Khansa chiwindi. Zizindikiro, mbali matenda, mankhwala.

chiwindi chotupa chija ndi pulayimale ndi sekondale. Pulayimale khansa chiwindi amapezeka maselo a nyumba kwa chiwindi, pamene amangoti dzina kuchuluka sekondale minofu chiwindi cha mfundo yachiwiri maselo metastatic chotupa kutchulidwa m'magazi ndi chiwindi kwa viscera ena.

khansa chiwindi. Statistics.

Popeza chiwindi akapitirira otaya yaikulu magazi, zotupa yachiwiri ya thupi zalembedwa 20 nthawi zambiri wamba kuposa coyamba. Matendawa n'chosoŵa - pa ziwerengero 0.5 - 3% milandu onse chidzachitika khansa chachikulu. Zizindikiro za matendawa ndi chipatala kuti poyamba osati kwambiri chitaperekedwa zomwe kwambiri complicates ndi Atawapima chotupa cha. Pakati pa odwala khansa chiwindi ambiri zofala amuna zaka 50. Dziwani kuti kuzindikira mwamsanga matenda aliwonse (monga khansa) kwambiri kumawonjezera mwayi wa azimuth zabwino mankhwala wotsatira.

khansa chiwindi. Gulu.

Kuti tsiku m'kagulu mitundu yambiri ya matenda, osiyana choyambiriracho:

• Hepatocellular carcinoma, hepatoma kapena carcinoma chiwindi selo - limachokera ku maselo parenchyma.
• Cholangiocarcinoma - ambiri khansa chiwindi anachokera ku maselo zaminyewa wa ducts ya ndulu.
• Angiosarcoma - kwambiri zilonda chotupa a mtima za indofeliyamu Mphukira.
• Hepatoblastoma - chotupa chotupa a chiwindi ana.

khansa chiwindi. Zimayambitsa.

• Atamwa matenda a chiwindi B ndi C.
• Matenda enaake.
• Chindoko.
• Matenda uchidakwa.
• Hemochromatosis.
• matenda Parasitic.
• Carcinogens (chlorinated hydrocarbon solvents, nitrosamines, biphenyls polychlorinated ndi mankhwala ena zoipa).

khansa chiwindi. Zizindikiro ndi Hospital.

Pa nthawi imene zambiri anakulirakulirabe kukhala khansa chiwindi, zizindikiro ndi chithunzi matenda akhoza pang'ono ukuchoka pa. Choncho, odwala mu magawo oyambirira pangakhale zofooka, malaise, dyspepsia, kulemera mu lamanja nusu chapamwamba, nyamuka kutentha. Nthawi zambiri pali kuwonda, kuchepa magazi, wosasamala kupweteka ululu makamaka usiku. Ndi chitukuko cha matenda a mtima achuluke chiwindi, nthawizina zimakhala roughness ndi osalimba, pang'onopang'ono kuwonjezeka matenda a chikasu ndiyo. chotupa mwina anatsimikiza mtima palpation thupi.

khansa chiwindi. Matendawa.

Kuti amaganiziridwa wodwalayo ndi khansara chiwindi, zizindikiro ndi madandaulo wodwalayo ali bwinobwino ayesedwa maonekedwe ake ndi zochita pa anayendera zina. kafukufuku:

• Ultrasound Kupenda chiwindi (US) amagwira ntchito yofunika kwambiri mu matenda a khansa. Njira imeneyi si nkhani ndipo m'zinenero timatha kuzindikira tinatake tozungulira ndi kudziwa chikhalidwe chawo.
• X-ray yopangidwa tomography (CT), kulingalira maginito kumveka (Kujambula) amagwiritsidwa ntchito ngati matenda si amawamasulira kapena si woyengeka.
• Radioisotope jambulani akhoza kupeza mfundo zina za khansa.
• Laparoscopy amalola kuyendera thupi anakhudzidwa kupyolera ang'ambe thupilo yaing'ono pamimba.
• Biopsy - kutenga gawo la chotupa kwa kusanthula.
• Amuzolengedwa kusanthula magazi mwina zimasonyeza matenda a khansa chiwindi (utachepa mlingo zomanga thupi, kuchuluka bilirubin, kuchuluka kuchuluka kwa michere chiwindi).
• A mayeso magazi onkomarkory (kulera mlingo wawo magazi limasonyeza kukhalapo kwa chotupa).

khansa chiwindi. Chithandizo cha matendawa.

Kamodzi ndi khansa ya chiwindi, zizindikiro ndi zasayansi matenda anatsimikizira radiographically ndipo anatumizidwa chithandizo chokwanira, zomwe akhoza kwambiri patsogolo khalidwe la moyo wodwalayo. Mankhwalawa zotupa, kuphatikizapo khansa ya gawo chiwindi 4, izi mankhwala amagwiritsa ntchito:

• opaleshoni;
• radiosurgery;
• cryosurgery;
• cheza mankhwala;
• Morning;
• mankhwala kwachilengedwenso.

Pa kudziwika kwa chotupa chotupa kapena amaganiziridwa kuti ayenera kukumbukira kuti mankhwala yake akhoza kwambiri kutalikitsa moyo wa wodwala ndi kusintha khalidwe lake.