Le ndatshana ihlinzeka ngesibukezo esinemininingwane ye ukwelashwa komdlavuza wesibindi Izinketho, ukuhlola izindlela ezahlukahlukene, ukusebenza kwazo, kanye nokucatshangelwa kokukhethwa kweziguli. Sizohlola ukungenelela okuhlinzayo, ukwelashwa kwemisebe, i-chemotherapy, ukwelashwa okuhlosiwe, kanye ne-immunotherapy, okunikeza imininingwane ngentuthuko yakamuva kuyo ukwelashwa komdlavuza wesibindi. Ukuqonda lezi zinketho kubalulekile ngokwenza izinqumo ezinolwazi mayelana nohambo lwakho lwezempilo.
Umdlavuza wesibindi uhlanganisa izinhlobo eziningana, i-HepatocelLellar Carcinoma (HCC). Ezinye izinhlobo zifaka i-cholangiocarcinoma (umdlavuza we-bile duct) ne-hepatoblastoma (umdlavuza wengane engavamile). Uhlobo oluthile lomdlavuza wesibindi luthonya kakhulu ukwelapha amasu. Ukuxilongwa okunembile ngamasu wokulingisa njenge-CT Scans, ama-MRIS, nama-Biopopsies kubalulekile ekunqumeni inkambo efanelekile ukwelapha.
Ukuzithoba kuhilela ukunquma ubukhulu bomdlavuza ukusakazeka. Lokhu kuhlola - kuvame ukusebenzisa umdlavuza we-Barcelona Clinic Lifiver's Cancer (BCLC) ukwelapha izinqumo. Umdlavuza wesibindi wokuqala ungayelashwa ngokuhlinzwa noma ukwelashwa kwasendaweni, ngenkathi umdlavuza we-advert-space ungadinga uhlelo ukwelashwa njenge-chemotherapy noma i-immunotherapy.
Ukuvuselelwa kokuhlinzwa kubandakanya ukususa ingxenye yomdlavuza yesibindi. Lokhu kusebenza kakhulu ukwelapha Ukuze uthole kusenesikhathi, kwasendaweni umdlavuza wesibindi. Kungenzeka ukuthi i-resection incike ezintweni ezifana nosayizi nendawo yendawo yesimila, impilo ephelele yesiguli, kanye nokuba khona kwama-metastases.
Ukufakelwa kwesibindi kuyinqubo enkulu yokuhlinzwa ethatha indawo yesibindi esinezifo ngesibindi esinempilo sohlobo. Kuyindlela yeziguli ezinesigaba sokuqala umdlavuza wesibindi Lokho akukaze kusakaze ngale kwesibindi futhi ngubani ohlangabezana nenqubo ethile. Impumelelo yokufakelwa kuncike ezicini ezahlukahlukene kufaka phakathi impilo yomamukeli onke kanye nokutholakala kwesibindi esifanelekile. I-Shandong Baafa Cancer Research Institute Ingabe indawo eholayo, enikeza ukunakekelwa okuphelele kweziguli ezinomdlavuza wesibindi kufaka phakathi ukuhlolwa kokufakelwa.
Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukubulala umdlavuza amaseli. Ukwelashwa kwemisebe ye-beam yangaphandle kuvame ukusetshenziswa umdlavuza wesibindi, kungaba yedwa noma ngokuhlanganiswa nezinye ukwelashwa. Ingasetshenziswa ukuncipha kwamathumbu ngaphambi kokuhlinzwa noma ukuphatha umdlavuza osezingeni eliphezulu. I-RadioErbollization, uhlobo lokwelashwa kwemisebe ebhekisiwe, lwethula ubuhlalu obunemisebe ngqo kwi-turos nge-hepatic artery.
I-Chemotherapy isebenzisa izidakamizwa ukubhubhisa amaseli womdlavuza. Imvamisa isetshenziselwa i-Advanced-Stage umdlavuza wesibindi lokho akunakususwa ngokuhlinzwa. I-Chemotherapy ingahanjiswa ngokungenamfihlo, ngomlomo, noma izindlela zokwelapha zesifunda. I-regimen ethile ye-chemotherapy izohluka ngokuya ngohlobo nesigaba somdlavuza, kanye nempilo yesiguli ephelele. Imvamisa, izindlela zokwelapha ezihlosiwe zilawulwa ngokuhlangana ne-chemotherapy.
Izindlela zokwelapha ezihlosiwe zihlose ukuvimba ama-molecule athile abalulekile ekukhuleni kweseli yomdlavuza kanye nokusinda. Lezi zindlela zokwelapha zilusizo ikakhulukazi ekuguqukeni okuthile kwezakhi zofuzo ezishayela ukukhula komdlavuza. Ama-ejenti ambalwa ahlosiwe ayavunywa ukwelashwa komdlavuza wesibindi. Ukusebenza kwezokwelapha okuhlosiwe kuncike kakhulu kwiphrofayili ethile yofuzo yesimila.
I-ImmunoSatherapy ihlanganisa amasosha omzimba wokulwa nokulwa namaseli womdlavuza. Le ndlela isebenzisa ama-incuneitors wokuvimbela ama-immune, avimba amaprotheni avimbela amasosha omzimba ekuhlaseleni amaseli omdlavuza. I-ImmunoSatherapy ikhombisile ukuthembisa ekwelapheni izinhlobo ezithile ezithuthukile umdlavuza wesibindi. Imvamisa isetshenziswa ngokuhlanganiswa nokunye ukwelashwa.
Ukukhetha okuphelele ukwelashwa komdlavuza wesibindi Dinga indlela ehlukahlukene ehilela i-Oncologists, odokotela abahlinzayo, ama-radiologists, kanye nabanye ochwepheshe bezokunakekelwa kwempilo. Izici ezinjengohlobo nesigaba somdlavuza, impilo yesiguli ephelele, kanye nokuzikhethela komuntu siqu konke kubhekwa lapho kwenza lesi sinqumo esibucayi. Ukucatshangelwa ngokucophelela ngezinzuzo ezingaba khona nemiphumela emibi kubaluleke kakhulu. Ingxoxo ephelele nengcindezi ephelele nethimba lakho lezokunakekelwa kwezempilo ziyizinyathelo ezibalulekile ekwakheni komuntu uqobo ukwelapha Hlela.
Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze uthole ukuxilonga futhi ukwelapha kwanoma yisiphi isimo sezokwelapha.
Ukulashwa kokwelashwa | Izinzuzo | Okubi |
---|---|---|
Okuhlinzayo okuhlinza | Ongaba nesela lomdlavuza wesigaba sokuqala. | Ayilungele zonke iziguli; ingahle ibe nemiphumela emibi ebalulekile. |
Ukufakelwa kwesibindi | Amandla entengo yeziguli ezikhethiwe ezinesifo esisekuqaleni. | Ukuhlinzwa okukhulu; kudinga isibindi esifanelekile; uphatha ubungozi bokwenqatshwa. |
Ukwelashwa kwemisebe | Angancipha ama-tumors; ingasetshenziswa ngokuhambisana nezinye izindlela zokwelapha. | Kungadala imiphumela emibi njengokukhathala nokucasuka kwesikhumba. |
Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nomuntu ochwepheshe bezokunakekelwa kwezempilo ofanelekayo kunoma yikuphi ukukhathazeka ngempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma yokwelashwa kwakho.
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