Umhlaza isisu

Umhlaza Isisu - enye ngezifo somhlaza ixhaphakileyo. Ngokutsho izazinzulu oncologists, umhlaza isisu kwenzeka ngenxa yokuba ukutya kakuhle kunye nokutya ophantsi ezikumgangatho iimveliso eziyingozi. Oncologists bakholelwa ukuba ukutya iziqhamo kunye nemifuno, kunye nokutya esisityebi ifayibha, ikhusela isisu kwizifo. Okufakwe, ityuwa kunye ndatshaya ukutya, ngokuchaseneyo, ibe nefuthe elibi nokuba negalelo ngezifo ye phecana zesisu.

Nokubonakaliswa uphawu umhlaza esiswini kugqalwa isifo yokwetyisa. Ezihamba iimpawu nobukhali kabi esiswini, ubucaphucaphu nokugabha, ukungabi namdla.

Kukholelwa ukuba ukuyilwa somhlaza esiswini abachaphazeleka ngqo kwinqanaba nitrate emanzini okusela. Kodwa imbono esekwe ukuba utywala igalelo kuphuhliso yamathumba esiswini, kwelinye icala, akwenziwanga ozinzisiweyo, kwaye ubungqina yenzululwazi akukho ifunyenwe.

Ukungabikho kweempawu pathognomonic ebangela ubhaqo emva onjalo somhlaza. Ngenxa umhlaza isisu eshiyekileyo ifunyanwa kwi zigaba terminal, leyo kwandisa ALS umguli.

Kukho izigaba ezine ezilandelelanayo nomhlaza kuxhomekeke kuphuhliso inkqubo pathologic, ngokunxulumene nale unyango siseko kwahluka kumanqanaba ahlukeneyo zomhlaza.

Xa isigaba sokuqala nesesibini umhlaza kukho resection esiswini kunye Ukusikwa yommandla nodes nkovu. "Umhlaza esiswini, 3 sigaba" ubandakanya, ukongeza resection ngokugqibeleleyo, ukusetyenziswa unyango radiation. Ukuba isifo - "umhlaza isisu kwibakala 4," unyango lubandakanya uluhlu lwemisebenzi, kuquka konke oku kungentla, kwakunye lokudambisa, radiotherapy kunye nechemotherapy.

Umhlaza Isisu - indawo ngezifo ezinzima kakhulu, kunzima kakhulu ukuba ukunyanga. Umzekelo, ithumba resection kunye nkovu zengingqi iindawo badla musa ukunika unyango. Oku kubangelwa yinto yokuba uphawu kunyebeleziso kwangethuba Ukudlulela somhlaza esiswini. izilonda kuwenza badla ezincinane kangangokuba iindlela ezikhoyo musa ukuvumela ukuxilonga kubo.

Kukho okwangoku ngenkuthalo ngokuxilonga, unyango olutsha zovavanyo. Ngenxa indlela enjalo, ichemotherapy ipreoperative, okwenza ukuba ithumba shrinkage kwaye iququzelela imisebenzi yenkqubo elandelayo.

iindlela ezisebenzayo ziquka unyango ngotyando njengoko gastrectomy iyonke okanye inxenye yazo, kunye nokususwa ezalathelwe nkovu lwengingqi. Xa umhlaza advanced esiswini ukuvelisa resection iyonke esiswini (ukususwa), kwakunye resection udakada kunye kuvuleke iminxunya asezantsi. Radiotherapy umhlaza esiswini isetyenziswa enqabile. Oku kubangelwa ikakhulu ukuya zokukhanya amalungu ezisecaleni kunye neenkqubo.

nyaka-Five ukusinda kwezigulane somhlaza esiswini emva kotyando imalunga 10-15%, kunye umphezulu zalapha ekhaya kwabo ithumba, la maxabiso ukuze ukufikelela 70%.

Uphawu nechemotherapy kwi somhlaza kukunqongophala ifuthe layo noluthembakeleyo ngenkqubela-ixesha lobomi yesigulane, kodwa ukusebenza kwalo ukusuka kumashumi amabini anesihlanu ukuya kumashumi amane anesihlanu ekhulwini.

Ke ukuba radiotherapy, kusetyenziswa unyango radiation intraoperative ngenxa yokusetyenziswa ubungqina bokuba ezisebenzayo kakhulu kwaphucula seminyaka emihlanu-ukusinda kwezigulane umhlaza nesisu izigaba-2 okanye ezi-3.
Uqikelelo uxhomekeke kakhulu kwi nqanaba ekufumanekeni umhlaza esiswini. Ngokuqaphela Kumanqanaba okuqala onyango ngendlela ukuya ku asixhenxe ekhulwini. Noko ke, ukubhaqwa inqabile kakhulu ngokunxulumene umfanekiso ofihlakeleyo ekubonakalisweni kwesi sifo. Ngoko ke, pesenti ezimashumi mane kuphela ngexesha ekufumanekeni izigulane ezinomhlaza kufuneka amandla okuphilisa.