Hemorrhoids vs Colon Cancer
Ob leeg hemorrhoids thiab mob plab hnyuv loj tshwm sim hauv plab hnyuv loj lossis hauv qab thiab muaj los ntshav ntawm qhov quav. Tab sis qhov zoo sib xws nres muaj. Cov nyuv muaj xws li caecum, ascending colon, transverse colon, descending colon, thiab sigmoid colon. Lub plab hnyuv sigmoid txuas ntxiv nrog lub qhov quav. Rectum txuas nrog lub qhov quav kwj dej. Cov qog nqaij hlav hauv plab tuaj yeem tshwm sim ntawm txhua qhov chaw thaum hemorrhoids tshwm sim hauv qhov quav. Kab lus no yuav tham txog hemorrhoids thiab mob khees xaws plab kom meej, qhia txog lawv qhov chaw kho mob, cov tsos mob, ua rau, kev tshawb nrhiav thiab kev kuaj mob, kev kho mob, thiab qhov sib txawv ntawm ob qho tib si.
Muaj peb qhov chaw mos cov ntaub so ntswg loj hauv qhov quav qhov quav uas bulge rau hauv lub lumen ntawm lub qhov quav kwj dej thaum engorged nrog ntshav. Cov no yog hu ua qhov quav cushions, thiab lawv nyob ntawm 3, 7, thiab 11'o moos txoj haujlwm thaum tus neeg mob pw tsaug zog. Thaum lub qhov quav cushions yog txuam nrog cov ntshav lawv hu ua hemorrhoids. Hemorrhoids raug faib ua peb qib. Thawj qib hemorrhoids yog cov tsos mob thiab pom tsuas yog thaum proctoscopy. Thib ob degree hemorrhoids tuaj tawm thaum straining, tab sis rov qab los rau hauv tom qab. Thib peb qib hemorrhoids ib txwm nyob sab nraud. Cov no yuav raug strangulated thiab ua rau mob. Hemorrhoids tshwm sim nrog los ntshav tshiab ntawm qhov quav. Lawv feem ntau tsis mob tshwj tsis yog strangulated los yog thrombosed. Sigmoidoscopy yog qhia kom tsis suav nrog lwm yam kab mob. Sclerotherapy, banding, ligation, thiab hemorrhoidectomy yog cov kev kho mob muaj.
Cov qog nqaij hlav hauv plab uas muaj los ntshav hauv qhov quav, xav tias kev khiav tawm tsis tiav, lwm yam cem quav, thiab raws plab. Tej zaum yuav muaj kev cuam tshuam cov yam ntxwv xws li lethargy, nkim, tsis qab los noj mov thiab poob phaus. Thaum tus neeg mob tshwm sim nrog cov tsos mob zoo li no, qhia tias muaj ib qho sigmoidoscopy los yog colonoscopy. Siv qhov ntsuas, ib qho me me ntawm kev loj hlob raug tshem tawm kom kawm nyob rau hauv lub tshuab microscope. Kev kis mob qog noj ntshav yuav tsum raug ntsuas los txiav txim siab txog txoj kev kho mob. Cov kev tshawb fawb pom zoo li magnetic resonance imaging (MRI), xam tomography (CT), thiab ultrasound scans pab ntsuam xyuas lub zos thiab nyob deb. Lwm qhov kev tshawb nrhiav niaj hnub yuav tsum tau ua txhawm rau txhawm rau ntsuas qhov kev nyab xeeb rau kev phais thiab lwm yam cuam tshuam. Cov ntshav suav tag nrho tuaj yeem pom tias muaj ntshav liab. Serum electrolytes, ntshav qab zib, lub siab thiab lub raum ua haujlwm yuav tsum tau ua kom zoo ua ntej cov txheej txheem phais.
Muaj cov cim qog tshwj xeeb uas tuaj yeem siv los kuaj pom muaj mob qog noj ntshav. Carcinoembryonic antigen yog ib qho kev tshawb nrhiav. Feem ntau ntawm cov qog nqaij hlav hauv plab yog adenocarcinomas. Muaj ntau yam uas yuav ua rau mob qog nqaij hlav hauv plab. Inflammatory plob tsis so tswj kab mob (IBD) ua rau mob qog noj ntshav vim muaj tus nqi siab ntawm cell faib thiab kho. Cov noob caj noob ces ua lub luag haujlwm tseem ceeb hauv carcinogenesis vim hais tias nrog kev faib cov cell sai, txoj hauv kev ntawm kev ua kom mob qog noj ntshav yog siab. Thawj cov txheeb ze nrog cov qog nqaij hlav plab qhia tias muaj feem ntau dua ntawm kev mob qog noj ntshav. Muaj cov noob hu ua proto-oncogenes, uas ua rau mob malignancies yog tias qhov kev hloov pauv caj ces hloov mus rau hauv oncogenes.
Kev npaj kho mob txawv raws li theem ntawm tus mob qog noj ntshav. Kev faib tawm tam sim no siv rau kev mob qog noj ntshav hauv plab yog Duke Classification. Qhov kev faib tawm no suav nrog kev muaj lossis tsis muaj cov kabmob metastasis, cov qog ntshav hauv cheeb tsam, thiab kev cuam tshuam hauv zos. Rau cov qog nqaij hlav hauv zos, txoj kev kho mob kho mob yog ua tiav kev phais phais nrog cov npoo txaus rau ob sab ntawm qhov txhab. Kev phais hauv ib cheeb tsam ntawm lub plab hnyuv loj tuaj yeem ua tiav ntawm laparoscopy thiab laparotomy. Yog tias mob qog noj ntshav tau nkag mus rau cov qog ntshav qab zib, cov tshuaj khomob yuav ua rau lub neej expectancy. Fluorouracil thiab Oxaliplatin yog ob qho tib si siv tshuaj khomob. Radiation kuj tseem muaj txiaj ntsig zoo hauv cov kab mob siab heev.
Dab tsi yog qhov txawv ntawm Hemorrhoids thiab Colon Cancer?
• Hemorrhoids tsis malignant thaum mob qog noj ntshav.
• cem quav ntev thiab tsis muaj fiber ntau noj precipitate hemorrhoids thaum nws tsis yog rau mob qog noj ntshav.
• Hemorrhoids tam sim no nrog los ntshav tshiab ntawm lub qhov quav thaum cov ntshav qub me ntsis hauv kev mob qog noj ntshav.
• Nyob rau hauv hemorrhoids, ntshav tshwm nyob rau ntawm cov quav thiab lub lauj kaub tais diav thaum nyob rau hauv txoj hnyuv plab ntshav yog tov nrog cov quav.
• mob qog noj ntshav tuaj yeem ua rau cem quav thiab raws plab thaum cem quav ua ntej hemorrhoids.
• Sigmoidoscopy yog qhia nyob rau hauv ob qho tib si.
• Kev phais yog kev kho mob ntawm kev xaiv rau kev mob qog noj ntshav thaum hemorrhoids tuaj yeem tswj hwm kev saib xyuas ib ntus.
Qhov txawv ntawm Piles thiab hemorrhoids