Trieu chung cua ung thu dai trang tai Dak Lak: Dau hieu nhan biet, nguyen nhan va huong tham kham Ung thu dai trang la mot trong nhung benh ly ung thu duong tieu hoa thuong gap. Benh hinh thanh khi cac te bao o lop niem mac dai trang phat trien bat thuong, tang sinh khong kiem soat va co the xam lan cac mo xung quanh hoac di can den co quan khac. O giai doan som, ung thu dai trang co the khong gay trieu chung ro rang. Mot so dau hieu ban dau de bi nham voi roi loan tieu hoa, viem dai trang, benh tri hoac tao bon thong thuong. Vi vay, viec nhan biet trieu chung cua ung thu dai trang tai Dak Lak va chu dong tham kham khi co bat thuong dong vai tro quan trong trong phat hien som va dieu tri. Nguoi dan tai Dak Lak khi co bieu hien tieu hoa keo dai, di ngoai ra mau, thay doi thoi quen dai tien hoac sut can khong ro nguyen nhan co the tham khao kham tai Benh vien da khoa Thien Hanh hospital de duoc danh gia va chi dinh xet nghiem phu hop. Trieu chung cua ung thu dai trang tai Dak Lak: Dau hieu nhan biet, nguyen nhan va cach tham kham Ung thu dai trang la benh ly ac tinh xuat phat tu cac te bao trong lop niem mac dai trang. Benh thuong tien trien tu nhung ton thuong tien ung thu nhu polyp tuyen, sau do phat trien thanh khoi u neu khong duoc phat hien va xu ly kip thoi. Ung thu dai trang co the gap o nhieu do tuoi, dac biet o nguoi lon tuoi, nguoi co tien su gia dinh mac ung thu dai truc trang, nguoi bi polyp dai trang hoac mac cac benh viem ruot man tinh. Tuy nhien, nhung nam gan day, benh cung duoc phat hien o nguoi tre. Dieu dang luu y la ung thu dai trang giai doan som thuong khong co trieu chung ro rang. Khi bieu hien xuat hien, nhieu nguoi de nham voi roi loan tieu hoa, viem dai trang, tao bon hoac benh tri. Vi vay, hieu ro trieu chung cua ung thu dai trang tai Dak Lak giup nguoi dan chu dong kiem tra suc khoe va khong bo qua nhung dau hieu bat thuong. Ung thu dai trang la gi? Dai trang la phan chinh cua ruot gia, co nhiem vu hap thu nuoc, dien giai va tao khuon phan truoc khi phan duoc dao thai ra ngoai. Khi cac te bao niem mac dai trang bi bien doi bat thuong, chung co the tang sinh mat kiem soat, hinh thanh khoi u. Khoi u co the: Phat trien tai cho trong thanh dai trang. Xam lan cac co quan lan can. Gay hep hoac tac long ruot. Gay chay mau tieu hoa. Di can den gan, phoi, phuc mac hoac cac co quan khac. Ung thu dai trang thuong duoc chia thanh nhieu giai doan. Phat hien cang som thi kha nang dieu tri triet can va kiem soat benh cang thuan loi. Trieu chung cua ung thu dai trang tai Dak Lak thuong gap 1. Thay doi thoi quen dai tien Mot trong nhung dau hieu can chu y la thoi quen di ngoai thay doi keo dai ma khong co nguyen nhan ro rang, chang han: Truoc day di ngoai binh thuong nhung nay thuong xuyen tao bon. Tieu chay keo dai hoac tai dien. Tao bon xen ke tieu chay. Di ngoai nhieu lan trong ngay. Cam giac mot ran du da di ngoai. Cam giac di ngoai chua het phan. Phan nho, det hoac co hinh dang bat thuong keo dai. Nhung thay doi nay khong dong nghia chac chan mac ung thu dai trang. Tuy nhien, neu keo dai nhieu ngay hoac nhieu tuan, dac biet o nguoi tren 40–45 tuoi, nguoi co tien su gia dinh hoac co mau trong phan, can duoc kham va can nhac noi soi dai trang. 2. Di ngoai ra mau Mau trong phan la dau hieu quan trong nhung thuong bi bo qua. Nguoi benh co the thay: Mau do tuoi phu ngoai phan. Mau lan trong phan. Phan mau nau sam hoac den bat thuong. Dich nhay kem mau. Mau xuat hien tung dot roi tu het. Vi tri khoi u co the anh huong den mau sac mau. Ton thuong o doan dai trang gan hau mon co the gay mau do tuoi, trong khi chay mau o doan dai trang cao hon co the khien phan sam mau. Di ngoai ra mau cung co the do tri, nut hau mon, polyp, viem dai trang hoac nhiem trung duong ruot. Tuy nhien, khong nen tu ket luan la benh tri neu tinh trang chay mau tai dien, di kem thay doi dai tien, sut can hoac thieu mau. 3. Dau bung keo dai hoac tai dien Dau bung do ung thu dai trang co the khong dac hieu. Nguoi benh co the gap: Dau am i vung bung. Dau quan tung con. Dau quanh ron hoac vung bung duoi. Day bung, chuong bung. Dau tang truoc hoac sau khi di ngoai. Dau kem thay doi thoi quen dai tien. Cam giac bung kho chiu keo dai. Khi khoi u phat trien lon, dau bung co the tang do hep long ruot, roi loan nhu dong hoac tac ruot mot phan. Neu dau bung du doi dot ngot, bung chuong nhanh, non nhieu, bi trung dai tien hoac khong the an uong, can den co so y te ngay vi co the la dau hieu tac ruot hoac bien chung cap tinh. 4. Chuong bung, day hoi bat thuong Nguoi benh co the thuong xuyen: Day hoi. Chuong bung. O hoi. Cam giac nang bung. An nhanh no. Kho chiu sau bua an. Bung soi hoac thay doi nhu dong ruot. Cac bieu hien nay de bi nham voi roi loan tieu hoa. Tuy nhien, neu chuong bung keo dai, ngay cang tang hoac kem tao bon, non, dau bung va khong trung tien duoc, can kiem tra som. 5. Sut can khong ro nguyen nhan Sut can khong chu y la dau hieu canh bao nhieu benh ly, trong do co ung thu dai trang. Nguoi benh co the giam can du khong an kieng hoac khong tang van dong. Nguyen nhan co the lien quan den: Chan an. Roi loan hap thu. Dau bung sau an. Khoi u lam thay doi chuyen hoa. Co the tieu hao nang luong nhieu hon. Benh tien trien gay suy kiet. Sut can kem di ngoai ra mau, thay doi phan hoac met moi keo dai can duoc danh gia y te. 6. Met moi, suy nhuoc Ung thu dai trang co the gay met moi do chay mau keo dai, thieu mau, thieu dinh duong hoac tac dong toan than cua benh. Nguoi benh co the: Met du lam viec nhe. Giam kha nang lao dong. Chong mat khi dung len. Da xanh, niem mac nhot. Tim dap nhanh. Kho tap trung. Buon ngu, ue oai. Thieu mau thieu sat o nguoi truong thanh, dac biet o nam gioi hoac phu nu da man kinh, can duoc tim nguyen nhan. Khong nen chi uong thuoc bo mau ma bo qua kha nang chay mau duong tieu hoa. 7. Phan co nhay Mot so nguoi benh co the thay phan kem chat nhay, dac biet khi khoi u gay kich thich hoac viem niem mac dai trang. Phan co nhay cung co the gap trong: Viem dai trang. Hoi chung ruot kich thich. Nhiem trung duong ruot. Benh viem ruot. Polyp dai trang. Neu nhay xuat hien keo dai, kem mau, dau bung, tieu chay hoac sut can, can duoc kham chuyen khoa Tieu hoa. 8. Cam giac di ngoai khong het Nguoi benh co the di ve sinh nhung van cam thay: Con phan trong truc trang. Mot ran lien tuc. Muon di ngoai ngay sau khi vua di xong. Di nhieu lan nhung luong phan it. Dau hoac kho chiu vung hau mon – truc trang. Dau hieu nay co the xuat hien khi ton thuong nam o doan dai trang sigma hoac truc trang, lam thay doi cam giac va duong di cua phan. 9. Phan nho, det keo dai Khoi u phat trien trong long dai trang co the lam hep duong di cua phan, khien phan nho hoac det hon truoc. Tuy nhien, hinh dang phan cung co the thay doi do co that dai trang, tao bon hoac che do an. Can dac biet luu y neu phan nho keo dai kem: Tao bon moi xuat hien. Dau bung. Di ngoai ra mau. Sut can. Mot ran. Cam giac di ngoai khong het. 10. Buon non, non Buon non va non co the xuat hien khi khoi u gay hep hoac tac long ruot. Nguoi benh co the kem: Chuong bung. Dau quan tung con. Khong trung tien duoc. Bi dai tien. An uong kem. Non sau an. Non nhieu kem bung chuong, dau du doi hoac bi trung dai tien la tinh trang can cap cuu. Trieu chung ung thu dai trang theo vi tri khoi u Ung thu dai trang phai Dai trang phai co long ruot tuong doi rong nen khoi u co the phat trien lau ma chua gay tac nghen ro. Cac bieu hien thuong gap gom: Thieu mau thieu sat. Met moi keo dai. Da xanh, chong mat. Dau am i vung bung phai. Sut can. Chan an. Phan co mau an kho nhan biet bang mat thuong. Ung thu dai trang trai Dai trang trai co long ruot hep hon, vi vay khoi u de gay thay doi thoi quen dai tien: Tao bon moi xuat hien. Tieu chay xen ke tao bon. Phan nho, det. Dau quan bung. Di ngoai ra mau. Chuong bung. Cam giac di ngoai khong het. Ung thu dai trang sigma hoac truc trang Khi ton thuong nam gan doan cuoi duong tieu hoa, nguoi benh co the gap: Mau do tuoi trong phan. Nhay mau. Mot ran. Di ngoai nhieu lan. Phan nho. Dau vung bung duoi hoac vung hau mon. Cam giac di ngoai chua het. Ung thu dai trang giai doan som co trieu chung khong? Ung thu dai trang giai doan som co the hoan toan khong gay trieu chung. Mot so truong hop chi duoc phat hien khi: Noi soi tam soat. Xet nghiem mau an trong phan. Kham suc khoe dinh ky. Kiem tra thieu mau khong ro nguyen nhan. Noi soi vi co polyp hoac tien su gia dinh. Do do, khong nen cho den khi dau bung du doi hoac di ngoai ra mau moi di kham. Tam soat co the giup phat hien polyp tien ung thu hoac ung thu o giai doan con som. Nhung ai co nguy co mac ung thu dai trang? Nguy co mac benh co the tang o nguoi: Tuoi cao, dac biet tu 45–50 tuoi tro len. Co nguoi than tung mac ung thu dai truc trang. Tung co polyp dai trang. Mac benh viem loet dai trang hoac benh Crohn keo dai. It van dong. Thua can, beo phi. An nhieu thit do, thit che bien san. An it chat xo. Hut thuoc la. Uong nhieu ruou bia. Mac tieu duong type 2. Co mot so hoi chung di truyen nhu da polyp tuyen gia dinh hoac hoi chung Lynch. Nguoi co tien su gia dinh hoac benh ly di truyen co the can tam soat som hon va thuong xuyen hon theo tu van cua bac si. Phan biet trieu chung ung thu dai trang voi benh tieu hoa thong thuong Cac trieu chung nhu dau bung, tao bon, tieu chay, day hoi hoac di ngoai ra mau khong chi gap trong ung thu dai trang. Chung co the do: Viem dai trang. Hoi chung ruot kich thich. Polyp dai trang. Benh tri. Nut hau mon. Nhiem khuan duong ruot. Benh viem ruot. Khong dung nap thuc pham. Tao bon keo dai. Tuy nhien, mot so dau hieu lam tang muc do nghi ngo gom: Trieu chung moi xuat hien o nguoi lon tuoi. Di ngoai ra mau tai dien. Sut can khong chu y. Thieu mau thieu sat. Thay doi dai tien keo dai. Dau bung tang dan. Tien su gia dinh mac ung thu dai truc trang. Polyp dai trang tung duoc phat hien truoc do. Trieu chung khong dap ung voi dieu tri thong thuong. Khong the chan doan ung thu dai trang chi dua vao trieu chung. Can tham kham va thuc hien xet nghiem can thiet. Chan doan ung thu dai trang bang phuong phap nao? Kham lam sang Bac si se hoi ve: Thoi gian xuat hien trieu chung. Tinh chat dau bung. Thoi quen dai tien. Mau sac va dac diem phan. Tinh trang sut can. Tien su benh tieu hoa. Tien su gia dinh. Thuoc dang su dung. Bac si co the kham bung, danh gia dau hieu thieu mau va thuc hien tham kham truc trang khi co chi dinh. Xet nghiem mau Mot so xet nghiem co the duoc chi dinh: Cong thuc mau de phat hien thieu mau. Ferritin va sat huyet thanh. Chuc nang gan, than. Dien giai. Cac xet nghiem danh gia tinh trang dinh duong. CEA trong mot so truong hop de ho tro theo doi, khong dung don doc de chan doan. CEA khong phai xet nghiem du de khang dinh hoac loai tru ung thu dai trang. Xet nghiem mau an trong phan Xet nghiem nay co the phat hien luong mau rat nho trong phan ma mat thuong khong nhin thay. Tuy nhien, ket qua duong tinh khong dong nghia chac chan mac ung thu; nguoi benh van can duoc danh gia nguyen nhan va co the phai noi soi dai trang. Noi soi dai trang Noi soi dai trang la phuong phap quan trong de: Quan sat toan bo niem mac dai trang. Phat hien polyp, khoi u, vung loet hoac chay mau. Sinh thiet ton thuong nghi ngo. Cat mot so loai polyp khi phu hop. Danh gia nguyen nhan di ngoai ra mau hoac thay doi dai tien. Sinh thiet va xet nghiem mo benh hoc la co so quan trong de xac dinh ban chat ac tinh cua ton thuong. Chan doan hinh anh Tuy truong hop, bac si co the chi dinh: Sieu am bung. CT scan o bung va vung chau. MRI vung chau, dac biet khi danh gia ton thuong truc trang. X-quang hoac CT nguc khi can danh gia di can. Cac phuong phap hinh anh khac theo tinh trang cu the. Dieu tri ung thu dai trang Phuong phap dieu tri phu thuoc vao vi tri khoi u, giai doan benh, tinh trang suc khoe va dac diem mo benh hoc. Cac phuong phap co the gom: Phau thuat Phau thuat thuong la phuong phap dieu tri chinh o nhieu truong hop ung thu dai trang con kha nang cat bo. Bac si co the cat doan dai trang chua khoi u cung cac hach lympho lien quan, sau do noi lai hai dau ruot neu dieu kien cho phep. Mot so truong hop can mo hau mon nhan tao tam thoi hoac vinh vien tuy vi tri ton thuong va tinh trang phau thuat. Hoa tri Hoa tri co the duoc su dung: Sau phau thuat de giam nguy co tai phat. Truoc phau thuat trong mot so tinh huong. Khi benh da di can. Khi khong the phau thuat triet can. Xa tri Xa tri thuong duoc su dung nhieu hon trong dieu tri ung thu truc trang, tuy giai doan va ke hoach dieu tri. Voi ung thu dai trang, xa tri co the duoc can nhac trong mot so truong hop dac biet. Dieu tri dich va mien dich Mot so nguoi benh co the duoc chi dinh thuoc dieu tri dich hoac mien dich dua tren: Dac diem gen cua khoi u. Tinh trang MSI hoac MMR. Dot bien RAS, BRAF va cac dau an phan tu khac. Giai doan benh. Dap ung voi cac phuong phap truoc do. Khong phai nguoi benh nao cung phu hop voi cac thuoc nay. Viec lua chon can duoc thuc hien boi bac si chuyen khoa Ung buou. Khi nao can di kham ngay? Nguoi dan tai Dak Lak nen di kham chuyen khoa Tieu hoa hoac Noi tong hop neu co: Di ngoai ra mau khong ro nguyen nhan. Thay doi thoi quen dai tien keo dai. Tao bon moi xuat hien va dai dang. Tieu chay keo dai hoac tai dien. Dau bung thuong xuyen. Sut can khong chu y. Met moi, da xanh hoac thieu mau. Phan nho, det keo dai. Cam giac di ngoai khong het. Tien su gia dinh mac ung thu dai truc trang. Tung phat hien polyp dai trang. Dau hieu can cap cuu Can den co so y te ngay khi co: Dau bung du doi. Bung chuong nhanh. Non nhieu. Bi trung dai tien. Di ngoai ra mau so luong lon. Choang, ngat, va mo hoi, da lanh. Sot cao kem dau bung va tinh trang xau nhanh. Lo mo hoac dau hieu mat nuoc nghiem trong. Nhung bieu hien nay co the lien quan den xuat huyet tieu hoa, tac ruot, thung ruot hoac nhiem trung nang. Tam soat ung thu dai trang tai Dak Lak Tam soat giup phat hien ton thuong tien ung thu hoac ung thu truoc khi co trieu chung. Phuong phap tam soat co the bao gom: Xet nghiem mau an trong phan. Xet nghiem phan chuyen biet. Noi soi dai trang. Noi soi dai trang sigma trong mot so truong hop. Chup CT dai trang theo chi dinh. Lich tam soat phu thuoc vao tuoi, nguy co ca nhan, tien su gia dinh va ket qua nhung lan kiem tra truoc. Nguoi co nguy co cao co the can bat dau som hon nguoi nguy co trung binh. Kham trieu chung ung thu dai trang tai Benh vien da khoa Thien Hanh hospital Khi xuat hien cac dau hieu nghi ngo benh ly dai trang, nguoi dan co the tham khao Benh vien da khoa Thien Hanh hospital tai Dak Lak de duoc kham va danh gia. Benh vien co Khoa Kham benh, Khoa Noi tong hop va Khoa Noi soi, co kha nang tiep nhan cac van de tieu hoa nhu dau bung, roi loan dai tien, di ngoai ra mau, polyp dai trang va nhung ton thuong nghi ngo o dai truc trang. Tai day, nguoi benh co the duoc: Kham va khai thac trieu chung tieu hoa. Kiem tra tinh trang thieu mau. Chi dinh xet nghiem phan khi can. Thuc hien noi soi dai truc trang. Sinh thiet hoac can thiep ton thuong theo chi dinh. Chup CT, sieu am hoac cac phuong tien chan doan hinh anh phu hop. Tu van chuyen tiep den chuyen khoa Ngoai khoa hoac Ung buou neu phat hien ton thuong can dieu tri chuyen sau. Khoa Noi soi cua benh vien trien khai noi soi tieu hoa duoi, trong do co noi soi dai truc trang va noi soi gay me theo chi dinh. Nguoi benh nen lien he truoc de duoc huong dan ve lich kham, chuan bi lam sach dai trang va cac giay to can thiet. Thong tin lien he tham khao: Ten co so: Benh vien da khoa Thien Hanh hospital. Dia chi: 17 Nguyen Chi Thanh, phuong Tan An, tinh Dak Lak. Hotline: 0262 3 950 606. Kham ngoai tru: Khoang 7h00–17h00 tat ca cac ngay. Tiep nhan cap cuu: 24/24. Khi co chay mau tieu hoa nhieu, dau bung du doi, non lien tuc hoac bi trung dai tien, nguoi benh can den khu vuc cap cuu, khong nen cho lich kham thong thuong. Cach phong ngua va giam nguy co ung thu dai trang Khong phai moi truong hop ung thu dai trang deu co the phong ngua, nhung mot so bien phap giup giam nguy co: An nhieu rau xanh, trai cay va thuc pham giau chat xo. Han che thit do va thit che bien san. Han che ruou bia. Khong hut thuoc la. Duy tri can nang hop ly. Tap the duc deu dan. Kiem soat tot tieu duong va cac benh chuyen hoa. Khong tu y su dung thuoc keo dai khi chua duoc tu van. Dieu tri va theo doi benh viem ruot man tinh. Tam soat theo do tuoi va muc nguy co. Noi soi kiem tra khi co trieu chung bat thuong. Ket luan Trieu chung cua ung thu dai trang tai Dak Lak co the bao gom thay doi thoi quen dai tien, tao bon hoac tieu chay keo dai, di ngoai ra mau, dau bung, chuong bung, phan nho det, cam giac di ngoai khong het, sut can va met moi do thieu mau. Tuy nhien, nhieu truong hop giai doan som khong co trieu chung ro rang. Nhung bieu hien nay khong du de khang dinh ung thu dai trang nhung la ly do can tham kham, dac biet khi trieu chung keo dai, tai dien hoac di kem sut can, thieu mau va chay mau trong phan. Noi soi dai trang ket hop sinh thiet khi can la phuong phap quan trong giup phat hien va xac dinh ton thuong. Nguoi dan co nhu cau kiem tra cac trieu chung tieu hoa hoac tam soat ung thu dai trang co the lien he Benh vien da khoa Thien Hanh hospital de duoc huong dan kham, xet nghiem va noi soi phu hop. |
