Umdlavuza wesibindi unyangwa njani kwaSirayeli?

Ngokwemvelaphi , umdlavuza wesibindi unokuba yiprayimari, oko kukuthi, ivela kwizakhiwo zesibindi kunye neesekondari okanye zesekondari (umphumo wenkqubo yokungena kwi-metastasis enobungozi obubi, ebonakalayo kwezinye izitho). Ukuxhaphaka kwesi sifo kuguqula ingxaki yoncedo kumdlavuza wesibindi kwaSirayeli ibe ngumsebenzi obaluleke kakhulu kwiingcali kwi-incology.

Kwiintlobo zesifo somhlaza wesibindi sokuqala:

• I-cholangiocarcinoma (umhlaza osuka kwi-ducts ye-bile);
• I-hepatocellular carcinoma (umhlaza ovela kwiiseli eziyingozi - i-hepatocytes).

Eyona nto iqhelekileyo ngumhlaza wesibindi sokuqala wesibini. I-Metastases, ngokuqhelekileyo, ithambe ukukhula ngokuchanekileyo kulo mzimba womntu, kuba isibindi sisebenza njengonqabileyo olusisiseko lomzimba. Kule meko, ngokwalo, kubalulekile ukuqeda umdlavuza wesiqhelo, oko kukuthi, i-tumor ephantsi.

Unyango lomhlaza wesibindi kwaSirayeli

Ngokwenene, ngokuxilongwa kwesifo somhlaza wesibindi, indlela yokugonywa isetyenziswa. Ukukhethwa kwendlela efanelekileyo yokuqhuba ukusebenza kuxhomekeke kwisimo somguli. Ziquka:

• I-Lobectomy (ebonisa ukususwa kwelo nxalenye yesibindi sokuthi i-tumor yayikwazi ukubamba);
• I-Hemihepatectomy (ukutyunjwa kwesigindi sesibindi, i-anatomiki ehlukeneyo).
• Ngexesha nangemva kokuhlinzwa, kuyimfuneko ukuphumeza:
• Bhengeza i-foopsy yesibindi kunye nesibilini, esenziwa ngokuthe ngqo, ngexesha lokusebenza;
• Uhlalutyo lwamathambo kunye nekhemikhali ye-neoplasm esusiweyo (emva kokusebenza).

Ngokuphathelele ukufakelwa kwesibindi, kuyaqatshelwa ukuba ku-Israyeli lo msebenzi unokwenzeka kuphela xa isiguli sinesihlobo esiseduze, ekubeni ukuthengiswa okanye ukuthengwa kwamalungu omnikeli akusemthethweni. Ekubeni komnikeli, ukufakelwa kwesibindi kungenziwa xa:

• Kukhona ukwakheka okubodwa, ubungakanani bawo abugqithisi ububanzi beesentimitha;
• Kukho enye okanye ezimbini ze-neoplasms, ubukhulu becala ngalinye elingaphaya kwama-centimitha amathathu;
• Inkqubela ye-neoplasm ayikho, ubuncinane ngethuba lesigqitha kunye nobukhulu bayo ayidluli kwiisentimitha eziyisixhenxe.

Okwangoku, i-Israel iye yavelisa iindlela ezivumela ukutshintshelwa inxalenye yesibindi, ekugqibeleni kuya kuba yinto epheleleyo, ngenxa yamandla akhe ahlukileyo okuvuselelwa. Oku kukuvumela ukuba ugcine ilungu elisebenzayo kokubili kwisigulane nakumnikeli.

Ukongezelela, kubalulekile ukwazi ukuba ukufakelwa kwesibindi kwa-Israyeli kuqhutyelwa kuphela kumxhasi onxulumene.

Kwenzeka ukuba ukunyamekela umdlavuza wesibindi kwaSirayeli akunakwenzeka. Kwiimeko ezinjalo, amaziko ezokwelapha ase-Israel asebenzisa ezinye iintlobo zonyango eziqhutywe esibindi sesisu esibi. Ziquka:

• I-Cryoablation (eyenziwa ngokuqandisa, isebenzisa i-nitrojeni yamanzi, i- cell neoplastic);
• I-Ablation phantsi kolawulo lwenkqubo nge-ultrasound (inaliti ezifakwe kwi-tumor nge-ethanol, isicatshulwa esibhubhisa iiseli zomhlaza);
• Ukukhishwa kwee-Radiofrequency under control of CT, okanye i-ultrasound (xa kuqhutyelwa iincinci ezincinane kwi-peritoneum, inaliti ifakwe kwiinaliti ezifudumalayo, ezikhokelela ekutshatyalaliswa kweeseli zesisu).
• Ukusetyenziswa kwe-cyber knife (indlela ye-radiosurgical, esetyenziswayo, kubandakanywa, ukuphelisa i-metastases);
• I-Chemoembolisation - enye yeentlobo zamachiza okhemikhali, apho izilwanyana zifakwe kwisibindi (ngethuba le nkqubo, umzobo onobungozi obanika i-tumor ngegazi ivaliwe);
• Ukusetyenziswa kwonyango olunengqiqo - ukutshatyalaliswa kweqhekeza ngoncedo lwemitha enamandla, enenjongo yee-cancer;
• Ukusetyenziswa kwendlela ye-SIRT, eyi-radiotherapy ekhethiweyo ye-intrahepatic, esebenzayo ngokusebenzisa umbane ophezulu otshabalalisa i-tumor.