
Mob qog noj ntshav, mob hnyav, xav tau sai thiab siv tau kev kho mob. Phau ntawv qhia ntxaws no tshawb txog ntau yam kev kho mob kev xaiv rau daim siab mob qog noj ntshav, muab kev nkag siab txog lawv cov txiaj ntsig, tsim nyog, thiab cov kev mob tshwm sim. Peb mam li qhia txog qhov kev nce qib tshiab thiab cov txheej txheem siv los tawm tsam tus kab mob no, pab koj nkag siab txog txoj hauv kev kom ua tau zoo kev kho mob qog noj ntshav hauv lub siab.
Ntau hom mob qog noj ntshav tuaj yeem cuam tshuam rau daim siab, feem ntau yog hepatocellular carcinoma (HCC) thiab cholangiocarcinoma. Kev nkag siab txog hom mob qog noj ntshav siab yog qhov tseem ceeb rau kev txiav txim siab qhov zoo tshaj plaws kev kho mob tswv yim. Cov txheej txheem kuaj mob suav nrog kev kuaj duab (xws li CT scans thiab MRI), biopsies, thiab kuaj ntshav txhawm rau ntsuas lub siab ua haujlwm thiab kuaj cov qog nqaij hlav.
Staging txhais tau tias tus kab mob cancer kis tau li cas. Qhov no yog qhov tseem ceeb rau kev txiav txim siab qhov tsim nyog kev kho mob npaj. Staging muaj kev sib xyaw ua ke ntawm kev tshawb fawb duab thiab muaj peev xwm ua rau biopsy. Cov theem ntawm cov qog nqaij hlav ncaj qha cuam tshuam rau kev kho mob cov kev xaiv muaj, xws li los ntawm cov txheej txheem minimally invasive mus rau ntau txoj kev kho mob.
Kev phais tshem tawm ntawm cov qog nqaij hlav cancer ntawm lub siab, hu ua hepatic resection los yog daim siab hloov pauv, yog qhov tseem ceeb. kev kho mob kev xaiv rau kev mob qog noj ntshav thaum ntxov. Hepatic resection aims kom tshem tawm cov qog thaum khaws cov ntaub so ntswg kom noj qab haus huv ntau li ntau tau. Kev hloov pauv hauv siab yog txiav txim siab thaum cov ntaub so ntswg ntawm lub siab tsis tuaj yeem ua haujlwm txaus tom qab kev phais, lossis yog tias mob qog noj ntshav tau kis dhau lub siab.
Tshuaj kho mob siv tshuaj tua kab mob qog noj ntshav. Txawm tias tsis yog ib qho tseem ceeb kev kho mob rau daim siab mob qog noj ntshav, nws tuaj yeem siv rau hauv ntau yam xwm txheej: raws li kev kho neoadjuvant ua ntej kev phais kom txo cov qog; raws li kev kho mob adjuvant tom qab phais kom txo tau qhov kev pheej hmoo ntawm kev rov tshwm sim; los yog palliative kev kho mob txhawm rau txo cov tsos mob thiab txhim kho lub neej zoo nyob rau theem siab. Cov tshuaj chemotherapy tshwj xeeb nyob ntawm hom thiab theem ntawm tus mob qog noj ntshav.
Radiotherapy siv hluav taws xob hluav taws xob ntau los tua cov qog nqaij hlav cancer. Sab nrauv kab hluav taws xob kho mob feem ntau yog siv rau mob qog noj ntshav, feem ntau ua ke nrog lwm yam kev kho mob. Nws tuaj yeem siv los txo cov qog, tswj qhov mob, thiab txhim kho lub neej zoo. Kev siv cov hom phiaj siv hluav taws xob kho mob xws li stereotactic body radiation therapy (SBRT) tso cai rau kev xa hluav taws xob mus rau cov qog, txo qis kev puas tsuaj rau cov ntaub so ntswg nyob ib puag ncig.
Targeted therapies yog cov tshuaj uas tshwj xeeb tsom rau cov qog nqaij hlav cancer, ua rau cov hlwb noj qab haus huv tsis raug mob. Cov no feem ntau siv rau cov neeg mob uas muaj mob qog noj ntshav siab heev thiab tuaj yeem muab tshuaj los ntawm qhov ncauj lossis tso ntshav. Qhov ua tau zoo ntawm kev kho mob yog nyob ntawm hom tshwj xeeb thiab cov yam ntxwv ntawm cov qog nqaij hlav cancer.
Immunotherapy harnesses lub cev tiv thaiv kab mob los tua cov qog nqaij hlav cancer. Checkpoints inhibitors, ib hom tshuaj tiv thaiv kab mob, yog siv los pab lub cev tiv thaiv kab mob kom paub zoo dua thiab tua cov qog nqaij hlav cancer. Cov kev kho mob no tuaj yeem ua tau zoo, tshwj xeeb tshaj yog nyob rau qee hom mob qog noj ntshav siab thiab thaum ua ke nrog lwm cov kev kho mob. Kev mob tshwm sim sib txawv ntawm cov tib neeg.
Transarterial chemoembolization (TACE) yog ib qho kev cuam tshuam me me uas muab cov tshuaj khomob ncaj qha rau cov qog ntawm cov hlab ntshav siab, thaiv cov ntshav ntws mus rau cov qog. Qhov no concentrates cov kws khomob thiab txo cov kev cuam tshuam ntawm lub cev.
Kev xaiv qhov zoo tshaj plaws kev kho mob rau mob qog noj ntshav hauv lub siab nyob ntawm ntau yam, suav nrog hom thiab theem ntawm tus mob qog noj ntshav, tus neeg mob lub cev tag nrho, thiab kev nyiam ntawm tus kheej. Ib pab pawg kws kho mob tshwj xeeb, suav nrog cov kws kho mob oncologist, kws phais mob, kws kho hluav taws xob, thiab lwm tus kws kho mob, yuav ua haujlwm ua ke los tsim kho tus kheej. kev kho mob npaj.
Cov ntaub ntawv no yog tsim los rau kev kawm nkaus xwb thiab tsis yog hloov pauv rau cov lus qhia kho mob. Nws yog ib qho tseem ceeb kom sab laj nrog tus kws kho mob uas tsim nyog rau kev kuaj mob kom raug thiab kev kho mob kev xaiv. Yog xav paub ntxiv lossis teem caij sib tham, mus saib Shandong Baofa Cancer Research Institute.