Unyango lomhlaza weSibindi

Unyango lomhlaza weSibindi ibandakanya indlela ye-miltidisclifa yokulungelelaniswa kwenqanaba elithile lesifo, inqanaba, kunye nempilo epheleleyo. Unyango oluqhelekileyo luquka utyando, i-adreming, i-enes, i-radiation phanya, unyango olujolise kulo, kunye nonyango. Ukukhetha kunye nokulandelelana konyango kuxhomekeke kwizinto ezahlukeneyo, kugxininisa ukubaluleka kwesicwangciso sonyango esakhiwe liqela leengcali. Yintoni umhlaza wesibindi?Umhlaza weSibindi, ekwabizwa ngokuba ngumhlaza we-hepitac, kuvela xa iiseli ezikwisibindi ziba yinto engaqhelekanga kwaye zikhule kulawulo. Kukho iintlobo ezahlukeneyo ze Umhlaza weSibindi, eyona ixhaphakileyo ye-hepatocellional carcinoma (i-HCC), eqala ngohlobo oluphambili lwesibindi, i-hepatoyte. Olunye, iindidi eziqhelekileyo zibandakanya i-intrahepatic cholangiocarcinova (i-bile ducler) kunye ne-hepatoblastoma (ngokuyintloko ifumaneka ebantwaneni). Ukuqonda uhlobo lwe Umhlaza weSibindi ibalulekile kuba inefuthe kwindlela yokunyanga.Diagnosis kunye nendawo yokujonga isibindi kunye nesitali sibalulekile ekumiseleni eyona khosi ilungileyo Unyango lomhlaza weSibindi. Inkqubo yokuqonda isiqhelo ibandakanya: Uvavanyo lomzimba kunye nembali: Ukuvavanya impilo iyonke isigulana kunye nokuchonga nayiphi na imihlaba yomngcipheko. Uvavanyo lwegazi: Uvavanyo lomsebenzi weSibindi lunokubonisa ubungangamsha. I-alpha-fetopdotein (AFP) yi-tumor marker ihlala iphakanyisiwe Umhlaza weSibindi. Ukucinga kuvavanyo: I-Ultrasound: Indlela yokujonga engahlambululanga ukuba ibe nomfanekiso-ngqondweni weSibindi. I-CT Scan: Ibonelela ngemifanekiso eneenkcukacha zesibindi kunye namalungu ajikelezileyo. Mri: Inikezela ngeenkcukacha ezinkulu nangakumbi kwaye zinokufumana amathumba amancinci. Isibindi se-biopsy: Isampuli encinci yezicubu zesibindi ithathwa kwaye ihlolwe phantsi kwe-microscope yeeseli zomhlaza. Isitali sinceda ukumisela ubungakanani bomhlaza kunye nokukhokela izigqibo zonyango. Ikliniki yomhlaza we-Barcelona (i-BCLC) yenkqubo yeSoftsor isetyenziselwa i-HCC. Ithathela ingqalelo izinto ezinje ngobungakanani be-tuma, umsebenzi we-tururs, umsebenzi we-Silr (inqaku le-Pum-Pugh), kwaye ubukho be-vascular cascion okanye i-metastasis yokuthatha unyango Umhlaza weSibindi Kuxhomekeka kwinqanaba lomhlaza, umsebenzi wesibindi, kunye nempilo ngokubanzi. Izinketho zonyango zinokusetyenziswa zodwa okanye kwi-condetion.undgerual Le yeyona nto iphambili kwizigulana ezinenqanaba lokuqala Umhlaza weSibindi kunye nomsebenzi olungileyo weSibindi. Injongo kukususa ngokupheleleyo umhlaza ngelixa ugcina izicubu ezaneleyo zempilo. Ugqirha weShandong Baeda Ugqirha wonyango lweZiko loPhando lweZiko loPhando lunamava kakhulu ekwenzeni ukuqhubela phambili kwesibindi. Tyelelo iwebhusayithi yethu Ngolwazi oluthe kratya.Liver TransplantationUkuhanjiswa kwesibindi Inokuba yinketho yezigulana ezihamba phambili Umhlaza weSibindi ihlangabezana neekhrayitheriya ezithile. Kubandakanya ukutshintsha isifo esigulayo kunye nesibindi sempilo kumntu oswelekileyo okanye ophilayo. Olu nyango lubonelela ngokufumana imvumelwano kodwa ifuna ukukhetha ngomonde kunye ne-usokongela ubomi bonke ukuthintela ukwala unyango lwayo Umhlaza weSibindi amathumba esebenzisa ubushushu, ukubanda, okanye iikhemikhali. Olu nyango luqhele ukusetyenziswa kumathungo amancinci angenakufanelwe kukuphazamiseka. Irediyo yerediyo Sebenzisa ubushushu oveliswe ngamaza erediyo ukonakalisa iiseli zomhlaza. I-microwive famition (i-MWA): Ifana ne-RFA kodwa isebenzisa imicrowaves. I-Crisoabrence: Isebenzisa ukubanda kakhulu kukukhululeka kwaye ukonakalisa iiseli zomhlaza. Uhlaziyo lwekhemikhali (i-ethanol ethanol ethanol ye-ethanol): Kubandakanya ukuthoba utywala ngokuthe ngqo kwi-tumar ukubulala iiseli zomhlaza.embarlizay iTramopiese -balmicy Prepies Vintela ubonelelo lwegazi kwi Umhlaza weSibindi I-tumar, ifihla ioksijini kunye nezondlo. Olu nyango luhlala lusetyenziselwa amathumba amakhulu okanye xa utyando ayisiyo inketho. I-Chemoerial Chemolication (TACE): Iziyobisi ze-chemotherapy zisiwe ngqo kwithumba kunye neearhente ze-embolic ezithintela ukubonelelwa kwegazi. I-Traistarbolbollicyral iradiol (tare) / i-radiation ye-radiation yangaphakathi ye-radiation (i-stirt): Imicrossorminaring yerediyo ihanjiswa ngqo kwi-tumar, ihambisa i-radiation ye-radiation ye-radiationUnyango lwe-radiation isebenzisa imiqadi enamandla yokubulala iiseli zomhlaza. Ingasetyenziselwa ukunyanga Umhlaza weSibindi Oko kusasazeke kwezinye iindawo zomzimba okanye ukukhulula iintlungu. Iintlobo ezahlukeneyo ze Unyango lwe-radiation inokusetyenziswa, kubandakanya: I-radiation ye-radiation ye-Biam yangaphandle (i-EBRT): Imitha inikezelwa kumatshini ngaphandle komzimba. I-Sterereotactic yomzimba we-radiation radiation (SBRT): Ifom echanekileyo ye-EBRT ethi inike iidosi eziphezulu zemitha ngelixa inciphisa umonakalo kwizicubu ezingqongeUnyango olujolise kunyango Iziyobisi zijolise kwiimolekyuli ezithile ezichaphazelekayo ekukhuleni kweseli yomhlaza kunye nokusinda. I-Sorafenib kunye ne-lenvatatinib yimizekelo yendlela ekujoliswe kuyo esetyenziselwa ukuphatha phambili Umhlaza weSibindi. La machiza anokunceda ukhula kancinci ukukhula kweeseli zomhlaza kunye nokusinda. Unokufunda okungakumbi ngenkqubela phambili Unyango olujolise kunyango kwiijenali zonyango ezinje I-New England Journal of Medicine.ImmunotherapyI-gonotherapy Iziyobisi zinceda amajoni omzimba aqaphele kwaye ahlasele iiseli zomhlaza. I-Inhithient yendawo yokutshekisha amagorha, enjengeNivolomab kunye nePembarozizulab, yimizekelo yemmunoherapies esetyenziselwa ukuphatha phambili Umhlaza weSibindi. La machiza anokunceda amajoni omzimba alwa nomhlaza ngempumeleloUnyango lomhlaza weSibindi Inokubangela iziphumo ebezingalindelekanga, ezihluka ngokuxhomekeke kuhlobo lonyango kunye nesigulana somntu ngamnye. Iziphumo ebezingalindelekanga eziqhelekileyo zibandakanya isicaphucaphu kwaye sihlambe ilahleko yokutya okusesikweni kwesifo se-Dealtication of Surreting of Surreting of Surretity of Surretity ibalulekile ekuxoxeni kakuhle. Unonophelo lwenkxaso, njengamayeza a-anti-nausea iyeza kunye nenkxaso yesondlo, inokunceda ukuphucula umgangatho wobomi ngexesha lonyango.clinesIimvavanyo zeklinikhi Ngaba izifundo zophando ezivavanyayo Unyango lomhlaza weSibindi iindlela zokusondela. Ukuthatha inxaxheba kwityala leklinikhi kunokubonelela ngokufikelela kwiindlela zokunyanga kunye negalelo kuphuhliso lonyango olutsha. Thetha noGqirha wakho malunga nokuba ityala leklinikhi lilungile kuwe. Ulwazi malunga neendlela zeklinikhi zinokufumaneka IZiko leSizwe lomhlazaPrognosis kunye nokulandela ukhathalelo lwe-prognosis Umhlaza weSibindi Ukuhluka ngokuxhomekeke kwinqanaba lomhlaza, umsebenzi wesibindi, kunye nempilo ngokubanzi. Ukufunyanwa kwangoko kunye nonyango kunokuphucula iziphumo. Kwanasemva kokuba unyango oluphumelelayo, ukhathalelo oluthe kratya lubalulekile ukubeka esweni ukuphinda ujonge kwaye ulawule naliphi na itafile ye-AFP enesibindi: Inqanaba lokuqala Umhlaza weSibindi Ngomsebenzi olungileyo weSibindi. Ukopha, usulelo, ukungaphumeleli kwesibindi. Ukuhanjiswa kwesibindi Ukutshintshwa kwesibindi esichetyiweyo kunye nesibindi sempilo. Phambili Umhlaza weSibindi Ukunyanga iikhrayitheriya ezithile. Ukwala, ukosuleleka, ukopha. Ukuhlolwa kwerediyo Amancinci amancinci ayilunganga utyando. Intlungu, ukopha, ukonakala kwesibindi. I-chemolication ye-Chemolical (i-TACE) iziyobisi ze-chemotherapy ezinikezelwa ngqo kwi-tumor. Amathumba amakhulu okanye xa utyando ayisiyo inketho. Isicaphucaphu, ukugabha, ukudinwa, ukonakaliswa kwesibindi. Iziyobisi ekujoliswe kuzo iziyobisi ekujoliswe kuzo iimolekyuli ezithile ezichaphazelekayo ekukhuleni kweseli yomhlaza. Phambili Umhlaza weSibindi. Urhudo, ukudinwa, ukungxanqa, uxinzelelo lwegazi oluphezulu. Iziyobisi zokunyanga ezinceda amajoni omzimba ahlasele iiseli zomhlaza. Phambili Umhlaza weSibindi. Ukudinwa, ukungxama kolusu, urhudo, ukuvuvukala kwesibindi. Ukufuna ubunono Umhlaza weSibindi Ifuna indlela ebanzi ebandakanya iingcali ezahlukeneyo, kubandakanya i-ocologists, oogqirha, i-hepatologists, kunye noochwephesha. Kubalulekile ukufuna ukhathalelo kwiingcali ezinamava ezinokubonelela ngezicwangciso zonyango kunye nenkxaso kulo lonke uhambo lonyango.Iphepha elichazayo: Olu lwazi lwenzelwe ulwazi ngokubanzi kunye neenjongo zolwazi kuphela, kwaye azisebenzi kakuhle. Kubalulekile ukuba ujongene nengcali yezempilo efanelekileyo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokwenza naziphi na izigqibo ezinxulumene nempilo yakho okanye unyango.