Yintoni unyango adjuvant?

unyango Adjuvant yamathumba angendawo yindlela mihla ukunyanga yamathumba kusetyenziswe ubugcisa eziphakamileyo. Emzimbeni womntu, kunye neziyobisi ezithile zilawulwa into - arhente antineoplastic leyo ebonisa umsebenzi antitumor.

iziyobisi Chemotherapeutic kungaba yingozi likhula ngokukhawuleza iiseli amabi. On ngotyetyiso iiseli umzimba usempilweni yabantu ukuvelisa isiphumo ngaphantsi amayeza umonakalo.

Ukwahlukana kusuka pharmacotherapy

Umahluko esisiseko amanga neqiniso ukuba unyango arhente zonyango waphawula ezimbini-nxaxheba - iyeza kunye umzimba womntu ofuna impiliso. therapy Adjuvant lubandakanya unyango umntu arhente chemotherapeutic, omnye umkhosi ithumba ephilayo kutshatyalaliswa kunye Clone iiseli yingozi, isilinganiso ungquzulwano ezintathu macala.

Ubuhlobo oluntsonkothileyo amacandelo amathathu kule nkqubo yonyango inexabiso esinzima. Xa ukhetha indlela unyango, ugqirha iya kuthathela ingqalelo imo yomzimba yesigulane, ubudala, iqondo lwangaphakathi inxaxheba omzimba afunyenwe ngenxa yezizathu ezahlukeneyo. Ingcaphephe ubhatala ingqalelo kwiimpawu ngokobugcisa nethumba, cytogenetics zayo uhlobo omzimba kunye nentshukumo entshukumo kwintlakazo metastases.

Ukuthelekisa idatha yesaveyi, lo somdlavuza yenza isigqibo malunga ukukwazi ukudlulisela inkqubo yonyango nomonde. Adjuvant therapy chemistry izigulane wabelwa ukuba ithuba ukulwa ithumba iindlela esingasebenziyo, okanye isetyenziswe njengento postoperative indlela olongezelelweyo.

Imisebenzi eyabelwe unyango

Unyango Adjuvant yindlela unyango ngokupheleleyo ishenxisa, okanye uyalibulala umhlaza abangaphangeliyo kakhulu Ukudlulela silwe iiseli Clone ngexesha ukuvelisa isiphumo kangako umonakalo emzimbeni womntu.

Xa umhlaza chemotherapy akuthethi ukutshintsha Pathogenesis of yobubi, umz, iyantlukwano iiseli ndlongondlongo nokuguqula bawabuyisele eqhelekileyo lungenzeki. amayeza oluqhelekileyo eyaziwa unyango utshintsho hormone alungise amanzi ayo.

Uphuhliso mechanism sanogenesis zendalo kukwanceda adjuvant unyango. Kuthetha ntoni oku ukuthini? inkqubo yokuzikhusela Natural nxamnye iiseli ithumba ukubandezeleka okukhulu ichemotherapy, ziyonakala iindlela omzimba omnye umntu. Isenzo kungenxa luphuhliso olukhawulezayo iiseli zokuzikhusela, ezo idosi yingozi isiXhosa kancinci koloni amabi.

Kwindlela eqhelekileyo yokusebenza umzimba kunye nokuphucula ngobuhle bayo kwenzeka njengoko wabona yesibini emva kokutshatyalaliswa ithumba okanye ezibalulekileyo linyuke ukukhula kwayo, ukuba ngaba yingozi kwenye izibilini.

Ukuboniswa kwezinto umhlaza kunye nezinye izifo

Chemical hayi nje kuphela ngenxa yokwaphuka yamathumba, kodwa enze iintlobo ezahlukeneyo zamangenelela, ezifana nomngundo, iintsholongwane, isifo sephepha, zintwala olwaye lwamfimfitha, helminths. unyango Adjuvant of ekumfimfitheni ukhetha iziko intshabalalo: ezingeyonzalelwane yalapha kwi obubonakala nokomzimba kwaye zengqo- omzimba yabantu igciwane, emi leri esezantsi yendaleko.

Ukukhululeka zintwala okunjalo kwenzeka ekhuselekileyo abantu, ukususela ukutshatyalaliswa sisidleleli usebenzisa iimpawu yokucolwa ye-arhente ezosulelayo, yaye amalungiselelo iseli abantu babe phantse akukho isiphumo. Umzekelo ukuvaleka izihlunu zomzimba iziyobisi impethu anthelmintics: ezimfimfitha esingaxomezelelwanga eludongeni emathunjini kwaye uyaphuma iingqatha. Kwi kwizihlunu wamathumbu amayeza abanawo nesiphumo esebenzayo.

Xa iikhemikhali unyango antineoplastic ezikhethiweyo impembelelo into iiseli ithumba silwe aye wakwazi ukubaleka kulawulo immune ephilayo. Baba ngumhlaza, kodwa ekuqaleni iiseli zomzimba womntu ngokwakhe.

Ukuntsonkotha unyango ithumba

Enyanisweni, akunakwenzeka ukuba kuphela kwiiseli umhlaza ngaphandle kokuchaphazela ngokwahlula ngokukhawuleza izicwili sempilweni komzimba. Ezi ziquka omzimba, isikhumba epithelium, iinwele kunye nezikhonkwane. Iwela phantsi iziphumo eziyingozi na isifo, emathunjini, umphunga, uqhoqhoqho, bronchi, inkqubo esiswini womchamo. Kwezinye iimeko, idosi ityhefu kukuba, kukho iingxaki kunye neziphumo ebezingalindelekanga, ziyabulala.

Ngeziphumo eziyingozi emzimbeni xa kuthelekiswa machiza anthelmintic ikhokelela unyango adjuvant. Kuthetha ukuthini ukuba umntu? Izinto ezibangela ithumba ophezulu chemotherapy zinetyhefu kwisigulana akavumeli isondlo esivakalayo kwimeko yakhe ethile i ithamo iziyobisi olusebenzayo. Inani leeseshoni chemistry na ethandabuzekayo kwezinye iimeko, ngenxa kubunzima ngohlobo akwamkelekanga ubungozi kunye imiphumela ziyabulala.

Ngenxa esisondele ku-100% umngcipheko olubulala lwezifo yendalo oncological, ngenxa yokungabikho izisombululo ezizezinye unyango ngamachiza, namhlanje kwabanjwa iiseshoni kunye umngcipheko ngokonakala yempilo yesigulane, ezijolise kwalo.

Yintoni adjuvant unyango radiation yaziwa ukuba izigulane ezininzi umhlaza, kodwa enze uqhaqho okanye radiation kwezinye iimeko akunakwenzeka ngenxa ukungahoywa ithumba imbonakalo kwaye ziphuhliswe ngokobutyebi metastases. Kwiimeko ezinjalo, igama lokugqibela lixhomekeke kuphela ichemotherapy.

Iimpawu kunye Izimo kusetyenziso ichemotherapy in umhlaza webele

Unyango Adjuvant umhlaza webele kukusetyenziswa kweziyobisi anticancer kunye cytostatics. Isigulane kumiselwe ngohlobo dropper, izitofu efakwa okanye iipilisi. Chemotherapy libhekisela amayeza ezicwangcisiweyo, njengoko cytostatics, bangene ke ngaphakathi, ukunqanda ukukhula iiseli umhlaza hayi kuphela umbutho ochaphazelekayo, kodwa kuwo wonke umzimba.

Chemistry kubonisa ukuba ukuvela yamathumba amabi, kuloo mmandla thoracic. Isigqibo malunga ukhetho lonyango kwabasetyhini abachatshazelwa izifundo ezininzi. Iimpawu ze iiseli umhlaza, echaphazela ukhetho iziyobisi inqanaba yazo yophuhliso, ubukhulu kunye izinga lokukhula. Kaloku umzimba isigulane idlala indima ubudala, indawo zemfundo ukuphazamiseka hormone.

therapy umhlaza webele Adjuvant lineqela Izimo:

• izifo ithumba enama-oxhomekeke abafazi emva kweminyaka koku-;
• kwabasetyhini abancinane kunye enama-oxhomekeke iintlobo zomhlaza, ukuba une amanqanaba asezantsi dlala kunye estrogen.

Ikhosi kweekhemikhali zonyango

amayeza onyango zisendaweni ikhosi indawo ebalulekileyo kwinkqubo ukubatshabalalisa thumba. Kuxhomekeka kubunzima emiselweyo utyando okanye zokukhanya. Imijikelo eyenziwa unyango adjuvant. Yintoni na? Umjikelo lixesha ukusetyenziswa kweziyobisi a. Inani imijikelo kuxhomekeke kwimeko ephilayo, kunye nezinye izinto. Ikhosi Standard iqulathe ukusuka kophindo-4 ukuya kwelesi-7.

Emva kokususa nethumba lisetyenziswa iikhemikhali unyango umbala ukuthintela, kunokwenzeka yobubi, kunye nokuthintela likakade. Zazi ukubaluleka unyango ithumba nzima - ukusebenza kwayo saphawula phambi nasemva kotyando.

wenza njani ichemotherapy scheme ibele? Ngenxa unyango siyitshabalalise zonke iintlobo iiseli umhlaza kummandla lwebele. Ifuthe ukuqeshwa amachiza eziliqela umelwe kukuthi ande, kodwa inqanaba yokungakhuseleki yokuba umntu ukuyisusa ngaphandle nokoyikiswa yempilo enkenenkene. Ngaphezu koko, ukuhlolisisa iimpawu zebhayoloji yamathumba, ugqirha ubeka la machiza, apho akukho iiseli likhoboka ndlongondlongo.

iziyobisi Alkaliruyuschie fanele kuluhlu amachiza ezikhuthaza ukuchacha. Emzimbeni, ziyafana radiation. Iziyobisi kutshabalalisa neeproteni ezilawula imfuza iiseli zomhlaza. Zixhaphakile arhente wemichiza kolu ngcelele "cyclophosphamide".

Antimetabolites yafakwa kwinkqubo yemfuza iseli ndlongondlongo. isenzo iyingozi iqala inkqubo kwisahlulo yeseli ekhokelela ekufeni kwalo. Abamele gemzer ze-fluorouracil 5. Ngaloo ndlela yaye isicelo unyango adjuvant. Xa iintlungu syndrome emiselweyo arhente iintlungu "Seduxen", "Carbamazepine", "Phenytoin".

Antibiotics yonyango yamathumba amabi, musa ukukhangela njenge amachiza standard nezinyangayo. isenzo lwabo luxhomekeke inhibition ngokupheleleyo weseli ukuzala. "Adriamycin" nodibaniso 'Cytoxan "kuba nemiphumo emihle.

unyango Adjuvant imelanoma

Wolusu ngumhlaza eziqhelekileyo ibonisa nefuthe elibonakalayo apha esikhumbeni. Metastases ukusuka wolusu ziyazibhaqekela ngokusebenzisa x-reyi MRI, PET, ultrasound akafumana fotoakkustikoy. Isetyenziswa ukunyanga iindlela ezahlukeneyo unyango ngamachiza, immunotherapy, sebenzisa interferon, iindawo ezahlukeneyo anyangwe perfusion yasekuhlaleni.

Wolusu kunzima ukunyanga, izazinzulu njalo sisebenzela ukuba ukuphuhlisa amachiza amatsha. Ukususela kumaxesha ngamaxesha kwi kwishishini loxubo Sikhuthaza ngeziphumo. Ngamanye amaxesha abonisa impumelelo unyango, kodwa anqongophele. Enye yezi amachiza amatsha yi "IL-2". Kunye bayiphumeza eliqhubayo lokuhlanganisa noxolelo, kukho isahlakalo engaqhelekanga likakade.

Enye indlela ephumelelayo ezinkulu OncoVEX GM-CSF - iindlela zale mihla unyango ngamachiza zovavanyo. Le ichiza kwisigaba sesithathu eyiyo yolingo lwezonyango.

Unyango zomhlaza isikali

Kwiminyaka yakutshanje, uphando entsimini unyango lomhlaza colorectal nemihlali ngempumelelo ivuliwe. Eli linani leempumelelo xa usebenzisa ubuchule ngotyando ukususa ngamathumba kwi amanyathelo-2 no-3 kukhokelela oko liya kusetyenziswa unyango adjuvant zomhlaza wamathumbu. Ucwaningo lubonisa impumelelo ukuhlanganiswa radiotherapy usebenzisa arhente imichiza 5-fluorouracil.

Isicelo xa kusenziwa ugqirha iindlela ngqo lokufumana nangezilonda kunye nokuphanda indalo yayo, ivumela unyango ipreoperative ngaphandle sesichengeni okokuqala, ekufumanekeni lokusekwa kwinqanaba lokuqala zesi sifo. Kweentsholongwane khemikhali landa kakhulu izehlo kulondolozwe sphincter postoperative kunye nezigulo yehlise.

Kuba ukuncitshiswa ukuphinda kunye nonyango ngaphandle ukwanda kumatyala zokusweleka zaphuhliswa unyango postoperative phambi nakwezo imichiza. Xa unyango lwe sigaba ngqo phakathi kwekhadi ezantsi colon adenocarcinoma, sebenzisa ipateni zokukhanya eqhelekileyo xa zidityaniswe ne-fluorouracil 5.

unyango Postoperative kubonakaliswa ngempumelelo ngakumbi emva kokufaka indlela sonographic okuvumela ukuchonga iimpazamo zokusingatha. Izinga uphinde yonyango postoperative liye lancitshiswa 20-50% emva kotyando. Ubukhulu umonakalo yezempilo kumiselwa ngokuxhomekeke ibakala elo thumba.

Drug therapy of sinusitis

Isigaba Ukukhanya sifo baphathwa ngaphandle nokusebenzisa imithi - kusetyenziswa unyango adjuvant kwi unyango sinusitis. Ekhulula imeko emva kokuba ukusetyenziswa kweenkqubo amayeza mlonyeni kunye nonyango ngokwasemzimbeni. nomphumela unyango kubangelwa vasoconstrictor iziyobisi, ebulala, amayeza ukuphucula nezifo.

Ukuxinana babe iindlela ezahlukeneyo amanyathelo ukuphelisa iimpawu sinusitis, kodwa onke amachiza kukhokelela wonyango olusebenzayo kwesi sifo. Le nguqu kakhulu unyango kufuneka imixube zetoti, njengoko unyango ngokukhawuleza kunikwa le isifo. Sinusitis ne ubovu kubonisa ngayo amathontsi kubola, kodwa kunokuba luncedo ukuba unyango olusisiseko.

Xa ke kakhulu kwaye zintsonkothile kwesi sifo ifuna ukusetyenziswa antibiotics emacwecweni. Kama elandelayo ixesha etsolo iphathwa ngenaliti.

Iindlela adjuvant ekunyangeni fibroids zesibeleko

Olu hlobo lwemfundo badla neoplasm elihle of nobufazi lwangaphakathi. Ezinye izigulane bazi inkangeleko fibroids, njengoko xeshani abangalupasanga uviwo, kwaye isifo nazimpawu.

Iimpawu Common, ebangela isigulane ukuya kugqirha, ukopha wesizalo. Iintlungu waphawula kuzo zonke isigulane wesine, ukukhula ngokukhawuleza ithumba kwixesha okuzala ngo-60% ezigulane phambi exesheni - 44% yabafazi.

Kuba unyango iimpawu fibroid elihle kusetyenziswa unyango adjuvant. Lo ngumsebenzi onzima kunye neziphumo ezihle kuxhomekeke kakhulu ngamava, imvelaphi imfundo kunye neemeko zobugcisa gqirha. Ukusetyenziswa liphezulu kangangoko yonyango 'endala, kodwa akukho xesha akubalulekanga kangako ukuba wenze isigqibo malunga nokususwa zoqhaqho fibroids.

Indlela lokuqala unyango ngamachiza kukunciphisa ukuyilwa iihomoni ovarian ukuya kwinqanaba kakhulu, ngokwenjenjalo kuncitshiswe inqanaba isibeleko gormenomii yasekuhlaleni. Indlela yesibini kukudala kwafa imimandla anomalous ukwanda. Kuba oku amathamo ezilawulwa amancinci progestins ukunciphisa hormone umlambo igazi nokunciphisa Uvakalelo inwebu ithumba ukuya yesenzo estrogen.

Xa amayeza mihla, asetyenziselwa ukunyanga fibroids progestogens, anti-estrogen, antigonadotropiny, antigestagens. Uthomalaliso hormone kunye neziyobisi ezingekho-hormone. unyango Conservative iquka Antistress, immnokorregiruyuschie, iziyobisi nootropic, iivitamini, kwakunye Antioxidants.

Iindlela zonyango lwe periodontitis

Periodontitis livela kwezinye iimeko, ezifana ukudumba lothuli kwi nokuthimliswa, osteomyelitis, sinusitis okanye otitis. Esi sifo kuboniswa ukudumba nengcambu izinyo kunye kwizihlunu ezikufutshane nzima. Ngamanye amaxesha kuthiwa izinyo pulpitis, ukwenzakala gingival. Ukongeza kule ndlela yemveli ngomatshini zonyango kusetyenziswa unyango adjuvant of periodontitis.

Cause uba seswekile, wemvula amahlwempu iivithamini kunye neeminerali umzimba, impendulo bagulayo ukusetyenziswa amayeza athile. zangasese emva kwexesha kwakhona kukhokelela esi sifo, kuba unyango periodontitis kusetyenziswa unyango adjuvant. Kuthetha ukuthini? Le ndlela isekelwe ngenyameko kubola izinyo kunye nomzila sabelo ngaphakathi amalungiselelo calcium. Le ndlela ithathwa ngempumelelo xa kukho amathuba result lokulinda elide. Kwezinye iimeko, kukho ingozi exacerbation.

Xa ndiqukumbela, kufanele kuqatshelwe ukuba ukusetyenziswa unyango adjuvant idlala indima ebaluleke kakhulu unyango lomhlaza. Therapy lula kwisigaba samalungiselelo kwenu kukusebenza, yaye emva kokuba ukususwa yobubi kunciphisa ithuba ukuphinda kwethumba reappearance.