Tikanga minimally urutomo o te maimoatanga o te tūroro ate mate pukupuku

tango hāparapara o te pukupuku ate tuku te tupono pai mo te rongoa. Kia aroha mai, He maha pukupuku ate nui rawa ranei maongo oko toto nui, me ētahi atu hanganga faufaa. hanga tafa meá rawa ranei koretake tenei. tango hāparapara he taea i roto i te 30-40% o te tūroro ki te tuatahi, me te 90% o te tūroro ki te mate pukupuku ate tuarua.

Mua, raau taero e te hunga whai hua i roto i te maimoatanga o te mate pukupuku ate. Na reira, i reira e he maha o ngā rautaki e tukua ki te whawhai i tēnei mate.

momo

mate pukupuku ate Paraimere: Ko te puka tino noa o te mate pukupuku tuatahi he mate pukupuku hepatocellular (HCC). Tenei puku e haamata i roto i te pūtau matua o te ate. Ko e rua ngā wā atu noa i roto i nga tangata atu i roto i nga wahine mate pukupuku ate Paraimere. Ko atu noa HCC i roto i te hunga e mate ana ki te ate cirrhosis.

Ka taea te tuku Cancer i tetahi wahi o te tinana ki te ate: metastatic Ate Cancer. Ka taea e He pūtau matepukupuku tupu mo marama tau ranei i mua e kitea e ratou. He maha metastases ate i roto i te pukupuku o te kopirua me tōu. E hoki Tūroro ki ētahi atu momo o te mate pukupuku i te mōrea o te whakawhanake mate pukupuku ate.

mahi te ate rite teihana tīmatanga mō ngā pūtau pukupuku komuhumuhu i roto i te bloodstream. Ka taea e ēnei ngā pūtau tupu me te hanga i te puku. Kei te whakapono te reira e 70% o tūroro katoa ki te mate pukupuku whakakeke faifai whiwhi pukupuku ate tuarua ranei metastases (pukupuku i hanga e te pūtau mate pukupuku tuatahi e kua horahia e i te tahi atu pae pukupuku).

tātaringa

He he maha o ngā whakamātautau e taea te āwhina i roto i te tātaritanga o te mate pukupuku, tae atu ki ngā whakamātautau toto, whakamātautau tinana me te whānuitanga o ngā tikanga atahanga tae X-ray, tomography computed (CT), te kōwarotanga autō atahanga (MRI) me te ultrasound.

Ko te tikanga, e kore e taea te hanga te tātaritanga whakamutunga tae noa Na, tae noa te mahi koe i te unuhanga. I muri ui te tauira unuhanga, ka taea e ngā tohunga te whakatau he aha te ahua o te mate pukupuku he hakari, me pehea hohoro taea wherahia ana e ia. He nui tenei mōhiohio ka hanga he whakatau e pā ana ki te momo o te maimoatanga.

maimoatanga

Me te pukupuku toto supply ki reira ki te whakaputa kaha, ki te whangai ia ratou, ka tupu. Radiologists tahi me tohunga i roto i te mara o te pokanga iaia whakaora taero hāngai whakaurua ki te oko toto i roto i te pū tōngāmimi i roto i te tinana.

I roto i te maimoatanga o te tūroro mate pukupuku, ka taea e radiologists te patu puku e pā reira i te embolization me irirangi ngaru. pai whakawhanakehia Embolization tikanga o rongoā iraruke interventional, whakamahia nei te ki hamani whara ki toto nui, Mana toto i muri i te tuku, te whakaiti mate toto i mua i pokanga me mo te maimoatanga o te pukupuku.

I roto i te maimoatanga o te tūroro mate pukupuku, whakamahia embolization te ki te whakaiti i te supply toto ki te pukupuku, tuku radiation (radioembolizatsiya) ranei ngā tenei tikanga ki te hahau ki te whakaora tika tarukino mate pukupuku ki te pukupuku (chemoembolization).

I tua atu, pūtau pukupuku e patua e tikanga waiariki (radiofrequency ablation) ranei puku tio (cryoablation).

chemoembolization

Chemoembolization Ko te maimoatanga minimally urutomo o mate pukupuku ate, e taea te whakamahi e rua takitahi me i roto i te taha ki te tahi atu ngā tukanga. whakarato Chemoembolization whakahaere o pota tiketike himioembolizata tika ki te okana, ia hau te puku o ona supply toto na roto i te ārai embolization o nga pera kai te puku ranei. Mā te whakamahi i te pānuitanga matawai mo te arata'iraa, whakamōhio te radiologist interventional he pū tōngāmimi iti ki te iatuku femoral. whakamahi te reira i te horopeta nui o te raau taero, te tukanga rite tīpakongia whakahaere me, runga i, honotanga iti raau i roto i ngā pūtau hauora o te tinana. te tikanga whai wāhi Chemoembolization te noho hōhipera o rua ki te wha nga ra. Tūroro te tikanga hoki ki ngā mahi noa i roto i te marama.

Ko tino whai hua i roto i te maimoatanga o te pukupuku ate mārere Chemoembolization, ngā i roto i ngā ki ētahi atu maimoatanga. Kua whakaaturia Chemoembolization hua fafau i roto i te maimoatanga o te pukupuku metastatic. Ko tenei momo o te maimoatanga whakaaetia e te FDA mo te maimoatanga o metastases.

Radioembolizatsiya

Radioembolizatsiya tino rite ki te chemoembolization engari ki te whakamahi o microspheres iratuki. Kei te whakamahia i tēnei therapy mō te maimoatanga o e rua pukupuku ate tuatahi, me te metastatic. Whakamahia ao embolic o te ira kanoirite yttrium-90 ki te whakaora tika radiation ki te puku. Ia poi i te rahi o ngā pūtau toto whero e rima i roto i te whanui. E whakaurua ēnei granules roto i te pū tōngāmimi ki te tapatapa me take pūtau mate. whakarato Technology he, horopeta rohe teitei o radiation kahore mōrea ki te kiko hauora.

Ko te therapy āhua hou, i he whai hua i roto i te maimoatanga o mate ate mate pukupuku tuatahi, me te metastatic tenei. He iti pānga taha whakaritea ki tikanga tikanga o te maimoatanga mate pukupuku.

ablation radiofrequency

Hoki te pukupuku ate mahi tika, whakarato radiofrequency ablation te maimoatanga paetata kore-hāparapara e whakamate pūtau puku i te wera e tohu kiko ate hauora. Ko te kupu, he māmā nui hoki te manawanui atu therapy pūnahanaha tenei maimoatanga. whakaaetia FDA RFA mo te maimoatanga o te pukupuku ate.

I roto i te tau iti o te wā, ka taea e RFA whakawhānui ora tūroro '. Tei runga i te rahi o te puku e taea RFA holomui patua te puku ranei, te whakanui ake i te wā ora manawanui tino whakapai ake ratou kounga o te ora. No te mea ko reira te maimoatanga rohe, me te kore e kino kiko hauora, taea te faahiti i te maimoatanga rite maha rite hiahiatia ki te pupuri i tūroro i roto i te rohe whakamarie. Ko te tukanga haumaru rawa, ki te auau pōauautanga o te tikanga o rua ki te toru ōrau tenei, a ka kua kua e wātea ana mai i te mutunga o nga 1990.

Maimoatanga Cancer New

rongoā iraruke Interventional whai wāhi nui i roto i te whakawhanake tikanga hou e kia whakapai ake maimoatanga mate pukupuku i roto i te heke mai, tae atu ki te whakamahi o matūriki autō, me te tuku o te rauemi ira, ka karanga ira therapy, ki te whawhai ārai mate pukupuku ranei. Ko tonu ēnei tikanga investigational me whakahere e ratou tumanako hou i roto i te whawhai ki te mate pukupuku.

"Autō" hahau

radiologists Interventional tirotiro tēnei wā he tikanga hou i roto i nei aukume e whakamahia ki te wahia te kaihoko chemotherapeutic ki te puku. E piri mōkitokito matūriki autō ki te tarukino me te kia whakaorangia i roto i te pū tōngāmimi ki te oko toto e whangainga ana te puku. te tūnga o te autō whenua onge te i runga i te tinana o te manawanui tika i runga i te wāhi o te puku. matūriki aukume kia kia taka ratou ki roto ki te puku. Ahakoa he tonu whakamātau, engari tino whaihua te tikanga. tumanako Doctors e ka mau tonu te reira i te pānga o te hahau i te aperaa i te tahi mau o ona pānga taha pērā i te ngaronga makawe me te whakapairuaki.

therapy ira

I roto i nga tau tata nei, kua riro kaipūtaiao te māramatanga hou e pā ana ki te ira - te wae koiora taketake o whakapapa me te tūranga tākaro ratou i roto i te hanganga o te mate. Kua whakaturia tenei matauranga i te atamira mo te pūtaiao hauora - ira therapy. I te mea tonu pūtaiao i roto i te wāhanga whakamātautau wawe, e tumanako kairangahau e i roto i te heke mai taea te whakamahi i te reira no te:

• maimoatanga o te mate pukupuku, me te tahi atu ngā ira mate;
• huringa i roto i te pūtau o te pūnaha ārai mate o te manawanui ki te mate pukupuku, me te hoki mai ratou ki te tinana, te wahi i taea e te patu e ratou te mate mahi ranei rite kano;
• whakakapi i te ira hē te kawenga mō te tipu mate pukupuku i runga i te "pai" ira.

Ko tētahi o nga raruraru o te therapy ira ki te kitea huarahi haumaru, me te whai hua ki te whakaora ira pūtau ira puta ranei ki te puku.

Doctors i tūmanako tiketike mō ngā whanaketanga hou, me to ratou tono ohorere i roto i te mahi hauora.