Ukuthola ukuthi ngabe usakaze yini kuma-lymph nodes kuyisihluthulelo
Ukuxilongwa yisifo somdlavuza wesisu , manje kuthiwani? Isikhathi sokubheka ukuthi ngabe amangqamuzana omdlavuza asakaze yini ngaphakathi esiswini noma aya kwezinye izingxenye zomzimba. Ukwazi lolu lwazi kuzolungisa isigaba sesifo bese usiza ukuthola uhlelo lwakho lwezokwelapha.
Inqubo Yokunciphisa I-Cancer Gastric
Ukuze uthole ukuthi umdlavuza uhlalaphi emzimbeni wakho, kuzodingeka uhlolwe.
Ukuhlolwa okuyisithupha okulandelayo kusiza ukuqoqa imininingwane edingekayo ukuthola ukuthi isiphi isifo somdlavuza wesisu sakho.
ß-hCG, CA-125, kanye nama-CEA: Lezi zivivinyo zilinganisa ama-ß-hCG (i-beta-human chorionic gonadotropin), i-CA-125, ne-CEA (carcinoembryonic antigen) egazini. Lezi zinto zikhishwa egazini kusukela kumabili amangqamuzana omdlavuza namaseli avamile. Uma itholakala emanini aphezulu kunamanani ajwayelekile, ingaba uphawu lomdlavuza wesisu noma ezinye izimo.
I-X-ray ye-Chest: Ungase ujwayelane nalesi sivivinyo. I-x-ray iyinhlobo yombhoshongo wamandla ongahamba emzimbeni bese efakwe kwifilimu, okwenza isithombe sezindawo ngaphakathi komzimba. Leli lihlose izitho namathambo ngaphakathi kwesifuba.
I-ultrasound ye-Endoscopic: I-tube encane, ekhanyayo ebizwa ngokuthi i-endoscope efakwe emzimbeni futhi idala amagagasi omsindo aphezulu-eyaziwa nangokuthi i-ultrasound - evumbela izicubu zangaphakathi noma izitho zangaphakathi, futhi yenza ama-echoes.
Ama-echoes enza isithombe sezitho zomzimba ezibizwa ngokuthi i-sonogram. Le nqubo ibizwa ngokuthi i-endosonography.
I-CT scan noma i- CAT scan : Cabanga ngekhomputha exhunywe kumshini we-x-ray ukuthatha uchungechunge lwezithombe eziningiliziwe zendawo ngaphakathi komzimba kusuka ezingxenyeni ezahlukene. Engeza idayi engase ijojowe emvinini noma igwinye ukusiza izitho noma izicubu zibonise ngokucacile, futhi yi-CT scan.
Le nqubo ibizwa nangokuthi i-computed tomography, i-tomography yekhompuyutha, noma i-computers ye-axial tomography.
I-Laparoscopy : Ukucutshungulwa okuncane noma ukucubungula kwenziwa emdongeni wesisu kanye ne-laparoscope - ithubhu elincane, elikhanyisiwe - lifakwe kwelinye lamaphuzu ukubuka izitho ngaphakathi kwesisu bese uhlola izibonakaliso zezifo. Ezinye izinsimbi zingase zibekwe ngokufanayo, noma okunye, ukucutshungulwa kokususa i-lymph nodes noma ukuthatha amasampula amathisiphi ukuze kube yi- biopsy .
I-PET scan : Le nqubo, ebizwa ngokuthi i-positron emission tomography scan noma i-PET scan, ithola amangqamuzana amathumba amabi emzimbeni ngokufaka injini encane ye-radionuclide glucose noma ushukela, ifakwe ku-vein. Khona-ke isithwebuli se-PET sijikeleza umzimba wonke futhi senze isithombe lapho i-glucose isetshenziswa khona emzimbeni. Amangqamuzana amathumba ahlambalaza abonakala ekhanyayo esithombeni ngoba asebenze kakhulu futhi athatha i-glucose ngaphezulu kunezingqamuzana ezivamile.
Izinyathelo Zomdlavuza Wegastric
Ngemuva kokulandela izinyathelo ezingenhla, udokotela wakho uzoqaphela ukuthi yiziphi izigaba ezilandelayo umdlavuza wakho wesisu oyowela kuwo.
Isigaba sesi-0 (i-carcinoma e-Situ): I- Cancer itholakale ngaphakathi kwendwangu yangaphakathi yodonga lwesisu esiswini, ngaphakathi noma ngaphakathi.
Isigaba I: Kuye ngokuthi umdlavuza usakaze kuphi ukuthi ngabe isiteji sengumdlavuza wesisu yini noma yisigaba se-IB noma isigaba se-IB. Uma umdlavuza usakaze ngokuphelele nge-mucosal, noma ngaphakathi, ungqimba lwesisu esiswini, isigaba somdlavuza we-IA wesisu.
Isigaba IB lapho umdlavuza usakaze ngokuphelele ngohlaka lwe-mucosal lwesidumbu sesisu futhi litholakala ku-6 lymph nodes eduze nesisu; noma ku-muscularis, noma emaphakathi, ungqimba lwesidumbu sesisu.
Isigaba II: Lapho umdlavuza wesisu usakazeke:
- Ngokuphelele ungqimba lwe-mucosal lwesidumbu sesisu futhi litholakala ku-7 kuya ku-15 lymph nodes eduze kwe-tumor; noma
- Emgqeni we-muscularis, noma emaphakathi, ungaphakathi kwendonga yesisu futhi itholakala ku-6 lymph nodes eduze kwe-tumor; noma
- Ku-serosal, noma ungqimba lwangaphandle, lwendonga yesisu kodwa hhayi emalini noma ezinye izitho.
Isigaba III: Ngokuya lapho umdlavuza usakaze khona kuzokwenqumela ukuthi umdlavuza wesisu ungomkhakha we IIIA noma isigaba IIIB.
Umdlavuza wesiteji se-IIIA usulele ku:
- I-muscularis, noma ephakathi, isendlalelo sodonga lwesisu futhi itholakala kuma-lymph nodes angu-7 kuya kwangu-15 eduze kwesikhumba; noma
- I-serosal, noma ungqimba lwangaphandle, lwendonga yesisu futhi litholakala ku-1 kuya ku-6 lymph nodes eduze kwe-tumor; noma
- Amalungu eduze kwesisu kodwa hhayi emalenzeni noma kwezinye izingxenye zomzimba.
Umdlavuza we-Stage IIIB usulele esitokisini se-serosal sodonga lwesisu futhi utholakala ku-7 kuya ku-15 lymph nodes eduze kwe-tumor.
Isigaba IV: I- Cancer ithola lesi sigaba uma sesakazeka ezithombeni eduze kwesisu futhi okungenani i-lymph node eyodwa; noma ngaphezulu kuka-15 lymph nodes; noma ezinye izingxenye zomzimba.
Ulwazi olungaphezulu ngomdlavuza wesisu
Izimpawu zesifo somdlavuza wesisu
Ukuphatha isisu (Gastric) Cancer
Ukwaziswa kufakwe kwi-National Cancer Institute .