
Umhlaza we-Gallbladder sisifo esibi, kodwa ukuqonda ukhetho lwakho lonyango kubalulekile kulawulo olusebenzayo. Esi sikhokelo sibanzi siphonononga ezahlukeneyo unyango lomhlaza wenyongo indlela, ikunceda uhambe kolu hambo lucelomngeni. Siza kugubungela ukhetho lotyando, ichemotherapy, unyango lweradiation, kunye nokhathalelo lwenkxaso, sibonelela ngomfanekiso ocacileyo wento onokuyilindela. Khumbula, ukubonisana ne-oncologist yakho kubalulekile kucwangciso lonyango lomntu.
Umhlaza we-Gallbladder uhlelwa ngokuyintloko ngohlobo lweeseli kunye nenqanaba, oluchaphazela izicwangciso zonyango. I-Adenocarcinoma ibangela uninzi lwamatyala. Ukulinganisa kusebenzisa inkqubo ye-TNM (iTumor, Node, Metastasis) ukuvavanya ubungakanani bomhlaza. Inqanaba lokuqala unyango lomhlaza wenyongo ihlala ibandakanya utyando, ngelixa izigaba eziphambili zinokufuna indlela ye-multi-modal edibanisa utyando, ichemotherapy, kunye/okanye ngemitha.
Iimpawu zomhlaza we-gallbladder zingacacanga kwaye zihlala zilinganisa ezinye iimeko. Zisenokuquka iintlungu zesisu, ijaundice (ulusu olumthubi namehlo), ukuncipha kobunzima, kunye nokutshintsha komdla wokutya. Ukuxilongwa ngokuqhelekileyo kubandakanya iimvavanyo ze-imaging (i-ultrasound, i-CT scan, i-MRI) kunye ne-biopsy ukuqinisekisa ubukho kunye nohlobo lomhlaza. Ukufunyaniswa kwangoko kuphucula kakhulu i-prognosis kunye neendlela zonyango.
Utyando sisiseko se unyango lomhlaza wenyongo, ejolise ekususeni i-gallbladder enomhlaza kunye nezicubu ezikufutshane. Ubungakanani botyando buxhomekeke kwinqanaba lomhlaza. Ukhetho lubandakanya i-cholecystectomy (ukususwa kwe-gallbladder), i-cholecystectomy eyandisiweyo (ukususwa kwezicubu ezongezelelweyo ezijikelezileyo), kunye notyando olunokuba lukhulu ngokuxhomekeke ekusasazeni umhlaza.
I-Chemotherapy isebenzisa amayeza ukutshabalalisa iiseli zomhlaza. Inokusetyenziswa phambi kotyando (i-neoadjuvant chemotherapy) ukunciphisa i-tumor, emva kotyando (i-adjuvant chemotherapy) ukunciphisa umngcipheko wokuphindaphinda, okanye njengonyango oluphambili lwe-cancer ephezulu, engasebenzi. Iirejimeni ezithile zechemotherapy ziyahluka ngokuxhomekeke kwiimpawu zomhlaza.
Unyango ngemitha lusebenzisa imiqadi ene-eneji ephezulu ukubulala iiseli zomhlaza. Ingasetyenziswa yodwa okanye idityaniswe nolunye unyango. Ingasetyenziselwa ukunciphisa ubungakanani bamathumba phambi kotyando, ukunciphisa iimpawu kwiimeko eziphambili, okanye ukunyanga umhlaza oye wasasazeka.
Ukhathalelo oluxhasayo ludlala indima ebalulekileyo ekulawuleni iziphumo ebezingalindelekanga zonyango lomhlaza kunye nokuphucula umgangatho wobomi. Oku kunokubandakanya ukulawulwa kweentlungu, ingcebiso ngesondlo, inkxaso yengqondo, kunye nokulawula eminye imiba yempilo enxulumeneyo. Iqela lezinto ezininzi, elihlala libandakanya ii-oncologists, oogqirha botyando, abongikazi, kunye noonontlalontle, kubalulekile ekunikeni ukhathalelo olubanzi. Ukufumana inkxaso kunye nolwazi, unokunqwenela ukuthathela ingqalelo izixhobo ezifumanekayo kwimibutho efana ne-American Cancer Society.
Umhlaza we-gallbladder ophezulu ubangela imingeni ekhethekileyo. Izicwangciso zonyango zihlala zibandakanya indibaniselwano yechemotherapy, unyango lwemitha, kunye nonyango olujoliswe kuyo, olufana nolo luthintela iindlela ezithile zeemolekyuli eziqhuba ukukhula komhlaza. Ulingo lwezonyango lunokunikezela ngofikelelo kunyango olutsha olungekafumaneki ngokubanzi. Ingxoxo kunye ne-oncologist yakho ibalulekile ukuphonononga zonke iindlela ezinokubakho. Kwi IZiko loPhando ngoMhlaza laseShandong Baofa, sizinikele ekuboneleleni ngokhathalelo oluphezulu kwizigulana ezilwa nomhlaza wenyongo.
Ukuxilongwa komhlaza we-gallbladder kuxhomekeke kwizinto ezahlukeneyo ezibandakanya inqanaba lokuxilongwa, uhlobo lomhlaza, kunye nempilo yesigulana iyonke. Ukufunyanwa kwangoko kuphucula kakhulu amathuba okuphumelela unyango lomhlaza wenyongo. Ukuqeshwa okulandelwa rhoqo kubalulekile ukubeka esweni ukuphindaphinda kunye nokulawula nayiphi na imiphumo yexesha elide yonyango. Iqela lakho lokhathalelo lwempilo liya kubonelela ngesikhokelo esilungiselelweyo kukhathalelo olulandelayo olusekwe kwiimeko zakho.
| Iqonga | Umyinge weminyaka emi-5 wokuPhila (Kuqikelelwa)1 |
|---|---|
| I | 60-80% |
| II | 30-50% |
| III | 10-20% |
| IV | <5% |
1 Idatha iqikelelwe kwaye inokwahluka ngokuxhomekeke kwizinto ezahlukeneyo. Qhagamshelana nomboneleli wakho wezempilo ngolwazi oluthile.
I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho.
Umthombo: Iziko leSizwe loMhlaza (NCI)
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