Zvishoma invasive nzira kurapa kenza chiropa varwere

Kuvhiya nokubviswa chiropa anomera anopa yakanakisisa mukana mushonga. Zvinosuruvarisa chiropa mapundu kazhinji zvokutadza guru kana kuorora makuru midziyo ropa, uye dzimwe nhengo dzemuviri. Izvi zvinoita vavhiyiwa zvakare nengozi kana seisingashandi. Kuvhiya kubviswa hazvibviri muna 30-40% varwere chikuru uye 90% varwere yechipiri kenza chiropa.

Maererano nenhau dzakaitika, mishonga hadzibatsiri pakurapa kenza chiropa. Naizvozvo, pane vakawanda nzira anobvumira kurwa chirwere ichi.

mhando

Primary kenza chiropa: inonyanya chimiro chikuru kenza riri hepatocellular carcinoma (HCC). bundu ichi kunotanga huru mumasero chiropa. Primary kenza chiropa kakapetwa kaviri kupfuura zvinozivikanwa nevanhu pane vakadzi. HCC zvikuru mune vanorwara ne chiropa cirrhosis.

Metastatic Fígado Cancer: Cancer hunogona kutapukira kubva chero chikamu muviri chiropa. masero pane kenza anogona kukura kwemwedzi kana kwemakore asati aonekwa. Chiropa metastases kakawanda muna namamota ari muura uye mugaranhoko. Varwere mamwe marudzi kenza vari zvakare pangozi yokuva nekenza chiropa.

Chiropa anoita se pokutangira yemapurisa kenza achiparadzira mu muropa. Masero aya anogona kukura uye dzinoumba bundu. Zvinofungidzirwa kuti 70% wevarwere dzose dzisingadzorwi kenza pakupedzisira vakawana yechipiri chiropa mapundu kana metastases (mapundu inoumbwa chikuru masero kenza kuti vakaparadzira zvimwe kenza nzvimbo).

Diagnostics

Pane zvinhu zvinoverengeka nemiedzo chingakubatsira iri nechirwere kenza, kusanganisira kuongorora ropa, kuongorora kwomuviri uye zvakasiyana-siyana kuri mitoo kusanganisira X-ray, computed tomography (CT), rinobva resonance kuri (MRI) uye Ultrasound.

Kazhinji, chokupedzisira zvokuongorora haigoni kuitwa kusvikira zvino, kusvikira iwe kuita biopsy. Mushure taongorora biopsy yokuenzanisira, nyanzvi anogona kusarudza kuti kenza mhando aripo uye sei nokukurumidza kunogona kupararira. mashoko Izvi zvinokosha kana zvisarudzo pamusoro mhando kurapwa.

mabatiro

Namamota vanoda ropa wedzerai kuti zvinoshingaira vaunze, ivo zvokudya uye kukura. Radiologists pamwe vanachiremba mumunda vascular Kuvhiya kununura zvinodhaka Vanosarudzwa chakaunzwa midziyo ropa kuburikidza anobudisa mushonga zvishoma nezvishoma achishandisa muviri.

Pakurapa kenza varwere, radiologists anogona arwise bundu kukanganisa kwazviri nokuda embolization uye redhiyo mafungu. Embolization dzakabudirira nzira interventional radiology, iyo inoshandiswa kurapa vakuvara pamwe muhombe ropa zvakanaka, kudzora ropa mushure wakurukura, nokuderedza kurasikirwa ropa pamberi kuvhiya uye nokuda kurapwa anomera.

Pakurapa kenza varwere, embolization inoshandiswa kuderedza ropa wedzerai namamota, nemwaranzi pakukurukura (radioembolizatsiya) kana chokubatanidza unyanzvi uyu mishonga anunure kenza mushonga zvakananga namamota (chemoembolization).

Uyezve, masero kenza vari vakaurayiwa chafariz nzira (radiofrequency ablation) kana nechando bundu (cryoablation).

chemoembolization

Chemoembolization munhu zvishoma invasive mabatiro kenza chiropa, izvo zvinogona kushandiswa zvese vakazvimiririra uye pachiimbwa dzimwe nzira. Chemoembolization rinopa kwokubatsira yakakwirira mishonga himioembolizata zvakananga ive nhengo, nokunyima bundu ropa rayo wedzerai kuburikidza ichivharira kana embolization pakati arteries dzichifura bundu. Uchishandisa scanner kuverengwa kutungamirirwa, interventional radiologist inosuma duku anobudisa mushonga zvishoma nezvishoma kunyika femoral tsinga. It anoshandisa guru dose zvinodhaka, sezvo zvokusarudza kushanda nzira uye, naizvozvovo, zvishoma zvinodhaka circulates mumasero utano muviri. Chemoembolization zvinowanzosanganisira muchipatara mutsigiro maviri mazuva mana. Varwere kazhinji kudzokera ezuva mukati mwedzi.

Chemoembolization zvikuru nyanzvi pakurapa akaipa chiropa namamota, kunyanya akabatana nevamwe kurapa. Chemoembolization akaratidza vaizotibata kunoguma mishonga metastatic anomera. It akadai kurapwa kunotenderwa FDA kuti mishonga metastases.

Radioembolizatsiya

Radioembolizatsiya zvikuru zvakafanana chemoembolization asi nokushandiswa radioactive microspheres. kurapa iri rakashandiswa kurapwa zvose zvikuru uye metastatic chiropa anomera. Used embolic mabhora ose radioactive isotope yttrium-90 anunure nemwaranzi zvakananga bundu. Mumwe denderedzwa kukura matsvuku masero mashanu pahupamhi. granules izvi nezvevanakomana kubudikidza anobudisa mushonga zvishoma nezvishoma vachipinda groin uye mhaka sero rufu. Technology inopa yakakwirira, zvomunharaunda dose nemwaranzi pasina njodzi kune utano tishu.

Uyu kurapa yerudzi rutsva, rakanga nyanzvi pakurapa chikuru uye metastatic zvirwere kenza chiropa. Rine vashoma nemishonga zvichienzaniswa kwakajairika nzira kenza kurapwa.

radiofrequency ablation

For inoperable chiropa namamota, radiofrequency ablation inopa vemunyika isiri kuvhiya kurapwa anouraya bundu masero kubudikidza nokupisa kukudzivirirai utano chiropa tishu. Saka, kurapwa iri nyore zvikuru kuti murwere pane systemic kurapa. FDA mvumo RFA kuti mishonga chiropa anomera.

In vashoma kacho RFA anogona kuwedzera varwere 'upenyu. Zvichienderana ukuru bundu RFA anogona vanodzokera kana kuuraya bundu, kuwedzera murwere Kupona nguva yekudyidzana kuwedzera upenyu hwavo. Nokuti yomunzvimbo kurapwa uye haruitiri zvinyama utano, mishonga inogona kudzokororwa kakawanda sezvinodiwa kuchengeta varwere mukunyaradzwa wongoramba. Iyi yakachengeteka chaizvo nzira, pamwe kuomesa mwero sezvakarayirwa maviri matatu muzana, uye chave kubva mukupera kuma1990 iripo.

New Cancer Kurapwa

Interventional radiology inoita basa rinokosha vachigadzira nzira itsva kuti hungavandudzika kenza kurapwa mune ramangwana, kusanganisira nokushandiswa rinobva nezvimedu uye hurukuro kuvabereki zvinhu, anonzi Gene kurapa, kurwa kana kudzivirira kenza. unyanzvi izvi vachiri investigational uye vanopa tariro itsva iri hondo kenza.

"Magnetic" Kurapwa

Interventional radiologists pari kuferefeta mutsva kwenzira umo magnets a inoshandiswa kudhonza chemotherapeutic mumiririri kuti bundu. Roga rinobva nezvimedu vari vasiyana zvinodhaka uye ucharwirwa anobudisa mushonga zvishoma nezvishoma kuva mudziyo ropa iro zvinogara bundu. The isingawanzowanikwi pasi magineti iri papi pamusoro muviri murwere zvakananga pamusoro nzvimbo bundu. Magnet inoramba kuti kuwira bundu. Kunyange zvazvo magadzirirwo achiri experimental, asi zvinovimbisa chaizvo. Vanachiremba tariro kuti zvichaita vaine zvinokonzerwa mishonga apo kurega zvimwe zvayo nemishonga yakadai bvudzi kurasikirwa uye svoto.

Gene kurapa

Mumakore achangopfuura, masayendisiti akawana kunzwisisa itsva pamusoro majini - inokosha zvipenyu zviumbu yedzinza uye nebasa razvinoshanda pakugadzirwa chirwere. ruzivo Izvi zvakagadzirira sayenzi yezvokurapa - Gene mishonga. Nepo nesayenzi ichiri pakutanga experimental matanho, vaongorori vari kutarisira kuti munguva yemberi rinogona kushandiswa:

• Mabatirwo kenza uye zvimwe nemagene zvirwere;
• zvachinja mumasero rokuzvidzivirira murwere kenza uye navo achidzokera muviri, kwavaigona urwise zvirwere kana chiito sezvo yokudzivirira;
• tsiva hunonyengera Gene anokonzera kenza kukura pane zviratidzo "akanaka".

Chimwe matambudziko Gene mishonga kuwana njodzi uye inobudirira nzira yokununura majini kana masero majini akachinjwa kupinda bundu.

Doctors vane dzaitarisira kuti zviitiko itsva uye avo kunokurumidza kushanda mune okurapa.