I-renal cell carcinoma ezivela engozini yokuvimbela
I-renal cell carcinoma uhlobo oluvame kakhulu lomdlavuza wezinso, ukubalwa kwamacala angu-90% wesifo. E-renal cell carcinoma, amangqamuzana abulalayo akholelwa ukuthi avela emathunjini wezinso.
Umsebenzi oyinhloko wezinso ukuhlunga imfucuza egazini lethu. Amagremu angaba ngu-50 angena ezinso zethu nsuku zonke. Baphinde baphathe cishe amaphesenti amabili amanzi amaningi.
Amadaka ahlungiwe, namanzi engeziwe, aphenduke umchamo. Umchamo bese uhamba ngezansi izilimo eziyizigaxa, ezibizwa ngokuthi ama-ureters futhi zigcinwe esithombeni kuze kube yilapho ukuphuma (ukuvuthwa).
Izimbangela Nezici Zengozi
Asikaze sibone izimbangela ze-renal cell carcinoma, kodwa abacwaningi baye baqaphela izici eziningana ezaziwayo zengozi. Into ebungozi yinto eyandisa amathuba okuba unomdlavuza. Izingozi zengculaza yezinso zifaka:
- Ukuba owesilisa
- Ukuba ngaphezu kuka-50
- Ukusebenza nge-dialysis
- Isifo seVon Hippel-Lindau kanye nezinye izifo zofuzo kanye nezidalwa ezithandwayo
- Ukubhema ( umonakalo wamangqamuzana nomdlavuza wamaphaphu kungumdlavuza owodwa nje kuphela obangelwa ukubhema )
- Ukuba nomlando womndeni wesifo somdlavuza wezinso noma umdlavuza wesisu
- Ukusetshenziswa kade isikhathi eside ubuhlungu obuningi kakhulu bukhululeka njenge-aspirin no-Tylenol (i-acetaminophen)
Izimpawu
Ngeshwa, izimpawu ze-renal cell carcinoma ngokuvamile azibonakali kuze kube yilapho isifo sesithuthukile.
Eqinisweni, kuvame ukutholakala "ngengozi" uma omunye uphawu noma isimo siphenywa.
Izimpawu ze-renal cell carcinoma (uma zikhona) zifaka:
- Igazi emcimbini , kubonakala ngemuva kokugcoba noma okuncane kakhulu
- Ubuningi besisu
- Ubuhlungu buzwa ohlangothini (ohlangothini) noma oluphansi
- Ukulahlekelwa kwesisindo okungenalutho
- Ukukhathala
Ukuxilongwa
Ubuningi obukhulu noma ukutholakala kobuningi kwi-x-ray eyenziwa ngesinye isizathu ngokuvamile okuholela kudokotela ukuba asole umdlavuza wezinso. Isinyathelo sokuqala ekuhloleni i-renal cell carcinoma kusetshenziswa ukuhlolwa kwe-imaging ehlukahlukene nokuhlolwa kwegazi. I-Ultrasound , i- CT scan , i- MRI , ne- pyelogram engenayo i- IVP) yizo zonke izindlela zokucabanga ezingahle zisetshenziselwe ukuxilonga umdlavuza wezinso.
Ekugcineni, yi-biopsy yezinso ezoqinisekisa ukuthi kukhona khona noma kungabikho komdlavuza nokuthi luhlobo luni. I-biopsy yezinso ingenziwa ngenqubo enhle ye-sindal aspiration biopsy .
Uma umdlavuza utholakala, ukuhlolwa okungaphezulu kungadingeka kwenziwe ukuthi kunqume ukuthi ngabe umdlavuza wezinso usakaze ezintanjeni nezitho eziseduze. Lokhu kubizwa ngokuthi isiteji.
Ukwelapha
Ukwelashwa kwe-renal cell carcinoma ngokuvamile kuvame ukuhlanganisa inhlanganisela yezokwelapha.
Ukwelashwa ukususa zonke izingxenye zezinso kuyindlela yokwelapha evamile ye-renal cell carcinoma. Abantu abanezinyathelo zokuqala ze-renal cell carcinoma yizona ezikhethwa ukhetho lokuhlinzwa.
Ukumiswa kwe-tumor kuyindlela yokwelapha lesi sifo lapho i-artery edla umdlavuza ivinjiwe (ehlanganiswe).
Ukwelashwa kwezidakamizwa kungasetshenziselwa ukwelapha umdlavuza wezinso kepha ngokuvamile awuphumelelanga kakhulu uma kuqhathaniswa nokuthi usebenza kanjani namanye amanyevuza.
Ukwelashwa kwezidakamizwa kuvame ukusetshenziselwa ubuhlungu - ukukhulula ukungahambi kahle okubangelwa umdlavuza, kodwa hhayi ngenhloso yokwelapha umdlavuza.
I-Chemotherapy ayiyona isetshenziselwa ukuphatha i-renal cell carcinoma. Kungasetshenziswa kanye ne-immunotherapy noma uma i-immunotherapy ingasebenzi.
I-Immunotherapy, ebizwa ngokuthi yi-biologic therapy iyindlela yokwelapha yezinhlobo eziningi zomdlavuza wezinso. Imithi ye-immunotherapy isebenza ngokuvuselela isimiso somzimba sokuvikela omzimba ukusiza ukulwa nomdlavuza. Njengamanje, inhibitors kokubili kokuhlola kanye nama-cytokines asetshenziselwa ama-canal cells e-renal.
Imithi eminingi yokwelashwa ehlosiwe ivunyelwe ukusetshenziswa kwabanye abantu abanomdlavuza wezinso.
Lezi zinhlobo zezidakamizwa zivimba futhi zivimbele ukukhula noma ukusakazeka kwamangqamuzana omdlavuza. Benza lokhu ngokuhlasela amangqamuzana ngqo noma ukuvimbela ukukhula kwemithambo yegazi ehlinzeka izidakamizwa zokudla ukuze zikhule. Ezinye izidakamizwa ezithintekayo zokwelapha ezisetshenziselwa ukuqhwala isifo samangqamuzana cell zifaka:
- I-Sutent (i-sunitinib)
- I-Nexavar (sorafenib)
- I-Votrient (pazopanib)
- Inlyta (i-axitinib)
Izivivinyo zemitholampilo ziyaqhubeka okwamanje zifunda izidakamizwa ezintsha eziningana zomdlavuza wezinso. Khuluma nodokotela wakho ngalolu khetho.
Ezinye Izinyathelo Ezibalulekile Ukwelashwa
Akuyona nje ukubhema okuyingxenye yengozi ye-renal cell carcinoma kodwa ukubhema kungenza ukwelashwa kungasebenzi kahle. Hlola lezi zizathu eziyishumi zokuyeka ukubhema ngisho nangemva kokuxilongwa komdlavuza .
Ukuvimbela
Nakuba kungekho izindlela zokuvimbela umdlavuza wezinso zezinso, kunezinyathelo esingathatha ukuze sinciphise ingozi yomdlavuza wezinso.
Yeka ukubhema noma ungaqali. Ukubhema kuyinto engozini enkulu ye-renal cell carcinoma. Uma nje ushiya (akukaze kuphuze kakhulu!), Umzimba wakho uvuna izinzuzo zokuba ugwayi mahhala.
Yazi ukuthi yini oyivezwayo emsebenzini. Uma utholakala emfucumfuceni, uthuli, namakhemikhali endaweni yokusebenzela, unelungelo lokukwazi ukuthi uyini. I-petroli, i-diesel exhaust, i-arsenic, i-beryllium, i-chloride ye-vinyl, i-chromates ye-nickel, imikhiqizo yamalahle, igesi lwesinaphi kanye ne-chloromethyl ethers yilawo wonke ama-carcinogens futhi angatholakala kwezinye izindawo zomsebenzi. Funda kabanzi mayelana nezimbangela zomsebenzi zomdlavuza nokuthi uzivikele kanjani.
Yidla ukudla okulinganisela kahle . Ukudla ukudla okulinganiselayo kunenzuzo ngezizathu eziningi. Ukudla okucebile izithelo nemifino, kodwa amafutha amancane kanye nosawoti okusiza ekuvimbeleni ukukhuluphala, ingozi engozini ye-renal cell carcinoma.
Imithombo:
I-National Cancer Institute. Ukwelashwa kwe-Canal Cell Renal - I-Health Professional Version (PDQ). Kubuyekezwe 02/04/16.