlab pas, thiab thaum lub sij hawm, tej zaum yuav cuam tshuam rau lub hlwb nyob rau hauv lub qis ib feem ntawm lub esophagus.Tus mob no hu ua Barrett esophagus.Nyob rau tib lub sijhawm, cov hlwb raug hloov nrog cov hlwb txawv txav, uas tom qab ntawd tuaj yeem ua adenocarcinoma ntawm txoj hlab pas.Kev rog rog ua ke nrog GERD tuaj yeem ua rau muaj kev pheej hmoo ntawm adenocarcinoma ntawm txoj hlab pas.

Kev siv cov tshuaj uas txo qis cov leeg sphincter ntawm txoj hlab pas tuaj yeem ua rau muaj qhov tshwm sim ntawm GERD.Thaum cov leeg sphincter qis dua, cov kua qaub hauv plab yuav ntws mus rau hauv qab ntawm txoj hlab pas.

Nws tsis paub yog tias kev phais lossis lwm yam kev kho mob kom tsis txhob mob plab reflux txo qis kev pheej hmoo ntawm adenocarcinoma ntawm txoj hlab pas.Kev sim tshuaj kho mob tau ua kom pom tias kev phais lossis kev kho mob tuaj yeem tiv thaiv Barrett esophagus.

Cov kev tiv thaiv hauv qab no tuaj yeem txo qhov kev pheej hmoo ntawm adenocarcinoma ntawm txoj hlab pas:

1. Chemoprevention nrog nonsteroidal anti-inflammatory tshuaj

Chemoprevention yog siv cov tshuaj, cov vitamins, los yog lwm yam tshuaj los sim txo kev pheej hmoo ntawm mob qog noj ntshav.Nonsteroidal anti-inflammatory tshuaj (NSAIDs) muaj xws li tshuaj aspirin thiab lwm yam tshuaj uas txo qhov o thiab mob.

Qee qhov kev tshawb fawb tau pom tias kev siv NSAIDs tuaj yeem txo qhov kev pheej hmoo ntawm adenocarcinoma ntawm txoj hlab pas.Txawm li cas los xij, kev siv NSAIDs ua rau muaj kev pheej hmoo ntawm lub plawv nres, lub plawv tsis ua haujlwm, mob stroke, los ntshav hauv plab thiab txoj hnyuv, thiab lub raum puas.

2. Radiofrequency ablation ntawm txoj hlab pas

Cov neeg mob uas muaj Barrett esophagus uas muaj cov hlwb txawv txav nyob rau hauv cov hlab pas qis yuav raug kho nrog radiofrequency ablation.Cov txheej txheem no siv xov tooj cua nthwv dej kom sov thiab rhuav tshem cov hlwb txawv txav, uas tuaj yeem ua mob qog noj ntshav.Kev pheej hmoo ntawm kev siv xov tooj cua ablation muaj xws li nqaim ntawm txoj hlab pas thiab los ntshav hauv txoj hlab pas, plab, lossis txoj hnyuv.

Ib qho kev tshawb fawb ntawm cov neeg mob uas muaj Barrett esophagus thiab cov hlwb txawv txav hauv txoj hlab pas piv rau cov neeg mob uas tau txais xov tooj cua ablation nrog cov neeg mob uas tsis tau.Cov neeg mob uas tau txais radiofrequency ablation tsawg dua yuav raug kuaj mob qog noj ntshav esophageal.Kev tshawb fawb ntxiv yog xav tau txhawm rau txhawm rau paub seb lub xov tooj cua ablation puas txo qis kev pheej hmoo ntawm adenocarcinoma ntawm txoj hlab pas hauv cov neeg mob uas muaj cov mob no.

Qhov chaw:http://www.chinancpcn.org.cn/cancerMedicineClassic/guideDetail?sId=CDR62888&type=1#About%20This%20PDQ%20Summary