Ukufumana Unyango loMhlaza weGastric olufikelelekayo eTurkey

Yintoni uMhlaza weGastric?

Umhlaza wesisu, ngamanye amaxesha obizwa ngokuba ngumhlaza wesisu, sisifo sesihlanu esixhaphakileyo kwihlabathi. Ukuphuhliswa komhlaza kunye neeseli ezinobungozi kumgca wangaphakathi wesisu kubangela esi sigulo.
Umhlaza wesisu awuqhubeki ngokukhawuleza; kunokuba, iqhubela phambili ngokucothayo ekuhambeni kwexesha. Ngaphambi kokuba umhlaza wokwenyani uvele, kukho utshintsho oluninzi oluyingozi. Nangona kunjalo, ngenxa yokuba olu tshintsho lwakwangoko alufane lubangele iimpawu, luhlala lungaqatshelwa kumanqanaba okuqala, xa unyango lusebenza kakhulu.
Umhlaza wesisu unokusasazeka kudonga lwesisu kunye namalungu akufutshane.
Ine-proclivity ephezulu yokusasazeka kwimithambo ye-lymph kunye ne-lymph nodes. Iyakwazi ukuhamba ngokujikeleza kwaye isasazeke okanye i-metastasis kumalungu anjengesibindi, imiphunga kunye namathambo kwinqanaba eliphezulu. Ngokuqhelekileyo, izigulane ezifunyaniswa zine umhlaza wesisur sele benziwe ngaphambili okanye baya kuphuhlisa imetastasis.

Zeziphi iimpawu zoMhlaza weGastric?

Kukho iintlobo ngeentlobo zeempawu zokuqala kunye neempawu zomhlaza wesisu. Nangona kunjalo, iimpawu zomhlaza wesisu kusenokuba ngenxa yesinye isifo esiphantsi. Ngelishwa, esi sesinye sezizathu eziphambili zokuba kutheni ukufumanisa umhlaza wesisu kwinqanaba lokuqala kungumngeni.
Ezi zilandelayo zezinye zazo iimpawu zokuqala kunye neempawu zomhlaza wesisu:
Ukuguquka
Dyspepsia rhoqo
Isicaphucaphu esincinci
Ukulahleka kwesondlo
Ukubhobhoza rhoqo
Ukuziva udumbile
Nangona kunjalo, ngenxa yokuba ufumana ukungagayeki okanye isitshisa emva kokutya akuthethi ukuba unomhlaza. Kodwa, ukuba unezi mpawu zininzi, yiya kugqirha wakho, onokuthi athathe isigqibo sokuba uyalufuna na uvavanyo olongezelelekileyo.
Kukho kwakhona ezinye iimpawu ezimandundu zomhlaza wesisu. Makhe sijonge kubo.
Ukubetha kwentliziyo rhoqo, isisu esibuhlungu rhoqo okanye iintlungu, ukugabha kunye negazi, ubunzima bokuginya, ukwehla komzimba ngesiquphe nokungathandi ukutya kunye negazi elindle.

Ungawuchonga njani uMhlaza weGastric?

Zininzi iindlela zokuxilonga umhlaza wesisu. Makhe sithethe ngazo ngokweenkcukacha.
I-endoscopy ephezulu, i-biopsy, iimvavanyo ze-x-reyi zesisu, i-CT okanye i-CAT scan, i-endoscopic ultrasound, i-positron emission tomography (i-PET) scan, i-magnetic resonance imaging (MRI) kunye ne-x-reyi yesifuba zezinye zeemvavanyo zokuxilonga isisu. umhlaza.

Iintlobo zoMhlaza weGastric

Ezinye izifo ezinobungozi zesisu okanye umhlaza we-esophageal akufanele zibhidaniswe nomhlaza wesisu. Umhlaza wamathumbu amakhulu namancinci, isibindi, kunye ne-pancreas zinokukhula zonke kwisisu. Ezi thumba zinokuba neempawu ezahlukileyo, ukuxilongwa, kunye nokukhetha unyango.
Ezi zilandelayo zezinye zazo ezona ntlobo zixhaphakileyo zomhlaza wesisu:
Adenocarcinoma lolona hlobo luxhaphakileyo lomhlaza wesisu, lubalelwa kuma-90 ukuya kuma-95 epesenti yazo zonke iimeko. Iiseli ezenza ucweyo lwesisu olungaphakathi (mucosa) zikhula zibe kolu hlobo lomhlaza.
I-Lymphoma: I-Lymphoma luhlobo olungaqhelekanga lomhlaza wesisu olubalelwa malunga ne-4% yazo zonke izifo zesisu. Ezi zizinto ezimbi zezicubu ze-immune system ezinokubonwa ngamaxesha athile kudonga lwesisu.
Isisu esiswini somzimba (GIST) luhlobo olungaqhelekanga lwethumba oluqala kwizigaba zokuqala zeeseli kudonga lwesisu ezaziwa ngokuba ziiseli ze-interstitial zeCajal. IiGIST zinokufunyanwa kuyo nayiphi na indawo yenkqubo yesisu.
Ithumba leCarcinoid: I-Carcinoid tumors luhlobo olungaqhelekanga lomhlaza wesisu olubalelwa malunga ne-3% yazo zonke izifo zesisu. Izidumbu zeCarcinoid iqala kwiiseli zesisu ezivelisa iihomoni.

Ixabisa malini umhlaza wesisu eTurkey?

ETurkey, iindleko zoTyando lokuNyangwa koMhlaza weSisu iqala kwi-6500 yeedola. Ngelixa kukho amaziko amaninzi eTurkey anyanga umhlaza wesisu, siya kukubonelela nge-SAS, JCI, kunye nezixhobo eziqinisekisiweyo ze-TEMOS ngeziphumo ezilungileyo zomhlaza wesisu.

Iindleko zePakethe yoNyango lomhlaza wesisu eTurkey iyahluka ngokweziko ngalinye kwaye inokubandakanya iinzuzo ezahlukeneyo. Izibhedlele ezininzi zibandakanya iindleko zezifundo zotyando zesigulane kwiiphakheji zabo zonyango. Ukulaliswa esibhedlele, utyando, ukonga, amayeza, kunye ne-anesthesia ngokubanzi zibandakanyiwe kwiindleko zonyango. Izinto ezininzi, kubandakanya ukuhlala ixesha elide esibhedlele kunye neengxaki ezilandelayo utyando, lunokunyusa iindleko zomhlaza wesisu eTurkey.

Loluphi uKhetho loNyango loMhlaza weGastric eTurkey?

Izibhedlele zabucala zaseTurkey ngoku zibonelela ngonyango lwangoku kunye neetekhnoloji. Sikhetha ngononophelo oogqirha abakhulu kunye nezibhedlele eziphezulu ukuba babe yinxalenye yenethiwekhi yethu ekhethekileyo ukuze siqinisekise ukuba abaguli bethu bafumana unyango oluthembekileyo nolusebenzayo.
Utyando, ichemotherapy, kunye nemitha zonke iindlela zokunyanga umhlaza wesisu. Injongo yolu nyango kukuphelisa ubulwelwe nokuphelisa iimpawu. Makhe sizijonge ngokweenkcukacha.
Utyando lomhlaza wesisu eTurkey:
Xa isigulana sifunyaniswa sinomhlaza wesisu, utyando eTurkey lolona khetho luqhelekileyo lonyango. Iinketho zotyando lomhlaza wesisu zimiselwa ngokwebakala lomhlaza. Ubungakanani bethumba kunye nokuba isasazeke kwamanye amalungu ichaza ibakala. I-Endoscopic mucosal excision ingasetyenziselwa ukunyanga umhlaza okwinqanaba lakwangoko. Utyando lomhlaza wesisu lubandakanya ukususa inxalenye yesisu esinethumba (i-partial gastrectomy) kunye nee-lymph nodes ezisingqongileyo (i-lymphadenectomy). Ukuba ithumba liye lanwenwela ngaphandle kwesisu kumanqanaba okugqibela, isigulane sinokufuna i-gastrectomy engaphelelanga.
Kwibanga le-0 kunye ne-1, kuphela i-gastrectomy engaphelelanga efunekayo, ngelixa izigulane zebanga lesi-2 kunye ne-3, i-gastrectomy ene-lymphadenectomy iyadingeka.

Unyango lweChemotherapy kuMhlaza weSisu eTurkey:

Unyango ngamachiza, okuthetha nje “unyango lweziyobisi,” luzama ukunyanga umhlaza okanye ukuthomalalisa naziphi na iimpawu olusenokuzibangela. I-Chemotherapy lunyango olusebenzisa amayeza achasene nomhlaza ukubulala iiseli zomhlaza. Amayeza ajikeleza egazini kwaye abulale iiseli zomhlaza ezikhula ngokukhawuleza ngelixa zibangela umonakalo omncinci kwiiseli eziphilileyo.
Unyango ngamachiza lunokusetyenziswa emva kotyando ukubulala naziphi na iiseli zethumba ezishiyekileyo. Ukuba i-histology ibonisa ukuba kukho ingozi yokuphindaphinda okanye ukusasazeka, isigulane siya kunikwa i-adjuvant chemotherapy.
Izigulana zihlala zinikwa inani lemijikelo yechemotherapy ukuze kupheliswe iiseli zomhlaza ezininzi kangangoko kunokwenzeka. Ngexesha lomjikelo ngamnye, isigulana sinokufumana iyeza elinye okanye indibaniselwano yamayeza amabini okanye amathathu achasene nomhlaza. Isicaphucaphu, ukudinwa, ukulahleka kweenwele, kunye nokuhlanza zonke ziziphumo ebezingalindelekanga zechemotherapy. Ke, ichemotherapy yabaguli abanomhlaza wesisu eTurkey inokusetyenziswa.

Iradiyografi yomhlaza wesisu eTurkey:

Iradiyografi yenye unyango lomhlaza wesisu eTurkey. Imitha yemitha yedosi ephantsi isetyenziswa kunyango ngeradio, ekwaziwa njengonyango lwemitha, ukubulala iiseli zomhlaza. Kwiimeko ezithile, i<em>radiaotherapy ne<em>chemotherapy zisetyenziswa ukongezelela kwezinye iindlela zonyango, kuxhomekeke kuhlobo lotyando umguli elwenzileyo kunye nenqanaba lesi sifo.
Ngaphambi okanye emva kotyando, i-radiotherapy isenokusetyenziswa. Emva koqhaqho, iradiotherapy (i-adjuvant radiation) inokusetyenziselwa ukuphelisa naziphi na iiseli zethumba ezishiyekileyo. Phambi kotyando, iradiotherapy (neoadjuvant radiation) isetyenziselwa ukunciphisa ubungakanani bamathumba amakhulu, ivumela ugqirha wotyando ukuba alisuse ngokupheleleyo ithumba.
Isixhobo esibizwa ngokuba yi-linear accelerator sisetyenziselwa ukulawula unyango. Kangangeeveki ezintathu ukuya kwezintandathu, isetyenziswa kanye ngosuku neentsuku ezintlanu ngeveki (ngoMvulo ukuya kutsho ngoLwesihlanu). Kuya kuthatha nje imizuzu embalwa kwiseshoni nganye. Ukudinwa, ukubabomvu kwesikhumba, isicaphucaphu kunye nokugabha, kunye norhudo zonke ziziphumo ebezingalindelekanga eziqhelekileyo radiotherapy unyango umhlaza eTurkey.

Iinketho zonyango kuManqanaba oMhlaza weGastric eTurkey?

Inqanaba 0 Umhlaza Wesisu: Unyango lwenqanaba loku-0 lomhlaza wesisu lukholisa ukwenziwa ngotyando lwe-endoscopic.
Inqanaba 1 Umhlaza Wesisu: Unyango lwenqanaba loku-1 lomhlaza wesisu ludla ngokuba lutyando lwe-endoscopic olulandelwa ziiseshoni ezimbalwa zechemotherapy. Ugqirha wotyando unokukucebisa ukuba ufumane iiseshini ezimbalwa zechemotherapy phambi kotyando.
Inqanaba 2 Umhlaza Wesisu: Utyando lolona khetho luphambili lonyango lwenqanaba lesi-2 lomhlaza wesisu, lulandelwa yichemotherapy. Ukuba ukhetha ukungatyandwa, unokunyangwa ngendibaniselwano yechemotherapy kunye nemitha.
Inqanaba 3 Umhlaza Wesisu: Unyango lwenqanaba lesi-3 lomhlaza wesisu lubandakanya iiseshini ezimbalwa zechemotherapy phambi kotyando, kulandele utyando. Imijikelo embalwa yechemotherapy yenziwa emva kotyando, ilandelwa lunyango lwemitha.
Inqanaba 4 Umhlaza Wesisu: I-Chemotherapy lolona khetho luphambili lonyango kubantu abanenqanaba lesi-4 lomhlaza wesisu. Ukulawula iimpawu, utyando lunokwenziwa. Ukuba kuyimfuneko, i-radiotherapy inokunikezelwa ukunciphisa iimpawu.

Ziziphi iiNzuzo zoNyango lomhlaza wesisu eTurkey?

Ukufumana unyango lomhlaza eTurkey ineenzuzo ezininzi. Idibanisa ubuchule bokusika kunye nemirhumo efanelekileyo kunye nexabiso eliphantsi lombutho wezonyango. Izibhedlele zaseTurkey azinyusi umrhumo wazo kwizigulana zamanye amazwe. Ngokweenkcukacha-manani zeminyaka elishumi edlulileyo, eli lizwe belikwilizwe labahlanu abaphezulu kwezokhenketho lwezonyango, lithe lanyanga ngempumelelo amawaka abemi bamazwe angaphandle abanomhlaza.
Amaziko onyango lwe-oncology akwazi ukufumana inqanaba elitsha lonyango kwaye anelise imigangatho yamazwe ngamazwe ngenxa yenkxaso-mali yoluntu (i-10% yohlahlo lwabiwo-mali lwaseTurkey lunikezelwe kwicandelo lezempilo) kunye nokutyalomali olusebenzayo kuphuhliso lwamayeza.
Inkonzo ekumgangatho ophezulu ngexesha lonyango lomhlaza wesisu eTurkey ezithelekiseka nezo zase-USA.
Izigulana zilawulwa ngokuhambelana nezithethe kunye nezenzo zehlabathi, kwaye zonke izixhobo ezibalulekileyo ziyafumaneka.
Iindleko zonyango kunye namaxabiso eenkonzo anxulumeneyo afanelekileyo.
Akukho mqobo wolwimi kuba amaziko ezonyango aqesha abasebenzi abathetha iilwimi ezahlukahlukeneyo okanye abatoliki.
ETurkey, umgangatho wonyango lomhlaza ilawulwa ngononophelo. Ngexesha lokuxilongwa komhlaza kunye nonyango eTurkey, zonke izigulana kwizibhedlele zaseTurkey zikhuselwe ngumthetho welizwe.

Njani ukuBuyisa kuMhlaza weSisu eTurkey?

Kungathatha ixesha elide ukuba ukuchacha emva konyango lomhlaza wesisu eTurkey. Ukujongana neempawu ezingathandekiyo, ezinjengeentlungu ezibuhlungu, unokufuna ukhathalelo oluthile lwe-palliative. Ngoncedo oluthe rhoqo oluvela koogqirha, abahlobo, abongikazi, namalungu entsapho, ngokuthe ngcembe impilo yakho iya kuphucuka, yaye uya kukwazi ukunandipha umgangatho ophakamileyo wobomi.
Usenokungakwazi ukutya kakuhle okanye ngokuzimeleyo kanye emva kwenkqubo. Nangona kunjalo, kwiintsuku ezimbalwa, uya kuba nakho ukuphinda uqalise inkqubo yakho yesiqhelo. Kunokuba ngumceli mngeni ukucwangcisa nokulawula ukuqeshwa kwenyanga yechemotherapy emva kotyando.
Thetha nogqirha wakho malunga naziphi na iziphumo ebezingalindelekanga onokuthi ube nazo ngenxa yechemotherapy. Eyakho ugqirha kumhlaza wesisu eTurkey uya kukunika amanye amayeza isicaphucaphu, intlungu, ubuthathaka kunye nentloko.

Leliphi ilizwe elinezona zibhedlele zilungileyo kunye noGqirha boMhlaza weGastric?

I-Turkey iphakathi kwelona lizwe lilungileyo lonyango lomhlaza wesisu ngenxa yokuba inenani elikhulu loogqirha abaziingcali kunye nezibhedlele ezikumgangatho ophezulu.
Izibhedlele ezibonelela ngonyango lomhlaza wesisu eTurkey bangaphezulu kwama-24. Xa kufikwa kwisisu Unyango lomhlaza, ezi zixhobo zineziseko zoncedo ezigqwesileyo kwaye zibonelela ngonyango olukumgangatho ophezulu. Ngaphandle kokubonelela ngonyango olugqwesileyo, izibhedlele zamkelwa ngokubambelela kuyo yonke imigaqo esemgangathweni nesemthethweni ebekwe ligunya lemicimbi yezonyango lendawo okanye umbutho.

Leliphi elona lizwe liPhakamileyo lokuFumana unyango loMhlaza weGastric?

Zininzi kakhulu amazwe aphezulu kunyango lomhlaza wesisu kunye neTurkey ihamba phambili phakathi kwabo ngenxa yezibhedlele zayo ezixhotyiswe kakuhle kunye nezinkulu, ukunyamekela izigulane zamazwe ngamazwe, izinga eliphezulu lokwaneliseka kwesigulane, kunye nobuchule boogqirha / oogqirha.
Rhoqo ngonyaka, inani elikhulu lezigulana liya eTurkey ukuya kufumana unyango olukumgangatho wehlabathi ngexabiso eliphantsi. Ilizwe likhaya kumaziko amaninzi akumgangatho wehlabathi abonelela ngonyango olungenakuthelekiswa nanto olunamazinga aphezulu empumelelo, anokujongana nezinto ezininzi ezikhethekileyo, kwaye enze uluhlu olubanzi lweenkqubo. Ukugcina umgangatho wonyango kunye nokhuseleko lwezigulane, izibhedlele zithobela imilinganiselo engqongqo yezonyango kunye nemigangatho yamazwe ngamazwe.
Ungaqhagamshelana nathi ukuze ufumane iinkcukacha ezithe vetshe malunga iindleko zonyango lomhlaza eTurkey.