He aha te mea te maimoatanga o te mate pukupuku ate i roto ia Iharaira?

Na roto i te takenga mate pukupuku ate e taea e tuatahi, i.e., te whanaketanga o ngā pūtau ate ranei hanganga me te nāianei - he Tuarua (te hua o te kătahi o te metastasis ate o te mate pukupuku, i puta i roto i te tahi atu whēkau). Ko te nuinga o te mate hanga te raruraru o te āwhina mō te mate pukupuku ate i roto ia Iharaira i roto i te mahi tino nui o ngā tohunga i roto i te mara o te matepukupuku.

Ko nga momo o pukupuku ate tuatahi ngā:

• cholangiocarcinoma (mate pukupuku e whanake i te tau mahani ate);
• mate pukupuku hepatocellular (he mate pukupuku i puta ake i te pūtau ate - hepatocytes).

Ko te tino noa Tuarua ate mate pukupuku tata noa. maha ahu Metastases ki te tupu i te reira i roto i te tinana tangata mai mahi te ate rite tātari matua o te tinana. I roto i te take i taua, o te akoranga, ko te mea e tika ana ki te tango me te mate pukupuku, i.e., puku tuatahi tuatahi.

Maimoatanga o te mate pukupuku ate i roto ia Iharaira

Fele, i roto i te tātaritanga o te mate pukupuku ate, whakamahia te tikanga hāparapara o te maimoatanga. Mai i te huru o te manawanui, tei runga i te pai rawa o tetahi o nga tikanga ka taea o te mahi. Ko ētahi o ēnei:

• lobectomy (tera i te tango o taua wahi o te ate, i i wa ki te hopu i te puku);
• hemihepatectomy (resection ate o te hawhe, te anatomically taratahi).
• I roto i a muri pokanga tika mau:
• faaite te kopa ate unuhanga me taikiri, kawea nei i roto i tika i roto i te mahi;
• puku mamao pathological me te matū tātari (i muri i te pokanga).

Ko ate transplantation, kia tuhia te reira e i roto ia Iharaira, he taea tenei mahi anake i roto i te take o te kaituku o te manawanui - he whanaunga tata, rite te hoko hoko ranei o whēkau e kore he tika. I roto i te aroaro o te transplantation kaituku ate taea te kawea i roto i ka:

• Ko reira kotahi hinonga, te rahi o te mea iti iho i te rima henimita;
• i reira e kotahi e rua ranei, pukupuku, e kore te mea neke atu i te toru henimita te rahi o ia o nei;
• puku te ahunga whakamua he ngaro, i te iti rawa hoki te hawhe tau, a kahore e ona āhuatanga nui ake whitu henimita.

I tēnei wā i roto i a Iharaira whakawhanakehia tikanga taea ki te transplant wahi o te ate, i te mutunga tahuri ki te tinana ki tonu i-parirau, e tika ana ki tona kaha ahurei ki te whakaora. Tenei taea ki a koe te pupuri mahi rite te tinana o te manawanui, me te kaituku.

I tua atu, me mohio koutou e te transplant ate kawea i roto i a Iharaira i roto i anake i te kaituku hāngai ana.

tupu te reira i taua tiaki hāparapara mō te mate pukupuku ate i roto ia Iharaira e taea. I roto i kua haere taua āhuatanga i roto i ngā hōhipera o Iseraela ki ētahi atu momo o te maimoatanga i whakawhanakehia kua mate pukupuku ate. Ko ētahi o ēnei:

• cryoablation (kawea atu na roto i te mīti mā te hauota wai, o ngā pūtau puku);
• tikanga ablation i raro i ngā tukanga ultrasound (ngira ki te puku kei te patia te waihā tarukino e whakangaromia e pūtau pukupuku);
• radiofrequency ablation . i raro i te mana o CT ultrasound (ka te nui rawa i roto i vahi iti i roto i te puku, kua whakaurua ki roto ki te ngira puku, electrocution wera, e arata'i ki te whakangaromanga o ngā pūtau puku ranei he taea hoki ki te whai wāhi i roto i ngā pūtau waipiro parakore, i te mea nehenehe o te whakangaro ia ratou ano;
• maripi ipurangi tono (tikanga radiosurgical te whakamahia nei, tae atu, mo te whakakorenga o te metastasis);
• Chemoembolisation - kotahi momo o therapy matū i roto i nei te whakaurua rongoā ki te ate (i roto i tenei tikanga, iatuku ate e te kaiwhakawhiwhi te puku ki te toto, āraia);
• tono therapy kouma - te whakangaromanga o te puku i te tikanga o te radiation kaha whakahaua nei ki pukupuku;
• tono o te pokaikaha tikanga, tohu he iraruke intrahepatic whiriwhiri, te radiation te rongo taumata-tiketike i whakangaro i te puku.