I-Renal cell carcinoma ezivela kwimingcipheko yokukhusela
I-Renal cell carcinoma yindlela eqhelekileyo yomhlaza wengqondo, ukubalwa kwama-90% kwimeko yezifo. Kwi-renal cell carcinoma, iiseli eziyingozi zikholelwa ukuba zivela kwiibhola zezintso.
Umsebenzi oyintloko weentso kukucoca ilahleko egazini lethu. Amagremu angama-50 egazi angena kwiintso zethu nsuku zonke. Baphinde baphathe malunga neekota ezimbini zamanzi angaphezulu.
Amanxuwa atyhidiweyo, kunye namanzi angaphezulu, aphenduke umchamo. Umchamo uhamba phantsi kweethubhu, ezibizwa ngokuba yi-ureters kwaye zigcinwe kwisilwanyana kuze kube yilapho ukuphuma (ukucoca).
Izizathu kunye neengozi
Asisayi kubona iimbangela ze-renal cell carcinoma, kodwa abaphandi baye bafumanisa iziganeko ezinobungozi zesifo. Umngcipheko yinto ebangela ukuba unakho ukuhlakulela umhlaza. Imiba yengozi yomhlaza wengqondo iquka:
- Ukuba ngumntu
- Ukuba ngaphezu kwama-50
- Ukuba u dialysis
- Isifo seVon Hippel-Lindau kunye nezinye izifo zezofuzo kunye nezidalwa
- Ukubhema (isalente yesalonda kunye nomdlavuza wamaphaphu kuphela ezimbini zeengcingo ezibangelwa ukutshaya )
- Ukuba nomlando weentsapho zomhlaza weengtso okanye umhlaza wesisu
- Ukusetyenziswa kwexesha elide lweentlungu ezingaphezulu kwe-counter relievers ezifana ne-aspirin kunye neTylenol (acetaminophen)
Iimpawu
Ngelishwa, izibonakaliso zeenalini ze-carcinoma zisoloko zingabonakali kude kube eso sifo siphumelele.
Enyanisweni, ngokuqhelekileyo kutholakala "ngengozi" xa elinye uphawu okanye imeko iphandwa.
Iimpawu ze-renal cell carcinoma (xa zikhona) ziquka:
- Igazi kumchamo , kubonakala emva kokucoca okanye i-microscopically
- Ubunzima bomzimba
- Ubuhlungu buziva ngapha (kwicala) okanye ngaphantsi
- Ukulahlekelwa kwesisindo esingenziyo
- Ukukhathala
Ukuxilongwa
Ubunzima obunokubaluleka okanye ukufumana ubunzima kwi-x-ray eyenziwa esinye isizathu siqhelekileyo okukhokelela ugqirha ukuba akrokreze umhlaza wengqondo. Isinyathelo sokuqala ekufumaneni i-renal cell carcinoma ngophando lweemifanekiso ezahlukeneyo kunye nokuhlolwa kwegazi. I-ultrasound , i- CT scan , i- MRI , kunye ne- pyelogram ye-intravenous (IVP) yindlela yokucamangalisa ingasetyenziswa ukuxilonga umhlaza wesifo.
Ekugqibeleni, iinjongo ze-biopsy eziza kuqinisekisa ubungqina okanye ukungabikho komhlaza kwaye luhlobo luni. I-biopsy yeentso ingenziwa ngefayili encinci yokufuna i-biopsy .
Ukuba umhlaza ufunyenwe, iimvavanyo ezingaphezulu kufuneka zenziwe ukuba zichane ukuba ngaba umhlaza wesifo usasazeke kwiisuncu kunye namaziko asondeleyo. Oku kubizwa ngokuba ngumsebenzi.
Unyango
Unyango lwe-renal cell carcinoma ngokuqhelekileyo lubandakanya ukuhlanganiswa kweendlela zokwelapha.
Ugqirha ukususa zonke iinxalenye zeengtso zonyango oluqhelekileyo lwe-renal cell carcinoma. Abantu abanomdla we-renal cell carcinoma basemagqabini abagqwesileyo.
Ukuxhamla kwimizimba yindlela yokunyanga kwesi sifo apho iirriyiti ezondla umhlaza zivaliwe (zihlanganiswe).
Ulwaphulo lomhlaza lungasetyenziselwa ukhathaza umdlavuza wentsholongwane kodwa aluqhelekanga kakhulu xa kuthelekiswa nendlela esebenza ngayo namanye amachiza.
Ukunyangwa kwamayeza kuninzi kusetyenziswa ngokukhawuleza - ukukhupha ukungaphumeleli okubangelwa ngumhlaza, kodwa kungekhona ngenjongo yokuphilisa umhlaza.
I-Chemotherapy ayisetyenziswa ngokuqhelekileyo ekuphatheni i-renal cell carcinoma. Ingasetyenziswa kunye ne-immunotherapy okanye xa i-immunotherapy ingasebenzi.
I-Immunotherapy, ebizwa ngokuba yonyango lwe-biologic yindlela yokonyango kwiintlobo ezininzi zomhlaza wengqondo. Izidakamizwa ze-immunotherapy zisebenza ngokuvuselela isistim somzimba sokulwa nomhlaza. Okwangoku, zombini ii-inhibitors zokujonga kunye nee-cytokines zisetyenziselwa i-renal cell cancers.
Izidakamizwa ezininzi ezijoliswe kunyango ziye zavunywa ukuba zisebenzise kwabanye abantu abanomdlavuza weengtso.
Ezi ntlobo zezilwanyana zikhusela kwaye zikhusela ukukhula okanye ukusasazeka kweeseli zomhlaza. Benza oku ngokuhlasela iiseli ngqo okanye ukuthintela ukukhula kwemithambo yegazi eyenza izifo zondla ukutya. Ezinye izilwanyana zonyango ezijoliswe kumathambo e-cell cell include:
- Sutent (sunitinib)
- Nexavar (sorafenib)
- Uvoti (pazopanib)
- Inlyta (axitinib)
Uvavanyo lwezonyango luqhubekayo okwangoku lufunda izidakamizwa ezintsha ezitsha kumhlaza wengqondo. Thetha nodokotela wakho ngale ndlela.
Ezinye iiNyathelo ezibalulekileyo kunyango
Akukuphela nje ukutshaya umngcipheko we-renal cell carcinoma kodwa ukuqhubeka ukutshaya kungenza unyango lungasebenzi. Hlola ezi zizathu ezi- 10 zokuyeka ukutshaya nangemva kokuxilongwa komhlaza .
Thintelo
Nangona kungekho zikhokelo zokukhusela umdlavuza wezintso, kukho iindlela esinokuzithatha zokunciphisa ingozi yomhlaza weengtso.
Yeka ukutshaya okanye ungaqali. Ukutshaya kuyingozi yengozi ye-renal cell carcinoma. Ngokukhawuleza xa ushiya (akupheli ixesha elide!), Umzimba wakho uvuna iinzuzo zokuba ucuba ukhululekile.
Yazi Oko Ubekwa Ngaphandle Kwendawo. Ukuba ufumene i-fumes, uthuli, kunye neekhemikhali kwindawo yokusebenzela, unelungelo lokukwazi ukuba uyintoni na. I-petroli, i-diesel exhaust, i-arsenic, i-beryllium, i-chloride ye-vinyl, i-chromate ye-nickel, iimveliso zamalahle, igesi le-mustard kunye ne-chloromethyl ethers zizonke i-carcinogens kwaye zifumaneka kwindawo ethile yomsebenzi. Funda kabanzi malunga nezizathu zomsebenzi zomhlaza kunye nendlela yokuzikhusela.
Yidla ukutya okunokulinganisela . Ukutya ukutya okunokulinganisela kunceda ngezizathu ezininzi. Ukutya okunotye kwizityalo kunye nemifuno, kodwa ephantsi kwezilwanyana kunye neetyuwa kukunceda ukuthintela ukukhuluphala, into ebangela ingozi ye-renal cell carcinoma.
Imithombo:
National Cancer Institute. Ukwelashwa kweCancer Cancer Treatment - I-Health Professional Version (PDQ). Ukuhlaziywa 02/04/16.