Khansa ya Impso ndi matenda osaneneka, omwe amathandizidwa bwino ndi zomwe adapeza. Pochotsa impso kugwiritsa ntchito zamakono, zofatsa, zofatsa, laparroscopic ndi robot-adathandizira. Zotupa zazing'ono zimatha kuwonongedwa ndi madzi a nayitrogen kapena magetsi apamwamba kwambiri.
Kuyendetsa
Nthawi zambiri, mankhwalawa khansa ya impso imayamba ndi opaleshoni.
Nephoctical nephoctomy - Ntchito yayikulu yochizira khansa ya impso. Chiwalocho chimachotsedwa kwathunthu, nthawi zina limodzi ndi adrenal gland. Opaleshoni yotereyi imafunikira ngakhale ndi khansa ina 4. Ngakhale atatuluka mbadwo wakutali, matendawa sangathenso kuchiritsa kwathunthu, kutulutsa kwa impso kumawonjezera chiyembekezo cha moyo, chimalepheretsa magazi komanso kupweteka kwambiri.
Pang'ono Nephrimemy - Zovuta kwambiri. Koma m'zaka zaposachedwa, imagwiritsidwa ntchito nthawi zambiri, chifukwa limapereka zotsatira zofanana ndi nephotormy, ndipo nthawi yomweyo ndiwe gubuling. Ubwino waukulu ndiye chitetezo chabwino kwambiri cha impso.
Kuchulukirachulukira, opareshoni kuti ichotse impso imachitika ndi njira ya laparoscopic. Zipatala zina, kugwiritsa ntchito ntchito kwa Robot kumachitikanso. Nthali imachotsedwa kudzera pamadulidwe ochepa, zida zokhala ndi makulidwe angapo. Makamaka odekha komanso otetezeka amagwiritsidwa ntchito pogwiritsa ntchito loboti ya opaleshoni. Zitheka ndi zotupa zosaposa 7 cm, zomwe sizinafalikira ku zombo za m'mimba ndipo sizinaphuke m'mambo akuluakulu.
Ngakhale m'magawo anayi a khansa, chithandizo chitha kukhala chothandiza. Ngati khansa ya impso khansa yam'matupi akutali ndi osakwatiwa, amatha kuchotsedwa. Ntchito yochotsa metastase imatha kukhala yonse (nthawi yomweyo ndikuchotsa impso) ndi kuchedwa. Mwa odwala ena, chithandizo chotere chimayambitsa kuwonjezeka kwa moyo.
Kusabwetse
Nthawi zambiri kuli kwakutitu kumakhala chithandizo chokwanira pakachitika komwe opareshoni amatsutsana. Imapereka mwayi wocheperako, koma ndi wotetezeka komanso wodekha kwa thupi.
Kupititsa kuwonongedwa kwa zotupa mpaka 4 cm m'mimba mwake. Zosankha zoyambira:
- pa wailesi;
- Crimoablation (chiwonongeko cha nayitrogen).
Pulogalamu yopumira (singano yolimba) imayambitsidwa mu chotupa, kenako mphamvu zomwe zimaphwanya minofu imaperekedwa kudzera mu. Nthawi zambiri, njirayi imachitika motsogozedwa ndi ultrasound kapena ct. Kuchuluka kwa kutentha kwa kutentha kumapangitsa kuchepetsa kuwonongeka kwa minofu yathanzi pafupi ndi chotupa.
Mankhwala ena
Mankhwala othandizira amagwiritsidwa ntchito makamaka kwa odwala omwe ali contraindication ntchito ndi kupitirira. Amagwiritsidwanso ntchito ngati chosiyana cha mankhwala osokoneza bongo pa gawo lolimbana la matendawa, kuchepetsa ululu ndi magazi.Nthawi zina radiotherapy imagwiritsidwa ntchito kupondereza metastases, mwachitsanzo ku mapapo. Njira yothandizira imakwaniritsa opaleshoni yochita opaleshoni kuti ichotse impso. Kwina, zosankha zaposachedwa kwambiri zilipo, kuphatikizapo mankhwala a stereotic thupi (sbrt).
Pambuyo pa opareshoni, ndikuyang'ana chithandizo cha impso khansa chitha kuchitika kuti muchepetse ngozi yobwereranso.
M'magawo oyambitsidwa ndi matendawa, osakhazikika, omwe ayang'aniridwa ndipo chemotherapy angagwiritsidwe ntchito ngati njira zazikuluzikulu. Omaliza ndi khansa ya impso ndiyothandiza pang'ono, chifukwa chake si gawo la chithandizo chokwanira kwa odwala ambiri.
Chifukwa chiyani kuli bwino kuchitidwa kunja
M'mankhwala abwino kwambiri, chithandizo chitha kukhala chothandiza kwambiri komanso chotetezeka. Zifukwa zingapo zomwe zimayenera kupeza thandizo kudziko lina:
- Kupezeka pa ntchito zapamwamba kwambiri, kuphatikizapo robot-kunathandizira. Amakhala osavuta kusokoneza, amachepetsa kutaya magazi ndikuchepetsa nthawi yokonzanso.
- Mwa odwala ambiri, chithandizo chokwanira cha khansa ya impso chimatheka ngakhale pagawo lomaliza.
- Ndikotheka kugwira ntchito nthawi yomweyo impso ndi ma metastase osakhalitsa.
- Njira zaposachedwa kwambiri zamankhwala zamagetsi zimagwiritsidwa ntchito, kuphatikizapo ma radiation radiation mankhwala ochiritsira owononga ma metastases.
- Zoyenda pang'onopang'ono za khansa zomwe zimapezeka: zotupa za radiation wa payimbo, immunothepy, pofuna kuchiritsa.
Kutembenuka
Kuti muchitepo mankhwalawa khansa ya impso kupita kudziko lina, buku pogwiritsa ntchito pulogalamu yamankhwala kudzera muumoyo. Zabwino zathu:
- Kusankha chipatala, omwe madokotala omwe madokotala amagwiritsa ntchito khansa ya impso ndikupeza bwino;
- Kupereka kulumikizana ndi dokotala;
- Kuchepetsa nthawiyo kudikirira kuyamba, kujambula patsiku lanu;
- Kuchepetsa mtengo wa chithandizo - mitengo idzatsika chifukwa choperewera kwa odwala akunja;
- Kukonzekera kwa pulogalamu yachipatala popanda kubwereza maphunziro omwe achitidwa kale;
- Kuyankhulana ndi chipatala pambuyo pa kumaliza kwa mankhwalawa;
- Kupeza ndi Kutumiza mankhwala;
- Bungwe la matenda owonjezera kapena chithandizo chakunja.
Kusungitsa thanzi zaumoyo kumapereka ntchito zapamwamba kwambiri. Tidzasungitsa matikiti a hotelo ndi mizimu, konzani zosintha kuchokera ku eyapoti kupita kuchipatala ndi kubwerera.