Umhlaza wonyango kwizintso

Izinketho zonyango kwimida yomhlaza wezintso, ngokukodwa i-carcinoma (i-RCCE), yimeko ebi ifuna ukuqwalaselwa ngenyameko Izinketho zoNyango. Eli nqaku libonelela ngamagqabantshintshi ngokubanzi onyango olukhoyo, ekuncede uqonde izinto ezibandakanyekileyo ekukhetheni indlela efanelekileyo kwimeko yakho. Siza kuphonononga iindlela zonyango, unyango olujolisiweyo, ulungelelwaniso, kunye nonyango lwe-radiation, ugxininisa ukubaluleka kweyeza elenzelwe wena Ukunyanga umhlaza kwizintso.

Ukuqonda umhlaza wezintso

Umhlaza weentso ivela kwiiseli zezintso. Olona hlobo luqhelekileyo yi-renal carcinoma (i-RCC), ivela kwi-tubue ye-tubules yezintso. Ezinye iintlobo zongalore zibandakanya i-carcinoma yethutyana (echaphazela i-renal pelvis kunye nerester) kunye ne-nephterstoma (i-tumas 'tumar), ikakhulu isenzeka ebantwaneni. Ukufunyanwa kwangoko kubalulekile ukuze uphumelele Unyango lomhlaza kwizintso, njengoko iprognosisis ilunge ngakumbi kumathumba amancinci, endawo. Iimpawu zinokubandakanya igazi kumchamo (i-hemauria), isiqhulo esiswini, iintlungu eziqhubekayo ecaleni okanye ngasemva, ukulahleka kwesisindo, kunye nefiva. Ukuba ufumana nayiphi na kwezi, dibana nodokotela wakho kwangoko ukuze ufumane i-chalosis nolawulo.

Unyango ngonyango lomhlaza wezintso

Ukhetho lwe Unyango lomhlaza kwizintso Kuxhomekeka kwizinto ezininzi, kubandakanya nohlobo kunye nenqanaba lomhlaza, impilo yesigulana iyonke, kunye nezinto azithandayo. Unyango oluqhelekileyo lubandakanya:

Utyando

Utyando luhlala luphawu oluphambili kumhlaza wezintso. Iindlela ezininzi zoqhankqalazo zikho, kubandakanya: inxenye ye-nephrectomy: Le nkqubo isusa inxenye kuphela ye-Conneral yeZintso, ukugcina izicubu ezinempilo kangangoko kunokwenzeka. I-nephrectomy ye-raidical: oku kubandakanya ukususa izintso, kunye neendawo ezikufuphi ne-lymph kunye neethishu ezinamafutha. I-Laparoscopic okanye utyando oluhlaselayo: Iindlela ezihlaselayo ezincinci ezibonelela ngeziganeko ezincinci, zincitshiswe iintlungu, kwaye ziphinda ziqwalasele ngokukhawuleza amaxesha anokhetho.

Unyango olujolise kunyango

Ukugxila konyango ekugxilwe kuzo kwiimolekyuli ezithile ezichaphazelekayo kuhlumo lomhlaza kunye nophuhliso. La mayeza aphazamisana neeseli zomhlaza zokukhulisa kwaye zahlule. Imizekelo ye-carapies ekujoliswe kuyo isetyenziswa Unyango lomhlaza wezintso Quka i-sunitorinib, uSorafenib, Pazinanib, kunye ne-Axitinib. Ezi zihlala zihlala zisetyenziswa emva kotyando okanye umhlaza wezintso.

I-gonotherapy

Ugonyo uhombisa amandla amajoni omzimba ukuze alwe nomhlaza. Olu nyango lujolise ekuphuculeni amandla amajoni omzimba ukuqaphela nokutshabalalisa iiseli zomhlaza. Iziyobisi ezininzi zokuhamba, kubandakanya oovioligict (njengeNivoLUmab kunye nePmbariyazab), zivunyiwe ukuba ziphathele umhlaza weentso. Bahlala behambisa iziphumo ezibonakalayo kodwa baneziphumo ebezingalindelekanga ezifuna ukubekwa kweliso ngononophelo.

Unyango lwe-radiation

Unyango lwe-radiation lonyango lusebenzisa imiranyama yamandla e-suble yonakalisa kwaye ibulale iiseli zomhlaza. Ngokwesiqhelo ayilulo unyango oluphambili kumhlaza wezintso kodwa unokusetyenziswa kwiimeko ezithile, njengokhathalelo oluthile ukunciphisa iintlungu okanye ulawulo kwisifo esiphezulu okanye ngaphambi kokutya.

Iimvavanyo zeklinikhi

Ukuthatha inxaxheba kwiimvavanyo zeklinikhi kunika ukufikelela kunyango olunobuchule olusephantsi kophando. Ezi zilingo zinokubonelela ngeendlela ezintsha zokuthembisa Ukunyanga umhlaza kwizintso, kwaye ukuthatha inxaxheba kunokuba negalelo ekuqhubeni phambili kuphando lomhlaza. Abaguli abajonga iimvavanyo zeklinikhi kufuneka bangabavavanyi ngononophelo kwimilinganiselo yokufakelwa kwaye baxoxe ngemingcipheko kunye nezibonelelo ngogqirha wabo.

Ukukhetha indlela efanelekileyo yokunyanga

Ukukhetha eyona ifanelekileyo Unyango lomhlaza kwizintso kubandakanya indlela yokusebenzisana phakathi kwesigulana neqela labo lezempilo. Izinto eziqwalaselwayo zibandakanya: | I-Protor | Inkcazo || ------------------------------------------------ Inqanaba lomhlaza | Ubungakanani bomhlaza osasazwa (i-I-IV) ifuthe ngakumbi iindlela zonyango. || Iimpawu ze-tumar | Ubungakanani, indawo, kunye nohlobo lweseli yomhlaza impembelelo yoqhaqho kunye nolunye ukhetho. || Impilo kaNomzeka | Inqanaba lezempilo kunye nenqanaba lokuqina lichaphazela unyango kunyango. || Ukhetho lobuqu | Ukukhetha izigulana kunye neenqobo ezisemgangathweni zizinto ezibalulekileyo ekunikezelweni kwezigqibo. |

Itheyibhile 1: IZINTO EZIQHELEKILEYO UKUKHETHA UCWANGCISO LOLWAZI LOKUGQIBELA

Ngaphezulu kwezixhobo kunye nenkxaso

Ngolwazi oluthe kratya kunye nenkxaso malunga nomhlaza wezintso, unokuphonononga imibutho ephikisayo njengeziko leZiko leSizwe lomhlaza (NCE) (https: //www.cancer.gov/) Noluntu lwaseMelika boMhlaza (ACS) (https://www.cancer.org/). Khumbula, ukufunyanwa kwangoko kunye nokungenelela kwangexesha kubaluleke kakhulu Unyango lomhlaza kwizintso. Soloko unxibelelana nomboneleli wakho wezempilo ukuze ufumane icebiso kunye nesikhokelo. Unyango oluphucukileyo nophando, cinga ukukhangela izixhobo ezikhoyo kwi IZiko loPhando lweShandong Baeo. Banikezela ngezisombululo zomphetho ezisika kunye nokukhathalela abaguli abagulayo Izinketho zoNyango.