Umhlaza wesibindi. Iimpawu, iimpawu lwezonyango, unyango.

isibindi yobubi na eziziprayimari nezizisekondari. umhlaza wesibindi Primary ihlasela iiseli izakhiwo hepatic, lo gama ezibizwa ukwanda zamabanga kwesibindi inyama ye kwiindawo zasesekondari kwiiseli ithumba kuwenza ezidweliswe sisibindi kwezinye kwanangezibilini kwi egazini.

umhlaza wesibindi. Statistics.

Ekubeni isibindi ipasisa eyayinethombo omkhulu wegazi, nangezilonda yesibini umzimba zibhalwe izihlandlo 20 kuxhaphake kakhulu kunokuba zaseprayimari. Esi sifo kunqabile kakhulu - on manani 0.5 - 3% yazo zonke iimeko kwenzeka umhlaza zaseprayimari. Iimpawu zesi sifo yaye ikliniki ekuqaleni ukuba kakhulu zomlomo wakhe, nto leyo ebangela kubenzima kakhulu uxilongo elandelayo nethumba. Phakathi izigulane kunye umhlaza wesibindi kakhulu kuloo madoda abaminyaka yobudala eyi-50. Kubalulekile ukuphawula ukuba efumanise nasiphi na isifo (kuquka umhlaza) kwangethuba kakhulu kwandisa amathuba iziphumo ezincumisayo yonyango olulandelayo.

umhlaza wesibindi. Yokuhlela.

Ukuza kuthi ga ngoku ukuba Cazulula iintlobo ezininzi zesi sifo, ezahlukeneyo imvelaphi:

• Hepatocellular carcinoma, hepatoma okanye cell isibindi carcinoma - evela iiseli parenchyma.
• Cholangiocarcinoma - umhlaza wesibindi ixhaphakileyo ezithathwe kwiiseli epithelial we bile duct.
• Angiosarcoma - nethumba kakhulu amabi of amatsha okuhluma yegazi endothelial.
• Hepatoblastoma - ithumba kwesibindi ebantwaneni.

umhlaza wesibindi. Oonobangela.

• Viral hepatitis B no-C
• Ukuqina.
• Negcushuwa.
• utshwala Chronic.
• Hemochromatosis.
• izifo olwaye lwamfimfitha.
• Carcinogens (pende ezizizembiwa ikhlorini, nitrosamines, biphenyls polychlorinated kunye nezinye iikhompawundi eziyingozi).

umhlaza wesibindi. Iimpawu kunye Hospital.

Ngelo xesha xa okungakumbi nje ekuqaleni ukuphuhlisa umhlaza wesibindi, iimpawu kunye umfanekiso clinical ukuze kancinane yokuzikhwebula le. Ngenxa yoko, xa izigulane usaqala kusenokubakho ubuthathaka, umkhuhlane, ukuqunjelwa, ubunzima ikota yesangqa engasentla ekunene, iqondo lobushushu avuke. Amaxesha amaninzi kukho ukwehla kobunzima, ianemia, buthuntu intlungu ibuhlungu ngakumbi ebusuku. Kunye nophuhliso sifo umguli kunokwandisa isibindi, maxa wambi kuba uburhabaxa kunye nengxinano, ngokuthe ngcembe ukwanda senyongo. Ithumba inokumiselwa Ngokucofa lomzimba.

umhlaza wesibindi. Diagnosis.

Ukuze ingakrokreleka xa isigulane kunye umhlaza wesibindi, iimpawu kunye nezikhalazo yomguli zihlahlelwe, zivavanywe imbonakalo yawo kwaye isigqibo ukuhlolwa. zophando:

• Ultrasound Ukuhlolisisa kwesibindi (US) lidlala indima ebalulekileyo uxilongo zomhlaza. Le ndlela kakhulu ulwazi kunye zifumaneke ngokubanzi, it ikuvumela ukuba ukuchonga maqhuqhuva nokujonga yimvelo yabo.
• X-reyi Itomography ngekhompyutha (CT), livakale magnetic umfanekiso (MRI) zisetyenziswa xa uxilongo abakacaci okanye hayi esulungekisiweyo.
• Radioisotope scan Unako kwakhona nokufumana ulwazi olongezelelweyo ngalo umhlaza.
• Laparoscopy ivumela ukuhlola umzimba abachaphazelekayo liqatywe encinane esiswini.
• Biopsy - ukuthatha inxalenye nethumba ukwenzela uhlalutyo.
• Uhlalutyo ezinto wegazi kusenokuba kubonisa isifo sesibindi ngumhlaza (yehle kwinqanaba protein, ukwanda yibilirubin, kumanqanaba enqanda kwesibindi).
• Uvavanyo igazi onkomarkory (ukukhulisa inqanaba labo egazini ibonisa ubukho ithumba).

umhlaza wesibindi. Unyango kwesi sifo.

Xa kwafunyaniswa ukuba unomhlaza wesibindi, iimpawu kunye ilabhoratri lwezonyango kuqinisekiswa radiographically waza unyango eyaneleyo, nto leyo kakhulu ngcono ubulunga yesigulane yobomi. Xa unyango yamathumba, kuqukwa imihlaza kwesibindi isigaba 4, ezi ndlela zilandelayo zonyango kusetyenziswa:

• utyando;
• radiosurgery;
• cryosurgery;
• therapy radiation;
• chemotherapy;
• therapy eziphilayo.

Xa efumanise ithumba okanye ekukrokrelwa ukuba kufuneka kukhunjulwe ukuba unyango ngexesha nga kongeza ngokubonakalayo ubomi yomguli kunye nokuphucula ubulunga bayo.