Vanosarudzwa kenza mushonga. zvakanangwa kurapa zvinodhaka

Kenza - chirwere chinogona kukanganisa munhu. Asi! Usatya uye mapfumo, nokuti mushonga asingadi mira. New zviitiko uye ruzivo hosha kuonekwa zuva nezuva, uye vabatwe oncological zvirwere wakaitwa pachine pamwero.

Pfungwa yokuti 'kenza "

Kenza - imwe nzira iyo masero omuviri kukura uye vagovane zvisingadzorwi, inomera munzvimbo pedyo nyama uye nhengo kupa metastasis. Mabviro kenza panguva haina elucidated chose. Sembura zvikonzero ndiwo: mugumisiro carcinogens, kusvuta, zvachose kuonana zvinokuvadza, chisingaperi zvirwere kuti tsamwisa yakarongeka masero utano, nhodzera, hormone zvirwere, zvirwere mu immunological mashoko, degeneration pamusoro benign anomera. Zvinoparadza kenza mishonga, angiogeneznaya, nangananga kurapa, uye nemwaranzi. Izvi chete chikamu nzira anowanzodanwa kushandiswa pakurapa varwere.

Form uye pavaipfuura kenza

Morphologically, zvinotevera siyana kenza:

- medullary-urikanwi kana cakes on the-kufanana chimiro;
- scirrhoma;
- papillary carcinoma;
- infiltrative-maronda chimiro;
- kenza howa;
- Easy kenza.

kupatsanura International kusiyanisa:

- adenocarcinoma;
- Squamous muchitokisi carcinoma;
- undifferentiated carcinoma;
- glandular squamous muchitokisi carcinoma;
- ungraded kenza.

Panewo kupatsanura panyaya kufanorongwa anomera. Kubva mumatanho kuvimba kenza kurapa:

- Stage 1 - bundu haasi anopfuura 2 cm mu dhayamita, kwete kukura kudarika muganhu mucous uye chinonditadzisa metastasis.
- Stage 2 - The bundu saizi iri 4 6 masendimita, anogona kukura kupinda submucosa kana tsandanyama layer pangava metastases kuroorwa.
- Stage 3 - bundu rinoburitsa kare podserozny kana serosal zvinyama akaturikidzana, inokura kuti pedyo nhengo. Pane metastases akawanda ari node nodes. Pane zvakasiyana-siyana yematambudziko.
- danho 4 - bundu inosvika zvinoorora kukura uye inobereka metastases, zvakati kure.

The kunotoda mufananidzo uye huru chichemo

Kana isu funga kunotoda mufananidzo, zviri siyana kwazvo. Zvose zvinoenderana njodzi nhengo, chikuva, pamwero, utano hwakanaka murwere, uyewo padanho lability kurapwa. Kusiyanisa nguva dzakadaro chirwere uye vakabatana zviratidzo kwavari:

1. Early kana kutanga kumwedzi. Varwere vanotsutsumwa simba, kurasikirwa kudya, nokukurumidza uremu. Kana bundu iri mupasi riri zvemapapu: pakaoma non-zvibereko chikosoro, kupfupika mweya, muchipfuva marwadzo, zvakawedzera iratidzike seiri kubuda. Kana dambudziko zvinoenda mudumbu: kurutsa, regurgitation, nomudumbu ropa. The zvakavhiringidza itsvo anopa ropa iri weti, zviratidzo marginalization uye compression kuti pedyo nhengo.
2. Nguva dzakajeka zvekuchipatara zviratidzo zviri chirwere. Zvinowedzerwa zvose zviratidzo, kuwedzera mukuru ezvinhu omurwere. Anogona kutanga chirongwa metastasis.
3. End kumwedzi. Kupfuura dzinonetsa uye zvakaoma kuti murwere. Pane kuora kenza chivako kudivi uye chacho vanoshingaira Kubukira kupinda pedyo nedzimwe nhengo. Zvingamuka purulent pezvakaitwa uye hombe kubuda ropa. Kunokanganisa tsinga, pane kurasikirwa imwe kushanda muviri.

Kuongorora chirwere uye kuongorora chirwere

Chirwere uye kurapwa kenza munguva yedu vari mukuru pamwero. Nechirwere kenza, yakavakirwa pfungwa dzinotevera:
- kuunganidzwa date nhoroondo;
- the kunotoda mufananidzo chirwere;
- Diagnostics;
- migumisiro mumarabhoritari nemiedzo.

Kakawanda vanoshandisa X-ray chirwere nzira. A nevakawanda nzira kushandisa endoscopic biopsy. Nokuti chirwere nyanzvi dziri echography uye CT Scans. Kushanda pakuvheneka rinoshandiswawo kwokubatsira radioactive zvinhu. Zvikurukuru kunzwisisa uye nharo nyaya kumanikidzwa aite yokuongororwa laparotomy.

Nzira kurapwa uye kubudirira kwavo

dzokurapa kenza kuvimba zvinhu zvakawanda zvakadai hunhu bundu, ayo nzvimbo, mukuru ezvinhu omurwere, kuvapo kana kusavapo yematambudziko. Nzira vakawanda uye inobudirira kurapwa anoonekwa kuti zvomusejari. Kunoitawo kuti kubvisa yose conglomerate pakati bundu masero, kana ayo nzvimbo unokubvumira kuita izvi. Kubviswa kwete chete bundu asiwo yakapoteredza tishu. With nzira iyi yokurapa inobatanidzwa mumwe pfungwa - palliative hanya. Kana chokwadi murwere haagoni kubatsirwa kupora zvachose, asi zvinokwanisika kuderedza kukura bundu uye kuderedza marwadzo pfungwa.

Panzvimbo yechipiri pamusoro kukurumbira uye kubudirira - radiotherapy. mushonga uyu, zvinoparadza kuitwa nemwaranzi kenza mamiriro. Uyezve, pane vakawanda namamota, zviri kunyanya inonyatsoziva kurapwa mhando iyi. Somuenzaniso, liposarcoma uye ayo metastases. Radiation kurapa iri ikashandiswa pamwe mishonga uye kuvhiyiwa. It rinowanzoshandiswa pashure vavhiyiwa oga kubvisa zvinobvira metastases.

mishonga

Kenza kurapwa pamwe mishonga - zvose oga uye akabatana dzimwe nzira - Kazhinji chaizvo. Mishonga pamwe chaizvo zvinokachidza tigume masero kenza, kunosimudzirawo kuparadzwa nokukurumidza. Kusiyanisa cytotoxic (masero kuuraya) uye cytotoxic (kumbomira ikure) mishonga. Common kushandisa kupfuura imwe mhando oncological zvinodhaka, uye nokubatanidza navo nezvezuva "kunwa utano". Izvi zvinowedzera mikana rakabudirira kenza kubaya nevamiririri. Mishonga inogona kupiwa nomutsinga, kashoma kushandisa piritsi fomu. In rinokosha zvinoitika, zvigadzirwa vari dzakabatwa intrathecal mishonga nzira (kupinda musana mvura) kana zvakananga pasi peganda. Zvose zvinoenderana munhu zvakaitika chirwere.

Positive uye akaipa mativi mishonga

Varwere vakawanda vanotya maitirwo anonzi "mishonga". Reviews zvinoratidza kuti ichi imhaka vakawanda matambudziko uye yematambudziko yomuka panguva kurapwa.

Nokuti masero utano vanotambura anongoda yose muviri, varwere vanosangana zvinoverengeka:

- bvudzi kurasikirwa;
- change murwiyo ropa;
- intestinal matambudziko;
- mucous membranes;
- svoto;
- kurutsa;
- kutambura chiropa basa, izvo anomanikidzwa ribude ose muchetura uye makemikari tsvina;
- zvakafanana kunoitika pamwechete netsvo;
- zvikuru akaderedza kutapata uye zvichingodaro.

Cherechedza zvakanaka divi mumwe muitiro akadai mishonga. Mhinduro dziri varwere vakabatwa ne nzira iyi, pachena kuti zvinokosha kutsungirira Migumisiro nokuda pakupora. mushonga Complete kana kucherechedza zvinoderedza bundu - Ndivo migumisiro kuti anogona kugutsikana.

Vanosarudzwa kenza jekiseni: danho kune utano

Munguva ichangopfuura, imwe nzira itsva nokurapwa anomera kenza. Izvi nangananga mushonga. Ndicho ichangobva rakasiyana kukura, zvakagadzirirwa kurwisa kenza. The maitiro musiyano zvakanangwa kurapa kune mamwe marudzi mikuru kurapwa yacho Mhedziso vakachengeteka pachinhu Vakagwinya mumasero omuviri. Uyezve, kurapa ichi chinopa kuparadzwa kupfuura nokukurumidza masero anokuvadza. Somugumisiro kudzidza refu uye kunzwisisa dzinotsanagura inotungamirwa uye kushanda anomera kenza kuva zvinodhaka kuti zvakananga kukanganisa sero kukura nzvimbo. Zvakare, kuti nangananga kurapa - icho rakazvimirira marapiro, uye nopindirana nevamwe matanho utano.

Zvinosuruvarisa kwakadaro itsva nzira kurwa kenza ane zvimwe kuzvuzvungudza kuti varwere. Kunyange zvikasashanda panheyo dzekare mishonga, izvi zvinhu tiri dzakashongwa aibuda ropa nomuviri. Kudivi rimwe, ichi zvinoita kuti vari inobudirira mukubata metastases kure. Kune vamwe - wevasungwa zvinoderedza zvakarurama akakwirira. Kakawanda iri mhando zvinodhaka tableted kubvumira murwere kuramba pamba uye mberi anobudirira kurapwa. Funga zvakaitwa zvakanangwa kurapa kune mamwe marudzi kenza.

Kuti, kuburikidza chii anokundwa kenza

Kana tikafunga musimboti kenza, chikonzero pano ndiyo VHL Gene mutation. Mutation zvinokonzera zvakawedzera secretion pamusoro puroteni, inosimudzira kukura masero kenza. Kugadzirira kunofanira adzikatidza kukura uye pakuzadzisa bundu. Kupfuura mukurumbira uye anoshandiswa aripo Formulations, "Votrient", "Nexavar" ( "Sorafenib"), "Sutent", "Bevacizumab" ( "Avastin") "Everolimus" ( "Afinitor"), "Aksinitib" ( "Inlita "). Ivo anoshandiswa kunyange okupedzisira mumatanho kurapwa. Zvinosuruvarisa kuti vazvigadzirire chitarisiko akadaro asina mananara sezvo neBP, manyoka kana dzekugonesa aikanganiswa wamativi. Ngatikurukurei muudzame zvinodhaka zvakanangwa kurapa.

• Drug "Sorafenib" ( "Nexavar") - zvinobudirira DZEMUNHU DZINODZORA kukura kenza conglomerates. Blocks angiogenesis uye mabasa kuti kierrätys kukura mamorekuru. It anogadzirwa muchimiro mahwendefa. Ungasangana marwadzo: mapundu, manyoka, BP, edema uye kuneta.
• Rinoreva "Bevacizumab" ( "Avastin") - iri jekiseni nomutsinga. Anokwanisa kutadzisa kukura tsinga hurongwa hutsva. Kazhinji pamwe interferon-Alpha. Izvi runogonesa unhu yokutarisira. Zvinonyatsozivikanwa zvakanaka akashivirira nevarwere, zvishomanana neBP uye ropa.
• Drug "Everolimus" ( "Afinitor") - iri kubudirira ichivharira puroteni mTOR. Rakundwa kamwe pazuva piritsi fomu. Inoshandiswa kurwisa kenza ari zvikuru nzendo kurapwa. Zvinosuruvarisa yakawanda nemishonga.
• Drug "Temsirolimus" ( "Torisel") - murwere anogamuchira Via intravenous jekiseni. Ndizvo zvakafanana rawo uye zvakaoma kunzwisisa pamwe yapfuura nzira.
• Drug "Sunitinib" ( "Sutent") - zvinobudirira inoperera basa mamwe tyrosine kinases. Zvishoma anozivikanwa nemishonga, asi zvakanaka kurapwa zvishoma kuvatumwa kana kushandisa zvimwe zvinodhaka.

Wongororo

Vanosarudzwa kurapa nokushandiswa kwezvinodhaka izvi rakatobatsira vanhu vakawanda vane kenza. Kupfuura Wongororo. Varwere vanoti zvinoderedza zviratidzo yaiitwa panenge pakarepo. Kunzwa zviri nani, uye marwadzo zviri asiri kunetswa yose kurapwa nguva. Vazhinji pfungwa pamusoro nzira kurapa ari kure kubva muchipatara - zviri nyore uye mumuviri uye mupfungwa nyore murwere kutsungirira matambudziko pamba chirwere pane muchipatara wadhi. Sezvo zvinodhaka vakawanda zvinowanikwa piritsi chimiro, zvinonzi yakataurawo nevarwere somunhu nyore. Vakawanda vanofara kudzivisa mukana marwadzo uye kusanzwa.

Vanosarudzwa kurapa uye kenza itsvo

Munguva yedu, chirwere Profile kenza kukanganisa genitourinary hurongwa, anogona kuwanikwa ose wechina. Kenza - chirwere chakakomba zvikuru, hasha, kurwisa munhu muviri. Zvinonzi kukura nokukurumidza, uye kukanganisa muviri Uchanzwa kubva pamwedzi chirwere wokutanga. kurapwa kenza muvarwere izvi rinoitwa pasi pokudzora ane oncologist, chiremba wezvedundira. Pane randinenge mufananidzo hosha; ropa iri weti, nhengo dysfunction, kusagadzikana uye kurwadziwa neitsvo. Varwere vakawanda nhasi vakakubatsira zvinodhaka zvakanangwa kurapa. Kuti tinzwisise migumisiro kunokwanisa setakabudirira, unofanira kunzwisisa mashandiro mari idzi.

Zvingakubatsira kuziva: bundu kukura kunoenderana uwandu zvinovaka muviri uye okisijeni Kuwanikwa. Izvi zvinoshandawo kunyanya kune njodzi kenza itsvo. Drugs zvakanangwa kurapa vanotsvaka chete kenza masero uye chiito pamusoro samolecular zvigadziriswe naro migove "zvakaipa" masero, zvichivhiringidza bundu kukura uye nokuriparadza. Vanosarudzwa kurapa mu renal kenza ane zvinotevera zvazvakanakira:

- hapana chikonzero hospitalize murwere;
- gadziriro zvinogona kushandiswa pakurapa kwevakwegura;
- mishonga Anodzivisawo muchitokisi kupesana uye kukura bundu;
- kuratidza nemishonga chete zvakakwana kuderedza uwandu zvinodhaka kuparadzwa.

Zvipatara nokuti Lung Cancer

Chimwe nyaya inokosha munyika zvezvipfuwo oncology Vatsigiri kenza yemapapu. Inokuvadza makemikari mumaindasitiri, kusvuta, carcinogens uye kubatsirawo kuti chisingaperi zvirwere yakafara kupararira masero kenza mu yemapapu tishu mamiriro.

Vanosarudzwa kurapa kenza yemapapu nderei uye yakakurumbira zvikuru kurapwa. Zvinodhaka kuti zvinobudirira tinzwe pamusoro kenza yemapapu, - FIs ose EGFR tyrosine kinases, kureva, rinoreva "Erlotinib" uye "Gefitinib." Uyewo munokosha kudoma monoclonal antibodies pamusoro EGFR - «Tseruksimab" zvinodhaka uye "Panitumumab". Minimum diskomfotra uye nokukurumidza chaizvo - ndiko kuti huru huru pakati wongororo pamusoro kurapwa.

kenza dumbu

Gastric kenza zvinoreva nezvirwere ane vanoshorwa chaizvo nzira uye zvaizoitika. Kazhinji The chirwere mberi nokukurumidza zvikuru. Murwere Zvakaitika marwadzo uye yakawanda kuzvuzvungudza.

Kuwedzera, nyanzvi yedu vakatanga kuenda nzira iyi yokurapa sezvo kenza mudumbu Vanosarudzwa kurapa. Anobudirira zvikuru chinodhaka anogona kutaurwa rinoreva "Imatinib" ( "Glivec") rakashandiswa bundu conglomerates nemudumbu. Kunosanganisirawo kugadzirira uye "Rituximab" ndiro abudirire uye gastric kenza, uye chiitiko asiri Hodgkin kuti rwekenza yelymphoma. Uyewo zvinodhaka "Herceptin", iro yakafurira kenza zamu.

Vanosarudzwa kenza mushonga - rakasiyana nemamwe utsanzi. Uyu mumwe mukana vanhu kuhwina chii sokuti panguva rufu mutongo - kenza.