Kurapwa

Mishonga ine chinangwa che "kurapa" ndeiyi:

- Kuvhiya, nekubviswa bundu kana mune dzimwe nguva, kuisirwa chiropa uye kubvisa chiropa,

- Nzira dzekuparadza bundu kuburikidza neganda (kudzivisa kuvhura dumbu kubva patiri kupinda neganda); pakutanga nemakemikari (doro rakachena kana acetic acid),nzira idzi dzakatsiviwa nemitoo yekuparadza bundu nenzira dzinoshanda dzemuviri :

        - Thermal nzira kuparadza bundu :

              - cryotherapy (nechando)

              - radiofrequency (kupisa kupisa kupararira),

              - microwave (yakanyanya tembiricha pa100 °)

        -Isiri-inopisa nzira dzekuparadza bundu:

              - electroporation, nzira ichangoburwa ine zvidzidzo zvichiri kuenderera mberi.

              - selective arterial chemoembolization iyo yakatsiva kushandiswa kweradioactive beads.

Sarudzo pakati pekuvhiyiwa uye percutaneous ablation, iyo yakajairika kurapa kurapwa kunoenderana nemaitiro akati wandei (mamiriro echiropa chiri pasi, nhamba uye saizi yezvironda) uye inokurukurwa panguva yemisangano yakawanda, iyo inounza pamwe kanenge 3 nyanzvi. zvakasiyana (chiremba anovhiya, oncologist, gastroenterologist) munzvimbo dzekutarisa.

sejari

Pazvinogoneka, sejari ndiye 1^er sarudzo yekurapa uye ine ” chikamu hepatectomy »Kureva kubviswa kwechikamu chechiropa. Mamiriro akasiyana-siyana anofanira kusangana: bundu rinofanira kuva diki (<3cm) uye rimwechete. Inofanirwa kuwanikwa nyore uye kutarisirwa kunofanira kutorwa kuve nechokwadi chekuti huwandu hwechiropa chine hutano hwakasara hwakakwana kuve nechokwadi chekushanda kwechiropa.

Matishu echiropa ane kugona regenerate, zvimwe zvishoma. Nokudaro, mumavhiki anotevera hepatectomy, kukura kwechiropa kuchawedzera. Zvisinei, chiropa hachizombodzokeri pakukura kwacho.

 Kuvhiya kurapwa kunogona kusanganisira "Total hepatectomy" uchiteverwa kubatanidza, kurapwa kwakakodzera kana zvichibvira. Chiropa chinorwara chinobviswa zvachose, uye chinotsiviwa nechiropa chese, kana kuti chiropa, kubva kune mupi anowirirana. Varwere vanosarudzwa munzvimbo dzenyanzvi. Ziva kuti kashoma kuti zvinokwanisika kuita chiropa chekudyara kurapa kenza yechiropa yekutanga. Iko kumirira kwakareba kwazvo, (6 mwedzi mishoma), uye mamiriro anodiwa kuti agone kuisirwa anowanzo kupfuudzwa: kurwara zvakanyanya pasi pechiropa (advanced cirrhosis), bundu rakakura kupfuura masendimita matatu, anopfuura matatu maronda.

Radiofrequency ablation (RFA)

Kana kubviswa kwebundu nekuvhiya hazvigoneke, kana nguva yekumirira yegraft yakarebesa, radiofrequency ablation ndiyo nzira yemunharaunda yekurapa ye1.^makore chinangwa. Iyi nzira inosanganisira kuisa maelectrodes madiki muchiropa kuti akonzere kubuda kwemafungu epamusoro-frequency anoita kuti vanhu vafambe. ionic, zvichiguma, nechiitiko chekushisa, necrosis kuburikidza nekubatana kwemasero asina kukwana (cell death). Zvichienderana nenyaya yacho, inoitwa pasi peanesthesia yemunharaunda kana yakawanda.

Targeted therapy

Nokuwedzera, kurapa kwakanangidzirwa kurwisana zvinhu zvinoita kuti bundu rikure. Semuyenzaniso, mishonga antiangiogéniques kudzivirira kuumbwa kwetsinga itsva dzeropa (angiogenesis) inobvumira bundu kukura. Mhando iyi yekurapa inoratidza chivimbiso chikuru. Inomutsa kufarira kukuru uye tariro munharaunda yezvokurapa.

Dzimwe nzira

Thermal nzira:

kurira

Cryosurgery haichashandiswi mazuva ano, nekuda kwekuonekwa kwehunyanzvi hwekuparadza mamota echiropa nekupisa (kunyanya radiofrequency). Iyi nzira yaisanganisira kuisa muchiropa probe ine liquid nitrogen pa -200 ° C kuitira kuti inopisa ne froid kenza masero.

microwave

Iyi nzira inokonzera kufamba kwemamorekuru emvura mumasero, zvichiita kuti zvikwanise kusvika pakupisa kwakanyanya, 100 °, mumasekonzi mashomanana. Ichiri kushandiswa kushoma, uye ichiongororwa maererano neradiofrequency.

Kemikari nzira: ijekiseni repercutaneous

Iyi imwe nzira inoramba ichigoneka, asi inoshandiswa zvishoma uye zvishoma. Inosanganisira kuparadza imwe kana mamwe mamota madiki nekubaya jekiseniethanol or acetic acid. Izvi zvine mhedzisiro yekuvabvisa mvura uye kukonzera necrosis yavo (sero kufa). Iyi nzira inogona kuitwa pasi peanesthesia yemunharaunda uye inogona kudzokororwa kana bundu rikasapera zvachose.

New Technique: isingachinjiki electroporation:

Pakuongororwa, hunyanzvi uhu hunotamba pakupenya kwesero, uye hunogona kuratidzwa mukupokana kweredhiyo frequency.

Kurapwa

Chemotherapy ndiyo mhinduro apo kuvhiyiwa kana hunyanzvi hwekuparadzwa kwenzvimbo yebundu hazvigoneke, kana pakaitikazve.

Kana iyo kenza yechiropa yekutanga yakakura (inoyera kupfuura masendimita matatu, ine maronda akawanda, asi kurutivi rumwe chete rwechiropa (tine chiropa chekurudyi uye chiropa chekuruboshwe), dzimwe nguva zvinokwanisika kubaya mutsinga inopa bundu, mabhesi ane chemotherapy. zvakananga mubundu, izvo zvinobatsira kuderedza migumisiro yechirwere.

Radiotherapy

Radiation therapy haiwanzo kushandiswa kurapa kenza yechiropa yekutanga. Rudzi urwu rwegomarara harunyanyi kutariswa neradiotherapy. Kwenguva yakati, takaedza kubaya mabhedhi eradioactive nejekiseni rakasarudzwa mubundu kuburikidza nenzira yeropa.

Nzira dzekuwedzera

Reviews. Tarisa faira redu reCancer kuti udzidze nezve nzira dzese dzekuwedzera dzakadzidzwa muvanhu vane cancer, senge acupuncture, visualization, massage therapy uye yoga. Aya maitiro anogona kuve akakodzera kana akashandiswa mukati kuwirirana kurapwa, uye kwete sechinotsiva.