Swallow not the Chang great idea

The our country is an oesophagus cancer Gao Fa nation, annually new outbreak example share the world lately is taken bad a total amount for year of above half.There are 19 myriad peoples dying in an oesophagus cancer around annually, occupy the fourth of malignant tumor death.



The outbreak of oesophagus cancer is obviously low in distribute with crowd, Gao Fa Qu and low hair area oesophagus cancer outbreak rate differ several a hundredfolds with highest decuples.The our country is mainly distribute in river south, river north and mountain west which goes a mountain area too much to save, greatly don't the E Wan of mountain area hand over boundary region, basin in Sichuan and the northwest of the Chuan, Su of Jiangsu province north region, the Min Yue hands over boundary region and Kazakhstan clan in Xinjiang to live ground.



The occurrence of the oesophagus cancer is many factor consociation the result of the function.Because some region life narrow circumstances and food structure be not reasonable and cause to lack in the food necessary of various amino acidses and fatty acids, lack various vitamins, especially vitamin AN and pit Huang2 Su4.Because the Water and soil seriously runs off to cause to lack the occurrence of various little chemical element etc. nourishment factors and oesophagus cancer of the iron, selenium, Mu, zinc...etc. in residents' drinking and food germane.The second nitric An compound is the strong carcinogen which inducts an oesophagus cancer, but fungi, especially the vegetable pollution of Huang2 Qu Mei2 and oesophagus cancer occurrence be germane.In addition, a great deal of long-term smoking, alcohol, take a meal too quickly, the love eat too very hot, too rough food, the mouth cavity hygiene badly waits with oesophagus cancer of the occurrence also has a certain relation.The oesophagus cancer has obvious household to gather together phenomenon, but this kind of phenomenon be still lived together environment by the heredity and habitually cause, still without the hard conclusion.



The oesophagus cancer has very strong part to infringe upon ability, since can up and down spread, and then can wear deeply the oesophagus wall gradually and around organizes with structure.While confirm, the half above case tumor has already taken place an outside to invade, and gradually the scope be usually very extensive.The oesophagus is lymphoid to take care of a net also very abundant, each lymphoid tube the net communicate mutually, double to lead to flow, any oesophagus cancer all may transfer to the neck, Zong to separate or belly lymphoid knot.Lymphoid knot's transfer is an oesophagus cancer to most familiarly transfer part.Secondly is that the blood way transfer, with the lung, liver, bone transfer most for much see.



The oesophagus cancer takes place earlier period, general performance for swallow light degree Geng Zu feeling or swallow ache inside the oesophagus, after the breastbone secret pain, the stuffy bulge is unwell, while swallow foreign body inside the oesophagus.Along with the paroxysm development, appear to more and more aggravate of swallow a difficulty, vomit, keep on after sex breastbone ache with emaciated.The later period sufferer appears to take a meal a difficulty, even complete Geng Zu, drop water doesn't enter and lock the top of the bone lymphoid knot swollen big, voice hoarse, oesophagus bore hole, throw up blood, bad liquid quality, and transfer many symptoms which cause with complications.



The most in common use with simple the check method easily gone be an oesophagus to swallow barium to shoot a slice, this method canned observe oesophagus to glue a film pathological changes in early days, the focus part, length, the degree of Geng Zu, ulcerate size and depth, had no boring etc..Chest CT and MRI are advantageous to observing scope and the chest and belly lymphoid knot inside the chamber of the tumor invasion to transfer.Oesophagus' pulling net cytology or oesophagus mirror check is the necessary methods which confirms an oesophagus cancer.The oesophagus super voice inside the chamber is a kind of more practical check method which is a recent years to open an exhibition to get up.That method can more accurately judge the depth of tumor invasion and pour to flatteringly transfer a circumstance than the CT/MRI.There is data manifestation, infringe upon the judgment accuracy of depth as 85% among them, lymphoid knot in the district transfers the diagnosis accuracy as 79%.This is advantageous to a doctor to carry on an accurate cent to expect to the tumor with judgment can the surgical operation cut off.



Surgical operation treatment and project a treatment is two greatly main methods which cure an oesophagus cancer.Surgical operation, project the comprehensive treatment of many academicses, such as treatment and chemotherapy...etc. is currently to study more realm.



The former standpoint thinks that being located on the last oesophagus cancer head chooses simplicity to project a treatment, Be located on the next oesophagus cancer head to choose a surgical operation treatment, Be located on medium segment of the oesophagus cancer surgical operation treatment and simplicity project the curative effect likeness of treatment.In recent years, treatment oesophagus cancer of research a lot of, there is also bigger progress.Currently under the circumstance, concrete what kind of case choice what kind of treatment method, international top didn't°yet explicit of hard conclusion.



The surgical operation method mainly includes:It Be shelled to take off Shu, two wild and lymphoid close accounts to sweep Shu, three wild and lymphoid close accounts to sweep Shu by the oesophagus crack bore oesophagus.Moreover still is other to make use of the earlier period of opposite less an oesophagus cancer(oesophagus home position cancer) of inside mirror mucosa resection, chest mirror and television chest mirror surgical operation etc..



Though the surgical operation treatment of oesophagus cancer has already led the development for more than 100 years, the surgical operation complications and surgical operation death rate also has to descend, the exaltation of surgical operation curative effect be not obvious.More is that the earlier period case curative effect is more good, the later period's case curative effect is more bad.But total but speech, total surgical operation 5 year existence rate at 20% ～s of 30%.In recent years sweep Shu in three wild and lymphoid close accounts in Japan have already get extensively applied, and think to raise curative effect.But, most Europe and America etc. nation of the surgery expert think, three wild and lymphoid close accounts sweep Shu in addition to cent expect to be more accurate, the curative effect isn't shown a Zhao exaltation, and obviously increased surgical operation complications.So far didn't°yet have a persuasive, good and big religion the random cent set of the case experiment prove three wild clean up the advantage of surgical operation.



To later period can't the sufferer of the surgical operation and the sufferer of parts of earlier period, project a treatment have been main treatment method.Project the project of treatment traditional up has been follow to use a normal regulations partition project, curative effect badly, 5 year, existence rate only 10% be or so.Be close to more than 10 in the last yearses, the empress distance which replies the Dan university tumor hospital to open an exhibition accelerate super partition project of research certificate, that method treatment the later period oesophagus in the part cancer of 5 year, the existence rate raised 30% or so.Henceforth, there are several tumor hospitals in domestic carried on various similar researches, also got the result of likeness.Although the impatient reaction of this project is than the normal regulations partition put to treat greatly, mostly the ability be subjected to, expected to hurt and also don't see obvious increment behind.This be a result which makes the person encourage.



At the nations, such as the United States and Europe...etc., be close to more than 20 in the last yearses, carried on a great deal of emanation the treatment adds the clinical trial of chemotherapy in the meantime.Though greatly parts of cases is can't the medium later period case of surgical operation treatment, 5 year, the existence rate attains 25%.That project has already become the oesophagus scale of nations, such as the United States and Europe...etc. the non- surgical operation of the cancer to cure a standard project now.That project is:Put to treat to partition for the normal regulations, measures to 50 Gies;BE project a treatment beginning to namely accept 5 － FUs and DDP chemotherapy, (5, keep on drop to note for 96 hours, the 1st day of the DDP75 milligram/square meter;Put to treat a period every 4 weeks for one period, after putting to treat every 3 weeks is one period, total 4 periods).The key problem of that project BE, severity the impatient poisonous pair respond heavy, be up to 64%.But that method and surgical operation treatment compare, the advantage reserved oesophagus, but the empress expect the harm to don't see an obvious exaltation.



Heating a treatment inside oesophagus chamber is to cure an oesophagus cancer iner common use of a method, often lend support to while project treatment application.Heat a method to mainly adopt the oesophagus radio frequency or microwave inside the chamber two kinds of methods.Put to treat/put a chemotherapy for period, heat 1~2 times every week, every time 30~45 minutes, the temperature attains 43 ℃ .That method currently the problem of most BE, have no Sun to measure gentle and hot amount of to learn haven't been resolve.That method may be advantageous to an exaltation to put to treat of the bureau control a rate with/or existence rate, still have no explicit conclusion currently, but impatient reaction the Gao put to treat at the simplicity.



Above speak of of the emanation treatment outside project light upon.In addition put to treat inside close quarter chamber is also a kind which puts to treat.That method is also usually applied in the under medical treatment of oesophagus cancer.The characteristics is the surface amount of which projects a source is very high and sharply descend along with the distance increment amount of.The complement mainly applied after the earlier period case and the part relapsing a case to outside project light upon put to treat and appease a sex treatment case, generally not only only applied.



Other comprehensive treatment project, if projected a treatment before the Shu, projected the chemotherapy that the treatment added same period before the Shu, before the Shu after the chemotherapy, Shu chemotherapy, Shu behind prevent sex from project treatment etc., whether can obtain the result of exaltation curative effect, so far didn't°yet affirmative conclusion.



Place a support inside oesophagus is to temporarily resolve to take a meal Geng Zu, one of the method of nourishment problem improved sufferer's mouth cavity to take a meal and caused from here.But more sufferer the ache(particularly is a focus to be located on the last), support are slippery to take off, have fever after the breastbone produce to keep on after place support, the lung department infect, parts of sufferers cause the life is dangerous.Therefore need to strictly control an orientation certificate while place support, also should notice after place support to the control of tumor in the meantime and to the processing of complications.



In fine, in early days oesophagus cancer regardless surgical operation or put to treat, half above patients all may cure.But currently our country the oesophagus cancer confirm mostly is medium later period, these case regardless surgical operation, put to treat with many the academics is comprehensive treatment, the curative effect all doesn't give satisfaction.So, strengthen the publicity work of the oesophagus cancer section Pu, hard raise to early diagnose and early cure a rate is a problem worthy of value by us.