Unyango lomhlaza we-gallbladder

Umxholo

• Ngaba umhlaza we-gallbladder unganyangeka?
• Utyando lomhlaza wenyongo
• I-Radiotherapy yomhlaza we-gallbladder
• I-Chemotherapy yomhlaza we-gallbladder
• Iimpawu zokuphucula umhlaza we-gallbladder
• Iimpawu zokuba mandundu komhlaza wenyongo

Unyango lwe-gallbladder okanye umhlaza we-bile duct lungabandakanya utyando lokususa i-gallbladder, kunye neeseshoni zemitha kunye neeshemotherapy, ezinokuthi zijolise xa umhlaza uphelisile, oko kuthetha ukuba isifo sinwenwele nakwezinye iindawo zomzimba.

Unyango kufuneka lukhokelwe yi-oncologist kwaye ihlala ihluka ngohlobo, inqanaba lokuphuhliswa kwethumba kunye neempawu zesigulana, kwaye ihlala iqhutywa kumaziko e-Oncology, njenge-INCA, umzekelo.

Ngaba umhlaza we-gallbladder unganyangeka?

Ayizizo zonke iintlobo zomhlaza wesinyongo onokunyangeka, kwaye kwiimeko ezibi kakhulu, kukhathalelo lokuthomalalisa kuphela olunokusetyenziselwa ukugcina isigulana sikhululekile kwaye sinempawu ezingenanto.

Utyando lomhlaza wenyongo

Unyango lotyando lomhlaza we-gallbladder lolona hlobo lonyango olusetyenzisiweyo kwaye luhlala lusenziwa ukususa ithumba kangangoko kunokwenzeka, kwaye lungohlulwa lube ziindidi ezintathu eziphambili:

• Ugqirha lokususa i-bile duct: isetyenziswa xa umhlaza ungakhange usasazeke ngaphaya kwenyongo kunye namajelo ayo kwaye kubandakanya ukususwa ngokupheleleyo kwelungu;
• Inxalenye ye-hepatectomy: isetyenziswa xa umhlaza usondele esibindini, kwaye kuyacetyiswa ukuba ususe, ukongeza kwi-gallbladder, isahlulo esincinci sesibindi ngaphandle kweziphumo ebezingalindelekanga;
• Ukufakelwa kwesibindi: Iqukethe ukususwa ngokupheleleyo kwesibindi kunye nenkqubo ye-biliary kunye nokufakelwa kwesibindi ngumnikeli ophilileyo, kwaye isetyenziswa kuphela kwezona meko zinzima, kuba kukho umngcipheko wokuba umhlaza uza kuphinda uvele.

Nangona kunjalo, utyando alusoloko lukwazi ukulisusa ngokupheleleyo ithumba kwi-gallbladder kwaye, ke, kunokuba yimfuneko ukwenza itonela encinci ngaphakathi kwemibhobho yenyongo ukuvumela ukuhamba kwenyongo kunye nokunciphisa iimpawu zesigulana. Fumanisa ukuba yintoni into ekubuyiswa kuyo kuqhaqho: Xa kubonisiwe kwaye kwenzeka njani ukubuyela kwimeko yoqhaqho ukususa i-gallbladder.

Kule meko, ugqirha unokucebisa ukuba ufumane i-radiotherapy okanye i-chemotherapy ukuzama ukuphelisa iiseli zomhlaza ezisele.

I-Radiotherapy yomhlaza we-gallbladder

I-Radiotherapy yomhlaza we-gallbladder ihlala isetyenziswa kwezona meko ziphambili zengxaki, apho kungenakwenzeka ukuba kususwe ithumba kuphela ngoqhaqho, ukukhulula iimpawu zesigulana, ezinjengentlungu, isicaphucaphu esiqhubekayo kunye nokuphelelwa ngumdla, umzekelo. .

Ngokubanzi, unyango ngemitha lwenziwa ngomatshini, obekwe kufutshane nendawo echaphazelekayo, ekhupha imitha ekwaziyo ukutshabalalisa iiseli zethumba. Ukufezekisa iziphumo ezinqwenelekayo, kunokuba yimfuneko ukwenza iiseshoni ze-radiotherapy, kwaye kwezinye iimeko, unyango lunokufezekiswa kuphela ngonyango lwemitha.

Yazi iziphumo ebezingalindelekanga eziphambili zolu hlobo lonyango kwi: Iziphumo ebezingalindelekanga zonyango lweradiotherapy.

I-Chemotherapy yomhlaza we-gallbladder

I-Chemotherapy yomhlaza we-gallbladder inokwenziwa ngaphambi kotyando, ukunciphisa inani leeseli zomhlaza kunye nokwenza lula ukususwa kwethumba, okanye emva kotyando, ukuphelisa iiseli zethumba ezisele.

Ngokwesiqhelo, ichemotherapy yenziwa ngenaliti yeziyobisi ezinako ukuthintela ukuphindaphindeka kweeseli zomhlaza, ezinje ngeCisplatin okanye iGemcitabine, ngqo emthanjeni, nangona kunjalo, kwezinye iimeko inokwenziwa ngokungenisa iipilisi, ukubonisa iziphumo ebezingalindelekanga. .

Jonga iziphumo zechemotherapy kwi:

Iimpawu zokuphucula umhlaza we-gallbladder

Iimpawu zokuphucula umhlaza we-gallbladder zivela kungekudala emva kotyando okanye imijikelezo yokuqala yonyango okanye unyango lwechemotherapy kwaye zibandakanya ukukhululeka kwintlungu esiswini, ukunciphisa isicaphucaphu kunye nokwanda kokutya.

Iimpawu zokuba mandundu komhlaza wenyongo

Iimpawu zokuba nomhlaza we-gallbladder esibaxekileyo zixhaphake kakhulu kwizigaba eziphambili zesifo kwaye zibandakanya ukwanda kwentlungu, ukwehla ngokukhawuleza kwesisindo, ukutyeba kakhulu, ukudinwa okungapheliyo, ukungakhathali okanye ukudideka kwengqondo, umzekelo.