Umdlavuza we-Esophageal ngokusabalalisa kubalwa ngezi-8 ngezibalo zezibalo. Kuze kube manje, akakwazanga ukukhomba imbangela yangempela yezicubu ezimbi zanoma yiluphi uhlobo lwe-etiology kubantu. Kulesi simo, ukunqotshwa kwalesi sifo kuthintwa yizici ezicasulayo: amakhemikhali, ama-traumatic, mechanical and thermal, okuholela esibhedlela njenge-esophagitis. Esikhathini esizayo, amangqamuzana abathintekayo ashintsha isakhiwo sawo futhi akhule ibe neoplasm eyingozi.
Izinhlobo zokwelapha umdlavuza we-esophageal
Emtholampilo wanamuhla, umdlavuza we-esophageal uphathwa ngokuhlinzwa kanye ne-chemotherapy, njengezinye izicubu ezimbi. Ukuphumelela kokwelashwa komdlavuza osindayo ngamakhambi kanye namakhambi abantu akuzange kuboniswe futhi kubangele ukungabaza okukhulu, kodwa ukuphuza ukwelashwa kwezindlela zendabuko zokwelapha nodokotela kungadlala ezandleni zesiguli. Uma ubhekene nokuphuza kakhulu, ngisho nezindlela zokuhlinzwa zingenamandla. Ukuzivocavoca kungumlutha omubi ekulwa nezifo ezinobungozi ezifana nesifo somdlavuza, ngoba isikhathi esingcono sokwelapha singabanjwanga.
Kuze kube manje, ukwelashwa okunamandla komdlavuza we-esophageal kuphumayo ngezigaba T3 no-T4, ngoba izindlela ezinkulu lapha zingenasisekelo.
Kunezinhlobo ezimbili zomdlavuza wokuqeda:
- i-adenocarcinoma, ivela ezigulini ezikhiqiza i-mucus;
- i-squamous cell carcinoma evela kumangqamuzana e-squamous epithelial, futhi ihlukaniswe ibe yinto engavamile futhi ehlukumeza kakhulu.
Ukwelashwa kwe-squamous cell carcinoma ye-esophagus kunqunywa udokotela ngokuya ngesilinganiso se-lesion kanye nendawo yemfundo:
- ukuhlinzwa (band noma ukuhlinzwa okungapheliyo);
- ngosizo lwama-ray and chemotherapy ;
- uhlobo oluhlangene lwezokwelapha.
Kodwa kubalulekile ukukhumbula ukuthi noma yikuphi ukubunjwa okungalungile kungakhula ngokushesha futhi kusongele ukuphila, ngakho ukuphuza ukwelashwa kwi-oncologist kuyingozi kakhulu.