Ukudlulela kwesibindi: unyango. metastases Isibindi: oonobangela, iimpawu kunye neempawu unyango

Isibindi - enye amalungu abalulekileyo omzimba indawo kwicala lasekunene isisu, ngaphantsi uvalo. Lukhuselwe yi ezimbanjeni. Isibindi ludlala indima ebalulekileyo kule nqubo yo- kudla kunye injeke kunye emathunjini. Eminye imisebenzi yayo engundoqo: detoxification, iiproteins kuyondelelaniswe, nokuveliswa biochemicals eziyimfuneko ukuze ukwetyisa.

Ibizwa ngokuba umzimba ikhuthaza inyongo secretion, imveliso protein, imfuneko igazi ekunqandeni, ukugcinwa glycogen, yokubola iiseli ezibomvu kunye acid. Isibindi naye othatha inxaxheba nethe carbohydrate, iiprotheni, amafutha kunye nemveliso hormone.

Kweli nqaku sijonga njani isifo somhlaza xa ilungu wathi udlula ngonyango. Metastases esibindini musa ukuvumela ukuba uqikelelo echanileyo mayela noko niya mabangabonakali kwakhona, yaye nayiphi na imeko isigulane kuya ebomini ukulawula imeko yabo bonana nogqirha.

Yintoni Ukudlulela

Umngcipheko ukuba umhlaza ziya kuthunyelwa esibindini, kuxhomekeke indawo ukwakhiwa ekuqaleni. Metastases - ithumba ukuba wayitwabulula, umzekelo, ukuya isibindi ukusuka kwenye indawo emzimbeni. Oku sluche zibizwa aphakamileyo umhlaza wesibindi. Ezingaqhelekanga lokuqala lwenzeka emzimbeni. Kodwa ukuba ithumba isusiwe, emva kweminyaka emininzi Ukudlulela kwakhona ndifumane esibindini.

Ukuba isigulane sele kufunyaniswe ukuba unomhlaza, kubalulekile ukwazi Imiqondiso ngqondweni indlela esiyiphatha ngayo. metastases Isibindi ifuna ukuba isigulane alandele-up yi yincutshe.

Inkqubo Ukudlulela

Kukho zigaba 6 ukuyilwa metastases. Asingabo bonke ezinezigulo alandelane naye, kodwa ke kwiimeko ezininzi, kunye nenkqubela:

1. iiseli Umhlaza ukuhambisa ukusuka kwindawo yokuqala ukuya kumalungu ezikufutshane okanye ephilile.
2. Metastases azamazama udonga imithambo nkovu kunye negazi.
3. iiseli Umhlaza ukuthutha ngenkqubo nkovu kunye egazini kwamanye amalungu omzimba.
4. Misa ihamba xa ukufikelela usukelo. Ke metastases ukuhamba ngapha emithanjeni (imithambo yegazi), iindonga angene ancedisana ezikufutshane.
5. iiseli umhlaza zikhula kwindawo ekude, kwaye ukudala nangezilonda ezincinane ekuthiwa micrometastasis.
6. Ngokuseka ukuba bavuselele ukudalwa iimpahla ezintsha yegazi kubonelela umoya kunye nezondlo eziyimfuneko ukuze ukukhula yamathumba amabi.

Ngenxa ezinye izizathu, nangezilonda ezininzi amabi, iyakhula kwesibindi

Le kwasendaweni yamathumba amabi, esibindini kubangelwa ikakhulu umhlaza esiswini kunye kuvuleke iminxunya. Kodwa ke amaxesha amaninzi ngenxa umhlaza wemiphunga njengoko eqalisiweyo metastases esibindini. Unyango (izimvo malunga kuyo mixed) uyalelwe hayi kuphela iimpawu kodwa izinto zabo.

ejikelezayo ingakumbi isibindi ukusebenza okulungileyo prityagaelnost enze ukuba iiseli amabi. Wonke therethrough imizuzu uthatha iilitha ezingaphezu 1.5 igazi. Le umzimba luhlobo embizeni nokucoca igazi izinto eziyityhefu.

iiseli kuwenza ezifakwe kwezo ndawo apho ukuhamba kwegazi lubanjwe kwisantya ephantsi. Ngokwalo mgaqo akhiwa futhi metastases zesibindi. umhlaza pancreatic, unyango apho, nangona ejoliswe kwi non-proliferation kwamanye amalungu, kusesemini, umzekelo, zingachaphazela wachaza umzimba, ingakumbi ukuba isifo sele sikwinqanaba lokugqibela.

kubonakaliswa ziimpawu zesifo

Ngelishwa, xa usaqala akukho zimpawu, nto leyo ukufumanisa ubukho bomhlaza. Kwizigaba ezilandelayo umhlaza wesibindi kungabangela ukuba ukudumba. Xa kusenzeka oku, uthi ugagane nezi mpawu zilandelayo:

• ukulahleka emnyama;
• komzimba;
• umchamo mnyama;
• nokuqunjelwa okanye flatulence;
• senyongo (yellowing ulusu nabamhlophe kwamehlo);
• intlungu nomlenze wasekunene;
• intlungu inxalenye ephezulu ekunene esiswini;
• isicaphucaphu;
• ukubila nomkhuhlane;
• angqubeke kwicala lasekunene isisu, ngezantsi kweembambo.

Testing and isifo

Ngexesha ukuhlolwa elibonakalayo, ugqirha wakho Basenokukrokrela umhlaza wesibindi. Ukuba elinye mpawu apha ngentla akangeniswanga ntoni isigulane kuya kufuneka uviwo ngakumbi ukuqinisekisa uxilongo.

1. Ixhomekeka kwinqanaba yabamakishi serum egazini. Phambi esi sifo kuba amanqanaba aphezulu alpha-fetoprotein (AFP). enzyme zesibindi badla eziphakamileyo.
2. Wenziwe CT esiswini. Olu luhlobo okhethekileyo X-ray ebonelela imifanekiso ebonwayo izicwili ezithambileyo, amalungu ngokweenkcukacha.
3. Ultrasound isibindi. Libizwa ngokuba echography. I-ultrasound adlulisele aqhelelkileyo amaza omsindo ngomzimba. Ezi amaza omsindo ukuvelisa i msindo, nto leyo ke isetyenziswe ukwenza imephu - umfanekiso ngekhompyutha umzimba kwizihlunu ezithambileyo.
4. intlokoma Magnetic umfanekiso (MRI) ivelisa imifanekiso ecacileyo kakhulu ngamalungu zangaphakathi.
5. Laparoscopy. Oogqirha basebenzisa ityhubhu emxinwa (laparoscope) Ngokukhanya kunye biopsy. Esi sixhobo esifakwa liqatywe encinane undithabathele yoviwo umbandela phantsi ngemicroscope. Laparoscopy - indlela inokuthenjwa loxilongo kancinane ezonakalisayo zomhlaza.

Ziziphi izinto ixhomekeke unyango

Ngethamsanqa, uphuhliso lobugcisa zonyango inikeza unyango olusebenzayo ngakumbi metastases kwesibindi, kananjalo unika ithemba kwizigulane. Okwangoku, kukho iindlela ezininzi asetyenziselwa ukunyanga umhlaza kuwenza.

Ngokuqhelekileyo, ukhetho yokungenelela unyango uya kuxhomekeka kubudala yomguli kunye nemeko ngokubanzi yempilo, ubukhulu, indawo kunye nenani yamathumba kuwenza, indawo ephambili umhlaza kunye neentlobo neoplasms kwimbali nomonde.

therapy oluCwangcisiweyo

unyango lwenkqubo umhlaza wesibindi Ukudlulela kwenzeka nge egazini. iindlela ezininzi ezisetyenziswa amayeza:

1. Chemotherapy: uhlobo unyango ukuba usebenzisa iziyobisi ukubulala iiseli zomhlaza.
2. BRM therapy: unyango esebenzisa omzimba athile, imiba ukukhula, okugonya. Ezi kwezithako zenzelwe ukuba kunyuswe okanye ukubuyisela amandla amajoni omzimba ukulwa umhlaza.
3. unyango ekujoliswe kuzo. Metastases esibindini etshabalele ngokusebenzisa iziyobisi kunye nezinye izinto ezifana izilwa monoclonal eyenziwe elebhu nesilungiselelwe ukubhaqa iiseli zomhlaza. Olu nyango lineziphumo ebezingalindelekanga ezimbalwa kunezinye iindlela.
4. Hormone therapy. Isetyenziswa ukwehlisa okanye ukunqanda ukukhula yamathumba ezithile.
5. unyango lendawo. Metastases esibindini zibhuqiwe abalibona, kuphela kwiindawo loklizatsii. Ingasetyenziswa kwi zigaba zokuqala zesi sifo.
6. Radiation therapy. Isebenzisa radiation ophezulu-amandla ukubulala iiseli umhlaza kunye nciphisa nangezilonda.
7. kokususa. Yinto enokwenzeka, ukuba kukho inani elincinane yamathumba amabi echaphazela kuphela inxalenye encinane esibindini.

Ukudlulela libhekisela ukunwenwa kwesifo somhlaza emzimbeni engundoqo. Unyango nayiphi na imilo kuxhomekeke ngama kokusasazeka iiseli ezimbi amalungu ezikude. Ukuba umhlaza kwanwenwa kwezinye iithishu, oku kunciphisa ipesenteji ukusinda nomonde.

Resection abane yokuziphatha kwalo

kwedatha yeenkcukacha-manani zibonisa ukuba izigulane ezinochaso umhlaza esiswini (wesibindi metastases), unyango oluchanekileyo kunye ngempumelelo, nakuba sele abane olihlwempu. Izinga ukusinda aba bantu, ngelishwa, nguye iphantsi. Ngaphantsi kwe-20% ezigulane emva konyango babe nethuba lokusinda iminyaka 3.

ukusebenza kwe resection of metastases zesibindi nangoku kuthathwa ukuba eqhelekileyo. Noko ke, zonyango ezingezo-steel musa ukufezekisa iziphumo ezanelisayo. Izigulane wayenyangwa, ukusinda udibaniso isusela ukusuka kwiinyanga 2.9 ukuya 11.8.

iimpawu Clinico-zophendlo lwezifo ezinxulumene kunye ALS umhlaza wesibindi metastases esiswini khange ziqwalaselwe ngokupheleleyo. Kunjalo, ubukho babo kule amalungu bubaluleke ngokwamanani into ezibi prognostic kwizigulane.

Emva resection ze isigulane kufuneka zibekwe phantsi kweliso oogqirha, kuba kubaluleke kakhulu ukuba enze uviwo ultrasound kwisisu ukuthintela nokwanda fluid kummandla lo msebenzi. Emva kokuba bekhululwe esibhedlele, ubophelelekile ukuba bahlolwe qho kwiinyanga ezintathu iminyaka emibini ukuze uphephe likakade.

unyango Folk (kwesibindi metastases)

iindlela ezingaqhelekanga ziyasetyenziswa kwakhona ukuphawula kwi unyango lomhlaza. Kodwa zisebenza kuphela nisaqala yophuhliso lwayo.

Into yokuqala ukubona isondlo esifanelekileyo. Kuba lula ekugxilwe ukuqaqamba kufuneka uyeke ukusebenzisa iimveliso eziyingozi. Ngale ndlela, Kakade ke, akunakwenzeka ukuba ukunyanga metastases zesibindi. amayeza esizwe Unyango iza kuxhasa kuphela imeko jikelele lulekani emikhuhlaneni ezinye iimpawu.

Ukuze uphephe izifo, adlulele kwisigaba esingapheliyo yophuhliso, sebenzisa eliphakathi ilandelayo: Cinga 100 g oats, yizalise 2500 ml amanzi abilayo, yongeza ml 150 intwana yobusi ulwelo yendalo. I-Bank kufuneka uvale wayifaka kuma kwindawo emnyama olufudumeleyo iiyure. Emva kokuba kudlule iiyure ezingama-24, uzibeke kwindawo ebandayo, ukuze singabi ziphekiwe UJIKA iindlela. Kufuneka athathe kabini ngemini emva kokutya iiveki ezi-6.

Ziqapheleni! Naziphi na iindlela non-zemveli, ukuba ukhetha ukusebenzisa, akayi ukunyanga metastases kwi esibindini. Unyango amayeza intsomi ayikwazi kwenziwe ngokuzimeleyo. Ekuqaleni, qhagamshelana nogqirha wakho.

Yintoni na le elingama

Ubude ubomi ukubandezeleka nomonde evela Ukudlulela isibindi ngokucacileyo kuxhomekeke xa nemvelo ene iinketho unyango athathiweyo. Ngokutsho kuphando zamanani,-10% kuphela izigulana ezichazwe ubomi iminyaka emi-5. Kodwa ekufumanekeni leengxaki kunye nexesha unyango uqalile unyaka-5 ukusinda ekuqaleni kuye kwaphawulwa kwi-40% yezigulane.

Isibindi abohlukeneyo kwandisa amathuba okusinda kuba ngaphezu kwe-80% kwaye iqinisekisa nokusinda 75% amatyala.