Njira asang'ambe ya chithandizo cha odwala khansa chiwindi

Opaleshoni kuchotsa zotupa chiwindi amapereka mwayi bwino kuti amuchiritse. Mwatsoka, chiwindi zotupa kawirikawiri waukulu kwambiri kapena kuwachititsa chidwi ziwiya lalikulu magazi, ndi nyumba zina zofunika. Izi zimapangitsa opaleshoni kudzipalamulira kapena kosathandiza. Opaleshoni kuchotsa n'zosatheka 30-40% odwala ndi pulayimale ndi 90% odwala ndi sekondale khansa chiwindi.

Mbiri yakale, mankhwala osathandiza mankhwalawa khansa chiwindi. Choncho, pali njira zimene zingathe kulimbana matenda.

mitundu

Pulayimale khansa chiwindi: The yofala kwambiri ya khansa chachikulu hepatocellular carcinoma (HCC). chotupa ichi kuti kumayambira maselo waukulu wa m'chiwindi. Pulayimale khansa chiwindi ndi kawiri wamba zambiri amuna kuposa akazi. HCC ndi ambiri mwa anthu amene akudwala ndi matenda enaake chiwindi.

Metastatic Chiwindi Cancer: Cancer akhoza kuchoka mbali ina ya thupi chiwindi. Pali maselo a khansa akhoza kukula kwa miyezi kapena zaka pamaso iwo wapezeka. Chiwindi metastases kawirikawiri mu zotupa ya m'matumbo ndipo rectum. Odwala ndi mitundu ina ya khansa nawonso pa chiopsezo khansa chiwindi.

Chiwindi amachita ngati siteshoni poyambira kwa maselo a khansa kufalitsidwa m'magazi. Maselo amenewa akhoza kukula ndi kupanga chotupa. Akukhulupirira kuti 70% odwala onse ndi khansara kusalankhula kenako analandira sekondale chiwindi zotupa kapena metastases (zotupa popangidwa ndi maselo a khansa choyambirira chimene afalitsa ku malo ena khansa).

diagnostics

Pali mayesero amene angakuthandizeni mu matenda a khansa, kuphatikizapo MAGAZI, Kupenda thupi ndipo zosiyanasiyana njira kulingalira kuphatikizapo X-ray, yopangidwa tomography (CT), kulingalira maginito kumveka (Kujambula) ndi ultrasound.

Kawirikawiri, matenda komaliza sangathe kukhala mpaka ndiye, mpaka muzichita biopsy. Atafufuza biopsy chitsanzo, akatswiri kungatithandize kudziwa zimene mtundu wa khansa alipo ndipo mmene msanga zikhoza kufalitsa. Mfundozi n'kofunika pamene zochita za mtundu wa mankhwala.

chithandizo

Zotupa muyenera kotunga magazi pofuna mwachangu kupanga, kuzidyetsa wokha ndi kukula. Radiologists pamodzi ndi akatswiri mu munda wa opaleshoni mtima kupulumutsa mankhwala akulimbana anadzetsa ziwiya magazi kudzera catheter ndi m'thupi.

Mankhwalawa odwala khansa, radiologists akhoza kuukira chotupa zokhudza therefrom ndi embolization ndi wailesi mafunde. Embolization bwino atulukira njira ya Radiology interventional, omwe amagwiritsidwa ntchito pofuna kuchiza anavulala ndi magazi chachikulu, ulamuliro magazi pambuyo yobereka, kuchepetsa kutaika kwa magazi pamaso opaleshoni ndipo zochizira zotupa.

Mankhwalawa odwala khansa, embolization ntchito kuchepetsa kotunga magazi zotupa, cheza yobereka (radioembolizatsiya) kapena kuphatikiza njira imeneyi ndi mankhwala amphamvu kupulumutsa khansa mankhwala mwachindunji zotupa (chemoembolization).

Komanso, maselo a khansa akuphedwa ndi njira matenthedwe (radiofrequency ablation) kapena chotupa mazira (cryoablation).

chemoembolization

Chemoembolization ndi chithandizo asang'ambe khansa chiwindi, amene angagwiritsidwe ntchito onse paokha ndi molumikizana ndi njira zina. Chemoembolization amapereka makonzedwe a mlingo waukulu himioembolizata mwachindunji mu limba ndi azilephera chotupa a kapezedwe magazi ake ndi kutsekereza kapena embolization ya mitsempha ya kudyetsa chotupa. Ntchito kuwerenga sikana malangizo, ndi radiologist interventional potidziwitsa ndi catheter kakang'ono mu mtsempha wamagazi ndi femoral. Limagwiritsa ntchito mlingo waukulu wa mankhwala, ndondomeko monga kusankha ntchito ndi moyenera, kupatula mankhwala amazungulira maselo thanzi la thupi. Chemoembolization zimatanthauza m'chipatala cha masiku awiri kapena anayi. Odwala zambiri kubwerera ku zinthu bwinobwino pasanathe mwezi umodzi.

Chemoembolization othandiza kwambiri pa matenda a zotupa zilonda chiwindi, makamaka osakaniza ndi njira zina zochizira. Chemoembolization wasonyeza zotsatira zingamuthandize mankhwalawa zotupa metastatic. Ndi mtundu wa mankhwala wavomerezedwa ndi FDA zochizira metastases.

Radioembolizatsiya

Radioembolizatsiya ofanana kwambiri chemoembolization koma ntchito microspheres nyukiliya. mankhwala amagwiritsidwa ntchito mankhwala onse zotupa pulayimale ndi metastatic chiwindi. Ntchito embolic muzochitika za nyukiliya isotope yttrium 90 kupulumutsa cheza mwachindunji chotupa cha. Aliyense dera kukula kwa maselo asanu ofiira m'lifupi. granules izi tikuuzidwa mwa catheter mu groin ndi chifukwa selo imfa. Technology imapereka apamwamba mlingo m'dera cheza popanda chiopsezo kwa minofu wathanzi.

Izi ndi watsopano mankhwala amene anali mogwira zochizira matenda pulayimale ndi metastatic khansa chiwindi. Ndi mavuto ochepa mbali poyerekeza ndi njira ochiritsira mankhwala khansa.

radiofrequency ablation

Pakuti zotupa inoperable chiwindi, radiofrequency ablation imapereka mukuchitika mankhwala si opaleshoni wakupha maselo chotupa ndi kutentha yosalekerera wathanzi chiwindi minofu. Choncho, mankhwala savutika wodwala kuposa mankhwala zokhudza zonse. FDA ovomerezeka RFA zochizira zotupa chiwindi.

Mu ochepa milandu, RFA imafika miyoyo odwala. Malinga ndi kukula kwa chotupa RFA akhoza kuotcha kapena kupha chotupa kuwonjezeka nthawi kupulumuka mtima kwambiri kuwongolera khalidwe moyo wawo. Chifukwa ndi chithandizo m'dera ndi sikukuvulaza minofu wathanzi, mankhwala Mungathe kubwereza nthawi ndi nthawi kusunga odwala zakuthupi. Iyi ndi ndondomeko otetezeka kwambiri, ndi mtengo Vuto la dongosolo peresenti awiri kapena atatu, ndipo wakhala alipo kuyambira 1990s mochedwa.

Latsopano Cancer Abereke

Interventional Radiology amagwira ntchito yofunika kwambiri mu akupeza njira zatsopano zomwe angathe kusintha mankhwala khansa m'tsogolo, kuphatikizapo ntchito particles maginito ndi yobereka zakuthupi chibadwa, wotchedwa jini mankhwala kulimbana kapena kupewa khansa. njira zimenezi ndi investigational ndipo iwo akupereka chiyembekezo nkhondo yolimbana ndi matenda a khansa.

"Maginito" Morning

radiologists Interventional panopa akufufuza njira yatsopano imene maginito ntchito kukoka chemotherapeutic wothandizira chotupa cha. Tosaoneka particles maginito amagwira kwa mankhwala ndi kuperekedwa kudzera catheter mu chotengera mwazi chakudya chotupa. Zina lapansi maginito ali pabwino pa thupi la wodwalayo mwachindunji pamwamba malo a chotupa cha. particles maginito moti kugwera chotupa cha. Ngakhale njira likadali experimental, koma zingamuthandize kwambiri. Madokotala ndikuyembekeza kuti amakhala ndi zotsatira za mankhwala amphamvu ongofuna zina zotsatira zake zam'mbali monga tsitsi imfa ndiponso nseru.

mankhwala jini

M'zaka zaposachedwapa, asayansi apeza kumvetsa watsopano za chibadwa - zazikulu mayunitsi kwachilengedwenso cha chibadwa ndi udindo amasewera mu mapangidwe matenda. Kudziwa zimenezi wakhazikitsa maziko a sayansi ya zamankhwala - jini mankhwala. Ngakhale sayansi adakali oyambirira magawo komanso ofufuza poganiza kuti m'tsogolo angagwiritsidwe ntchito:

• mankhwala a khansa ndi matenda ena majini;
• kusintha maselo a chitetezo cha m'thupi la wodwala ndi khansara n'kubwerera iwo kwa thupi, kumene kuukira matenda kapena kuchita monga katemera;
• m'malo losokonekera wolakwika udindo wotere pa kukula khansa 'wabwino "mbewu.

Limodzi mwa mavuto mankhwala jini kupeza otetezeka komanso zothandiza njira kupulumutsa chibadwa kapena maselo chibadwa adasandulika kukhala chotupa cha.

Madokotala ndi ziyembekezo kwambiri zinthu zatsopano ndi ntchito yawo othamanga mu yochizira matenda.