Isimila esiswini - Isisu Cancer Ukwelashwa kwa-Israyeli

Ukwelashelwa umdlavuza isisu kuncike esigabeni - ubukhulu nendawo isimila, ngabe umdlavuza sandile, nempilo yesiguli jikelele. Wokwelapha isifo somdlavuza isisu e Israyeli ingase ihlanganise ukuhlinzwa, amakhemikhali (mhlawumbe ngaphambi nangemva kokuhlinzwa) nemisebe eyingozi noma nanoma iyiphi inhlanganisela lokhu kwelashwa.

ukuhlinzwa

Uma umdlavuza evaleleke esiswini, nokuhlinzwa wumkhakha kudingeka kubo bonke izinqubo ukwelashwa komdlavuza esiswini. Umgomo ukuhlinzwa lingaba iyelapheka umdlavuza esiswini, ukususa zonke umdlavuza kuyilapho kulondolozwa umsebenzi okuningi evamile iziguli kungaba ngangokunokwenzeka. Yonke imisebenzi lomdlavuza esiswini eziyinkimbinkimbi futhi zokuhlola ukuhlinzwa Oncology ukuba kwenziwe. I ukuhlinzwa ngokuvamile uhlanganisa kokukhipha ingxenye ethintekile isisu kanye ezizungezile lymph node, inqubo eyaziwa ngokuthi i-gastrectomy. Gastrectomy kungaba ukususwa esinqunyiwe noma ephelele lonke esiswini.

isinqumo Steel senziwa okusekelwe indawo isimila kanye hlobo lomdlavuza esiswini. Nakuba ukusebenza iyingxenye kwanoma iyiphi indlela kwelapha umdlavuza esiswini, ukuhlinzwa kuphela ngokuvamile akwanele. Iziguli eziningi nge engase iyelapheka umdlavuza esiswini, izigaba IB neyesi-II, edingekayo ukwelashwa eyengeziwe yokuba nomdlavuza esiswini phesheya, ukuze kuvinjelwe ukuphindaphinda noma ukubuya umdlavuza isisu.

Lezi iziguli zithola ngemisebe noma imiphumela emibi yokwelashwa ngamakhemikhali ukubulala amangqamuzana omdlavuza ukuthi angahlala ngemva kokuhlinzwa. Lezi ukwelashwa eyengeziwe noma adjuvant zomdlavuza esiswini phesheya ngezinye izikhathi asetshenziswa preoperatively ekuhlehleni yesimila. Ngokusho imihlahlandlela zamanje, izinga lokunakekelwa for abanomdlavuza esiswini kuyinto izifo engase iyelapheka ukuthi nesigaba noma IB ngenhla ukusebenza ukususa zonke umdlavuza kanye ezizungezile zamanzi; ukwelashwa ngemisebe iqala amasonto 4-6 emva kokuhlinzwa, ngelashwa nangemithi inikezwe phakathi nangemva ngemisebe futhi ngezinye izikhathi ngaphambi ngemisebe. Le ndlela esiye kakhulu ukunciphisa imvamisa umuntu uyahluleka uma elwa abanomdlavuza esiswini. Ukuze izigaba kamuva zezifo, isigaba III futhi IV, indlela eyisisekelo preprocessing okufanayo: ukuhlinzwa ukuze isimila ivolumu, welashwa ngemisebe nangamakhemikhali ukunciphisa. Lezi zinhlobo umdlavuza, Nokho, ngeke wamagciwane ukuhlinzwa. Umgomo yokwelashwa kulezi zimo umdlavuza ukulawula ukukhula isikhathi eside ngangokunokwenzeka, futhi ukunciphisa noma izimpawu ezisuka kusukela umdlavuza. Inombolo kanye nohlobo sokwelashwa kuxhomeke ezingeni esiphakamisa we umdlavuza kanye nempilo jikelele isiguli.

ngelashwa nangemithi

In iziguli nge eziphambili noma metastatic umdlavuza esiswini kanjalo bangase bazuze imiphumela emibi yokwelashwa ngamakhemikhali ekuphathweni isifo sabo futhi izimpawu zaso. Ucwaningo oluningana lukhombisile ukuthi iziguli umdlavuza ngamakhemikhali waba izinga lokuphila oluphakeme kunezidalwa labo yathola ukwelashwa okungcono esekelayo. Kukhona okwamanje izinhlobo eziningi zezidakamizwa, nenhlanganisela yezidakamizwa nezinye izindlela zokwelapha ezivamile okubhekiswe ukuthi kungase kutholakale ukuthi ngempumelelo e ngelula izimpilo abanomdlavuza esiswini eziphambili. Kukhona futhi izilingo eziningana zokwelapha olwenziwa zenzelwe ukuhlola imithi emisha ukusebenzisa kangcono kubo. Ukukhetha Ofanele eziyalezweni nokwelashwa ngamakhemikhali kuxhomeke ezicini eziningana, ezihlanganisa indawo nezinga isifo, iphrofayela kwama-molecule ayo, ukwelashwa langaphambilini, imiphumela engemihle engase ibe noma ubuthi, kanye nempilo jikelele isiguli.

Iningi leziguli ezine-umdlavuza esiswini eziphambili ahlupheke izimpawu abalulekile ngokomzimba ezihlobene umdlavuza wabo, kungase kungabi abafundela ezithile ngamakhemikhali. Enye yezinto ezinkulu nokukhawulela e wokwelapha isifo somdlavuza iyisici eyaziwa ngokuthi ehlukahlukene ukumelana. Ukuze umdlavuza isisu, kukhona umugqa nokwelashwa ngamakhemikhali wesibili nowesithathu, okuyinto ingasetshenziswa kuphela lokuqala umugqa yokwelapha ehluleka. Iziguli kufanele luphathwe umdlavuza esiswini kwa-Israyeli, okuyinto anganikeza indlela imikhakha eyahlukene futhi kungenzeka ukunciphisa imiphumela yezimpawu eziningi side effects ukuthi kuwumphumela umdlavuza esiswini kanye nokwelashwa kwayo. Iziguli nazo uyaziqaphela amathuba iqhaza zokwelapha futhi uxoxe ngayo ongakhetha ngesikhathi kokubonisana yezokwelapha. Njengakuwo wonke amacala wokwelapha isifo somdlavuza esiswini, ikakhulukazi ezigabeni kamuva, isinqumo ezifanele therapy eziyinkimbinkimbi.

ngemisebe

ukwelashwa ngemisebe isebenzisa imisebe ephezulu amandla noma izinhlayiya ukubulala amangqamuzana omdlavuza endaweni ethile yomzimba. Kwangaphandle ukwelashwa ngemisebe uhlobo ukwelashwa ngemisebe livame ukusetshenziswa wokwelapha isifo somdlavuza esiswini. Lokhu kwelashwa igxile emisebeni phezu isimila esiswini ephuma emzimbeni ngaso leso. Ukuba khona lolu hlobo ukwelashwa ngemisebe njengenhlangano x-ray, ngaphandle ukuthi ukwelashwa ngamunye umdlavuza esiswini e Israyeli ihlala isikhathi eside, kanti isiguli ngokuvamile uthola 5 ukwelashwa ngeliviki lapho amasonto noma izinyanga. Ngemva kokuhlinzwa, ukwelashwa ngemisebe lingasetshenziswa ukubulala izinsalela elincane kakhulu lomdlavuza ingabonakali futhi isuswe phakathi nokuhlinzwa. ukwelashwa ngemisebe - ikakhulukazi uma kuhlangene himioterapiemozhet ukubambezeleka noma ukuvimbela Ukuphinda umdlavuza ngemva kokuhlinzwa futhi kungasiza iziguli baphile isikhathi eside. ukwelashwa ngemisebe angasetshenziswa ukuze udambise umdlavuza esiswini, ezifana ubuhlungu, ukopha, kanye nezinye izinkinga.

imiphumela emibi ukwelashwa ngemisebe lomdlavuza esiswini kungabandakanya:

• Small inkinga isikhumba at isayithi lapho ngemisebe wayalwa
• Ukucanuzela kwenhliziyo nokuhlanza
• uhudo
• ukukhathala
• ezingeni okuphansi kwamangqamuzana egazi

ngokuvamile Le miphumela emibi zinyamalale phakathi namasonto ambalwa ngemva kokwelashwa. Lapho emisebeni kunikezwa nokwelashwa ngamakhemikhali, imiphumela emibi kaningi sibi kakhulu. Sicela ungakhohlwa ukuthi utshele udokotela wakho mayelana yini imiphumela emibi, ngoba kukhona izindlela zokunciphisa kubo. Kubalulekile futhi kakhulu ukuthi isiguli ithola ukunakekelwa ngezokwelashwa ngesikhathi Cancer Centre, okuyinto has olutheni wokwelapha isifo somdlavuza esiswini.