Indlela esiphatha ngayo nomdlavuza wamasende kwa-Israyeli?

nomdlavuza wamasende - isifo lapho testes (testes abhanqiwe nezindlala ocansini, okuyinto ukukhiqiza amaseli ocansini futhi hormone).

Ngokwezibalo, minyaka yonke nomdlavuza wamasende ogulayo ngabantu abayizinkulungwane ezingamashumi amahlanu. Ngakho, lokhu Ithumba ngempela ezingavamile. Futhi uzinake ukuthi lesi sifo kuphela kwenzeka kubantu abeve eminyakeni engu amane. Nokho, lokhu akusho ukuthi kubalulekile ukuba indiva lesi sifo futhi ukubonakala izimpawu zakhe kumele uxhumane uchwepheshe ofanelekayo.

Okwamanje, kukhona izinto ezimbalwa kungase kubangele emdlavuzeni testis:

• izifo azalwa naso kwezinso (isib kabili ureter, izinso double), testes (gispopadiya varicocele, yoma wamasende) umthondo. ukwandisa futhi ingozi nomdlavuza wamasende kuyinto hernia inguinal;
• Okungavundile futhi kwandisa amathuba neoplasia-yendawo, engase ekugcineni ukuthuthukisa ibe eyenza umuntu acabange eseZwini nomdlavuza wamasende;
• Ukuba khona izihlobo bolevshih nomdlavuza wamasende;
• isende Undescended phakathi scrotum (cryptorchidism), okungaba noma eyodwa (ematfuba umdlavuza luyanda kahlanu) kanye zamazwe amabili (amathuba nomdlavuza kwandisa izikhathi eziyishumi);
• Ukungawuvivinyi umzimba;
• Toxemia yokukhulelwa esakheka ngenxa yokusebenzisana eside estrogen noma i-estrogen hypersecretion, kungase kwandise amathuba okuthola i-nomdlavuza wamasende kule osanda kuzalwa.

Izimpawu ezilandelayo lungase lubonwe kakhulu ekuthuthukeni nomdlavuza wamasende:

• Siba nomuzwa ukusinda kanye nobuhlungu scrotum futhi esiswini;
• Ukubukeka neziqu ezintsha kule scrotum;
• Lakhulisiwe zamanzi endaweni imbilapho.

Kuze kube manje, cishe 90% izimila ezifana nomdlavuza wamasende, odokotela kufanele ubhekane izimila ukuthi kukhona isisekelo igciwane amaseli ukukhiqiza isidoda. Ochwepheshe ahlukanise phakathi ezimbili izinhlobo lwegciwane kwamangqamuzana nokwakheka kwamanye ingaphazamiseki:

1. Seminoma - mayelana ayisithupha amaphesenti zonke izimila lwegciwane iseli;
2. Nonseminoma - amane amaphesenti lwegciwane cell izimila.

Seminoma wamasende ifana ifindo Friend Lobed futhi ihlukaniswe yaba izingxenye ezimbili ezibalulekile:

1. Negerminativnaya seminoma - liphuma testis stroma (leydigoma, sertolioma, Sarcoma);
2. I germinal seminoma wamasende - livela ezicutshini EPITHELIAL (teratoblastoma, horionepitelioma, seminoma, umdlavuza embryonal, njll);

Kulezi izinhlobo isimila metastases elizovela ezithinta ikakhulu limfauzly.

Nonseminoma ngokuvamile kwenzeka abaneminyaka ephakathi kwengu-engamashumi amabili kuya amathathu. Izinhlobonhlobo lokhu isimila zihlanganisa teratoma, choriocarcinoma, carcinoma embryonal, izimila isikhwama nenyongo. Nge lolu hlobo metastases izimila abulalayo akwazi ukungena kokubili lymph node kanye namaphaphu.

Ukwelashwa nokuvikelwa nomdlavuza wamasende e Israyeli kwasekuqaleni kudinga inkambo ukuhlola eliphezulu, okubandakanya imisebenzi elandelayo:

1. Ukuhlolwa testis kanye lymph node palpation;
2. Ukuhlolwa kwezinto egazi noma omchamo assays (ukuhlaziywa kwamakhemikhali, ekutholweni isimila omaka, njll);
3. Ultrasound we testes futhi scrotum;
4. Angiography;
5. Positron ekushayweni tomography;
6. computed tomography;
7. Magnetic resonance imaging.

Ngemva kokutadisha Imiphumela ukuhlola inikezwa amasende ukwelashwa komdlavuza kwa-Israyeli, okuzokwenza acabangele izici of ukuthuthukiswa sifo kanye nempilo isiguli. Ikakhulukazi ekwelapheni nomdlavuza wamasende kwa-Israyeli manje ayenziwa esetshenziswa amasu eziyinkimbinkimbi ezingasiza ngempumelelo isiguli.

Ikakhulukazi, kokungenela kuhlinzwa, okuyinto namuhla indlela eyinhloko ekwelapheni nomdlavuza wamasende, kungenziwa ephelezelwa emisebeni yokwelapha amaseshini reception izidakamizwa chemotherapeutic ezingasiza ukunqinda izimila kanye ezisele ngemuva kokuhlinzwa ukubulala amangqamuzana omdlavuza. Futhi uma imiphumela emibi yokwelashwa ngamakhemikhali umiswa sitholakele foci yesibili zitholiwe.