Izinketho zokwelashwa zomdlavuza wesibindi: Isihloko esiphelele se-Disterthos sinikezela ngesibukezo esiphelele se Ukwelashwa komdlavuza esibindini, ehlanganisa izindlela ezahlukahlukene zokwelashwa, ukusebenza kwazo nokucatshangelwa kweziguli. Sihlola izigaba ezahlukahlukene zomdlavuza wesibindi kanye nokwelashwa okufanele kakhulu, ukukusiza ukuthi uqonde ubunzima obubandakanyeka ekuzulazuleni lolu hambo oluyinselele lwezempilo. Khumbula, lolu lwazi lungenxa yolwazi olujwayelekile futhi akufanele luthathe indawo yokubonisana nochwepheshe wezokunakekelwa kwempilo.

Ukuqonda umdlavuza wesibindi nokwelashwa kwayo

Umdlavuza wesibindi, owaziwa nangokuthi umdlavuza we-hepatic, uyisimo esibi esidinga ukunakwa okukhethekile kwezokwelapha. Uhlelo lokwelashwa luncike kakhulu ezicini eziningana, kufaka phakathi uhlobo lomdlavuza wesibindi (i-hepato coartular carcinoma (i-HCC) ngokuba okuvame kakhulu), isigaba somdlavuza, impilo yonke yesiguli, kanye nokuba khona kwezinye izimo zezokwelapha. -Phumelelayo Ukwelashwa komdlavuza esibindini Dinga indlela yobuningi obubandakanya i-Oncologists, odokotela abahlinzayo, ama-radiologists kanye nabanye ochwepheshe.

Izigaba zomdlavuza wesibindi kanye nezinketho zokwelashwa

Umdlavuza wesibindi uhlelwe ukunquma ubukhulu bokusakazeka kwawo. Amasu wokugaya, njenge-Barcelona Clinic Line Cancer (BCLC) STACER (BCLC) STAGHT STECT (BCLC) System, aqondise izinqumo zokwelashwa. Umdlavuza wesibindi wokuqala ungaphathwa ngokuhlinzwa, ngenkathi izigaba ezithuthukile zingadinga inhlanganisela yokwelashwa.

Ukwelashwa komdlavuza okwesikhashana kwesibindi

Ngomdlavuza wesibindi kwangaphambi kwesikhathi, ukusetha kabusha kwengxenye yokuhlinzwa (ukususwa kwengxenye yomdlavuza yesibindi) kuvame ukuba yinhloko Ukwelashwa komdlavuza esibindini. Lokhu kungahambisana nokufakelwa kwesibindi, ikakhulukazi uma umdlavuza uvalelwe endaweni encane kanti ukusebenza kwesiguli kwanele. Ezinye izinketho zokuhlinza ezihlaselayo zitholakala, kuya ngezimo ngazinye. Izinga lokuphumelela kokuhlinzwa komdlavuza wesibindi sakuqala kungaba phezulu.

Ukwelashwa komdlavuza we-Advanced-Stage

Umdlavuvu we-Advanced-Stage wesibindi ngokuvamile kubandakanya inhlanganisela yokwelashwa. Lokhu kungafaka:

• I-Chemotherapy: Ukwelashwa okuhlelekile kusetshenziswa izidakamizwa ukubulala umdlavuza amaseli emzimbeni wonke.
• Ukwelashwa okuhlosiwe: Izidakamizwa ezibhekise ama-molecule athile athintekayo ekukhuleni komdlavuza.
• Ukwelashwa kwemisebe: Imisebe yamandla aphezulu ukubulala umdlavuza amaseli.
• I-ImmunoSatherapy: Ukwelashwa okuqinisa amasosha omzimba okuvimbela umdlavuza.
• I-TransOerIal Chemoembolization (Tace): Inqubo lapho izidakamizwa ze-chemotherapy zilethwa ngqo kwi-tumor yesibindi ngama-arteries.
• I-RadioEROlization (Y-90): Ubuhlalu obuncane beRadioactive buhanjiswa ku-liqu lesibindi ngemithambo yokubhubhisa amaseli omdlavuza.

Izici ezithonya izinqumo zokwelashwa

Ukukhethwa kwe Ukwelashwa komdlavuza esibindini kuya ngezinto ezimbalwa ezibalulekile. Lokhu kufaka phakathi isigaba somdlavuza, impilo ephelele yesiguli, indawo kanye nosayizi wesimila, ukuba khona kwezinye izimo zezokwelapha (njenge-cirrhosis), kanye nezinto ozithandayo.

Ukukhetha isikhungo sokwelashwa esifanele

Ukukhetha isikhungo sezokwelapha esihlonishwayo esinakekela ukwelashwa komdlavuza wesibindi kubaluleke kakhulu. Funa izikhungo ezinabafundisi abanolwazi kanye nodokotela abahlinzayo, ubuchwepheshe bokuvuthaleka, kanye nerekhodi eliqinile lempumelelo yempumelelo. Ukuhlola okuphelele kanye nohlelo lokwelashwa okwenziwe umuntu uqobo kuyizinto ezibalulekile okufanele zicatshangelwe. Isibonelo, izikhungo ezinjenge I-Shandong Baafa Cancer Research Institute baziwa ngokunakekelwa kwabo okukhethekile kule ndawo. Hlala ucwaninga futhi uqhathanise izinketho ezihlukile ngaphambi kokwenza isinqumo.

Ukuphila Nomdlavuza Wesibindi: Ukunakekelwa Okusekelayo

Ukwelashwa komdlavuza wesibindi kungaba yinselele ngokomzimba nangokomzwelo. Ukunakekelwa kokusekelwa kubalulekile kuyo yonke inqubo yokwelashwa nangale kwalokho. Lokhu kungafaka ukuphathwa kwezinhlungu, ukwelulekwa kokudla okunempilo, ukusekelwa ngokomzwelo, kanye nezinsizakalo zokuvuselela. Inethiwekhi yokusekelwa eqinile ehlanganisa umndeni, abangane, kanye nochwepheshe bezokwelapha bangathuthukisa kakhulu ikhwalithi yempilo yesiguli.

Ukuzikhulula:

Imininingwane enikezwe kule ndatshana yenzelwe ulwazi olujwayelekile kanye nezinhloso zolwazi kuphela, futhi alwenzi izeluleko zezokwelapha. Kubalulekile ukuthintana nochwepheshe ofanelekayo wezokunakekelwa kwempilo ukuze kuxilonge, ukwelashwa, kanye nokuphathwa kwanoma yisiphi isimo sezokwelapha, kubandakanya nomdlavuza wesibindi. Imininingwane equkethwe lapha akufanele ithathwe njengento ebambele ngezeluleko zokwelashwa eziqeqeshiwe. Njalo funa izeluleko zodokotela wakho noma omunye umhlinzeki wezempilo ofanelekayo nganoma yimiphi imibuzo ongaba nayo mayelana nesimo sezokwelapha.