Carcinomatosis peritoneal

Carcinomatosis - ithumba, nto leyo enika metastases ezininzi nokuphuhlisa kwi parenchyma okanye serous ingaphandle omzimba. Eli gama lisetyenziswa ngokunxulumene izifo inwebu serous. Enye ukwahluka kwalo sifo a carcinomatosis peritoneal - ubhityile kwawo inwebu serous ukuyigubungela phezu lwangaphakathi izibilini udonga esiswini.

Carcinomatosis kwisisu peritoneal: picture clinical

Ngokuqhelekileyo, esi sifo sikhatshwa effusion olubanzi serous em-, nto leyo utshintshe nje amazimba ezininzi, hlanganisa kwaye zenze nangezilonda ezinkulu. Formation kwesi sifo ngokuqhelekileyo kwiintlobo ezininzi yamathumba amabi, kwinkqubo yokwetyisa ezifana nomhlaza esiswini, ikholoni kunye ezinqeni, kodwa uninzi Uphawu yayo imbonakalo umhlaza ovarian. Xa uzingela umhlaza esiswini, carcinomatosis lo peritoneum uhamba naye 30-40% amatyala ukusebenza esi sifo, kwaye ngomnye unobangela wokufa kwizigulane. Ukuqhubeka median kwezi zigulane na iinyanga ezi-5, 34% of sisifo resected ukuphuhlisa bodwa. Izigulane abanesifo somhlaza ovarian ngexesha kuqulunqo uphethwe ngo-70% yamatyala babe carcinomatosis esele peritoneal.

Iimpawu carcinomatosis peritoneal

Iimpawu eziphambili lwangaphandle lwale sifo zibandakanya: iintlungu esiswini, neendyebo zalo, ukugabha, isicaphucaphu kunye umzimba.

carcinomatosis Peritoneal sisifo zamabanga ngokwalo livela kunqabile kakhulu. Izifo ephambili ixhaphakileyo apho livela khona zezi: adenocarcinoma esiswini, maqanda okanye pancreas. Ukongeza, izilonda peritoneal kwenzeka wegazi, nee-, nangezilonda carcinoid kunye lymphomas.

Ukungqinwa uxilongo ikhutshwa phandle uzingela lymphocytosis eliphakathi nezilungileyo cytology, ithathwa ukuba uhlalutyo ascites. Ukongeza, ithuba kwenaliti biopsy. Unyango lwe esi sifo ngqo ngokuyintloko sifo zaseprayimari. Phambi iintlobo ehlasela ngayo carcinomatosis peritoneal abane amahlwempu. Ukuba izilonda ibe nendawo ecacileyo, kunye uhlobo lomhlaza inovakalelo oluphezulu ukuba ichemotherapy, encediswa utyando olukhulu ukuba aphilise isigulane lutshitshe.

Kaninzi kwi imvelaphi umhlaza wemiphunga, mesothelioma pleural kunye nomhlaza webele iphuhlisa carcinomatosis semiphunga. Kwakhona le meko ezinokubangelwa naliphi iyakhula efanela wemiphunga pleura, ithumba.

izilonda esibulalayo ngamalungu zangaphakathi, eziquka carcinomatosis peritoneal, liqela kwezifo ezinzima, nto leyo zigqalwa umthombo mesothelia. Iqela ezi zifo nazo zibandakanyiwe: mesothelioma peritoneal, inwebu papillary serous kunye adenocarcinoma lokuqala peritoneal. A ndawo ndiyithandayo zalapha ekhaya kwabo amanxeba amabi, ze esiswini ziinkalo eqheleqhele nokunciphisa peristalsis emathunjini.

Okwangoku, ngokuba carcinomatosis unyango amazantsi esisu nje eksperimenti kuvavanywe iindlela ezahlukeneyo zale mihla, ebandakanya ukusetyenziswa arhente ezintsha chemotherapeutic, angiogenesis inhibitors, immunotherapy kunye izilwa-buhlungu kunye Lak-iiseli radioimmunotherapy usebenzisa polymerase ekunikezeleni iinkqubo zonyango gene antisense ngokusebenzisa iinkqubo adlulisela legciwane . A lwalathiso izifundo ezinjalo uthembisa unyango photodynamic (PDT) njengoko njenge ndlela elizimeleyo, kwaye zidityaniswe kunye ichemotherapy kunye notyando.