Carcinomatosis peritoneal

Carcinomatosis - isimila esibulalayo, onikeza metastases amaningi nokuthuthukisa ku parenchyma noma serous ulwelwesi isitho. Leligama lisetshenziswa maqondana yezifo ulwelwesi serous. Omunye Enye sifo singumbulali carcinomatosis peritoneal - mncane ayevumela ulwelwesi serous esehlanganise ebusweni sangaphakathi izibilini odongeni kwamathumbu.

Carcinomatosis ingaphakathi peritoneal: isithombe emtholampilo

Ngokuvamile, isifo kuhambisana effusion olubanzi serous kule komgodi, okuyinto okunzima usuke unyaluthi uhlangane futhi yakha izimila emikhulu. Ukwakhiwa kwalesi sifo ejwayelekile izinhlobo eziningi izimila abulalayo wokugaya ukudla ezifana umdlavuza esiswini, ikholoni kanye ingemuva, kodwa iningi ukubukeka kwayo sici for umdlavuza wesibeletho. Isebenza kuhle nxa umdlavuza esiswini carcinomatosis le peritoneum esihambisana naye 30-40% of amacala ezisebenza lesi sifo, futhi ingenye yezimbangela ezinkulu zokufa iziguli. Ukusinda imidiyeni kulezi ziguli izinyanga 5, 34% of recurrences resected ukuthuthukisa atihambi todvwa. Iziguli unomdlavuza wesibeletho ngesikhathi uphethwe ekwakhiweni e-70% amacala babe carcinomatosis peritoneal kakade.

Izimpawu carcinomatosis peritoneal

The main izimpawu zangaphandle yalesi sifo zihlanganisa: Ubuhlungu obukhulu besisu, futhi izithelo zawo, ukuhlanza, isicanucanu futhi kwesisindo.

carcinomatosis Peritoneal iyisifo zamabanga ngokwalo livela kakhulu kuyaqabukela. Okuvame kakhulu izifo esiyinhloko sokulwa lapho kwenzeka kukhona: adenocarcinoma isisu, esibelethweni noma amanyikwe. Ngaphezu kwalokho, izilonda peritoneal zenzeka wegazi, Sarcoma, izimila carcinoid futhi lymphomas.

Ukuqinisekiswa uphethwe Kwenziwa uzingela lymphocytosis nokulinganisela okuhle Cytology, bathathwa ukuhlaziya ascites. Ngaphezu kwalokho, kungenzeka inaliti biopsy. Ukwelashwa lesi sifo ngokuyinhloko ukuze lesi sifo eyinhloko. Ephambi kwezinduna ngokukhukhumala kwentamo izinhlobo carcinomatosis peritoneal Izibikezelo abampofu. Uma unezilonda ibe nendawo egqamile, futhi uhlobo umdlavuza iyashesha ukuzwela uma nokwelashwa ngamakhemikhali, ngosizo ukuhlinzwa olukhulu ukwelapha isiguli ehluleka.

Kaningi ngemuva umdlavuza wamaphaphu, mesothelioma pleural nomdlavuza wamabele eba wamaphaphu carcinomatosis. Futhi kulesi simo kungadalwa iyiphi iyakhula efanela wamaphaphu pleura, isimila.

izilonda Ebulalayo yezitho zangaphakathi, ezihlanganisa carcinomatosis peritoneal, kukhona iqembu izifo ezinzima, okuyinto abhekwa mesothelia umthombo. Iqembu lezi zifo nazo ezifakwe: mesothelioma peritoneal, papillary ulwelwesi serous futhi eyinhloko adenocarcinoma peritoneal. Indawo oluthandayo kwasendaweni izilonda abulalayo esiswini izindawo ukuhamba futhi ukunciphisa peristalsis emathunjini.

Okwamanje, ukuze elashwe carcinomatosis esiswini njengoba experiment ihlolwe amasu ahlukahlukene yesimanje, okuyinto ezihilela ukusetshenziswa ejenti entsha chemotherapeutic, angiogenesis inhibitor, immunotherapy ngamasosha omzimba futhi Lak-amaseli radioimmunotherapy usebenzisa polymerase ekuletheni izinhlelo ukwelapha ngezakhi zofuzo antisense usebenzisa izinhlelo viral ekuletheni . Isiqondiso ethembisa izifundo ezinjalo ukwelapha photodynamic (PDT) njengoba indlela ezimele, futhi lihambisana nokwelashwa ngamakhemikhali kanye nokuhlinzwa.