Malunga-nomhlaza / unyango / iintlobo / utyando / i-cryosurgery-sheet-sheet

I-Cryosurgery kunyango lweCancer

Yintoni icryosurgery?

I-Cryosurgery (ekwabizwa ngokuba yi-cryotherapy) kukusetyenziswa kobushushu obugqithisileyo obuveliswa yi-nitrogen engamanzi (okanye igesi yeargon) ukutshabalalisa izicwili ezingaqhelekanga. I-Cryosurgery isetyenziselwa ukunyanga izicubu zangaphandle, ezinje ngesikhumba. Amathumba angaphandle, initrojeni engamanzi isetyenziswa ngqo kwiiseli ezinomhlaza ngombala womqhaphu okanye isixhobo sokutshiza.

I-Cryosurgery ikwasetyenziselwa ukunyanga amathumba ngaphakathi komzimba (izilonda zangaphakathi kunye nezilonda kwithambo). Kwizilonda zangaphakathi, i-nitrogen engamanzi okanye igesi ye-argon isasazwa ngesixhobo esingenanto esibizwa ngokuba yi-cryoprobe, edibaniswe ne-tumor. Ugqirha usebenzisa i-ultrasound okanye i-MRI ukukhokela i-cryoprobe kunye nokujonga ukubanda kweeseli, ngaloo ndlela kunciphisa ukonakala kwizihlunu ezisondeleyo ezikufutshane. (Kwi-ultrasound, amaza esandi akhutshwa kumalungu kunye nezinye izicwili ukwenza umfanekiso obizwa ngokuba yi-sonogram.) Ibhola yeekristali zomkhenkce ezijikeleze iprojekhthi, kubanda iiseli ezikufuphi. Ngamanye amaxesha kusetyenziswa iprojekti engaphezulu kwesinye yokuhambisa i-nitrogen engamanzi kwiindawo ezahlukeneyo zethumba. Iiprobes zingafakwa kwi-tumor ngexesha lotyando okanye ngesikhumba (ngokukhawuleza). Emva koqhaqho,

Zeziphi iintlobo zomhlaza ezinokunyangwa nge-cryosurgery?

I-Cryosurgery isetyenziselwa ukunyanga iintlobo zomhlaza, kunye neemeko ezithile ezingaphangeliyo. Ukongeza kwi-Prostate kunye nesibindi, i-cryosurgery inokuba luncedo kunyango olulandelayo:

• I-Retinoblastoma (umhlaza wobuntwana ochaphazela i-retina yamehlo). Oogqirha bafumanise ukuba i-cryosurgery isebenza kakhulu xa ithumba lincinci kwaye kuphela kwiindawo ezithile zeretina.

• Umhlaza kwinqanaba lokuqala lomhlaza (zombini iseli esisiseko kunye neesquamous cell carcinomas).

• Ukukhula kwesikhumba kwangaphambili okubizwa ngokuba yi-actinic keratosis.

• Iimeko zangaphambi komhlaza zomlomo wesibeleko ezaziwa njenge-cervical intraepithelial neoplasia (utshintsho olungaqhelekanga lweseli kumlomo wesibeleko onokuthi ukhule ube ngumhlaza womlomo wesibeleko).

I-Cryosurgery ikwasetyenziselwa ukunyanga ezinye iintlobo zamathumba anomhlaza akumgangatho osezantsi kunye noncancerous wethambo. Inganciphisa umngcipheko womonakalo odibeneyo xa kuthelekiswa nokuhlinzwa ngakumbi, kwaye incede ukunciphisa isidingo sokunqunyulwa. Unyango lukwasetyenziselwa ukunyanga iKaposi sarcoma enxulumene noGawulayo xa ulusu lincinci kwaye lukhona.

Abaphandi bavavanya i-cryosurgery njengonyango lweqela lomhlaza, kubandakanya umhlaza wamabele, wekolon kunye nowezintso. Baphonononga i-cryotherapy ngokudibeneyo nolunye unyango lomhlaza, njengonyango lwehomoni, unyango lwechemotherapy, unyango ngemitha, okanye utyando.

Zeziphi iimeko apho i-cryosurgery inokusetyenziselwa ukunyanga umhlaza webele? Zithini iziphumo ebezingalindelekanga?

I-Cryosurgery inokusetyenziselwa ukunyanga amadoda anomhlaza webala leprostate ovalelwe kwidlala leprostate. Ayizinzanga kancinci kune-prostatectomy esemgangathweni kunye neendidi ezahlukeneyo zonyango lwe-radiation. Iziphumo zexesha elide azaziwa. Ngenxa yokuba isebenza kuphela kwiindawo ezincinci, i-cryosurgery ayisetyenziswanga ukunyanga umhlaza wamadlala osasazeke ngaphandle kwencindi, okanye kwiindawo ezikude zomzimba.

Ezinye izibonelelo ze-cryosurgery kukuba le nkqubo inokuphindwa, kwaye inokusetyenziselwa ukunyanga amadoda angenakho ukwenza utyando okanye unyango ngemitha ngenxa yobudala babo okanye ezinye iingxaki zonyango.

I-cryosurgery yeprostate gland inokubangela iziphumo ebezingalindelekanga. Ezi ziphumo bezingalindelekanga zinokwenzeka rhoqo kumadoda ane-radiation kwiprostate.

• I-cryosurgery inokuthintela ukuhamba komchamo okanye ibangele ukungavisisani (ukunqongophala kolawulo lokuhamba komchamo); rhoqo, ezi ziphumo bezingalindelekanga zezokwexeshana.

• Amadoda amaninzi aphelelwa ngamandla (ukulahleka komsebenzi wesondo).

• Ngamanye amaxesha, utyando lubangele ukwenzakala kwi-rectum.

Zeziphi iimeko apho i-cryosurgery inokusetyenziselwa ukunyanga umhlaza wesibindi okanye isifo se-metastases yesibindi (umhlaza osasazeke kwisibindi ukusuka kwelinye ilungu lomzimba)? Zithini iziphumo ebezingalindelekanga?

I-Cryosurgery inokusetyenziselwa ukunyanga umhlaza wokuqala wesibindi ongasasazwanga. Isetyenziswa ingakumbi ukuba utyando alunakwenzeka ngenxa yezinto ezifana nezinye iimeko zonyango. Unyango lunokusetyenziselwa umhlaza osasazeke esibindini ukusuka kwenye indawo (njengekholoni okanye i-rectum). Kwezinye iimeko, i-chemotherapy kunye / okanye unyango lwe-radiation lunokunikwa ngaphambi okanye emva kwe-cryosurgery. I-Cryosurgery esibindini inokubangela ukonakala kwimibhobho ye-bile kunye / okanye kwimithambo yegazi emikhulu, enokuthi ikhokelele ekuphumeni kwegazi (ukopha kakhulu) okanye usulelo.

Ngaba i-cryosurgery inayo nayiphi na ingxaki okanye iziphumo ebezingalindelekanga?

I-Cryosurgery ineziphumo ebezingalindelekanga, nangona zinokuba nzima kakhulu kunezo zinxulunyaniswa notyando okanye unyango lwemitha. Iziphumo zixhomekeke kwindawo yethumba. I-Cryosurgery ye-intraepithelial neoplasia ayiboniswanga ukuba ichaphazela ukuzala komfazi, kodwa inokubangela ukubamba, iintlungu, okanye ukopha. Xa isetyenziselwa ukunyanga umhlaza wolusu (kubandakanya iKaposi sarcoma), icryosurgery inokubangela ukonakala kunye nokudumba; ukuba imithambo-luvo yonakele, ukuphulukana nemvakalelo kungenzeka, kwaye kunqabile, kunokubangela ukulahleka kombala kunye nokulahleka kweenwele kwindawo enyangiweyo. Xa isetyenziselwa ukunyanga izicubu zethambo, i-cryosurgery ingakhokelela ekutshatyalalisweni kwethambo elikufuphi kwaye kubangele ukwaphuka, kodwa ezi ziphumo azinakubonwa kangangexesha elithile emva konyango lokuqala kwaye zihlala zilibaziseka ngolunye unyango. Kwiimeko ezinqabileyo, I-cryosurgery inokusebenzisana kakubi kunye neentlobo ezithile ze-chemotherapy. Nangona iziphumo ebezingalindelekanga ze-cryosurgery zinokuba zincinci kunezo zinxulunyaniswa noqhaqho oluqhelekileyo okanye imitha, izifundo ezininzi ziyafuneka ukumisela iziphumo zexesha elide.

Zithini izibonelelo zecrososurgery?

I-Cryosurgery ibonelela ngezibonelelo ngaphezulu kwezinye iindlela zonyango lomhlaza. Ayinakungena kangako kunotyando, ebandakanya ukusikwa okuncinci okanye ukufakwa kwecryoprobe kulusu. Ngenxa yoko, iintlungu, ukopha, kunye nezinye iingxaki zoqhaqho ziyancitshiswa. I-Cryosurgery ayibizi kakhulu kunezinye iindlela zonyango kwaye ifuna ixesha elifutshane lokufumana kwakhona kunye nokuhlala esibhedlele okufutshane, okanye akukho kuhlala esibhedlele konke konke. Ngamanye amaxesha i-cryosurgery inokwenziwa kusetyenziswa i-anesthesia yendawo kuphela.

Ngenxa yokuba oogqirha banokujonga unyango lwe-cryosurgical kwindawo encinci, banokuthintela ukutshatyalaliswa kwezicubu ezisondeleyo ezikufutshane. Unyango lunokuphindwa ngokukhuselekileyo kwaye lunokusetyenziswa kunye nonyango oluqhelekileyo njengotyando, ichemotherapy, unyango lwehomoni kunye nemitha. I-Cryosurgery inokunika ukhetho kunyango lwee-cancer ezinokuthi zingasebenzi okanye ezingaphenduliyo kunyango oluqhelekileyo. Ngapha koko, inokusetyenziselwa abaguli abangafanelekanga ukuba benze utyando oluqhelekileyo ngenxa yobudala babo okanye ezinye iimeko zonyango.

Zeziphi izinto ezingalunganga ngecryosurgery?

Ingxaki enkulu ye-cryosurgery kukungaqiniseki malunga nokusebenza kwexesha elide. Ngelixa i-cryosurgery inokusebenza ekunyangeni amathumba ugqirha anokuwabona ngokusebenzisa iimvavanyo zokucinga (uvavanyo oluvelisa imifanekiso yeendawo ngaphakathi emzimbeni), inokuphosa ukusasazeka komhlaza omncinci. Ngapha koko, ngenxa yokuba ukusebenza kwale nkqubo kusavavanywa, imiba yokugubungela i-inshurensi inokuvela.

Liyintoni ikamva leklosari?

Izifundo ezongezelelweyo ziyafuneka ukumisela ukusebenza kweekristosurgery ekulawuleni umhlaza kunye nokuphucula ukusinda. Idatha evela kwezi zifundo iya kuvumela oogqirha ukuba bathelekise i-cryosurgery kunye neenketho eziqhelekileyo zonyango ezinje ngokuhlinzwa, ikhemotherapy kunye nemitha. Ngapha koko, oogqirha bayaqhubeka nokuvavanya ukuba kunokwenzeka ukusebenzisa i-cryosurgery ngokudibeneyo nolunye unyango.

Kuphi i-cryosurgery okwangoku?

I-Cryosurgery ifumaneka ngokubanzi kwiiofisi ze-gynecologists 'kunyango lwe-neoplasias yomlomo wesibeleko. Inani elilinganiselweyo lezibhedlele kunye namaziko omhlaza kwilizwe liphela kungoku nje linogqirha abanezakhono kunye netekhnoloji eyimfuneko yokwenza i-cryosurgery yezinye iimeko ezingenancancisi, ezingaphangeliyo kunye nezomhlaza. Abantu banokudibana noogqirha babo okanye banxibelelane nezibhedlele kunye namaziko omhlaza kwindawo yabo ukuze bafumane apho kusetyenziswa khona i-cryosurgery.

Izixhobo ezinxulumene noko

Umhlaza wamathambo ePrayimari