Umhlaza wesibindi, metastases isibindi sase-

Medicine amashumi eminyaka abazibandakanya ngophando kwicandelo lophuhliso umhlaza, kodwa lo gama ukuhlola ngokupheleleyo inkqubo somhlaza lutshitshe. Ngokomzekelo, kutheni iseli nga ubunokuzihlaziya ngendlela engaqhelekanga kwaye emva koko babe ukuba Deplete motor iqala. ngamathumba abuhlungu kunye metastases esibindini - lentelekelelo ayikho ezithuthuzelayo. Baya kwenzeka phantsi kweempembelelo yezizathu ezahlukeneyo, olukhokelela ukusilela sitho kungekho unyango olufanelekileyo kunokwenzeka kusondele ukufa.

umhlaza wesibindi luhlobo eziziprayimari nezizisekondari. Primary zisasazwe njengoko yande ngamaxesha amaninzi kakhulu okuba ubunzima kuyo kwisiqingatha eyindoda koBuntu. Eyona unobangela woku hlobo lomhlaza - ukukhula sohlobo egazini (B, C, D) adlulele luhlobo esinganyangekiyo, isizathu sesibini - hepatitis ezikhokelela kwesibindi. isifo Secondary - metastases zesibindi (kulo mzekelo, i-ALS elingamncediyo kakhulu) - ukuvela imvelaphi omnye ithumba-zithwele omzimba (umphunga, ibele, ikholoni, yesinye, iphecana eliphezulu nokuphefumla, njalo njalo).

metastases isibindi enobungozi bayakwazi ukukhula ubukhulu (ngaphezu kwe-10 cm) kwaye kungakhokelela ekubeni sisibindi ukunxila inamandla ngenxa ukubola bezinto ezingasafunekiyo. Amaninzi wabumba metastases yamathumba yingozi iphecana zesisu, kuba igazi sele "ezingcolisekileyo" iiseli ithumba, ababethunyelwe ukuya isibindi ukuze ukuhluza zendalo, apho iiseli ukuhlala grid nemithambo aze aqalise ukwenza ngamathanga - metastases. Kufuneka kuqatshelwe ukuba naliphi lwangaphakathi umbutho ithumba kuwenza ukuya esibindini.

Ukuba bekukho metastases esibindini, i-ALS idla ntle, ke, ukuba ngqo ngakumbi, ugqirha kufuneka enze uhlolo eziyimfuneko. Ngokutsho isibindi metastases iingcali labonwa 1/3 izigulane Oncology, ingakumbi umhlaza wemiphunga, isisu, ikholoni kunye nomhlaza webele, ukuba kunqabile kakhulu umhlaza ovarian kunye nomhlaza wendlala.

Iimpawu umhlaza wesibindi

Lo mfanekiso yinto phantse ncam kokubini ithumba eziziiprayimari kwi ezizisekondari. Ngokuqhelekileyo, izifo yingozi, akukho zimpawu zibonakala. Ngelo lokuqala lophuhliso kunokubangela ubuthathaka, ifiva, ukudinwa ezikhawulezayo, utshintsho isitulo, a sorhudo ngamaxesha, ukungabi namdla kunye ukutyeba, iintlungu, okanye uzive liqinile ikota yesangqa ephezulu ngasekunene. Amaxesha amaninzi ezi mpawu umhlola nezinye izifo: cholelithiasis, cholangitis, cholecystitis, izigulana siqala ukubaphatha ivela ezi zifo, ukuqala isigaba Oncology.

Intlungu kwicala lasekunene luyaphuculwa ngexesha ekuphumezeni ubungakanani ithumba ebalulekileyo, kulo mzekelo, oko kuphazamisa amalungu engqongileyo yaye ngenxa yoko, ololulele philisi isibindi ngamandla. Sesihambe ngakumbi, nethumba eyomeleleyo siqhuba lukwasetyenziswa ukuvavanya ebangela kuphazamisa umsebenzi kwesibindi - Ukwenza ntsha kwakhona inyongo engena emathunjini, oko kubonakala kwi umbala eluswini, inwebu yangaphakathi (abamhlophe yamehlo, emlonyeni) - zinaso umbala omthubi, kome kunye ukurhawuzelela kunokwenzeka. Kwakhona waphawula ukuphakamisa iqondo lobushushu (ukuya kwi-39 C).

Ubhaqo yamathumba kunye metastases zesibindi

Nkqu metastases ezinkulu esibindini, nto leyo ALS ntle kakhulu, ukuze ukugcina okwethutyana umsebenzi omzimba kunye abangele senyongo. Bile kule meko lithathwe ngamajelo usempilweni, kodwa igazi kwinqanaba yibilirubin iya banda izihlandlo eziliqela. Moshilongo ifuna iqela iimvavanyo kunye nezifundo, ezona ziphambili zezi:

• ultrasound besisu - kunceda ukuchonga ubungakanani kunye nohlobo yamathumba kunye metastases ezikhoyo.
• SKT MR okanye - ngokuchane ngakumbi basibone yobubi.
• Inyathelo elilandelayo - le okuhlatywa le thumba. Kwathathwa isampuli yethishyu zithunyelwa ukufunda histology ukumisela imilo yayo.
• Urinalysis, igazi ngomnwe ngemithambo.

Outlook

Malunga ne-52% ezigulane asinde (phakathi kweminyaka emi-5 emva kotyando), ukuba omnye amabi indibano 38% kuhlala siphila phambi nemivo emi-2. Ukuba ogulayo amaqhina-3 nangaphezulu, amathuba ade ephantsi - ngaphantsi kwe-18%. Kwanasemva kokuba ngempumelelo elingama uqhaqho yi-40%. I-ALS ezithandwa kakhulu yamathumba ze ikholoni kunye isikali.

Enoba kunjalo, kubalulekile ukuba ukunika unyango isantya okanye ukujingxela ukukhula thumba kunye nokuthintela iingxaki ukuphuhlisa. Kwimeko yokungenelela for umhlaza wesibindi metastases bemka ilungu resection - ukususwa kwingxelo ithumba. Lo msebenzi ikuvumela ukuba ecaleni ngokupheleleyo, ummandla ingozi, njengokuba sisazi, isibindi kungancitshiswa ngobukhulu - kuthatha malunga neenyanga ezintandathu.