Ukudlulela kuya isibindi: ukwelashwa. Isibindi metastases: izimbangela, izimpawu kanye nokwelashwa izici

Isibindi - omunye izitho ezibalulekile zomzimba elise ohlangothini lwesokudla esiswini, ngezansi diaphragm. It ivikelwe izimbambo. Isibindi linendima ebalulekile enqubeni wokugaya ukudla kanye amanyikwe kanye emathunjini. Abanye imisebenzi yayo esemqoka: ngokukhishwa kobuthi egazini, amaprotheni zamagama, futhi kukhiqizwe biochemicals ezidingekayo ukuze kokudla esiswini.

Ngokuthi umzimba ikhuthaza Bile uketshezi, ukukhiqizwa amaprotheni, isidingo igazi ekunqandeni, isitoreji glycogen, yokubola abomvu egazi ashaye futhi ama-amino acid. Isibindi nawo uhilelekile kule umzimba carbohydrate, amaphrotheni, amafutha kanye ukukhiqizwa kwama-hormone.

Kulesi sihloko sibheka ukuthi komdlavuza e isitho wathi sihamba nokwelashwa kwayo. Metastases esibindini ungavumeli Ukubikezela olunembile ngokuthi lokho ngeke sivele futhi, futhi noma kunjalo isiguli ngeke zibekelwe isikhathi esithile ukulawula isimo sabo futhi abone udokotela.

Kuyini Ukudlulela

Ubungozi ukuthi umdlavuza izokwabiwa esibindini, luncike indawo kumiswa kokuqala. Metastases - isimila esibulalayo ayesesakazekele, isibonelo, kwesibindi nakwezinye izingxenye zomzimba. Lokhu sluche bebizwa yesibili nomdlavuza wesibindi. I angahlangani eyinhloko kwenzeka emzimbeni. Kodwa ngisho noma isimila isuswe, ngemva kweminyaka eminingi Ukudlulela kungase futhi uthole esibindini.

Uma isiguli iye unomdlavuza, kubalulekile ukwazi izimpawu futhi ngeso lengqondo indlela esiphatha ngayo. Isibindi metastases zidinga ukuthi isiguli ozolandela nguchwepheshe.

Inqubo Ukudlulela

Kukhona 6 izigaba kumiswa metastases. Akubona bonke komdlavuza zimlandele, kodwa ezimweni eziningi, futhi kuyaqhubeka:

1. Umdlavuza amaseli ukuhambisa kusuka indawo eyinhloko kwezitho aseduze noma inyama ephilile.
2. Metastases sishukumiseleka ngokusebenzisa udonga lymph kanye igazi emithanjeni yakhe.
3. Umdlavuza amaseli uthuthe ngokusebenzisa uhlelo i-lymph kanye egazini kwezinye izingxenye zomzimba.
4. Misa ezihambayo lapho befinyelela umgomo. Khona-ke metastases bachubeka capillary (imithambo yegazi ezincane), izindonga ukungena ezicutshini ezincikene nawo.
5. Umdlavuza amaseli ukhule endaweni ezikude, bese wakha izimila esincane okuthiwa micrometastasis.
6. Lezi zokwakheka ukuze sikhuthaze ukudalwa imikhumbi igazi letiphakela mpilo nezakhi ezidingekayo ekukhuleni izimila ebulalayo.

Ukuze ezinye zezizathu, izimila eziningi abulalayo iyakhula ukuze kwesibindi

I kwasendaweni izimila abulalayo esibindini ngokuyinhloko ngenxa yomdlavuza esiswini kanye kuqhoqhoqho. Kodwa ngokuvamile ngenxa yomdlavuza wamaphaphu njengoba kwakheka metastases isibindi. Ukwelashwa (amazwana ngakho kukhona okuxubile) iqondiswa hhayi kuphela izimpawu kodwa futhi ku izimbangela zazo.

ukuzungeza Good ikakhulukazi isebenze isibindi prityagaelnost abakubangelayo kumaseli ebulalayo. Njalo therethrough ngomzuzu ubabonisa amalitha angaphezu kuka-1.5 kwegazi. Lokhu umzimba uhlobo imbiza for ekuhlanzeni igazi ezinobuthi.

amaseli Metastatic kuthiwa imali kulezo zindawo lapho ukugeleza kwegazi Kunenkolelo ngesivinini aphansi. Ngokwalesi simiso akhiwa futhi metastases isibindi. umdlavuza pancreatic, ukwelapha okuthi lanxa okuhloswe ngaso non-ayanda kwezinye izitho, kusenzima, isibonelo, kungathinta echazwe umzimba, ikakhulukazi uma isifo sokugcina.

ukubonakaliswa okunezimpawu lesi sifo

Ngeshwa, kusaqalwa azikho izimpawu, okungase ukucacisa khona umdlavuza. Ngo izigaba kamuva nomdlavuza wesibindi kungabangela ukuba sikhukhumale. Uma lokhu kwenzeka, uba zimpawu ezilandelayo:

• ukungakuthandi ukudla;
• kwesisindo;
• umchamo onombala;
• ukuvuvukala noma ukubuyisa;
• jaundice (yellowing kwesikhumba nabamhlophe samehlo);
• ubuhlungu ehlombe langakwesokudla;
• ubuhlungu engxenyeni engenhla kwesokudla esiswini;
• isicanucanu;
• ukujuluka futhi umkhuhlane;
• iqhubu ohlangothini lwesokudla esiswini, ngezansi yezinyoni ubambo.

Ukuhlola kanye ukuxilongwa

Phakathi ukuhlolwa ngokomzimba, udokotela wakho angase usola umdlavuza kwesibindi. Futhi uma omunye izimpawu ngenhla kungukuthi uyakuhlupha isiguli kuzodingeka ukusihlola ukuqinisekisa uphethwe.

1. Okunqumayo ezingeni serum nakomaka egazini. Ephambi kwezinduna sifo kungaba amazinga aphezulu of -alpha-fetoprotein (AFP). Isibindi enzyme zivame aphakeme.
2. Kwenziwe CT besisu. Lona uhlobo olukhethekile-X-ray enikeza ebukwayo kwezicubu ezithambile, izitho ngokuningiliziwe.
3. Ultrasound isibindi. Ibizwa nangokuthi echography. Ultrasound okuhambisa imvamisa high amaza omsindo ngomzimba. Lezi amaza omsindo ukukhiqiza ukunkenketha, bese kusetshenziswa ukwakha ibalazwe - umfanekiso computer ye ezicutshini zomzimba ezithambile.
4. Magnetic resonance imaging (MRI), izithombe ukhiqiza izithombe ezicacile yezitho zangaphakathi.
5. Laparoscopy. Odokotela zisebenzisa ngamapayipi ewumngcingo (laparoscope) nge ukukhanya kanye biopsy. Ithuluzi eyayifakwa imbobo encane bese ithatha impahla luhlolo ngesibonakhulu. Laparoscopy - indlela enokwethenjelwa kakhulu ukuxilongwa kancane koda umdlavuza.

Yiziphi izici kuncike yokwelapha

Ngenhlanhla, ukuthuthukiswa ubuchwepheshe yezokwelapha inikeza ukwelashwa aphumelela kakhudlwana metastases isibindi, futhi enikeza ithemba iziguli. Okwamanje, kunezinhlobo ongakhetha eziningana ezisetshenziswa ekwelapheni umdlavuza metastatic.

Ngokuvamile, i-choice kokungenela zokwelapha kuzoncika yobudala lesiguli kanye nesimo jikelele impilo, usayizi, indawo kanye nenombolo izimila metastatic, indawo eyinhloko umdlavuza kanye nezinhlobo neoplasms emlandweni nesineke.

ukwelashwa lefundo

ukuphathwa kwezinga lefundo of nomdlavuza wesibindi Ukudlulela kwenzeka nge egazini. izindlela eziningana kusetshenziswa imithi:

1. Ukwelashwa ngamakhemikhali nokushiswa: ndlela yokwelapha esebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza.
2. yokwelapha BRM: ukwelashwa esebenzisa omzimba athile, nezici ukukhula, kanye imigomo. Lezi izithasiselo enzelwe zokuthuthukisa noma buyisela ikhono izivikeli mzimba ukulwa umdlavuza.
3. ukwelashwa Afunwayo. Metastases esibindini ayafa esebenzisa izidakamizwa nezinye izinto ezenza ezifana amasosha omzimba monoclonal eyenziwe laboratory kanye lenziwe ngendlela yokuba libone amangqamuzana omdlavuza. Lokhu ukwelashwa has ayinayo imiphumela eminingi engemihle ukwedlula ezinye izindlela.
4. Ukwelapha i-hormone. Isetshenziselwa ukubambezela noma kufe izimila ezithile.
5. ukwelashwa zasendaweni. Metastases esibindini ayafa sextant, kuphela ezindaweni loklizatsii. Ingasetshenziselwa kusaqalwa lesi sifo.
6. ukwelashwa ngemisebe. Isebenzisa ephezulu amandla emisebe ye-ukubulala amangqamuzana omdlavuza futhi oluhlehlela izimila.
7. ukususwa Steel. Kungenzeka, uma kukhona inombolo encane izimila abulalayo ezithinta kuphela ingxenye encane kwesibindi.

Ukudlulela libhekisela ukusabalala umdlavuza kusuka umzimba omkhulu. Ukwelashwa yanoma iluphi incike latitude yokusabalala amaseli ezimbi kwezitho ezikude. Uma umdlavuza usabalala nezinye izicubu, kungaba ukunciphisa iphesenti sokusinda isiguli.

Resection futhi Izibikezelo yokuziphatha kwaso

idatha izibalo basikisela ukuthi abanomdlavuza esiswini (metastases kwesibindi), ukwelashwa wayeqinisile futhi ngempumelelo, namanje abe Izibikezelo abampofu. Izinga ukusinda laba bantu, ngeshwa, kuyinto ephansi. Ngaphansi kuka 20% eziguli emva kokwelashwa nethuba ukusinda cishe 3 iminyaka.

kusebenta Clinical of resection ka metastases isibindi namanje akubhekwa ezivamile. Nokho, ukwelashwa non-kuhlinzwa akayitholi imiphumela eyanelisayo. Iziguli umdlavuza ngamakhemikhali, ukusinda lesemkhatsini zokhahlamba kusuka 2.9 kuya 11.8 izinyanga.

izici Clinico-sokugembula elihlobene ne-Izibikezelo of esiswini umdlavuza futhi isibindi metastases okungakaze kukhulunywe ngayo ngokugcwele. Noma kunjalo, ukuba khona kwabo izitho ezibalulekile kuyinto wezibalo obalulekile enqabayo isici prognostic iziguli.

Ngemva resection isiguli kufanele ibekwe ngaphansi kokuqondisa odokotela, ngoba kubalulekile kakhulu ukuba nifeze kokuxilongwa ultrasound ngaphakathi komgodi ongaphakathi kwamathumbu ukuvimbela ukunqwabelana uketshezi kule ndawo ukuhlinzwa. Ngemva osenyameni evela esibhedlela, enesibopho ukuba bahlolwe njalo ezinyangeni ezintathu iminyaka emibili ukuze ugweme kokwehluleka.

ukwelashwa Folk (metastases isibindi)

izindlela Unconventional kukhona futhi iwusizo wokwelapha isifo somdlavuza. Kodwa kuphumelela kuphela kusaqalwa sokuthuthuka.

Into yokuqala ukuba bagcine umsoco ofanele. Ukuze kube lula soreness kuloku uyeka ukusebenzisa imikhiqizo eyingozi. Ngale ndlela, yebo, akunakwenzeka ukwelapha metastases isibindi. amakhambi abantu Ukwelashwa ngeke kuphela ukusekela isimo jikelele futhi unciphise esigulini phakathi ezinye zezimpawu.

Ukuze ugweme isifo, wedlula ibe esigabeni njalo ukuthuthukiswa, sebenzisa naphakathi ezilandelayo: Weigh 100 g oats, usigcwalisa 2500 ml amanzi abilayo, engeza 150 ml a yemvelo ewuketshezi uju. IBhange kudingeka sivale awubeka ukuma endaweni efudumele emnyama amahora. Ngemva kwamahora angu-24 Sekudlule, uwubeke endaweni ebandayo, ukuze ngingasebenzisi okuphekiwe IKHANYA izindlela. Kufanele uthathe kabili ngosuku ngemva kokudla amasonto 6.

Nakani! Nganoma iyiphi indlela non-bendabuko, ukuthi uncamela ukusebenzisa, ngeke ukwelapha metastases e kwesibindi. Ukwelashwa nokuvikelwa amakhambi abantu angeke kwenziwe ngokuzimela. Ekuqaleni, bonana nodokotela wakho.

Kuyini izinga okusinda

Isikhathi impilo isiguli kusuka Ukudlulela isibindi ngokusobala incike lapho kwakuphambene nemvelo ukuhlolelwa lesi sifo futhi zokwelapha ezithathiwe. Ngokusho ucwaningo kwezibalo, 10% kuphela eziguli echazwe ziphila iminyaka engu-5. Kodwa kule kusenesikhathi zokugula kanye isikhathi sokwelashwa kuqalile sokusinda engu-5 okuye kwaqashelwa 40% eziguli.

Isibindi ukufakelwa kwandisa amathuba okusinda olungaphezu kuka-80% kanye kuqinisekisa sokusinda 75% amacala.