Minimally cin zali hanyoyin da magani daga hanta ciwon daji marasa lafiya

M kau na hanta marurai yayi mafi kyau damar domin magani. Abin baƙin ciki, hanta marurai ne sau da yawa ma manyan ko burge manyan jini, da kuma sauran m Tsarin. Wannan ya sa tiyata ma m ko impractical. M kau mai yiwuwa ba ne a 30-40% da marasa lafiya da firamare da kuma 90% na marasa lafiya da sakandare hanta ciwon daji.

Tarihi, da kwayoyi da cewa su ne m, a lura da hanta ciwon daji. Saboda haka, akwai wani yawan dabarun da damar zuwa yaki wannan cuta.

iri

Primary hanta ciwon daji: Mafi na kowa nau'i na farko ciwon daji ne hepatocellular sankara (HCC). Wannan ƙari cewa zai fara a cikin babban Kwayoyin na hanta. Primary hanta ciwon daji ne biyu sau fiye da kowa a maza fiye da mata. HCC ne fiye da na kowa a cikin wadanda suka kasance majinyata da hanta cirrhosis.

Metastatic Hanta Cancer: Cancer za a iya daukar kwayar cutar daga wani sashi na jiki zuwa hanta. Akwai cancerous Kwayoyin iya girma ga watanni ko shekaru, kafin su gano. Hanta metastases ne sau da yawa a cikin marurai na ciwon da kuma dubura. Marasa lafiya da sauran irin ciwon daji ne ma a hadarin tasowa hanta ciwon daji.

A hanta abubuwa a matsayin farawa tashar domin ciwon daji Kwayoyin circulating a cikin jini. Wadannan Kwayoyin iya girma da kuma samar da wani ƙari. An yi imani da cewa 70% na dukan marasa lafiya da uncontrolled ciwon daji ƙarshe samu sakandare hanta marurai ko metastases (marurai kafa ta farko ciwon daji Kwayoyin cewa sun yada daga sauran ciwon daji shafukan).

bincikowa da

Akwai da dama daga gwaje-gwaje da za su iya taimaka a cikin ganewar asali da ciwon daji, ciki har da jini gwaje-gwaje, ta jiki jarrabawa da kuma da dama Dabarar dabaru ciki har da X-ray, lissafta tomography (CT), Magnetic rawa Dabarar (MRI) da kuma duban dan tayi.

Yawancin lokaci, karshe ganewar asali ba za a iya sanya har sai, har sai kun yi wani biopsy. Bayan nazarin biopsy samfurin, masana iya sanin abin da irin ciwon daji ne ba da kuma yadda sauri ta iya yada. Wannan bayani ne mai muhimmanci a lokacin da ya tsai da shawarar game da irin magani.

magani

Marurai bukatar jinin samar da ita don samar da rayayye, to ciyar da kansu da kuma girma. Radiologists tare da kwararru a fagen jijiyoyin bugun gini tiyata isar da niyya kwayoyi gabatar a cikin jini ta catheter ta cikin jiki.

A lura da ciwon daji marasa lafiya, radiologists iya kai farmaki ƙari shafi gare ta embolization da igiyoyin rediyo. Embolization da raya Hanyar interventional Radiology, wanda aka yi amfani da su bi suka ji rauni tare da m zub da jini, Control zub da jini bayan haihuwa, Munã rage jini da asarar kafin tiyata da kuma domin lura da siffofin maruran.

A lura da ciwon daji marasa lafiya, embolization ake amfani da su rage jinin samar wa marurai, radiation ceto (radioembolizatsiya) ko hada wannan dabara da jiyyar cutar sankara ya sadar da ciwon daji miyagun ƙwayoyi kai tsaye zuwa marurai (chemoembolization).

Bugu da kari, ciwon daji Kwayoyin aka kashe da thermal hanyoyin (radiofrequency ablation) ko daskararre ƙari (cryoablation).

chemoembolization

Chemoembolization ne minimally cin zali jiyya na hanta ciwon daji, wanda za a iya amfani da biyu da kansa da kuma a tare da sauran hanyoyin. Chemoembolization samar da gwamnati na high allurai himioembolizata kai tsaye a cikin wani sashin jiki, tauye da ƙari jinin samar da tarewa ko embolization na arteries ciyar da ƙari. Amfani da na'urar daukar hotan takardu karatu da shiriya, da interventional radiologist ya gabatar da wani kankanin catheter cikin femoral jijiya. Yana amfani a manyan kashi na miyagun ƙwayoyi, a matsayin selectively aiki hanya da kuma, daidai da, kasa miyagun ƙwayoyi circulates a lafiya Kwayoyin na jiki. Chemoembolization unshi wani asibiti Yawara na biyu zuwa kwanaki hudu. Marasa lafiya yawanci komawa zuwa al'ada ayyuka a cikin wata daya.

Chemoembolization ne musamman tasiri a lura da m hanta marurai, musamman a hade tare da sauran jiyya. Chemoembolization ya nuna alamar sakamakon da magani daga metastatic siffofin maruran. Shi ne irin wannan magani amince da FDA domin lura da metastases.

Radioembolizatsiya

Radioembolizatsiya sosai kama da chemoembolization amma tare da yin amfani da rediyoaktif microspheres. Wannan far da ake amfani da magani na biyu na farko da metastatic hanta siffofin maruran. Used embolic duniyoyin na rediyoaktif isotope yttrium-90 don ya bashe radiation kai tsaye zuwa ƙari. Kowane Sphere girman biyar ja jini Kwayoyin a fadin. Wadannan granules an gabatar da hanyar da catheter cikin makwancin gwaiwa da kuma hanyar salula mutuwa. Technology samar da wani mafi girma, gida kashi na radiation ba tare da hadarin ga lafiya nama.

Wannan shi ne mai gwada da sabon far, wanda ya tasiri a lura da firamare da kuma metastatic hanta ciwon daji cututtuka. Yana yana da m illa idan aka kwatanta da na al'ada hanyoyin da cutar daji.

radiofrequency ablation

Domin inoperable hanta marurai, radiofrequency ablation samar da wani sarrafa wadanda ba m magani da ya kashe ƙari Kwayoyin da zafi sunã rãyar da lafiya hanta nama. Saboda haka, wannan magani ne sauƙin ga mãsu haƙuri fiye da tsari far. FDA ta amince RFA domin lura da hanta siffofin maruran.

A cikin wani karamin yawan lokuta, RFA iya mika marasa lafiya 'rayuwarsu. Dangane da girman da ƙari RFA iya ji ƙyama ko kashe da ƙari, kara haƙuri rayuwa lokaci muhimmanci inganta su quality na rayuwa. Domin shi ne a gida magani da kuma ba ya cutar da lafiya da nama, da lura za a iya maimaita kamar yadda sau da yawa kamar yadda ake bukata don ci gaba da marasa lafiya a cikin ta'aziyya yankin. Wannan ne mai matukar hadari hanya, tare da wahala kudi na tsari na biyu zuwa uku bisa dari, kuma ya kasance akwai tun lokacin da marigayi 1990s.

New Cancer jiyya

Interventional Radiology taka muhimmiyar rawa a bunkasa sababbin dabaru da za su iya inganta ciwon daji magani a nan gaba, ciki har da tare da yin amfani da Magnetic barbashi kuma da isar da kwayoyin abu, kira gene far, don su yi yaƙi, ko a hana ciwon daji. Wadannan dabaru ne har yanzu gudanar da bincike kan da suka bayar da sabon bege a cikin yaki da ciwon daji.

"Magnetic" jiyyar cutar sankara

Interventional radiologists a halin yanzu gudanar da bincike a sabuwar dabara a wadda maganadiso ake amfani da su janye da tsoka wakili zuwa ƙari. Microscopic Magnetic barbashi an haɗe da miyagun ƙwayoyi da kuma a tsĩrar ta catheter cikin wani jini jirgin ruwa wanda ya amfanin jiki ƙari. The rare duniya maganadisu tana wurinta a kan haƙuri ta jiki kai tsaye sama da wuri daga cikin ƙari. Magnet barbashi domin su fada cikin ƙari. Ko da yake dabara ne har yanzu gwaji, amma sosai alamar rahama. Doctors fatan cewa shi zai kula da effects na jiyyar cutar sankara yayin guje wa wasu da illa kamar gashi asarar da tashin zuciya.

gene far

A cikin 'yan shekaru, masana kimiyya sun sami wani sabon fahimtar game da genes - ainihin nazarin halittu raka'a gadar hali da kuma rawar da suka taka a cikin samuwar cuta. Wannan ilmi ya kafa mataki na kiwon lafiya kimiyya - gene far. Duk da yake kimiyya ne har yanzu a farkon gwaji, saukarwa, masu bincike suna fatan cewa a nan gaba za a iya amfani for:

• magani na ciwon daji da kuma sauran kwayoyin cuta.
• canje-canje a cikin sel na rigakafi da tsarin na haƙuri da ciwon daji da kuma dawo da su zuwa ga jiki, inda za su iya kai farmaki da cuta ko yi kamar yadda alurar.
• maye gurbin wani karkatattun gene alhakin ciwon daji girma a kan wani "mai kyau" gene.

Daya daga cikin matsaloli na gene far samun lafiya da kuma tasiri hanyoyin da za a isar da genes ko genetically canza Kwayoyin a cikin ƙari.

Likitoci da fatan high ga sabon aukuwa da kuma su speedy aikace-aikace a cikin likita yi.