
Mob qog noj ntshav hauv lub gallbladder yog ib yam kab mob loj, tab sis kev nkag siab txog koj txoj kev kho mob yog qhov tseem ceeb rau kev tswj kom zoo. Phau ntawv qhia ntxaws no tshawb txog ntau yam kho mob cancer ntawm lub gallbladder mus kom ze, pab koj taug txoj kev nyuaj no. Peb yuav npog cov kev xaiv phais mob, kws khomob, kev kho hluav taws xob, thiab kev pab txhawb nqa, muab cov duab pom tseeb ntawm qhov xav tau. Nco ntsoov, kev sab laj nrog koj tus kws kho mob oncologist yog qhov tseem ceeb rau kev npaj kho tus kheej.
Mob qog noj ntshav hauv lub gallbladder feem ntau categorized los ntawm hom cell thiab theem, cuam tshuam rau cov tswv yim kho mob. Adenocarcinoma suav nrog rau feem coob ntawm cov neeg mob. Staging siv TNM system (Tumor, Node, Metastasis) los ntsuas qhov mob qog noj ntshav. Thaum ntxov kho mob cancer ntawm lub gallbladder Feem ntau cuam tshuam nrog kev phais, thaum cov theem siab tuaj yeem xav tau ntau txoj hauv kev sib txuas nrog kev phais, tshuaj kho mob, thiab / lossis hluav taws xob.
Cov tsos mob ntawm lub gallbladder cancer tuaj yeem tsis meej thiab feem ntau ua rau lwm yam mob. Lawv yuav muaj xws li mob plab, jaundice (daj ntawm daim tawv nqaij thiab ob lub qhov muag), poob phaus, thiab kev hloov hauv qab los noj mov. Kev kuaj mob feem ntau suav nrog kev kuaj pom (ultrasound, CT scan, MRI) thiab kev kuaj ntshav kom paub meej tias muaj thiab hom mob qog noj ntshav. Kev tshawb pom ntxov ua rau muaj txiaj ntsig zoo thiab kev kho mob.
Kev phais yog lub hauv paus ntawm kho mob cancer ntawm lub gallbladder, aiming kom tshem tawm cov qog nqaij hlav cancerous thiab cov ntaub so ntswg nyob ze. Qhov luaj li cas ntawm kev phais yog nyob ntawm theem ntawm mob qog noj ntshav. Cov kev xaiv muaj xws li cholecystectomy (tshem tawm ntawm lub gallbladder), txuas ntxiv cholecystectomy (tshem tawm cov ntaub so ntswg nyob ib puag ncig), thiab tej zaum yuav muaj kev phais ntau dua nyob ntawm kev kis tus kabmob.
Cov kws khomob siv tshuaj tua kabmob kheesxaws. Nws yuav siv tau ua ntej kev phais (neoadjuvant chemotherapy) kom txo cov qog, tom qab phais (adjuvant chemotherapy) kom txo tau txoj kev pheej hmoo ntawm rov tshwm sim dua, lossis ua thawj txoj kev kho mob rau cov qog nqaij hlav siab, tsis ua haujlwm. Cov tshuaj chemotherapy tshwj xeeb txawv nyob ntawm seb tus mob qog noj ntshav li cas.
Kev kho hluav taws xob siv hluav taws xob siab los tua cov qog nqaij hlav cancer. Nws tuaj yeem siv ib leeg lossis ua ke nrog lwm yam kev kho mob. Nws tuaj yeem siv los txo qhov loj ntawm cov qog ua ntej kev phais, txo cov tsos mob ntawm cov mob hnyav, lossis kho mob qog noj ntshav uas tau kis.
Kev pab txhawb nqa ua lub luag haujlwm tseem ceeb hauv kev tswj cov kev mob tshwm sim ntawm kev kho mob qog noj ntshav thiab txhim kho lub neej zoo. Qhov no yuav suav nrog kev tswj kev mob, kev tawm tswv yim txog kev noj zaub mov, txhawb kev puas siab puas ntsws, thiab tswj hwm lwm yam teeb meem kev noj qab haus huv. Ib pab neeg ua haujlwm ntau yam, feem ntau suav nrog cov kws kho mob oncologist, kws phais mob, kws saib xyuas neeg mob, thiab cov neeg ua haujlwm sib raug zoo, yog qhov tseem ceeb hauv kev xa cov kev saib xyuas tag nrho. Rau kev txhawb nqa thiab cov ntaub ntawv, koj tuaj yeem xav xav txog cov peev txheej muaj nyob hauv cov koom haum xws li American Cancer Society.
Advanced gallbladder cancer ua rau muaj teeb meem tshwj xeeb. Cov tswv yim kho mob feem ntau koom nrog kev siv tshuaj khomob, kev kho hluav taws xob, thiab cov kev kho mob, xws li cov uas cuam tshuam cov kab mob tshwj xeeb uas ua rau muaj kev loj hlob ntawm qog nqaij hlav cancer. Kev sim tshuaj kho mob tuaj yeem muab kev nkag mus rau cov kev kho mob tshiab uas tseem tsis tau muaj dav dav. Kev sib tham nrog koj tus kws kho mob oncologist yog qhov tseem ceeb los tshawb txog txhua txoj hauv kev muaj peev xwm. Nyob ntawm Shandong Baofa Cancer Research Institute, peb tau mob siab rau muab kev saib xyuas zoo rau cov neeg mob tawm tsam mob qog noj ntshav gallbladder.
Kev kuaj mob rau lub gallbladder yog nyob ntawm ntau yam xws li theem ntawm kev kuaj mob, hom mob qog noj ntshav, thiab tus neeg mob tag nrho kev noj qab haus huv. Kev tshawb pom ntxov ua tau zoo txhim kho txoj hauv kev ua tiav kho mob cancer ntawm lub gallbladder. Kev teem sijhawm ua raws li niaj zaus yog qhov tseem ceeb los saib xyuas kev rov tshwm sim thiab tswj txhua qhov kev cuam tshuam ntev ntawm kev kho mob. Koj pab neeg saib xyuas kev noj qab haus huv yuav muab cov lus qhia tshwj xeeb rau kev saib xyuas raws li koj tus kheej qhov xwm txheej.
| Theem | 5-Xyoo kwv tij ciaj sia taus tus nqi (kwv yees)1 |
|---|---|
| I | 60-80% |
| II | 30-50% |
| III | 10-20% |
| IV | <5% |
1 Cov ntaub ntawv yog kwv yees thiab tuaj yeem sib txawv nyob ntawm ntau yam. Nrog koj tus kws kho mob tham rau cov ntaub ntawv tshwj xeeb.
Disclaimer: Cov ntaub ntawv no yog rau kev kawm nkaus xwb thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob tsim nyog rau txhua yam kev txhawj xeeb txog kev noj qab haus huv lossis ua ntej txiav txim siab txog koj txoj kev noj qab haus huv lossis kev kho mob.
Source: National Cancer Institute (NCI)