Chotsani khungu aimpso carcinoma selo: chithandizo, madokotala ananena zawo

M'zaka zaposachedwapa, milandu pamene madokotala oterewa bwino selo aimpso carcinoma selo. Kodi kuchiza matenda ndi zimene inu mukhoza kuyembekezera m'tsogolo? Ine kuzilingalira n'zotheka, ngati kuzindikira kuti chotupa ichi ndi chosiyana ndi zina malignancies.

ndi nanga?

Gipernefroidny bwino selo khansa impso zambiri ndipamene mu minofu mwake proximal nephron ngalande. Kamodzikamodzi analembedwa nthawi ya dongosolo kugonjetsedwa pyelocaliceal. Wachibale subtypes zina za matenda oncological, izi si ofala kwambiri, monga matenda pafupifupi awiri peresenti ya odwala onse ndi khansara. Pa nthawi adzaupereka kwa malo chakhumi pa pafupipafupi yatsoka mu dziko.

Chaka chilichonse padziko lino matenda "khansa bwino impso selo," kuika anthu 250 sauzande. About zikwi zana amamwalira chaka chilichonse chifukwa matenda. Kafukufuku amasonyeza kuti kwambiri bwino selo aimpso selo carcinoma impso zambiri zimakhudza anthu a m'mizinda ikuluikulu. chiopsezo gulu - anthu zaka 50 70.

Kodi kuchitira?

Ngati anapezeka ndi bwino foni carcinoma aimpso selo, mankhwala akhoza kukhala mosalekeza. Mukhoza kugwiritsa ntchito mankhwala wowerengeka ndi mankhwala wowonjezera, koma simungathe kunyalanyaza zimene tikulimbikitsidwa ndi madokotala. Zoonadi malangizo pa kuvomera mankhwala mwamsanga unachitikira ndondomeko kusankhidwa. Madokotala amalangiza njira mwamsanga mankhwala a matenda, m'pofunika kukhulupirira zambiri.

Amasankha machenjerero a chithandizo cha matenda posachedwapa kukhazikitsa matenda okhazikika ndi kumvetsa zimene siteji ya matenda kukufika. Pankhaniyi, madokotala amati:

• m'badwo wodwalayo;
• ambiri mkhalidwe lake;
• amene anapereka bwino metastases carcinoma selo aimpso khungu;
• mmene zotupa zazikulu pafupi ziwalo, zimakhala.

aluso: opaleshoni

Ngati ndi khansa bwino selo impso, madokotala amati kugwiritsa ntchito mbali zonse za mankhwala amakono mu malo oyamba - nthawi zikugwira ntchito m'munda wa opaleshoni. Akukhulupirira kuti opaleshoni - ndi njira zothandiza kwambiri polimbana ndi matenda.

Ndi njira ya chithandizo cha dokotala Oncology amalandira mwayi wonse ziwalo anakhudzidwa ndi zimakhala wodwalayo ndipo kungakhale mu malo kusankha kuchotsa mulingo woyenera kwambiri mwayi wosankha lalikulu bwanji m'dera ayenera kuchotsedwa ndi momwe angachitire izo. Izi zimachitika motere:

1. Bandaging mitsempha yopita kwa impso.
2. Chachotsedwa chipika anakhudzidwa zimakhala: impso chotupa minofu.
3. Lymph mfundo kung'ambika zichitike.

Timanena za thandizo la chitetezo chokwanira

zotsatira zabwino kwambiri ngati bwino selo khansa impso anapezeka, limalola mankhwala m'thupi. Iyi ndi njira amenewa omwe bwino wawononga kusandulika maselo minofu.

Pamene matenda a "momveka selo aimpso selo carcinoma" zithunzi "Interleukin-2" ntchito mu malo oyamba. Iwo amakhala ndi chikoka yogwira pa chotupa minofu, zikubweretsa lysis a zotupa. Komanso wothandizila amakhudza ntchito ya T-lymphocytes. Maselo amenewa anayamba kubala yogwira pophika yokha.

njira inanso, ndi kutsimikiziridwa mu yochizira matenda - mankhwala "Interferon alfa-2a". Iwo akhoza pamodzi ndi mankhwala tatchulazi. kuphatikiza amapereka zotsatira chidwi kwambiri.

Chithandizo cha mankhwala khansa

Ngati adokotala anandiuza bwino selo aimpso selo carcinoma, zolosera pambuyo kuchotsa mwachuluka amadalira mtundu wa mankhwala ntchito. Ngati anaganiza amachita opaleshoni, sizitanthauza kuti mankhwala yochepa kwa tebulo opaleshoni. Pambuyo pake, tidzakhala ndi kupita ndithu njira yaitali mankhwala amphamvu. Perekani izo pamaso ntchito.

Mankhwala amene angagwiritsidwe ntchito kuti amenyane khansa impso:

• "Cisplatin".
• "Doxorubicin".
• "Methotrexate".
• "Vinblastine".

Nthawi zina, madokotala amalangiza mankhwala mankhwala osokoneza bongo ndi okhutira pulatinamu. Mankhwala akhoza pamodzi "gemcitabine".

Kumbukirani kuti ndikhale ngati njira palokha zolimbana ndi matenda sangathe ntchito, chifukwa dzuwa ake ndi otsika kwambiri. Izi zikungofanana ndi muyeso owonjezera kuti mankhwala aluso ndi Mkhalidwe.

mankhwala cheza

khansa Palliative impso - cheza mankhwala. Ndi othandiza pamene matenda kumayambika mu metastases fupa la wodwalayo. Cheza mankhwala akhoza kuchepetsa ululu.

Ntchito ngati fractionation 3 Gy. Nthawi Maphunzirowa - masabata awiri. Pafupipafupi - nthawi 10. Nthawi zina, mankhwala 4 Gy maulendo 5. Ndiye mlingo kumachepetsa kwa sabata. Kafukufuku amasonyeza kuti kuchepetsa ululu n'zotheka 80% ya milandu.

Mahomoni ndi khansa

mankhwala m'thupi okha sikungakuthandizeni khansa kugonjetsedwa kwa impso, koma ntchito yaikulu - luso m'mbuyo kukula khansa. Ntchito zosiyanasiyana lalikulu la mankhwala, zothandiza kwambiri umboni:

• "Tamoxifen".
• "Medroxyprogesterone".

Tingonena Kafukufuku akusonyeza kuti munthu angalandire zikhala bwino kokha pamene mankhwala Chili njira zingapo. Opaleshoni - uyu ndi gawo lofunika kwambiri pa njira mwatsatanetsatane, koma tiyenera kusunga mphamvu ya thupi wodwala njira zina kudziwika.

Tiyembekezere zotani?

Ngati adokotala anandiuza bwino khansa selo impso, kuti madokotala ananena zawo zimadalira gawo limene anakwanitsa azindikire matenda. Ndipo zimadalira chikhalidwe cha Oncology ndipo ngati metastases alipo, monga iwo zachangu. Kumene, kudziwika khansa pa siteji oyambirira kumachititsa wa zotsatira bwino.

Ngati simungathe matenda mu gawo loyamba, ndi zaka zisanu mlingo kupulumuka kuposa 90%. Mu ndime yachiwiri, chithunzi ichi zimasiyanasiyana za 70-75%. Pa gawo lachitatu la mlingo kupulumuka zaka zisanu - zosaposa 65%. Pomaliza, gawo lotsiriza la nthenda, pamene Oncology anakantha lymph mfundo ndi chotupa wakula mu ziwalo kutali ndipo zimakhala patatha zaka zisanu kuchokera tsiku la dongosolo la 10-40% odwala apulumuke akamaliza mankhwala.

zina

Ngati kumene chotupa anapezeka, m'mimba mwake wa zomwe si upambana santimentov atatu analola kuchotsa resection unsembe. Kaya maphunziro wamkulu bwanji, ngati alowererepo opaleshoni n'zotheka amachita njira yokha ngati wodwalayo impso chimodzi chokha.

Mu zaka zingapo zapitazo, asayansi akwanitsa kukhala latsopano njira zingapo chotupa kuchotsa. Wotchuka umisiri wotsogola mankhwala:

• Cyber mpeni;
• ablation wailesi pafupipafupi;
• embolization a mtsempha wamagazi aimpso.

Zonse mwa njira zimenezi kulola madokotala mofulumira ndi efficiently yochotsa chotupacho milandu yovuta kwambiri. Kafukufuku amasonyeza kuti madokotala koposa kuchiritsa odwala, limene mpaka pano zaka 5-7 zapitazo, akanati zimachitika m'gulu la oipa zisakuyenda bwino. Koma safuna ngakhale kusankha njira zake, likhoza kupanga munthu oyenerera mkulu. Oncologist amafufuza boma la thupi wodwalayo kukakumana ndi peculiarities wake munthu, umene kupanga mapeto komaliza zokhuza kuthekera kutsatira njira inayake.

Cancer ndi Quality wa Moyo

mmene munthu akhoza kukhala ndi khalidwe la moyo kumadalira mmene chidwi ndi matenda a thupi lake. Kumene, amachepetsa kukula kwa khansa zaka zisanu mlingo kupulumuka ndi madokotala ananena zawo kumakhala kosavuta yabwino ndi aliyense gawo latsopano. Koma ngakhale ngati pamene wodwala anapulumuka patatha zaka zisanu kuchokera ndime ya chithandizo, khalidwe la moyo sadzamva chomwecho kachiwiri.

Kumene, ntchito amapereka zotsatira zabwino, koma m'tsogolo adzakhala ndi moyo popanda impso, amene amaika malire zina chakudya ndi njira ya moyo, ntchito za moyo watsiku ndi tsiku. Komanso, dokotala adzamuika mankhwala mankhwala, amene adzayenera kutsatira kwenikweni kwa mapeto a moyo.

akulimbana mankhwala

Njira imeneyi itadziwika kwa asing'anga posachedwapa ndi kale kutsimikiziridwa nchito zake polimbana ndi khansa. njira zachokera ntchito njira yeniyeni mankhwala kuchita maselo chotupa. The mkulu mlingo wa ntchito chifukwa tagetirovanostyu, kuti ndi chandamale cha yogwira zinthu malangizo. Pankhaniyi, maselo wathanzi si anakhudzidwa pamene mukumwa mankhwala awa. Izi zikutanthauza kuti kwambiri yafupika (ngakhale ziro) mavuto.

Pamaso mankhwala yogwira chinthu amachita pa mamolekyulu a mtundu womwewo ndipo amagwira njira ma zimene zimachititsa kukula kwa maselo chotupa mu mtima. Kugwiritsa ntchito mankhwala amenewa kale kusonyeza ngati dzuwa kwambiri, asayansi ena akamufunsirire m'malo immunotherapy. N'kotheka, masiku ano madokotala n'zomwe ntchito limodzi ndi chitetezo akulimbana - izo zikusonyeza zotsatira zabwino. Kukula kwa zotupa zilonda yafupika osachepera kawiri.

Akulimbana mankhwala ndi yofunika pamene atatsimikizira kale cheza osamveka ndi mankhwala amphamvu. Ntchito mankhwala:

• "Nexavar".
• "Inlita".
• "Torisel."

njira amamwa ndi khansa

Kumene, njira yaikulu kulimbana khansa zotchulidwa dokotala ndikatha kumfunsafunsa zonse za wodwalayo, koma amaloledwa amachita ena njira kunyumba mankhwala kugwira thupi maselo wathanzi ndi kuthetsa kubadwanso. Choyamba khansa impso mankhwala kunyumba akubwera kusunga zakudya zapadera. Iwo amaika oncologist, kuika pa nkhani zosiyanasiyana. Mwina ntchito mu chakudya zakudya okha vitamini kulemera kuti mosavuta digested mwa thupi.

Ndi zosavomerezeka khansa impso:

• kusuta;
• kumwa mowa.

Izi zoletsa - moyo.

Musagwiritse ntchito mu chakudya:

• mafuta;
• zokometsera;
• lakuthwa.

Mungayesere kumwa teas, zinachitika pa zitsamba zotsatirazi:

• Rhodiola;
• mountaineer;
• m'mlengalenga;
• Chaga;
• horsetail;
• nettle.