Xa sisiva igama elithi "umhlaza," sonke siyoyika kancinci, akunjalo? Yinto eqhelekileyo leyo. Kodwa ngokuhambela phambili kwesayensi yezonyango, ngoku kukho unyango oluphumeleleyo noluphucukileyo lomhlaza. Namhlanje, siza kuthetha ngonyango olukhethekileyo olujolise ngokukodwa kwiithumba zesibindi kwaye luneziphumo ezimbalwa ezingalindelekanga kune-chemotherapy eqhelekileyo. Oku kubizwa ngokuba yi-TACE. Makhe sijonge iinkcukacha.
Ithetha ukuthini i-TACE nje?
Igama elipheleleyo le-TACE yi- Transarterial Chemoembolization . Nangona igama livakala linzima kancinci, okwenzekayo kule nkqubo kulula kakhulu. Ngamafutshane, lunyango oluthintela imithambo yegazi ehambisa ithumba lomhlaza, lunqande ukuhanjiswa kwegazi.
Cinga ngokhula olungafunwayo emyezweni. Kuza kwenzeka ntoni ukuba singawucima umbane oya kweso sityalo? Ngaphandle kwamanzi, isityalo singafa kwiintsuku ezimbalwa. Yiloo nto eyenzekayo ngolu nyango lwe-TACE. Ithumba lomhlaza likwalithumba elingafunwayo nelikhula ngokukhawuleza. Lifuna igazi elininzi ukuze likhule. Kolu nyango, oogqirha bafumana umthambo wegazi ohambisa igazi kwithumba ngokwalo, bafake into ekhethekileyo kulo, baze bawuthintele. Kule nto, izinto ezimbini eziphambili zidityanisiwe ukuze zithunyelwe emthanjeni:
- Amayeza e-chemotherapy: La ngamayeza abulala iiseli zomhlaza.
- Ii-Embolic agents: Ezi zifana namasuntswana amancinci eplastiki. Zinceda ukugcina amayeza e-chemo ngaphakathi kwithumba. Oku kuvumela la mayeza ukuba ajolise ngqo kumhlaza, endaweni yokuhamba aye kwamanye amalungu omzimba.
Oku kwahluke njani kwi-chemotherapy eqhelekileyo (Systemic Chemotherapy)?
Xa usiva i-chemotherapy, mhlawumbi uva ngohlobo lonyango olubandakanya ukufaka amayeza emzimbeni. Siyibiza ngokuba yi-'Systemic Chemotherapy'. I-TACE lunyango olwahlukileyo kancinci, olujoliswe ngqo. Makhe sibone ukuba zeziphi umahluko ophambili phakathi kwezi zimbini.
| Ingcali ekhethekileyo | Unyango lwe-TACE | I-chemotherapy eqhelekileyo |
|---|---|---|
| Indlela yokunika amayeza | Eli yeza linikwa ngqo kwithumba lomhlaza. | Eli yeza lihamba emzimbeni wonke ngegazi. |
| Umlinganiselo wamayeza | Umhlaza ngokwawo unokunikwa amayeza amaninzi kakhulu. | Kusetyenziswa idosi ephantsi kakhulu kuba ichaphazela umzimba wonke. |
| Imiphumela | Ngenxa yokuba iyeza alihambi emzimbeni wonke, zimbalwa iziphumo ebezingalindelekanga ezinje ngokulahlekelwa ziinwele kunye nokuhlanza kakhulu. | Ngenxa yokuba ichaphazela umzimba wonke, amathuba okuba nemiphumo emibi aphezulu. |
Ngubani ofanele unyango lwe-TACE?
Olu nyango lusetyenziswa kubantu abadala kunye nabantwana. Lusetyenziswa kakhulu kumhlaza wesibindi (`Hepatocellular carcinoma`) . Ngokukodwa, i-TACE idla ngokucetyiswa njengonyango lokuqala kwizigulana ezineethumba ezinkulu kakhulu ukuba zingasuswa ngotyando.
Ayipheleli apho, olu nyango lukwasetyenziselwa umhlaza osasazeke (owawusele udlule kwi-metastasized) uye esibindini usuka kwezinye iindawo. Umzekelo:
- Umhlaza webele
- Umhlaza wamathumbu amakhulu
- `Iithumba zeCarcinoid`
- `Iithumba ze-Neuroendocrine`
- I-melanoma yeliso (umhlaza weliso)
- `I-Sarcoma`
Kodwa khumbula, isigqibo sokugqibela sokuba olu nyango lufanelekile na kuwe siya kwenziwa ngugqirha ohlola imeko yakho.
Ngaba i-TACE iya kuyonakalisa ukusebenza kwesibindi?
Le yingxaki enabantu abaninzi. Kusengqiqweni ukuzibuza ukuba ukunqamla ukuhamba kwegazi esibindini kuya kusonakalisa na. Kodwa akukho nto ibalulekileyo. Isizathu kukuba kukho imithambo yegazi emibini ephambili ehambisa igazi esibindini sethu.
1. Umthambo wesibindi: Lo mthambo unika inxalenye encinci yegazi elipheleleyo lesibindi. Okumangalisayo kukuba, iithumba ezinomhlaza esibindini zifumana phantse lonke igazi lazo kulo mthambo.
2. Umthambo wesango: Lo mthambo uphambili unika uninzi lwegazi elifunekayo kwisibindi.
Kwi-TACE, oogqirha bavala kuphela loo mthambo mncinci, umthambo wesibindi . Nangona ukuhanjiswa kwegazi kumhlaza kunqanyulwe, iiseli zesibindi eziphilileyo ziyaqhubeka nokufumana lonke igazi ezilifunayo kumthambo oyintloko, umthambo wesango . Ke ngoko, ukusebenza okuqhelekileyo kwesibindi akuchaphazeleki kakhulu.
Indlela unyango olwenziwa ngayo
Olu nyango lwenziwa yi- Interventional Radiologist . Oko kukuthi, ingcali esebenzisa ubuchwepheshe bokufota njenge-X-ray kwaye isebenzisa iityhubhu ezincinci (ii-catheters) ukunyanga ngaphakathi emzimbeni ngaphandle kokwenza imingxunya emikhulu emzimbeni.
Nantsi inkqubo yenyathelo ngenyathelo yendlela olusebenza ngayo unyango:
1. Ukulungiselela: Abantwana banikwa i-anesthesia eqhelekileyo. Abantu abadala banikwa i-sedation ukubanceda bazive belele kancinci kwaye bekhululekile.
2. Ukufaka i-catheter: Ugqirha wenza inxeba elincinci kakhulu eluswini kufutshane ne-groin okanye esihlahleni sakho aze afake ityhubhu encinci (i-catheter) ngayo iye kwimithambo yegazi.
3. Ukufumana indlela: Emva koko, kusetyenziswa indlela ekhethekileyo ye-X-ray ephilayo (i-fluoroscopy), ityhubhu ikhokelwa ngononophelo kwimithambo yegazi enika igazi kwithumba lomhlaza esibindini.
4. Inaliti yedayi: Ukuze ibonakale ngokucacileyo ithumba kunye nemithambo ejikelezileyo, kufakwa idayi ekhethekileyo (`idayi yomahluko`) ngetyhubhu.
5. Ukunika unyango: Emva koko, umxube wamayeza e-chemo kunye ne-'embolic agent' esithethe ngayo ngaphambili ifakwa ngetyhubhu ngqo emthanjeni okhokelela kwithumba lomhlaza.
6. Ukugqiba: Xa unyango lugqityiwe, ugqirha uza kuyisusa ityhubhu aze afake iplasta encinci phezu kwenxeba. Oku akuyi kufuna ukuthungwa.
Yintoni onokuyilindela emva konyango?
Emva konyango lwe-TACE, abantu abaninzi banokuba neentlungu, isicaphucaphu, ukuhlanza, kunye nomkhuhlane omncinci . Le meko ibizwa ngokuba yi-'postembolization syndrome'. Oku kuqhelekile kwaye akukho nto ixhalabisayo. Kuya kufuneka uhlale esibhedlele usuku okanye ezimbini de ezi mpawu ziphele.
Kubalulekile ukuphumla iiveki ezimbalwa emva kokuba ubuyele ekhaya.
- Sebenzisa amayeza eentlungu kunye nesicaphucaphu njengoko ugqirha wakho ekuyalele.
- Usenokuba nomkhuhlane omncinci kangangeveki.
- Usenokuziva udiniwe kwaye ungabi namdla wokutya kangangeeveki ezininzi.
Iimeko apho kufuneka wazise ugqirha wakho ngoko nangoko
Ukuba ufumana ezi mpawu zilandelayo, yazisa ugqirha okanye isibhedlele esikunyangileyo ngokukhawuleza.
- Ukuba awukwazi ukulawula ukuhlanza kunye nokucaphuka nangona usela amayeza.
- Ukuba ngequbuliso uziva udidekile okanye ungakwazi ukuzilawula .
- Ukuba uneempawu ezinje ngomkhuhlane ongapheliyo, ukubanda, kunye nokubila .
- Ukuba ulusu okanye amehlo akho anombala otyheli (i-jaundice), luphawu lokungasebenzi kakuhle kwesibindi.
Umyalezo Wokuya Ekhaya
- I-TACE lunyango olungenalo utyando, olujoliswe ngqo, nolungangenisi kakhulu umhlaza wesibindi.
- Oku kuthintela ukuhanjiswa kwegazi kumhlaza kwaye kutshabalalisa iiseli zomhlaza.
- Zimbalwa iziphumo ebezingalindelekanga emzimbeni wonke xa kuthelekiswa ne-chemotherapy eqhelekileyo.
- Ukuchacha kuyakhawuleza emva konyango, kwaye abantu abaninzi banokubuyela kubomi obuqhelekileyo ngokukhawuleza.
- Thetha nogqirha wakho we-oncologist malunga nokuba olu nyango lukulungele na kwaye wenze isigqibo esifanelekileyo.
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