Chirwere melanoma: Nzira, wongororo

The hwaro vakabudirira pakurapa chirwere - yaro yakakodzera kuongorora chirwere. Kunyanya mashoko aya anoruramiswa kana bundu pathologies, apo chaizvoizvo ose wechipiri Counts. Mumwe dambudziko kwakadaro melanoma. Gore negore chinhu kenza chirwere chete muduku. Kwokutanga chiremba achakwanisa kuziva izvozvo, dzakanga mikana yakanaka fungidziro. Mazuva ano nyaya apa zvikuru nzira diagnosing melanoma, uye rinorondedzera embodiments kurapwa kwayo.

Medical chitupa

Melanoma - munhu akaipa hunhu bundu kuti anova paganda tishu zvimedu. Zvinonzi aumba kubva melanocytes - masero anokonzera kusarudzwa ruvara rwacho nokuda kubereka kuti maatomu akafanana izvi. It akaziva idzodzo pangozi zvikuru dzomuviri dzakaoma kudzivirira ultraviolet nemwaranzi. Tiri kutaura chiso, hunde uye migumo. Melanoma inogona vanowanika pamusoro-nzvimbo kwerubwinyo rwakagara rwuripo huripo nevus kana kupararira gwindiri epithelial zvimedu.

Chinokosha munhu pathological kwacho ndiko kushaiwa rinenge rakazara masoja mhinduro. Naizvozvo, bundu hwapedyo nokukurumidza uye kunowedzera ukuru. Gore negore zvinonzi chirwere vanhu vanenge 100,000. In nyika yedu, pane tsika kuwedzera hwevanhu vanorwara. Muchiitiko chino, melanoma kazhinji inobata vanhu pakati pemakore 75 kusvika 85 makore. It yekudyidzana kunoderedza ya upenyu uye kunogona kutungamirira kurufu.

Maererano zvokurapa uwandu, vanenge 75% nyaya zviri vakwanise kuona chirwere achiri padanho kukura. Izvi zvinogoneka kwete chete nokuda kwazvo kunotoda mufananidzo. A basa nedanho kuzivikanwa ndohwavo mangwanani chirwere kuti melanoma. Kusiyanisa kubva dzimwe mhando ganda nekenza zvinogona mufanidziro. Zvisinei, nokuti kuswedera kumusoro purogiramu kurapwa kuziva pamusoro bundu ruzivo zvikuru. Kuwana anobvumira kuona kukura uye pavaipfuura pathological muitiro kufembera, kuwana metastasis uye zvichingodaro. D. Uyezve muudzame pamusoro wayo zvikuru embodiments.

anamnesis

Nhoroondo Medical - ndiro rinonyanya padariro nechirwere ose anenge pathologies zvose. Aireva nechidzidzo murwere pakurapa nhoroondo uye ruzivo mazambiringa. Maererano migumisiro nomutsa kuongorora nyanzvi inogona kuita rokutanga chirwere uye akapiwa mhedziso vagadze tichiongorora.

Melanoma paaivatambudza oncologist. Musi wokutanga kugamuchira nguva dzose musarudzo murwere pamusoro wake zvinovhiringidza zviratidzo. Kujekesa kunotoda oncologist anogona kukumbira inoverengeka kugadzirisa mibvunzo: apo paiva chinangwa kuzvimba, zvinokonzerwa zvimwe zvinhu asati kukura kwayo, etc ...

Diagnosing melanoma Kunosanganisirawo kudzidza magene kubatwa. Chiremba kunokosha kuziva, nyaya dzakaita chirwere mune vamwe vomumhuri vakanga akanyorwa imomo. The ndechokuti vakawanda oncological pathologies ane nhaka hunhu.

ongororo Physical

Nokufamba tsanangudzo kudzidza zvekuchipatara kuratidzwa bundu nyanzvi inopa Qualitative tinyatsonzwisisa yayo inokosha parameters:

• Saizi;
• STRUCTURAL gutsikana;
• muganhu;
• mumwe ruvara ruvara;
• pemvura unaku.

Uyewo, chiremba anoita palpation pamusoro inguinal, axillary uye remuromo node nodes. Kana melanoma rinopararira, ayo pathological maronda zvikurukuru kupararira pedyo node nodes. Kuwedzera kukura kwavo - chiratidzo chakajeka kenza.

In oncology vanofungidzirwa akaipa ezvinhu anonzi fanira chirwere kudzidza uye kuongorora dzimwe nhengo dzomuviri, apo kufanana anogona iri. Kuvapo kwavo, varwere vakawanda havana kutomboziva. Somunhu neoplasm chesekondari, chisimbiso arege kuratidza zvimwe zviratidzo uye regai kanganisa. Multiple pathological maronda - chaiyo chinoratidza chimiro ichi kenza.

dermoscopy

Ichi chimwe nzira dzisiri invasive kuti chirwere kuti melanoma. Ndiye chaiye nyarara, saka musatya zvokurapa manipulations.

Munguva nzira, chiremba anogamuchira ruzivo pamusoro pakukora bundu, kusarudza ayo saizi chaiyo mudziyo - munhu micrometer. Ubanguranyika pachena kunyange inotungamirwa diki, kwakakura zvisina kupfuura 1 mm.

Kuongororwa venous uye rirambe richibvira ropa

Unogona kudzidza zvakawanda pamusoro mamiriro muviri pedyo bvunzo ropa. masero All kenza kubudisa dzakananga mapurotini. Izvi zvinonzi bundu zvezvinangwa. Muvanhu utano, havana kuwanikwa.

Kana melanoma murabhoritari yokuziva aikanganiswa onkomarkery mapuroteni S-100. Its wevasungwa kumusoro ropa anoratidza kwete chete zvakarurama kuisa rokutanga nechirwere, asiwo kuchinja zviri pathological muitiro. Tiri kutaura pamberi metastases mumuviri kuti sei nevamwe womukati nenhengo dzawo. In danho Kurapwa vachishandisa chiremba kuongorora zvakadaro achaongorora kuti yakarurama pamusoro wasarudza tactical kurapa, ayo mwero kunyatsoshanda.

In nyika yedu zvokuongorora kuti melanoma kuburikidza Pakusarudza wevasungwa muropa bundu zvezvinangwa ndiyo chete mutariri. Inspection mutengo kumusoro zvakakwana kuti wakarurama kushanda 100% yakarurama mugumisiro.

Kushandiswa radioactive phosphorus

Differential chirwere kuti melanoma anoitwa reactive phosphorus. Zvinonzi inobva migumisiro pamusoro pathological centre disubstituted yavaibvisa phosphate wakanyorwa pamwe radioactive zvinoriumba phosphorus. chiremba Patient zvinoratidza kunwa mushonga mangwanani uye nguva dzose usina chawadya. Zvadaro, pedyo kuonana wevasungwa anofananidzira radiometry isotopes chisimbiso localization wongoramba. Level "kuti malignancy chokuratidza" nokuti melanoma anoonekwa kuva-mudanga matatu nekumwisa uptake pamusoro bundu, kana tikaenzanisa mufananidzo uyu vane nzvimbo ganda utano.

confocal microscopy

Izvi non-invasive chirwere ganda melanoma nezvechisarudzo unokubvumira kuziva dambudziko achiri padanho kwayo kukura. Voitakura kunze kushandisa confocal microscopy midziyo pamwe yakaderera Kuwanda michini Ray fluxes. Used nemwaranzi dose iri dikisa, saka hazvigoni kukuvadza nomuviri womunhu. Maikorosikopu rinoongorora wokunze uye yomukati akaturikidzana ose epithelial uye kunyange vaiona nani shanduro rakapotsa biopsy.

MRI uye CT

Danho rinokosha mukurwisa upi kenza chirwere mangwanani kuziva miedzo metastases. The ndechokuti riri dzakapararira muviri maronda kazhinji kunowedzera mukana wokuti dzokororo uye kunoderedza kuti razero for kuti kunokurumidza kupora. Kuti izvi zvidaro, nhasi akashandisa MRI uye CT.

Magnetic resonance kuri rinoshandisa kushandisa magnets a simba uye radioactive chinozunguzirwa Rwako. Nokuda ichi zvinobvira kuti mufananidzo muna vose longitudinal uye transverse nzvimbo. Computed tomography rinoratidzawo kuvapo metastases. Zvisinei, kwaari rubatsiro inowanzopiwa vava kushandisa Danho nokufungidzira kuti chokwadi pamusoro kufambiswa maronda haisati kwechokwadi muviri.

biopsy

Mukutanga Danho melanoma zvakaoma kuona nemaziso. Biopsy unokubvumira kuongorora zvinhu anomera uye kuziva mwero kwayo malignancy. Munguva nzira, chiremba inoita fence bundu masero obva inoongorora navo pasi maikorosikopu. Dzimwe nguva unofanira kubvisa kufungira nzvimbo ganda zvachose.

Kana malignancy akatsinhira, pasi kubviswa kwete melanoma, asiwo pedyo tishu. Kana pakukora kwazvo 1 neMM, nokungwarira vakatakura sevarindi raiva pedyo nebundu kwetsinga. zvivako kwakadaro vanowanzopedzisira metastasize. The pathological kwacho kunotanga varindi dzakabatana. Vanewo pasi kuongororwa nemaikorosikopu. Kana masero kenza havasi nyanzvi anowana izvi, chirwere nhengo dzinobudisa hurongwa wazadziswa. Zvikasadaro, mamwe kurapwa basa (semuenzaniso, mishonga).

Automatic kuonekwa zvirwere

The nzira yokuzviratidza diagnosing melanoma haagoni kunzi senzira yakavimbika nzira kuziva chirwere. Ukuwo, asingadi kufungawo zviri zvakare kwete zvakakodzera. Kuramba richiona noutano mamiriro kunowedzera mukana wokuti mangwanani vasabatwa matambudziko.

Kenza anogona kuziva neurongwa anotevera zviratidzo:

1. The pakuonekwa itsva zera makwapa kana moles pamusoro muviri.
2. Ruvara yekupindurwa nevus, panowanikwa kuvaviwa.
3. Atindivare of ruvara - anozivikanwa chiratidzo cellular mutation.
4. Kuchinja moles miganhu. Vangave vakarasikirwa hasha dzavo vova damerau uye gogonera.

Early chirwere kuti melanoma ndiko kubudirira kurapwa. Naizvozvo, pakuonekwa mumwe kana kupfuura zviratidzo dziri pamusoro hwobva kutsvaka kubatsirwa dermatologist. Kana nhoroondo mhuri chirwere kwave nechirwere, zvakakodzera chaizvo kuti tifunge mamiriro ganda.

Views wevarwere

Chii varwere chaiwo nechirwere kuti melanoma kuitei? Reviews nzira iyi, pane zvakasiyana-siyana. Munyaya ino chete rinodonongodza rakajairika nzira kuziva zvirwere. Kusarudza imwe musiyano pakati muongororo anogara chiremba.

Positive mhinduro chokuita non-invasive nzira. Muchiitiko chino, varwere hatiitirwi kusanzwa, asi nzira pachavo vari zvachose nyarara. Zvisinei, havana dzinodzidzisa chete panguva kutanga pavaipfuura chirwere kukura.

Nepfungwa vanowanzotevedzera kuitika mushure biopsy. Zvechokwadi, izvi risingafadzi nzira kuti rinoitwa pasi zvavo yokutindivadza. Ukuwo, unogona kushandiswa yakavimbika kuona ukuru malignancy acho.

Recommended kurapwa

Uye chirwere uye Mabatirwo melanoma havafaniri kusiya vasina akavatarisa. Pashure pokusimbisa neoplasms hwobva kutanga kurapwa. Treatment zano kunobva pavaipfuura pathological muitiro. Somuenzaniso, kuvhiyiwa rinoitwa yekare kare yemagwaro. Pakuvhiya, chiremba kunobvisa melanoma, pedyo panguva chinhambwe 1-3 masendimita ose zvinyama uye subcutaneous mafuta. Cryodestruction nzira iri chirwere ichi hachina kuiswa.

Kana metastases vakanga dzakaonekwa pashure kurapwa panguva kiriniki kuti chirwere pamusoro melanoma, kurapwa ndiko kuita irradiation uye negashiro mishonga ( "Tamoxifen", "Carmustine"). Iri nani chepfu vamiririri, asi haagoni kuita pasina zvavo kushandisa. In dzakafanana, mutemo unoti akabata immunotherapy.

Sei kudzivisa chirwere?

Kudzivirira upi kenza iri rakakodzera dzakaonekwa. International Day nechirwere pakati melanoma inoitwa gore negore musi 23 May. On nharaunda nyika yedu mumaguta akawanda kuteerera zvikuru nayo. Somuenzaniso, muzuva rino, unogona kutora akasununguka ongororo nevi uye moles pamusoro muviri, kuti udzidze pamusoro mwero malignancy. Uyezve, vakawanda kushandiswa zvokurapa nzvimbo misangano navanachiremba uye yakamanikana nezvokurara, vanotaura pamusoro chirwere uye mhinduro mibvunzo kubva vateereri.

Vakazvimiririra kutadzisa kukura melanoma hakusi nyore. Doctors akurudzire muzhizha kushandisa unodzivirira midziyo nokuda ganda, iyo kunotadzisa kuti kupinda pakati UV mwaranzi. Kubva sunbathing inofanira kusiyiwa munguva kubva 12 kusvika 16 maawa. Zvakakodzera kunyatsoteerera pachavo. kwete Zvakaoma nguva nenguva rokuongorora muviri kuziva kuumbwa itsva pamusoro ganda uye kuongorora mamiriro aripo moles.

Kana mubvunzo nani kushanyira dermatologist kana oncologist. Uyewo musakanganwa kuti musi May 23 - zuva nechirwere ose melanoma apo munhu anogona kuva akasununguka kuongorora. Maererano zvabuda, uye chete kana zvakakodzera kushandiswa nenyanzvi dzose kutuma tichiongorora.