Kurapwa

Mishonga ye chirwere chepamu zvinosiyana zvichienderana nedanho uye dhigirii rehutsinye (giredhi) regomarara. Kazhinji, marapiro akawanda anosanganiswa, akadai sekuvhiya, radiotherapy kana chemotherapy.

Kusarudzwa kwekurapa kunoenderana multidisciplinary consultation (zvinenge 3 nyanzvi dzakasiyana dzinofanira kunge dziripo: gastroenterologist, oncologist, chiremba wokuvhiya. personalized treatment plan inogadzirwa kune mumwe nemumwe ane kenza yemudumbu, zvichienderana negiredhi uye kukura kwechirwere chavo.

La sejari ndiko chete kurapwa kunogona kubvisa bundu uye kutungamirira kukurapa chaiko. Dzimwe nguva hazvibviri kubvisa bundu racho zvachose nekuda kwekukura kwaro kana kuti gomarara rapararira kune dzimwe nhengo. Muzviitiko izvi, mishonga inowanikwa kuti inonoke kufambira mberi kwechirwere uye kubvisa zviratidzo.

sejari

Kuvhiya kunosanganisira kubvisa chikamu chakakanganisika chedumbu uye malymph nodes ari pedyo.

Kana bundu racho rakanyanyisa (rinogumira kune mucosa pasi pekutonga kwe endoscopic echo, uye muvanhu vakasarudzwa), endoscopic resection inogoneka munzvimbo yekutumira. Izvi zvinosanganisira kubvisa bundu pasina kuvhura dumbu, asi kupfuudza chubhu inochinjika nemumuromo kuenda mudumbu kuitira kutsvedza zviridzwa.

Zvichienderana nenzvimbo yebundu mudumbu, chiremba anovhiya anobvisa chikamu chesophagus (proximal cancer), kana ura hudiki (distal cancer). Pane 2 matekiniki: chikamu gastrectomy, nokuda kwegomarara rechikamu chiri kure chedumbu, kana kuti zvachose gastrectomy.

chiremba anovhiya anoita oeso-gastric anastomosis, iyo inosanganisira kusona pamwe chete zvikamu zviviri zveakavhiyiwa pagurokuro uye mudumbu kuti adzorere kuenderera mberi. Izvi zvinobatsira kuchengetedza "gastric stump" (chidimbu chedumbu) kana kuwana eso-jejunal passage apo gurokuro rakabatana zvakananga nedumbu diki (anastomosis yegurokuro kusvika kudumbu diki).

Kana iwe kenza yakanyanya kuwanda, inobata dzimwe nhengo dziri pedyo, zvingave zvakakosha kuita kuvhiyiwa kwakakura zvakare maererano nenhengo dzakavakidzana, kunyanya spleen.

Mushure mekuita a gastrectomy kunyange zvachose, zvichiri kugoneka idya zvakanaka. Zvisinei, sezvo simba remudumbu rakaderera (kuvapo kwegastric stump kana kusavapo zvachose kwedumbu), munhu anovhiyiwa anofanira kugadzirisa kudya kwake, somuenzaniso nekutora zvokudya zviduku, asi zvakawanda muhuwandu. Varwere vakaita gastrectomy vanofanirawo kutora zvimwe Dietary supplement, zvakadai sevhitamini B12.

Kurapwa

Mugomarara remudumbu, chemotherapy inowanzo shandiswa kuuraya masero egomarara.

Panyaya yegomarara renzvimbo, timu yekurapa inogona kupa chemotherapy isati yavhiyiwa (chemotherapy preoperative) iyo inoderedza saizi yebundu, zvichiita kuti zvive nyore kubvisa bundu racho mushure Chemotherapy inogonawo kuitwa mushure mekuvhiyiwa (chemotherapy). kuvhiya) 6 kusvika kumavhiki e8 mushure mekuvhiyiwa, kuitira kuderedza dambudziko rekudzoka zvakare.

Munyaya yegomarara remetastatic kana bundu risingashande, chemotherapy ndiyo yakajairika kurapwa. Inotarisira kuderedza kufambira mberi kwechirwere, kubvisa zviratidzo, kuvandudza mararamiro ehupenyu. Izvi zvinonzi chemotherapy kurerutsa.

Kune akawanda maprotocol, uye akati wandei anoramba achiyedzwa ekurapa kutsanangura akanakisa uye anowedzera kushanda marapirwo.

La cellular microbiology yakaita kuti zvikwanise kunzwisisa zviri nani nzira dzekukura kwebundu, uye kukura zvakanangwa kurapwa. Yakaratidzwa pamasero egomarara remudumbu uye pamametastases e "HER2" mapuroteni. Muchiitiko chekugamuchira kwakanaka, chemotherapy inowedzerwa ku "monoclonal antibodies", iyo inovhara nzira yekuparadzanisa uye kukura kwekenza masero. Zvinokurudzirawo immune system kubatsira kuparadza masero egomarara.

Chemotherapy inogona kupiwa mutsinga kana nemuromo. Chemotherapy mishonga inorwisa masero egomarara, asi inokuvadzawo mamwe masero ane hutano. Kupa muviri nguva yekupora, chemotherapy inopiwa cyclically. The Zvikanganiso dzakawanda: kusvotwa, kurutsa, kuneta, kurasikirwa nechido, kurasikirwa nebvudzi uye kuwedzera kwengozi yehutachiona.

Radiotherapy

La radiotherapy inoshandiswa zvishoma mumamiriro e chirwere chepamu. Inogona kuitwa zvisati zvaitika, asi kazhinji mushure mekuvhiyiwa, musanganiswa kana kwete nechemotherapy, iyo ine chinangwa chekuwedzera radiotherapy. Izvi zvinonzi "radio sensitizing chemotherapy". Inogonawo kushandiswa kuderedza marwadzo ane chokuita nebundu risingagoni kubviswa.

Kurapa uku kunosanganisira kutungamira mwaranzi yeionizing pane imwe nzvimbo pamuviri kuti iparadze maseru egomarara akaumbwa ipapo. Sezvo simba rakawanda remaranzi richikuvadzawo maseru ane hutano, kurapa uku kune kwakasiyana Zvikanganiso izvo zvinonyanya kunetsa, zvichienderana nemunhu ari kurapwa. Anogona kunzwa akaneta, kana kuona kuti ganda riri munzvimbo ine irradiated rakatsvuka uye rinonzwa. Radiation therapy yebundu remudumbu inogona kukonzera manyoka, indigestion, kana kusvotwa. Mhedzisiro yeradiation therapy inopera mushure mekurapwa, kana maseru ane hutano atangazve.

Nzira dzekuwedzera

Tarisa faira redu reCancer kuti udzidze nezvese nzira dzekuwedzera dzakadzidzwa nevanhu vane cancer, senge acupuncture, visualization, massage therapy uye yoga. Aya maitiro anogona kuve akakodzera kana akashandiswa pamwe chete kuwirirana kurapwa, uye kwete sechinotsiva.