Kuchiza kwa Khansa ya Chiwindi Mu Israeli

Khansa ya chiwindi imaonedwa kuti ndi imodzi mwa mitundu yoopsa kwambiri ya khansa. Mitsempha yowopsya ingayambe kuchokera ku maselo awo a chiwindi, mitsempha yake ya magazi ndi madontho a bile kapena kubwera chifukwa cha metastases ku ziwalo zochititsa mantha za ziwalo zochokera ku ziwalo zoyandikana nawo. Magazi ochuluka a chiwindi ndi chitsimikizo chabwino chokhalira m'magazi ndi kukula kwa maselo oopsa.

Zina mwazinthu zingayambitse chiwindi cha chiwindi:

• Hemochromatosis - kuphwanya kusinthanitsa chitsulo mu thupi laumunthu ndi kusonkhanitsa mu ziwalo ndi ziwalo, kuphatikizapo. Chiwindi;
• Matenda a parasitic - schistosomiasis, amebiasis, opisthorchiasis, etc ;;
• Chisa;
• Matenda a cirrhosis, kumayambitsa matenda osokoneza bongo, mitundu yosiyanasiyana ya mankhwala ndi mankhwala, matenda aakulu a chiwindi, matenda a bile, congestive mtima failure;
• Matenda a hepatitis B ndi C - onse awiri kupyolera mu chizunguliro, komanso mosiyana;
• Zomwe zimayambitsa matenda a khansa ya chiwindi;
• Kuyankhulana ndi aflatoxin - mycotoxin bowa Aspergilisflavus, omwe amapezeka mu tirigu woumba, nthanga ndi zinthu zina chifukwa chosungirako zosayenera;
• Kugwiritsa ntchito anabolic steroid mahomoni;

Gawo loyambirira la matendawa lingakhale ndi njira yokhayokha. Zizindikiro zomwe zimabwera mtsogolomu zingagawidwe m'magulu awiri:

- Zizindikiro zambiri zimayimira matenda onse oopsa - kutentha kwa thupi, kufooka, kusowa kwa kudya, kuperewera kwa thupi, kuchepa kwa magazi;

- zizindikiro zimayambira pachiwindi cha chiwindi - kuwonjezeka kwa chiwalo (hepatomegaly), palpation, kupweteka kapena ululu kumbali yoyenera ya mimba, kupezeka kwa matenda opatsirana (kutsekemera, kusanza, zotayirira, kudzimbidwa), kutuluka kwa madzi m'mimba (ascites) ), Kutsegula, jaundice.

Kuzindikira khansara ya chiwindi mu Israeli kumayamba ndi kufufuza mbiri yachipatala komanso kuyezetsa bwino kwachipatala. Kuyeza kuchipatala kukuwonetsa ululu m'munsi mwa quadrant yakumanja, pali kuwonjezeka kwa kukula kwa m'mimba ndi chiwindi, mitsempha yambiri ya m'mimba pamwamba pa mimba.

Kuyeza magazi kumasonyeza kuti anthu ambiri amatha kutupa (kuwonjezeka kwa ESR, leukocytosis, kuchepa magazi m'thupi) komanso kusintha mwazitsulo.

Njira zogwiritsira ntchito kansa ya chiwindi mu Israeli zimatsimikizira momwe kufalikira kwa nthendayi komanso kukula kwake. Kwa ichi, radioisotope ndi ultrasound pachiwindi, PET-CT, MRI, angiography kapena X-ray ya mitsempha ya magazi amagwiritsidwa ntchito.

Kuonetsetsa kuti chiwindi chimayang'ana pachiwindi, nthenda yabwino ya singano yomwe imayang'aniridwa ndi ultrasound kapena CT imagwiritsidwa ntchito, kapena njira yothandizira opaleshoni imagwiritsidwa ntchito-laparoscopy yomwe imaphatikizapo kuika laparoscope m'mimba pamunsi kuti ayang'ane ndi dokotala wa chiwindi mkati mwake ndi kutenga zitsanzo za minofu kuti azifufuza bwinobwino pogwiritsa ntchito microscope.

Kwa lero mu Israeli kuti mulandire chidziwitso chathunthu cha njira zomwe zimapezeka m'chiwindi zimagwiritsidwa ntchito kwambiri pamtambo - chiwerengero cha limbidwe pamagazi.

Ndiponso, ngati akukayikira za khansa ya chiwindi mu Israeli, kuyesa magazi kuti akhalepo kwa alpha-fetoprotein mapuloteni (AFP), omwe nthawi zambiri amakhalapo mu magazi okhaokha, ndipo mwanayo atatha kubadwa. Pamene matendawa amayamba m'chiwindi, AFP ikuwonekeranso m'magazi.

Chithandizo cha khansa ya chiwindi ku Israeli chimachokera pa siteji ya chitukuko cha njira zokhudzana ndi chilengedwe, thanzi la wodwala komanso umunthu wake.

Pali mitundu itatu ya matendawa: khansa yowonongeka yomwe ilipo, khansara yomwe silingatheke komanso mtundu wina wa khansa ya chiwindi.

Ndi chiwindi chowopsa cha malo oyambirira komanso chiwalo chokhala ndi thanzi labwino, opaleshoni imachitidwa - kutengeka pang'ono kwa chiwindi. Mkhalidwe wofunika womwe umakhudza zotsatira zake ndi kukula kwa chotupacho ndi malo ake poyerekeza ndi mitsempha ya magazi.

Khansara yosawopsyeza yomwe ili m'kati mwadzidzidzi ndi chotupa chimene sichitha, koma chifukwa cha kukula kwake sichitha kuchotsedwa bwinobwino. Gululi liphatikizapo khansa yomwe ili m'malo ovuta kuchotsa, zilonda zingapo kapena khansara kwa odwala omwe alibe chiwindi. Pochiza khansa ya chiwindi ku Israeli, kuika (popanda kapena chemotherapy kapena radiation thérapied), mankhwala othandizidwa ndi ma radiation, systemic chemotherapy kapena kugwiritsa ntchito mankhwala pogwiritsa ntchito mitsempha yamagetsi ntchito.

Njira yatsopano komanso yodalirika yothetsera khansa ya chiwindi yosagwiritsidwa ntchito mu Israeli ndiyo kugwiritsa ntchito njira ya SIRT. Zimaphatikizapo kuyambitsidwa kwa ma radioactive mu chiwindi mwa njira ya shunting, kuti zowonongeka ndi kulumikizidwa kwa chotupazo zichitidwe chimodzimodzi.

Njirazi zimachepetsera zizindikiro ndi kupititsa patsogolo moyo, koma njira yosankhika ya khansa ya chiwindi ku Israeli muzochitika zotero ndi kuikapo ziwalo.

Mu Israeli, njira yowonongeka ya mkati (SIRT), ma radiation kapena chemotherapy imagwiritsidwanso ntchito pofuna kuthana ndi khansara yowopsa.

Zida zamakono zamakilomita a Israeli ndi madokotala ambiri zimapangitsa kuti zitheke kukwaniritsa maulosi abwino omwe amachiza khansa ya chiwindi.