ukwelashwa umdlavuza esibindini

Izinketho Zokwelapha Umdlavuza Wesibindi

Umdlavuza wesibindi, isimo esibucayi, sidinga ngokushesha nangempumelelo ukwelashwa. Lo mhlahlandlela ophelele uhlola okuhlukahlukene ukwelashwa izinketho zomdlavuza wesibindi, zinikeza imininingwane ngokusebenza kwazo, ukufaneleka, kanye nemiphumela engemihle engaba khona. Sizocubungula intuthuko yakamuva nezindlela ezisetshenziswayo ukulwa nalesi sifo, sikusize uqonde indlela eya ngempumelelo ukwelashwa komdlavuza esibindini.

Ukuqonda Umdlavuza Wesibindi

Izinhlobo Zomdlavuza Wesibindi

Izinhlobo eziningana zomdlavuza zingathinta isibindi, ezivame kakhulu i-hepatocellular carcinoma (HCC) kanye ne-cholangiocarcinoma. Ukuqonda uhlobo oluthile lomdlavuza wesibindi kubalulekile ekunqumeni okungcono kakhulu ukwelashwa isu. Inqubo yokuxilongwa ihilela ukuhlolwa kwesithombe (njenge-CT scans ne-MRI), ama-biopsies, nokuhlolwa kwegazi ukuze kuhlolwe ukusebenza kwesibindi nokuthola izimpawu zesimila.

Umdlavuza Wesibindi

Isiteji sichaza izinga lokusabalala komdlavuza. Lokhu kubalulekile ekunqumeni okufanele ukwelashwa uhlelo. Isiteji sibandakanya inhlanganisela yezifundo zokuthwebula kanye nokungenzeka kube yi-biopsy. Isigaba somdlavuza sinomthelela ngqo ukwelashwa izinketho ezitholakalayo, kusukela ezinkambisweni ezingangeneleli kancane kuye emithi yokwelapha ebanzi.

Izinketho Zokwelapha Umdlavuza Wesibindi

Ukuhlinzwa

Ukususwa ngokuhlinzwa kwengxenye yomdlavuza yesibindi, eyaziwa ngokuthi i-hepatic resection noma ukufakelwa kwesibindi, kuyisisekelo esiyinhloko. ukwelashwa inketho yomdlavuza wesibindi wesigaba sokuqala. Ukukhishwa kwesibindi kuhlose ukususa isimila kuyilapho kugcinwa izicubu zesibindi ezinempilo ngangokunokwenzeka. Ukufakelwa kwesibindi kucatshangelwa lapho izicubu zesibindi ezisele zingakwazi ukusebenza ngokwanele ngemva kokuhlinzwa, noma uma umdlavuza usakazeke ngaphesheya kwesibindi.

I-Chemotherapy

I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Nakuba kungenjalo njalo primary ukwelashwa ngomdlavuza wesibindi, ingasetshenziswa ezimweni ezihlukahlukene: njengendlela yokwelapha i-neoadjuvant ngaphambi kokuhlinzwa ukuze kuncishiswe isimila; njengokwelashwa kwe-adjuvant ngemva kokuhlinzwa ukunciphisa ingozi yokuphinda; noma njenge-palliative ukwelashwa ukudambisa izimpawu kanye nokwenza ngcono izinga lempilo ezigabeni ezithuthukile. Umuthi othile we-chemotherapy uncike ohlotsheni kanye nesigaba somdlavuza.

I-Radiotherapy

I-Radiotherapy isebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ukwelashwa ngemisebe ye-beam yangaphandle kuvame ukusetshenziselwa umdlavuza wesibindi, ngokuvamile kuhlanganiswa nokunye ukwelashwa. Ingasetshenziselwa ukunciphisa izimila, ukulawula ubuhlungu, nokuthuthukisa izinga lempilo. Ukusetshenziswa kwezindlela zokwelapha nge-radiotherapy ezihlosiwe ezifana nokwelashwa ngemisebe ye-stereotactic body radiation (SBRT) kuvumela ukulethwa okunembayo kwemisebe esimila, kunciphise ukulimala kwezicubu ezinempilo ezizungezile.

Ukwelapha Okuhlosiwe

Izindlela zokwelapha ezihlosiwe ziyizidakamizwa eziqondise ngokuqondile amangqamuzana omdlavuza, okushiya amangqamuzana anempilo engenakulimala uma kuqhathaniswa. Lezi zivame ukusetshenziswa ezigulini ezinomdlavuza wesibindi othuthukisiwe futhi zingasetshenziswa ngomlomo noma nge-intravenously. Ukusebenza kokwelashwa okuhlosiwe kuncike ohlotsheni oluthile nezici zamangqamuzana omdlavuza.

I-Immunotherapy

I-Immunotherapy ihlanganisa amasosha omzimba ukuze alwe namaseli omdlavuza. Ama-Checkpoints inhibitors, uhlobo lwe-immunotherapy, asetshenziselwa ukusiza amasosha omzimba abone kangcono futhi ahlasele amangqamuzana omdlavuza. Lezi zindlela zokwelapha zingasebenza kahle, ikakhulukazi ezinhlotsheni ezithile zomdlavuza wesibindi futhi lapho kuhlanganiswa nezinye izindlela zokwelapha. Imiphumela emibi iyehluka kakhulu phakathi kwabantu.

Embolization

I-Transarterial chemoembolization (TACE) inqubo ehlasela kancane eletha izidakamizwa ze-chemotherapy ngqo esimila nge-hepatic artery, ivimbe ukugeleza kwegazi esimila. Lokhu kugxilisa i-chemotherapy futhi kunciphisa umthelela kuwo wonke umzimba.

Ukukhetha Ukwelashwa Okulungile

Ukukhethwa okuhle kakhulu ukwelashwa okwe umdlavuza esibindini kuncike ezicini eziningana, okuhlanganisa uhlobo nesigaba somdlavuza, impilo yesiguli iyonke, nezinto ezithandwa umuntu siqu. Ithimba lochwepheshe bezinhlanga eziningi, okuhlanganisa ama-oncologists, odokotela abahlinzayo, izazi ze-radiologists, nabanye ochwepheshe bezokunakekelwa kwezempilo, bazosebenzisana ukuze bakhe uhlobo lomuntu siqu. ukwelashwa uhlelo.

Lolu lwazi luhloselwe izinjongo zemfundo kuphela futhi aluthathi indawo yeseluleko sochwepheshe bezokwelapha. Kubalulekile ukubonisana nochwepheshe bezokunakekelwa kwempilo ukuze uthole ukuxilongwa okunembile futhi ukwelashwa ongakhetha kukho. Ukuze uthole ulwazi olwengeziwe noma ukuhlela ukubonisana, vakashela I-Shandong Baofa Cancer Research Institute.