Cholangiocarcinoma

Cholangiocarcinoma (CCA) isinganzwisisike cancer (yakaipa) kukura mune imwe yemadhiri anotakura bile kubva pachiropa kuenda mudumbu ura.

Icho chaicho chikonzero cheCCA hachizivikanwe. Zvisinei, mazhinji emamota aya anenge atofambira mberi nenguva yavanowanikwa.

CCA inogona kutanga chero kupi pamwe nemaburi ducts. Aya mamota anovhara kubva pane ducts ducts.

Vese varume nevakadzi vanobatwa. Vanhu vazhinji vakura kupfuura makumi matanhatu nemashanu.

Vanhu vane matambudziko ehutano anotevera vanogona kuve nemukana wakakura wekuvandudza CCA:

• Bhairi dhayeti (choledochal) cysts
• Chisingaperi biliary uye chiropa kuzvimba
• Nhoroondo yehutachiona nehutachiona hwehonye, ​​chiropa chinoputika
• Chikuru sclerosing cholangitis
• Ulcerative colitis

Zviratidzo zveCCA zvinogona kusanganisira chero yeanotevera:

• Fivha uye kutonhora
• Tsvina-yevaravara zvituru uye yakasviba weti
• Itching
• Kupererwa nechido
• Marwadzo mudumbu repamusoro rorudyi anogona kubuda kumashure
• Kuonda
• Kupenya kweganda (jaundice)

Mutapi wako wezvehutano achaita bvunzo dzepanyama. Miedzo ichaitwa kuongorora bundu kana kuvharika muiyo bile duct. Izvi zvinogona kusanganisira:

• Abdominal CT scan
• Abdominal ultrasound
• Maitiro anoshandisa chiyero chekutarisa kutarisa iyo bile ducts (ERCP), panguva iyo nyama inogona kutorwa nekutariswa pasi pe microscope

Kuongororwa kweropa kunogona kuitwa kunosanganisira:

• Chiropa chinoshanda bvunzo (kunyanya alkaline phosphatase kana bilirubin mazinga)
• Yakazara kuverenga ropa (CBC)

Chinangwa ndechekurapa gomarara uye kuvhara kwaanokonzera. Pazvinokwanisika, kuvhiya kubvisa bundu ndiko kurapwa kwesarudzo uye kunogona kukonzera kurapwa. Kazhinji kenza inenge yatopararira munharaunda kana kune imwe nzvimbo yemuviri nenguva yainoonekwa. Nekuda kweizvozvo, kuvhiyiwa kurapa kenza hakuite.

Chemotherapy kana radiation inogona kupihwa mushure mekuvhiyiwa kudzikisa njodzi yekudzoka kwekenza.

Muzviitiko zvakasarudzwa, kuisirwa chiropa kunogona kuyedzwa.

Endoscopic Therapy ine stent kuiswa inogona kumbobvisa zvishoma mabhureki mune biliary ducts. Izvi zvinogona zvakare kubvisa jaundice kana bundu risingakwanise kubviswa.

Kunyatso bvisa bundu rinobvumira vamwe vanhu kuti vapone pamwe nemukana wekurapwa kwakakwana.

Kana bundu risingakwanise kubviswa zvachose, kurapwa hakuwanzo kuitika. Nokurapwa, inenge hafu yevakakanganiswa vanhu vanogara gore, uye imwe hafu vanorarama zvakareba, asi kashoma kupfuura makore mashanu.

Hospice kazhinji chinhu chakanaka kune vanhu vane CCA isingarapike.

Zvinetso zveCCA zvinosanganisira:

• Utachiona
• Chiropa kutadza
• Kupararira (metastasis) yebundu kune dzimwe nhengo

Fonera mupiki wako kana uine jaundice kana zvimwe zviratidzo zve cholangiocarcinoma.

Bira dhayeti kenza

• Kugaya chirongwa
• Bile nzira

National Cancer Institute webhusaiti. Bile duct cancer (cholangiocarcinoma) kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/liver/hp/bile-duct-treatment-pdq. Yakagadziridzwa Nyamavhuvhu 23, 2020. Yakasvika munaNovember 9, 2020.

Rajkomar K, Koea JB. Intrahepatic cholangiocarcinoma. Muna: Jarnagin WR, rakanyorwa. Kuvhiya kwaBlumgart kweRopa, Biliary Tract uye Pancreas. 6th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 50.

Rizvi SH, Gores GJ. Mamota eiyo bile ducts, nduru, uye ampulla. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 69.