Chii chinonzi peritoneum cancer, zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru nezviratidzo
• Zvinogona kukonzerwa
• Ndedzipi mhando
• Maitiro ekuongororwa kunoitwa
• Kurapa nzira
• 1. Intraperitoneal chemotherapy
• 2. Chemotherapy mutsinga
• 3. Kuvhiya
• 4. Radiotherapy
• Gomarara reperitoneum rinogona kurapwa here?

Kenza yePeritoneum iri mhando isingawanzoitika yebundu rinoonekwa munyama rinomiririra chikamu chese chemukati chedumbu nenhengo dzayo, zvichikonzera zviratidzo zvakafanana nekenza mukati memazai, sekurwadziwa mudumbu, kuda kurutsa, kuzvimba dumbu uye kurasikirwa nekurema pasina chinoonekwa. kukonzera, semuenzaniso.

Kuongororwa kwegomarara reperitoneum kunogona kuitwa nachiremba kana oncologist kuburikidza nekufungidzira bvunzo, senge computed tomography uye pet-scan, kuongororwa kweropa kutarisa mamwe mapuroteni, anozivikanwa semamaki mamaki, uye zvakanyanya, nekuita biopsy. Kurapa kwakavakirwa padanho rebundu uye nemamiriro ehutano hwemunhu uye kunosanganisira kuvhiyiwa, chemotherapy uye radiation radiation.

Rudzi urwu rwegomarara runowanzo kuve nehasha uye hurefu hwehupenyu hwemunhu ane bundu muperitoneum hauna kunyatso tsanangurwa, zvisinei, nekuvhiyiwa uye chemotherapy inogona kusvika kusvika kumakore mashanu. Zvakare, kana gomarara reperitoneum rikawanikwa padanho rekutanga, munhu anogona kurarama kwenguva yakareba, asi zvinogara zvichidikanwa kuti uongororwe gore rega.

Zviratidzo zvikuru nezviratidzo

Kenza yePeritoneum inosvika padanho rinogadzika dumbu uye rinogona kutungamira pakuonekwa kwezviratidzo nezviratidzo se:

• Kuzvimba kwedumbu;
• Marwadzo emudumbu;
• Kuzvimbirwa kana kuita manyoka;
• Kuneta uye general malaise;
• Kushaiwa kudya;
• Zvakaoma mukugaya chikafu;
• Kurera huremu pasina chikonzero chiri pachena.

Pamusoro pezvo, kana chirwere ichi chikaonekwa padanho repamberi, zvinokwanisika kuziva ascites, inova iyo mvura inoungana mukati medumbu, uye izvi zvinogona kumanikidza mapapu zvichikonzera kufema kwekufema uye kunetseka kufema. Tarisa uone kuti kurapwa kwe ascites kunoitwa sei.

Zvinogona kukonzerwa

Izvo zvinokonzeresa gomarara reperitoneum hazvina kunyatso tsanangurwa, asi zvinozivikanwa kuti, mune dzimwe nguva, rudzi urwu rwegomarara rwunotanga nekuti masero ekenza kubva kune dzimwe nhengo anosvika panotenderera dumbu, kuburikidza neropa, uye kuwanda kuchipa mavambo ebundu. .

Zvimwe zvinhu zvine njodzi zvinogona zvakare kunge zvine chekuita nekuonekwa kwegomarara muparitoneum, senge vakadzi vanoshandisa mahormone mushure mekuguma kuenda kumwedzi, vane endometriosis uye vakafutisa. Nekudaro, vakadzi vanoshandisa mapiritsi ekudzivirira kubata pamuviri, vakave nekuvhiyiwa kwekubvisa ovari kana avo vakayamwisa havana mukana wekuva negomarara reperitoneum.

Ndedzipi mhando

Kenza yePeritoneum inotanga kukura, kunyanya, kubva kumasero enhengo yedumbu kana echikadzi nzvimbo, mune vakadzi, uye yakakamurwa kuita maviri marudzi, anoti:

• Chirwere chepakutanga cheperitoneum kana mesothelioma: inoitika kana shanduko dzemaseru dzichiitika zvakanyanya munyama iyi inovhara dumbu;
• Kenza yechipiri peritoneum kana carcinomatosis: inozivikanwa kana kenza ikamuka nekuda kwekenza metastases kubva kune dzimwe nhengo, senge mudumbu, ura uye mazai.

Zvakare, vakadzi vanoonekwa vaine gomarara reovari vane ma BRCA 1 uye BRCA 2 majeni ari panjodzi yekuwedzera kenza yechipiri peritoneum, ndosaka vakadzi ava vachifanirwa kuongororwa nguva dzese. Ona zvakawanda nezve ovarian cancer cancer zviratidzo.

Maitiro ekuongororwa kunoitwa

Kuongororwa kwegomarara reperitoneum kunogona kuitwa nachiremba mukuru kuburikidza nekufungidzira bvunzo dzakadai seultrasound, magnetic resonance, computed tomography uye pet-scan, zvisinei, kuti uzive nhanho yebundu inofanirwa kuita bhiopsy, iyo inogona kuitwa panguva yekuongorora laparoscopy. Tsvaga kuti laparoscopic kuvhiyiwa kunoitwa sei.

Bhiopsy inoitwa nekubvisa chidimbu chidiki chetinyama chinotumirwa ku laboratori uye wozoongororwa nachiremba. Nyanzvi yezvirwere inoongorora kana munyama une cancer maseru uye inosarudza mhando yemasero aya, inova sarudzo kune oncologist kutsanangura mhando yekurapa. Uye zvakare, kuwedzerana kweropa kuongororwa kunogona kuitwawo kuti vaone mamota mamaki, zvinova zvinhu zviripo mumhando dzakasiyana dzekenza.

Kurapa nzira

Mushonga wecancer peritoneum unotsanangurwa ne oncologist zvichienderana nedanho rechirwere uye zvinotevera zvinogona kuratidzwa:

1. Intraperitoneal chemotherapy

Intraperitoneal chemotherapy inosanganisira kushandisa mishonga mukati me peritoneum uye ndiyo mhando yekurapa inonyanya kukodzera kenza yeparitoneum, sezvo ichibvumira kuti mishonga ikurumidze kukurumidza kupinda munyama. Kazhinji, mishonga iyi inodziyirwa kutembiricha iri pakati pe40 ° C kusvika 42 ° C kudzivirira muviri kubva kuchitonhora uye kuita kuti zvive nyore kuti mishonga ipinde mumasero.

Uku kurapwa kunoratidzwa kune zviitiko umo gomarara reperitoneum risina kupararira kune dzimwe nhengo, senge huropi nemapapu, iri kuitwa pamwe nekuvhiyiwa kubvisa bundu uye kuve nemukana wekuti munhu apore nekukurumidza, pasina kuunza mhedzisiro sekurasikirwa nebvudzi uye kurutsa.

2. Chemotherapy mutsinga

Chemotherapy mutsinga inoratidzirwa yegomarara reperitoneum usati wavhiyiwa, kuitira kuti bundu ridzikise saizi uye zviri nyore kubviswa. Rudzi urwu rwemakemikari harushandiswe senzira yekurapa kenza yerudzi urwu, sezvo masero anorwara, aripo mune bundu, anopokana nemakemikari akasiyana siyana anoshandiswa kazhinji.

3. Kuvhiya

Kuvhiya kunoitwa kubvisa bundu muparitoneum apo gomarara risati rasvika kune dzimwe nhengo mumuviri uye rinoratidzwa kune vanhu vanokwanisa kugamuchira anesthesia. Rudzi urwu rwekuvhiya runofanira kuitwa navanachiremba vane ruzivo rwegomarara, sezvo zvichinyanya kuomarara uye kazhinji kunosanganisira kubviswa kwenhengo dzenhengo dzakadai sechiropa, chirwatata uye ura.

Asati aita kuvhiya, chiremba anokumbira kuongororwa kweropa kwakawanda seye coagulation test uye yeropa typing test, kana munhu wacho achifanira kuwedzerwa ropa nekuda kwekurasikirwa neropa panguva yekuvhiyiwa. Tsvaga zvimwe nezve mhando dzeropa uye kuenderana.

4. Radiotherapy

Radiotherapy ndiwo marapirwo ayo mwaranzi inoshandiswa kuparadza masero anokonzera gomarara reperitoneum uye anoiswa kuburikidza nemuchina unoburitsa mwaranzi akananga panzvimbo panowanikwa bundu.

Iyi nzira yekurapa inoratidzirwa nachiremba vasati vavhiyiwa, kudzikisa saizi yebundu muparitoneum, zvisinei, zvinogona zvakare kukurudzirwa kubvisa maseru ekenza mushure mekuvhiya.

Gomarara reperitoneum rinogona kurapwa here?

Rudzi urwu rwegomarara rwakanyanya kunetseka kupora uye chinangwa chekurapa ndechekuwedzera hupenyu hwemunhu, zvichipa hupenyu huri nani uye hwepanyama, hwepfungwa uye hwemagariro.

Mune zviitiko zvakakomba, umo gomarara reperitoneum riri padanho repamberi uye rapararira kune dzimwe nhengo, zvakakosha kutora matanho ekuchengetedza, kuitira kuti munhu asanzwe kurwadziwa uye kusagadzikana kukuru. Ona zvimwe chinonzi kutarisira kwakanaka uye kana kuchinge kwaratidzwa.

Kurapa kwegomarara reperitoneum kunogona kuve nemhedzisiro isingafadzi, ona vhidhiyo kune mamwe matipi ekudzora mhedzisiro iyi: