Ubwoko / gallbladder / umurwayi / gallbladder-kuvura-pdq

Indwara yo Kurwara Kanseri

Amakuru Rusange Yerekeye Kanseri Yumubyimba

INGINGO Z'INGENZI

• Kanseri ya Gallbladder ni indwara ingirabuzimafatizo (kanseri) ziba mu ngingo za gallbladder.

• Kuba igitsina gore birashobora kongera ibyago byo kurwara kanseri yinda.

• Ibimenyetso nibimenyetso bya kanseri yumubyimba harimo jaundice, umuriro, nububabare.

• Kanseri ya Gallbladder iragoye kumenya (kubona) no gusuzuma hakiri kare.

• Ibizamini bisuzuma ururenda hamwe ningingo zegeranye bikoreshwa mugutahura (gushakisha), gusuzuma, no gutera kanseri ya gallbladder.

• Ibintu bimwe bigira ingaruka kubimenyekanisha (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Kanseri ya Gallbladder ni indwara ingirabuzimafatizo (kanseri) ziba mu ngingo za gallbladder.

Kanseri ya Gallbladder ni indwara idasanzwe aho selile mbi (kanseri) iboneka mu ngingo za gallbladder. Umuhogo ni urugingo rumeze nk'isaro ruryamye munsi y'umwijima mu nda yo hejuru. Umuhogo ubika amavuta, amazi yakozwe numwijima kugirango asogonge ibinure. Iyo ibiryo bimenetse mu gifu no mu mara, umwanda urekurwa mu muhogo unyuze mu muyoboro witwa umuyoboro rusange w’umuyoboro, uhuza umwijima n'umwijima igice cya mbere cy'amara mato.

Anatomy ya gallbladder. Umuhogo uri munsi yumwijima. Bile ibikwa mu muhogo kandi ikanyura mu muyoboro wa cystic hamwe n'umuyoboro rusange usanzwe mu mara mato iyo ibiryo birimo.

Urukuta rwa gallbladder rufite ibice 4 byingenzi byumubiri.

• Mucosal (imbere).

• Imitsi.

• Igice cya tissue gihuza.

• Serosal (hanze).

Kanseri y'ibanze ya kanseri itangirira murwego rwimbere kandi ikwirakwira mubice byo hanze uko ikura.

Kuba igitsina gore birashobora kongera ibyago byo kurwara kanseri yinda.

Ikintu cyose cyongera amahirwe yo kwandura indwara cyitwa impanuka. Kugira ibintu bishobora guteza ibyago ntibisobanura ko uzarwara kanseri; kutagira ibyago bishobora gusobanura ko utazarwara kanseri. Vugana na muganga wawe niba utekereza ko ushobora guhura n'akaga. Impamvu zishobora gutera kanseri yo mu nda zirimo ibi bikurikira:

• Kuba igitsina gore.

• Kuba Umunyamerika kavukire.

• Ibimenyetso nibimenyetso bya kanseri yumubyimba harimo jaundice, umuriro, nububabare.

Ibi bimenyetso nibindi bimenyetso bishobora guterwa na kanseri yo munda cyangwa nibindi bihe. Menyesha umuganga wawe niba ufite kimwe muri ibi bikurikira:

• Jaundice (umuhondo w'uruhu n'umweru w'amaso).

• Kubabara hejuru yinda.

• Umuriro.

• Isesemi no kuruka.

• Kubyimba.

• Ibibyimba mu nda.

Kanseri ya Gallbladder iragoye kumenya (kubona) no gusuzuma hakiri kare.

Kanseri ya Gallbladder iragoye kuyimenya no kuyisuzuma kubwimpamvu zikurikira:

• Nta kimenyetso cyangwa ibimenyetso mubyiciro byambere bya kanseri yinda.

• Ibimenyetso bya kanseri yo mu mara, iyo ihari, ni nk'ibimenyetso by'izindi ndwara nyinshi.

• Umuhogo wihishe inyuma yumwijima.

Kanseri yo mu mara rimwe na rimwe iboneka iyo uruhago ruvuyeho kubera izindi mpamvu. Abarwayi bafite amabuye y'agaciro ntibakunze kurwara kanseri y'uruhago.

Ibizamini bisuzuma ururenda hamwe ningingo zegeranye bikoreshwa mugutahura (gushakisha), gusuzuma, no gutera kanseri ya gallbladder.

Inzira zikora amashusho yumubyimba nuduce tuyikikije bifasha gusuzuma kanseri yumura no kwerekana intera kanseri imaze gukwirakwira. Inzira ikoreshwa kugirango tumenye niba kanseri ya kanseri yakwirakwiriye imbere no mu nda yazo bita stage.

Kugirango utegure ubuvuzi, ni ngombwa kumenya niba kanseri yo mu mara ishobora gukurwaho no kubagwa. Ibizamini hamwe nuburyo bwo kumenya, gusuzuma, hamwe na kanseri yo mu nda ikorwa icyarimwe. Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa:

• Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.

• Kwipimisha imikorere yumwijima: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe bisohoka mumaraso numwijima. Kurenza urugero rusanzwe rwibintu bishobora kuba ikimenyetso cyindwara yumwijima ishobora guterwa na kanseri yinda.

• Ubushakashatsi bwa chimie yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe bisohoka mumaraso ningingo nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara.

• CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yibice byimbere mumubiri, nkigituza, inda, nigitereko, cyafashwe muburyo butandukanye. Amashusho yakozwe na mudasobwa ihujwe na mashini ya x-ray. Irangi rishobora guterwa mumitsi cyangwa kumirwa kugirango bifashe ingingo cyangwa ingirangingo kugaragara neza. Ubu buryo nabwo bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya.

• Ikizamini cya Ultrasound: Uburyo bukoreshwa mu majwi menshi y’amajwi (ultrasound) asohoka mu ngingo cyangwa mu ngingo imbere hanyuma agasubiramo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Ultrasound yo munda ikorwa kugirango isuzume kanseri yo mu nda.

• PTC (percutaneous transhepatic cholangiography): Uburyo bukoreshwa mugukoresha x-ray umwijima nuyoboro. Urushinge ruto rwinjizwa mu ruhu munsi yimbavu no mu mwijima. Irangi ryatewe mu mwijima cyangwa mu miyoboro y'amaraso hanyuma hafatwa x-ray. Niba habonetse ikibuza, umuyoboro woroheje, woroshye witwa stent rimwe na rimwe usigara mwumwijima kugirango usohoke mu mara mato cyangwa igikapu cyo gukusanya hanze yumubiri.

• ERCP (endoscopic retrograde cholangiopancreatography): Uburyo bwakoreshejwe mu x-ray imiyoboro (tubes) itwara umwijima uva mu mwijima ukageza mu mara no kuva mu mara kugeza mu mara mato. Rimwe na rimwe, kanseri yo mu mara itera iyo miyoboro kugabanuka no guhagarika cyangwa kugabanya umuvuduko wa bile, bigatera jaundice. Endoscope (umuyoboro unanutse, urumuri) unyuzwa mu kanwa, esofagusi, no mu gifu mu gice cya mbere cy'amara mato. Catheter (umuyoboro muto) noneho yinjizwa muri endoskopi mumiyoboro. Irangi ryatewe muri catheter mu miyoboro hanyuma hafatwa x-ray. Niba imiyoboro ihagaritswe n'ikibyimba, umuyoboro mwiza urashobora kwinjizwa mumiyoboro kugirango uhagarike. Uyu muyoboro (cyangwa stent) urashobora gusigara ahantu kugirango umuyoboro ufungurwe. Ingero z'inyama zirashobora kandi gufatwa.

• MRI . Ikintu cyitwa gadolinium cyatewe mumitsi. Gadolinium ikusanyiriza hafi ya kanseri ya kanseri kugirango igaragare neza ku ishusho. Ubu buryo bwitwa kandi magnetic magnetic resonance imaging (NMRI).

• Endoscopic ultrasound (EUS): Uburyo bwo kwinjiza endoskopi mu mubiri, ubusanzwe binyuze mu kanwa cyangwa urukiramende. Endoscope nigikoresho cyoroshye, kimeze nkigikoresho gifite urumuri na lens yo kureba. Iperereza kumpera ya endoscope rikoreshwa mugusunika amajwi menshi yingufu zamajwi (ultrasound) kumubiri cyangwa ingingo zimbere no gukora echo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Ubu buryo nabwo bwitwa endosonography.

• Laparoscopi: Uburyo bwo kubaga kureba ingingo ziri munda kugirango hamenyekane ibimenyetso byindwara. Uduce duto (gukata) bukozwe mu rukuta rw'inda hanyuma laparoskopi (umuyoboro muto, ucanwa) winjizwa muri kimwe mu bice. Ibindi bikoresho birashobora kwinjizwa muburyo bumwe cyangwa ubundi buryo bwo gukora inzira nko gukuraho ingingo cyangwa gufata ingero za biopsy. Laparoskopi ifasha kumenya niba kanseri iri mu mara gusa cyangwa yarakwirakwiriye mu ngingo zegeranye kandi niba ishobora gukurwaho no kubagwa.

• Biopsy: Gukuraho ingirabuzimafatizo cyangwa ingirangingo kugirango zishobore kurebwa munsi ya microscope na patologue kugirango barebe ibimenyetso bya kanseri. Biopsy irashobora gukorwa nyuma yo kubagwa kugirango ikureho ikibyimba. Niba ikibyimba kidashobora gukurwaho no kubagwa, biopsy irashobora gukorwa hakoreshejwe urushinge rwiza kugirango ikure ingirabuzimafatizo.

Ibintu bimwe bigira ingaruka kubimenyekanisha (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Kumenyekanisha (amahirwe yo gukira) hamwe nuburyo bwo kuvura biterwa nibi bikurikira:

• Icyiciro cya kanseri (niba kanseri yarakwirakwiriye kuva mu mara kugeza ahandi mu mubiri).

• Niba kanseri ishobora kuvaho burundu kubagwa.

• Ubwoko bwa kanseri ya gallbladder (uko selile ya kanseri isa na microscope).

• Niba kanseri imaze gupimwa cyangwa yagarutse (garuka).

Ubuvuzi bushobora kandi guterwa n'imyaka n'ubuzima rusange bw'umurwayi ndetse niba kanseri itera ibimenyetso cyangwa ibimenyetso.

Kanseri yo mu nda irashobora gukira ari uko ibonetse mbere yuko ikwirakwira, igihe ishobora gukurwaho no kubagwa. Niba kanseri yarakwirakwiriye, ubuvuzi bwa palliative burashobora kuzamura imibereho yumurwayi mugukurikirana ibimenyetso nibibazo byiyi ndwara.

Kugira uruhare muri kimwe mu bigeragezo bivura bikorerwa kunoza imiti bigomba gutekerezwa. Amakuru ajyanye nigeragezwa ryamavuriro arahari kurubuga rwa NCI.

Icyiciro cya Kanseri yo mu nda

INGINGO Z'INGENZI

• Ibizamini hamwe nuburyo bwo gutera kanseri ya gallbladder ikorwa mugihe kimwe no gusuzuma.

• Hariho uburyo butatu kanseri ikwirakwira mu mubiri.

• Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.

• Ibyiciro bikurikira bikoreshwa kuri kanseri yo mu nda:

• Icyiciro 0 (Carcinoma muri Situ)

• Icyiciro I.

• Icyiciro cya II

• Icyiciro cya III

• Icyiciro cya IV

• Kuri kanseri yo mu mara, ibyiciro nabyo bishyizwe hamwe ukurikije uko kanseri ishobora kuvurwa. Hariho amatsinda abiri yo kuvura:

• Ahantu (Icyiciro cya I)

• Ntibishobora gukosorwa, gusubiramo, cyangwa metastatike (Icyiciro cya II, Icyiciro cya III, nicyiciro cya IV)

Ibizamini hamwe nuburyo bwo gutera kanseri ya gallbladder ikorwa mugihe kimwe no gusuzuma.

Reba igice rusange cyamakuru kugirango usobanure ibizamini nuburyo bukoreshwa mugutahura, gusuzuma, no gutera kanseri yo mu nda.

Hariho uburyo butatu kanseri ikwirakwira mu mubiri.

Kanseri irashobora gukwirakwira binyuze mu ngingo, sisitemu ya lymph, n'amaraso:

• Tissue. Kanseri ikwirakwira aho yatangiriye ikurira mu turere twegereye.

• Sisitemu ya Lymph. Kanseri ikwirakwira aho yatangiriye yinjira muri sisitemu ya lymph. Kanseri inyura mu mitsi ya lymph igana mu bindi bice by'umubiri.

• Amaraso. Kanseri ikwirakwira aho yatangiriye yinjira mu maraso. Kanseri inyura mu mitsi y'amaraso igana mu bindi bice by'umubiri.

Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.

Iyo kanseri ikwirakwira mu kindi gice cy'umubiri, yitwa metastasis. Ingirabuzimafatizo za kanseri zitandukana aho zatangiriye (ikibyimba kibanza) zikanyura muri sisitemu ya lymph cyangwa maraso.

• Sisitemu ya Lymph. Kanseri yinjira muri sisitemu ya lymph, ikanyura mu mitsi ya lymph, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.

• Amaraso. Kanseri yinjira mu maraso, ikanyura mu mitsi y'amaraso, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.

Ikibyimba metastatike nubwoko bumwe bwa kanseri nkibibyimba byibanze. Kurugero, niba kanseri ya gallbladder ikwirakwira mu mwijima, kanseri yo mu mwijima iba ari kanseri ya gallbladder. Indwara ni kanseri ya metastatike, ntabwo ari kanseri y'umwijima.

Ibyiciro bikurikira bikoreshwa kuri kanseri yo mu nda:

Icyiciro 0 (Carcinoma muri Situ)

Mu cyiciro cya 0, selile zidasanzwe ziboneka muri mucosa (layer yimbere) y'urukuta rwa gallbladder. Utugingo ngengabuzima tudasanzwe dushobora guhinduka kanseri tugakwirakwira mu ngingo zisanzwe. Icyiciro cya 0 nanone bita kanseri mu mwanya.

Icyiciro I.

Mu cyiciro cya I, kanseri yibasiwe na mucosa (layer imbere) y'urukuta rw'umuhondo kandi ishobora kuba yarakwirakwiriye mu mitsi y'urukuta rwa gallbladder.

Icyiciro cya II

Icyiciro cya II kigabanyijemo ibyiciro IIA na IIB, bitewe n'aho kanseri yakwirakwiriye mu mara.

• Mu cyiciro cya IIA, kanseri yakwirakwiriye mu mitsi kugeza ku mitsi ihuza urukuta rwa gallbladder ku ruhande rw'uruhago rutari hafi y'umwijima.

• Mu cyiciro cya IIB, kanseri yakwirakwiriye mu mitsi kugeza ku gice gihuza urukuta rwa gallbladder ku ruhande rumwe n'umwijima. Kanseri ntiyakwirakwiriye mu mwijima.

Icyiciro cya III

Icyiciro cya III kigabanyijemo ibyiciro IIIA na IIIB, ukurikije aho kanseri yakwirakwiriye.

• Mu cyiciro cya IIIA, kanseri yakwirakwiriye mu gice gihuza urukuta rwa gallbladder kandi kimwe cyangwa byinshi muri ibi bikurikira ni ukuri:

• Kanseri yakwirakwiriye muri serosa (urwego rw'imyenda itwikiriye).

• Kanseri yakwirakwiriye mu mwijima.

• Kanseri yakwirakwiriye mu rugingo rumwe cyangwa imiterere yegeranye (nk'igifu, amara mato, amara, pancreas, cyangwa imiyoboro y'umwijima hanze y'umwijima).

• Mu cyiciro cya IIIB, kanseri yibumbiye mu mucosa (imbere yimbere) y'urukuta rw'umuhondo kandi ishobora kuba yarakwirakwiriye mu mitsi, ingirangingo, cyangwa serosa (urwego rw'imyenda itwikiriye) kandi ishobora no gukwirakwira mu mwijima cyangwa kuri urugingo rumwe cyangwa imiterere yegeranye (nk'igifu, amara mato, amara, pancreas, cyangwa imiyoboro y'amara hanze y'umwijima). Kanseri yakwirakwiriye kuri lymph node hafi.

Icyiciro cya IV

Icyiciro cya IV kigabanyijemo ibyiciro IVA na IVB.

• Mu cyiciro cya IVA, kanseri yakwirakwiriye mu mitsi cyangwa mu mitsi ya hepatike cyangwa mu ngingo ebyiri cyangwa nyinshi cyangwa inyubako zitari umwijima. Kanseri irashobora gukwirakwira kuri lymph node hafi.

• Mu cyiciro cya IVB, kanseri ishobora kuba yarakwirakwiriye mu ngingo cyangwa mu nzego. Kanseri yakwirakwiriye:

• kugeza bine cyangwa byinshi hafi ya lymph node; cyangwa

• ku bindi bice byumubiri, nka peritoneum numwijima.

Kuri kanseri yo mu mara, ibyiciro nabyo bishyizwe hamwe ukurikije uko kanseri ishobora kuvurwa. Hariho amatsinda abiri yo kuvura:

Ahantu (Icyiciro cya I)

Kanseri iboneka mu rukuta rwa gallbladder kandi irashobora gukurwaho burundu no kubagwa.

Ntibishobora gukosorwa, gusubiramo, cyangwa metastatike (Icyiciro cya II, Icyiciro cya III, nicyiciro cya IV)

• Kanseri idashobora gukurwaho ntishobora gukurwaho burundu no kubagwa. Abenshi mu barwayi barwaye kanseri yo mu nda bafite kanseri idashoboka.

Kanseri isubirwamo ni kanseri yagarutse (garuka) imaze kuvurwa. Kanseri yo mu gifu irashobora kugaruka mu mara cyangwa mu bindi bice by'umubiri.

Metastasis ni ikwirakwizwa rya kanseri kuva ahantu hambere (aho yatangiriye) ahandi hantu mumubiri. Kanseri yo mu bwoko bwa gallbladder irashobora gukwirakwira mu ngingo, ingingo zose, mu nda, cyangwa mu bice bya kure by'umubiri.

Incamake yo kuvura

INGINGO Z'INGENZI

• Hariho uburyo butandukanye bwo kuvura abarwayi bafite kanseri yo mu nda.

• Ubwoko butatu bwo kuvura busanzwe bukoreshwa:

• Kubaga

• Imiti ivura imirasire

• Chimoterapi

• Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

• Imirasire

• Umuti wa kanseri ya gallbladder urashobora gutera ingaruka.

• Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.

• Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.

• Ibizamini byo gukurikirana birashobora gukenerwa.

Hariho uburyo butandukanye bwo kuvura abarwayi bafite kanseri yo mu nda.

Ubwoko butandukanye bwo kuvura burahari kubarwayi barwaye kanseri yo mu mara. Bumwe mu buryo busanzwe (ubuvuzi bukoreshwa ubu), kandi bumwe burimo kugeragezwa mubigeragezo byamavuriro. Ikigeragezo kivura ni ubushakashatsi bwakozwe bugamije gufasha kunoza imiti igezweho cyangwa kubona amakuru ku buvuzi bushya ku barwayi ba kanseri. Iyo ibizamini byo kwa muganga byerekana ko ubuvuzi bushya buruta ubuvuzi busanzwe, ubuvuzi bushya bushobora kuba ubuvuzi busanzwe. Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga. Ibigeragezo bimwe na bimwe bivura abarwayi batatangiye kwivuza.

Ubwoko butatu bwo kuvura busanzwe bukoreshwa:

Kubaga

Kanseri ya Gallbladder irashobora kuvurwa na cholecystectomy, kubagwa kugirango ikureho umuhondo hamwe na tissue zimwe na zimwe ziwukikije. Hafi ya lymph node irashobora gukurwaho. Laparoscope rimwe na rimwe ikoreshwa mu kuyobora kubaga gallbladder. Laparoscope ifatanye na kamera ya videwo hanyuma ikinjizwa mu gutemagura (icyambu) mu nda. Ibikoresho byo kubaga byinjizwa mubindi byambu kugirango babagwa. Kubera ko hari ingorane yuko kanseri ya kanseri yandura ishobora gukwirakwira kuri ibyo byambu, ingirabuzimafatizo zikikije ibibanza nazo zishobora kuvaho.

Niba kanseri yarakwirakwiriye kandi idashobora kuvaho, ubwoko bukurikira bwo kubaga palliative bushobora kugabanya ibimenyetso:

• Biliary bypass: Niba ikibyimba kibuza umuyoboro wa bile hamwe na bili irimo kwiyongera mu mara, hashobora gukorwa inzira ya biliary. Muri iki gikorwa, umuganga azaca umuyonga cyangwa umuyoboro wa bili muri ako gace mbere yo kuzibira no kuwudoda mu mara mato kugira ngo habeho inzira nshya ikikije ahantu hafunzwe.

• Endoskopi ya stent yashyizwe: Niba ikibyimba kibuza umuyoboro wa bile, hashobora kubagwa kugirango ushire stent (umuyoboro muto) kugirango ukureho umuyonga wubatse muri kariya gace. Muganga arashobora gushira stent abinyujije muri catheter ikuramo umwanda mumufuka hanze yumubiri cyangwa stent irashobora kuzenguruka ahantu hafunzwe hanyuma ikavamo umura mu mara mato.

• Gutwara amazi ya biliary ya percutaneous: Inzira ikorwa yo gukuramo umwanda mugihe habaye guhagarika no gushyira stent ya endoscopique ntibishoboka. X-ray yumwijima nuyoboro wa bile ikorwa kugirango ibuze. Amashusho yakozwe na ultrasound akoreshwa mu kuyobora ishyirwa rya stent, isigara mu mwijima kugirango ikuremo amara mu mara mato cyangwa igikapu cyo gukusanya hanze yumubiri. Ubu buryo bushobora gukorwa kugirango ugabanye jaundice mbere yo kubagwa.

Imiti ivura imirasire

Imishwarara ivura ni imiti ikoresha kanseri ikoresha ingufu nyinshi za x-imirasire cyangwa ubundi bwoko bwimirasire yica kanseri cyangwa ikabuza gukura. Hariho ubwoko bubiri bwo kuvura imirasire:

• Imiti ivura hanze ikoresha imashini hanze yumubiri kugirango yohereze imirasire kuri kanseri.

• Imiti ivura imbere ikoresha ibintu bifata radiyo bifunze inshinge, imbuto, insinga, cyangwa catheteri bishyirwa muri kanseri cyangwa hafi yayo.

Uburyo imiti ivura imirasire itangwa biterwa n'ubwoko bwa kanseri ivurwa. Imiti ivura hanze ikoreshwa mu kuvura kanseri yo mu mara.

Chimoterapi

Chimoterapi ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa guhagarika ingirabuzimafatizo. Iyo chimiotherapie ifashwe numunwa cyangwa igaterwa mumitsi cyangwa imitsi, imiti yinjira mumaraso kandi irashobora kugera kanseri ya kanseri mumubiri (chimiotherapie sisitemu). Iyo chimiotherapie ishyizwe mumazi yubwonko, urugingo, cyangwa umwobo wumubiri nkinda, imiti yibasira kanseri ya kanseri muri utwo turere (chimiotherapie yo mukarere). Uburyo chimiotherapie itangwa biterwa nubwoko nicyiciro cya kanseri ivurwa.

Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

Iki gice cyincamake gisobanura imiti irimo kwigwa mubigeragezo byamavuriro. Ntishobora kuvuga ubuvuzi bushya burimo kwigwa. Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.

Imirasire

Igeragezwa rya Clinical ryiga uburyo bwo kunoza ingaruka zo kuvura imirasire ku ngirabuzimafatizo, harimo ibi bikurikira:

• Ubuvuzi bwa Hyperthermia: Ubuvuzi aho umubiri wumubiri uhura nubushyuhe bwinshi kugirango wangize kandi wice kanseri ya kanseri cyangwa utume selile ya kanseri yunvikana ningaruka zo kuvura imishwarara hamwe nibiyobyabwenge bimwe na bimwe birwanya antikanseri.

• Imirasire: Ibiyobyabwenge bituma selile yibibyimba byumva imiti ivura imirasire. Gutanga imishwarara hamwe na radiosensiseri birashobora kwica selile nyinshi.

Umuti wa kanseri ya gallbladder urashobora gutera ingaruka.

Kumakuru yingaruka ziterwa no kuvura kanseri, reba urupapuro rwuruhande rwacu.

Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.

Ku barwayi bamwe, kwitabira ikizamini cyamavuriro birashobora kuba uburyo bwiza bwo kuvura. Ibigeragezo bivura biri mubikorwa byubushakashatsi bwa kanseri. Igeragezwa rya Clinical rikorwa kugirango hamenyekane niba imiti mishya ya kanseri itekanye kandi ifite akamaro cyangwa nziza kuruta ubuvuzi busanzwe.

Benshi mubuvuzi busanzwe bwa kanseri bushingiye kubigeragezo byambere byubuvuzi. Abarwayi bitabiriye kwipimisha barashobora kuvurwa bisanzwe cyangwa kuba mubambere bahawe imiti mishya.

Abarwayi bitabira ibizamini byo kwa muganga nabo bafasha kunoza uburyo kanseri izavurwa mugihe kizaza. Nubwo ibigeragezo bivura bitaganisha ku buvuzi bushya, akenshi basubiza ibibazo byingenzi kandi bigafasha gutera imbere ubushakashatsi.

Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.

Igeragezwa rimwe na rimwe ririmo abarwayi bataravurwa. Ibindi bigeragezo bipima abarwayi bafite kanseri itameze neza. Hariho kandi ibizamini byo kwa muganga bipima uburyo bushya bwo guhagarika kanseri kongera kugaruka (kugaruka) cyangwa kugabanya ingaruka zo kuvura kanseri.

Igeragezwa rya Clinical ririmo kubera mu bice byinshi by'igihugu. Amakuru yerekeye ibizamini byamavuriro ashyigikiwe na NCI urashobora kubisanga kurubuga rwa NCI. Ibizamini bya Clinical bishyigikiwe nandi mashyirahamwe murashobora kubisanga kurubuga rwa ClinicalTrials.gov.

Ibizamini byo gukurikirana birashobora gukenerwa.

Bimwe mubizamini byakozwe mugupima kanseri cyangwa kumenya icyiciro cya kanseri birashobora gusubirwamo. Ibizamini bimwe bizasubirwamo kugirango harebwe uburyo ubuvuzi bukora neza. Ibyemezo bijyanye no gukomeza, guhindura, cyangwa guhagarika ubuvuzi birashobora gushingira kubisubizo byibi bizamini.

Bimwe mubizamini bizakomeza gukorwa buri gihe nyuma yubuvuzi burangiye. Ibisubizo by'ibi bizamini birashobora kwerekana niba ubuzima bwawe bwarahindutse cyangwa niba kanseri yarongeye (garuka). Ibi bizamini rimwe na rimwe byitwa gukurikirana-ibizamini cyangwa kugenzura.

Uburyo bwo kuvura Kanseri yo mu nda

Muri iki gice

• Indwara ya Kanseri ya Gallbladder

• Kanseri idashobora gukosorwa, isubirwamo, cyangwa Metastatike Gallbladder Kanseri

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Indwara ya Kanseri ya Gallbladder

Kuvura kanseri ya gallbladder yaho irashobora kubamo ibi bikurikira:

• Kubaga kugirango ukureho umuhondo hamwe na tissue zimwe na zimwe ziwukikije. Igice cyumwijima hamwe na lymph node hafi yacyo nacyo gishobora kuvaho. Imiti ivura imirasire hamwe na chimiotherapie irashobora gukurikira kubagwa.

• Imiti ivura imirasire hamwe na chimiotherapie.

• Igeragezwa rya clinique yo kuvura imirasire hamwe na radiosensisizeri.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Kanseri idashobora gukosorwa, isubirwamo, cyangwa Metastatike Gallbladder Kanseri

Kuvura kanseri ya gallbladder idashobora gukemurwa, isubirwamo, cyangwa metastatike isanzwe iri mubigeragezo byamavuriro. Ubuvuzi bushobora kubamo ibi bikurikira:

• Amazi ya biliary ya transhepatike cyangwa gushyira stent kugirango agabanye ibimenyetso biterwa numuyoboro wafunzwe. Ibi birashobora gukurikirwa nubuvuzi bwimirasire nkubuvuzi bwa palliative.

• Kubaga nk'ubuvuzi bwa palliative kugirango ugabanye ibimenyetso biterwa n'imiyoboro ifunze.

• Chimoterapi.

• Igeragezwa rya clinique yuburyo bushya bwo gutanga imiti ivura imishwarara ya palliative, nko kuyitanga hamwe nubuvuzi bwa hyperthermia, radiosensitizers, cyangwa chimiotherapie.

• Igeragezwa rya clinique yibiyobyabwenge bishya hamwe nibiyobyabwenge.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Kugira ngo Wige byinshi kuri Kanseri ya Gallbladder

Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeye kanseri yinda, reba Urupapuro rwibanze rwa Kanseri.

Kumakuru rusange ya kanseri nibindi bikoresho biva mu kigo cyigihugu cya kanseri, reba ibi bikurikira:

• Ibyerekeye Kanseri

• Gutegura

• Chimiotherapie nawe: Inkunga kubantu barwaye Kanseri

• Ubuvuzi bwimirasire nawe: Inkunga kubantu barwaye Kanseri

• Guhangana na Kanseri

• Ibibazo byo Kubaza Muganga wawe kuri Kanseri

• Abacitse ku icumu n'abarezi