Kenza chiropa, chiropa metastases ramangwana

Mushonga kwemakumi emakore mubasa tsvakurudzo mumunda kenza kukura, asi apo zvakakwana mundotarisisa kenza kwacho rotsva. Somuenzaniso, nei sero kungaitwa pane vanokara uye zvadaro kuva kuti Deplete yokutanga motokari. Nyanyisa namamota uye metastases ari chiropa - the for hakusi anonyaradza. Zvaitika pasi pokudzora akasiyana zvikonzero, zvichitungamirira nyere kukundikana pasina kurapwa pangava pedyo rufu.

kenza chiropa uri nesekondari chimiro. Primary vakaparadzira kwete kwakapararira kakawanda kazhinji kutambura kubva mariri hono hafu vanhu. The kukonzera chimiro ichi kenza - ari kukura kwezvinhu nemavhairasi chiropa (B, C, D) kupfuura kuva chirwere chimiro, chikonzero chechipiri - zvinwiwa chiropa kunotungamirira cirrhosis. Secondary chirwere - chiropa metastases (mu iyi, iyo fungidziro riri vanoshorwa zvikuru) - anova pamusoro pakanyorwa mumwe nhengo inobereka bundu-(zvemapapu, chipfuva, muura, prostate, rokumusoro kufema turakiti, etc.).

Ngozi chiropa metastases vanokwanisa kukura kukura (anopfuura 10 cm) uye kungaita kuti chiropa kutadza kudhaka akasimba nokuda kuora kuti tsvina. Most kazhinji aumba kubva metastases ose akaipa anomera nemudumbu, sezvo ropa kare "utachiona" masero bundu, pakutanga akatumira chiropa dzinongoitika filtration, apo masero tigadzirise kune vascular afoot uye dzinotanga kuumbika dzaitongwa - metastases. Zvinofanira kucherechedzwa kuti chero womukati nhengo bundu metastatic kuti chiropa.

Dai maiva metastases vari chiropa, fungidziro iri kazhinji vanoshorwa Zvisinei, kuva kunyatsoenderana, chiremba anofanira kuita zvakakodzera inspections. Maererano chiropa metastases nyanzvi kuona muna 1/3 varwere oncology, kunyanya kenza yemapapu, dumbu, muura uye kenza yemazamu, vari apo neapo munyika ovarian kenza uye kenza yeprostate.

Zviratidzo kenza chiropa

The kunotoda mufananidzo iri rinenge kufanana zvose bundu chikuru uye yechipiri. Kazhinji, nyanyisa zvirwere, hakuna pachena zviratidzo. Panguva kutanga kwekupwanyiwa kukura zvingakonzera muutera, fivha, kukurumidza kuneta, kuchinja chetsoka, kwenguva nenguva manyoka, kurasikirwa kudya uye uremu, kurwadziwa, kana kunzwa zvakasimba zvakarurama repamusoro quadrant. Kazhinji Zviratidzo izvi vakarasika zvimwe zvirwere: cholelithiasis, cholangitis, cholecystitis, varwere vanotanga kubata zviri kubva zvirwere izvi, kutanga pechikuva oncology.

Marwadzo kurudyi anogona huchawedzerwa apo kuwana kukosha bundu saizi, muchiitiko ichi, icho kuchambokanganisa yakapoteredza nhengo uye sezvo zvakaguma chiropa Kamudzira iri zvakasimba rwakatambanudzwa. The zvakawanda yepamusoro nzendo, bundu simba mberi uye rinoita kuvhiringidza chiropa basa - Recycling bile anopinda ura, iwo zvinoratidzwa pamusoro ruvara ganda, mucous membranes (nevachena kwemaziso, muromo) - Ivo kuwana yero ruvara, kuoma uye kuvaviwa zvingaitika. Yakataurawo kukwidza tembiricha (kusvika 39 C).

Kuonekwa anomera uye chiropa metastases

Kunyange metastases guru iri chiropa, riri zvikuru vanoshorwa fungidziro, anogona chakamboti kuramba nhengo nerevane kukonzera jaundice. Bile muchiitiko ichi rinobva kuburikidza migero mutano asi muropa bilirubin pamwero achapiwa yakawedzera kakawanda. Nokuti chirwere kunoda nhamba miedzo uye zvidzidzo, chikuru ndivo vari:

• Abdominal Ultrasound - azivikanwe kukura uye hunhu zviripo anomera uye metastases.
• SKT MR kana - zvakanyatsorurama rokuongorora malignancy.
• Danho rinotevera - the ponji of bundu. Kuendeswa nzwisa zvinyama anotumirwa kudzidza muna histology kuziva chimiro chayo.
• Urinalysis, ropa kubva munwe uye mutsinga.

mataridzikiro

About 52% wevarwere vachapona (mukati 5 Makore pashure pokuvhiyiwa), kuva munhu akaipa gungano 38% kuramba kurarama pamberi 2 dzakabatana. Kana murwere ane 3 nokusunungura mapfundo uye zvakawanda, mikana vari kunyange kudzika - asingasviki 18%. Kunyange pashure abudirire Kuvhiya wokurarama ndiyo 40%. Chinonyanya yakanaka fungidziro nokuda namamota ari muura uye mugaranhoko.

Chero zvazvingava, zviri pakuraramisa kurapwa yokurembedza kana kumisa bundu kukura uye kudzivirira matambudziko kutanga. Kana kuvhiya kupindira kuti kenza uye chiropa metastases akatakura nhengo resection - kubviswa bundu idzodzo. oparesheni Izvi zvinobvumira kuti chose kubvisa, nengozi, sezvo tichiziva, chiropa zvingaderedzwa kukura - zvinotora inenge mwedzi mitanhatu.