Yintoni umhlaza we-peritoneum, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili kunye neempawu
• Izizathu ezinokubangela
• Zithini iindidi
• Uxilongo lwenziwa njani
• Izinketho zonyango
• 1. Intraperitoneal chemotherapy
• 2. I-Chemotherapy emthanjeni
• 3. Utyando
• 4. Unyango ngemitha
• Ngaba umhlaza we-peritoneum unganyangeka?

Umhlaza wePeritoneum luhlobo olunqabileyo lwethumba elibonakala kwizicwili ezibeka yonke indawo engaphakathi esiswini kunye namalungu ayo, zibangela iimpawu ezifanayo nomhlaza kwii-ovari, ezinjengeentlungu zesisu, isicaphucaphu, isisu esidumbileyo kunye nokwehla kobunzima. unobangela, umzekelo.

Ukuxilongwa komhlaza we-peritoneum kungenziwa ngugqirha oqhelekileyo okanye i-oncologist ngokusebenzisa iimvavanyo zokucinga, ezinje ngecomputer tomography kunye nokuskena kwezilwanyana zasekhaya, iimvavanyo zegazi ukujonga iiproteni ezithile, ezaziwa njengophawu lwethumba, kwaye ikakhulu ngokwenza i-biopsy. Unyango lusekwe kwinqanaba lesisu kunye neemeko zempilo yomntu kwaye zibandakanya utyando, ichemotherapy kunye nonyango lwemitha.

Olu hlobo lomhlaza luhlala lukhohlakele kwaye ubude bobomi bomntu onethumba kwi-peritoneum abuchazwanga kakuhle, nangona kunjalo, ngoqhaqho kunye nangokhemotherapy kunokufikelela kwiminyaka emihlanu. Kwakhona, ukuba umhlaza we-peritoneum ubhaqwe kwinqanaba lokuqala, umntu unokuphila ixesha elide, kodwa kuya kuhlala kufanelekile kuvavanyo rhoqo ngonyaka.

Iimpawu eziphambili kunye neempawu

Umhlaza wePeritoneum ufikelela kwinqanaba lokubeka isisu kwaye kunokukhokelela ekubonakaleni kweempawu kunye neempawu ezinje:

• Ukudumba kwesisu;
• Intlungu zesisu;
• Ukuqunjelwa okanye urhudo;
• Ukudinwa kunye nokubola ngokubanzi;
• Ukungabikho komdla;
• Ubunzima bokugaya ukutya;
• Ukwehla kwesisindo ngaphandle kwesizathu.

Ukongeza, ukuba isifo sifunyenwe kwinqanaba elihambele phambili, kunokwenzeka ukuba uchonge i-ascites, kulapho ulwelo luqokelelana khona ngaphakathi kwisisu esiswini, kwaye oku kunokucinezela imiphunga ebangela ukuphefumla okufutshane kunye nobunzima bokuphefumla. Jonga ukuba unyango lwe-ascites lwenziwa njani.

Izizathu ezinokubangela

Oonobangela bomhlaza we-peritoneum abuchazwanga kakuhle, kodwa kuyaziwa ukuba, kwezinye iimeko, olu hlobo lomhlaza lukhula kuba iiseli zomhlaza ezivela kwamanye amalungu zifikelela kumaleko obeka isisu, ngegazi, kunye nokuphindaphinda kunika imvelaphi yesisu .

Eminye imingcipheko inokuthi ihambelane nokubonakala komhlaza kwi-peritoneum, njengabasetyhini abasebenzisa i-hormone emva kokuyeka ukuya esikhathini, abane-endometriosis kwaye batyebile. Nangona kunjalo, abasetyhini abasebenzisa iipilisi zokuthintela ukukhulelwa, baye benza utyando lokususa i-ovari okanye abo bancelise ibele abanamathuba okuba nomhlaza we-peritoneum.

Zithini iindidi

Umhlaza wePeritoneum uqala ukukhula, ikakhulu, ukusuka kwiiseli zamalungu esiswini okanye kummandla wamanina, kwimeko yabasetyhini, kwaye yahlulwe yaziintlobo ezimbini, ezizezi:

• Umhlaza wokuqala we-peritoneum okanye i-mesothelioma: kwenzeka xa utshintsho lweselula lwenzeka ikakhulu kule tishu egubungela isisu;
• Umhlaza wesibini we-peritoneum okanye i-carcinomatosis: ichongwa xa kuvela umhlaza ngenxa yemetastases yomhlaza evela kwamanye amalungu, anje ngesisu, amathumbu kunye namaqanda.

Kananjalo, abasetyhini abanesifo somhlaza we-ovari abane-BRCA 1 kunye ne-BRCA 2 yemfuza basemngciphekweni okhulayo wokuba nomhlaza wesibini we-peritoneum, yiyo loo nto aba bafazi kufuneka bavavanywe rhoqo. Bona ngakumbi malunga neempawu zomhlaza we-ovari.

Uxilongo lwenziwa njani

Ukuxilongwa komhlaza we-peritoneum kungenziwa ngugqirha ngokubanzi ngeemviwo zokucinga ezifana ne-ultrasound, i-resonance magnetic, i-computed tomography kunye ne-pet-scan, nangona kunjalo, ukwazi isigaba se-tumor kuyimfuneko ukwenza i-biopsy, enokuthi yenziwe Ngexesha lokuhlola i-laparoscopy. Fumanisa ukuba kwenziwa njani utyando lwe-laparoscopic.

I-biopsy yenziwa ngokususa iqhekeza elincinci elithunyelwa elebhu kwaye emva koko livavanywe ngugqirha wezifo. Ugqirha wezifo ujonga ukuba ingaba intsholongwane inazo na iiseli zomhlaza kwaye ichonga uhlobo lweeseli, eso sisigqibo sokuba i-oncologist ichaze uhlobo lonyango. Ukongeza, iimvavanyo zegazi ezongezelelekileyo zinokwenziwa ukwazisa abaphawuli bethumba, ezizinto ezikhoyo kwiindidi ezahlukeneyo zomhlaza.

Izinketho zonyango

Unyango lomhlaza we-peritoneum luchazwa ngugqirha wesifo somhlaza ngokuxhomekeke kwinqanaba lesifo kwaye ezi ndlela zilandelayo zingabonakaliswa:

1. Intraperitoneal chemotherapy

I-Intraperitoneal chemotherapy ibandakanya ukusebenzisa amayeza ngaphakathi kwiperitoneum kwaye luhlobo lonyango olufanelekileyo kakhulu kumhlaza we-peritoneum, njengoko ivumela amachiza ukuba angeniswe ngokukhawuleza kwizihlunu. Ngokubanzi, la machiza afudunyezwa kubushushu obuphakathi kwama-40 ° C ukuya kuma-42 ° C ukuthintela ukubanda komzimba nokwenza ukuba kube lula ukuba amayeza angene kwiiseli.

Olu nyango lubonakalisiwe kumatyala apho umhlaza we-peritoneum ungasasazekanga kwamanye amalungu, anje ngengqondo kunye nemiphunga, eqhutywa kunye notyando lokususa ithumba kunye nokuba nethuba lokuchacha ngokukhawuleza komntu, ngaphandle kokubonisa iziphumo ebezingalindelekanga njengokulahleka kweenwele kunye nokugabha.

2. I-Chemotherapy emthanjeni

I-Chemotherapy emthanjeni ibonakalisiwe kumhlaza we-peritoneum ngaphambi kotyando, ukuze ithumba linciphise ubungakanani kwaye kube lula ukususwa. Olu hlobo lwe-chemotherapy alusetyenziswanga njengonyango oluqhelekileyo lolu hlobo lomhlaza, njengoko iiseli ezigulayo, ezikhoyo kwi-tumor, zichasene neziyobisi ezahlukeneyo ze-chemotherapy ezisetyenziswa rhoqo.

3. Utyando

Utyando lwenziwa ukususa ithumba kwi-peritoneum xa umhlaza ungafikanga kwamanye amalungu emzimbeni kwaye ubonakalisiwe kubantu abakwaziyo ukufumana i-anesthesia. Olu hlobo lokusebenza kufuneka lwenziwe ngabagqirha abanamava abanomdlavuza, njengoko kunzima kwaye kuhlala kubandakanya ukususwa kwamalungu afana nesibindi, udakada kunye namathumbu.

Phambi kokwenza utyando, ugqirha ucela uvavanyo lwegazi oluninzi njengovavanyo lokuxinana kunye novavanyo lokuchwetheza igazi, kwimeko yokuba umntu lowo kufuneka afumane igazi ngenxa yokulahleka kwegazi ngexesha lotyando. Fumana ngakumbi ngeentlobo zegazi kunye nokuhambelana kwazo.

4. Unyango ngemitha

I-Radiotherapy lunyango apho kusetyenziswa khona imitha ukutshabalalisa iiseli ezibangela umhlaza we-peritoneum kwaye isetyenziswa ngomatshini okhupha imitha ngqo kwindawo apho kukho ithumba.

Le ndlela yonyango iboniswa ngugqirha ngaphambi kotyando, ukunciphisa ubungakanani be-tumor kwi-peritoneum, nangona kunjalo, kunokucetyiswa ukuba kupheliswe iiseli zomhlaza emva kotyando.

Ngaba umhlaza we-peritoneum unganyangeka?

Olu hlobo lomhlaza kunzima kakhulu ukuba lunyangeke kwaye injongo yonyango kukwandisa ixesha lokuphila komntu, ukubonelela ngomgangatho wobomi obungcono kunye nokuphila ngokwasemzimbeni, ngokwengqondo nangokwasentlalweni.

Kwiimeko ezinzima kakhulu, apho umhlaza we-peritoneum ukwinqanaba eliphambili kwaye sele usasazeke kwamanye amalungu, kubalulekile ukuthatha amanyathelo okhathalelo lokunyanga, ukuze umntu angaziva iintlungu kunye nokuphazamiseka okukhulu. Bona ngakumbi ukuba luyintoni na unyango lokunyanga kwaye xa kubonisiwe.

Unyango lomhlaza we-peritoneum lunokuba neziphumo ezingathandekiyo, jonga ividiyo malunga neengcebiso malunga nendlela yokunciphisa ezi ziphumo: