Indlela yokuphatha umhlaza wamatyhalarha kwaSirayeli?

Umhlaza wamatyhalarha - isifo apho namasende (namasende bafundelane ngezibini namadlala ngesondo, ekuthi kwezo nto kuphume iiseli ngesondo kunye iihomoni).

Ngokutsho manani, nyaka ngamnye umhlaza wamatyhalarha lokugula ngabantu amawaka mahlanu. Ngako oko, le Ithumba kakhulu inqabile. Kananjalo kubalulekile ukuba siqaphele ukuba esi sifo kwenzeka kuphela kubantu iminyaka emashumi mane. Noko ke, oku akuthethi ukuba kuyimfuneko ngoyaba esi sifo kunye ukubonakala iimpawu zakhe kufuneka uqhagamshelane uchwepheshe abaqeqeshiweyo.

Okwangoku, kukho izinto ezininzi engabangela umhlaza iba lityhalarha:

• Izifo sezintso naso (umz, kabini i ureter, kidney kabini), namasende (gispopadiya varicocele, yoma wamatyhalarha) lobudoda. Kwakhona kwandisa ingozi Umhlaza wamatyhalarha yi Ithemba inguinal;
• Nenzalo kwandisa amathuba neoplasia-lwasekuhlaleni, nto leyo ekugqibeleni libe luchukumisa umhlaza wamatyhalarha;
• Ubukho izalamane bolevshih umhlaza wamatyhalarha;
• ityhalarha amdaka zibe samatyhalarha (cryptorchidism), nto leyo noba indlela enye-(amathuba umhlaza linyuke izihlandlo ezihlanu) kunye amabini (nokwenzeka wokuhlaselwa ngumhlaza womlomo kwandisa izihlandlo ezilishumi);
• Ukungalolongi umzimba;
• Toxemia ukukhulelwa ukuvela ngenxa ukusetyenziswa ixesha elide estrogen okanye estrogen hypersecretion, kunokwandisa umngcipheko yomhlaza wamatyhalarha sosana.

Ezi mpawu zilandelayo ilandelwe kuphuhliso umhlaza wamatyhalarha:

• Imvakalelo ubunzima kunye neentlungu samatyhalarha kunye isisu;
• Imbonakalo neziqu ezintsha kwi samatyhalarha;
• nodes nkovu eyandisiweyo kwindawo ubudoda.

Ukuza kuthi ga ngoku, malunga nama-90% yamathumba loo umhlaza wamatyhalarha, oogqirha kufuneka ukujongana nangezilonda ukuba isiseko iiseli intsholongwane ukuvelisa amadlozi. Iingcali umahluko phakathi kweentlobo ezimbini weseli lwegciwane Ukwakheka:

1. Seminoma - malunga amathandathu ekhulwini zonke yamathumba cell lwegciwane;
2. Nonseminoma - malunga amane ekhulwini yamathumba cell lwegciwane.

Seminoma wamatyhalarha ikhangeleka ngathi iqhina tight lobed kwaye yahlulwe ngamaqela amabini eziphambili:

1. Negerminativnaya seminoma - ephuma iba lityhalarha stroma (leydigoma, sertolioma, nee-);
2. Le seminoma germinal wamatyhalarha - ivela kwinyama epithelial (teratoblastoma, horionepitelioma, seminoma, umhlaza embryonal, njl);

Kule iintlobo metastases ithumba kwezibonakalayo ezichaphazela ikakhulu limfauzly.

Nonseminoma ngokuqhelekileyo kwenzeka phakathi kweminyaka engamashumi amabini ukuya kumashumi amathathu. Iintlobo le ithumba ziquka teratoma, choriocarcinoma, carcinoma embryonal, nangezilonda isikhwama inyongo. Nale hlobo metastases yamathumba amabi kusichukumisa zombini kwiindawo nkovu kunye nemiphunga.

Unyango womhlaza wamatyhalarha kwaSirayeli kwindawo yokuqala ifuna ikhosi kuxilongo ezikumgangatho ophezulu, nto leyo equka le misebenzi ilandelayo:

1. Ukuhlolwa iba lityhalarha kunye zamanzi Ngokucofa;
2. iimvavanyo zeLebhu igazi nomchamo zePCR (uhlalutyo kwemichiza, ukuzimisela kwabamakishi ithumba, njl);
3. Ultrasound amatyhalarha kunye samatyhalarha;
4. angiography;
5. I engcolisayo Itomography;
6. Itomography ngekhompyutha;
7. intlokoma umfanekiso Magnetic.

Emva kokufunda iziphumo zeemvavanyo zokukhangela iingxaki unikwe amasende unyango lomhlaza kwaSirayeli, nto leyo iya kuthathela ingqalelo awohluke kuphuhliso sifo kunye nempilo umguli. Ingakumbi unyango lomhlaza wamatyhalarha kwaSirayeli ngoku ngenkuthalo iindlela ezintsonkothileyo ukuze ngempumelelo ukunceda isigulane.

Ngokukodwa, ungenelelo ngotyando, namhlanje yeyona ndlela iphambili yonyango umhlaza wamatyhalarha, ungenza ikhatshwe ziiseshoni unyango radiation reception iziyobisi chemotherapeutic ezinokunceda ukunciphisa ubungakanani yamathumba nokuhlala emva kotyando ukuze zibulale iiseli zomhlaza. Kwakhona ukuba chemotherapy umiselwa lokufunyaniswa nakujoliso olutsha zasesekondari zabonwa.