Perianal Tumor in Agalu - Zizindikiro ndi Chithandizo

Mlembi: Peter Berry
Tsiku La Chilengedwe: 14 Kulayi 2021
Sinthani Tsiku: 23 Kuni 2024
Anonim
Perianal Tumor in Agalu - Zizindikiro ndi Chithandizo - Ziweto
Perianal Tumor in Agalu - Zizindikiro ndi Chithandizo - Ziweto

Zamkati

Zotupa m'dera la agalu zimatha kukhala pafupipafupi, makamaka mitundu itatu: yosaopsa, yotchedwa perianal adenoma, yomwe imakhudza ana agalu osaphunzira; ndi ziwiri zoyipa, anal sac adenocarcinoma ndi perianal adenocarcinoma, yomwe imatha kupanga mapangidwe a metastasis ndi paraneoplastic syndrome ndi hypercalcemia.

Zizindikiro zamankhwala zomwe zimagwirizanitsidwa ndi izi ndizomwe zimachokera pakukula kwa malo osanjikiza agalu, omwe amayamba kunyambita, kukwawa ndi kudzicheka, ndikupangitsa magazi, kupweteka, kusapeza bwino komanso matenda ena omwe amayambitsanso malungo ndipo amatha fistula. Kuzindikira kumapangidwa ndi cytology ndi biopsy ndipo chithandizo chidzakhala cha opaleshoni komanso chachipatala. Munkhaniyi PeritoAnimal, tikambirana mutu wa Perianal chotupa mu agalu, zizindikiro zake ndi chithandizo.


Mitundu ya Zotupa za Perianal mu Agalu

Kudera la perianal, komwe kumafalikira pakati pa anus ya galu ndi maliseche, zovuta monga zotupa zimatha kuchitika. Ndi kwambiri kusamalidwa komanso kuthiriridwa, kotero kuwawa ndikumverera mukamayang'anira kumakhala kwakukulu kwambiri.

Kuzungulira anus, timapeza nyumba ziwiri:

  • matumba a kumatako: Blind fundus diverticula mbali zonse za anus, pakati pa akunja ndi mkati sphincters. Ntchito yake ndikupeza madzimadzi otupa, otsekemera komanso onunkhira omwe amapangidwa ndimatenda amkati ndikuchotsedwa mwachilengedwe pakutha kwa agalu. Imathandiza kuzindikira pakati pa agalu, komanso imatulutsidwa m'malo opanikiza.
  • zotupa za perianal: Amatchedwanso circumanal kapena hepatoid gland, omwe ali ndi ma hormone receptors (androgens, estrogens, ndi kukula hormone). Amapezeka munyama zochepa zomwe zimazungulira anus ya galu. Awa ndi ma gland olimba omwe samatulutsa zomwe zili.

Angapo amatha kuwonekera Mitundu ya zotupa m'dera la perineal, zotsatirazi ndizofala kwambiri:


  • perianal adenoma: pali misa pansi pamchira kapena mdera la perianal, ndikukula kopita patsogolo komanso kopanda ululu. Nthawi zina zimatha kukhala zilonda zam'mimba. Zimachitika kawirikawiri mwa amuna osaphunzitsidwa komanso achikulire, pokhala chotupa chofala kwambiri mwa iwo. Komabe, imawonekeranso mwa akazi, makamaka mwa yotsekemera. Ndi njira yabwino.
  • Perianal adenocarcinoma: imakhalanso chotupa cha ma gland a perianal omwe ali ndi mawonekedwe ofanana ndi am'mbuyomu, koma owopsa ndipo chifukwa chake ndi owopsa. Zitha kuchitika agalu a msinkhu uliwonse komanso kugonana.
  • Matenda a sac adenocarcinoma: ndi chotupa chofala kwambiri mwa akazi otsekedwa komanso osavulazidwa komanso mwa ana agalu okalamba. Hypercalcemia (kuchuluka kwa calcium m'magazi) kumachitika pachotupachi.

Tiyenera kudziwa kuti pali mtundu wina womwe ungayambitse zotupa za perianal, zomwe zimakonda kukhala agalu amtunduwu:


  • Cocker Spaniel.
  • Fox Terrier.
  • Mitundu ya Nordic yochokera.
  • Mitundu yayikulu, yomwe imatha kuphatikizidwa ndi chotupa cha testicular.

Zizindikiro zotupa za Perianal mu agalu

Nthawi ya perianal adenoma, poyamba ana agalu samasonyeza kupweteka kapena zizindikiro zogwirizana. Popita nthawi, ndipo ngati atenga kachilombo, amatha kuyamba malungo, malaise ndi anorexia. Ngati kukula kwake kukukulira, amatha kumva kutsekeka kwamtundu wam'mimba komanso kupweteka kwa m'mimba, komwe kumapangitsa kuti galu azivutika kwambiri ndikumva kuwawa.

Inu perianal adenocarcinomas Amakhala okwiya kwambiri ndipo amatha kuwonetsa zizindikilo monga kusowa kwa njala, ululu komanso ulesi. Amakhala ndi mwayi wopanga hypercalcemia ngati gawo la paraneoplastic syndrome (omwe amapezeka ndi zotupa), komanso zizindikilo zamatenda zomwe zimadza chifukwa cha kuwonjezeka kwa calcium pamlingo wa impso, monga polyuria / polydipsia syndrome (kukodza ndikumwa mopitilira muyeso).

Matenda a paraneoplastic amathanso kupezeka kumatako adenocarcinomas, koma pafupipafupi (pafupifupi 25% -50% ya agalu).

Mwachidule, pakagwa zotupa za perianal, agalu amatha kuwonetsa kutsatira zizindikiro:

  • Kupweteka kwa Perianal.
  • Fungo loipa m'dera la perianal.
  • Kunyambitima kosasunthika mderalo.
  • Kutuluka magazi kuchokera pachotupa.
  • Kukoka kumbuyo kwa thupi.
  • Kutulutsa.
  • Matenda achiwiri.
  • Kuyabwa kumatako.
  • Matenda a anorexia.
  • Polyuria.
  • Polydipsia.
  • Kukonda.
  • Mphwayi.
  • Malungo.
  • Fistula.
  • Kusowa kwa njala.
  • Kuchepetsa thupi.
  • Kutsekeka kwamtundu.
  • Kudzimbidwa.
  • Hematochezia (magazi mu chopondapo).
  • Ululu mukamadzichotsa (dyschesia).
  • Zovuta kunyengerera (tenesmus).

Zotupazi zimakhala ndi mphamvu yotsekula m'mimba, yoyamba kulowerera ma lymph node (inguinal ndi pelvic) ndipo, pambuyo pake, ziwalo zamkati.

Kuzindikira kwa chotupa cha perianal mu agalu

Ngati akuganiza kuti ali ndi chotupa m'galu, njira za kulingalira koyerekeza ayenera kugwiritsidwa ntchito kufunafuna metastases, popeza pafupifupi 50% mpaka 80% ya zotupa za perianal pamakhala metastases panthawi yodziwitsa. Njira zomwe amagwiritsira ntchito ndimimba yam'mimba ya ultrasound, kuyesa ma lymph node ndi ziwalo zina monga impso kapena chiwindi, komanso ma radiography, omwe amagwiritsidwa ntchito kuwonetsa ziwalo za thoracic, makamaka mapapo.

Pa kuyesa magazi kudzakhala kotheka kusunga hypercalcemia ndi kuwonongeka kwa impso pakagwa adenocarcinomas.

Mankhwala a Canine perianal chotupa

Chithandizo cha zotupa za perianal mu agalu ndi kuchotsa opaleshoni. Komabe, kutengera mtundu wa chotupa komanso kupezeka kwa metastases, chithandizocho chimatha kusiyanasiyana:

  • Pankhani ya perianal adenomas, chifukwa ndizogwirizana kwambiri ndi mahomoni a amuna osaphunzitsidwa, ndikofunikira kuchita kuponya Kuchepetsa chiopsezo chobwereranso mtsogolo, chomwe chimatsika ndi 90%.
  • Pakakhala ma metastases kapena zotupa zilonda, kuthira kwathunthu ndi ma margins opangira opaleshoni kuyenera kuchitidwa ndipo chithandizo chimapitilizidwa chemotherapy ndi radiotherapy.
  • Ngati mkhutu aimpso ntchito ndi hypercalcemia, mankhwala enieni ndi mankhwala madzimadzi ndi mankhwala musanachite opaleshoni kuti muchepetse chiopsezo cha mankhwala ochititsa dzanzi.
  • Kukula kwa ma lymph node kumapangitsa kuti kusamba kukhale kovuta, ayenera kuchotsedwa kuti athandizire.

Mulimonsemo, ndikofunikira kupita kuchipatala chanyama kuti katswiri athe kudziwa mtundu wa chotupacho ndikusankha chithandizo chabwino.

Tsopano popeza mukudziwa zonse za chotupa cha perianal mu agalu, mwina mungakhale ndi chidwi ndi kanema yotsatirayi momwe mungasamalire galu kuti akhale ndi moyo wautali:

Nkhaniyi ndi yongofuna kudziwa zambiri, ku PeritoAnimal.com.br sitingathe kupereka chithandizo chamankhwala kapena mtundu uliwonse wa matenda. Tikukulangizani kuti mupite ndi chiweto chanu kuchipatala ngati chili ndi vuto lililonse.

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