Munyori: Joan Hall
Zuva Rekusika: 28 Kukadzi 2021
Gadziridza Zuva: 23 Mbudzi 2024
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Treatment of Painful Spinal Metastases with Radiofrequency Energy | UCLAMDChat
Vhidhiyo: Treatment of Painful Spinal Metastases with Radiofrequency Energy | UCLAMDChat

Chiropa metastases zvinoreva kenza yakapararira kuchiropa kubva kune imwe nzvimbo mumuviri.

Chiropa metastases hachina kufanana nekenza inotangira muchiropa, inonzi hepatocellular carcinoma.

Anenge chero kenza inogona kupararira kuchiropa. Cancers inogona kupararira kuchiropa inosanganisira:

  • Gomarara repazamu
  • Kenza yakajeka
  • Kenza yesophageal
  • Kenza yemapapu
  • Melanoma
  • Mukenza wepancreatic
  • Kenza yemudumbu

Ngozi yekenza inopararira kuchiropa inoenderana nenzvimbo (saiti) yekenza yekutanga. Chiropa metastasis inogona kunge iripo kana iyo yekutanga (yekutanga) kenza ichionekwa kana inogona kuitika mwedzi kana makore mushure mekutanga bundu rekubviswa.

Mune zvimwe zviitiko, hapana zviratidzo. Kana zviratidzo zvikaitika, zvinogona kusanganisira:

  • Kuderedza kudya
  • Kuvhiringidzika
  • Fivha, kudikitira
  • Jaundice (yero yeganda uye vachena vemeso)
  • Nausea
  • Marwadzo, kazhinji ari kumusoro kwepamusoro chikamu chedumbu
  • Kuonda

Miedzo inogona kuitwa kuti uongorore metastases yechiropa inosanganisira:


  • CT scan yemudumbu
  • Chiropa basa bvunzo
  • Chiropa biopsy
  • MRI yemudumbu
  • PET scan
  • Ultrasound yemudumbu

Kurapa kunoenderana ne:

  • Iyo yekutanga kenza saiti
  • Une mamota mazhinji echiropa aunayo
  • Kunyangwe kenza yapararira kune dzimwe nhengo
  • Hutano hwako hwese

Mhando dzekurapa dzinogona kushandiswa dzinotsanangurwa pazasi.

Kuvhiya

Kana bundu riripo mune imwe chete kana mashoma mashoma echiropa, gomarara rinogona kubviswa nekuvhiyiwa.

CHEMOTHERAPY

Kana gomarara rapararira kuchiropa uye nedzimwe nhengo, muviri wese (systemic) chemotherapy inowanzo shandiswa. Rudzi rwemakemikari anoshandiswa zvinoenderana nerudzi rwepakutanga kenza.

Kana gomarara rave kungopararira muchiropa, systemic chemotherapy inogona kunge ichiri kushandiswa.

Chemoembolization imhando yekemotherapy kune imwe nzvimbo. Chubhu mutete inonzi catheter inoiswa mune tsinga mukati mekugomera. Iyo catheter inosungirwa mutsinga iri muchiropa. Mushonga unouraya gomarara unotumirwa kuburikidza necatheter. Ipapo mumwe mushonga unotumirwa kuburikidza necatheter kuvhara ropa kuyerera kuchikamu chechiropa nebundu. Izvi "zvinofa nenzara" masero ekenza.


MIMWE MIRAPO

  • Doro (ethanol) yakajowa mukati mechiropa bundu - Tsono inotumirwa kuburikidza neganda rakananga mukati mechiropa bundu. Doro rinouraya cancer maseru.
  • Kupisa, uchishandisa redhiyo kana simba rewa microwave - Tsono hombe inonzi purofiti inoiswa pakati pechiropa. Simba rinotumirwa kuburikidza netambo dzakatetepa dzinodaidzwa kuti ma electrode, ayo akasungirirwa kuchirongwa chekuongorora. Maseru ekenza anopisa uye anofa. Iyi nzira inonzi radiofrequency ablation panoshandiswa redhiyo simba. Inonzi microwave ablation kana simba re microwave rashandiswa.
  • Kutonhora, kunonziwo cryotherapy - Chiongorori chinoiswa mukubata nebundu. Kemikari inotumirwa kuburikidza nesprobe iyo inokonzera makristasi echando kuumbika akatenderedza probe. Maseru egomarara akagwamba uye anofa.
  • Radioactive beads - Aya mabhuru anounza mwaranzi kuuraya maseru ekenza uye kuvhara arteri inoenda kune bundu. Maitiro aya anonzi radioembolization. Izvo zvinoitwa nenzira imwecheteyo se chemoembolization.

Kunyatsoita kwaunoita kunoenderana nekenza yekenza yekutanga uye kuti yakapararira sei kuchiropa kana chero kumwe kunhu. Muzviitiko zvisingawanzoitika, kuvhiyiwa kubvisa tumarara teropa kunotungamira pakurapa. Izvi zvinowanzo goneka chete kana paine mashoma mamota mune chiropa.


Muzviitiko zvakawanda, kenza yakapararira kuchiropa haigone kurapwa. Vanhu vane kenza yakapararira kuchiropa kazhinji vanofa nechirwere chavo. Nekudaro, kurapwa kunogona kubatsira kudzikira mamota, kunatsiridza tarisiro yehupenyu, uye kubvisa zviratidzo.

Matambudziko anowanzo kuve mhedzisiro yemamota anopararira kunzvimbo yakakura yechiropa.

Zvinogona kusanganisira:

  • Kuvharika kwerukova rwe bile
  • Kuderedza kudya
  • Kupindwa nechando
  • Kukundikana kwechiropa (kazhinji chete mumatanho ekupedzisira echirwere)
  • Kurwadziwa
  • Kuonda

Chero ani anga aine mhando yekenza inogona kupararira kuchiropa anofanirwa kuziva zviratidzo nezviratidzo zvakanyorwa pamusoro, uye osheedza chiremba kana chero cheizvi chikaitika.

Kukurumidza kuona mamwe marudzi ekenza kunogona kudzivirira kupararira kwekenza idzi kuchiropa.

Metastases kune chiropa; Metastatic kenza yechiropa; Kenza yechiropa - metastatic; Kenza yakajeka - chiropa metastases; Kenza yekoloni - metastases yechiropa; Esophageal cancer - chiropa metastases; Kenza yemapapu - metastases yechiropa; Melanoma - chiropa metastases

  • Chiropa biopsy
  • Kenza yeHepatocellular - CT scan
  • Chiropa metastases, CT scan
  • Digestive system nhengo

Mahvi DA. Mahvi DM. Chiropa metastases. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 58.

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