Ọrịa Esophageal

Ọrịa Esophageal bụ ọrịa kansa na-amalite na akpịrị. Nke a bụ ọkpọkọ nke nri si esi n’afọ banye n’afọ.

Ọrịa cancer a na-ahụkarị na United States. Ọ na-apụtakarị ụmụ nwoke karịrị afọ iri ise.

Odi uzo abuo nke ogba osisa; squamous cell carcinoma na adenocarcinoma. Typesdị abụọ a dị iche na ibe ha n'okpuru microscope.

Ejikọtara kansa cancer esophageal cancer na ị smokingụ sịga na ị drinkingụbiga mmanya ókè.

Adenocarcinoma bụ ụdị ọrịa cancer nke esophageal. Inwe Barrett esophagus na-abawanye ohere nke ụdị kansa a. Ọrịa Acid reflux (ọrịa gastroesophageal reflux, ma ọ bụ GERD) nwere ike ịmalite ghọọ Barrett esophagus. Ihe ndị ọzọ nwere ike ịkpatara mmadụ ọrịa bụ ị smokingụ sịga, ịbụ nwoke, ma ọ bụ ibu ibu.

Mgbaàmà nwere ike ịgụnye nke ọ bụla n'ime ihe ndị a:

• Ndabere azụ nke nri site na akpịrị na ikekwe ọnụ (regurgitation)
• Obi mgbu metụtara nri
• Nsogbu ilo ihe siri ike ma ọ bụ mmiri mmiri
• Nrekasi obi
• Ọkpọ ọbara
• Iwetulata ibu

Ule ndị a iji nyere aka chọpụta ọrịa kansa esophageal nwere ike ịgụnye:

• Usoro ụzarị ọkụ x iji nyochaa esophagus (barium ilo)
• Chest MRI ma ọ bụ CT thoracic (nke a na-ejikarị enyere aka chọpụta ọnọdụ nke ọrịa ahụ)
• Endoscopic ultrasound (a na - ejikwa ya mgbe ụfọdụ iji chọpụta ọkwa nke ọrịa)
• Ule iji nyochaa ma wepu ihe nlele nke mkpuchi nke esophagus (esophagogastroduodenoscopy, EGD)
• PET scan (mgbe ụfọdụ ọ bara uru iji chọpụta ọkwa nke ọrịa, yana ma ịwa ahụ ga-ekwe omume)

Nnwale stool nwere ike igosi obere ọbara na stool.

A ga-eji EGD nweta mkpụrụ anụ ahụ si akpịrị iji chọpụta ọrịa kansa.

Mgbe Kansa bụ naanị na esophagus ma agbasaghị, a ga-arụ ọrụ ịwa ahụ. A na-ewepụ ọrịa cancer na akụkụ, ma ọ bụ ihe niile, nke akpịrị. Enwere ike ịwa ahụ ahụ na iji:

• Emepee ahụ, n'oge a na-eme 1 ma ọ bụ 2 nnukwu mbepụ.
• Obere ịwa ahụ, n'oge nke a na-eme obere mbepụ 2 ruo 4 n'ime afọ. A na-etinye laparoscope nwere obere igwefoto n'ime afọ site na otu n'ime ebe ahụ.

A pụkwara iji usoro ọgwụgwọ radieshon mee ihe kama ịwa ahụ n'ọnọdụ ụfọdụ mgbe ọrịa cancer agbasaghị n'èzí akpịrị.

Enwere ike iji ọgwụ, radieshon, ma ọ bụ ha abụọ belata shuga ma mee ka ịwa ahụ dị mfe ịme.

Ọ bụrụ na onye ahụ na-arịa ọrịa nke ukwuu ịwa ahụ nnukwu ma ọ bụ ọrịa kansa agbasawo akụkụ ndị ọzọ, a pụrụ iji ọgwụ na-agwọ ọrịa ma ọ bụ radieshon iji nyere aka belata mgbaàmà. A na-akpọ nke a ọgwụgwọ ọgwụgwọ. N'ọnọdụ ndị dị otú ahụ, ọrịa anaghị abụkarị ọgwụgwọ.

E wezụga mgbanwe nri, usoro ọgwụgwọ ndị ọzọ enwere ike iji nyere onye ọrịa ilo ihe gụnyere:

• Dilating (ịgbasawanye) esophagus site na iji endoscope. Mgbe ụfọdụ, a na-etinye stent iji mee ka esophagus meghee.
• Akpa nri n'ime afo.
• Ọgwụ Photodynamic, nke a na-etinye ọgwụ pụrụ iche na etuto ahụ wee gosipụta ya na ìhè. Ìhè ahụ na-arụ ọrụ ọgwụ nke na-awakpo etuto ahụ.

Nwere ike belata nchekasị nke ọrịa site na isonyere ndị otu na-akwado ọrịa kansa. Kọrọ ya ndị ọzọ nwere nsogbu na nsogbu niile, nwere ike inyere gị aka ichewe naanị gị

Mgbe ọrịa cancer agbasaghị n'èzí akpịrị, ịwa ahụ nwere ike melite ohere ịlanarị.

Mgbe ọrịa kansa ahụ agbasawo n'akụkụ ndị ọzọ nke ahụ, ọgwụgwọ anaghị adịkarị. A na-agwọ ọgwụgwọ iji belata mgbaàmà.

Nsogbu nwere ike ịgụnye:

• Ọrịa oyi
• Nnukwu ọnwụ dị ukwuu site na iri nri zuru oke

Kpọọ onye na-ahụ maka ahụike gị ma ọ bụrụ na ọ na-esiri gị ike ilo ihe na-enweghị ihe kpatara ya ma ọ gaghị aka mma. Kpọọ ma ọ bụrụ na ị nwere mgbaàmà ndị ọzọ nke ọrịa kansa esophageal.

Iji belata ihe ize ndụ nke kansa nke esophagus:

• A NOTA anwụrụ.
• Debe ma ọ bụ A DOụla mmanya na-aba n'anya.
• Nyochaa dọkịta gị ma ọ bụrụ na ị nwere GERD siri ike.
• Mee nnyocha mgbe niile ma ọ bụrụ na ị nwere Barrett esophagus.

Ọrịa cancer - esophagus

• Esophagectomy - ihapu
• Gastrostomy nri tube - bolus
• Jejunostomy nri tube

• Usoro nri
• Mgbochi obi mgbu
• Ọrịa Esophageal

Ku GY, Ilson DH. Ọrịa cancer nke akpịrị. Na: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff’s Clinical Oncology. Nke isii. Philadelphia, PA: Elsevier; 2020: isi nke 71.

Weebụsaịtị National Cancer Institute. Ọgwụgwọ Esophageal (PDQ) - ụdị ọkachamara ahụike. www.cancer.gov/types/esophageal/hp/esophageal-treatment-pdq. Emelitere November 12, 2019. Nabata December 5, 2019.

National Comprehensive Cancer Network weebụsaịtị. NCCN usoro nlekọta ahụike na oncology (NCCN ntuziaka): esophageal na esophagogastric junction cancer. Versiondị 2.2019. www.nccn.org/professionals/physician_gls/pdf/esophageal.pdf. Emelitere May 29, 2019. Nabata September 4, 2019.