Bhiopsy inowanzodikanwa
Chirwere chechiropa (chinonziwo hepatocellular carcinoma ) chinoitika apo masero asina kukwana ari pachiropa anotanga kukura asingadzorwi. Kazhinji, kuongororwa kwekenza yeropa kunosanganisira matanho anotevera-kuongorora kwepanyama, kuongororwa kweropa, kufungidzira uye dzimwe nguva biopsy.
Zvichienderana nokuti iwe wakambove uine chirwere chisingaperi chisingarapiki uye / kana cirrhosis , iyo inenge apo chiropa chisingaverengeki chinokonzerwa nechirwere chinogara chiropa, chiremba wako angapfuurira zvakasiyana nekuongorora chirwere cheropa.
Kuongorora Kwepanyama
Mushure mokunge maona nezvehutano hwechirwere chekenza (somuenzaniso, pasinei nokuti une nhoroondo ye cirrhosis kana nhoroondo yekudhakwa zvisina kufanira), kana chiremba wako ari kunetseka nekenza, achabhadhara zvakanyanya dumbu rako, kunyanya kurudyi uko wako chiropa chiripo. Kunyanya kunyanya, chiremba wako achaisa pasi pasi pebhodhi yako yakarurama kuitira kuti aone kana chiropa chako chawedzerwa.
Chiremba wako achatarisawo zvimwe zviratidzo zvekugara kwenguva refu chirwere chechiropa (chinowedzera dambudziko rako rekushaya kenza yeropa) se:
- Nyoka yakakura, iri muchokumusoro chechipiri chebonde rako
- Zviratidzo zvinooneka pamimba yako
- Mumuviri wakazara, wakabhururuka mudumbu
- Uchapupu hwejerice (somuenzaniso, kuchena kwechichena cheziso rako
Labs
Pane huwandu hwekuongorora ropa kunoitwa nachiremba wako kuti abatsire kuongorora kenza yechiropa uye kuti aone chinokonzera kukonzera kenza.
Alpha-Fetoprotein (AFP) Tumor Marker
AFP iprotini inenge yakakwirira mu fetus asi inowira kumazinga mashoma mushure mekuberekwa.
Kududzira chiitiko chako chekuongorora ropa reA AFP kunogona kuva chinonyangadza. Kune rimwe, munhu anogona kuva nekenza yeropa uye iyo AFP yezinga inogona kunge yakasikwa (haina kungoerekana yakasimuka). Uyezve, hupamhi hwe AFP hungave huchikwidziridzwa kune zvimwe zvikonzero kunze kwekenza yeropa (semuenzaniso, chirwere chendrhosis kana chisingaperi chinokonzera hepatitis).
Icho chinonyanya kukosha ndechekuti kana iri muedzo unobatsira, imwe nharaunda yeAAFP haisi yekujekesa ropa yekuongorora kwekenza yeropa-inongova imwe chete yechipikicha.
Cirrhosis Tests
Kana chirwere chemuviri kana chirwere chekufungidzira chinoratidza kuti une chirwere chechirwere chisingagumi uye / kana chirwere cheprhosis, asi chinokonzera shure kwacho chisati chagadziriswa, chiremba wako anorayira kuongororwa kweropa. Semuenzaniso, acharonga kuongorora ropa kuti aongorore utachiona ne hepatitis B uye C. Anokwanisawo kuronga ferritin nematare ehutori kutarisa hemochromatosis , chimwe chikonzero chinowanzokonzera chirwere chepirhosis.
Chiropa Basa Rinoedzwa (LFTs)
LFTs inosanganisira zvikamu zvekuongorora ropa zvinopa vanachiremba pfungwa yekuti chiropa chako chinoshanda zvakadini. Iyi miedzo inogona kubatsirawo chiremba wako kuti ave nechirongwa chekutakura kurapa kenza yako yeropa. Somuenzaniso, kana chiropa chako cheropa chiri chiduku uye chiine uye chiropa chako chinenge chichiita sechishanda zvakanaka, zvino kubvisa kenza nekuvhiyiwa kunogona kuva sarudzo yakangwara.
Mimwe Miedzo
Chiremba wako anogona kuraira dzimwe kuongorora ropa kuti aone kuti dzimwe nhengo dziri mumuviri wako dziri kushanda sei. Somuenzaniso, anogona kuraira kuongororwa kweropa kunotarisa kuti mafungiro ako ari kushanda zvakadini. Uyezve, sezvo kenza yeropa inogona kukonzera ropa yeglucose, calcium, uye maplatelet , izvi zvinogona kutorwa zvakare.
Imaging
Kufungidzira miedzo kunokosha kuti uone chirwere cheropa.
Ultrasound
Muedzo wokutanga uyo munhu angapinda uri ultrasound. Munguva ye ultrasound, tsvina ichagadziridzwa zvinyoronyoro pamimba yako kuona kana kune vanhu vakawanda vari muchiropa chako.
CT Scans uye MRIs
Kana uwandu hunoonekwa pane an ultrasound, kuedza kwakawedzerwa kwakanyanya kufanana necomputed tomography (CT scan) uye / kana magnetic resonance imaging (MRI) yechiropa ichiitwa kuti ipe ruzivo rwakanyanya pamusoro pehukuru, zvakadai se:
- Size
- Nzvimbo iri muchiropa
- Paridza kusvika kumidziyo yeropa iri pedyo kana zvimwe zvikamu zvemuviri
Iyi miedzo yekufungidzira inogona kupawo ruzivo pamusoro pehupi hwehuwandu huripo, hunoreva kana uwandu hune hutachiona (husina kenza) kana hutsinye (kanzira).
Angiography
Pakupedzisira, CT angiography kana MRI angiography inogona kuitwa kuti ipe mufananidzo wemishonga inopa ropa kuchiropa. Nokuda kwemuedzo uyu, iwe unoda iV yakaiswa muruoko rwako kuitira kuti kusiyana kwemavara kunogona kuitwa panguva yeT CT scan kana MRI.
Biopsy
Munguva yechiropa chinoputika, neta inowanikwa kuburikidza neganda remuviri wako muchiropa chechiropa. Kuti kuderedze chero kusagadzikana chero kupi zvako, nzvimbo yeganda iyo nenyuchi iri kuenda inenge isati yasvika. Masero kubva kuhukuru anobva abviswa ndokuzoongororwa nachiremba (anonzi chiremba) kuti aone kana kenza iripo.
Dzimwe nguva bhizimusi rechiropa chemafu rinowanikwa panguva yekuvhiyiwa (inonzi chirwere chokuvhiya). Nechirudzi urwu rwehupopi, chidimbu chemazana kana kuti masero ose anobviswa uye kuongororwa nekenza.
Zvakakosha kucherechedza kuti kazhinji nguva dzinoshandiswa nehupsy hazvidiwi kutonga mukati (kana kunze) kuongororwa kwekenza yeropa. Izvi ndezvokuti CT scan uye / kana MRI inogona kupa uchapupu hwakakwana hwekuti mashoma ane kenza kana kwete.
Muchiitiko ichi, kudzivisa kubhadhara kwakakosha, sezvo kune kushushikana kuti kubvisa masero emukenza kubva pachiyero kunogona "mbeu" iri pedyo nehanzvadzi ine kenza. Muchiitiko ichocho, kupararira kwekenza kunogona kuita kuti munhu asabvumirwe kuwedzerwa chiropa (inogona kushandiswa kurapa).
Pasinei nokuti pane dzimwe nguva biopsy inofanirwa kuitira kuti kuongororwa kana kufungidzira kusagadzikana.
Kusiyanisa Kuziva
Zvakakosha kutaura kuti chironda chekenza mukati mechiropa chinogona kunge chisati chiri chekutanga chepenza chepenza asi pane chiremera chemasastatic kubva kune rimwe kenza. Somuenzaniso, kenza yekoloni inopararira kuchiropa inonzi mastatic cancer colon kana yechipiri chepenza yechiropa. Muchiitiko ichi, chiremba wako achada kutsvaga kuti chii chinonzi kenza huru, kana isingazivikanwi.
Uyezve, ziva kuti pane zvakawanda zvinogona kuongororwa zvechiropa, kureva kuti haisi kenza.
Mienzaniso miviri yezvakanaka (isina-kanzura) inokonzera chiropa chechiropa inosanganisira:
Hepatic Hemangioma
Hepatic hemangioma ihutu hwemitsipa yeropa ndiyo inowanzosiyana yebenign chiver mass. Izvo hazviwanzokonzera zviratidzo, asi zvinogona kukonzera kusuruvara kwepamuviri, kubvongodza, kana kuti kutanga kwekuita kana ikava yakakura zvakakwana. Kunyange zvazvo hematic hepatic isingawanzodi kurapwa, inogona kubudiswa nechiremba chiremba kana ichivhuvhuta ichizaruka uye ichibuda ropa, kunyange ichi ichi chishoma.
Hepatic Adenoma
A hepatic adenoma inobata chiropa chinokonzera chiropa chinowanzokonzera zviratidzo kunze kwekuti ichichenesa kana ichikura zvakakwana. Muchikamu chiduku chezviitiko, hepatic adenoma inogona kuchinja kuva kenza yeropa, ndicho chikonzero ichi kazhinji chibviswa.
> Sources:
> America Cancer Society (2018). Miedzo yeChiropa Cancer.
> Bruix J, Sherman M, American Association for Yokudzidza Chiropa Zvirwere. Hepatology . 2011 Mar; 53 (3): 1020-2. dx.doi.org/10.1002/hep.24199
> Schwartz JM, Carithers RL. (2017). Zviratidzo zvechipatara uye kuongororwa kwepakutanga hepatocellular carcinoma. Chopra S, ed. Kusvika pari zvino. Waltham, MA: UpToDate Inc.