Mhando / nduru / murwere / nduru-kurapa-pdq

Gallbladder Cancer Kurapa Shanduro

General Ruzivo nezve Gallbladder Cancer

PFUNGWA DZINOKOSHA

• Gomarara reGallbladder chirwere umo maronda akaipa (gomarara) maseru anoumba mumatumbu eguruva.

• Kuva mukadzi kunogona kuwedzera njodzi yekuita gomarara regunduru.

• Zviratidzo nezviratidzo zvegomarara reguranda zvinosanganisira jaundice, fivhiri, uye kurwadziwa.

• Gomarara reGallbladder rakaoma kuona (tsvaga) uye kuongorora chirwere nekukurumidza.

• Kuyedza kunoongorora nduru uye nhengo dziri padyo zvinoshandiswa kuona (tsvaga), kuongorora, uye gomarara redunduru.

• Zvimwe zvinhu zvinokanganisa kufungidzira (mukana wekupora) uye nzira dzekurapa.

Gomarara reGallbladder chirwere umo maronda akaipa (gomarara) maseru anoumba mumatumbu eguruva.

Gomarara reGallbladder chirwere chisingawanzo mune masero akaipa (gomarara) anowanikwa mumatumbu eguruva. Iyo nduru inhengo yakaita peya yakagara pasi pechiropa mudumbu repamusoro. Iyo nduru inochengeta bile, chinoyerera chakagadzirwa nechiropa kugaya mafuta. Kana chikafu chiri kutyorwa mudumbu uye ura, bile rinoburitswa kubva mudunduru kuburikidza nechubhu inonzi yakajairika bile duct, iyo inobatanidza iyo gallbladder uye chiropa kuchikamu chekutanga chemukati mudumbu.

Anatomy yeguruva. Iyo nduru iri pazasi pechiropa. Bhiri rinochengeterwa mudunduru uye rinoyerera kuburikidza necystic duct uye yakajairika bile duct kupinda mudumbu ura kana chikafu chiri kugayiwa.

Rusvingo rweguruva rine zvikamu zvina zvakakura zvezvinyama.

• Mucosal (yemukati) dura.

• Tsandanyama rukoko.

• Inobatanidza mitezo yakaturikidzana.

• Serosal (yekunze) dura.

Gomarara repamberi redunduru rinotanga mukati mechikamu chemukati uye rinopararira kuburikidza nematanho ekunze painenge ichikura.

Kuva mukadzi kunogona kuwedzera njodzi yekuita gomarara regunduru.

Chero chipi zvacho chinowedzera mukana wako wekutora chirwere chinonzi njodzi chinhu. Kuva nenjodzi hazvireve kuti uchawana gomarara; kusava nenjodzi hazvireve kuti hauzobatwe negomarara. Taura nachiremba wako kana iwe uchifunga kuti ungave uri panjodzi. Njodzi zvinhu zvegomarara regurbladder zvinosanganisira zvinotevera:

• Kuva mukadzi.

• Kuva weNative American.

• Zviratidzo nezviratidzo zvegomarara reguranda zvinosanganisira jaundice, fivhiri, uye kurwadziwa.

Izvi uye zvimwe zviratidzo nezviratidzo zvinogona kukonzerwa negomarara redunduru kana nemamwe mamiriro. Tarisa nachiremba wako kana iwe uine chero chinotevera:

• Jaundice (yero yeganda uye machena eziso).

• Marwadzo kumusoro kwedumbu.

• Kupindwa nechando.

• Kusvotwa uye kurutsa.

• Bloating.

• Mapundu mudumbu.

Gomarara reGallbladder rakaoma kuona (tsvaga) uye kuongorora chirwere nekukurumidza.

Gomarara reGallbladder rakaoma kuona uye kuongorora zvikonzero zvinotevera:

• Iko hakuna zviratidzo kana zviratidzo mumatanho ekutanga ekenza yenduru.

• Zviratidzo zvegomarara reguranda, kana zviripo, zvakafanana nezviratidzo zvezvimwe zvirwere zvakawanda.

• Iyo nduru yakavanzwa kuseri kwechiropa.

Gomarara regallbladder dzimwe nguva rinowanikwa kana nduru yabviswa zvimwe zvikonzero. Varwere vane nduru havawanzo kuita gomarara renduru.

Kuyedza kunoongorora nduru uye nhengo dziri padyo zvinoshandiswa kuona (tsvaga), kuongorora, uye gomarara redunduru.

Maitiro anoita mifananidzo yenduru nenzvimbo yakatenderedza anobatsira kuongorora gomarara redundira uye kuratidza kuti kenza yapararira zvakadii. Maitiro anoshandiswa kutsvaga kana kenza maseru akapararira mukati nekukomberedza nduru inonzi staging.

Kuti uronge kurapwa, zvakakosha kuti uzive kana gomarara regunduru rinogona kubviswa nekuvhiyiwa. Miedzo uye maitiro ekuona, kuongorora, uye danho gonyeti yeganda rinowanzoitwa panguva imwe chete. Iyi inotevera bvunzo uye maitiro anogona kushandiswa:

• Kuongorora kwepanyama uye nhoroondo: Kuongororwa kwemuviri kutarisa zviratidzo zvehutano, kusanganisira kuongorora zviratidzo zvehosha, zvakadai semapundu kana chero chinhu chinoratidzika sechisina kujairika. Nhoroondo yemaitiro ehutano hwemurwere uye kurwara kwakapfuura uye kurapwa kuchatorwawo.

• Chiropa basa bvunzo: Maitiro umo muyedzo weropa unoongororwa kuyera huwandu hwezvimwe zvinhu zvaburitswa muropa nechiropa. Iyo yakakwira kupfuura yakajairwa huwandu hwechinhu inogona kunge iri chiratidzo chechiropa chirwere chinogona kukonzerwa negomarara redunduru.

• Ropa kemesitiri zvidzidzo: Maitiro umo muyedzo weropa unoongororwa kuyera huwandu hwezvimwe zvinhu zvakaburitswa muropa nenhengo uye nyama munyama. Chinhu chisina kujairika (chakakwirira kana chakaderera pane zvakajairwa) chiyero chechinhu chinogona kunge chiri chiratidzo chechirwere.

• CT scan (CAT scan): Maitiro anoita akateedzana emifananidzo yakajeka yenzvimbo dziri mukati memuviri, senge chipfuva, dumbu, uye pelvis, zvakatorwa kubva kumakona akasiyana. Mifananidzo yacho inogadzirwa nekombuta yakabatana neiyo x-ray muchina. Dhayi inogona kuiswa jekiseni kana kumedzwa kubatsira nhengo kana zvinyama kuratidza zvakajeka. Iyi nzira inonziwo computed tomography, computerized tomography, kana komputa axial tomography.

• Ultrasound bvunzo: Maitiro umo ma-high-energy ruzha mafungu (ultrasound) anodonhedzwa kubva mukati memukati nyama kana nhengo uye anoita maungira. Maungira anoumba mufananidzo wemuviri munyama unonzi sonogram. Dumbu ultrasound inoitwa kuti uongorore gomarara renduru.

• PTC (percutaneous transhepatic cholangiography): Maitiro anoshandiswa kuisa x-ray chiropa uye bile ducts. Tsono nhete inoiswa kuburikidza neganda riri pazasi pembabvu uye muchiropa. Dhayi inorowa muchiropa kana bile ducts uye x-ray inotorwa. Kana kuvharika kukawanikwa, chubhu yakaonda, inoshanduka inonzi stent dzimwe nguva inosiyiwa muchiropa kuti inyurure bile mumatumbo madiki kana bhegi rekuunganidza kunze kwemuviri.

• ERCP (endoscopic retrograde cholangiopancreatography): Maitiro anoshandiswa ku-x-ray iyo ducts (machubhu) anotakura bile kubva pachiropa kuenda kune nduru uye kubva kune nduru kuenda kuura hudiki. Dzimwe nguva gomarara redundiro rinokonzera kuti madhivha aya adzike uye avhare kana kunonoka kuyerera kwe bile, zvichikonzera jaundice. Endoscope (yakatetepa, yakabatidzwa chubhu) inopfuudzwa nemumuromo, esophagus, uye mudumbu muchikamu chekutanga chemukati mudumbu. Iyo catheter (diki chubhu) inozoiswa kuburikidza neiyo endoscope mumaburi ducts. Dhayi inorowa kuburikidza necatheter mumakomba uye x-ray inotorwa. Kana ma ducts akavharwa nebundu, chubhu yakanaka inogona kupinzwa munzira kuti izarurwe. Iyi chubhu (kana stent) inogona kusiiwa munzvimbo kuti irambe nzira yakavhurika. Tissue sampuli dzinogonawo kutorwa.

• MRI (magnetic resonance imaging) ine gadolinium: Maitiro anoshandisa magineti, masaisai eredhiyo, uye komputa kugadzira akateedzana emifananidzo yakajeka yenzvimbo dziri mukati memuviri. Chinhu chinonzi gadolinium chinopinzwa mutsinga. Iyo gadolinium inounganidza yakatenderedza maseru ekenza kuitira kuti varatidze kupenya mumufananidzo. Iyi nzira inonziwo nyukireya magnetic resonance imaging (NMRI).

• Endoscopic ultrasound (EUS): Maitiro umo endoscope inoiswa mumuviri, kazhinji kuburikidza nemuromo kana rectum. Endoscope chishoma, chubhu-senge chiridzwa chine mwenje uye lens yekuona. Probe panoperera endosikopu inoshandiswa kubaya mafungu ane simba-ruzha (ultrasound) kubva munyama dzemukati kana mitezo uye kuita maungira. Maungira anoumba mufananidzo wemuviri munyama unonzi sonogram. Maitiro aya anonziwo endosonography.

• Laparoscopy: Maitiro ekuvhiya kutarisa nhengo dziri mukati medumbu kutarisa zviratidzo zvehosha. Zvidiki zvidiki (kucheka) zvinogadzirwa mumadziro emimba uye laparoscope (mutete, turu turi) inoiswa mune chimwe cheicho chinochekwa. Zvimwe zviridzwa zvinogona kuiswa kuburikidza zvakafanana kana zvimwe zvinoitiswa kuti zviite nzira dzakadai sekubvisa nhengo kana kutora masampuli etishu bhiopsy. Iyo laparoscopy inobatsira kuona kana kenza iri mukati meguruva chete kana yakapararira kumatishu ari pedyo uye kana ichigona kubviswa nekuvhiyiwa.

• Biopsy: Kubviswa kwemasero kana zvinyama kuitira kuti vagone kutariswa pasi pe microscope nachiremba wekutarisa zviratidzo zvecancer. Bhiopsy inogona kuitwa mushure mekuvhiyiwa kubvisa bundu. Kana bundu iri risingakwanise kubviswa nekuvhiya, bhaopsy inogona kuitwa uchishandisa tsono yakanaka kubvisa maseru kubva pabundu.

Zvimwe zvinhu zvinokanganisa kufungidzira (mukana wekupora) uye nzira dzekurapa.

Kufungidzira (mukana wekupora) uye sarudzo dzekurapa dzinoenderana nezvinotevera:

• Chikamu chegomarara (ingave gomarara rapararira kubva panduru kuenda kune dzimwe nzvimbo mumuviri).

• Kunyangwe kenza inogona kubviswa zvachose nekuvhiyiwa.

• Rudzi rwegomarara reguranda (maringe nekenza kenza inotaridzika pasi pe microscope).

• Kunyangwe kenza ichangobva kuongororwa kana kuti yadzokazve (dzoka).

Kurapa kunogona zvakare kuvimba nezera uye hutano huzhinji hwemurwere uye kuti gomarara riri kukonzeresa zviratidzo kana zviratidzo.

Gomarara reGallbladder rinogona kurapwa chete kana rikawanikwa risati rapararira, apo rinokwanisa kubviswa nekuvhiyiwa. Kana gomarara rapararira, kurapwa kunovandudza kunogona kuvandudza hupenyu hwemurwere nekudzora zviratidzo uye kunetseka kwechirwere ichi.

Kutora chikamu mune imwe yemakiriniki miedzo iri kuitwa kunatsiridza kurapwa kunofanirwa kutariswa. Ruzivo nezve inoenderera kiriniki miedzo inowanikwa kubva kuCI webhusaiti

Nhanho dzeGallbladder Cancer

PFUNGWA DZINOKOSHA

• Miedzo nemaitiro ekumira gomarara redundira zvinowanzoitwa panguva imwecheteyo nekuongororwa.

• Pane nzira nhatu dzinopararira negomarara mumuviri.

• Gomarara rinogona kutapukira kubva kwarakatanga kuenda kune dzimwe nhengo dzemuviri.

• Matanho anotevera anoshandiswa pagomarara renduru:

• Chikamu 0 (Carcinoma muSitu)

• Chikamu I

• Chikamu II

• Chikamu chechitatu

• Chikamu IV

• Kune kenza yegunduru, matanho akaiswawo mumapoka zvinoenderana nekuti kenza ingarapwa sei. Kune mapoka maviri ekurapa:

• Yakawanikwa (Chikamu cheI)

• Isingachinjike, inodzokororwa, kana metastatic (Chikamu chechipiri, Chikamu chechitatu, uye Chikamu IV)

Miedzo nemaitiro ekumira gomarara redundira zvinowanzoitwa panguva imwecheteyo nekuongororwa.

Ona iyo General Ruzivo chikamu cherondedzero yemiyedzo uye maitiro anoshandiswa kuona, kuongorora, uye nhanho yegirbladder cancer.

Pane nzira nhatu dzinopararira negomarara mumuviri.

Kenza inogona kupararira kuburikidza nematinji, iyo lymph system, uye neropa:

• Tishu. Kenza inopararira kubva kwayakatanga nekukura ichipinda munzvimbo dziri pedyo.

• Lymph maitiro. Kenza inopararira kubva kwayakatanga nekupinda muiyo lymph system. Kenza inofamba nemumidziyo yema lymph ichienda kune dzimwe nhengo dzemuviri.

• Ropa. Kenza inopararira kubva payakatanga nekupinda muropa. Kenza inofamba nemidzi yeropa ichienda kune dzimwe nhengo dzemuviri.

Gomarara rinogona kutapukira kubva kwarakatanga kuenda kune dzimwe nhengo dzemuviri.

Kana kenza ikapararira kune chimwe chikamu chemuviri, inonzi metastasis. Cancer maseru anotsemuka kubva kwaakatanga (iro bundu rekutanga) uye achifamba kuburikidza neye lymph system kana ropa.

• Lymph maitiro. Gomarara rinopinda mu "lymph system", rinofamba nemumidziyo ye "lymph", uye rinogadzira bundu (metastatic tumor) mune chimwe chikamu chemuviri.

• Ropa. Kenza inopinda muropa, inofamba nemutsinga dzeropa, yoita bundu (metastatic tumor) mune chimwe chikamu chemuviri.

Iyo metastatic bundu irwo rudzi rwecancer seyakanyanya bundu. Semuenzaniso, kana kenza yenduru ikapararira ichienda kuchiropa, masero emukenza ari muchiropa ndiwo chaiwo maseru emukenza wenduru. Hosha iyi metastatic gallbladder cancer, kwete chiropa cancer.

Matanho anotevera anoshandiswa pagomarara renduru:

Chikamu 0 (Carcinoma muSitu)

Muchikamu che0, masero asina kujairika anowanikwa mu mucosa (yemukati-kati) yeiyo nduru yemadziro. Aya maseru asina kujairika anogona kuva cancer uye achipararira mune zvinyama zviri pedyo. Chikamu 0 chinonziwo carcinoma in situ.

Chikamu I

Muchikamu chekutanga ini, kenza yakaumbwa mu mucosa (mukati-kati-kati) yeguruva reguranda uye inogona kunge yakapararira kune mhasuru yakatetepa yeguruva.

Chikamu II

Chikamu chechipiri chakakamurwa muzvikamu IIA uye IIB, zvinoenderana nekuti kenza yapararira sei mudunduru.

• Muchikamu IIA, gomarara rapararira kuburikidza nemhasuru yemhasuru kusvika kune inobatanidza matissue yeguruva reguruva padivi renduru iyo isiri padyo nechiropa.

• Muchikamu IIB, kenza yakapararira kuburikidza nemhasuru yemhasuru kusvika kune inobatanidza materu eiyo yeguruva rebhuruu padivi rakafanana nechiropa. Gomarara harina kupararira kuchiropa.

Chikamu chechitatu

Chikamu chechitatu chakakamurwa muzvikamu IIIA uye IIIB, zvinoenderana nekuti kenza yapararira kupi.

• Muchikamu IIIA, gomarara rakapararira kuburikidza nechuma chakabatana chenduru yeguruva uye chimwe kana zvimwe zvinotevera ndezvechokwadi:

• Gomarara rapararira kune serosa (nhindi yetishu inovhara nduru).

• Gomarara rapararira kuchiropa.

• Kenza yakapararira kune imwe nhengo iri padhuze kana chimiro (senge dumbu, ura hudiki, colon, rwatata, kana maburi enyongo kunze kwechiropa).

• Muchikamu IIIB, kenza yakaumbwa mu mucosa (mukati-kati-kati) yeguruva uye inogona kunge yakapararira kune mhasuru, inosanganisa matishu, kana serosa (nhindi yetishu inovhara nduru) uye inogona kunge yakapararira kuchiropa kana ku imwe nhengo yepedyo kana chimiro (senge dumbu, dumbu ura, colon, rwatata, kana maburi emaburi kunze kwechiropa). Gomarara rapararira kune rimwe kusvika kumatatu ma lymph node.

Chikamu IV

Chikamu IV chakakamurwa muzvikamu IVA uye IVB.

• Muchikamu cheIVA, gomarara rapararira kune iyo portal vein kana hepatic artery kana kune maviri kana anopfuura mitezo kana zvivakwa kunze kwechiropa. Gomarara rinogona kunge rakapararira kune rimwe kusvika kumatatu ma lymph node.

• Muchikamu IVB, kenza inogona kunge yakapararira kune nhengo dziri pedyo kana zvivakwa. Kenza yapararira:

• kune mana kana anopfuura ma lymph node; kana

• kune dzimwe nhengo dzomuviri, senge peritoneum nechiropa.

Kune kenza yegunduru, matanho akaiswawo mumapoka zvinoenderana nekuti kenza ingarapwa sei. Kune mapoka maviri ekurapa:

Yakawanikwa (Chikamu cheI)

Gomarara rinowanikwa mumadziro enduru uye rinogona kubviswa zvachose nekuvhiyiwa.

Isingachinjike, inodzokororwa, kana metastatic (Chikamu chechipiri, Chikamu chechitatu, uye Chikamu IV)

• Kenza isingadzoreki haigone kubviswa zvachose nekuvhiyiwa. Vazhinji varwere vane gomarara regunduru vane gomarara risingadzoreki.

Chirwere chegomarara gomarara rakadzokazve (radzoka) mushure mekurapwa. Gomarara regallbladder rinogona kudzoka mudunduru kana mune dzimwe nhengo dzemuviri.

Metastasis ndiko kupararira kwegomarara kubva kunzvimbo yekutanga (nzvimbo kwayakatanga) kune dzimwe nzvimbo mumuviri. Metastatic gallbladder cancer inogona kutenderera kumatunhu akakomberedza, nhengo, mukati medumbu, kana kunzvimbo dziri kure dzomuviri.

Kurapa Sarudzo Kuongorora

PFUNGWA DZINOKOSHA

• Kune akasiyana marudzi ekurapa kwevarwere vane kenza yegunduru.

• Mhando mitatu yekurapa kwakajairika inoshandiswa:

• Kuvhiya

• Radiation kurapa

• Chemotherapy

• Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

• Radiation sensitizers

• Kurapa kwekenza yegurbladder kunogona kukonzera mhedzisiro.

• Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

• Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

• Yekutevera-bvunzo inogona kudikanwa.

Kune akasiyana marudzi ekurapa kwevarwere vane kenza yegunduru.

Mhando dzakasiyana dzekurapa dzinowanikwa kune varwere vane gomarara regunduru. Mamwe marapirwo akajairwa (iko kurapwa kwazvino kwashandiswa), uye kumwe kuedzwa mumakiriniki ekuedzwa A kurapwa kiriniki kuyedzwa chidzidzo chekutsvaga chakaitirwa kubatsira kuvandudza marapirwo azvino kana kuwana ruzivo marapirwo matsva evarwere vane gomarara. Kana kiriniki miedzo ikaratidza kuti kurapwa kutsva kuri nani pane kwese kurapwa, kurapwa kutsva kunogona kuve kwakajairwa kurapwa. Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki. Mimwe miedzo yekiriniki yakavhurwa chete kune varwere vasina kutanga kurapwa.

Mhando mitatu yekurapa kwakajairika inoshandiswa:

Kuvhiya

Gomarara reGallbladder rinogona kurapwa necholecystectomy, kuvhiyiwa kubvisa nduru uye zvimwe zvezvinyama zvakakomberedza. Nhengo dzepedyo dzinogona kubviswa. Laparoskopu dzimwe nguva inoshandiswa kutungamira kuvhiya nduru. Iyo laparoscope yakasungirirwa kune vhidhiyo kamera uye yakaiswa kuburikidza neiyo incision (chiteshi) mudumbu. Midziyo yekuvhiya inoiswa kuburikidza nemamwe madoko kuita kuvhiya. Nekuti pane njodzi yekuti maseru emukenza enduru anogona kupararira kunzvimbo idzi, zvinyama zvakakomberedza nzvimbo dzechiteshi zvinogona kubviswa

Kana gomarara rapararira uye risingakwanise kubviswa, anotevera marapirwo ekunyaradza anogona kubvisa zviratidzo:

• Biliary inopfuura: Kana bundu richivhara iyo bile duct uye bile iri kuvaka mukati meguruva, bheri inopfuura inogona kuitwa. Munguva yekuvhiya uku, chiremba achacheka gorosi kana bile duct munzvimbo isati yavhara uye kuisona kuura hudiki kuti igadzire nzira nyowani yakatenderedza nzvimbo yakavharika.

• Endoscopic stent placement: Kana bundu racho richivhara bile duct, kuvhiyiwa kunogona kuitwa kuisa stent (chubhu chena) kudurura bile rakavaka munzvimbo iyi. Chiremba anogona kuisa stent kuburikidza necatheter iyo inodururira iyo bile muhomwe iri kunze kwemuviri kana iyo stent inogona kutenderera yakatenderedza nzvimbo uye ichidurura iyo bile kupinda mudumbu ura.

• Percutaneous transhepatic biliary drainage: Maitiro anoitwa kuburitsa bile kana paine kuvhara uye endoscopic stent kuiswa hakuite. X-ray yechiropa uye bile ducts inoitwa kuti uwane iko kuvhara. Mifananidzo inogadzirwa neultrasound inoshandiswa kutungamira kuiswa kweiyo stent, iyo inosara muchiropa kuburitsa bile kupinda mumatumbu madiki kana bhegi rekuunganidza kunze kwemuviri. Iyi nzira inogona kuitwa kusunungura jaundice usati wavhiyiwa.

Radiation kurapa

Radiation kurapa kurapwa kenza iyo inoshandisa yakakwira-simba x-rays kana mamwe marudzi e radiation kuuraya cancer maseru kana kuachengeta iwo kuti asakure. Kune mhando mbiri dze radiation radiation:

• External radiation therapy inoshandisa muchina uri kunze kwemuviri kutumira radiation kune kenza.

• Yemukati radiation kurapwa kunoshandisa radioactive chinhu chakavharirwa mune tsono, mhodzi, waya, kana makateti anoiswa akananga mukati kana padyo nekenza.

Maitiro ekurapwa nemwaranzi anoenderana nerudzi uye nhanho yekenza iri kurapwa. External radiation therapy inoshandiswa kurapa kenza yegunduru.

Chemotherapy

Chemotherapy mushonga wekenza unoshandisa mishonga kumisa kukura kwemasero ekenza, kungave nekuuraya maseru kana nekumisa maseru kubva pakupatsanuka. Kana chemotherapy ikatorwa nemuromo kana kujowa mutsinga kana mhasuru, mishonga inopinda muropa uye inogona kusvika masero emukenza mumuviri wese (systemic chemotherapy). Kana chemotherapy ikaiswa yakanangana necerebrospinal fluid, nhengo, kana dumbu remuviri senge dumbu, iwo madhiragi anonyanya kukanganisa cancer maseru munzvimbo idzodzo (remunharaunda chemotherapy). Nzira iyo chemotherapy inopihwa inoenderana nerudzi uye nhanho yekenza iri kurapwa.

Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

Ichi chidimbu chikamu chinotsanangura kurapwa kuri kuongororwa mumakiriniki ekuedzwa. Zvinogona kusataura nezveese marapirwo matsva ari kuongororwa. Ruzivo nezve kiriniki miedzo inowanikwa kubva kuNCI webhusaiti.

Radiation sensitizers

Zvemakiriniki miedzo iri kudzidza nzira dzekuvandudza mhedzisiro ye radiation radiation pane mamota maseru, kusanganisira zvinotevera

• Hyperthermia therapy: Mushonga umo nyama yemuviri inoonekwa nekupisa kwakanyanya kukuvadza nekuuraya maseru egomarara kana kuita kuti maseru egomarara anyanye kugadzikana nemhedzisiro yeradiotherapy uye mimwe mishonga inorwisa cancer.

• Radiosensitizers: Zvinodhaka zvinoita kuti maseru emota anyanye kujeka kurapwa nemwaranzi. Kupa radiation radiation pamwe newa radiosensitizers kunogona kuuraya mamwe mamota maseru.

Kurapa kwekenza yegurbladder kunogona kukonzera mhedzisiro.

Kuti uwane ruzivo nezve mhedzisiro inokonzerwa nekurapwa kwegomarara, ona yedu Side Mhedzisiro peji.

Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

Kune vamwe varwere, kutora chikamu mumuedzo wekiriniki inogona kunge iri sarudzo yekurapa yakanyanya kunaka. Kliniki miedzo chikamu chekenza tsvagiridzo. Zvemakiriniki miedzo inoitwa kuti uone kana marapirwo matsva egomarara akachengeteka uye achishanda kana zvirinani pane akajairwa kurapwa.

Mazhinji emazuva ano marapirwo akajairwa ekenza akavakirwa pamavambo emakiriniki ekuedzwa. Varwere vanotora chikamu mukuyedzwa kwekiriniki vanogona kuwana kurapwa kwakaringana kana kuve pakati pevekutanga kurapwa kutsva.

Varwere vanotora chikamu mumiedzo yekiriniki zvakare vanobatsira kugadzirisa marapirwo achaitwa kenza mune ramangwana. Kunyangwe kana miedzo yemakiriniki isinga tangire kumarapirwo matsva anoshanda, anowanzo pindura mibvunzo yakakosha uye anobatsira kufambisira mberi kutsvagurudza.

Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

Mimwe miedzo yekiriniki inosanganisira chete varwere vasati vagamuchira kurapwa. Mimwe miedzo yekuedza kurapwa kwevarwere vane kenza haina kuve nani. Kune mamwezve emakiriniki miedzo inoedza nzira nyowani dzekumisa cancer kubva kudzokororazve (kudzoka) kana kudzikisira mhedzisiro yemakenza kurapwa.

Kuedzwa kwemakiriniki kuri kuitika munzvimbo zhinji dzenyika. Ruzivo nezve kiriniki miedzo inotsigirwa neNCI inogona kuwanikwa paNCI yekiriniki miedzo yekutsvaga peji rewebhu. Kliniki miedzo inotsigirwa nemamwe masangano inogona kuwanikwa pane yeClinicalTrials.gov webhusaiti.

Yekutevera-bvunzo inogona kudikanwa.

Mimwe miedzo yakaitwa kuongorora gomarara kana kutsvaga danho rekenza inogona kudzokororwa. Dzimwe bvunzo dzinodzokororwa kuitira kuti vaone kuti kurapa kuri kushanda sei. Sarudzo nezvekuti uenderere mberi, shandura, kana kumisa kurapwa kunogona kunge kuchibva pamhedzisiro yeiyi bvunzo.

Mimwe bvunzo ichaenderera ichiitwa nguva nenguva mushure mekunge kurapwa kwapera. Mhedzisiro yeiyi bvunzo inogona kuratidza kana mamiriro ako achinja kana kana gomarara radzoka (dzoka). Iyi bvunzo dzimwe nguva inonzi yekuteedzera-bvunzo kana kuongorora-kumusoro.

Kurapa Sarudzo dzeGallbladder Cancer

Muchikamu chino

• Yakawanikwa Gallbladder Cancer

• Unresectable, Inowanzoitika, kana Metastatic Gallbladder Cancer

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Yakawanikwa Gallbladder Cancer

Kurapa kwekenza yenzvimbo yakaiswa munzvimbo yako kunogona kusanganisira zvinotevera:

• Kuvhiya kubvisa nduru uye zvimwe zvezvinyama zvakakomberedza. Chikamu chechiropa uye lymph node dziri padyo dzinogona zvakare kubviswa. Radiation therapy ine kana isina chemotherapy inogona kutevera kuvhiyiwa.

• Radiation therapy ine kana isina chemotherapy.

• Kuongororwa kwekiriniki ye radiation radiation ne radiosensitizers.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Unresectable, Inowanzoitika, kana Metastatic Gallbladder Cancer

Kurapa kwekenza isingarapike, inodzokororwa, kana metastatic kenza yemudumbu inowanzo kuve mukati mekuedzwa kwechipatara. Kurapa kunogona kusanganisira zvinotevera:

• Percutaneous transhepatic biliary drainage kana kuiswa kwema stents kubvisa zviratidzo zvinokonzerwa neakavharwa bile ducts. Izvi zvinogona kuteverwa ne radiation radiation sekurapa kwekurapa.

• Kuvhiya sekurapa kwekurapa kubvisa zviratidzo zvinokonzerwa nekuvharirwa bile ducts

• Chemotherapy.

• Kuongororwa kwekiriniki kwenzira nyowani dzekupa kurapa kwemwaranzi kunodakadza, sekukupa pamwe chete ne hyperthermia therapy, radiosensitizers, kana chemotherapy.

• Kuongororwa kwekiriniki kwemishonga mitsva uye kusanganiswa kwemishonga.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kuti Udzidze Zvakawanda Nezve Gallbladder Cancer

Kuti uwane rumwe ruzivo kubva kuNational Cancer Institute nezve gomarara renduru, ona iyo Gallbladder Cancer Peji Peji.

Kuti uwane ruzivo rwekenza uye zvimwe zviwanikwa kubva kuNational Cancer Institute, ona zvinotevera:

• Nezve Kenza

• Stage

• Chemotherapy uye Iwe: Tsigiro Yevanhu Vane Kenza

• Radiation Therapy uye Iwe: Rutsigiro rweVanhu Vane Kenza

• Kurarama neCancer

• Mibvunzo Yekubvunza Wako Chiremba nezveCancer

• Kune Vakapona uye Vanotarisira