27岁的她每日放屁数十次，一查竟是直肠癌！我院专家提醒：1星期内2个青年人中招
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">事件回顾：</span></strong></span></p><span style="color: black;"><span style="color: black;">27岁的小敏(化名)是一名<span style="color: black;">机构</span>白领，<span style="color: black;">近期</span>不管她吃什么，总是屁<span style="color: black;">尤其</span>多，尤其是在电梯里面，弄得自己非常的尴尬。除了<span style="color: black;"><span style="color: black;">每日</span>放屁超过了15次，放屁很臭，还有腹泻、便秘交替等症状。去医院一查，竟得了直肠癌。</span></span></span><span style="color: black;"><strong style="color: blue;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/axwy7hXaFDEsCvkRwfkUqdneEbTswcjHq9ARZibJJPN78UhElW39EkjxVgcmTGX3Tx66iagZnFMvj39KibdtpycBQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></strong></span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">大夫</span>解释：</strong></span><span style="color: black;">在良好<span style="color: black;">膳食</span>习惯下，<span style="color: black;">食品</span>经过消化和吸收，<span style="color: black;">经过</span>小肠进入大肠后，蛋白质和脂肪残余是少量的，这些少量残余在肠道菌群的<span style="color: black;">功效</span>下还可继续合成人体必需的物质。</span><span style="color: black;"><span style="color: black;">然则</span>，<span style="color: black;">倘若</span>动物性蛋白质和脂肪的摄入量<span style="color: black;">增多</span>太多，超出了小肠消化吸收的能力，进入大肠的就<span style="color: black;">再也不</span>是少量残余了。在大肠这个“发酵罐”中，<span style="color: black;">太多</span>的营养物质会<span style="color: black;">引起</span>菌群失调，并将<span style="color: black;">哪些</span>富余的营养<span style="color: black;">海量</span>合成胺类物质，胺即致癌物。<strong style="color: blue;"><span style="color: black;">长时间</span>刺激，会<span style="color: black;">增多</span>肠道腺瘤性息肉的<span style="color: black;">出现</span>率；而腺瘤<span style="color: black;">成长</span>，<span style="color: black;">便是</span>肠癌！</strong></span><img src="https://mmbiz.qpic.cn/mmbiz_png/mMkYHuKib1rK9aX2BWLRfFqoOv3PtS3uJ58foE5nyNvcvMnCSBsNoHib13tCg63bcJc0zgCLL3smLW31GpHbqn4w/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">温医大附二院、育英儿童医院肛肠外科<span style="color: black;">专家</span>医师<strong style="color: blue;">王中林</strong></span><span style="color: black;">曾经在1周</span><span style="color: black;">内遇到两名37岁<span style="color: black;">青年</span>女性的直肠癌<span style="color: black;">病人</span>，所幸为<span style="color: black;">初期</span>大肠癌，均在全麻下行更加微创的“单孔加一孔”腹腔镜下直肠癌根治术，在手术后<span style="color: black;">病人</span>均<span style="color: black;">病痛</span>更轻、恢复更快，术后1周出院。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">大夫</span><span style="color: black;">认识</span>后才<span style="color: black;">晓得</span>，一例<span style="color: black;">病人</span>跟随丈夫<span style="color: black;">做生意</span>，为了应对高节奏的工作，<span style="color: black;">膳食</span>极不规律，除此之外，社交应酬多，<span style="color: black;">太多</span>食用高脂肪及腌制品等，这些不良的<span style="color: black;">膳食</span>、生活习惯才<span style="color: black;">最后</span><span style="color: black;">引起</span>肿瘤的<span style="color: black;">出现</span>，这次是得益于大便隐血阳性做肠镜筛查<span style="color: black;">发掘</span>。另一例<span style="color: black;">病人</span>有肿瘤家族史，这次因贫血做肠镜筛查<span style="color: black;">发掘</span>腺瘤癌变。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">结直肠癌越来越<span style="color: black;">青年</span>化</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">青年人直肠癌比例高</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">结直肠癌是<span style="color: black;">出现</span>于结直肠部位的消化道恶性肿瘤，是我国最<span style="color: black;">平常</span>的恶性肿瘤之一，好发于直肠与乙状结肠交界处，以中老年人群多发，</span><strong style="color: blue;"><span style="color: black;">近年来渐趋<span style="color: black;">青年</span>化。</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">我国结直肠癌与西方人相比有</span><strong style="color: blue;"><span style="color: black;">三个特点</span></strong><span style="color: black;">：</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">（1）</span><span style="color: black;"><strong style="color: blue;">直肠癌比结肠癌发病率高</strong>约1.2~1.5:1；</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">（2）中低位直肠癌所占直肠癌比例高，约为70%，<span style="color: black;">因此呢</span>大<span style="color: black;">都数</span>直肠癌可在直肠指检时触及；</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">（3）<strong style="color: blue;">青年人直肠癌比例高</strong>，约占12%-15%。上段直肠癌生物学<span style="color: black;">行径</span>与结肠癌<span style="color: black;">类似</span>，根治性切除术后总的5年<span style="color: black;">存活</span>率与结肠癌<span style="color: black;">亦</span>相近，为60%-80%，中低位直肠癌的5年<span style="color: black;">存活</span>率在40%<span style="color: black;">上下</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">结直肠癌半数以上来自腺瘤癌变，<span style="color: black;">通常</span>认为癌的<span style="color: black;">出现</span>发展是一个多<span style="color: black;">过程</span>、多<span style="color: black;">周期</span>及多基因参与的细胞遗传性<span style="color: black;">疾患</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">而要从肠息肉“成功”转变为肿瘤，</span><strong style="color: blue;"><span style="color: black;"><span style="color: black;">日前</span>的<span style="color: black;">科研</span>指出<span style="color: black;">通常</span>均<span style="color: black;">必须</span>5-10年的时间</span></strong><span style="color: black;">。<span style="color: black;">因此呢</span>这就</span><strong style="color: blue;"><span style="color: black;">给予了<span style="color: black;">咱们</span>充分的时间去防御</span></strong><span style="color: black;">，只要<span style="color: black;">经过</span>结肠镜<span style="color: black;">检测</span><span style="color: black;">初期</span><span style="color: black;">发掘</span>结直肠息肉，判断结直肠息肉的性质和有<span style="color: black;">没</span><span style="color: black;">初期</span>癌变，并<span style="color: black;">即时</span>进行肠镜下切除，就<span style="color: black;">能够</span>达到<span style="color: black;">初期</span>治疗的效果，<span style="color: black;">乃至</span>不<span style="color: black;">必须</span>手术。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/axwy7hXaFDGU8thGANTpdIDcCGQpXVQRn6icJ4ZpepRAWIZzzrWtI320Bn8siaMFU9SgRpIs5b1YEThp1wIscWaw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;"><strong style="color: blue;">结直肠癌<span style="color: black;">爱好</span>找<span style="color: black;">那些</span>人？</strong></span><span style="color: black;"><span style="color: black;">通常</span><span style="color: black;">状况</span>下，<strong style="color: blue;">肠癌症状非常隐蔽，极<span style="color: black;">初期</span>基本上<span style="color: black;">无</span>任何<span style="color: black;">反常</span></strong>，到了较<span style="color: black;">初期</span>和中期才可能会有较为<span style="color: black;">显著</span>的症状；<span style="color: black;">发展</span>期的症状才会<span style="color: black;">显著</span>和典型。</span><span style="color: black;"><span style="color: black;">因此</span>，当身体<span style="color: black;">显现</span>了这三种<span style="color: black;">反常</span>就小心了：</span><span style="color: black;"><strong style="color: blue;">1、便血</strong></span><span style="color: black;"><span style="color: black;">非常多</span>都有便血，大部分都是痔疮<span style="color: black;">引起</span>的，<span style="color: black;">然则</span>鲜红色的不<span style="color: black;">必定</span>全是痔疮，直肠癌<span style="color: black;">亦</span>会<span style="color: black;">显现</span>鲜血便；</span><span style="color: black;"><span style="color: black;">倘若</span>你大便是黑色或暗红色的，那就要小心了。</span><span style="color: black;"><strong style="color: blue;">2、腹部包块</strong></span><span style="color: black;">大<span style="color: black;">大概</span>半数的肠癌<span style="color: black;">病人</span>会<span style="color: black;">显现</span>腹部包块现象，这是肿瘤肠网膜及<span style="color: black;">周边</span>组织粘结<span style="color: black;">导致</span>的肿块，性质不规则，有<span style="color: black;">必定</span>的活动度，而在肠癌晚期<span style="color: black;">因为</span>肿瘤的浸润程度成高肿块可能会难以活动。</span><span style="color: black;"><strong style="color: blue;">3、腹痛、腹胀</strong></span><span style="color: black;"><span style="color: black;">初期</span>很少有这种现象，<span style="color: black;">通常</span>都是在中晚期，这<span style="color: black;">亦</span>是肠癌的信号之一，因肠道功能<span style="color: black;">错乱</span>，或肠道梗阻<span style="color: black;">引起</span>腹痛、腹胀，多集中在中下腹部，多为隐痛或胀痛，有渐渐加重的趋势。</span><span style="color: black;"><strong style="color: blue;">4、排便习惯改变及大便性状改变</strong></span><span style="color: black;"><span style="color: black;">例如</span>大便变细、变形、次数<span style="color: black;">增多</span>、粘液便、腹泻、便秘，或腹泻与便秘交替<span style="color: black;">显现</span>等。</span><span style="color: black;"><strong style="color: blue;">以下五类人群应<span style="color: black;">即时</span>做个结肠镜筛查：</strong></span><span style="color: black;">1. 年龄大于50岁的人群。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2. 既往有大肠息肉、大肠癌、血吸虫病、克罗恩病或溃疡性结肠炎等病史者。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3. 家族成员中有大肠息肉和大肠癌病史者。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">4. <span style="color: black;">长时间</span>高蛋白高脂肪<span style="color: black;">膳食</span>和<span style="color: black;">长时间</span>酗酒者。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">5. 有大肠癌的可疑表现者：有便血、黑便或<span style="color: black;">长时间</span>大便潜血<span style="color: black;">实验</span>阳性者；大便有粘液、脓血者；大便次数多、不成形或腹泻者；近期<span style="color: black;">显现</span>的排便困难<span style="color: black;">或</span>大便不规律者；大便变细变形者；<span style="color: black;">长时间</span>腹痛、腹胀者；不明<span style="color: black;">原由</span>的体重减轻、消瘦者；不明<span style="color: black;">原由</span>的贫血者；不明<span style="color: black;">原由</span>的腹部包块者；不明<span style="color: black;">原由</span>的CEA<span style="color: black;">上升</span>者；<span style="color: black;">长时间</span>便秘久治不愈者；慢性结肠炎久治不愈者。</span></p><span style="color: black;"><strong style="color: blue;"><span style="color: black;">怎样</span>进行<span style="color: black;">初期</span>结直肠癌筛查?</strong></span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/axwy7hXaFDGU8thGANTpdIDcCGQpXVQRnYkZPHy9WgzKvDafVUwEVibhdySAZmFWIBbTqYK1ribdhDSaHgv3flTw/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;">《中国结直肠癌筛查与早诊早治指南》对<span style="color: black;">通常</span>人的筛查年龄提出<span style="color: black;">意见</span>，<span style="color: black;">举荐</span><span style="color: black;">通常</span>人群</span><span style="color: black;">40</span><span style="color: black;">岁起，接受结直肠癌<span style="color: black;">危害</span><span style="color: black;">评定</span>；</span><span style="color: black;"><span style="color: black;">举荐</span><span style="color: black;">评定</span>为中低<span style="color: black;">危害</span>的人群在</span><span style="color: black;">50</span><span style="color: black;">～</span><span style="color: black;">75</span><span style="color: black;">岁，接受结直肠癌筛查；</span><span style="color: black;"><span style="color: black;">举荐</span><span style="color: black;">评定</span>结果为高<span style="color: black;">危害</span>的人群在</span><span style="color: black;">40</span><span style="color: black;">～</span><span style="color: black;">75</span><span style="color: black;">岁，接受结直肠癌筛查。</span><span style="color: black;">如</span><span style="color: black;">1</span><span style="color: black;">个及以上一级亲属<span style="color: black;">病患</span>结直肠癌，<span style="color: black;">举荐</span>接受结直肠癌筛查的<span style="color: black;">初始</span>年</span><span style="color: black;">龄为</span><span style="color: black;">40</span><span style="color: black;">岁或比一级亲属中最<span style="color: black;">青年</span><span style="color: black;">病人</span>提前</span><span style="color: black;">10</span><span style="color: black;">岁。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">按照</span>美国NCCN<span style="color: black;">颁布</span>的大肠癌筛查指南，<span style="color: black;">通常</span>人群的筛查<span style="color: black;">方法</span>有以下几种：</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">（1）50岁以上人群每年<span style="color: black;">检测</span>1次粪便隐血，阳性者行结肠镜<span style="color: black;">检测</span>；</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">（2）每年查1次粪便隐血+每5年做1次结肠镜。 </span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">（3）肠癌的高危人群（40岁以上男性、<span style="color: black;">肥壮</span>、有家族性多发肠息肉<span style="color: black;">病人</span>、溃疡性结肠炎）<span style="color: black;">病人</span>，这些人群<span style="color: black;">必定</span>要接受<span style="color: black;">定时</span>的肠镜<span style="color: black;">检测</span>，做到早<span style="color: black;">发掘</span>和早治疗。</span></p><strong style="color: blue;">在生活中该<span style="color: black;">怎样</span>预防肠癌?</strong>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/axwy7hXaFDGU8thGANTpdIDcCGQpXVQRWJ9icAkEpFW9cO8Tia1IdoPicfoOknVFIG5wET2Hp6f45hrOOUYziaXcQQ/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;"><strong style="color: blue;"><span style="color: black;">1、</span>运动</strong></span><strong style="color: blue;"><span style="color: black;">1、<span style="color: black;">每日</span>走路半小时</span></strong><span style="color: black;">医学的一项<span style="color: black;">科研</span><span style="color: black;">显示</span>，只要<span style="color: black;">每日</span>走路半小时，就能将患肠癌的<span style="color: black;">危害</span>降低二倍多。这是<span style="color: black;">由于</span><span style="color: black;">咱们</span>运动会<span style="color: black;">引起</span>胃肠道蠕动加快，减少<span style="color: black;">食品</span>在肠道中停留的时间过长，不仅有效预防大肠癌，还能<span style="color: black;">加强</span>身体的免疫能力!</span><strong style="color: blue;"><span style="color: black;">2、坚持有氧运动</span></strong><span style="color: black;">适量的运动，可促进肠道蠕动，改善便秘，促进毒素排出。《英国癌症杂志》刊登美国一项新<span style="color: black;">科研</span><span style="color: black;">发掘</span>，经常<span style="color: black;">熬炼</span><span style="color: black;">能够</span><span style="color: black;">明显</span>降低肠癌危险。<span style="color: black;">每日</span>运动40分钟就<span style="color: black;">能够</span>使容易癌变的肠道息肉减少1/4。</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">2、</span><span style="color: black;">膳食</span></strong></span><strong style="color: blue;"><span style="color: black;">1、多喝水</span></strong><span style="color: black;">平常多喝水有利于肠道的冲洗，将有毒物质排出。并且<span style="color: black;">能够</span>减少便秘的<span style="color: black;">出现</span>。</span><img src="https://mmbiz.qpic.cn/mmbiz_jpg/YicoE6kgOo4dytbpTRaM3VfhkHic8u2QvDU6ok6vYHzpFOibW2gbP4HPMw4y9tj9veLwOkV9nBXjP3G9Dlylu4ekg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"><strong style="color: blue;"><span style="color: black;">2、多吃粗粮</span></strong><span style="color: black;">大肠内有许多有害细菌，<span style="color: black;">倘若</span>这些细菌在肠道内停留时间越长，就越容易<span style="color: black;">导致</span>大肠的感染。多吃粗粮能够让大肠蠕动速度加快，加速有害物质排出体外，<span style="color: black;">同期</span>粗粮含有的营养素丰富，有利于<span style="color: black;">加强</span>机体免疫力，抵抗大肠癌。</span><strong style="color: blue;"><span style="color: black;">3、远离三高一低的<span style="color: black;">食品</span></span></strong><span style="color: black;">高脂肪、高蛋白、高热量、低纤维素，即“三高一低”。</span><span style="color: black;">“三高一低”的<span style="color: black;">膳食</span>结构会减缓肠道蠕动，延长<span style="color: black;">食品</span>滞留时间，<span style="color: black;">增多</span>了致癌物与肠道接触的机会，从而<span style="color: black;">增多</span>了患大肠癌<span style="color: black;">危害</span>。</span><strong style="color: blue;"><span style="color: black;">4、<span style="color: black;">瘦身</span>和戒掉烟酒<span style="color: black;">爱好</span></span></strong><span style="color: black;"><span style="color: black;">肥壮</span>是大肠癌高危<span style="color: black;">原因</span>，烟酒的<span style="color: black;">害处</span>自不必多言，几乎对人<span style="color: black;">无</span>任何好处！</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">源自</span> |<span style="color: black;">肛肠外科 王中林</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">编辑 | 宣传统战处 占亚妮</span></p>
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期待楼主的下一次分享！” 你的见解独到，让我受益匪浅，期待更多交流。 感谢你的精彩评论，为我的思绪打开了新的窗口。 我们有着相似的经历，你的感受我深有体会。
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