Ukuqonda umhlaza we-LILR: Iindidi, iimpawu, isifo, kunye nonyango

Umhlaza we-LILR, imeko enkulu echaphazela isibindi, idibanisa iintlobo ezahlukeneyo, nganye ineempawu ezizodwa kunye neendlela ezizodwa. Isikhokelo esibanzi sibonisa iintlobo ezahlukeneyo ze Umhlaza kwiSibindi, iimpawu eziqhelekileyo, iindlela zokuqonda, kunye nonyango olukhoyo. Ukuqonda olu lwazi kubalulekile kukufunyanwa kwangoko kunye neziphumo eziphuculweyo. Siya kugxininisa ulwazi olufanelekileyo ukukunceda ukuba uhambise le nkxalabo yezempilo. Esi sikhokelo asikokutshintshwa kweengcebiso ngonyango; Soloko unxibelelana noMboneleli wezeMpilo ukuze ufumane isifo kunye nonyango.

Iindidi zomhlaza weSibindi

I-HepatoceLlar ye-Carcnoma (i-HCC)

I-HepatoceLlar ye-Carcnoma (i-HCC) yeyona ndlela ixhaphakileyo ye Umhlaza kwiSibindi, ukuvela kwiiseli eziphambili zeSibindi (i-hepatocytes). Izinto ezisengozini zibandakanya izifo zesilwanyana esingapheliyo njengeRharpois (edla ngokubangelwa yi-Hepatitis B okanye edla ngokubangelwa yi-hepatitis B okanye edla ngokubangelwa yi-hepatitis b okanye c), ukusetyenziswa kwesifo esinxilisayo, kunye ne-nafld). Iimpawu zinokufihlakala kumanqanaba okuqala, kodwa njengoko unomhlaza, zinokubandakanya iintlungu zesisu, ijaundice (ityheli lolusu kunye namehlo), nokukhathazeka kwesisindo, kunye nokukhathazeka kwesisindo, kunye nokukhathazeka kwesisindo. Uxilongo luhlala lubandakanya uvavanyo (i-ultrasound, i-CT Scan, Mri) kunye novavanyo lwegazi (i-alpha-Fetopotein). Ukhetho lonyango luye lwahluka ngokuxhomekeke kwinqanaba kwaye lubandakanya utyando, i-adrat, i-chemotherapy, i-chemotherapy, kunye nokufakelwa kwesibindi.

I-Cholangiocarcinoma

I-Cholangiocarcinoma luhlobo lomhlaza we-LIN ovela kwi-bile ducts ngaphakathi kwesibindi. Izinto ezinomngcipheko aziqondwanga kakuhle kunezo ze-HCC, kodwa zibandakanya iimeko zemfuza kunye nokuvezwa kwexesha elide kwiikhemikhali ezithile. Iimpawu zinokulinganisa ezo ze-HCC, kodwa zinokubandakanya ukubetheka (ngenxa ye-bile duct duct) kunye nokungagungqi esiswini. Uxilongo lubandakanya iindlela ezifanayo zengcinga njenge-HCC, kunye ne-biopsy. Iindlela zonyango zibandakanya utyando, i-radiation phanya, i-chemotherapy, kunye nonyango olujolise kuyo. I-progunosis ihluka ngokuxhomekeke kwinqanaba lomhlaza.

Eminye imihla yomhlaza we-rare

Ezinye iindidi eziqhelekileyo zomhlaza wesibindi zibandakanya i-angeliorcoma kunye nefibrolamellar carcinoma. Le somhlaza ihlala ineempawu ezahlukeneyo kunye neendlela zonyango ezithelekiswa ne-HCC kunye ne-cholangiocarcinoma. Kubalulekile ukubonisana neengcali ezinamava kumhlaza wesibindi wokuxilongwa ngokuchanekileyo kunye nokucwangciswa konyango kwezi ndlela zinqabileyo sesi sifo.

Iimpawu zomhlaza weSibindi

Iimpawu ze Umhlaza kwiSibindi Ingahluka kwaye idla ngokungaqhelekanga, ekufumaneni kwasekuqaleni komngeni. I-Liveri yeSibindi seXabiso ayinakuzisa naziphi na iimpawu ezibonakalayo. Nangona kunjalo, njengoko umhlaza uyakhula, iimpawu zinokubandakanya:

• Intlungu yesisu okanye ukungonwabi
• Ukulahleka kwesisindo okungachazwanga
• Ukudinwa kunye nobuthathaka
• Ukuphulukana nokutya
• I-jaundice (ityheli lolusu kunye namehlo)
• Ukudumba emilenzeni nasezinywini
• Isicaphucaphu kwaye sigale
• Umchamo omnyama
• I-Stools ezimnyama

Kubalulekile ukuba uqaphele ukuba ezi mpawu zingabangelwa zezinye iimeko, ngoko ke kuvavanywa ngokucokisekileyo kunyango kuyimfuneko ukuze kufunyaniswe isifo.

UQEQESHO OLUFUNDILEYO

Ukuchonga Umhlaza kwiSibindi ifuna indibaniselwano yovavanyo kunye neenkqubo. Ezi zibandakanya zibandakanya:

• Iimvavanyo zeGazi: Uvavanyo lomsebenzi we-Silr (LFTS), i-alpha-Fetoppherotein (AFP)
• Ukuvavanya uvavanyo
• I-Biopsy: isampula encinci yezicubu zesibindi ithathwe kwiiMviwo zeMicroscopic

Iinketho zoNyango loMhlaza weSibindi

Izinketho zonyango Umhlaza kwiSibindi Kuxhomekeka kwizinto ezahlukeneyo, kubandakanya uhlobo lomhlaza, inqanaba layo, impilo yesigulana iyonke, kwaye ubukho bezinye iimeko zonyango. Izicwangciso zonyango zinokubandakanya:

• Utyando: Ukususwa (ukususwa kwezicubu ze-tishu) okanye ukuguquguquka
• UKUFUMANEKA: Ukutshabalalisa iiseli zomhlaza kusetyenziswa ubushushu (irediyo yerediyo) okanye i-friending (i-crisoabress)
• I-chemotherapy: ukusebenzisa iziyobisi ukubulala iiseli zomhlaza
• Unyango lwe-radiation radio: usebenzisa i-radiation ephezulu yokubulala iiseli zomhlaza
• Unyango olujolise konyango: ukusebenzisa iziyobisi ezijolise kwiimolekyuli ezithile ezichaphazelekayo kuhlumo lomhlaza
• Immunotherapy: Ukuvuselela amajoni omzimba ukuze alwe iiseli zomhlaza

Unyango oluphambili lomhlaza wesibindi

Kwabantu abajamelene namanqanaba aphambili omhlaza we-LIN, indlela yemibuzo emininzi ihlala yeyona nto isebenzayo. Oku kubandakanya iqela leengcali, kubandakanya i-ocologists, oogqirha, oochwephesha be-radiologists, kunye nabanye abaqeqeshi bezempilo, besebenza kunye ukuphuhlisa isicwangciso sonyango. E IZiko loPhando lweShandong Baeo, Sizimisele ukubonelela ngononophelo olubanzi nolunobuchule kwizigulana ezilwa nesibindi.

Prognosis kunye nokuthintela

I-Prognosis ye Umhlaza kwiSibindi yahluka kakhulu kuxhomekeka kuhlobo kunye nenqanaba lomhlaza ekufumaneni isifo. Ukufunyanwa kwangoko kunye nokugxininisa kunyango ngokukhawuleza ukuphucula amathuba okuphumelela. Ngelixa kungekho ndlela iqinisekileyo yokuthintela zonke iintlobo zomhlaza wesibindi, ukwamkela ukhetho lokuphila okusempilweni ezinjengokuthintela ukusetyenziswa okugqithisileyo, ukugcina ubunzima be-hepatitis b no-C kungawunciphisa umngcipheko. Ukuhlolwa rhoqo kunye nokuhlolwa kubaluleke kakhulu, ngakumbi abantu abanemingcipheko emngciphekweni.

Iphepha elichazayo: Olu lwazi lujolise kwiinjongo zemfundo kuphela kwaye akufuneki luthathelwe ingqalelo kwingcebiso yonyango. Soloko unxibelelana nengcali yezempilo yokuxilongwa kunye nokunyanga nayiphi na imeko yonyango.