Types/mesothelioma/patient/mesothelioma-treatment-pdq

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Umuti mubi wa Mesothelioma (Abakuze) (®) –Umurwayi

Amakuru Rusange Yerekeye Mesothelioma mbi

INGINGO Z'INGENZI

  • Indwara ya mesothelioma ni indwara ingirabuzimafatizo (kanseri) ziba mu gituza cyangwa mu nda.
  • Guhura na asibesitosi birashobora kugira ingaruka kuri mesothelioma mbi.
  • Ibimenyetso nibimenyetso bya mesothelioma mbi harimo guhumeka neza no kubabara munsi yurubavu.
  • Ibizamini bisuzuma imbere mu gituza no mu nda bikoreshwa mu gusuzuma mesothelioma mbi.
  • Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Indwara ya mesothelioma ni indwara ingirabuzimafatizo (kanseri) ziba mu gituza cyangwa mu nda.

Indwara ya mesothelioma ni indwara aho usanga selile mbi (kanseri) iboneka muri pleura (igipande cyoroshye cya tissue gihuza urwungano rw'igituza kandi gitwikiriye ibihaha) cyangwa peritoneum (urwego ruto rw'imyenda ihuza inda kandi igatwikira byinshi. ingingo zo munda). Mesothelioma mbi irashobora kandi kwibumbira mumutima cyangwa testicles, ariko ibi ntibisanzwe.

Mesothelioma mbi yibumbira mubice bito bitwikiriye ibihaha, urukuta rw'igituza, inda, umutima, cyangwa intangangabo.

Guhura na asibesitosi birashobora kugira ingaruka kuri mesothelioma mbi.

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.

Abantu benshi barwaye mesothelioma mbi bakoze cyangwa batuye ahantu bahumeka cyangwa bamira asibesitosi. Nyuma yo guhura na asibesitosi, mubisanzwe bifata igihe kirekire kugirango mesothelioma mbi. Kubana numuntu ukora hafi ya asibesitosi nabyo ni ibintu bishobora gutera mesothelioma mbi.

Ibimenyetso nibimenyetso bya mesothelioma mbi harimo guhumeka neza no kubabara munsi yurubavu.

Rimwe na rimwe, kanseri itera amazi gukusanya mu gituza cyangwa mu nda. Ibimenyetso nibimenyetso bishobora guterwa na fluid, mesothelioma mbi, cyangwa ibindi bihe. Menyesha umuganga wawe niba ufite kimwe muri ibi bikurikira:

  • Guhumeka.
  • Inkorora.
  • Kubabara munsi y'urubavu.
  • Kubabara cyangwa kubyimba munda.
  • Ibibyimba mu nda.
  • Kuribwa mu nda.
  • Ibibazo byo gutembera kw'amaraso (ibibyimba bibaho mugihe bitagomba).
  • Kugabanya ibiro nta mpamvu izwi.
  • Kumva unaniwe cyane.

Ibizamini bisuzuma imbere mu gituza no mu nda bikoreshwa mu gusuzuma mesothelioma mbi.

Rimwe na rimwe, biragoye kumenya itandukaniro riri hagati ya mesothelioma mbi mu gituza na kanseri y'ibihaha.

Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa mugupima mesothelioma mbi mu gituza cyangwa peritoneum:

  • Ikizamini cyumubiri namateka yubuzima: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi, guhura na asibesitosi, nindwara zashize hamwe nubuvuzi.
  • Isanduku x-ray: X-ray yingingo namagufwa imbere yigituza. X-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho yibice byumubiri.
X-ray yigituza. X-imirasire ikoreshwa mugufata amashusho yingingo namagufwa yigituza. X-imirasire inyura kumurwayi kuri firime.
  • CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yigituza ninda, byafashwe 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.
  • Biopsy: Gukuraho selile cyangwa tissue muri pleura cyangwa peritoneum kugirango zishobore kurebwa munsi ya microscope na psychologue kugirango barebe ibimenyetso bya kanseri.

Inzira zikoreshwa mugukusanya selile cyangwa tissue zirimo ibi bikurikira:

  • Urushinge rwiza (FNA) aspiration biopsy yibihaha: Gukuraho ingirangingo cyangwa amazi ukoresheje urushinge ruto. Uburyo bwo gufata amashusho bukoreshwa mugushakisha ingirabuzimafatizo zidasanzwe cyangwa ibihaha. Agace gato gashobora gukorwa mu ruhu aho urushinge rwa biopsy rwinjijwe mu ngingo zidasanzwe cyangwa mu mazi, hanyuma hagakurwaho urugero.
Indwara nziza-inshinge biopsy yibihaha. Umurwayi aryamye kumeza anyerera mumashini yabazwe ya tomografiya (CT), ifata amashusho ya x-ray yimbere yumubiri. Amashusho ya x-ray afasha muganga kubona aho tissue idasanzwe iri mumahaha. Urushinge rwa biopsy rwinjizwa mu rukuta rw'igituza no mu gice cy'imyanya idasanzwe y'ibihaha. Agace gato k'inyama gakurwa mu nshinge hanyuma kagasuzumwa munsi ya microscope kugira ngo ibimenyetso bya kanseri.
  • Thoracoscopy: Gutema (gukata) bikozwe hagati yimbavu ebyiri na thoracoscope (igikoresho cyoroshye, kimeze nk'igituba gifite urumuri na lens yo kureba) byinjizwa mu gituza.
  • Thoracotomy: Gukata (gukata) bikozwe hagati yimbavu ebyiri kugirango barebe imbere mu gituza ibimenyetso byindwara.
  • Peritoneoscopi: Gucibwa (gukata) bikozwe mu rukuta rw'inda hanyuma peritoneoscope (igikoresho cyoroshye, kimeze nk'igituba gifite urumuri na lens yo kureba) byinjizwa mu nda.
  • Gufungura biopsy: Uburyo bukoreshwa mugukata (gukata) binyuze muruhu kugirango berekane kandi bakureho tissue kugirango barebe ibimenyetso byindwara.

Ibizamini bikurikira birashobora gukorwa kuri selile na tissue sample zafashwe:

  • Ikizamini cya Cytologic: Ikizamini cya selile munsi ya microscope kugirango harebwe ikintu kidasanzwe. Kuri mesothelioma, amazi akurwa mu gituza cyangwa mu nda. Inzobere mu by'indwara igenzura amazi kugira ngo agaragaze ibimenyetso bya kanseri.
  • Immunohistochemie: Ikizamini cya laboratoire ikoresha antibodies kugirango igenzure antigene zimwe na zimwe (marikeri) mu cyitegererezo cyumubiri wumurwayi. Antibodies zisanzwe zifitanye isano na enzyme cyangwa irangi rya fluorescent. Antibodies zimaze guhuza antigen yihariye murugero rwa tissue, enzyme cyangwa irangi irakora, hanyuma antigen irashobora kuboneka munsi ya microscope. Ubu bwoko bw'ikizamini bukoreshwa mu gufasha gusuzuma kanseri no gufasha kubwira ubwoko bumwe bwa kanseri buva mu bundi bwoko bwa kanseri.
  • Microscopi ya elegitoronike: Ikizamini cya laboratoire aho ingirabuzimafatizo zigaragara munsi ya microscope ifite imbaraga nyinshi kugirango ishakishe impinduka zimwe na zimwe. Microscope ya electron yerekana utuntu duto cyane kuruta ubundi bwoko bwa microscopes.

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

Amahitamo yo kuvura no kuvura biterwa nibi bikurikira:

  • Intambwe ya kanseri.
  • Ingano yikibyimba.
  • Niba ikibyimba gishobora kuvaho burundu kubagwa.
  • Ingano y'amazi mu gituza cyangwa munda.
  • Imyaka yumurwayi.
  • Urwego rwibikorwa byumurwayi.
  • Ubuzima rusange bwumurwayi, harimo ibihaha nubuzima bwumutima.
  • Ubwoko bwa selile ya mesothelioma nuburyo isa munsi ya microscope.
  • Umubare w'uturemangingo tw'amaraso yera hamwe na hemoglobine iri mu maraso.
  • Niba umurwayi yaba umugabo cyangwa umugore.
  • Niba kanseri imaze gupimwa cyangwa yagarutse (garuka).

Icyiciro cya Mesothelioma mbi

INGINGO Z'INGENZI

  • Nyuma yo gupimwa mesothelioma mbi, hakorwa ibizamini kugirango hamenyekane niba kanseri ya kanseri yakwirakwiriye mu bindi bice by'umubiri.
  • Hariho uburyo butatu kanseri ikwirakwira mu mubiri.
  • Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.
  • Ibyiciro bikurikira bikoreshwa kuri mesothelioma mbi yibihaha:
  • Icyiciro I.
  • Icyiciro cya II
  • Icyiciro cya III
  • Icyiciro cya IV
  • Mesothelioma mbi irashobora kwisubiramo (garuka) imaze kuvurwa.

Nyuma yo gupimwa mesothelioma mbi, hakorwa ibizamini kugirango hamenyekane niba kanseri ya kanseri yakwirakwiriye mu bindi bice by'umubiri.

Inzira ikoreshwa mukumenya niba kanseri yarakwirakwiriye hanze ya pleura cyangwa peritoneum bita stage. Amakuru yakusanyirijwe mubikorwa byateguwe agena icyiciro cyindwara. Ni ngombwa kumenya niba kanseri yarakwirakwiriye mu rwego rwo gutegura imiti.

Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa mugutegura:

  • CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yigituza ninda, byafashwe 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.
  • PET scan (positron emission tomografi scan): Uburyo bwo kubona selile mbi yibibyimba mumubiri. Umubare muto wa glucose ikora radio (isukari) yatewe mumitsi. PET scaneri izenguruka umubiri kandi ikora ishusho yerekana aho glucose ikoreshwa mumubiri. Utugingo ngengabuzima twibibyimba twerekana neza cyane ku ishusho kuko zikora cyane kandi zifata glucose nyinshi kuruta selile zisanzwe.
  • MRI . Ubu buryo bwitwa kandi magnetic magnetic resonance imaging (NMRI).
  • Endrascopic ultrasound (EUS): Uburyo bwinjizwamo endoskopi mu mubiri. 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. EUS irashobora gukoreshwa mu kuyobora ibyifuzo byiza-inshinge (FNA) biopsy yibihaha, node ya lymph, cyangwa ahandi.
Endoscopic ultrasound-iyobowe neza-inshinge aspirasi biopsy. Endoscope ifite ultrasound probe na inshinge ya biopsy yinjizwa mumunwa no muri esofagus. Iperereza ryerekana amajwi yumubiri kumubiri kugirango ikore echo ikora sonogramu (ishusho ya mudasobwa) ya lymph node hafi ya esofagus. Sonogram ifasha muganga kureba aho yashyira urushinge rwa biopsy kugirango akureho tissue mumitsi ya lymph. Iyi tissue isuzumwa munsi ya microscope kugirango ibimenyetso bya kanseri.
  • 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 kugirango bikore inzira nko gufata ingero za tissue zigenzurwa munsi ya microscope kugirango ibimenyetso byindwara.
  • Lymph node biopsy: Gukuraho ibintu byose cyangwa igice cya lymph node. Inzobere mu bijyanye n’indwara ireba lymph node tissue munsi ya microscope kugirango isuzume selile.
  • Mediastinoscopy: Uburyo bwo kubaga kureba ingingo, ingirangingo, na lymph node hagati y'ibihaha ahantu hadasanzwe. Gutema (gukata) bikozwe hejuru yigituza kandi mediastinoscope yinjizwa mugituza. Mediastinoscope nigikoresho cyoroshye, kimeze nkigikoresho gifite urumuri na lens yo kureba. Irashobora kandi kugira igikoresho cyo gukuraho ingirangingo cyangwa lymph node sample, zisuzumwa munsi ya microscope kugirango ibimenyetso bya kanseri.

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 mesothelioma mbi ikwirakwira mubwonko, selile ya kanseri mubwonko mubyukuri ni selile mbi ya mesothelioma. Indwara ni metastatic malignant mesothelioma, ntabwo ari kanseri yubwonko.

Ibyiciro bikurikira bikoreshwa kuri mesothelioma mbi yibihaha:

Icyiciro I.

Icyiciro cya I kigabanyijemo ibyiciro IA na IB:

  • Mu cyiciro cya IA, kanseri iboneka imbere mu rukuta rw'igituza ku ruhande rumwe rw'igituza. Ku ruhande rumwe rw'igituza, kanseri irashobora no kuboneka muri kimwe cyangwa byinshi muri ibi bikurikira:
  • Igice cyoroshye cya tissue gitwikira ibihaha.
  • Igice cyoroshye cya tissue gitwikira ingingo hagati yibihaha.
  • Igice cyoroshye cya tissue gitwikiriye hejuru ya diafragma.
  • Mu cyiciro cya IB, kanseri iboneka imbere mu rukuta rw'igituza, no muri buri gice cyoroshye cy'imyenda itwikiriye ibihaha, ingingo ziri hagati y'ibihaha, no hejuru ya diafragma ku ruhande rumwe rw'igituza. Ku ruhande rumwe rw'igituza, kanseri nayo yakwirakwiriye muri kimwe cyangwa byinshi muri ibi bikurikira:
  • Diaphragm.
  • Ibihaha.
  • Tissue hagati y'urubavu n'imbere imbere y'urukuta rw'igituza.
  • Ibinure mu gice kiri hagati y'ibihaha.
  • Uturemangingo tworoshye twurukuta rwigituza.
  • Sak kumutima.

Icyiciro cya II

Mu cyiciro cya II, kanseri iboneka imbere mu rukuta rw'igituza ku ruhande rumwe rw'igituza. Ku ruhande rumwe rw'igituza, kanseri irashobora no kuboneka muri kimwe cyangwa byinshi muri ibi bikurikira:

  • Igice cyoroshye cya tissue gitwikira ibihaha.
  • Igice cyoroshye cya tissue gitwikira ingingo hagati yibihaha.
  • Igice cyoroshye cya tissue gitwikiriye hejuru ya diafragma.

Kanseri yakwirakwiriye kuri lymph node hagati yigituza kuruhande rumwe rwigituza nkikibyimba.

cyangwa

Kanseri iboneka imbere mu rukuta rw'imbere mu rukuta rw'igituza, no muri buri gice cyoroshye cya tissue gitwikiriye ibihaha, ingingo ziri hagati y'ibihaha, no hejuru ya diafragma ku ruhande rumwe rw'igituza. Ku ruhande rumwe rw'igituza, kanseri nayo yakwirakwiriye muri kimwe cyangwa byombi bikurikira:

  • Diaphragm.
  • Ibihaha.

Kanseri yakwirakwiriye kuri lymph node hagati yigituza kuruhande rumwe rwigituza nkikibyimba.

Icyiciro cya III

Icyiciro cya III kigabanyijemo ibyiciro IIIA na IIIB.

  • Mu cyiciro cya IIIA, kanseri iboneka imbere mu rukuta rw'igituza, no muri buri gice cyoroshye cy'imyenda itwikiriye ibihaha, ingingo ziri hagati y'ibihaha, no hejuru ya diafragma ku ruhande rumwe rw'igituza. Ku ruhande rumwe rw'igituza, kanseri nayo yakwirakwiriye muri kimwe cyangwa byinshi muri ibi bikurikira:
  • Tissue hagati y'urubavu n'imbere imbere y'urukuta rw'igituza.
  • Ibinure mu gice kiri hagati y'ibihaha.
  • Uturemangingo tworoshye twurukuta rwigituza.
  • Sak kumutima.

Kanseri yakwirakwiriye kuri lymph node hagati yigituza kuruhande rumwe rwigituza nkikibyimba.

  • Mu cyiciro cya IIIB, kanseri iboneka imbere imbere yurukuta rwigituza, kandi irashobora no kuboneka mubice bito byumubiri bitwikiriye ibihaha, ingingo ziri hagati yibihaha, na / cyangwa hejuru ya diafragma kuruhande rumwe rwa igituza. Ku ruhande rumwe rw'igituza, kanseri ishobora no gukwirakwira muri kimwe cyangwa byinshi muri ibi bikurikira:
  • Diaphragm.
  • Ibihaha.
  • Tissue hagati y'urubavu n'imbere imbere y'urukuta rw'igituza.
  • Ibinure mu gice kiri hagati y'ibihaha.
  • Uturemangingo tworoshye twurukuta rwigituza.
  • Sak kumutima.

Kanseri yakwirakwiriye kuri lymph node hejuru ya collarbone kuruhande rwigituza cyangwa kanseri ikwirakwira kuri lymph node hagati yigituza kuruhande rwigituza nkikibyimba.

cyangwa

Kanseri iboneka imbere mu rukuta rw'imbere mu rukuta rw'igituza, no muri buri gice cyoroshye cya tissue gitwikiriye ibihaha, ingingo ziri hagati y'ibihaha, no hejuru ya diafragma ku ruhande rumwe rw'igituza. Kanseri nayo yakwirakwiriye kuri kimwe cyangwa byinshi muri ibi bikurikira:

  • Urukuta rw'igituza kandi rushobora kuboneka mu rubavu.
  • Binyuze muri diafragm muri peritoneum.
  • Tissue iri mu gituza kuruhande rwumubiri nkikibyimba.
  • Ingingo ziri mu gice kiri hagati y'ibihaha (esophagus, trachea, thymus, imiyoboro y'amaraso).
  • Umugongo.
  • Binyuze mu isakoshi ikikije umutima cyangwa mumitsi yumutima.

Kanseri irashobora gukwirakwira.

Icyiciro cya IV

Mu cyiciro cya IV, kanseri yakwirakwiriye mu ngingo zifata ibihaha cyangwa ibihaha ku rundi ruhande rw'igituza, peritoneum, amagufwa, umwijima, lymph node hanze y'igituza, cyangwa mu bindi bice by'umubiri.

Mesothelioma mbi irashobora kwisubiramo (garuka) imaze kuvurwa.

Kanseri irashobora kugaruka mu gituza cyangwa mu nda cyangwa mu bindi bice by'umubiri.

Incamake yo kuvura

INGINGO Z'INGENZI

  • Hariho uburyo butandukanye bwo kuvura abarwayi bafite mesothelioma mbi.
  • Ubwoko bune bwo kuvura busanzwe bukoreshwa:
  • Kubaga
  • Imiti ivura imirasire
  • Chimoterapi
  • Ubuvuzi bugamije
  • Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.
  • Immunotherapy
  • Umuti wa mesothelioma mbi 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 mesothelioma mbi.

Ubwoko butandukanye bwo kuvura burahari kubarwayi barwaye mesothelioma mbi. 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 bune bwo kuvura busanzwe bukoreshwa:

Kubaga

Ubuvuzi bukurikira bwo kubaga bushobora gukoreshwa kuri mesothelioma mbi mu gituza:

  • Kwaguka kwagutse: Kubaga kugirango ukureho kanseri hamwe na tissue zimwe na zimwe zifite ubuzima bwiza.
  • Pleurectomy na decortication: Kubagwa kugirango ukureho igice cyo gupfuka ibihaha no kumurongo wigituza nigice cyinyuma cyibihaha.
  • Indwara ya pneumonectomie idasanzwe: Kubagwa kugirango ukureho ibihaha byose hamwe nigice cyururondogoro rwigituza, diafragma, hamwe numurongo wigitereko gikikije umutima.
  • Pleurodeis: Uburyo bwo kubaga bukoresha imiti cyangwa ibiyobyabwenge kugirango bikore inkovu mumwanya uri hagati yimiterere ya pleura. Amazi abanza gukurwa mumwanya ukoresheje catheter cyangwa igituza cyo mu gatuza hanyuma imiti cyangwa ibiyobyabwenge bigashyirwa mumwanya. Inkovu zihagarika kwiyongera k'amazi mu cyuho cyiza.

Muganga amaze gukuraho kanseri zose zishobora kugaragara mugihe cyo kubagwa, abarwayi bamwe bashobora guhabwa chimiotherapie cyangwa imiti ivura imirasire nyuma yo kubagwa kugirango bice selile zose zisigaye. Umuti watanzwe nyuma yo kubagwa, kugirango ugabanye ibyago ko kanseri izagaruka, byitwa kuvura indwara.

Imiti ivura imirasire

Imishwarara ivura ni imiti ikoresha kanseri ikoresha ingufu nyinshi za x-imirasire cyangwa ubundi bwoko bwimirasire yica kanseri cyangwa ikabuza gukura. Imiti ivura hanze ikoresha imashini hanze yumubiri kugirango yohereze imirasire yerekeza kumubiri hamwe na kanseri. Irashobora kandi gukoreshwa nkubuvuzi bwa palliative kugabanya ibimenyetso no kuzamura imibereho.

Chimoterapi

Chimiotherapie ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa kubabuza gutandukana. 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 ya cerebrospinal fluid, urugingo, cyangwa umwobo wumubiri nkigituza cyangwa peritoneum, imiti yibasira cyane kanseri ya kanseri muri utwo turere (chimiotherapie yo mukarere). Imiti ya chimiotherapie ni ugukoresha imiti irenga imwe ya anticancer.

Hyperthermic intraperitoneal chimiotherapie ikoreshwa mukuvura mesothelioma yakwirakwiriye kuri peritoneum (tissue ihuza inda kandi igatwikira ingingo nyinshi zo munda). Umuganga ubaga amaze gukuraho kanseri zose zishobora kugaragara, igisubizo kirimo imiti igabanya ubukana kirashyuha hanyuma kigashyirwa mu nda no mu nda kugira ngo cyice kanseri zisigaye. Gushyushya imiti igabanya ubukana bishobora kwica selile nyinshi.

Uburyo chimiotherapie itangwa biterwa nubwoko nicyiciro cya kanseri ivurwa.

Reba Ibiyobyabwenge Byemewe kuri Malignant Mesothelioma kubindi bisobanuro.

Ubuvuzi bugamije

Ubuvuzi bugamije ni uburyo bwo kuvura bukoresha ibiyobyabwenge cyangwa ibindi bintu kugirango umenye kandi utere kanseri yihariye ya kanseri. Ubuvuzi bugamije ubusanzwe butera kwangirika kwingirabuzimafatizo zisanzwe kuruta chimiotherapie cyangwa imiti ivura imirasire.

Ubuvuzi bwa antibody ya Monoclonal ni ubwoko bwo kuvura bugamije. Antibodiyite za Monoclonal ni poroteyine z'umubiri zakozwe muri laboratoire yo kuvura indwara nyinshi, harimo na kanseri. Nkumuti wa kanseri, izo antibodies zirashobora guhuza intego runaka kuri selile ya kanseri cyangwa izindi selile zishobora gufasha kanseri gukura. Antibodies zirashobora noneho kwica selile ya kanseri, guhagarika imikurire yazo, cyangwa kubuza gukwirakwira. Antibodiyite za Monoclonal zitangwa no gushiramo. Bashobora gukoreshwa bonyine cyangwa gutwara ibiyobyabwenge, uburozi, cyangwa ibikoresho bya radio bikoresha kanseri ya kanseri.

Bevacizumab ni antibody ya monoclonal ikoreshwa mu kuvura mesothelioma yateye imbere. Ihuza poroteyine yitwa vascular endothelial growth factor (VEGF). Ibi birashobora gukumira imikurire yimitsi mishya ikibyimba gikeneye gukura. Izindi antibodies za monoclonal zirimo kwigwa muri mesothelioma mbi.

Inhibitor ya Kinase ni ubwoko bwubuvuzi bugamije kwigwa mukuvura mesothelioma mbi. Inhibitor ya Kinase ni imiti igabanya imiti ikumira ibimenyetso bikenewe kugirango ibibyimba bikure.

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.

Immunotherapy

Immunotherapy nubuvuzi bukoresha sisitemu yumubiri yumurwayi kurwanya kanseri. Ibintu bikozwe numubiri cyangwa bikozwe muri laboratoire bikoreshwa mukuzamura, kuyobora, cyangwa kugarura umubiri kamere irinda kanseri. Ubu buvuzi bwa kanseri ni ubwoko bwo kuvura ibinyabuzima.

Umuti wa mesothelioma mbi 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.

Kuvura Icyiciro cya I Malotheant Mesothelioma

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Niba icyiciro cya I malothent mesothelioma kiri mugice kimwe cyigituza, kuvura birashobora kuba ibi bikurikira:

  • Kubaga kugirango ukureho igice cyigituza kirimo kanseri hamwe nuduce tuyikikije.

Niba icyiciro cya I malothent mesothelioma kiboneka ahantu henshi mu gituza, kuvura birashobora kuba bimwe muribi bikurikira:

  • Indwara ya pneumonectomy.
  • Pleurectomie na decortication, hamwe cyangwa idafite imiti ivura imirasire, nkubuvuzi bwa palliative bwo kugabanya ibimenyetso no kuzamura imibereho.
  • Imiti ivura imishwarara nka palliative therapy kugirango igabanye ibimenyetso kandi izamure ubuzima.
  • Igeragezwa rya clinique yimiti igabanya ubukana yashyizwe mu gituza nyuma yo kubagwa kugirango ikureho ikibyimba.
  • Igeragezwa rya clinique yo kubaga, kuvura imirasire, hamwe na chimiotherapie.
  • Ikigeragezo cyamavuriro yubuvuzi bushya.

Niba icyiciro cya I malothent mesothelioma kiri mumurongo wa peritoneal, kuvura birashobora kuba ibi bikurikira:

  • Kubaga kugirango ukureho igice cya peritoneal hamwe na kanseri hamwe nuduce tuyikikije.

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.

Kuvura Icyiciro cya II, Icyiciro cya III, cyangwa Icyiciro cya IV Mesothelioma mbi

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Niba icyiciro cya II, icyiciro cya III, cyangwa icyiciro cya IV malignant mesothelioma iboneka mu gatuza, kuvura birashobora kuba bimwe muribi bikurikira:

  • Gukomatanya chimiotherapie hamwe nubuvuzi bugamije hamwe na bevacizumab.
  • Chimoterapi yashyizwe mu cyuho cyo mu gatuza kugira ngo igabanye ibibyimba kandi itume amazi atiyongera.
  • Kubaga kumena amazi yakusanyirije mu gituza, kugirango agabanye igituza kandi azamure ubuzima. Pleurodezi irashobora gukorwa kugirango ihagarike amazi menshi gukusanya mu gatuza.
  • Pleurectomy na decortication, nk'ubuvuzi bwa palliative bwo kugabanya ibimenyetso no kuzamura imibereho.
  • Imishwarara yumuti nkubuvuzi bwa palliative kugirango ugabanye ububabare.
  • Igeragezwa rya clinique yo kubaga, kuvura imirasire, hamwe na chimiotherapie.

Niba icyiciro cya II, icyiciro cya III, cyangwa icyiciro cya IV malotant mesothelioma iboneka muri peritoneum, kuvura birashobora kuba bimwe muribi bikurikira:

  • Kubaga kugirango ukureho ikibyimba gikurikirwa na hyperthermic intraperitoneal chimiotherapie.
  • Chimoterapi yashyizwe muri peritoneum kugirango igabanye ikibyimba kandi itume amazi atiyongera.

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.

Umuti wa Mesothelioma Yisubiramo

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Umuti wa mesothelioma wama mubi ushobora kuba umwe muribi bikurikira:

  • Kubaga kugirango ukure igice cyurukuta rwigituza.
  • Chimiotherapie, niba itatanzwe nkubuvuzi bwambere.
  • Igeragezwa rya kliniki yo gukingira indwara.
  • Ikigeragezo cyamavuriro yubuvuzi bugamije.
  • Igeragezwa rya chimiotherapie.
  • Ikigeragezo cyo kwa muganga cyo kubaga.

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.

Kumenya byinshi kuri Mesothelioma mbi

Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeye mesothelioma mbi, reba ibi bikurikira:

  • Urupapuro rwibanze rwa Mesothelioma
  • Ibiyobyabwenge Byemewe kuri Mesothelioma mbi
  • Immunotherapy yo kuvura Kanseri
  • Intego zo kuvura Kanseri
  • Guhura na Asibesitosi hamwe na 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


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