ukwelashwa komdlavuza wesibindi

Ukwelashwa komdlavuza wesibindi Kubandakanya indlela eyamukelwe ye-multidisciplinary ehambelana nokuxilongwa okuthile komuntu ngamunye, isigaba, kanye nempilo yonke. Ukwelashwa okujwayelekile kufaka phakathi ukuhlinzwa, ukuhlukunyezwa, ukuphahlazeka, ukwelashwa kwemisebe, ukwelashwa okuhlosiwe, nokuguga. Ukukhetha kanye nokulandelana kokwelashwa kuncike ezicini ezahlukahlukene, kugcizelela ukubaluleka kohlelo lokwelashwa okwenziwe umuntu olwenziwe ngeqembu lochwepheshe .Yini umdlavuza wesibindi?Umdlavuza wesibindi, eyaziwa nangokuthi umdlavuza we-hepatic, kuphakama lapho amaseli esibindini eqala ukungajwayelekile futhi akhule ngaphandle kokulawulwa. Kunezinhlobo ezahlukene ze umdlavuza wesibindi, i-HepatocelLellar Carcinoma (HCC) evame kakhulu (i-HCC), esuka kuhlobo oluphambili lwamaseli wesibindi, i-hepatocyte. Okunye, izinhlobo ezingaphansi ezijwayelekile zifaka i-intrahepatic cholangiocarcinoma (bile duct yomdlavuza) ne-hepatoblastoma (ngokuyinhloko zitholakala ezinganeni). Ukuqonda uhlobo lwe umdlavuza wesibindi kubalulekile ngoba kuthonya indlela yokwelashwa.Diagnosis kanye ne-steary of isibindi sokuxilongwa kwe-DIVACACCURATE KANYE NOKUFUNDA kubalulekile ekunqumeni inkambo enhle kakhulu ye ukwelashwa komdlavuza wesibindi. Inqubo yokuxilonga imvamisa ibandakanya: Ukuhlolwa ngokomzimba nomlando: Ukuhlola impilo yesiguli sonke futhi kukhomba noma yiziphi izici zobungozi. Ukuhlolwa Kwegazi: Ukuhlolwa kokusebenza kwesibindi kungakhombisa ukungahambi kahle. I-Alpha-fetoprotein (AFP) umaka we-smoree uvame ukuphakanyiswa umdlavuza wesibindi. Ukuhlolwa kokucabanga: I-Ultrasound: Inqubo yokucabanga engahlaseli yokuzivikela ukubona ngeso lengqondo isibindi. I-CT SCAN: Inikeza izithombe ezinemininingwane zesibindi nezitho zomzimba ezizungezile. I-MRI: Inikeza imininingwane emikhulu kakhulu futhi ingathola ama-tumors amancane. Isibindi se-biopsy: Isampula elincane lezicubu zesibindi lithathwa futhi lihlolwe ngaphansi kwesibonakhulu samaseli womdlavuza. Isitayela sisiza ukunquma ubukhulu bomdlavuza kanye nezinqumo zokwelashwa eziqondisa. I-Barcelona Clinic Line Cancer (BCLC) STAGLIGE STEMST isetshenziselwa i-HCC. Ibheka izici ezinjengobukhulu bemithi, inani lamathumbu, umsebenzi wesibindi (isikolo sengane-pugh), kanye nokuba khona komdlavuza we-vascular noma i-metastasis.Liver CORCCER TORCER TORCER TORCER TORCER TORCHERTIPATISTE umdlavuza wesibindi Kuya ngesigaba somdlavuza, umsebenzi wesibindi, kanye nempilo yonke. Izinketho zokwelashwa zingasetshenziswa zodwa noma ngokuhlanganiswa.Suratination Resectuenursurmical resoction kufaka ukususa ingxenye yesibindi equkethe isimila. Lokhu ngokuvamile kuyindlela yeziguli ezinesigaba sokuqala umdlavuza wesibindi nomsebenzi omuhle wesibindi. Umgomo ukuwususa ngokuphelele umdlavuza ngenkathi ugcina izicubu zokwanele zesibindi ezinempilo. AmaSheduli ocwaningo lweShandong Baafa Cancer Research Institute anolwazi kakhulu ekwenzeni amalungiselelo abukekayo wesibindi. Vakashela Iwebhusayithi yethu Ukuthola eminye imininingwane.Liver TransplantationUkufakelwa kwesibindi kungaba inketho yeziguli ezithuthukile umdlavuza wesibindi ehlangabezana nenqubo ethile. Kubandakanya ukufaka esikhundleni sesibindi esinesifo nesibindi esinempilo kusuka kumnikeli oshonile noma ophilayo. Lokhu kwelashwa kunikeza amandla okuthola ikhambi kepha kudinga ukukhethwa kweziguli ngokucophelela nokukhuthaza impilo yonke ukuvikela ukwenqatshwa kwezokwenqatshwa. umdlavuza wesibindi Ama-tumors asebenzisa ukushisa, ukubanda, noma amakhemikhali. Lezi zindlela zokwelapha zivame ukusetshenziselwa ama-tumors amancane angahleki ekuhlelweni kokuhlinzwa. I-Radiofrequecy Oblation (RFA): Kusetshenziswa ukushisa okwenziwe ngamagagasi omsakazo ukushabalalisa amaseli womdlavuza. I-Microwave Ablation (MWA): Ifana ne-RFA kepha isebenzisa ama-microwaves. I-CrOCABLAGE: Sebenzisa amakhaza amakhulu ukukhulula futhi uchithe amaseli womdlavuza. I-Chemical Ablation (i-ethanol ethanol emjovo): Kubandakanya ukujova ngotshwala ngqo esiswini ukubulala umdlavuza amaseli.embolization therapiesembol thereshapikilization block ukuhanjiswa kwegazi ku umdlavuza wesibindi isimila, ukunciphisa umoya-mpilo kanye nezakhi zomzimba. Lezi zindlela zokwelapha zivame ukusetshenziselwa ama-tumors amakhulu noma lapho ukuhlinzwa kungeyona inketho. I-TransOerIal Chemoembolization (Tace): Izidakamizwa ze-Chemotherapy zilethwa ngqo esimisweni kanye nama-elabooc agents avimba ukunikezwa kwegazi. Umsakazo we-TransERIAL Radio Ama-microspees anemisebe ahanjiswa ngqo ku-turos, ukuletha ukwelashwa kwe-radiations.radiation therapyUkwelashwa kwemisebe Sebenzisa imishayo ephezulu yamandla ukubulala amaseli womdlavuza. Ingahle isetshenziselwe ukwelapha umdlavuza wesibindi okusabalale kwezinye izindawo zomzimba noma ukudambisa izinhlungu. Izinhlobo ezahlukahlukene ze Ukwelashwa kwemisebe ingasetshenziswa, kufaka phakathi: Ukwelashwa kwemisebe yangaphandle yangaphandle (EBRT): Imisebe ihanjiswa emshinini ngaphandle komzimba. Ukwelashwa kwemisebe yemisebe yeStereotactic (SBTT): Uhlobo olunembile kakhulu lwe-EBRT olunikezela ngemithamo ephezulu yemisebe ibe yisimila ngenkathi sinciphisa ukulimala kwezicubu eziseduze kwe-Ukwelashwa okuhlosiwe Izidakamizwa ziqondise ama-molecule athile athile ababambe iqhaza ekukhuleni kweseli yomdlavuza kanye nokusinda. I-sorafenib ne-lenvatinib yizibonelo zokwelapha ezihlosiwe ezisetshenziselwa ukwelapha okuthuthukile umdlavuza wesibindi. Le mishanguzo ingasiza ukunciphisa ukukhula kwamaseli womdlavuza kanye nokusinda. Ungafunda kabanzi ngentuthuko ku- Ukwelashwa okuhlosiwe kumaphephabhuku wezokwelapha afana ne I-New England Journal of Medicine.MmunotherapyI-ImmunoSatherapy Izidakamizwa zisiza amasosha omzimba womzimba aqaphele futhi ahlasele amaseli omdlavuza. Ukuvikelwa kwamandla emzimbeni, njenge-nivolumab ne-pembrolikumab, kuyizibonelo ze-immunoSapies ezisetshenziselwa ukwelapha okuthuthukile umdlavuza wesibindi. Le mishanguzo ingasiza amasosha omzimba alwe nomdlavuza ngokuphumelelayo. imiphumela yemiphumela yokwelashwa komdlavuza wesibindiUkwelashwa komdlavuza wesibindi Kungadala imiphumela emibi, ehlukahlukene ngokuya ngohlobo lokwelashwa kanye nesiguli ngasinye. Imiphumela emibi evamile ifaka phakathi: Ukukhathala kwe-nausea nokuhlanza ukulahleka kwesikhumba sokuhlanza isidina sokulungelela isikhumba kubalulekile ukudingida imiphumela emibi yezempilo futhi uthathe izinyathelo zokuziphatha ngempumelelo. Ukunakekelwa Okusekelayo, okufana nemithi elwa ne-anti-nausea kanye nokusekelwa kokudla okunempilo, kungasiza ukuthuthukisa ikhwalithi yempilo ngesikhathi sokwelashwa.climonicalIzilingo Zomtholampilo yizifundo zokucwaninga ezihlola okusha ukwelashwa komdlavuza wesibindi isondela. Ukubamba iqhaza kwecala lomtholampilo kunganikeza ukufinyelela kwezindlela zokwelapha ezisika futhi zinikele ekuthuthukisweni kokwelashwa okusha. Khuluma nodokotela wakho ngokuthi icala lomtholampilo likulungele yini. Imininingwane mayelana nemizila yemitholampilo ingatholakala ku- I-National Cancer InstituteUkunakekelwa nokulandela-up carethe prognosis ye umdlavuza wesibindi Iyahlukahluka ngokuya ngesigaba somdlavuza, umsebenzi wesibindi, kanye nempilo yonke. Ukutholwa kusenesikhathi nokwelashwa kungathuthukisa imiphumela. Ngisho nangemva kokuphathwa ngempumelelo, ukunakekelwa okujwayelekile kokulandela kubalulekile ekuqapheleni ukuphindaphinda futhi uphathe imiphumela emide ye-CORTSORTSORT (okufaka izivivinyo ze-AFP noma izivivinyo ze-CT) Isigaba sokuqala umdlavuza wesibindi ngomsebenzi omuhle wesibindi. Ukuphamba, ukutheleleka, ukwehluleka kwesibindi. Ukufakelwa kwesibindi Ukushintshwa kwesibindi esinezifo ngesibindi esinempilo. -Phambili umdlavuza wesibindi ukuhlangabezana nemibandela ethile. Ukwenqatshwa, ukutheleleka, ukopha. I-Radiofrequecy Oblation (RFA) isebenzisa ukushisa ukucekela phansi amaseli womdlavuza. Ama-tumors amancane awalungele ukuhlinzwa. Ubuhlungu, ukopha, ukulimala kwesibindi. I-Transter Norterial Chemoembollization (Tace) izidakamizwa ze-chemotherapy zilethwe ngqo esimindeni. Ama-tumors amakhulu noma lapho ukuhlinzwa kungeyona inketho. Isicanucanu, ukugabha, ukukhathala, ukulimala kwesibindi. Izidakamizwa ezihlosiwe ezibhekiswe eziqondiswe kuma-molecule athile ahilelekile ekukhuleni kweseli yomdlavuza. -Phambili umdlavuza wesibindi. Isifo sohudo, ukukhathala, ukuqubuka kwesikhumba, umfutho wegazi ophakeme. Izidakamizwa ze-ImmunoSapapy ezisiza amasosha omzimba ahlasele amaseli womdlavuza. -Phambili umdlavuza wesibindi. Ukukhathala, ukuqhekeka kwesikhumba, isifo sohudo, ukuvuvukala kwesibindi. Ukufuna Isazi Sokunakekela umdlavuza wesibindi Idinga indlela ebanzi ehilela ochwepheshe abahlukahlukene, kufaka phakathi ama-ocologists, odokotela abahlinzayo, ama-hepatologists kanye ne-radiologists. Kubalulekile ukufuna ukunakekelwa kochwepheshe abanolwazi abangahlinzeka ngezinhlelo zokwelashwa ezenzelwe wena kanye nokusekelwa kulo lonke uhambo lokwelashwa.Ukuzikhulula: Lolu lwazi luhloselwe ulwazi olujwayelekile kanye nezinhloso zolwazi kuphela, futhi alwenzi izeluleko zezokwelapha. Kubalulekile ukuthintana nochwepheshe wezempilo ofanelekayo nganoma yiziphi izinkathazo zezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo yakho noma yokwelashwa.