Umdlavuza Isibindi, metastases isibindi sezulu

Medicine amashumi eminyaka waziphatha ucwaningo emkhakheni ukuthuthukiswa umdlavuza, kodwa ngenkathi ukuhlola ngokugcwele inqubo umdlavuza ehluleka. Ngokwesibonelo, kungani iseli ungakhiqiza kabusha i normal futhi kamuva baba ukuthi Deplete motor kokuqala. izimila ebulalayo futhi metastases esibindini - isibikezelo akuyona esiduduzayo. Bona kwenzeke ngaphansi kwethonya izizathu ezahlukene, okuholela lezo zitho zomzimba ngokungabi bikho nokuphatha kahle kungenzeka kuseduze ukuba ukufa.

umdlavuza Isibindi kuyinto ifomu zamabanga aphansi naphezulu. Primary basakaza hhayi njengoba abantu abaningi sebekholelwa kaningana kungenzeka uhlushwa ke Engxenyeni besilisa lwesintu. Imbangela enkulu yalesi oluthile lomdlavuza - ukukhula kwesibindi ezibangelwa amagciwane (B, C, D) odlulayo kwifomu okungamahlalakhona Isizathu sesibili - ukusha kwesibindi kohlobo oludakayo okuholela isifo sokusha. isifo Secondary - metastases isibindi (kulokhu, onalesi sifo okungekuhle kakhulu) - eba ku isizinda kwenye ingxenye isimila eziveza (lung, webele, ikholoni, wendlala, engenhla ipheshana zokuphefumula, njll).

metastases isibindi Kuyingozi ezithile zikwazi ukuhluma ngobukhulu (ngaphezu kuka-10 cm) futhi kungasibulala isibindi ukudakwa esiqine ngenxa ukuwohloka imikhiqizo imfucuza. Ngokuvamile kwakhiwa kusukela metastases izimila abulalayo pheshana emathunjini, kusukela igazi kakade "okunobuthi" isimila cells, ekuqaleni ithunyelwa isibindi ngoba filtration zemvelo, lapho amaseli ezizika igridi semithambo futhi baqala beyokwakha amakoloni - metastases. Kufanele kuqashelwe ukuthi iyiphi yangaphakathi isitho isimila metastatic ukuze kwesibindi.

Uma kwakukhona metastases esibindini, onalesi sifo ngokuvamile okungekuhle Nokho, yini ukunemba kakhudlwana, udokotela kufanele afeze ukuhlolwa ezidingekayo. Ngokusho metastases isibindi ochwepheshe ezitholakele 1/3 iziguli Oncology, ikakhulukazi umdlavuza wamaphaphu, isisu, ikholoni nomdlavuza wamabele, ziyivelakancane kakhulu umdlavuza wesibeletho kanye umdlavuza wendlala.

Izimpawu ze-nomdlavuza wesibindi

Isithombe emitholampilo kucishe kokubili isimila eyinhloko futhi secondary. Ngokuvamile, izifo ebulalayo, azikho izimpawu sobala. Ngesikhathi besanda kuqala ukuthuthukiswa kungadala ubuthakathaka, imfiva, ukukhathala ngokushesha, izinguquko sezinyawo, a uhudo gqwa, ukungakuthandi ukudla bese kwesisindo ubuhlungu, noma uzizwa liqinile ilungelo quadrant engenhla. Ngokuvamile lezi zimpawu yilezi iphutha ngoba ezinye izifo: cholelithiasis, cholangitis, cholecystitis, iziguli ziqala ukuba aphathe ngayo zivela kahle lezi zifo, ukuqala Oncology esiteji.

Ubuhlungu ohlangothini lwesokudla bungathuthukiswa ngenkathi ekufezeni abalulekile usayizi isimila, kulesi simo, it kuphazamisa izitho ezizungezile futhi ngenxa yalokho, le capsule isibindi kakhulu welulela. Izigaba okuthuthukile, isimila namandla iqhubeka bese kuphazamisa umsebenzi sesibindi - nokusebenzisa kabusho imikhiqizo esisebenzile Bile ingena emathunjini, ke kubonakala ku umbala kwesikhumba, nolwelwesi lwamafinyila (abamhlophe samehlo, umlomo) - bona ibe ophuzi umbala, ukoma futhi ukulunywa kungenzeka. Futhi waphawula ukhulisa izinga lokushisa (kufika ku 39 C).

Ukuthola izimila kanye metastases isibindi

Ngisho metastases esikhulu kwesibindi, okuyinto Izibikezelo ezingezinhle kakhulu, ongagcina okwesikhashana isitho umsebenzi futhi abangele jaundice. Bile kulokhu isuselwe ngemigudu enempilo, kodwa igazi bilirubin ezingeni izokwenyuka ngo izikhathi eziningana. Ukuze uphethwe, kunezinto eziningana okudingeka ukuhlolwa kanye nezifundo, labo eziyinhloko:

• ultrasound besisu - kuyabaveza ubukhulu kanye nemvelo izimila ekhona futhi metastases.
• SKT MR noma - ukuxilonga ngokunembile umdlavuza.
• Isinyathelo esilandelayo - the wokubhoboza yesimila. Ithathwe isampula izicubu uthunyelwa ukufundelwa Histology ukunquma ezakheke ngayo.
• Urinalysis, igazi umunwe kanye emithanjeni.

ukuba nombono ongafani ngeke

Mayelana 52% eziguli ukusinda (ingakapheli iminyaka 5 emva kokuhlinzwa), ukuba umuntu abulalayo inhlangano 38% zihlala abahlala khona amayunithi 2. Uma isiguli ifindo 3 nokuningi, kungenzeka ngisho aphansi - esingaphansi 18%. Ngisho nangemva kokuba yimpumelelo ukuhlinzwa isilinganiso lokusinda 40%. Onalesi sifo evumayo kakhulu izimila kapopopo ingemuva.

Kunoma yikuphi, kubalulekile ukuba babanikeze ukwelashwa ukubambezela noma kwamisa isimila ukukhula ukuvimbela yezinkinga ukuthuthukisa. Endabeni kokungenela kuhlinzwa umdlavuza futhi isibindi metastases eyenziwa isitho resection - ukususwa zokwakheka lwesimila. Lo msebenzi ikuvumela ukuba aluqede ngokuphelele, endaweni eyingozi, njengoba sazi, isibindi zingancishiswa ngobukhulu - kuthatha cishe izinyanga eziyisithupha.