Ukufumanisa ukuba isasazeka kwii-lymph nodes yintloko
Ukuxilongwa ngumhlaza wesisu , ngoku kuthethani? Ixesha lokujonga ukuba iiseli zomhlaza zisasazeka ngaphakathi esiswini okanye ziya kwezinye iindawo zomzimba. Ukwazi olu lwazi luza kugqiba isigaba sesi sifo kwaye uncede uqonde isicwangciso sakho sonyango.
Inkqubo yokuThengisa umdlavuza weGastric cancer
Ukufumana apho umhlaza uphila khona emzimbeni wakho, kuya kufuneka ufumane iimvavanyo ezithile.
Ezi zilandelayo mvavanyo zithandathu zikunceda ukuqokelela ulwazi olufunekayo ukuqinisekisa ukuba yeyiphi isigaba somhlaza wakho wesisu.
ß-hCG, CA-125, kunye nee-CEA: Ezi mvavanyo zilinganisa amanqanaba e-ß-hCG (i-beta-human chorionic gonadotropin), i-CA-125 kunye ne-CEA (carcinoembryonic antigen) egazini. Ezi zinto zithunyelwa kwigazi ukusuka kumaseli omhlaza wesibili kunye neeseli eziqhelekileyo. Xa kufumaneka kwimilinganiselo ephezulu kuneemfuno eziqhelekileyo, kunokuba ngumqondiso wesifo somhlaza wesisu okanye ezinye iimeko.
I-X-ray yesifuba: Usenokuba uqhelanise nale mvavanyo. I-x-ray yintlobo yombhobho wamandla onokungena emzimbeni kunye nefilimu, ukwenza umfanekiso weendawo ngaphakathi komzimba. Eli lijolise kwizitho kunye namathambo ngaphakathi kwesifuba.
I-endoscopic ultrasound: I-tube elula, ekhanyayo ebizwa ngokuthi i-endoscope ifakwe emzimbeni kwaye idala amagesi omsindo aphezulu-eyaziwa nangokuthi i-ultrasound - ekhupha izicubu zangaphakathi okanye izitho, kwaye yenza i-echoes.
I-echoes yakha umfanekiso weethambo zomzimba ezibizwa ngokuba yi-sonogram. Le nkqubo ibizwa nangokuthi i-endosonography.
I-CT scan okanye i- CAT scan : Cinga ikhomputha edibene nomshini we-x uthabathe uluhlu lwemifanekiso ecacileyo yeengingqi ngaphakathi kwimizi eyahlukeneyo. Yongeza idayi enokuthi ifakwe kwi-vein okanye igxilwe ukunceda iziko okanye izicubu zibonisa ngokucacileyo ngakumbi, kwaye yi-CT scan.
Le nkqubo ikwabizwa ngokuba yi-tomography, i-computerized tomography, okanye i-computer ye-axial tomography.
I-Laparoscopy : Ukunciphisa amancinci okanye ukutshintshwa kwenziwa kwidonga lwesisu kunye ne-laparoscope - ithambo elincinci, elikhanyayo - lifakwe kwelinye lezinto ekubonwa ngazo ukujonga iinkalo ngaphakathi kwisisu kwaye ukhangele iimpawu zesifo. Ezinye izixhobo zingeniswa ngokufanayo, okanye ezinye izinto, ukuba zikhuphe i-lymph nodes okanye zithathe iisampuli zamathambo kwi- biopsy .
Ukukhangela kwe-PET : Le nkqubo, ebizwa ngokuba yi-positron emission tomography scan okanye i-PET scan, ifumana amangqamuzana amathumba omzimba emzimbeni ngokufaka injini encinci ye-radionuclide i-glucose okanye iswekile, ifakwe kwi-vein. Emva koko i-PET scanner ijikeleza umzimba kwaye yenza umfanekiso we-glucose isetyenziswe emzimbeni. Amaseli amathumba ahlambulukileyo aveza ngakumbi emfanekisweni ngoba asebenzayo kwaye athatha i-glucose ngaphezulu kuneeseli eziqhelekileyo.
Izigaba zeCastry Cancer
Emva kokuqhuba iinkqubo ezilapha ngasentla, ugqirha wakho uya kugqiba ukuba zeziphi izigaba ezilandelayo umhlaza wakho wesisu uza kuwela.
Isigaba se-0 (i-Carcinoma in Situ): I- Cancer ifumaneke kuphela ngaphakathi kwimbatho yangaphakathi ye-mucosal, okanye ngaphakathi, isalathisi sesisu isigaba 0.
Isigaba I: Ngokuxhomekeka kwimeko apho umhlaza usasazeke khona ukuba ngaba isiteji somhlaza wesibeleko sisisigaba se-IA okanye isigaba IB. Xa umdlavuza usasazeke ngokupheleleyo nge-mucosal, okanye ngaphakathi, uluhlu lwesisu, isigaba se-IA somhlaza wesisu.
Isigaba IB xa umdlavuza usasazeke ngokupheleleyo kwisalathisi sesisu kwaye ufunyenwe kwi-6 lymph node kufuphi ne-tumor; okanye kwi-muscularis, okanye phakathi, ububanzi bodonga lwesisu.
Isigaba II: Xa umhlaza wesisu usasazeke:
- Ngokugqithiseleyo ngqongqo lwe-mucosal lwesondlo sesisu kwaye kufumaneka kwi-7 ukuya kwi-15 i-lymph node kufuphi ne-tumor; okanye
- Kumgca we-muscularis, okanye ophakathi, udonga lwesisu kwaye ufunyenwe kwi-6 lymph node kufuphi ne-tumor; okanye
- Ku-serosal, okanye ngaphaya kwebala, udonga lwesisu kodwa kungabikho kwi-lymph nodes okanye ezinye izitho.
Isigaba III: Ngokuxhomekeka apho umhlaza usasazeke khona uya kugqiba ukuba umhlaza wesisu unesigaba se-IIIA okanye isigaba se-IIIB.
Umdlavuza weSigaba IIIA usasazeke kwi:
- I-muscularris, okanye emaphakathi, isalathisi sendonga yesisu kwaye ifumaneka kwi-7 ukuya kwi-15 i-lymph node kufuphi ne-tumor; okanye
- I-serosal, okanye ingqimba yangaphandle yodonga lwesisu kwaye ifumaneka kwi-1 ukuya kwi-6 i-lymph nodes kufuphi ne-tumor; okanye
- Iimpawu ezisondelene nesisu kodwa kungenalo i-lymph nodes okanye ezinye iindawo zomzimba.
Umdlavuza weSigaba IIIB usasazeke kwisalathisi se-serosal yesondlo sesisu kwaye ufunyenwe kwi-7 ukuya kwi-15 i-lymph node kufuphi ne-tumor.
Isigaba IV: I- Cancer ifumana olu luhlu xa lusasazeka kwizitho ezisecaleni kwesisu nokuba ubuncinane lymph node; okanye ngaphezu kwe-15 lymph nodes; okanye ezinye iindawo zomzimba.
Olunye ulwazi ngomhlaza wesisu
Ukuphathwa kwesisu (isisu) Igciwane
Ulwazi oluchanekileyo kwiSizwe seCancercer Institute .