unyango umhlaza wesibindi imbangela

Ukuqonda oonobangela kunye noNyango loMhlaza weSibindi Umhlaza wesibindi sisifo esimandundu, kwaye ukuqonda oonobangela baso kunye nonyango olukhoyo kubalulekile kulawulo olusebenzayo kunye neziphumo eziphuculweyo. Esi sikhokelo sibanzi siphonononga ubume obunobuninzi bomhlaza wesibindi, sihlola izizathu zawo ezahlukeneyo kunye neendlela ezahlukeneyo zonyango ezikhoyo ngoku. Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nengcali yezempilo ukuze uxilongwe kwaye unyangwe.

Iimbangela zoMhlaza wesibindi

IHepatitis yentsholongwane

Usulelo olungapheliyo lwentsholongwane ye-hepatitis B kunye no-C ngowona mngcipheko mkhulu wokuphuhlisa umhlaza wesibindi. Ezi ntsholongwane zibangela ukudumba kwexesha elide kwesibindi, kwandisa umngcipheko we-cirrhosis kwaye, emva koko, umhlaza wesibindi. Ugonyo oluchasene neHepatitis B lusebenza kakhulu ekuthinteleni usulelo. Unyango lweHepatitis C, kusetyenziswa amayeza e-antiviral, lusebenza kakhulu ekunyangeni usulelo kwaye ngaloo ndlela kunciphisa umngcipheko womhlaza wesibindi. Ukuze ufumane inkcazelo engakumbi ngothintelo lwe-hepatitis kunye nonyango, jonga iwebhusayithi ye-CDC. https://www.cdc.gov/hepatitis/index.htm

Ukusebenzisa kakubi utywala

Ukusetyenziswa kotywala ngokugqithiseleyo kunegalelo elikhulu kwisifo sesibindi, kuquka i-cirrhosis kunye nomhlaza wesibindi. Iimpembelelo eziyityhefu zotywala zonakalisa iiseli zesibindi, nto leyo ekhokelela ekudumbeni nasekubeni amanxeba. Ubungcathu ekuseleni utywala bubalulekile kwimpilo yesibindi. Iziko leSizwe lokuSetyenziswa gwenxa koTywala kunye nokuSetyenziswa koTywala (NIAAA) libonelela ngolwazi oluphangaleleyo kunye nezibonelelo malunga nokusetyenziswa kakubi kotywala. https://www.niaaa.nih.gov/

IiAflatoxins

Ukuvezwa kwi-aflatoxins, eveliswa ngumbumba othile okhula kwiinkozo kunye namantongomane, kudibaniswa nomngcipheko wokwanda komhlaza wesibindi. Ezi tyhefu zinomhlaza kwaye zingonakalisa iDNA yesibindi. Ukugcinwa kokutya okufanelekileyo kunye neendlela zokuphatha zibalulekile ukuze kuncitshiswe ukuba sesichengeni se-aflatoxin.

Isifo sesibindi esingesosotywala esinxilisayo (NAFLD)

I-NAFLD yinkxalabo ekhulayo, ebonakaliswe ngokuqokelelwa kwamafutha kwisibindi. Ukutyeba ngokugqithiseleyo, uhlobo lwe-2 yeswekile, kunye nesifo se-metabolic zivame ukudibaniswa ne-NAFLD, ukwandisa umngcipheko womhlaza wesibindi. Ukutshintsha kwendlela yokuphila, njengokulawula ubunzima kunye nokuguqulwa kokutya, kunokunceda ukuphucula impilo yesibindi.

Ezinye Izinto

Ezinye izinto ezinegalelo kumngcipheko we unyango umhlaza wesibindi imbangela zibandakanya: Cirrhosis (ukuqhawuka kwesibindi) ngenxa yezizathu ezahlukeneyo. Imiba yemfuza, efana ne-hemochromatosis yelifa. Ukuvezwa kwiikhemikhali ezithile kunye neetyhefu.

Unyango loMhlaza wesibindi

Ukhetho lwe unyango umhlaza wesibindi imbangela kuxhomekeke kwizinto ezahlukahlukeneyo, kuquka inqanaba nohlobo lomhlaza, impilo yesigulana xa iyonke, kunye nezinye izinto eziqwalaselwa ngumntu ngamnye. Unyango olukhoyo luquka:

Utyando

Ukususwa ngotyando kwenxalenye yomhlaza yesibindi (i-hepatectomy engaphelelanga) okanye isibindi sonke (ufakelo lwesibindi) lukhetho lomhlaza wesibindi okwinqanaba lokuqala. Ukuba nokwenzeka kotyando kumiselwa zizinto ezininzi ezibandakanya ubungakanani bethumba, indawo kunye nobukho beemetastases.

Unyango ngamachiza

I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza. Isenokusetyenziswa yodwa okanye kudityaniswe nolunye unyango. Ii-agent ezininzi ezahlukeneyo ze-chemotherapeutic zibonakalise ukusebenza kakuhle kunyango lomhlaza wesibindi.

Unyango ekujoliswe kulo

Unyango ekujoliswe kulo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza, ukunciphisa ingozi kwiiseli eziphilileyo. Iindlela ezininzi zonyango ezijoliswe kuzo zibonisa isithembiso ekuphuculeni umphumo wezigulane ezineentlobo ezithile zomhlaza wesibindi.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yemitha ephezulu ukutshabalalisa iiseli zomhlaza. Isenokusetyenziswa yodwa okanye kudityaniswe nolunye unyango.

Immunotherapy

Immunotherapy inceda amajoni omzimba ukulwa iiseli zomhlaza. Iiarhente ezininzi ze-immunotherapy zivunywe yi-FDA kunyango lomhlaza wesibindi kwaye zibonisa iziphumo ezilungileyo kulingo lwezonyango.

Ukukhutshwa

Unyango lwe-Ablation, olufana ne-radiofrequency ablation (RFA) kunye ne-microwave ablation (MWA), zisebenzisa ubushushu okanye amanye amandla ukutshabalalisa iiseli zomhlaza. Olu nyango luncinci kwaye lunyamezelwa kakuhle zizigulana.

Ukukhetha Unyango Olululo loMhlaza Wesibindi

Ukumisela eyona ifanelekileyo unyango umhlaza wesibindi imbangela kubandakanya uvandlakanyo olucokisekileyo lwemeko yomguli ngamnye. Oku kubandakanya izifundo zokucinga (i-CT scan, i-MRI, i-ultrasound), uvavanyo lwegazi, kunye ne-biopsy yesibindi enokubakho. Amaqela eengcaphephe asebenza ngeendlela ezininzi, adla ngokuquka iingcali zeoncologists, oogqirha botyando, iingcali ngemitha, kunye neengcali zegastroenterologists, zisebenza ngokubambisana ukuqulunqa izicwangciso zonyango lomntu ngamnye.

UKhetho Lonyango	Inkcazo
Utyando	Ukususwa kwezicubu zesibindi ezinomhlaza okanye ukutshintshwa
Unyango ngamachiza	Ukusetyenziswa kweziyobisi ukubulala iiseli zomhlaza
Unyango ekujoliswe kulo	Amachiza ajolise ngokukodwa kwiiseli zomhlaza
Unyango ngemitha	Imitha ephezulu yamandla ukutshabalalisa iiseli zomhlaza

Khumbula ukudibana nengcali yakho yezempilo ukuze ufumane ukuxilongwa ngokuchanekileyo kunye nocwangciso lonyango lomntu. Ukufunyaniswa kwangethuba kunye nokungenelela ngexesha kubalulekile ekuphuculeni iziphumo unyango umhlaza wesibindi imbangela. Ukufumana ulwazi oluthe kratya malunga nophando lomhlaza wesibindi kunye neendlela zonyango, ungacinga ngokuqhagamshelana neShandong Baofa Cancer Research Institute ku https://www.baofahospital.com/ ngeenkcukacha ezithe vetshe.