Nomdlavuza wesibindi. Izimpawu, izici yomtholampilo, ukwelashwa.

isibindi umdlavuza kuyinto zamabanga aphansi naphezulu. nomdlavuza wesibindi Primary kwenzeka kumaseli kwezakhiwo hepatic, kuyilapho ngokuvamile ebizwa ngokuthi ekwandeni zamabanga isibindi izicubu we ISIZINDA yesibili kusukela metastatic isimila cells ezisohlwini emgudwini wegazi ngomthambo kwesibindi nezinye viscera.

nomdlavuza wesibindi. Izibalo.

Kusukela isibindi sihamba ukugeleza omkhulu wegazi, izimila yesibili umzimba elotshiwe izikhathi 20 ezivamile ezingaphezu kuka eyinhloko. Lesi sifo ayeyivelakancane - izibalo 0.5 - 3% azo zonke izimo zenzeka umdlavuza eyinhloko. Izimpawu zalesi sifo kanye umtholampilo kungaqalisa ngeke kakhulu liphinyiselwe, okuyinto nzima kakhulu uphethwe okwalandela yesimila. Phakathi kweziguli kanye nomdlavuza wesibindi luvame kakhulu amadoda abaneminyaka engu-50. Kuyaphawuleka ukuthi kusenesikhathi yisiphi isifo (kuhlanganise umdlavuza) kakhulu kwandisa amathuba okuthi umkhuba omuhle ukwelashwa okwalandela.

nomdlavuza wesibindi. Ukwahlukanisa.

Kuze kube manje, ukuze uhlukanise amafomu eziningana lesi sifo, ezahlukene umsuka:

• carcinoma Hepatocellular, hepatoma noma isibindi cell carcinoma - evela amaseli parenchyma.
• Cholangiocarcinoma - ezivamile nomdlavuza wesibindi ethathwe amaseli EPITHELIAL we Amapayipi Bile.
• Angiosarcoma - isimila kakhulu ebulalayo of semithambo kuhlume endothelial.
• Hepatoblastoma - isimila esibulalayo kwesibindi ezinganeni.

nomdlavuza wesibindi. Izimbangela.

• Okunobuthi-hepatitis B no-C
• Isifo sokusha.
• Ugcunsula.
• ukuluthwa utshwala Okungalapheki.
• Hemochromatosis.
• izifo ezidlayo.
• Carcinogens (hydrocarbon kampompi ukuxova umuthi wokugoma izihlanzi, nitrosamines, biphenyls polychlorinated nezinye izingxube zamakhemikhali eziyingozi).

nomdlavuza wesibindi. Izimpawu kanye Hospital.

Ngesikhathi lapho ngaphezulu isiqala nje ukuthuthukisa nomdlavuza wesibindi, izimpawu nesithombe emitholampilo kungenzeka kancane uyaxebuka off. Ngakho, iziguli kusaqalwa kungase kube buthaka, ukucobeka dyspepsia, ukusinda ilungelo quadrant engenhla, kuyanda lokushisa. Ngokuvamile kukhona kwesisindo, ukuntuleka kwegazi emzimbeni, zibuthuntu ubuhlungu ngiyaqaqanjelwa ikakhulukazi ebusuku. With ukuthuthukiswa sifo isiguli kungase kwandise kwesibindi, ngezinye izikhathi kuba maholoholo futhi ukuminyana, kancane kancane zandise izinto jaundice. Ithumba linganquma palpation zomzimba.

nomdlavuza wesibindi. Sifo.

Ukuze okusolakala isiguli nomdlavuza wesibindi, izimpawu kanye nezikhalo lesiguli ziyahlaziywa, esikalini ukubukeka kwayo futhi isinqumo kokunye ukuhlolwa. ucwaningo:

• Ultrasound ukuhlola kwesibindi (US) udlala indima ebalulekile komdlavuza. Le ndlela ngempela ulwazi futhi atholakale yonke indawo, it ikuvumela ukuhlonza Izigaxana futhi ukunquma yimvelo yabo.
• -X-ray tomography ngekhompyutha (CT), i-magnetic resonance imaging (MRI) asetshenziswa uma uphethwe akachaziwe noma akulona elicwengiwe.
• Radioisotope scan Ungase futhi uthole ulwazi olwengeziwe mayelana umdlavuza.
• Laparoscopy ivumela ukuhlola umzimba abathintekayo ngokusebenzisa imbobo encane esiswini.
• Biopsy - ukuthatha ingxenye yesimila ahlolwe.
• ukuhlaziywa kwamakhemikhali kwegazi zingase zibe Indlela anomdlavuza isifo sesibindi (kwehle amaprotheni ezingeni, kukhuphuke bilirubin, anda amazinga enzyme kwesibindi).
• Ukuhlolwa kwegazi ukuze onkomarkory (bakhulise izinga zabo egazini kubonisa khona kuwuphawu lwesimila).

nomdlavuza wesibindi. Ukwelashwa kwesifo.

Uma unomdlavuza kwesibindi, izimpawu futhi laboratory emitholampilo waqinisekisa radiographically sanikwa ukwelashwa okufanele, ezingasetshenziswa ukwenza ngcono izinga lesiguli zokuphila. Ekwelapheni izimila, kuhlanganise umdlavuza esigabeni isibindi 4, izindlela ukwelashwa alandelayo asetshenziselwa:

• ukuhlinzwa;
• radiosurgery;
• cryosurgery;
• ukwelashwa ngemisebe;
• ngelashwa nangemithi;
• yokwelapha yemvelo.

Phezu ukuthola isimila esibulalayo engapheli noma okusolwa ukuthi kumelwe kukhunjulwe ukuthi ukwelashwa esifike ngesikhathi kungaba ngokuphawulekayo ukuphila lesiguli kanye ekuthuthukiseni izinga layo.