Metastasis chiwindi: chithandizo. Chiwindi metastases: zimayambitsa, zizindikiro ndi makhalidwe chithandizo

Chiwindi - mmodzi wa ziwalo zofunika za thupi ili kumanja wa pamimba, pansipa chifundamtima. Iwo zimatetezedwa ndi nthiti. Chiwindi chimagwira ntchito zofunika kugaya chakudya pamodzi ndi kapamba ndi intestine. Ena mwa ntchito zake zikuluzikulu: detoxification, kaphatikizidwe mapuloteni, ndi kupanga biochemicals zofunika chimbudzi.

Otchedwa thupi amalimbikitsa ya ndulu katulutsidwe, kupanga mapuloteni, kufunika clotting magazi, glycogen yosungirako, kuwonongeka kwa maselo ofiira a magazi ndi amino zidulo. chiwindi nazonso nawo kagayidwe chakudya, mapuloteni, mafuta ndi kupanga timadzi.

M'nkhani ino tidzamva mmene matenda a khansa anati limba akudutsa mankhwala ake. Metastases mu chiwindi musalole Kulosera molondola zimene iwo siziwoneka, ndipo Mulimonsemo wodwala adzakhala ndi moyo ndi kulamulira mkhalidwe wawo ndi kuwona dotolo.

metastasis Kodi

Kutenga khansara adzakhala anagawira mu chiwindi, chimadalira pa malo mapangidwe koyamba. Metastases - chotupa zilonda kuti inafalikira Mwachitsanzo, chiwindi kwina m'thupi. Izi sluche iwo amatchedwa sekondale khansa chiwindi. The chosayenerera chachikulu kumachitika m'thupi. Koma ngakhale chotupa atachotsedwa, kwa zaka zambiri metastasis abwerere kulowa chiwindi.

Ngati wodwala wakhala ndi khansa, ndikofunika kudziwa zizindikiro ndi kulingalira mmene timachitira. Chiwindi metastases amafuna kuti wodwala yotsatira ndi katswiri.

The ndondomeko ya metastasis

Pali 6 magawo a mapangidwe metastases. Osati malignancies zonse kumutsatira, koma nthawi zambiri, ndipo patsogolo:

1. maselo a khansa kusuntha kuchokera pomwe kwenikweni ziwalo pafupi kapena minofu wathanzi.
2. Metastases imakhudzidwa khoma la lymph ndi magazi zotengera.
3. maselo a khansa amasamukira mwa dongosolo lymph ndi m'magazi ziwalo zina za thupi.
4. Lekani kusuntha akafika cholinga. Ndiye metastases adutsa capillaries (Mitsempha zing'onozing'ono), malinga ndi kudutsa mu zimakhala chomwe chili pafupi.
5. maselo a khansa kukula mu malo akutali, ndi kulenga zotupa waung'ono wotchedwa micrometastasis.
6. formations izi yotithandiza chilengedwe cha zipangizo zatsopano magazi kuti kupereka mpweya ndi zakudya zofunika kukula kwa zotupa zilonda.

Kwa ena zifukwa, ambiri zotupa zilonda metastasize chiwindi

The kutanthauzira a zotupa zilonda mu chiwindi ndi makamaka chifukwa khansa muzituluka ndi kum'mero. Koma nthawi zambiri chifukwa khansa ya m'mapapo monga kupangidwa mu metastases chiwindi. Chithandizo (ndemanga za izo ndi wosanganiza) imatsogoleredwa osati pa zizindikiro komanso zimayambitsa awo.

Good makope makamaka ukugwirira ntchito chiwindi prityagaelnost amayambitsa maselo zilonda. Miniti iliyonse therethrough kukupitirira 1.5 malita a magazi. Thupi ili ngati mphika kukonza magazi kuchokera poizoni.

maselo Metastatic ali waikamo m'madera amene magazi umachitika pa liwiro kunsi. Malinga ndi mfundo imeneyi anapanga ndi metastases chiwindi. khansa Pancreatic, mankhwalawa omwe, ngakhale umalimbana si kuchuluka ku ziwalo zina, komabe, mwachitsanzo, zimakhudza thupi anafotokoza, makamaka ngati matenda ndi pa siteji chikutha.

Symptomatic chiwonetsero cha matenda

Mwatsoka, magawo oyambirira palibe zizindikiro, amene angathe kudziwa kupezeka ndi khansa. Mu masiteji ina ya khansa chiwindi zingachititse kuti pathupi. Pamene izi zimachitika, inu zizindikiro zotsatirazi:

• kusafuna kudya;
• kuwonda;
• mdima mkodzo;
• bloating kapena flatulence;
• matenda a chikasu ndiyo (chikasu pathupi ndi azungu cha maso);
• ululu phewa bwino;
• ululu kumtunda lamanja la pamimba;
• nseru;
• thukuta ndipo malungo;
• kwerani kumanja wa pamimba, m'munsimu nthiti.

Kuyesedwa ndi matenda

Pa mayeso thupi, dokotala anu akhoza kuganiza khansa ya chiwindi. Ndipo ngati wina zizindikiro zakumwamba osati likukuvutitsani wodwalayo adzafunika kupenda kutsimikiza matenda.

1. Amaonekera ndi mlingo wa zolembera seramu m'magazi. Mu kukhalapo kwa matenda angakhale milingo apamwamba alpha-fetoprotein (AFP). michere chiwindi nthawi zambiri m'mwamba.
2. Ikuchitika CT m'mimba. Ichi ndi wapadera X-ray yomwe imapereka zithunzi zithunzi zimakhala zofewa, ziwalo mwatsatanetsatane.
3. Ultrasound chiwindi. Limatchedwanso echography. The ultrasound transmits mkulu pafupipafupi phokoso mafunde m'thupi. mafunde phokoso izi kupereka Echo, limene ntchito kulenga mapu - fano kompyuta za thupi zimakhala zofewa.
4. Maginito kumveka kulingalira (Kujambula) umabala zithunzi momveka bwino za ziwalo.
5. Laparoscopy. Madokotala ntchito chubu yopapatiza (laparoscope) ndi kuunika ndi biopsy. Chida ali anaika ang'ambe thupilo ang'ono ndi kutenga chuma kufufuza pansi simungathe kutiona. Laparoscopy - njira yodalirika ya asang'ambe matenda a khansa.

Kodi ndi zinthu ziti zimatengera mankhwala

Mwamwayi, chitukuko cha sayansi ya zamankhwala amapereka chithandizo aluso kwa metastases chiwindi, komanso amapereka chiyembekezo kwa odwala. Panopa, pali zingapo zimene mungachite kuti ntchito mankhwala khansa metastatic.

Childs, kusankha phukusi achire kudzadalira zaka wodwalayo ndi boma onse a thanzi, kukula, malo ndi nambala ya zotupa metastatic, malo chachikulu a khansa mitundu ya neoplasms mu mbiri wodwalayo.

mankhwala zokhudza zonse

Zokhudza zonse mankhwala a khansa chiwindi metastasis kumachitika kudzera m'magazi. njira zingapo ntchito mankhwala:

1. Morning: mtundu wa chithandizocho kuti amagwiritsa ntchito mankhwala osokoneza kupha maselo a khansa.
2. BRM mankhwala: mankhwala amene amagwiritsa chitetezo yeniyeni, zinthu kukula, ndi katemera. zina izi ukunenedwa zolimbikitsira kapena kubwezeretsa mphamvu ya chitetezo cha m'thupi kulimbana ndi khansa.
3. Akulimbana chithandizo. Metastases mu chiwindi anawonongedwa ndi mankhwala ndi zinthu zina monga mankhwala akupha monoclonal anapanga zasayansi ndi cholinga kuti azindikire maselo a khansa. mankhwala zimenezi zimakhudza ochepa mbali kuposa njira zina.
4. Timadzi mankhwala. Amagwiritsidwa ntchito m'mbuyo kapena kusiya kukula kwa zotupa zina.
5. Mukuchitika chithandizo. Metastases mu chiwindi anawonongedwa pati, kokha mu malo loklizatsii. Thiabendazole angagwiritsidwe ntchito mu magawo oyambirira a matenda.
6. Cheza mankhwala. Iwo amagwiritsa cheza mkulu-mphamvu kupha maselo a khansa ndi kuotcha zotupa.
7. Opaleshoni kuchotsa. N'zotheka, ngati pali ochepa zotupa zilonda zokhudza mbali yaing'ono ya chiwindi.

Metastasis amatanthauza kufala kwa khansara kuchokera thupi chachikulu. Chithandizo cha mawonekedwe aliyense zimadalira kumpoto cha kufala kwa maselo zoipa ziwalo lakutali. Ngati khansayo kufalikira kwa zimakhala zina, akhoza kuchepetsa kuchuluka kupulumuka mtima.

Resection ndi madokotala ananena zawo za makhalidwe ake

deta Statistical amati odwala khansa chapamimba (chiwindi metastases), mankhwala zinali zoona komanso zothandiza, komabe ndi madokotala ananena zawo osauka. Mlingo kupulumuka kwa anthu awa, mwatsoka, ndi otsika. Zosakwana 20% odwala pambuyo mankhwala ndi mwayi kupulumuka kwa 3 zaka.

Chipatala efficacy wa resection wa metastases chiwindi akadali suona kuti wamba. Komabe, mankhwala si opaleshoni chiyani kukwaniritsa zotsatira zokhutitsa. Odwala kulandira chithandizo cha mankhwala, apulumuke apakatikati ranges kuchokera miyezi 2.9 Nchito kuti 11,8.

Clinico-pathological mbali kugwirizana ndi madokotala ananena zawo za chapamimba khansa ndi chiwindi metastases sizinachitike ankaona kwathunthu. Komabe, anafikapo ku ziwalo n'kofunika powerengera kwambiri chowawa prognostic chinthu odwala.

Pambuyo resection wodwalayo adzaikidwe kuyang'aniridwa ndi madokotala, chifukwa ndi zofunika kwambiri kuchita ultrasound mosamala zonse m'mimba popewa kudzikundikira madzimadzi m'dera la ntchito. Pambuyo kumaliseche kwa chipatala, iye afunika kukhala ndisanabadwe miyezi itatu iliyonse zaka ziwiri pofuna kupewa kumwa.

Folk mankhwala (chiwindi metastases)

njira sagwirizana nazo komanso ali othandiza matenda a khansa. Koma iwo ogwira yekha mu magawo oyambirira a chitukuko.

Chinthu choyamba kusunga zakudya zoyenerera. Pakuti omasuka soreness cholinga ayenera kusiya ntchito mankhwala zoipa. Mu njira iyi, ndithudi, zosatheka kuchiza chiwindi metastases. mankhwala wowerengeka Chithandizo kokha kuthandiza chikhalidwe ambiri komanso kuchepetsa wodwalayo zizindikiro zina za.

Kupewa matenda, kudutsa mu siteji aakulu a chitukuko, ntchito sing'anga izi: Ganizirani 100 ga Mapila, mudzaze ndi 2500 ml ya madzi otentha, kuwonjezera 150 ml ya masoka uchi madzi. The Bank ayenera kutseka nachiyika kuima ofunda mdima malo maola. Patapita maola 24 zapita, nachiyika pa malo ozizira, kuti yophika njira anatembenuka. Ayenera kawiri pa tsiku mukatha kudya kwa masabata 6.

Samalani! Uliwonse kudzera atsopano, kuti mumakonda ntchito, adzakhala sikuchiritsa metastases mu chiwindi. Chithandizo cha mankhwala wowerengeka sangathe kuchitidwa paokha. Poyamba, dokotala anu.

ndi mlingo kupulumuka Kodi

Kutalika kwa moyo wa mavuto wodwalayo ndi metastasis chiwindi mwachionekere zimadalira pamene chosayenerera ndi amawapeza ndi chithandizo kuti atengedwa. Malinga ndi kafukufuku zowerengera, 10 okha% odwala anafotokoza moyo kwa zaka 5. Koma mu kuzindikira mwamsanga kudwala ndi nthawi wayamba mankhwala kupulumuka 5 wazaka yakula 40% odwala.

Chiwindi kupatsidwa zina kumawonjezera mwayi apulumuke oposa 80% ndipo amaonetsetsa kupulumuka kwa 75% ya milandu.