Umdlavuza Isibindi: ukuphathwa ngokuhambisana izigaba isifo

umdlavuza Isibindi libhekene ukuthuthukiswa kwe-umdlavuza phakathi nomzimba we igama elifanayo (isimila okuyinhloko). Ngokuvamile imbangela yalesi sifo umdlavuza Ukudlulela okuyinto umthombo umdlavuza, localizes kwenye isitho (isimila zesibili).

Isiteji (ngokwezinga) ka nomdlavuza wesibindi  

Isinyathelo nomdlavuza wesibindi kunqunywa ubukhulu isimila, ubukhulu lymph node kanye khona kanye degree of ukusakazwa metastases kwezinye izitho. Ngakho, ukuhlinzeka 4-esiteji nomdlavuza wesibindi.

1. ukuthuthukiswa isimila Early. Izibikezelo Evumayo, okungase kuhilele ukululama ngokugcwele ukwelashwa kusenesikhathi. Omunye lwesimila. Ayikho metastases. Izilonda ka-lymph ungapheli.
2. Omunye isimila esikhulu noma esincane ambalwa. Ukuhluma ku imithambo yegazi. Lymph node kanye metastases kwezinye izingxenye zomzimba cha.
3. isimila esikhulu ngaphakathi isibindi. Ukuhluma ezitsheni ezinkulu kwesibindi: hepatic noma portal emthanjeni. Metastases ku peritoneum noma izitho eduze futhi zamanzi.
4. Ukunqotshwa isibindi lwesimila. Mestastazy e lymph node kanye okungenani oyedwa isitho ezikude. Izibikezelo ayiyinhle. ukwelashwa Palliative (asekelayo).

Ukwelashwa nokuvikelwa Isibindi Cancer  

Indlela eyisisekelo nokwelapha umdlavuza wesibindi amabili izigaba zokuqala phakathi nenqubo yokuhlinzwa. Nokho, eneminyaka engu-5 isilinganiso lokusinda engaphansi kuka-6%, njengoba umdlavuza isibindi libhekene uyahluleka uma elwa nokuphuza njalo. Ngakho-ke, ukuze uthuthukise onalesi sifo, indlela yokuhlinzwa is kuhlangene nokwelashwa ngamakhemikhali noma ngemisebe ukwelashwa, okuyinto kunqunywa nesineke ngabanye. Ngenxa yalesi ukwelashwa kungase kube ukufakelwa isibindi, ikakhulukazi phakathi ukuhluma isimila ezitsheni ezinkulu noma Amapayipi Bile. Kuze kube manje, le ndlela iphumelela kakhulu.

Ezigabeni kamuva ukuhlinzwa kuyize, ngoba kukhona metastases. Khona-ke isimila abathintekayo ngezindlela ezahlukene, ngaphandle kokukhipha ke, futhi ngokwengxenye echithayo futhi ucindezele ukukhula. Lezi zindlela zibandakanya:

• radiofrequency ablation esebenzisa ephezulu ifrikhwensi ukubhubhisa izimila;
• esasikhipha utshwala yezokwelapha;
• ukwelashwa microwave;
• indlela cryosurgical (kukho ukubhubha isimila uquqaba ezinkulu).

izindlela eziningana ukwelashwa ngemisebe asetshenziselwa ukwelapha nomdlavuza wesibindi. Kabanzi ngemisebe ye isimila kumiswa proton uvumelanise. Proton yokwelapha ugongolo ukwakha ugongolo proton okuhloswe ngaso isimila, okuholela wabhubhisa kuphela izicubu abathintekayo izicubu onempilo ayiphazamiseki.

Ngo wokwelapha isifo somdlavuza isibindi futhi luqhutshwa radioembolizatsiyu. Phakathi nale nqubo, izitsha ukusuthisa isimila, iqondiswa le capsule nge Radioactive - yttrium-90. Ngenxa yalokho, amaphilisi awela yesimila. Isimila kumiswa is zishiswe kusuka ngaphakathi amahora 64.

Enye indlela samanje wokwelapha isifo somdlavuza isibindi libizwa Cyber-ummese. Uhlelo kukhompyutha inquma trajectory ngemisebe. I-computer futhi ilawula ngentuthuko lonke inqubo. Le ndlela kuqhathaniswa olunembile (kufika ku 0.5 mm).

Ukwelashwa ngamakhemikhali nokushiswa - olunye uhlobo wokwelapha isifo somdlavuza isibindi. Hlukanisa 3 izinhlobo ngamakhemikhali:

chemoembolization, lapho mass isitsha okuphakelayo isimila, izidakamizwa, ngelashwa nangemithi iqondiswa ku microcapsule noma isixazululo oily;

himioinfuziyu okubandakanya ukusetshenziswa ipayipi kwezokuphatha ngamakhemikhali isixazululo aqueous;

ablation zamakhemikhali, lapho izidakamizwa, ngelashwa nangemithi ilethwa ngqo yesimila.

nomdlavuza wesibindi, njenganoma iyiphi esibulalayo kunosongo ekuphileni lesiguli. Ngakho-ke, ekuhlonzweni kuyimfuneko esibalulekile, kubangela sokusinda lesiguli. Khumbula ukuthi onalesi sifo angase abe nemusa nesihawu kuphela kusaqalwa yentuthuko.