Wesizalo Cancer Treatment kwaSirayeli

Umhlaza wesibeleko ithumba kwinkqubo ababhinqileyo okuzala. Ngokutsho ukwanda umhlaza kwabasetyhini, weza kwindawo lusizi 2 emva kokuba nomhlaza webele.

Ekubeni isibeleko liqumrhu multilayer ukuba cell ezininzi iintlobo zomhlaza we isibeleko, ngokuxhomekeka ekubeni nethumba kuye kwavela apho umzimba umaleko. Amaninzi, umhlaza ikhulela umaleko engaphakathi isibeleko, lo endometrium - le endometrium. Olu hlobo ithumba ekuthiwa adenocarcinoma. ezinezigulo azixhaphakanga kwenzeka eludongeni dystrophy ye isibeleko - le myometrium yaye kuthiwa sarcomas.

Umhlaza womlomo wesibeleko ngokuqhelekileyo olufunyanwa abafazi abadala - iminyaka 50-65, abafazi ngaphantsi 40 inqabile.

Imiba negalelo kuphuhliso umhlaza womlomo wesibeleko izifo yenkqubo ababhinqileyo lokuzala - ukungabikho umjikelo, polycystic, endometriosis, fibroids, umsebenzi ngokwesondo yokuqala, yofuzo exesheni. Umhlaza womlomo wesibeleko kungabangela kungalingani kwamadlala - yemveliso ngokugqithisileyo estrogen kunye dlala izivuka, kuquka ngokufumana estrogensoderzhaschih amachiza ngexesha ukuya exesheni.

yamathumba amabi, le isibeleko bavame amabhinqa nulliparous - ubudlolo ngenxa yezizathu ezahlukeneyo, okanye xa engekho yokukhulelwa. Ingozi utshintsho esimeni kunye nokwandiswa kunye curettage ngokuphindaphindiweyo ngexesha isisu. Ukwenza igalelo kuphuhliso umhlaza zesibeleko seswekile, ukutyeba.

Xa ukwanda zomhlaza izifo zesibeleko, leyo ndawo ebangela ukufa, njengoko ichuma yaye ngokuqhelekileyo, kwaye zafunyanwa kwi kusekwangoko.

Uphawu lokuqala kunye ziqhelekileyo zomhlaza wesibeleko uba zitshawula zesibeleko ukopha kwixesha postmenopausal okanye phakathi kwamathuba yokuzala.

Olunye uphawu bubukho amaninzi leucorrhea serous kumanina angama kungekho izifo yokukrala isibeleko okanye lobufazi.

Xa sesihambe yenkqubo elinobuhlungu abonakale ubovu ukuchitha ivumba elibi, nto leyo alunakupheliswa nkqu nococeko ngenyameko.

Kwi ngasekupheleni inqanaba lophuhliso thumba kunye Ukudlulela imbonakalo wathi iintlungu kwindawo lumbosacral.

Total bahlule zigaba 4 umhlaza zesibeleko:

I - nethumba yenzelwe umzimba isibeleko, ngokuqhelekileyo ijwabu imisipha;

II - nethumba kuchaphazela umzimba kunye wesibeleko;

III - umhlaza wesibeleko ngaphaya komda - kwi kwilungu lobufazi okanye isibeleko, kodwa ngaphakathi isinqe amancinci;

IV - umhlaza wesibeleko uyakhula kungena amalungu ezimelene - waya isikali ukwenza fistulas Esibelekweni-efakwa esinyini.

yamathumba amabi, le isibeleko zihlelwa ngolu enama-oxhomekeke kunye hormone-ezizimeleyo. Eyokuqala ixhaphake kakhulu kwabasetyhini abaneengxaki pathways ngohlobo umjikelo ovulatory ukungaphumeleli, ukutyeba, umonakalo umsebenzi ovarian. Zezi iSADC nokulungiswa unyango hormone. Enama-ezizimeleyo yamathumba azixhaphakanga, nzima nzima ukunyanga kwaye abantu abane ahlwempuzekileyo.

Uxilongo somhlaza zesibeleko kwaSirayeli isekelwe phezu ukufunda umfanekiso bezonyango sifo, kuba data uviwo yamanina yenza ugqirha probe volume uluhlu wesibeleko, yaye iziphumo elebhu okanye iindlela negalelo ngohlahlelo.

Iindlela laboratory ziquka uvavanyo yempilo yomguli kwizifundo igazi nomchamo iimvavanyo, pap smear, leyo umisela umlinganiswa obhobhozayo, uviwo biopsy weseli ezifunyenwe dilatation kunye curettage lwe isibeleko okanye ngexesha hysteroscopy - uhlolo enombala ze ngaphakathi isibeleko yaziswa kuyo isixhobo okhethekileyo - hysteroscopy. Hysteroscopy ivumela kuphela ukuba iisampuli iiseli kukrokrelwa ndawo, kodwa ukuqinisekisa imilo yobubi, indawo yayo kunye nobungakanani ukwanda.

Ubukho kunye nohlobo sisilonda esidumbileyoesingaphakathi of nkovu nodes Ukudlulela lwenziwa yi lymphography.

Kwasendaweni umhlaza kunye neqondo nokusasazwa ugqibe ultrasound (US), zangasese kunye esiswini ngekhompyutha kunye nemagnethi umfanekiso livakale (CT okanye MRI), i - ukukhutshwa Itomography (PET).

Unyango bomhlaza wesibeleko kwaSirayeli ithathela ingqalelo uhlobo nebakala kwesi sifo, impilo jikelele yomfazi, ukukulungela kwakhe kunye nesakhono ukuze alondoloze umsebenzi okuzala.

Indlela engundoqo unyango lomhlaza zesibeleko kwaSirayeli, ingakumbi amabhinqa, ngaphandle-ubudala ngokuzala, ukuba umzimba lwentsebenziswano ngokususwa zamaqanda kunye tubes, iiseli umhlaza ukufikelela kakhulu mhlawumbi umhlaza umzimba, resection le omentum mkhulu kunye nokususwa nodes nkovu kwindawo zangasese nolusezantsi isisu. oogqirha bakwaSirayeli ukwenza imisebenzi efanayo kancinane iinkqubo ezonakalisayo laparoscopy.

Ukuba Ithumba ibanjiwe kusekwangoko kakhulu umfazi yokuzala, kwaye ufuna ukulondoloza umsebenzi ekuzaleni kwi unyango somhlaza zesibeleko kwaSirayeli usebenzise kyuretazhnoe sisusa izitshanguba lo maleko kwiinwebu umzimba. Ubukhulu encinane izilonda okubulalayo neenkqubo obucokisekileyo zidityaniswe kunye ichemotherapy okanye unyango radiation uthembisa ukuba aphilise isigulane.

Radiotherapy kwi unyango lomhlaza zesibeleko kwaSirayeli isetyenziswa kwixesha ipreoperative ukunqanda ukusasazeka iiseli amabi, kwi ikuku kunye namanye amalungu emva kotyando kunye nokoyikiswa ukuphinda, kwiimeko esingasebenziyo kwaye zokukhanya lokudambisa kwinqanaba IV kwesi sifo - metastases ukuba esinyini, isikali okanye amalungu ezikude. zokukhanya ezikude yalutho, brachytherapy - umzila ngeengqalutye radioactive ngqo ubunzima ithumba, 3D-conformal radiotherapy kunye radiotherapy kakhulu-modulated (IMRT).

unyango Chemotherapeutic zomhlaza zesibeleko kwaSirayeli isetyenziswa ukunciphisa ubungakanani thumba ze okudambisa iimpawu kwi zigaba ezithile zesi sifo.

Ukuba Ithumba zesibeleko yi enama-oxhomekeke uhlobo unyango hormone lwenziwa blocker ezi hormone. Ngoko ke, ukuza kuthi ga ngoku, iziphumo kwezinye iintlobo zophononongo zibonisa ukuba ama-abaxhomekeke uhlobo lomhlaza kwi zigaba okuqala, kwaye ingakumbi kwabasetyhini abangaphantsi kweminyaka engama-40, iphathwa kakuhle usebenzisa izicwangcisi hormone. amachiza Innovative ukuba unyango umhlaza zesibeleko kwaSirayeli kuchaphazela ingqondo, nto leyo kwimveliso zokumisa estrogen umzimba yomfazi, Nokumphikisa nomhlaza womlomo wesibeleko.

Isetyenziswa kunyango lomhlaza zesibeleko kwaSirayeli kunye kunyango ekujoliswe, iziyobisi leyo emane kuchaphazela womnatha microvascular kunibonelela iiseli ithumba mpilo. Ngokuthintela le nkqubo abangaphangeliyo ukukhula iiseli amabi.

Rhoqo-ups, unyango kwangoko kwezifo yokukrala isibeleko igalelo kuthintelo umhlaza, ukubhaqwa kunye nonyango olusebenzayo le ngxaki. .