
Umdlavuza we-Gallbladder yisifo esibi kakhulu, kodwa ukuqonda izinketho zakho zokwelapha kubalulekile ukuze ulawule ngempumelelo. Lo mhlahlandlela ophelele uhlola okuhlukahlukene ukwelashwa komdlavuza we-gallbladder isondela, ikusiza ukuthi uzulazule kulolu hambo oluyinselele. Sizofaka izinketho zokuhlinzwa, ukwelapha ngamakhemikhali, ukwelashwa ngemisebe, nokunakekelwa okusekelayo, sinikeza isithombe esicacile salokho okufanele ukulindele. Khumbula, ukubonisana nodokotela wakho we-oncologist kubalulekile ekuhleleni ukwelashwa komuntu siqu.
Umdlavuza we-Gallbladder uhlukaniswa ngokuyinhloko ngohlobo lweseli kanye nesiteji, okuthonya amasu okwelapha. I-Adenocarcinoma ibangela iningi lamacala. Isiteji sisebenzisa uhlelo lwe-TNM (iTumor, Node, Metastasis) ukuhlola izinga lomdlavuza. Isigaba sokuqala ukwelashwa komdlavuza we-gallbladder ngokuvamile kuhilela ukuhlinzwa, kuyilapho izigaba ezithuthukile zingase zidinge indlela ye-multi-modal ehlanganisa ukuhlinzwa, ukwelashwa ngamakhemikhali, kanye/noma ngemisebe.
Izimpawu zomdlavuza wenyongo zingase zingacaci futhi ngokuvamile zilingise ezinye izimo. Angase ahlanganise ubuhlungu besisu, i-jaundice (ukuba phuzi kwesikhumba namehlo), ukuncipha kwesisindo, kanye noshintsho ekukuthandeni ukudla. Ukuxilongwa ngokuvamile kuhilela ukuhlolwa kwesithombe (i-ultrasound, i-CT scan, i-MRI) kanye ne-biopsy ukuze kuqinisekiswe ubukhona nohlobo lomdlavuza. Ukutholwa kusenesikhathi kuthuthukisa kakhulu ukubikezela kanye nezinketho zokwelapha.
Ukuhlinzwa kuyisisekelo se ukwelashwa komdlavuza we-gallbladder, okuhloswe ngayo ukususa inyongo enomdlavuza kanye nezicubu eziseduze. Izinga lokuhlinzwa lincike esigabeni somdlavuza. Izinketho zihlanganisa i-cholecystectomy (ukususwa kwe-gallbladder), i-cholecystectomy enwetshiwe (ukususwa kwezicubu ezengeziwe ezizungezile), kanye nokuhlinzwa okungase kube okubanzi kakhulu kuye ngokusabalala komdlavuza.
I-Chemotherapy isebenzisa izidakamizwa ukubhubhisa amangqamuzana omdlavuza. Ingase isetshenziswe ngaphambi kokuhlinzwa (i-neoadjuvant chemotherapy) ukuze kuncishiswe isimila, ngemva kokuhlinzwa (i-adjuvant chemotherapy) ukuze kuncishiswe ingozi yokuphinda kwenzeke, noma njengokwelashwa okuyinhloko komdlavuza osethuthukile, ongasebenzi. Imithi ethile ye-chemotherapy iyahlukahluka kuye ngezici zomdlavuza.
Ukwelapha ngemisebe kusebenzisa imishayo enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingasetshenziswa iyodwa noma ihlanganiswe nezinye izindlela zokwelapha. Ingase isetshenziselwe ukunciphisa ubukhulu bezimila ngaphambi kokuhlinzwa, ukunciphisa izimpawu ezimeni ezithuthukile, noma ukwelapha umdlavuza osusabalele.
Ukunakekelwa okusekelayo kudlala indima ebalulekile ekulawuleni imiphumela emibi yokwelashwa komdlavuza kanye nokwenza ngcono izinga lempilo. Lokhu kungase kuhlanganise ukuphathwa kwezinhlungu, ukwelulekwa ngokomsoco, ukwesekwa kwengqondo, nokuphatha ezinye izindaba zezempilo ezihlobene. Ithimba lezinhlaka eziningi, ngokuvamile elihlanganisa odokotela be-oncologists, odokotela abahlinzayo, abahlengikazi, nosonhlalakahle, libalulekile ekuletheni ukunakekelwa okuphelele. Ukuze uthole ukwesekwa nolwazi, ungase ufise ukucabangela izinsiza ezitholakala ezinhlanganweni ezifana ne-American Cancer Society.
Umdlavuza wenyongo osethuthukile udala izinselelo eziyingqayizivele. Amasu okwelapha ngokuvamile ahlanganisa inhlanganisela yokwelapha ngamakhemikhali, ukwelapha ngemisebe, kanye nemithi yokwelapha ehlosiwe, njengaleyo evimbela izindlela ezithile zamangqamuzana eziqhuba ukukhula komdlavuza. Izivivinyo zemitholampilo zinganikeza ukufinyelela ekwelashweni okusha okungakatholakali kabanzi. Ingxoxo ne-oncologist yakho ibalulekile ukuze uhlole zonke izindlela ezingaba khona. E- I-Shandong Baofa Cancer Research Institute, sizinikele ekuhlinzekeni ukunakekelwa okuthuthukile ezigulini ezilwa nomdlavuza wenyongo.
Ukubikezelwa komdlavuza we-gallbladder kuncike ezintweni ezahlukahlukene ezihlanganisa isigaba sokuxilongwa, uhlobo lomdlavuza, kanye nempilo yesiguli iyonke. Ukutholwa kusenesikhathi kuthuthukisa kakhulu amathuba okuphumelela ukwelashwa komdlavuza we-gallbladder. Ukuqokwa kokulandelela njalo kubalulekile ukuze kuqashwe ukuphindeka futhi kulawule noma yimiphi imiphumela yesikhathi eside yokwelashwa. Ithimba lakho lezokunakekelwa kwempilo lizohlinzeka ngeziqondiso ezihambisanayo ekunakekelweni kokulandelela ngokusekelwe ezimweni zakho ngazinye.
| Isiteji | Isilinganiso Sokusinda Esihlobene Seminyaka engu-5 (Cishe)1 |
|---|---|
| I | 60-80% |
| II | 30-50% |
| III | 10-20% |
| IV | <5% |
1 Idatha iyalinganiselwa futhi ingahluka kuye ngezinto ezahlukahlukene. Xhumana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole ulwazi oluthile.
Umshwana wokuzihlangula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe nganoma yikuphi ukukhathazeka ngezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma ukwelashwa kwakho.
Umthombo: I-National Cancer Institute (NCI)
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