Iinketho zoNyango loMhlaza weSibindi

Umhlaza weSibindi, imeko enkulu, ifuna ngokukhawuleza kwaye isebenze unyango. Isikhokelo esibanzi siphonononga ezahlukeneyo unyango Iinketho zomhlaza oDelri, zibonelela ngokuqonda ekusebenzeni kwabo, ukufaneleka, kunye neziphumo ebezinokubakho. Siza kuqhubeka kwinkqubela phambili kunye neendlela ezisetyenziselwa ukulwa nesi sifo, ukukunceda uqonde indlela yokusebenza Unyango lomhlaza kwisibindi.

Ukuqonda uMhlaza weSibindi

Iindidi zomhlaza weSibindi

Iindidi ezininzi zomhlaza zinokuchaphazela isibindi, eyona ixhaphakileyo ye-hepatocellia (i-HCC) kunye ne-cholangiocarcinoma. Ukuqonda uhlobo oluthile lomhlaza wesibindi kubalulekile ukuba uzimisele kakhulu unyango Isicwangciso-qhinga. Inkqubo yokuxilongwa ibandakanya uvavanyo lokucinga (njenge-CT Scans kunye ne-MRI), ii-biossies, kunye novavanyo lwegazi lokuvavanya umsebenzi we-LILR kwaye ufumane i-tumars.

Ukuvala umhlaza ophantsi

Isimbo sichaza ubungakanani bomhlaza osasazeke. Oku kubalulekile ukuba kuchongwe kufanelekile unyango Cwangcisa. Ukuma kubandakanya ukudityaniswa kwezifundo zokucinga kwaye kunokuba yi-biopsy. Inqanaba lomhlaza liphembelela ngokuthe ngqo i unyango Izinketho ezikhoyo, zisusela ekuhlaseleni okuncinci kwiindlela zokunyanga ezininzi.

Iinketho zoNyango loMhlaza weSibindi

Utyando

Ukususwa kwe-subgical yenxalenye yomhlaza yesibindi, eyaziwa ngokuba yi-hepatic rection okanye i-helring yokutshintsha, yeyona nto iphambili unyango Inketho yomhlaza we-desib of brity. I-Hepatic Priction ijolise ekususeni ithumba ngelixa ilondoloza izicubu eziphilileyo zempilo kangangoko kunokwenzeka. Utshintsho lweSibindi luqwalaselwa xa izicubu zesibindi ezisele azinakho ukusebenza ngokufanelekileyo emva kwexesha, okanye ukuba umhlaza usasazekile ngaphaya kwesibindi.

Chemotherapy

I-chemotherapy isebenzisa iziyobisi ukubulala iiseli zomhlaza. Ngelixa kusoloko kuyintloko unyango Ngomhlaza onguDelri, unokusetyenziswa kwiimeko ezahlukeneyo: njenge-chiepjual piuty ngaphambi kotyando ukuba inciphise ithumba; Njengonyango oluvumelekileyo emva koqhaqho ukunciphisa umngcipheko wokuphinda uqale kwakhona; okanye njenge-pallitive unyango Ukuphelisa iimpawu kunye nokuphucula umgangatho wobomi kumanqanaba aphezulu. Irejimeni ye-chemotherapy ethile ixhomekeke kuhlobo kunye nenqanaba lomhlaza.

I-radiotherapy

I-radiotherapy isebenzisa imitha yamandla amakhulu ukubulala iiseli zomhlaza. I-radiation ye-radiation ye-BIAM yangaphandle isetyenziselwa umhlaza we-LINT, rhoqo ngokudibeneyo kunye nenye unyango. Ingasetyenziselwa ukuncipha amathumba, ukulawula iintlungu, kunye nokuphucula umgangatho wobomi. Ukusetyenziswa kweendlela ze-radiotherapy ze-radiotherapy njenge-radiothactic yomzimba (i-SBRT) ivumela ukuhanjiswa kwe-radiation kwi-tumation kwi-tumation, ukunciphisa umonakalo kwizicubu ezisempilweni.

Unyango olujolise kunyango

Unyango olujolisiweyo ziziyobisi ezijolise ngqo kwiiseli zomhlaza, ukushiya iiseli zempilo zinenzekile. Oku kuhlala kusetyenziswa kwizigulana ezinomhlaza wesibindi ophambili kwaye zinokulawulwa ngomlomo okanye ngokulandelelana. Ukusebenza konyango ekujoliswe kulo kuxhomekeke kuhlobo oluthile kunye neempawu zeeseli zomhlaza.

I-gonotherapy

Ugonyo uhenyuza amajoni omzimba ukuze alwe iiseli zomhlaza. Izinto zokuThengisa iindawo zokujonga, uhlobo lwemmunotherapy, zisetyenziselwa ukunceda amajoni omzimba ngcono kwaye ahlasele iiseli zomhlaza. Olu nyango lunokusebenza, ngakumbi kwiindidi ezithile zomhlaza wesibindi kunye nokudityaniswa kolunye unyango. Iziphumo ebezingalindelekanga zahluka ngokubanzi phakathi kwabantu.

I-eboluzy

I-Chemorbolication yeTremorial (i-TACE) yinkqubo engahlaseli encinci ehambisa iziyobisi zokunyanga i-chemotherapy ngqo kwithumba ngemithambo ye-hepatic, iphosa ukuhamba kwegazi ukuya kwi-tumar. Oku kugxininisa i-chemotherapy kwaye inciphise ifuthe kuwo wonke umzimba.

Ukukhetha unyango olufanelekileyo

Ukukhetha okona kulungileyo unyango kuba Umhlaza kwiSibindi Kuxhomekeka kwizinto ezininzi, kubandakanya nohlobo kunye nenqanaba lomhlaza, impilo yesigulana iyonke, kunye nezinto azithandayo. Iqela elininzi leengcali, kubandakanya oochwephesha, oogqirha, oochwephesha be-radiogical, kwaye baya kusebenza kunye ukukhulisa umntu unyango Cwangcisa.

Olu lwazi lucetywa ngeenjongo zemfundo kuphela kwaye ayisiyonto imbi kwingcebiso yonyango. Kubalulekile ukubonisana nengcali yezempilo efanelekileyo ukuze ufumane isifo esichanekileyo kwaye unyango Khetha ukhetho. Ngolwazi oluthe kratya okanye ukucwangcisa ukubonisana, utyelelo IZiko loPhando lweShandong Baeo.