Hababka yar invasive daaweynta bukaannada kansarka beerka

ka saarida Qalliinka of burooyinka beerka waxay bixisaa fursad fiican ee daawo. Nasiib darro, burooyinka beerka inta badan waa mid aad u weyn ama caddayn xididdada dhiigga oo waaweyn, iyo qaabab kale muhiim ah. Taas ayaa ka dhigaysa qaliin aad u khatar ah ama aan waaqici. ka saarida Qalliinka waa wax aan macquul aheyn in 30-40% bukaannada qaba aasaasiga ah iyo 90% bukaanka qaba kansarka beerka sare.

Taariikh ahaan, daawooyinka in ay yihiin ugasii daaweynta kansarka beerka. Sidaa darteed, waxaa jira tiro ka mid ah farsamooyinka in u ogolaan in ay la dagaallamaan cudurkan.

noocyada

kansarka beerka Primary: Qaabka ugu badan ee kansarka hoose waa hepatocellular carcinoma (HCC). buro in bilaabmaa unugyada weyn ee beerka. kansarka beerka Primary waa laba jeer ka badan caadi ah in rag badan ee dumarka. HCC badan yahay kuwa buka la beerka cirrhosis yihiin.

Xadka- Liver Cancer: Cancer la isugu gudbin karaa qayb kasta oo jidhka ah in beerka. Waxaa unugyada kansarka koraan kartaa bilo ama sannado ka hor inta aan la ogaado. metastases beerka inta badan waa in burooyinka ee walamadka iyo malawadka. Bukaanka qaba noocyada kale ee kansarka sidoo kale waxay halis ugu jiraan kansarka beerka.

beerka u dhaqmo sida saldhigga laga bilaabo unugyada kansarka wareegaya dhiigga. unugyadan koraan iyo foomka buro. Waxaa la rumeysan yahay in 70% oo dhan bukaanka qaba kansarka caasiyoobay ugu danbeyn helay burooyinka beerka sare ama metastases (burooyin la aasaasay by unugyada kansarka hoose inay ku fideen ka goobood oo kale ee kansarka).

Baadhista xanuunada

Waxaa jira tiro ka mid ah imtixaanada oo kaa caawin kara in cudurka kansarka, oo ay ku jiraan baaritaan dhiig, baaritaan jireed iyo noocyo kala duwan oo ay ka mid yihiin farsamooyinka imaging X-ray, si raajito loogu xisaabiyaa (CT), imaging resonance magnetic (MRI) iyo ultrasound.

Sida caadiga ah, cudurka final ma waxaa la samayn karaa ilaa dibna, ilaa aad samayn biopsy ah. Ka dib baadhaya muunad biopsy ah, khubaro go'aan ka gaari kara nooca kansarka joogo iyo sida ugu dhakhsaha badan ay u faafi karaa. Macluumaad Tani waa muhiim marka uu go'aan ku saabsan nooca daaweynta.

daaweynta

Burooyinka u baahan tahay qulqulka dhiigga, waxa uu si firfircoon uga dhalin, si ay isu quudiyaan iyo u koraan. Dhakhtar oo wada leh beerta ku qalliinka vascular samatabbixin daroogada la doonayey dawadu xididdada dhiigga ee la marinayo tuubo ah jidhka.

In daaweynta bukaannada kansarka, dhakhtar oo weerari karaan burada saameeya xaggeeda ay hirarku embolization iyo raadiyaha. Embolization horumarsan habka of raajada la tacaalid ah, kaasi oo loo adeegsaday in lagu daaweeyo dhaawac dhiig bax ballaaran, Xakamee dhiigbaxa dhalmada kadib, yareynta dhiig la'aan qalliinka ka hor iyo daaweynta ee burooyinka.

In daaweynta bukaannada kansarka, embolization waxaa loo isticmaalaa si loo yareeyo sahayda dhiigga burooyinka, gaarsiinta shucaaca (radioembolizatsiya) ama isu geeyo farsamadaa waxa la chemotherapy si toos ah geyn karo daroogo kansarka in ay burooyin (chemoembolization).

Intaa waxaa dheer, unugyada kansarka lagu dilay by hababka kaamerada (ablation radiofrequency) ama buro qaboojiyey (cryoablation).

chemoembolization

Chemoembolization waa daaweyn a yar invasive kansarka beerka, taas oo loo isticmaali karaa labada madax bannaan oo lala nidaamyada kale. Chemoembolization bixisaa maamulka dose sare himioembolizata si toos ah xubin, loo diiday burada ee dhiigga ay by xanibeen ama embolization of xididdada quudinta burada. Isticmaalka akhrinta scanner ee Hanuun, darsaya ee la tacaalida barayaa tuubo yar oo galay halbowlaha bidig. Waxa uu isticmaalaa qiyaas badan oo daroogada ah, nidaamka sida eegista hawlgala iyo, sida, daroogada ka yar wareegtaa in unugyada caafimaadka qaba ee jirka. Chemoembolization sida caadiga ah ku lug leedahay joogitaanka isbitaalka of laba ilaa afar maalmood ah. Bukaanka inta badan ku soo laabto hawlaha caadiga ah muddo bil ah gudaheed.

Chemoembolization waa mid aad wax ku ool ah ee daaweynta ee burooyinka beerka malignant, gaar ahaan isku dhafan oo daaweyn kale. Chemoembolization ayaa muujisay natiijada ididiilo ee daaweynta ee burooyinka xadka-. Waa daweynta noocan ah ansixiyo FDA ee daaweynta metastases.

Radioembolizatsiya

Radioembolizatsiya aad uula mid tahay chemoembolization laakiin iyadoo la isticmaalayo microspheres shucaaca. therapy waxaa loo isticmaalaa si loogu daweeyo of labada burooyinka beerka hoose iyo xadka-. isfeerada isticmaalay embolic ee shucaaca isotope yttrium-90 si ay u bixiyaan shucaaca si toos ah burada. Mid kasta oo Sphere size shan unugyada dhiigga cas ee width. dhagaxyada ah kuwan waxaa lagu soo bandhigay marinayo tuubo dhimashada gumaarka iyo sababta gacanta. Technology waxay bixisaa, dose sare maxaliga ah ee shucaaca oo aan halista in unugyada caafimaadka qaba.

Tani waa daawayn cusub, taas oo ahayd wax ku ool ah in daawaynta cudurada kansarka beerka hoose iyo xadka-. Waxay leedahay waxyeelo ka yar marka loo eego hababka caadiga ah ee daaweynta kansarka.

ablation radiofrequency

Waayo, burooyinka beerka si fiican u shaqaynayn, ablation radiofrequency bixisaa daaweynta goosgoos ah oo aan qalliin in uu dilaa unugyada burada by kulaylka uubatooyin unugyada beerka caafimaad. Sidaas darteed, daaweynta waa fududdahay bukaanka ka badan therapy systemic. FDA ansixiyey RFA oo lagu daweeyo burooyinka beerka.

In tiro yar oo ka mid ah xaaladaha, RFA kordhin karaa nolosha bukaannada. Iyadoo ku xiran baaxadda burada RFA ihin kartaa ama dili burada, sii kordhaya waqtiga badbaadista bukaanka si weyn u hagaajinta tayada noloshooda. Sababtoo ah waa daaweyn a hoose iyo dhib uma keeni unugyada caafimaadka qaba, daaweynta waa la soo celin karaa inta jeer ee loo baahan yahay si ay u sii bukaanka aaga raaxada. Tani waa hab aad u ammaan ah, iyadoo heerka dhibaato amarka of laba ilaa saddex boqolkiiba, ayaa laga heli karaa tan iyo dabayaaqadii 1990.

Daaweynta New Cancer

raajada la tacaalida kaalin muhiim ah ee soo koraya farsamooyin cusub oo hagaajin kara daaweynta kansarka mustaqbalka, oo ay ku jiraan iyadoo la isticmaalayo qayb magnetic iyo gaarsiinta wax hidde, loo yaqaan dabiibida jiinka, si ay ula dagaalamaan ama looga hortago kansarka. Farsamooyinka waxay weli yihiin Baarista iyo waxay bixiyaan rajo cusub ee dagaalka ka dhanka ah cudurka kansarka.

"Magnetic" Kiimiko

dhakhtar oo la tacaalid ah ayaa hadda baaraya farsamo cusub oo aan magnet waxaa loo isticmaalaa si jiid wakiilka kiimikada, si burada. Qurub magnetic cqaadir ku xiran yihiin daroogada iyo in loo gacangeliyo marinayo tuubo ah oo wuxuu galay xididada dhiigga taas oo quudiyaa buro ah. Dhulku wuxuu magnet dhif meeleysan yahay jirka bukaanka si toos ah kor ku xusan meesha ay buradu ku. Qurub Magnet si ay u dhicin burada. Inkastoo farsamada weli waa tijaabo, laakiin farxad leh. Dhakhaatiirta rajaynayaa in ay ilaaliyaan doonaa saamaynta chemotherapy halka laga fogaado qaar ka mid ah waxyeellooyin ay sida timaha oo daata iyo lallabo.

dabiibida jiinka

Sanadihii la soo dhaafay, saynisyahano ka faa'iiday faham cusub oo ku saabsan hiddo - unugyada aasaasiga ah noolaha ee hiddo iyo doorka ay ka ciyaaraan in formation of cudurka. Cilmi Tani ayaa gogol xaadhayaa for culuumta caafimaadka - dabiibida jiinka. Iyadoo sayniska ayaa weli ku jira marxaladaha tijaabo hore, cilmi ayaa rajeyneysa in mustaqbalka waxa loo isticmaali karaa:

• dawaynta kansarka iyo xanuunada kale ee hidaha,
• isbeddel ah ee unugyada nidaamka difaaca jirka bukaanka qaba kansarka iyo iyaga soo laabtay jidhka, halkaas oo ay ku weeraraan ayaa laga yaabaa cudur ama falka ah sida tallaalada;
• bedeli hiddo ah oo khaldan ayaa mas'uul ka ah koritaanka kansarka on a hiddo "wanaagsan".

Mid ka mid ah dhibaatooyinka dabiibida jiinka in la helo siyaabo waxtar leh ammaanna ah in la hirgaliyo hiddo ama unugyada hiddo beddeli galay burada.

Dhakhaatiirta waxaana rajo sareysa ka horumar cusub oo ay codsi deg deg ah ku dhaqanka caafimaad.