Mukati
Pakati pezvirwere zvese zveoncological, kenza yechiropa inotora nzvimbo yechitanhatu ine chivimbo. Sezvinoita mamwe marudzi mazhinji egomarara, zvakakosha kuti uiwane nguva ichiripo kuitira kuti kurapwa kushande. Uye kunyangwe chiremba chete anogona kuona zvimwe zviratidzo, pane akati wandei mapoinzi akakosha achakubatsira kuti usapotsa chirwere chine njodzi.
Oncologist, hematologist, radiation Therapist wepamusoro chikamu, chiremba wezvekurapa sainzi, purofesa, akanakisa hutano mushandi weRussian Federation, mukuru weSM-Clinic Cancer Center Alexander Seryakov akaudza izvo zvaunoda kuziva nezvegomarara rechiropa kuti uzive uye. kurapa nenguva.
1. Kunzwisisa mhando dzekenza yechiropa
Oncologists vanosiyanisa pakati pekutanga uye yechipiri mafomu egomarara rechiropa.
Chirwere chechiropa chekutanga - chirwere chinokuvadza chinokura kubva kuhepatocytes (masero anoumba 80% yehuwandu hwehuwandu hwechiropa). Chimiro chinowanzozivikanwa chegomarara rekutanga ndeyehepatocellular carcinoma, inoverengera mazana matanhatu emakesi gore rega rega.
Kenza yechiropa yechipiri - metastases yemamota akashata edzimwe nhengo (mudumbu, prostate, mapapu, zamu uye vamwe) kuchiropa. Ichi chimiro chegomarara chinoitika kanenge ka20 kakawanda kupfuura yekutanga.
2. Nzwisisa zvinhu zvengozi yako
Kunzwisisa zvinhu zvine njodzi kwakakosha kuitira kuti uone chiremba wako nguva nenguva kana uchida. Zvinhu zvinowedzera mukana wekuita gomarara rechiropa zvinosanganisira:
utachiona hwehepatitis B uye C;
cirrhosis yechiropa;
zvimwe zvirwere zvechiropa, zvakadai sehemochromatosis (kusagadzikana kwesimbi metabolism nekuunganidza kwayo munhengo uye matishu) uye chirwere chaWilson (kukanganiswa kwemhangura metabolism nekuunganidza kwayo munhengo nematishu);
chirwere cheshuga;
isiri-doro mafuta ane chiropa chirwere;
kunwa doro zvakanyanya;
zvirwere zveparasitic zvechiropa;
kushandiswa kwenguva refu kwevanabolic steroid.
3. Ziva zviratidzo
Vanhu vazhinji havana zviratidzo zvakananga mumatanho ekutanga. Zvisinei, kana vachionekwa, zvakakosha kubhadhara kune:
kuzvimba kana kuputika kwedumbu;
kurwadziwa kunorwadza kurutivi rworudyi;
kurasikirwa nenzara;
kusagadzikana kwekudya;
kuora muviri pasina chikonzero;
kusvotwa uye kurutsa;
atypical kushaya simba, kuneta, general malaise.
Negomarara repamusoro, jaundice, inoratidzwa nekuchena kweganda uye machena emeso, uye chena (chalky) stool inobatana nezviratidzo.
4. Usatya kuenda kuna chiremba
Diagnostics
Kana iwe ukaona usinganzwe zvakanaka, uchiziva chaizvo njodzi yako, kana kuona zviratidzo zvinokunetsa, zvakakosha kuti uone oncologist nekukurumidza. Kuongororwa kwegomarara rekutanga rechiropa kunobva pane yakabatanidzwa nzira inosanganisira:
kuongororwa (palpation, nyanzvi inogona kazhinji kuongorora chiropa chakawedzera);
kuongororwa ropa kweiyo oncomarker yekenza yechiropa yekutanga AFP (alpha-fetoprotein);
ultrasound kuongororwa (ultrasound);
computed tomography (CT kana PET / CT);
magnetic resonance imaging (MRI);
puncture (percutaneous) biopsy inoteverwa ne histological examination.
mabatiro
Zvichienderana nekuti kenza yechiropa yakaonekwa rini, kurapwa uye kurapwa kwezvinodhaka kungadiwa.
Kubviswa kwebundu kana metastases mugomarara rechipiri ndiko kurapwa kukuru.
Chemo- (kusanganisira yakanangwa) kurapwa inogona kushandiswa kuwedzera.
Chemoembolization yechiropa (kuvharika kwetsinga dzinodyisa bundu) uye cryodestruction (kuparadzwa kwemetastases uchishandisa tembiricha yakaderera), radiofrequency uye microwave ablation, radionuclide therapy ndiyo dzimwe nzira dzinoshandiswa pakurapa cancer.
Zvakakosha kuti unzwisise kuti kenza yechiropa, yekutanga neyechipiri, inorapwa zvinobudirira. Chinhu chikuru ndechokuteerera kune maalarm mafoni uye pakarepo enda kunzvimbo yekugamuchira.