Iindidi / amathumbu amancinci / isigulana / unyango lwamathumbu amancinci-pdq
Unyango oluncinci loMhlaza wamathumbu (®) –uPawu lwePatient
Ulwazi ngokubanzi malunga noMhlaza waMathumbu amancinci
IINGONGOMA EZIPHAMBILI
- Umhlaza wamathumbu amancinci sisifo esinqabileyo apho iiseli ezibi (umhlaza) zeeseli zenzeka kwizicubu zesisu esincinci.
- Kukho iintlobo ezintlanu zomhlaza wamathumbu amancinci.
- Ukutya kunye nembali yezempilo inokuchaphazela umngcipheko wokuba nomhlaza wamathumbu amancinci.
- Iimpawu kunye neempawu zomhlaza wamathumbu amancinci zibandakanya ukwehla kwesisindo esingachazwanga kunye nentlungu esiswini.
- Uvavanyo oluvavanya amathumbu amancinci lusetyenziselwa ukufumanisa (ukufumana), ukufumanisa isifo, kunye nenqanaba lomhlaza wamathumbu amancinci.
- Izinto ezithile zichaphazela ukuxela kwangaphambili (ithuba lokufumana kwakhona) kunye nokhetho lonyango.
Umhlaza wamathumbu amancinci sisifo esinqabileyo apho iiseli ezibi (umhlaza) zeeseli zenzeka kwizicubu zesisu esincinci.
Amathumbu amancinci ayinxalenye yenkqubo yokwetyisa yomzimba, ekwabandakanya umqala, isisu kunye namathumbu amakhulu. Inkqubo yokwetyisa isusa kwaye isebenze izakhamzimba (iivithamini, iiminerali, iikhabhohayidrethi, amafutha, iiproteni, kunye namanzi) ekutyeni kwaye inceda ukukhupha inkunkuma ngaphandle komzimba. Amathumbu amancinci ngumbhobho omde odibanisa isisu kunye namathumbu amakhulu. Isonge izihlandlo ezininzi ukuze ilingane ngaphakathi esiswini.
Kukho iintlobo ezintlanu zomhlaza wamathumbu amancinci.
Iindidi zomhlaza ezifumaneka emathunjini amancinci yi-adenocarcinoma, i-sarcoma, i-carcinoid tumors, i-gastrointestinal stromal tumor kunye ne-lymphoma. Esi sishwankathelo sixoxa nge-adenocarcinoma kunye neleiomyosarcoma (uhlobo lwesarcoma).
I-Adenocarcinoma iqala kwiiseli zedlala kumngxunya wamathumbu amancinci kwaye lolona hlobo luqhelekileyo lomhlaza wamathumbu amancinci. Uninzi lwala mathumba lwenzeka kwinxalenye yamathumbu amancinci kufutshane nesisu. Banokukhula kwaye bavimbe amathumbu.
I-Leiomyosarcoma iqala kwiiseli zemisipha egudileyo yamathumbu amancinci. Uninzi lwala mathumba lwenzeka kwinxalenye yamathumbu amancinci kufutshane namathumbu amakhulu.
Jonga ezi zishwankathelo zilandelayo ze- ngolwazi oluthe kratya kumhlaza wamathumbu amancinci:
- Unyango lwabadala beTisue Sarcoma
- Unyango lwe-Tissue Sarcoma yoBuntwana
- Unyango lwabantu abadala abanga-Hodgkin Lymphoma
- Unyango lwe-Hodgkin Lymphoma yoBuntwana
- Unyango lwesisu seCarcinoid Tumors (yabantu abadala)
- Unyango lwamathumbu esiswini (kubantu abadala)
Ukutya kunye nembali yezempilo inokuchaphazela umngcipheko wokuba nomhlaza wamathumbu amancinci.
Nantoni na eyandisa umngcipheko wokufumana isifo ibizwa ngokuba yingozi. Ukuba nomngcipheko akuthethi ukuba uza kuba nomhlaza; ukungabinamngcipheko oko akuthethi ukuba awuzukufumana umhlaza. Thetha nogqirha wakho ukuba ucinga ukuba usengozini. Imiba yomngcipheko kumhlaza wamathumbu amancinci ibandakanya oku kulandelayo:
- Ukutya ukutya okunamafutha aphezulu.
- Ukuba nesifo sikaCrohn.
- Ukuba nesifo se-celiac.
- Ukuba nosapho lwe-adenomatous polyposis (FAP).
Iimpawu kunye neempawu zomhlaza wamathumbu amancinci zibandakanya ukwehla kwesisindo esingachazwanga kunye nentlungu esiswini.
Ezi kunye nezinye iimpawu kunye neempawu zinokubangelwa ngumhlaza wamathumbu amancinci okanye ngezinye iimeko. Jonga ugqirha wakho ukuba unayo nayiphi na kwezi zinto zilandelayo:
- Iintlungu okanye iicramps embindini wesisu.
- Ukwehla kwesisindo ngaphandle kwesizathu esaziwayo.
- Isigaxa esiswini.
- Igazi esitulweni.
Uvavanyo oluvavanya amathumbu amancinci lusetyenziselwa ukufumanisa (ukufumana), ukufumanisa isifo, kunye nenqanaba lomhlaza wamathumbu amancinci.
Iinkqubo ezenza imifanekiso yamathumbu amancinci kunye nendawo ejikelezileyo zinceda ukufumanisa umhlaza wamathumbu amancinci kwaye zibonise ukuba umhlaza usasazeke kangakanani. Inkqubo esetyenziselwa ukufumanisa ukuba iiseli zomhlaza zisasazekile ngaphakathi nangapha kwamathumbu amancinci kuthiwa yi-staging.
Ukuze ucwangcise unyango, kubalulekile ukuba wazi uhlobo lomhlaza wamathumbu amancinci kwaye nokuba ithumba lisuswe ngotyando. Uvavanyo kunye neenkqubo zokufumanisa, ukufumanisa isifo, kunye nenqanaba lomhlaza wamathumbu amancinci zihlala zenziwa ngaxeshanye. Ezi mvavanyo zilandelayo kunye neenkqubo zinokusetyenziswa:
- Uvavanyo lomzimba kunye nembali: Uvavanyo lomzimba ukukhangela iimpawu zempilo ngokubanzi, kubandakanya nokujonga iimpawu zesifo, ezinje ngamaqhuma okanye nayiphi na into ebonakala ingaqhelekanga. Imbali yemikhwa yempilo yesigulana kunye nezifo zangaphambili kunye nonyango ziya kuthathwa.
- Izifundo ze-chemistry yegazi: Inkqubo apho kuvavanywa khona isampulu yegazi ukulinganisa izixa zezinto ezithile ezikhutshelwe egazini ngamalungu kunye nezicubu zomzimba. Inani elingaqhelekanga (eliphezulu okanye elisezantsi kunesiqhelo) lwento elinokuba ngumqondiso wesifo.
- Uvavanyo lomsebenzi wesibindi: Inkqubo apho kuvavanywa isampulu yegazi ukulinganisa izixa zezinto ezithile ezikhutshelwe egazini sisibindi. Ixabiso elingaphezulu kwesiqhelo kwento inokuba luphawu lwesifo sesibindi esinokubangelwa ngumhlaza wamathumbu amancinci.
- I-Endoscopy: Inkqubo yokujonga amalungu kunye nezicubu ngaphakathi komzimba ukukhangela iindawo ezingaqhelekanga. Kukho iintlobo ezahlukeneyo ze-endoscopy:
- I-endoscopy ephezulu: Inkqubo yokujonga ngaphakathi kwi-esophagus, isisu, kunye ne-duodenum (icandelo lokuqala lamathumbu amancinci, kufutshane nesisu). I-endoscope ifakwe ngomlomo nakwi-esophagus, isisu, kunye ne-duodenum. I-endoscope sisixhobo esibhityileyo, esifana netyhubhu esinokukhanya kunye nelensi yokujonga. Inokuba nesixhobo sokususa iisampulu zethishu, ezijongwa phantsi kwemicroscope kwimpawu zomhlaza.
- I-Capsule endoscopy: Inkqubo yokujonga ngaphakathi kwamathumbu amancinci. Iphilisi emalunga nobungakanani bepilisi enkulu kwaye iqulethe ukukhanya kunye nekhamera encinci engenazingcingo iginywa sisigulana. I-capsule ihamba ngendlela yokugaya ukutya, kubandakanya amathumbu amancinci, kwaye ithumela imifanekiso emininzi yangaphakathi yendlela yokwetyisa kwirekhodi enxitywe esinqeni okanye ngaphezulu kwegxalaba. Imifanekiso ithunyelwa isuka kwirekhoda ikhompyuter kwaye ijongwe ngugqirha ojonga iimpawu zomhlaza. I-capsule iyaphuma emzimbeni ngexesha lokuhamba kwamathumbu.
- Iibhaluni ezimbini endoscopy:Inkqubo yokujonga ngaphakathi kwamathumbu amancinci. Isixhobo esikhethekileyo esenziwe ngeetyhubhu ezimbini (enye ngaphakathi kwenye) ifakwe ngomlomo okanye ngexande kunye nakwisisu esincinci. Umbhobho wangaphakathi (i-endoscope enesibane kunye neelensi zokujonga) ushukunyiswa yinxalenye yamathumbu amancinci kunye nebhaluni ekupheleni kwawo kufakwe umoya ukugcina i-endoscope ime endaweni yayo. Emva koko, ityhubhu engaphandle ihanjiswa ngethumbu elincinci ukuya esiphelweni se-endoscope, kwaye ibhaluni ekupheleni kombhobho wangaphandle iyaphuphuma ukuyigcina isendaweni. Emva koko, ibhaluni ekupheleni kwe-endoscope iyathotywa kwaye i-endoscope ihanjiswa ngenxalenye elandelayo yamathumbu amancinci. La manyathelo aphindaphindwa amaxesha amaninzi njengoko iityhubhu zihamba zisiya emathunjini amancinci. Ugqirha uyakwazi ukubona ngaphakathi kwamathumbu amancinci nge-endoscope kwaye asebenzise isixhobo ukususa iisampulu zezicubu ezingaqhelekanga. Iisampulu zethishu zijongwa phantsi kwemicroscope kwimpawu zomhlaza. Le nkqubo inokwenziwa ukuba iziphumo ze-capsule endoscopy ayiqhelekanga. Le nkqubo ikwabizwa ngokuba yi-double balloon enteroscopy.
- I-Laparotomy: Inkqubo yotyando apho kusikwa khona (ukusikwa) eludongeni lwesisu ukujonga ngaphakathi esiswini ukuba akukho zimpawu zezifo. Ubungakanani bokubanjwa kuxhomekeke kwisizathu sokuba kwenziwe i-laparotomy. Ngamanye amaxesha amalungu okanye ii-lymph node ziyasuswa okanye kuthathwe iisampulu zeethishu kwaye zijongwe phantsi kwemicroscope kwimpawu zesifo.
- I-Biopsy: Ukususwa kweeseli okanye izicwili ukuze zibonwe phantsi kwemicroscope ukujonga imiqondiso yomhlaza. Oku kunokwenziwa nge-endoscopy okanye i-laparotomy. Isampulu ihlolwe ngugqirha wezifo ukubona ukuba inazo na iiseli zomhlaza.
- Uthotho oluphezulu lwe-GI kunye nokulandela okuncinci kwamathumbu: Uthotho lwee-x-reyi zesisu, isisu, kunye nesisu esincinci. Isigulana sisela ulwelo oluqukethe i-barium (ikhompawundi yesilivere emhlophe). Ulwelo luye lwambathise isisu, isisu kunye nesisu esincinci. I-X-ray ithathwa ngamaxesha ahlukeneyo njengoko i-barium ihamba ngakwindlela ephezulu ye-GI kunye namathumbu amancinci.
- Ukuskena i-CT (ukuskena i-CAT): Inkqubo eyenza uthotho lwemifanekiso eneenkcukacha zeendawo ezingaphakathi emzimbeni, ezithathwe kwii-engile ezahlukeneyo. Imifanekiso yenziwe yikhompyuter edityaniswe kumatshini we-x-ray. Idayi inokufakwa ngaphakathi emthanjeni okanye iginywe ukunceda amalungu okanye izicwili zibonise ngokucacileyo. Le nkqubo ikwabizwa ngokuba yi-computed tomography, ikhompyuter ye-tomography, okanye ikhompyuter ye-axial tomography.
- I-MRI (imaging resonance imaging): Inkqubo esebenzisa umazibuthe, amaza erediyo kunye nekhompyuter ukwenza uthotho lwemifanekiso eneenkcukacha zeendawo ezingaphakathi komzimba. Le nkqubo ikwabizwa ngokuba yimifanekiso yenyukliya yokujonga umfanekiso (i-NMRI).
Izinto ezithile zichaphazela ukuxela kwangaphambili (ithuba lokufumana kwakhona) kunye nokhetho lonyango.
Ukuxela kwangaphambili (ithuba lokufumana kwakhona) kunye nokhetho lonyango luxhomekeke koku kulandelayo:
- Uhlobo lomhlaza wamathumbu amancinci.
- Nokuba umhlaza ukwindawo yangaphakathi yamathumbu amancinci kuphela okanye unwenwele ngaphakathi nangaphaya kodonga lwamathumbu amancinci.
- Nokuba umhlaza unwenwele nakwezinye iindawo emzimbeni, ezinje ngee-lymph node, isibindi, okanye i-peritoneum (izicwili ezibeka udonga esiswini kwaye zigubungele uninzi lwamalungu esiswini).
- Nokuba umhlaza ungasuswa ngokupheleleyo ngotyando.
- Nokuba umhlaza usanda kufunyaniswa okanye ubuyile kwakhona.
Amanqanaba omhlaza wamathumbu amancinci
IINGONGOMA EZIPHAMBILI
- Uvavanyo kunye neenkqubo zokubeka umhlaza wamathumbu amancinci zihlala zenziwa ngaxeshanye noxilongo.
- Zintathu iindlela umhlaza onwenwa ngayo emzimbeni.
- Umhlaza unokusasazeka ukusuka apho waqala khona kwamanye amalungu omzimba.
- Umhlaza wamathumbu amancinci uqokelelwe ngokwamaqela ukuba ingaba lingasuswa ngokupheleleyo utyando.
Uvavanyo kunye neenkqubo zokubeka umhlaza wamathumbu amancinci zihlala zenziwa ngaxeshanye noxilongo.
Isiteji sisetyenziselwa ukufumanisa ukuba umhlaza usasazeke kangakanani, kodwa izigqibo zonyango azisekelwanga kwinqanaba. Jonga icandelo loLwazi ngokubanzi malunga nenkcazo yeemvavanyo kunye neenkqubo ezisetyenziselwa ukukhangela, ukufumanisa isifo, kunye nenqanaba lomhlaza wamathumbu amancinci.
Zintathu iindlela umhlaza onwenwa ngayo emzimbeni.
Umhlaza unokusasazeka ngezicubu, inkqubo ye-lymph, kunye negazi:
- Izicubu. Umhlaza usasazeka ukusuka apho waqala ngokukhula waya kwiindawo ezikufuphi.
- Inkqubo yeLymph. Umhlaza usasazeka ukusuka apho waqala ngokungena kwinkqubo ye-lymph. Umhlaza uhamba ngemithambo ye-lymph ukuya kwamanye amalungu omzimba.
- Igazi. Umhlaza usasazeka ukusuka apho waqala ngokungena egazini. Umhlaza uhamba ngemithambo yegazi uye kwamanye amalungu omzimba.
Umhlaza unokusasazeka ukusuka apho waqala khona kwamanye amalungu omzimba.
Xa umhlaza usasazeka kwelinye ilungu lomzimba, ubizwa ngokuba yi-metastasis. Iiseli zomhlaza ziyaphuma apho ziqale khona (ithumba lokuqala) kwaye zihamba ngenkqubo ye-lymph okanye igazi.
- Inkqubo yeLymph. Umhlaza ungena kwinkqubo ye-lymph, uhamba kwiinqanawa ze-lymph, kwaye wenze i-tumor (i-metastatic tumor) kwenye indawo yomzimba.
- Igazi. Umhlaza ungena egazini, uhambe kwimithambo yegazi, kwaye wenze ithumba (metastatic tumor) kwelinye ilungu lomzimba.
I-tumor ye-metastatic yinto efanayo yomhlaza njenge-tumor yokuqala. Umzekelo, ukuba umhlaza wamathumbu amancinci usasazeka esibindini, iiseli zomhlaza esibindini ziiseli zomhlaza wamathumbu amancinci. Esi sifo sisifo somhlaza wamathumbu amancinci, hayi umhlaza wesibindi.
Umhlaza wamathumbu amancinci uqokelelwe ngokwamaqela ukuba ingaba lingasuswa ngokupheleleyo utyando.
Unyango luxhomekeke ekubeni ithumba lisuswe ngotyando kwaye ukuba umhlaza uphathwa njenge-tumor yokuqala okanye umhlaza we-metastatic.
Umhlaza wamathumbu amancinci ophindaphindwayo
Umhlaza wamathumbu amancinci ophindaphindiweyo ngumhlaza ophindaphindiweyo (ubuyile) emva kokuba unyangiwe. Umhlaza ungabuya ubuye emathunjini amancinci okanye kwamanye amalungu omzimba.
Unyango ngoKhetho lonyango
IINGONGOMA EZIPHAMBILI
- Kukho iintlobo ezahlukeneyo zonyango kwizigulana ezinomhlaza wamathumbu amancinci.
- Zintathu iintlobo zonyango olusetyenziswayo:
- Ugqirha
- Unyango ngemitha
- Unyango ngamayeza
- Iindidi ezintsha zonyango ziyavavanywa kuvavanyo lweklinikhi.
- Unyango lwebhayoloji
- Unyango lwe-radiation kunye neeradiosensitizers
- Unyango lomhlaza wamathumbu amancinci kunokubangela iziphumo ebezingalindelekanga.
- Izigulana zinokufuna ukucinga ngokuthatha inxaxheba kuvavanyo lweklinikhi.
- Izigulana zinokungena kuvavanyo lweklinikhi ngaphambi, ngexesha, okanye emva kokuqala unyango lomhlaza.
- Iimvavanyo zokulandelela zisenokufuneka.
Kukho iintlobo ezahlukeneyo zonyango kwizigulana ezinomhlaza wamathumbu amancinci.
Iindidi ezahlukeneyo zonyango ziyafumaneka kwizigulana ezinomhlaza wamathumbu amancinci. Olunye unyango lusemgangathweni (unyango olusetyenziswayo ngoku), kwaye olunye luvavanywa kuvavanyo lweklinikhi. Uvavanyo lweklinikhi yonyango luphononongo olwenzelwe ukunceda ukuphucula unyango lwangoku okanye ukufumana ulwazi kunyango olutsha kwizigulana ezinomhlaza. Xa uvavanyo lwezonyango lubonisa ukuba unyango olutsha lungcono kunonyango oluqhelekileyo, unyango olutsha kunokuba lunyango olusemgangathweni. Izigulana zinokufuna ukucinga ngokuthatha inxaxheba kuvavanyo lweklinikhi. Olunye uvavanyo lwezonyango luvuleleke kuphela kwizigulana ezingaluqalanga unyango.
Zintathu iintlobo zonyango olusetyenziswayo:
Ugqirha
Utyando lolona nyango luqhelekileyo lomhlaza wamathumbu amancinci. Enye yezi ndlela zilandelayo zinokwenziwa:
- Ukuphinda ubuye: Utyando lokususa inxenye okanye lonke ilungu elinomhlaza. Ukuthengiswa kungabandakanya amathumbu amancinci kunye namalungu akufutshane (ukuba umhlaza usasazekile). Ugqirha unokususa icandelo lamathumbu amancinci aqukethe umhlaza kwaye enze i-anastomosis (ukudibanisa iziphelo ezisikiweyo zamathumbu kunye). Ugqirha uhlala esusa ii-lymph node kufutshane namathumbu amancinci kwaye azivavanye phantsi kwemicroscope ukubona ukuba ziqulathe umhlaza.
- Dlula: Utyando lokuvumela ukutya kumathumbu amancinci ukuba ujikeleze (ngokudlula) ithumba elibambe amathumbu kodwa lingenakususwa.
Emva kokuba ugqirha ewususile wonke umhlaza onokubonakala ngexesha lotyando, ezinye izigulana zinokunikwa unyango ngemitha emva kotyando lokubulala naziphi na iiseli zomhlaza ezisele. Unyango olunikezwe emva kotyando, ukunciphisa umngcipheko wokuba umhlaza ubuye kwakhona, lubizwa ngokuba lunyango oluncedisayo.
Unyango ngemitha
Unyango ngemitha lunyango olusebenzisa amandla e-x-reyi okanye ezinye iintlobo zemitha yokubulala iiseli zomhlaza okanye ukuzigcina zikhula. Zimbini iintlobo zonyango lwe-radiation:
- Unyango lwangaphandle lwemitha lusebenzisa umatshini ngaphandle komzimba ukuthumela imitha kumhlaza.
- Unyango lwangaphakathi lwemitha lusebenzisa into enemitha ye-radio etywinwe kwiinaliti, iimbewu, iingcingo, okanye iicatheters ezibekwe ngqo okanye kufutshane nomhlaza.
Indlela unyango lwe-radiation olunikezelwa ngayo ixhomekeke kuhlobo lomhlaza ophathwayo. Unyango lwangaphandle lwemitha lusetyenziselwa ukunyanga umhlaza wamathumbu amancinci.
Unyango ngamayeza
I-Chemotherapy yonyango lomhlaza olusebenzisa iziyobisi ukunqanda ukukhula kweeseli zomhlaza, nokuba zibulale iiseli okanye uziyekise ekwahlukaneni. Xa i-chemotherapy ithathwa ngomlomo okanye ifakwe kwi-vein okanye kwimisipha, amachiza angena kwigazi kwaye anokufikelela kwiiseli zomhlaza kuwo wonke umzimba (systemic chemotherapy). Xa i-chemotherapy ibekwa ngqo kwi-cerebrospinal fluid, ilungu, okanye indawo yomzimba efana nesisu, iziyobisi zichaphazela kakhulu iiseli zomhlaza kwezo ndawo (chemotherapy yengingqi). Indlela i-chemotherapy enikezelwa ngayo ixhomekeke kuhlobo kunye nenqanaba lomhlaza ophathwayo.
Iindidi ezintsha zonyango ziyavavanywa kuvavanyo lweklinikhi.
Eli candelo lesishwankathelo lichaza unyango olufundwayo kuvavanyo lweklinikhi. Isenokungakhankanyi lonke unyango olutsha olufundwayo. Ulwazi malunga novavanyo lweklinikhi luyafumaneka kwiwebhusayithi yeNCI.
Unyango lwebhayoloji
Unyango lwe-Biologic lunyango olusebenzisa amajoni omzimba wesigulana ukulwa nomhlaza. Izinto ezenziwe ngumzimba okanye ezenziwe elebhu zisetyenziselwa ukonyusa, ukuqondisa, okanye ukubuyisela ukhuseleko lwendalo lomzimba kumhlaza. Olu hlobo lonyango lomhlaza lukwabizwa ngokuba yi-biotherapy okanye i-immunotherapy.
Unyango lwe-radiation kunye neeradiosensitizers
IiRadiosensitizers ngamachiza enza ukuba iiseli zethumba zibuthathaka ngakumbi kunyango lwemitha. Ukudibanisa unyango lwemitha kunye neeradiosensitizers kunokubulala iiseli ezininzi zethumba.
Unyango lomhlaza wamathumbu amancinci kunokubangela iziphumo ebezingalindelekanga.
Ngolwazi malunga neziphumo ebezingalindelekanga ezibangelwa lunyango lomhlaza, jonga iphepha lethu Iziphumo ezingalunganga.
Izigulana zinokufuna ukucinga ngokuthatha inxaxheba kuvavanyo lweklinikhi.
Kwezinye izigulana, ukuthatha inxaxheba kuvavanyo lweklinikhi kunokuba lolona khetho lonyango lufanelekileyo. Uvavanyo lwezonyango luyinxalenye yenkqubo yophando ngomhlaza. Uvavanyo lwezonyango luyenziwa ukufumanisa ukuba unyango lomhlaza olutsha lukhuselekile kwaye luyasebenza okanye lungcono kunonyango oluqhelekileyo.
Uninzi lonyango oluqhelekileyo lwanamhlanje lomhlaza lusekwe kuvavanyo lweklinikhi lwangaphambili. Izigulana ezithatha inxaxheba kuvavanyo lweklinikhi zingafumana unyango olusemgangathweni okanye zibe phakathi kwabokuqala ukufumana unyango olutsha.
Izigulana ezithatha inxaxheba kuvavanyo lweklinikhi zikwanceda ukuphucula indlela umhlaza oza kunyangwa ngayo kwixa elizayo. Nokuba uvavanyo lwezonyango alukhokeleli kunyango olusebenzayo, bahlala bephendula imibuzo ebalulekileyo kwaye bancedisa ukuqhubela phambili uphando.
Izigulana zinokungena kuvavanyo lweklinikhi ngaphambi, ngexesha, okanye emva kokuqala unyango lomhlaza.
Olunye uvavanyo lwezonyango lubandakanya kuphela izigulana ezingekafumani unyango. Olunye uvavanyo lokuvavanywa kunyango kwizigulana ezinomhlaza ongakhange ubengcono. Kukwakho nezilingo zeklinikhi ezivavanya iindlela ezintsha zokumisa umhlaza ekubuyeleni (ekubuyeni) okanye ukunciphisa iziphumo ebezingalindelekanga zonyango lomhlaza.
Uvavanyo lwezonyango lwenzeka kwiindawo ezininzi zelizwe. Ulwazi malunga novavanyo lweklinikhi oluxhaswe yi-NCI lunokufumaneka kwiphepha lewebhu le-NCI. Uvavanyo lwezonyango oluxhaswa yiminye imibutho lunokufumaneka kwiwebhusayithi yeClinicalTrials.gov.
Iimvavanyo zokulandelela zisenokufuneka.
Ezinye zeemvavanyo ezenziweyo ukufumanisa umhlaza okanye ukufumanisa inqanaba lomhlaza zinokuphindwa. Olunye uvavanyo luya kuphindwa ukuze kubonwe ukuba lusebenza njani unyango. Izigqibo malunga nokuqhubeka, ukutshintsha, okanye ukuyeka unyango zinokusekwa kwiziphumo zolu vavanyo.
Ezinye zeemvavanyo ziya kuqhubeka ukwenziwa amaxesha ngamaxesha emva kokuba unyango luphelile. Iziphumo zolu vavanyo zingabonisa ukuba imeko yakho itshintshile okanye ukuba umhlaza ubuyile (buyela). Olu vavanyo ngamanye amaxesha lubizwa ngokuba luvavanyo olulandelayo okanye ukuhlolwa.
Ukhetho kunyango lomhlaza wamathumbu amancinci
Kweli Candelo
- Amathumbu amancinci ama-Adenocarcinoma
- Amathumbu amancinci amancinci iLeiomyosarcoma
- Umhlaza wamathumbu amancinci ophindaphindwayo
Ngolwazi malunga nonyango oludweliswe ngezantsi, jonga kwiCandelo loKhetho ngokujonga uKhetho.
Amathumbu amancinci ama-Adenocarcinoma
Xa kunokwenzeka, unyango lwamathumbu amancinci i-adenocarcinoma iya kuba lutyando lokususa ithumba kunye nezinye izihlunu eziqhelekileyo ezijikelezileyo.
Unyango lwe-adenocarcinoma yamathumbu amancinci angenakususwa ngotyando kunokubandakanya oku kulandelayo:
- Ugqirha lokugqithisa ithumba.
- Unyango ngemitha njengonyango oludambisayo lokunciphisa iimpawu kunye nokuphucula umgangatho wobomi wesigulana.
- Uvavanyo lweklinikhi yonyango ngemitha kunye neeradiosensitizers, kunye okanye ngaphandle kwonyango.
- Uvavanyo lweklinikhi yamachiza amatsha omhlaza.
- Uvavanyo lweklinikhi yonyango lwe-biologic.
Sebenzisa uvavanyo lwethu lweklinikhi ukufumana ulingo lweklinikhi oluxhaswayo lwekliniki olwamkela izigulana. Unokukhangela izilingo ngokusekwe kuhlobo lomhlaza, ubudala besigulana, kwaye nokuba zenziwa phi izilingo. Ulwazi ngokubanzi malunga novavanyo lweklinikhi luyafumaneka.
Amathumbu amancinci amancinci iLeiomyosarcoma
Xa kunokwenzeka, unyango lwe-leiomyosarcoma encinci yamathumbu iya kuba lutyando lokususa ithumba kunye nezinye izihlunu eziqhelekileyo ezijikelezileyo.
Unyango lwe-leiomyosarcoma yamathumbu amancinci angenakususwa ngotyando kunokubandakanya oku kulandelayo:
- Ugqirha (ukugqitha ithumba) kunye nonyango lwemitha.
- Utyando, unyango ngemitha, okanye ichemotherapy njengonyango lokuthomalalisa iintlungu kunye nokuphucula umgangatho wobomi besigulana.
- Uvavanyo lweklinikhi yamachiza amatsha omhlaza.
- Uvavanyo lweklinikhi yonyango lwe-biologic.
Sebenzisa uvavanyo lwethu lweklinikhi ukufumana ulingo lweklinikhi oluxhaswayo lwekliniki olwamkela izigulana. Unokukhangela izilingo ngokusekwe kuhlobo lomhlaza, ubudala besigulana, kwaye nokuba zenziwa phi izilingo. Ulwazi ngokubanzi malunga novavanyo lweklinikhi luyafumaneka.
Umhlaza wamathumbu amancinci ophindaphindwayo
Unyango lomhlaza wamathumbu omncinci ophindaphindiweyo osele usasazekile kwamanye amalungu omzimba uhlala ulingo lwezonyango lwamachiza amatsha omhlaza okanye unyango lwe-biologic.
Unyango lomhlaza wamathumbu amancinci aphindaphindeneyo unokubandakanya oku kulandelayo:
- Ugqirha.
- Unyango ngemitha okanye ichemotherapy njengonyango lokuthomalalisa iintlungu kunye nokuphucula umgangatho wobomi wesigulana.
- Uvavanyo lweklinikhi yonyango ngemitha kunye neeradiosensitizers, kunye okanye ngaphandle kwonyango.
Sebenzisa uvavanyo lwethu lweklinikhi ukufumana ulingo lweklinikhi oluxhaswayo lwekliniki olwamkela izigulana. Unokukhangela izilingo ngokusekwe kuhlobo lomhlaza, ubudala besigulana, kwaye nokuba zenziwa phi izilingo. Ulwazi ngokubanzi malunga novavanyo lweklinikhi luyafumaneka.
Ukufunda ngakumbi malunga noMhlaza waMathumbu amancinci
Ngolwazi oluthe kratya kwiZiko leSizwe loMhlaza malunga nomhlaza wamathumbu amancinci, jonga kwiKhaya laseKhaya laseKhaya elincinci.
Ngolwazi lomhlaza ngokubanzi kunye nezinye izixhobo ezivela kwiNational Cancer Institute, jonga oku kulandelayo:
- Malunga noMhlaza
- Ukuqokelela
- I-Chemotherapy kunye nawe: Inkxaso yabantu abanomdlavuza
- Unyango ngemitha kunye nawe: Inkxaso yabantu abanomhlaza
- Ukujamelana noMhlaza
- Imibuzo yokubuza ugqirha wakho malunga neCancer
- Abasindileyo kunye nabaNonopheli
Nika amandla ukuphinda uzihlaziye izimvo