I-Metastases iyinhloko yesifo somdlavuza osuka kumaseli we-foci oyinhloko kwenye indawo emzimbeni. Ngomdlavuza wethambo, futhi ikakhulukazi - umgogodla, i-metastases i-akhawunti ye-90% yazo zonke izicubu, futhi i-foci eyinhloko ayinqabile kakhulu. Ngokuvamile, ama-metastases emgogodleni aphakama emaphashini, ubisi nomdlavuza wesifo sofuba, izinso zezinso nezidakamizwa. Ngokuvamile kancane kancane - umdlavuza wesisu nesisu.
Izimpawu ze-metastases emgodini
Uphawu oluyinhloko lwe-metastases elinjalo lubuhlungu obunzima ngemuva, esifundeni se-vertebra ethintekile. Ngezinye izikhathi ubuhlungu bungase buvele ngisho nangaphambili kunamabonakaliso esithombeni esikhulu, futhi ngaleso sikhathi kuvame ukuthathwa njengezibonakaliso ze-osteochondrosis, kunokuba i-metastases emgodini.
Esikhathini esizayo, izimpawu ze-neurological ezibangelwa ukucindezelwa kocingo lomgogodla zingase zivele: ukwephulwa kozwela kwezitho, ukungafihli emilenzeni, okuholela ekuphuleni ukuchama, i-paresis, ukukhubazeka. Uma i-metastases ibonakala emgodini womlomo wesibeletho, khona-ke ihambisana nobuhlungu obunzima entanyeni, ekugcineni ingase iqale ukunikela esandleni, futhi uma ucindezela, kukhona ukungasebenzi nje kuphela kwezingezansi kodwa nezemilenze engenhla. Uma kukhona ukucindezelwa komgogodla, ukungenelela kokuhlinzwa kuyadingeka.
Ukuxilongwa kwe-metastases emgodini
Ukuba khona kwama-metastases amathambo ngokuvamile kunqunywe ukuklanywa kwesibindi - inqubo lapho isiguli sifakwe khona nge-isotophi engenabungozi egxile kwisilonda futhi ivumela ukuba ibe yendawo ngokusiza imishini ekhethekile. Le ndlela isetshenziselwa ukuxilongwa okuyisisekelo. Uma kuqinisekiswa ukuxilongwa, ukucacisa indawo kanye nemvelo yezilonda, i-X-ray, i-imaging magnontic resonance, izifundo ze-biochemical zenziwa.
Ukwelashwa kwamathambo emgogodleni
Izicubu zanoma yiluphi uhlobo alukwazi ukuphathwa ngokuzimela. Ukwelashwa kufanele kube okuphelele, okwenziwa kuphela ngaphansi kokuqondiswa udokotela, ngokunamathela ngokuqinile ezincomo. Uma ungaqapheli ukwelashwa, ngakho-ke nge-metastases emgodleni, ukubikezela kungase kube kubi, kuze kube sekukhubazeka nasekufeni ngesikhathi esifushane kakhulu. Ngokuvamile, ukwelashwa kwe-metastase emgodleni kwenziwa, kanye nokwelashwa kwanoma yiziphi ezinye izicubu, kuye ngokuthi hlobo luni nesilinganiso sesilonda.
Izinhlobo eziyinhloko zokwelapha nge-metastases emgodini zifaka izindlela ezifana nalezi:
- Ukwelashwa kwezidakamizwa - okuyingozi kunazo zonke kusukela ekubukeni kwezinto eziqhekekile kanye nezindawo ezibuhlungu kunazo zonke zivezwe ku-irradiation. Ngezinye izikhathi isifo se-cardio-nucleoid sisetshenziswa (ukusetshenziswa kwe-isotopes ehlukene, isibonelo, strontium chloride 89).
- I-Chemotherapy - esetshenziselwa ukwelashwa okuyinkimbinkimbi, igxile ekwelapheni kokubili izilonda ezisemqoka neziyisithupha. Kudinga ukuqapha ngokucophelela nokulawulwa kwemigomo yegazi legazi kanye nezimo ze-mucosal.
- Ukwelashwa kwama-hormonal - kusetshenziselwa izicubu, imbangela eyinhloko eyabangela ukulimala kwe-hormone: umdlavuza
ama-ovaries, isifuba, njll. - Ukusetshenziswa kwe-bisphosphonates - izidakamizwa ezikhethekile ezivimbela umsebenzi we-osteoclasts nokuvimbela noma ukunciphisa ukubhujiswa kwamathambo.
- Ukususwa kwamathumba ngokuhlinzwa.
Ukungenelela kokusebenza kwenziwa emacaleni alandelayo:
- i-vertebral fractures, eyinkimbinkimbi ngokucindezela komgogodla; i-root syndrome ne-instability yomgogodla;
- ukucindezela okwandayo komgogodla noma isifo esingenakulawulwa kwezidakamizwa ezibangelwa izidakamizwa.