Kawarwar koda shine rashin fahimta, wanda aka samu nasarar bi da shi tare da gano lokaci. Kasashen waje don cire koda amfani da zamani, mai laushi, ƙananan ayyuka - laparoscopic da robot-taimako. Ana iya lalata ƙananan ciwan jini da ruwa na ruwa ko ruwa mai ɗorewa.
Fiɗa
A mafi yawan lokuta, lura da cutar kansa koda tana farawa da aikin tiyata.
Nephatical nephretomy - Babban aikin don maganin cutar kansa. An cire gabobin gaba daya, wani lokacin tare tare da adrenal gland. Ana buƙatar irin wannan sa hannu a cikin wurin koda tare da cutar kansa na koda 4. Kodayake bayan bayyanar metastase, cutar ba za ta iya magance gaba ɗaya, cire koda yana ƙara tsammanin rayuwa, yana hana zub da jini da ciwo mai zafi.
M nephretomy - A zahiri mafi rikitarwa aiki. Amma a cikin 'yan shekarun nan, ana amfani dashi sau da yawa, yayin da yake samar da sakamako mai mahimmanci ga Nephractomy, kuma a lokaci guda shine kwayoyin halitta. Babban fa'ida shine mafi kyawun amincin aikin koda.
Extara ƙara ƙasashen waje, aikin don cire koda da hanyar Laparoscopic. A cikin wasu asibitoci, ana kuma gudanar da ayyukan robot. An cire jikin ta hanyar ƙananan yankan, kayan aiki tare da kauri daga ɗan santimita. Musamman abubuwa masu ladabi da aminci ana aiwatar da amfani da robot na likita. Suna iya yiwuwa tare da ciwan ƙarfe ba fiye da 7 cm a diamita, wanda bai bazu zuwa cikin manyan nodes ba kuma ba su tsiro cikin manyan jiragen ruwa ba.
Ko da a cikin 4 na ciwon daji, lura na iya zama mai tasiri. Idan koda cutar kansa a cikin gawarwakin nesa ba su da aure, ana iya cire su. Aikin don cire metastase na iya zama duka biyu na lokaci guda (lokaci guda tare da cire koda) da jinkiri. A cikin wasu marasa lafiya, irin wannan magani yana haifar da ƙaruwa mai mahimmanci a rayuwar rayuwa.
Haddi
Yawancin lokaci haɗe ya zama magani mai tsattsauran magani a lokuta inda aikin yake contraindicated. Yana bayar da karancin damar dawowa, amma shine mafi aminci da ladabi ga jiki.
Ablation ya nuna halakar ciwace-jita har zuwa 4 cm a diamita. Zaɓuɓɓuka na asali:
- mita rediyo;
- cryoablation (ruwa nitrogen).
An gabatar da allura mai kyau (allura lokacin farin ciki) cikin cutar, sannan kuma makamashi wanda ke karya nama ana kawo shi ta hanyar. Yawanci, ana aiwatar da hanyar ƙarƙashin ikon duban dan tayi ko CT. Darajar ma'aunin zafin jiki a fagen bayyanuwa yasa zai yiwu a rage lalacewa don ƙoshin lafiya kusa da ƙari.
Sauran jiyya
Ana amfani da maganin radiation galibi a cikin marasa lafiya waɗanda suke contraindicated aiki da kuma hadadden. Hakanan ana amfani dashi azaman bambance-bambancen ƙwayoyin cutar a cikin matattarar cutar, don rage zafi da zub da jini.Wani lokacin ana amfani da radiotherapy don kashe metastase m, misali a cikin huhu. Hanyar jiyya ta cika aikin harkar don cire koda. A waje, ana samun sabon zaɓin isarwa na iska, ciki har da stroreotactic radiation jikin halittar (SBRT).
Bayan aikin, za a iya yin maganin cutar kansa da aka yi niyya don rage haɗarin sake komawa.
A cikin matakai na cutar, rigakafi, niyya da aka yi amfani da shi azaman babban zaɓuɓɓukan magani. Latterarshe tare da cutar kansa na koda ita ce mafi ƙarancin inganci, saboda haka ba wani ɓangare na daidaitaccen magani ga yawancin marasa lafiya ba.
Me yasa za'a kula da shi a kasashen waje
A cikin mafi kyawun asibitoci a ƙasashen waje, magani na iya zama mafi inganci kuma lafiya. Da yawa dalilai da yasa ya dace da samun taimakon likita a wata ƙasa:
- Akwai manyan-ƙwallon ƙafa na ƙasa, gami da robot-taimaka. Ba za su iya rikitarwa ba, rage asarar jini da rage lokacin gyara.
- A cikin marasa lafiya da yawa, ingantaccen magani na cutar kansa koda yana da zai yiwu har ma a mataki na ƙarshe.
- Yana yiwuwa a yi ayyukan cire koda na lokaci guda ɗaya da kuma metastase mai nisa.
- Ana amfani da sababbin hanyoyin radiation na radiation, gami da setereactic radiation jikin halittar don lalata metastase.
- Ana samun zaɓuɓɓukan kula da koda na ci gaba da ci gaba mai ci gaba: Matsakaicin Rediyon Rediyo, injina, wanda aka shirya maganin.
Inda ya juya
Don ɗaukar maganin cutar kansa koda, ƙasashen waje, littafin shirin likita ta hanyar kiwon lafiya. Amfaninmu:
- Zaɓin asibitin, waɗanda likitocin waɗanda likitoci suka ƙware a lura da cutar kansa da cutar kansa da samun babbar nasara;
- Samar da sadarwa tare da likitanka;
- Rage lokacin da ke jiran farkon jiyya, yin rikodi a ranakun da ya dace muku;
- Rage farashin magani - farashi zai zama ƙasa saboda rashin biyan kuɗi don marasa lafiya na ƙasashen waje;
- Shiri na likita ba tare da maimaitawar bincike da aka yi a baya ba;
- Sadarwa tare da asibiti bayan kammala magani;
- Sayo da jigilar magunguna;
- Tsarin ƙarin ganewar cuta ko magani a ƙasashen waje.
Masu ƙwarewar kiwon lafiya suna ba da sabis na ingancin sabis. Za mu yi muku tikiti da tikiti na iska, shirya canja wuri daga tashar jirgin sama zuwa asibitin da baya.