Renal cell carcinoma paziopsezo zowononga
Renal cell carcinoma ndi mtundu wochuluka kwambiri wa khansa ya impso, yowerengera matenda oposa 90%. Mu renal cell carcinoma, maselo oopsa amakhulupirira kuti amachokera ku tubulu za impso.
Ntchito yaikulu ya impso ndiyo kusokoneza zotayira m'magazi athu. Pafupifupi makilogalamu 50 a magazi alowa mu impso zathu tsiku ndi tsiku. Amagwiritsanso ntchito makilomita awiri pa madzi okwanira.
Madontho omwe amasankhidwa, ndi madzi owonjezera, amasanduka mkodzo. Mtsuko umayenda pansi ma tubes, wotchedwa ureters ndipo amasungidwa mu chikhodzodzo kufikira nthawi yokwanira.
Zifukwa ndi Zoopsa
Sitikudziwitsanso zomwe zimayambitsa nthendayi yotchedwa renal cell carcinoma, koma ofufuza apeza zifukwa zingapo zomwe zimawopsyeza matendawa. Chowopsa ndi chinthu chomwe chimapangitsa kuti mukhale ndi khansa. Zowopsa za khansa ya impso ndizo:
- Kukhala wamwamuna
- Kukhala oposa 50
- Kukhala pa dialyse
- Matenda a Von Hippel-Lindau komanso matenda ena a chibadwa ndi zozizwitsa
- Kusuta (khansa yamtundu wa khansa ndi yamapapo ndi awiri okha mwa khansa zambiri zomwe zimayambitsidwa ndi kusuta )
- Kukhala ndi mbiri ya banja la khansa ya impso kapena khansara ya chikhodzodzo
- Kugwiritsidwa ntchito kwa nthawi yaitali kwa kupweteka kwapiritsi kumachepetsa monga aspirin ndi Tylenol (acetaminophen)
Zizindikiro
Mwamwayi, zizindikiro za khungu za khungu za m'magazi nthawi zambiri siziwoneka mpaka matendawa apita patsogolo.
Ndipotu, kaŵirikaŵiri amadziwika kuti "mwangozi" pamene chizindikiro china kapena chikhalidwe chikufufuzidwa.
Zizindikiro za renal cell carcinoma (pamene zilipo) zikuphatikizapo:
- Magazi mu mkodzo , amawoneka atatha kukodza kapena microscopically
- Mimba ya m'mimba
- Ululu umamva pambali (pambali) kapena kumbuyo
- Kutayika kosayembekezereka
- Kutopa
Kudziwa
Misa yokhazikika kapena kupeza kwa misala ya x-ray yachita chifukwa china nthawi zambiri chimatsogolera dokotala kukayikira khansayo ya impso. Njira yoyamba yodziwira kuti real cell carcinoma ndiyo kupyolera m'mayesero osiyanasiyana ndi kuyesera magazi. Ultrasound , CT scan , MRI , ndi pyelogram ( intravenous pyelogram (IVP) ndi njira zonse zoganizira zomwe zingagwiritsidwe ntchito kuthandizira matenda a khansa ya impso.
Pamapeto pake, ndi impso yokhudzana ndi impso yomwe idzatsimikizire kukhalapo kapena kusapezeka kwa khansa komanso mtundu wake. Nsonga ya impso ingakhoze kupyolera mwa njira yabwino ya singano yakufuna njira yopsereza .
Ngati khansa imapezeka, mayesero ambiri angapangidwe kuti aone ngati khansara ya impso yayamba kufalikira kumatenda ndi ziwalo zapafupi. Izi zimatchedwa staging.
Kuchiza
Chithandizo cha renal cell carcinoma nthawi zambiri chimaphatikizapo mankhwala othandizira.
Kuchita opaleshoni kuchotsa mbali zonse za impso ndizofala kwambiri kwa renal cell carcinoma. Anthu omwe ali ndi sitepe yoyambirira ya renal cell carcinoma ndiwo opambana opaleshoni.
Kumanga thupi ndi njira yothandizira matendawa omwe mitsempha yomwe imadyetsa khansara imatsekedwa.
Mankhwalawa angagwiritsidwe ntchito pofuna kuthana ndi khansa ya impso koma nthawi zambiri sagwira ntchito poyerekeza ndi momwe imachitira ndi khansa zina.
Mankhwalawa amagwiritsidwa ntchito mobwerezabwereza - kuti athetse vuto la khansa, koma osati ndi cholinga chochiza khansara.
Chemotherapy sikugwiritsidwa ntchito kwambiri pochiza khungu la cell cell. Zingagwiritsidwe ntchito pamodzi ndi immunotherapy kapena pamene imapangitsa kuti thupi lisagwire ntchito.
Immunotherapy, yomwe imatchedwanso biologic therapy ndi njira yothandizira mitundu yambiri ya khansa ya impso. Mankhwala a Immunotherapy amagwira ntchito yolimbikitsa chitetezo cha mthupi kuti athandize polimbana ndi khansa. Pakalipano, ziwalo zonse zofufuzira ndi maginito amagwiritsiridwa ntchito kwa khansa ya khansa yamagazi.
Mankhwala ochiritsira angapo amavomereza kuti agwiritsidwe ntchito kwa anthu ena okhala ndi khansa ya impso.
Mitundu ya mankhwalawa imateteza ndikuletsa kukula kapena kufalikira kwa maselo a khansa. Amachita izi powombera maselo mwachindunji kapena kuteteza kukula kwa mitsempha ya magazi yomwe imapatsa mphamvu zotupa kuti zikule. Zina mwachindunji mankhwala ochizira mankhwala omwe amagwiritsidwa ntchito pa khansa ya khansa yamagazi ndi awa:
- Sutent (sunitinib)
- Nexavar (sorafenib)
- Otsatira (pazopanib)
- Inlyta (axitinib)
Mayesero a zachipatala akupitirira omwe pakalipano akuphunzira mankhwala angapo atsopano a khansa ya impso. Lankhulani ndi dokotala wanu za njirayi.
Zofunika Zina Zofunikira pa Chithandizo
Kusuta fodya kungakhale koopsa kwa renal cell carcinoma koma kupitiriza kusuta kungapangitse mankhwala kukhala opanda mphamvu. Onetsetsani izi 10 zifukwa zotsalira kusuta fodya ngakhale atapezeka kuti ali ndi khansa .
Kupewa
Ngakhale palibe njira zowononga khansa ya impso, pali njira zomwe tingatenge kuti tipewe matenda a khansa ya impso.
Siyani Kusuta kapena Musayambe. Kusuta ndikoopsa kwambiri kwa renal cell carcinoma. Mutangosiya (sizengereza mochedwa!), Thupi lanu limakolola ubwino wokhala wopanda fodya.
Dziwani Zimene Mukuli Kuwonetsera Kuntchito. Ngati muli ndi fodya, fumbi, ndi mankhwala kumalo ogwira ntchito, muli ndi ufulu wodziwa zomwe mukuziwona. Gasoline, kutentha kwa dizilo, arsenic, beryllium, vinyl chloride, nickel chromates, malonda a malasha, mpweya wa mpiru ndi chloromethyl ethers ndizo zamoyo zomwe zimapezeka m'magawo ena. Phunzirani zambiri za zomwe zimayambitsa khansa komanso mmene mungadzitetezere.
Idyani Zakudya Zabwino . Kudya chakudya choyenera kumapindulitsa pa zifukwa zambiri. Chakudya chokhala ndi zipatso ndi ndiwo zamasamba, koma mafuta ochepa komanso mchere amathandiza kuchepetsa kunenepa kwambiri, chomwe chimayambitsa matenda a renal cell carcinoma.
Zotsatira:
National Cancer Institute. Kuchepetsa Matenda a Kachilombo Kakang'ono - Health Professional Version (PDQ). Kusinthidwa 02/04/16.