Izinketho zokwelashwa zomdlavuza wesibindi

Umdlavuza wesibindi, isifo esibi, kudinga ukuqonda okuphelele okutholakalayo Umdlavuza Wesibindi Izinketho. Lo mhlahlandlela uhlola izindlela ezahlukahlukene, ukugxila ekusebenzeni kwazo, imiphumela emibi, kanye nokufaneleka kwezigaba ezahlukahlukene zesifo. Sizohlola izinketho zokuhlinza, i-chemotherapy, ukwelashwa kwemisebe, ukwelashwa okuhlosiwe, i-immunotherapy, kanye nokunakekelwa kokudla, ukukunikeza izinqumo ezinolwazi ngokubonisana nomhlinzeki wakho wezokunakekelwa kwempilo. Khumbula, ukuxilongwa kusenesikhathi nokushesha Umdlavuza Wesibindi thuthukisa kakhulu imiphumela.

Ukuqonda umdlavuza wesibindi

Izinhlobo nezigaba zomdlavuza wesibindi

Umdlavuza wesibindi uhlanganisa izinhlobo eziningana, i-HepatocelLellar Carcinoma (HCC). Izitebhisi, zibalulekile ekunqumeni Umdlavuza Wesibindi Amasu, ahlukanise umdlavuza we-Cancer futhi asakaze. Izigaba zisukela ku-I (zasendaweni) kuya ku-IV (metastatic), zinomthelela endleleni yokwelashwa ekhethiwe. Isiteji esinembile sidinga inhlanganisela yokuhlolwa kokucabanga (i-ultrasound, i-Scan ye-CT, i-MRI) futhi kungenzeka nge-biopsy.

Izici ezithonya izinqumo zokwelashwa

Ukukhetha ukwelashwa kwe Umdlavuza Wesibindi Ngokwezifiso futhi kuya ngezinto ezibucayi eziningana: uhlobo nesigaba somdlavuza wesibindi, umsebenzi wesiguli ophelele kanye nesibindi umsebenzi, ubukhona bezinye izimo zezokwelapha, kanye nezinto ezizithandayo. Ukubonisana nodokotela we-hepatologist kanye ne-oncologist kubalulekile ekwakheni uhlelo lokwelashwa ehambisana nelona.

Izinketho zokwelashwa zomdlavuza wesibindi

Izinketho Zokuhlinza

Ukuhlinzwa, kufanelekile ekuqaleni kwesigaba Umdlavuza Wesibindi, ihlose ukususa izicubu zomdlavuza. Lokhu kungafaka i-hepatectomy enengxenye (ukususwa kwengxenye yesibindi) noma ukufakelwa kwesibindi (esikhundleni sonke isibindi). Kungenzeka ukuthi ukuhlinzwa kuncike ngosayizi, indawo, kanye nobukhulu besimila, kanye nomsebenzi wesibindi wesiguli. Ukubuyiselwa kokuhlinzwa ngemuva kuyahlukahluka ngokuya ngezinga lenqubo kanye nempilo yomuntu ngamunye.

Chemotherapy

I-Chemotherapy, Ukusebenzisa izidakamizwa ukubulala amaseli womdlavuza, kuvame ukusetshenziselwa isigaba esithuthukile Umdlavuza Wesibindi noma ukuncipha kwamathumbu ngaphambi kokuhlinzwa. Ama-regimens amaningana e-chemotherapy akhona, ngalinye linemiphumela emibi emincane, njenge-nausea, ukukhathala, kanye nokulahleka kwezinwele. Ukusebenza kwe-chemotherapy kumdlavuza wesibindi kuyahlukahluka ngokuya ngohlobo nesigaba somdlavuza.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe ephakeme yamandla ukushabalalisa amaseli womdlavuza. Ingahle isetshenziswe yedwa noma inhlanganisela nezinye Umdlavuza Wesibindi Izindlela ezinjenge-chemotherapy. Imisebe yangaphandle ye-beam ijwayelekile, ibheke isimila kusuka ngaphandle komzimba. Imiphumela emibi ingafaka ukucasuka kwesikhumba, ukukhathala, kanye nezinkinga zokugaya ukudla. Ukufaneleka kokwelashwa kwemisebe kuncike endaweni nosayizi wesimila.

Ukwelashwa okuhlosiwe

Izidakamizwa zokwelapha ezihlosiwe zigxile kuma-molecule athile ahilelekile ekukhuleni kweseli yomdlavuza. Le mishanguzo ingasebenza kakhulu kunendabuko ye-chemotherapy enemiphumela emibi embalwa. Izibonelo zifaka i-sorafenib ne-lenvatinib, evame ukusetshenziselwa ukuthuthuka Umdlavuza Wesibindi. Ukusebenza kokulashwa okuhlosiwe kuncike ekuguqukeni okukhethekile kwezakhi zofuzo okukhona kumaseli womdlavuza.

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amasosha omzimba wokulwa nomdlavuza. Kukhombisa isithembiso ku Umdlavuza Wesibindi, Ukusiza umzimba ukubona nokuhlasela amaseli womdlavuza. Izinhlobo ezahlukene ze-immunotherapy zikhona, kufaka phakathi inhibitors yokuhlola. Imiphumela emibi iyahlukahluka kepha ingafaka ukukhathala, izicubu zesikhumba, kanye nezinkinga zokugaya.

Ukunakekelwa kwe-Palliative

Ukunakekelwa kwePalliative kugxile ekuthuthukiseni ikhwalithi yempilo yeziguli ezinomdlavuza we-advanced wesibindi. Ibhekana nobuhlungu, ukukhathala, nezinye izimpawu, inikela ngokusekelwa okungokomzwelo nangokomoya. Ukunakekelwa kwe-palliative kungahlinzekwa kanye nabanye Umdlavuza Wesibindi Izindlela futhi zingathuthukisa kakhulu induduzo yesiguli nenhlala-kahle.

Ukukhetha ukwelashwa okulungile

Ukukhetha okufanele Umdlavuza Wesibindi Isu likudingida ukuhlolwa okuphelele kwesimo somuntu ngamunye, okubandakanya isigaba somdlavuza, impilo yonke, kanye nokuthandwa ngumuntu. Kubaluleke kakhulu ukubandakanya ukuxhumana okuvulekile nethimba lezempilo, kufaka phakathi ama-ocologists, ama-hepatologists kanye nochwepheshe bezokunakekelwa kwabaphikisi, ukwakha uhlelo lokwelashwa oluqondene nomuntu uqobo oluvumelane nezimo ezihlukile zesiguli.

Ukunakekelwa okuphelele komdlavuza kanye nokucwaninga okunqenqemeni, cabanga ngokuhlola izinsiza ezitholakala ku I-Shandong Baafa Cancer Research Institute.

Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nomuntu oqeqeshiwe wezokunakekelwa kwezempilo ukuze kuxilongwa kanye nokwelashwa kwanoma yisiphi isimo sezokwelapha.