ukwelashwa umdlavuza womdlavuza

Ukwelashwa kwe-Galb Bladder Cancerpending Ukukhetha kwakho nokwelashwa komdlavuza uPlangallbladder yisifo esibi, kepha intuthuko ebukhwini bezokwelapha inikezela ngezinketho eziningana zokwelashwa. Lo mhlahlandlela ophelele uhlola izindlela ezahlukahlukene ukuze ukwelashwa umdlavuza womdlavuza, Ukukusiza uqonde izinqumo zakho futhi uzulazule lolu hambo oluyinselele. Sizofaka izindlela zokuxilonga, amasu okulashwa, nokubaluleka kwendlela eqondene nomuntu.

Ukuxilongwa komdlavuza we-gallbladder

Ukuxilongwa okunembile isinyathelo sokuqala esibalulekile ekuphatheni kahle ukuphatha ukwelashwa umdlavuza womdlavuza. Ukuhlolwa okuningana kuyasiza ukukhomba ubukhona nobukhulu bomdlavuza. Lokhu kufaka phakathi:

Ukuhlolwa kokucabanga:

I-Ultrasound: Lesi sivivinyo esingahlaseli sinikeza izithombe zokuqala ze-gallbladder. I-CT SCAN (I-Complen ContOgraphy): I-CT Scan idala izithombe ezinemininingwane yesigaba esinemininingwane yesisu ukuyohlola usayizi we-tumor bese isabalala. I-MRI (Magnetic Resonance imaging): I-MRI inikezela ngezithombe eziphezulu, isiza ukwahlukanisa phakathi kwezicubu zomdlavuza nezingezona ezingezona ezinomdlavuza. I-endoscopic ultrasound (eus): eushlanganisa i-endoscopy nge-ultrasound ukuhlinzeka ngezithombe ezinemininingwane ye-gallbladder kanye nezicubu ezizungezile.

I-Biopsy:

I-biopsy, lapho isampula elincane lezicubu lisuswa futhi lihlolwe ngaphansi kwesibonakhulu, liqinisekisa ukuxilongwa futhi kunquma uhlobo kanye nebanga lomdlavuza.

Izinketho zokwelashwa zomdlavuza we-gallbladder

Ukukhethwa kwe ukwelashwa umdlavuza womdlavuza Kuya ngesici eziningana, kufaka phakathi isigaba somdlavuza, impilo yesiguli ephelele, kanye nokuthandwa ngumuntu. Izinketho zokwelashwa zingafaka:

Ukuhlinzwa:

Ukuhlinzwa kuvame ukwelashwa okuyinhloko komdlavuza we-gallbladder. Uhlobo lokuhlinzwa luxhomeke esiteji somdlavuza futhi kungahle kufakwe: Cholecyststectomy: Ukususwa kweGallbladder. Lokhu kuvame ukwenziwa kumdlavuza wokuqala wesigaba. Ukuhlelwa kabusha okunwetshiwe: Lokhu kufaka ukususa ingxenye yesibindi kanye nezindawo ze-lymph zononi uma umdlavuza usakaze. Inqubo YoSwnpre (PancreakodueneneEctomy): Uma umdlavuza usakaze ku-duct e-bile noma ama-pancreas, lokhu kuhlinzwa okuningana kuvame ukudingekile.I-Shandong Bandong Baccer Celance Institute (https://www.baofahospital.com/) Inikeza amasu athuthukisiwe okuhlinzwa kanye nodokotela ohlinzayo abanolwazi ukwelashwa umdlavuza womdlavuza.

I-Chemotherapy:

I-Chemotherapy isebenzisa izidakamizwa ukubulala umdlavuza amaseli. Ingahle isetshenziswe ngaphambi kokuhlinzwa ku-shrink tumors (neadjuvant chemotherapy), ngemuva kokuhlinzwa ukuze kususwe amaseli omdlavuza asele (adgevant chemotherapy), noma ukwelapha isifo semetastatic), noma ukuphatha isifo semetastatic), noma ukuphatha isifo semetastatic), noma ukuphatha isifo semetastatic), noma ukuphatha isifo semetastatic.

Ukwelashwa kwemisebe:

Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukuqondisa nokubhubhisa amaseli womdlavuza. Ingasetshenziswa yedwa noma ihlanganiswe nezinye izindlela zokwelapha.

Ukwelashwa okuhlosiwe:

Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ngqo amaseli omdlavuza, kubangele ukulimala okuncane kumaseli anempilo. Le ndlela izuzisa ikakhulukazi izinhlobo ezithile zomdlavuza we-gallbladder.

I-Staging gallbladder Cancer

Isitayela sisiza ekuboneni ubukhulu bokusakazeka komdlavuza. Uhlelo oluvame kakhulu lwesitayela uhlelo lwe-TNM, olubheka usayizi wesimila (t), ukubandakanyeka kwama-lymph node (n), kanye nokuba khona kwama-metastases (m). Isigaba esiphakeme, umdlavuza osekhulile ngokwengeziwe.

Isiteji	Ukufanisa
I	Umdlavuza uvalelwe ku-gallbladder.
2	Umdlavuza usakazekele ezithweni eziseduzane noma ama-lymph node.
I-III	Umdlavuza usakazekele kwizindawo ze-lymph zesifunda noma izitho ezikude.
I-IV	Umdlavuza usakaze kumasayithi akude emzimbeni.

Ithebula eliguqulwe kwiNational Cancer Institute (NCI) idatha. Imininingwane ethile ingahlukahluka. Bheka uchwepheshe wezokunakekelwa kwempilo ukuze uthole ukuxilongwa okunembile kanye nezincomo zokwelashwa.

Ukunakekelwa kanye nokunakekelwa kokulandela

I-Prognosis ye ukwelashwa umdlavuza womdlavuza Iyahlukahluka ngokuya ngesigaba somdlavuza lapho kutholakala khona nokusebenza kahle kokwelashwa. Ukuqokwa okujwayelekile kokulandela ukubhekisisa ukuqapha ukuphindeka nokuphatha noma yimiphi imiphumela emibi engaba khona. Ithimba lakho lezempilo lizokuqondisa ngale nqubo futhi linikeze ukusekelwa okuqhubekayo.

Ukukhetha uhlelo lokulashwa olufanele

Ukukhetha okungcono kakhulu ukwelashwa umdlavuza womdlavuza Dinga ukusebenzisana eduze kwakho nethimba lakho lezempilo. Xoxa ngezinto ezikukhathazayo, buza imibuzo, futhi ubambe iqhaza ngenkuthalo kwinqubo yokwenza izinqumo. Ukuqonda okuphelele kwezinketho zakho kuzokunika amandla okwenza izinqumo ezinolwazi futhi uzulazule uhambo lwakho lokwelashwa ngempumelelo. Khumbula, izinsiza ezifana neNational Cancer Institute (https:/www.cancer.gov/) Nikeza imininingwane ebalulekile nokusekelwa.