Kuwana kana yakapararira kune lymph nodes ndicho chinhu chikuru
Kuongorora kunove chirwere chepamu , zvino chii? Nguva yekuona kana kenza yemasero yakapararira mudumbu kana kuenda kumamwe mativi emuviri. Kuziva ruzivo urwu kuchagadzirisa danho rechirwere uye kubatsira kuona chirongwa chako chekurapa.
Mutsara weGastric Cancer
Kuti uwane kuti kenza inogara mumuviri wako, uchafanira kuedzwa.
Iyi miedzo mitanhatu inotevera inobatsira kuunganidza ruzivo runodikanwa kuti uone kuti chiyero chei mukondombera wako uri mukati.
ß-hCG, CA-125, uye CEA testays: Aya maedzo anoyera mazinga e ß-hCG (beta-human chorionic gonadotropin), CA-125, uye CEA (carcinoembryonic antigen) muropa. Zvinhu izvi zvinosunungurwa muropa kubva kumakero maviri ekenza uye masero anowanikwa. Kana ichiwanikwa mune yakakwirira kupfuura yakawanda, inogona kuva chiratidzo chekenza yemukati kana mamwe mamiriro.
Chifukidzo che X-ray: Unogona kunge uchiziva nezvekuedzwa uku. I-x-ray inoratidzwa simba rekushandisa iro rinogona kufamba kuburikidza nomuviri uye mufirimu, zvichiita mifananidzo yezvinhu mukati memuviri. Ichi chinokanganisa nhengo nemapfupa mukati mebhokisi.
Endoscopic ultrasound: Bhuku rakapfava, rakanyorova rinonzi endoscope rinowanikwa mumuviri uye rinogadzira mazai ane simba ane simba-anonziwo ultrasound - iyo inoputika mukati memaviri kana nhengo dzomukati, uye dzinoita zvinyorwa.
Mhedziso iyi inoumba mufananidzo wemutumbi wemuviri unonzi sonogram. Iyi nzira inonziwo endosonography.
CT scan kana CAT scan : Fungidzira kombiyuta yakabatana ne x-ray mhepo inotora mutsara wemifananidzo yakawanda yezvinhu mukati memuviri kubva pamakona akasiyana. Wedzera dhayi iyo inogona kuiswa muvheji kana kumedzwa kubatsira nhengo kana matukisi kuratidza zvakajeka, uye iyo CT scan.
Iyi nzira inonziwo computed tomography, computerized tomography, kana kuti computer axial tomography.
Laparoscopy : Kudukuka kana kudonhedzwa kunogadzirwa murusvingo rwemuviri uye laparoscope - tube tsvuku, yakajeka - inowanikwa mune chimwe chezvinhu zvinotarisirwa kutarisa nhengo mukati memimba uye kutarisa zviratidzo zvezvirwere. Zvimwe zviridzwa zvinogona kuiswa kuburikidza nemamwechete, kana zvimwe, zvinoshandiswa kubvisa lymph nodes kana kutora zviduku zvemuviri zvebiopsy .
PET scan : Iyi nzira, inonzi positron emission tomography scan kana PET scan, inoona yakaipa tumor cells mumuviri nekuisa jirasi redhionuclide kana shuga, inoshandiswa muvhein. Zvadaro chirwere chePET chinotenderera kumativi ose mumuviri uye inoita mufananidzo wekuti glucose iri kushandiswa mumuviri. Zvirwere zvinokonzera maturu masero zvinowedzera kujeka mumufananidzo nokuti zvinoshanda zvakanyanya uye zvinotora glucose yakawanda kupfuura masero akajairika.
Nhanho dzeGastric Cancer
Mushure mokunge maita zvinotevera, chiremba wako achaona kuti ndezvipi pane zvikamu zvinotevera chirwere chako cheponde chichapinda.
Chikamu 0 (aka Carcinoma in Situ): Kanzera inongowanikwa mukati memukati mukati memukati, kana mukati, mukati mehuta rusvingo pane danho 0.
Nhanho I: Maererano nekenza kenza yakapararira inogadza kana danho ini gastric cancer inenge iri danho reAA kana chirongwa IB. Kana kenza yakapararira zvakakwana kuburikidza ne mucosal, kana mukati-kati, yakavhara rusvingo rwemimba, iri danho reAA gastric cancer.
Chikamu IB ndechekuti kana kenza yakapararira zvakakwana kuburikidza ne mucosal yakatarira mudumbu remukati uye inowanikwa kusvika kusvika kumakiromita matanhatu ari pedyo nechomuviri; kana kuti muscularis, kana pakati, pakatarisana nemadziro emudumbu.
Nhanho II: Kana chirwere chepamu chikapararira:
- Kunyanya kuburikidza ne mucosal kutarisana kwemasvingo emudumbu uye inowanikwa mumakiromita manomwe kusvika ku15 pedyo nechomuviri; kana
- Kune muscularis, kana pakati, rakasara rorusvingo rwemimba uye inowanikwa kusvika kumakiromita matanhatu ari pedyo nechomuviri; kana
- Kune serosal, kana kuti kunze kwepamadziro, mudenga mudumbu asi kwete kune lymph nodes kana dzimwe nhengo.
Nhanho III: Maererano nekenza kenza yakapararira ichasarudza kana chirwere chepamuviri chiri chirwere chechipiri IIIA kana kuti ganhuro IIIB.
Chirwere chechipiri chechipiri IIIA chakapararira kune:
- Muscularis, kana pakati, yakasara kumadziro emudumbu uye inowanikwa mumakiromita manomwe kusvika ku15 pedyo nechomuviri; kana
- Iyo serosal, kana kuti yakadzika, yakasara yemadziro emudumbu uye inowanikwa mu1 kusvika ku1 lymph nodes pedyo nechomuviri; kana
- Nhengo dziri pedyo nedumbu asi kwete kune lymph nodes kana zvimwe zvikamu zvemuviri.
Gweta IIB kenza yakapararira kune serosal yechipfuva chemukati uye inowanikwa mumakiromita manomwe kusvika ku15 pedyo nechomuviri.
Nhanho IV: Kanzera inogamuchira ichi chikamu kana ichipararira kune nhengo dziri pedyo nedumbu uye kune lymph node imwe chete; kana anopfuura 15 lymph nodes; kana zvimwe zvikamu zvemuviri.
Mamwe mashoko pamusoro pemukenza wepamu
Kuongorora chirwere chemudumbu
Mashoko akafananidzwa kubva kuNational Cancer Institute .