Izinketho zokwelashwa zomdlavuza we-gallbladder

IGalllbladder Cancer yisimo esibi esidinga ngokushesha futhi siphumelele ukwelapha. Lo mhlahlandlela ophelele uhlola okuhlukahlukene ukwelapha Isondlelaso se-Gallbladder Cancer, ichaza ukusebenza kwayo, imiphumela emibi engaba khona, kanye nokufaneleka ngokuya ngesigaba nohlobo lomdlavuza. Ukuqonda okukhethwa kukho kubalulekile ngokwenza izinqumo ezinolwazi ngeqembu lakho lezempilo. Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana ne-Oncologist yakho ukuze uthole ukuholwa komuntu.

Ukuqonda umdlavuza we-gallbladder kanye nezitebhisi zalo

Umdlavuza weGallbladder, ukuvela kokulimala eGallbladder, kuvame ukutholakala ngokuhamba kwesikhathi ngenxa yezimpawu zawo zakuqala ezicashile. Isitayela esinembile sibalulekile ekunqumeni okuhle kakhulu ukwelapha Hlela. Izitayela zivame ukubandakanya ukuhlolwa kokucabanga okufana nezikena ze-CT, ama-MRIs, kanye nezikena zesilwane ukuze zihlole ubukhulu bomdlavuza. Izigaba ezisukela kusuka ku-I (kwasendaweni) kuya ku-IV (metastatic), ngesigaba ngasinye siyathonya ukwelapha Izinketho. Ukutholwa kusenesikhathi kuthuthukisa kakhulu amathuba okuphumelela ukwelapha.

Izinhlobo zomdlavuza weGallbladder

Umdlavuza weGallbladder ikakhulukazi ubandakanya i-Adenocarcinoma, kepha ezinye izinhlobo ezihlanganayo zikhona. Ithonya lohlobo oluthile ukwelapha amasu kanye ne-prognosis. Udokotela wakho we-oncologist uzonquma uhlobo oluqondile ngokuhlaziywa kwe-biopsy ne-pathology.

Izindlela zokwelashwa zomdlavuza we-gallbladder

Ukwelapha Ngomdlavuza we-gallbladder uyahlukahluka ngokuya ngezinto eziningana, kufaka phakathi isigaba somdlavuza, impilo yesiguli ephelele, kanye nokuba khona kwanoma yibuphi ubunzima. Okuyisisekelo ukwelapha Izinketho yilezi:

Indawo kadokotela

Ukuhlinzwa kuvame itshe legumbi le ukwelapha ngomdlavuza we-gallbladder. Uhlobo lokuhlinzwa luncike esiteji somdlavuza. Lokhu kungafaka i-cholecystrectomy (ukususwa kwe-gloledder), ukunwetshwa kwezicubu eziseduze (ukususwa kwezicubu eziseduzane kanye nama-lymph node), noma izinqubo eziningi ezifana ne-hepatectomy (ukususwa kwengxenye yesibindi) Uma umdlavuza wesibindi usakazeke. I-Shandong Bandoong BacceCancer Research Institute (https://www.baofahospital.com/) Nikeza amasu athuthukisiwe okuhlinzwa umdlavuza we-gallbladder ukwelapha. Izindlela ezihlaselayo ezihlaselayo ezinjengokuhlinzwa kwe-laparoscopic zingasetshenziswa lapho kungenzeka, okuholela ezikhathini zokutakula ngokushesha.

Chemotherapy

Chemotherapy, usebenzisa izidakamizwa ukucekela phansi amaseli womdlavuza, kuvame ukusetshenziswa njenge-advivant ukwelapha Ngemuva kokuhlinzwa noma njenge-palloative ukwelapha Ukuphatha izimpawu futhi uthuthukise ikhwalithi yempilo yeziguli ezinomdlavuza we-gallbladder osezingeni eliphezulu. AmaRegimens athile akwakhengwekhali ahlukahluka ngokuya ngesigaba nohlobo lomdlavuza.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe ye-High-Energy ukuqondisa nokubulala amaseli womdlavuza. Ingahle isetshenziswe ngaphambi kokuhlinzwa ukuncipha isimila (i-neadjuvant Therapy), ngemuva kokuhlinzwa ukuze kuqedwe noma yimaphi amaseli omdlavuza asele (ukwelashwa okususelwe), noma njenge-palliative ukwelapha ukudambisa izimpawu.

Ukwelashwa okuhlosiwe

Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ngqo amaseli omdlavuza, ukunciphisa ukulimala kwamaseli anempilo. Le yindlela entsha yokuthi ukwelapha, kanye nokufaneleka kuncike ekukhetheni kofuzo okuthile kwesimila. Ukusebenza kahle kanye nokufaneleka kwale ndlela kuzonqunywa udokotela wakho.

Ukukhetha uhlelo lokulashwa olufanele

Ukukhethwa kwe ukwelapha Ngomdlavuza we-gallbladder yinqubo eqondene kakhulu. Ithimba labanye abaningi ochwepheshe, kufaka phakathi ama-oncologists, odokotela abahlinzayo, kanye ne-radiologists, basebenza ndawonye ukudala okwenziwe umuntu uqobo ukwelapha Hlela ngokususelwa kwizici ezithile zomdlavuza, impilo yesiguli ephelele, kanye nokuthandwa nguwe. Ukuxhumana okuvulekile nethimba lakho lezempilo kubalulekile ukwenza izinqumo ezinolwazi.

Ukunakekelwa kanye nokunakekelwa kokulandela

I-prognosis yomdlavuza we-gallbladder iyahluka kakhulu ngokuya ngesigaba sokuxilongwa kanye nokuphendula ukwelapha. Ukutholwa kusenesikhathi nokusheshisa ukwelapha Thuthukisa amanani okusinda. Ukulandela okujwayelekile kokuqokwa ngemuva ukwelapha zibalulekile ekuqapheleni noma yikuphi ukuphindaphinda futhi kuphathwe noma yimiphi imiphumela emibi yesikhathi eside.

Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Njalo uthintane nodokotela wakho we-oncologist noma umhlinzeki wezokunakekelwa kwempilo ukuze axilonge futhi ukwelapha womdlavuza we-gallbladder.