Perianal Tumor i nā ʻīlio - Nā ʻōuli a me ka mālama ʻana

Mea Kākau: Peter Berry
Lā O Ka Hana: 14 Iulai 2021
HōʻAno Hou I Ka Lā: 14 Nowemapa 2024
Anonim
The EXCRUCIATING Anatomy of Bowel Obstructions
Wikiō: The EXCRUCIATING Anatomy of Bowel Obstructions

Anter

ʻO nā tumors i ka perianal o nā ʻīlio hiki ke lilo i pinepine pinepine, ʻo ka hapa nui o ʻekolu ʻano: he benign, i kapa ʻia perianal adenoma, pili nui i nā pēpē kāne unneutered; a ʻelua mau mea ʻino, anal sac adenocarcinoma a me perianal adenocarcinoma, me kahi kiʻekiʻe o ka metastasis a me paraneoplastic syndrome me hypercalcemia.

ʻO nā hōʻailona pili pili ka mea i loaʻa mai ka ulu ʻana o kahi nui i kahi wahi maʻalahi o nā ʻīlio, kahi e hoʻomaka ai e palu, e kolo a pilikino iā ia iho, e hoʻokahe ana i ke kahe, ka ʻeha, ka hōʻoluʻolu ʻole a me nā maʻi ʻelua a ʻo ia hoʻi ka maʻi fiva. fistula. Hana ʻia ka diagnose me ka cytology a me ka biopsy a he lāʻau ʻoki kino a lāʻau lapaʻau hoʻi. I kēia ʻatikala na PeritoAnimal, hōʻike mākou i ke kumuhana o perianal tumor i nā ʻīlio, kāna mau ʻōuli a me ka mālama ʻana.


Nā ʻano o nā Tumuna Perianal i nā ʻīlio

I ka moku perianal, e hoʻonui ana ma waena o ka ihu o ka ʻīlio a me nā genitalia, hiki ke hana i nā pathologies e like me nā tumors. He mea nui loa ia loko a hoʻoulu wai, no laila ke ʻeha a me ka noʻonoʻo ke kiʻekiʻe loa ka lawelawe ʻana.

Ma kahi o ka anus, ʻike mākou ʻelua kūkulu:

  • ʻeke ʻeke: Kahuli fundus diverticula ma kēlā me kēia ʻaoʻao o ke anus, ma waena o nā sphincters anal kūwaho a me loko. ʻO kāna hana e hōʻiliʻili i kahi wai viscous, serous a pilau i synthesize ʻia e nā gland o loko a hoʻopau maoli ʻia i ka wā o ka defecation o nā ʻīlio. He mea pono ia i ka ʻike ma waena o nā ʻīlio, a hoʻokuʻu ʻia i nā hanana pilikia.
  • kelepaʻi perianal: Ua kapa ʻia hoʻi nā gland o ka circumanal a i ʻole hepatoid, i loaʻa i nā mea loaʻa homone (androgens, estrogens, a me ka ulu uluone). Aia lākou i loko o ka ʻāpana subcutaneous e hoʻopuni ana i ka ihu o ka ʻīlio. ʻO kēia mau glands sebaceous ʻaʻole hūnā i ka ʻike.

E ʻike ʻia paha kekahi mau mea ʻano o nā tumors ma ka wahi perineal, ʻo kēia ka mea maʻamau:


  • perianal adenoma: aia kahi nuipaʻa ma ke kumu o ka huelo a i ʻole ka mahele perianal, me ka ulu holomua a me ka ʻeha ʻole. I kekahi manawa hiki iā ia ke ulcerate. Kū pinepine pinepine ia i nā kāne kāne ʻole a hewa ʻole, ʻo ia ka nui o nā tumo i loko o lākou. Eia nō naʻe, ʻike ʻia ia i nā wahine, keu hoʻi i nā mea sterilized. He hana maikaʻi.
  • Perianal adenocarcinoma: he tumo pū kekahi o nā galani perianal me nā ʻano like me ka mea ma mua, akā ʻino a no laila ʻoi loa ka hakakā. Hiki iā ia ke hana i nā ʻīlio o nā makahiki a me nā kāne.
  • Adenocarcinoma ʻeke ʻeke: ʻo ia ka tumo maʻamau o nā wahine wahine sterilized a unsterilized a i nā ʻīlio ʻōpio. Hiki i ka hypercalcemia (hoʻonui ka calcium i ke koko) i kēia tumo.

Hoʻomaopopo ʻia aia kekahi predisposition lāhui i ka ulu ʻana o nā tumo perianal, ʻoi aku ka pinepine i nā ʻīlio o nā ʻano aʻe:


  • ʻO Cocker Spaniel.
  • Fox Terrier.
  • Nā hānau o ko Nordic kumu.
  • Nā hua nui, i pili pū ʻia me ka tumo testicular.

Nā maʻi tumo Perianal i nā ʻīlio

I nā hihia o perianal adenoma, ʻaʻole hōʻike nā pēpē i ka ʻeha a i ʻole nā ​​hōʻailona pili. I ka hala ʻana o ka manawa, a inā lilo lākou i maʻi, hiki iā lākou ke hoʻomohala fiva, malaise a me anorexia. Inā nui ka nui, hiki iā lākou ke ʻike i ka pale ʻana i ka colorectal a me ka ʻeha perineal, kahi e hana ai i ka defecation kahi hana paʻakikī a ʻeha hoʻi no ka ʻīlio.

ʻO ʻoe perianal adenocarcinomas ʻoi aku ka hakakā a hōʻike paha i nā hōʻailona hōʻailona e like me ka nele o ka makemake, ka ʻeha a me ka lethargy. Hiki iā lākou ke hana i ka hypercalcemia ma ke ʻāpana o ka paraneoplastic syndrome (kahi o nā ʻōuli e pili ana i nā tumors), a me nā hōʻailona maʻi i loaʻa mai i ka poino i hoʻokumu ʻia e kēia hoʻonui ʻia ʻana o ka calcium i ka pae o nā puʻupaʻa, e like me ka polyuria / polydipsia syndrome (mimiki a me ka inu ma mua o ka maʻamau).

Hiki i kēia paraneoplastic syndrome ke kū i loko anal sac adenocarcinomas, akā emi pinepine (ma kahi o 25% -50% o nā ʻīlio).

I ka hōʻuluʻulu manaʻo, i nā hihia o nā tumo perianal, hiki i nā ʻīlio ke hōʻike i ka ka hope o nā ʻōuli:

  • ʻEha Perianal.
  • ʻAla maikaʻi ʻole ma ka ʻāina perianal.
  • Nā liki koi i kēlā wahi.
  • Kahe mai ka maʻi ʻōpū.
  • E kauō ana i ka hope o ke kino.
  • Ulceration.
  • Nā maʻi ʻelua.
  • Mākaʻu anal.
  • ʻAnorexia.
  • Poliuria.
  • Pololika.
  • Lethargy.
  • Apathy.
  • Fiva.
  • Fistula.
  • Ka nele i ka makemake.
  • Kaumaha emi.
  • Pāpale kala.
  • Konipōpō.
  • Hematochezia (ke koko i ka noho.
  • ʻEha ke defecating (dischesia).
  • Ka paʻakikī defecating (tenesmus).

He hiki i kēia mau tumors ke hana nui no ka metastasis, komo mua i nā lymph node āpana (inguinal a pelvic) a, ma hope, nā ʻāpana kūloko.

ʻIke o ka tumora perianal i nā ʻīlio

Ina i kuhi ʻia kahi tumo malignant i ka ʻīlio, nā ʻenehana o kiʻi diagnostic pono lākou e hoʻohana e nānā i nā metastases, ʻoiai ma kahi o 50% a 80% o nā hihia o nā tumo perianal aia nā metastases i ka manawa o ka diagnostics. ʻO nā ʻenehana i hoʻohana ʻia i ka ultrasound ʻōpū, e nānā ai i nā lymph node a me nā mea ʻē aʻe e like me nā puʻupaʻa a me ke akepaʻa, a me nā radiography, i hoʻohana ʻia e ʻike ai i nā ʻōpala, ʻo ia hoʻi nā akemāmā.

Ma ka hoʻāʻo koko hiki ke nānā pono i ka hypercalcemia a me nā hōʻino puʻupaʻa i nā hihia adenocarcinomas.

ʻO ka lāʻau lapaʻau Canine perianal tumor

ʻO ka mālama ʻana i nā tumo perianal i nā ʻīlio ka wehe ʻoki kino. Eia nō naʻe, kaukaʻi ʻia i ke ʻano o ka tumo a me ke alo a i ʻole ʻole o nā metastases, hiki ke loli ke ʻano o ka mālama ʻana.

  • I ka hihia o perianal adenomas, no ka mea pili loa lākou i nā hormoni o nā kāne kāne ʻole, pono e hoʻokō i ka hoʻowahāwahā ʻia e hoʻemi i ka makaʻu o nā hanana hou e hiki mai ana, kahi e hāʻule ai 90%.
  • Ke loaʻa nā metastases a i ʻole he ʻinoʻino nā ʻōpala, pono e hana i ka unuhi piha me nā ʻaoʻao ʻoki a hoʻomau ʻia ka mālama ʻana. chemotherapy a me radiotherapy.
  • I nā kūlana o ka hōʻino ʻana i ka hana renal a me ka hypercalcemia, kahi mālama pilikino me ka hoʻowalewale waiā a me nā lāʻau ma mua o ke kaha ʻana e hōʻemi i ka makaʻu anesthetic.
  • Ke paʻakikī ka nui o nā lymph node i ka hoʻohaʻahaʻa, pono lākou e hemo e hoʻomaʻalahi i ke kaʻina.

I nā kūlana ʻelua, pono e hele i ka hale lāʻau lāʻau i hiki i kahi loea ke kuhikuhi i ke ʻano o ka tumo a hoʻoholo i ka lāʻau maikaʻi loa.

I kēia manawa ua ʻike ʻoe i nā mea āpau e pili ana i ka tumo perianal i nā ʻīlio, hoihoi paha ʻoe i ka wikiō aʻe e pili ana i ka mālama ʻana i kahi ʻīlio i ʻoi aku kona ola.

ʻO kēia ʻatikala no ka ʻike wale nō, ma PeritoAnimal.com.br ʻaʻole hiki iā mākou ke kuhikuhi i nā lāʻau lapaʻau lāʻau a hana paha i kekahi ʻano o ke kuhi. Paipai mākou iā ʻoe e lawe i kāu pipi i ka kauka holoholona inā loaʻa kekahi ʻano o ke ʻano a ʻoluʻolu ʻole paha.

Inā makemake ʻoe e heluhelu hou aku i nā ʻatikala e like me Perianal Tumor i nā ʻīlio - Nā ʻōuli a me ka mālama ʻana, paipai mākou iā ʻoe e komo i kā mākou ʻāpana pilikia olakino ʻē aʻe.