Umdlavuza wezinso yi-pathology engakaze ibonwe ngaphambili, ephathwa ngempumelelo ngokutholwa okufika ngesikhathi. Izwe ukususa izinso Sebenzisa imisebenzi yesimanjemanje, emnene, yokuhlanza okuncane - i-laparoscopic kanye namarobhothi asiza. Ama-tumors amancane angabhujiswa yi-nitrogen ye-litrogen noma amaza aphezulu we-electromagnetic.
Ukuhlinza
Ezimweni eziningi, ukwelashwa komdlavuza wezinso kuqala ngokuhlinzwa kokuhlinzwa.
I-APHPREECTHY - Umsebenzi oyinhloko wokwelashwa komdlavuza wezinso. Isitho sisuswe ngokuphelele, kwesinye isikhathi sindawonye ne-adrenal gland. Ukungenelela okunjalo kuhlinzwa kuyadingeka ngisho nangomdlavuza wezinso 4. Yize ngemuva kokuvela kwezinsimbi ezikude, lesi sifo asisakwazi ukwelashwa ngokuphelele, ukususwa kwezinso kwandisa isikhathi sokuphila, kuvimbela ukopha nobuhlungu obukhulu.
Ingxenye ye-Nephrectomy - Ukusebenza okuyinkimbinkimbi ngobuchwepheshe. Kepha eminyakeni yamuva nje, isetshenziswa kaningi, ngoba ihlinzeka ngemiphumela eqhathaniswa ne-Nephrectomy, futhi ngasikhathi sinye yi-Organ-Grumbling. Inzuzo enkulu ukuphepha okuhle komsebenzi wezinso.
Ngokuya kwelinye izwe, ukusebenza kususa izinso kwenziwa ngendlela ye-laparoscopic. Kweminye imitholampilo, imisebenzi esizwa ngamarobhothi nayo ibanjwa. Isitho sisuswa ekusikeni okuncane, amathuluzi anobukhulu besentimitha ethe xaxa. Ukusebenza okunomusa nokuphephile kwenziwa kusetshenziswa irobhothi lodokotela ohlinzayo. Kungenzeka ngama-tumors hhayi ngaphezu kwe-7 cm ububanzi, abangazange basakazekele ezitsheni ze-lymph futhi abahlulanga emikhunjini emikhulu.
Noma ezigabeni ezi-4 zomdlavuza, ukwelashwa kungasebenza. Uma ama-metastases enso e-Metastases emizimbeni eyihlane ayishadile, angasuswa. Ukusebenza kokususa i-metastase kungaba ngasikhathi sinye ngasikhathi sinye (ngasikhathi sinye ngokususwa kwezinso) kanye nokubambezeleka. Kwezinye iziguli, ukwelashwa okunjalo kuholela ekwandeni okukhulu kwesikhathi sokuphila.
Ukuqothuka
Imvamisa ubuqili buba ukwelashwa okukhulu ezimweni lapho ukusebenza khona kwenziwa khona. Inikeza amathuba amancane okululama, kepha iphephe kakhulu futhi imnene emzimbeni.
I-Ablation isho ukubhujiswa kwamathumbu kuze kufike ku-4 cm ububanzi. Izinketho eziyisisekelo zokuphakamisa:
- imvamisa yomsakazo;
- i-cryoablation (ukucekelwa phansi kwe-nitrogen).
I-hollow probe (inaliti obukhulu) yethulwa esimindeni, bese amandla aphula izicubu anikelwe ngalo. Imvamisa, inqubo yenziwa ngaphansi kokulawulwa kwe-ultrasound noma i-CT. Ukulinganisa okwengeziwe kokushisa emkhakheni wokuvezwa kwenza ukuthi kunciphise ukulimala kwezicubu ezinempilo eduze kwesimila.
Okunye ukwelashwa
I-radiant therapy isetshenziswa ikakhulukazi ezigulini ezisebenza ngokungemthetho kanye nokuchichima. Kusetshenziswa futhi njengokuhlukahluka kokuphambana kwesigaba esihlaselwe lesi sifo, ukunciphisa izinhlungu nokopha.Kwesinye isikhathi i-radiotherapy isetshenziselwa ukucindezela ama-metastase akude, ngokwesibonelo emaphashini. Indlela yokwelashwa igcwalisa ukusebenza kokuhlinzwa ukuze ususe izinso. Amanye amazwe, izinketho zakamuva ze-irradiation ziyatholakala, kufaka phakathi ukwelashwa komzimba wemisebe ye-stereotactic (SBTT).
Ngemuva kokuhlinzwa, ukwelashwa okuhlosiwe kwezinso kubhekiswa ukunciphisa ubungozi bokubuyela emuva.
Ezigabeni ezethuliwe zesifo, ukuzivikela, okuhlosiwe kanye ne-chemotherapy zingasetshenziswa njengezinketho zokwelashwa eziphambili. Lokhu okwenzeka ngomdlavuza wezinso kusebenza kakhulu, ngakho-ke akuyona ingxenye yokwelashwa okujwayelekile kweziguli eziningi.
Kungani kungcono ukuphathwa kwelinye phesheya
Emitholampilo engcono kakhulu phesheya, ukwelashwa kungasebenza kangcono futhi kuphephile. Izizathu eziningana zokuthi kungani kufanele ukuthola usizo lwezokwelashwa kwelinye izwe:
- Kutholakala imisebenzi ebuchwepheshe obusezingeni eliphakeme kakhulu, kufaka phakathi i-robot-isizwa. Mancane amathuba okuba anciphise, anciphise ukulahleka kwegazi futhi anciphise isikhathi sokuvuselela kabusha.
- Ezigulini eziningi, ukuphathwa ngempumelelo komdlavuza wezinso kungenzeka ngisho nasesigabeni sokugcina.
- Kungenzeka ukwenza imisebenzi yokususa izinso kanyekanye kanye nezinsimbi ezikude eyodwa.
- Izindlela zakamuva zokwelapha imisebe ziyasetshenziswa, kufaka phakathi ukwelashwa komzimba wemisebe ye-stereotactic kokubhujiswa kwezinsimbi ezikude.
- Izinketho zokwelashwa komdlavuza wezinso ezithuthukayo ziyatholakala: ama-radio Frequency Ebtation Tumors, i-immunotherapy, ukuqondisa ukwelashwa.
Ungaphendukela kuphi
Ukuthatha ukwelashwa komdlavuza wezinso phesheya, bhuka uhlelo lwezokwelapha ngempilo yokubhuka. Izinzuzo zethu:
- Ukukhethwa komtholampilo, odokotela bawo abasebenza ngokukhethekile ekwelashweni komdlavuza wezinso futhi bathole impumelelo evelele;
- Ukuhlinzeka ukuxhumana nodokotela wakho;
- ukunciphisa isikhathi esilinde ukuqala kokwelashwa, ukuqopha ngezinsuku ezikulungele;
- Ukunciphisa izindleko zokwelashwa - amanani azophansi ngenxa yokuntuleka kwezimali zeziguli zakwamanye amazwe;
- Ukulungiselela uhlelo lwezokwelapha ngaphandle kokuphindaphinda kwezifundo ezenziwa ngaphambili;
- Ukuxhumana nesibhedlela ngemuva kokuphothulwa kokwelashwa;
- Ukutholwa nokuthunyelwa kwezidakamizwa;
- Inhlangano yokuxilongwa okwengeziwe noma yokwelapha phesheya.
Ochwepheshe bezempilo bokubhuka bahlinzeka ngezinsizakalo ezisezingeni eliphakeme zensizakalo. Sizobhuka amathikithi ehhotela nama-air yakho, hlela ukudluliselwa esikhumulweni sezindiza uye emtholampilo bese ubuyela emuva.