Ukufunyanwa unomhlaza, okanye ukubona umntu omthandayo ejongene nalo mceli mngeni, ngamava anzima kakhulu anzima ukuwachaza ngamazwi. Nangona kunjalo, ngenxa yophuhliso lwezonyango zanamhlanje , ngoku kukho iindlela zonyango ezisebenzayo kakhulu ezijolise kwiiseli zomhlaza ngokukodwa ngelixa zinciphisa umonakalo emzimbeni wakho wonke. Enye indlela ephumelelayo, ngakumbi esetyenziselwa umhlaza wesibindi , ibizwa ngokuba yi-TACE. Masichaze indlela esebenza ngayo le nto eNirogi Lanka.
Kalula nje, yintoni i-TACE?
I-TACE imele i -Transarterial Chemoembolization . Nangona igama livakala linzima, inkqubo ilula. Cinga ngethumba lomhlaza njengeqela leendwendwe ezingafunekiyo ezizifihle kwisakhiwo. Ukuze ziphile, zidinga ukutya—kule meko, igazi. Ngexesha le-TACE, oogqirha bafumana umthambo wegazi ophambili ohambisa loo thumba baze bafake amayeza okulwa nomhlaza ( i-chemotherapy ) ngqo kuwo. Emva koko, bayawuvala loo mthambo besebenzisa amasuntswana amancinci.
Ngamafutshane, oku kufezekisa iinjongo ezimbini ngaxeshanye:
1. Amayeza okubulala umhlaza athunyelwa ngqo kwithumba .
2. Ngokunqamla ukunikezelwa kwegazi, ithumba liyaphelelwa yioksijini kunye nezondlo ezifunekayo, nto leyo ebangela ukuba libuthathaka ukuze liqale ukufa.
Oku kwahluke njani kwi-chemotherapy eqhelekileyo?
Yahlukile kakhulu kwi-systemic chemotherapy osenokuba uqhelene nayo. Nazi umahluko ophambili:
| Uphawu | Unyango lwe-TACE | I-Systemic Chemotherapy |
|---|---|---|
| Indlela yokuhambisa | Ingeniswe ngqo kwithumba. | Ijikeleza kulo lonke igazi. |
| Idosi | Uxinzelelo oluphezulu luziswa apha ekuhlaleni. | Kulinganiselwe koko umzimba unokukunyamezela ngokwenkqubo yomzimba. |
| Imiphumela | Ukunciphisa iziphumo ebezingalindelekanga ezibi ezifana nokulahlekelwa ziinwele kunye nokuhlanza kakhulu. | Umngcipheko ophezulu weziphumo ebezingalindelekanga ezifana nokulahlekelwa ziinwele kunye nokudinwa. |
Ngubani umviwa we-TACE?
Olu nyango lusetyenziswa kakhulu kwizigulana ezine- hepatocellular carcinoma (umhlaza wesibindi) . Ludla ngokuba lolona nyango lokuqala lwee-tumor ezinkulu kakhulu ukuba zingasuswa ngotyando. Lukwasetyenziswa nakwii -cancer ezithile eziye zasasazeka kwisibindi ezivela kwezinye iindawo:
- Umhlaza webele
- Umhlaza weColoral
- Iithumba ze-neuroendocrine
- I-Sarcoma ( iSarcoma )
- I-melanoma yeliso
Ngaba oku kuya kuyonakalisa isibindi sam?
Le yingxaki eqhelekileyo. Ngethamsanqa, isibindi sineendlela ezimbini zokufumana igazi:
1. Umthambo wesibindi: Oku kunika igazi elincinci kuphela kwizicubu zesibindi, kodwa ngumthombo oyintloko wegazi kwiithumba zesibindi.
2. I-Portal Vein: Oku kubonelela ngobuninzi begazi kwizicubu zesibindi ezisempilweni.
I-TACE ijolise kuphela kumthambo wesibindi. Ngenxa yokuba izicubu zesibindi eziphilileyo ziqhubeka zifumana igazi nge-portal vein, umsebenzi wesibindi ngokubanzi uhlala ugciniwe.
Ngamafutshane, sivala "umgca wokutya" wethumba, ngelixa iindawo eziphilileyo zesibindi sakho ziqhubeka zifumana izondlo ezibalulekileyo.
Ngaba kukho iimeko apho i-TACE ingafanele isetyenziswe khona?
I-TACE ayifanelekanga kuye wonke umntu. Ugqirha wakho uza kwenza uvavanyo olupheleleyo ukuze abone ukuba lukhetho olufanelekileyo kuwe na. Ngokubanzi, isenokungacetyiswa ukuba unayo:
- Imibhobho yenyongo evalekileyo
- Iingxaki zokuqunjelwa kwegazi
- Isifo sezintso esiqhubele phambili
- Umhlaza osasazeke kakhulu emzimbeni wonke
- Iimeko zesibindi ezinzulu (ezifana ne-hepatic encephalopathy okanye i-portal vein thrombosis)
- Ii-allergies eziqatha kwiidayi zokwahlulahlula ezisetyenziswayo kule nkqubo
Kwenzeka ntoni ngexesha lenkqubo?
Le nkqubo yenziwa yi- Interventional Radiologist —ugqirha ochwephesha ekusebenziseni isikhokelo somfanekiso (njenge-X-ray) ukwenza unyango olungangenisi kakhulu.
Ukulungiselela
Ugqirha wakho uza kuyalela iimvavanyo ezithile, kuquka:
- Iiskeni ze-CT okanye ze-MRI
- Uvavanyo lwegazi ukujonga ukusebenza kwezintso zakho kunye nezinto ezibangela ukujiya kwegazi
Usenokunikwa amayeza ngaphambi kwenkqubo yokuthintela usulelo, ukunciphisa isicaphucaphu, kunye nokukhusela izintso zakho.
Ngexesha leNkqubo
Olu asilotyando olukhulu. Inkqubo yile ilandelayo:
1. Kubantwana, kusetyenziswa i-anesthesia eqhelekileyo . Kubantu abadala, i-sedation idla ngokunikezelwa ukuze ikuncede uzive ukhululekile kwaye ulele.
2. Ugqirha wenza umngxuma omncinci kwindawo yesinqe okanye esihlahleni.
3. Ityhubhu encinci neguquguqukayo ebizwa ngokuba yi -catheter ifakwa ngaloo mngxuma.
4. Ekhokelwa yi -fluoroscopy (i-X-ray yexesha langempela), ugqirha uhambisa i-catheter ngononophelo kwi-hepatic artery enika ithumba.
5. Kufakwa idayi yokwahlulahlula ukuze kubonakale ngokucacileyo ithumba kunye nemithambo yegazi ejikelezileyo.
6. Nje ukuba indawo echanekileyo ichongiwe, ugqirha wakho uza kuhambisa umxube wamayeza e-chemotherapy kunye 'ne-embolic agent' (amasuntswana amancinci) ngqo kumthambo ohambisa ithumba.
7. Emva kwenkqubo, i-catheter iyasuswa, kwaye ibhandeji lifakwe kwindawo encinci yokungena. Ekubeni kungekho mingxunya mikhulu, akufuneki kuthungwe.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Njengayo nayiphi na inkqubo yezonyango, i-TACE ineenzuzo kunye neengozi ezinokubakho.
| Iinzuzo | Iingozi kunye nemiphumo emibi |
|---|---|
| Izinga leMpumelelo eliPhezulu: Kwi-70% yezigulane, i-TACE inokuthintela okanye ilawule ngempumelelo ukukhula kweethumba zesibindi. | Usulelo: Njengakwezinye iindlela zonyango, kukho umngcipheko omncinci wosulelo. |
| Ukugcinwa kwesibindi: Iindawo ezisempilweni zesibindi sakho azichaphazeleki kakhulu ngamayeza. | Ukonakala kwezintso: Umngcipheko uphezulu kancinci kubantu abanezigulo esele zikhona njengesifo seswekile. |
| Ukuchacha ngokukhawuleza: Xa kuthelekiswa nonyango lomhlaza lwendabuko, ukuchacha kukhawuleza, nto leyo ekuvumela ukuba ubuyele kubomi bakho bemihla ngemihla ngokukhawuleza. | Ukulimala kwesibindi: Amaxesha amaninzi, ukuba iyeza lihamba liye kwiindawo ezingafunekiyo, linokubangela umonakalo kwizicubu zesibindi ezisempilweni. |
| Iziphumo Ezingalindelekanga Ezimbalwa: Ngenxa yokuba unyango lujoliswe kulo, luthintela iziphumo ezingalindelekanga emzimbeni, nto leyo ekhokelela kwiziphumo ezingalindelekanga ezimbalwa ngokubanzi. | I-Post-embolization Syndrome: Iimpawu ezinje ngomkhuhlane, isicaphucaphu, okanye iintlungu ezincinci zinokwenzeka emva kwenkqubo (oku kulindeleke). |
Kwenzeka ntoni emva kwenkqubo? Lingakanani ixesha lokuchacha?
Izigulane ezininzi ziba nomkhuhlane, isicaphucaphu, ukuhlanza, okanye iintlungu emva konyango. Oku kwaziwa ngokuba yi -post-embolization syndrome kwaye yindlela eqhelekileyo yokusabela. Kusenokufuneka uhlale esibhedlele usuku okanye ezimbini de ezi mpawu zilawuleke.
Kubalulekile ukuphumla xa ubuyela ekhaya.
- Sela amayeza amiselweyo kanye njengoko kuyalelwe ukuba usele iintlungu kunye nesicaphucaphu.
- Umkhuhlane ophantsi usenokuqhubeka kangangeveki.
- Usenokuziva udiniwe okanye ungenamdla wokutya kangangeeveki eziliqela.
Ezi mpawu ziya kuncipha kancinci kancinci. Uninzi lwezigulane luyaphola ngokupheleleyo kwiiveki ezimbalwa kwaye lubuyele kumgangatho olungileyo wobomi. Nangona kunjalo, idinga lokulandelela rhoqo libalulekile ukuze kujongwe imeko yakho kwaye kuqinisekiswe ukuba akukho zimpawu zintsha zikhulayo.
Ixesha lokufuna unyango olukhawulezileyo
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokubuyela ekhaya, qhagamshelana nogqirha wakho ngoko nangoko okanye undwendwele isebe likaxakeka elikufutshane:
- Ukuhlanza okungapheliyo okanye isicaphucaphu esingaphenduliyo kumayeza anikwe ngugqirha.
- Ukudideka, ukuba namafu engqondweni, okanye ubunzima bokuhamba.
- Umkhuhlane ophezulu ohamba nokugodola nokubila.
- Ukutyheli kwamehlo okanye ulusu (i-jaundice), njengoko oku kunokubonisa iingxaki zesibindi.
Umyalezo Wokuya Ekhaya
- I-TACE yinkqubo esebenza kakhulu ejolise ngqo kwiithumba zesibindi ngelixa inqanda ukuhanjiswa kwegazi.
- Inciphisa kakhulu impembelelo yomzimba kunye nemiphumo emibi xa kuthelekiswa ne-chemotherapy yendabuko.
- Ngenxa yokuba le nkqubo isebenzisa indlela ye-catheter engangenisi kakhulu, ixesha lakho lokuchacha lifutshane kakhulu.
- Iimpawu emva konyango ezifana nomkhuhlane kunye nokucaphuka zilindelekile, kodwa kufuneka uhlale ulumkile ngeempawu ezinobungozi.
- UNirogi Lanka ugxininisa ukuba ugqirha wakho ngoyena mntu ufanelekileyo ukugqiba ukuba olu nyango lufanelekile na kuwe, ngoko ke nceda uhlale unxibelelana ngokukhululekileyo neqela lakho lokhathalelo.
I-TACE, i-Transarterial Chemoembolization, Unyango lomhlaza, umhlaza wesibindi, unyango lomhlaza wesibindi, i-chemotherapy
