Unyango olucacileyo lweseli yeseli renali

Unyango lweseli ecocekileyo yeseli Esi sikhokelo sinika isishwankathelo esineenkcukacha seendlela zangoku, zigxile kwiindlela ezinobungqina kunye nokhathalelo olugxile kwisigulana. Siza kuphonononga amanqanaba e-CCRCC kunye neendlela ezilungisiweyo ezisetyenziswa kwinqanaba ngalinye, zibonisa ukubaluleka kokufunyaniswa kwangaphambili kunye nolawulo olusebenzayo. Olu lwazi luyinjongo yemfundo kwaye akufuneki luthathelwe ingqalelo kwingcebiso yezamayeza. Soloko unxibelelana nengcali yakho yezempilo yezicwangciso zonyango.

UKUXELWA KUNYE NOKUFUNDA I-CCHCC

Isifo echanekileyo kunye nesitayile sibaluleke kakhulu ekumiseleni eyona nto icwangcisiweyo yonyango cima iselfowuni yeseli renali. Iindlela zokucinga, ezinjenge-CT Scans kunye ne-MRI, zibalulekile ekuchongeni ubungakanani be-tumar, indawo, kunye nokusasazeka. I-biopes ihlala yenziwa ukuqinisekisa ukuxilongwa kwaye ichonge uhlobo oluthile lomhlaza wezintso, kubandakanya ubukho be-CCHC. Iinkqubo zokuzimela, ezinje ngenkqubo ye-TNM, yomele ubungakanani bomhlaza, ziphembelela izigqibo zonyango. Ukufunyanwa kwangoko, ngokuhlolwa rhoqo kunye nokuphanda ngokukhawuleza kweempawu, kuphucula kakhulu i-prognosis.

Ukuqonda inkqubo ye-TNM

Inkqubo ye-TNM isebenzisa izinto ezintathu zokuhlelwa cima iselfowuni yeseli renali: I-T: ichaza ubungakanani kunye nobungakanani be-tumoor ephambili. N: ibonisa ukubandakanyeka kweendawo ezikufuphi ze-lymph. M: Icacisa ukuba ngaba umhlaza uyenziwa i-metastas (ukusasazeka) ukuya kwi-organans ekude Ukudityaniswa kwe-T, N, kunye namanqanaba e-M babonelela ngenqanaba elipheleleyo lomhlaza.

Izinketho zoNyango lweCCRCC

Izinketho zonyango cima iselfowuni yeseli renali Ukwahluka kakhulu kwinqanaba lomhlaza kunye nempilo epheleleyo yesigulana. I-sugoction rection ihlala ingunyango oluphambili lwe-CCRCC yendawo, ngelixa unyango lwenkqubo, kubandakanya unyango olujongileyo kunye nonyango olujongwayo, luhlala luqeshwa isifo esiphambili okanye isifo.

Ukupheliswa kwetyala

Yeyasekhaya cima iselfowuni yeseli renali, ukususwa kwe-sumpel ye-tumor kwaye inokuba yinxalenye okanye yonke into echaphazelekayo (inxenye ye-nephrectomy okanye i-nephrectomy ye-raid) iqhelekile yonyango lokuqala lonyango. Ukukhetha phakathi kwezi nkqubo kuxhomekeke kwizinto ezininzi, kubandakanya ubungakanani be-turus, indawo, kunye nempilo yesigulana iyonke. Iindlela zokuhlaselwa ngamandla ahlasela kakhulu, ezinje ngotyando we-laparoscopic, ziya kukhethwa ngakumbi, ukunciphisa ixesha lokubuyisela kunye nokuchaphazeleka.

Unyango olujolise kunyango

Unyango olujolisiweyo lusebenza ngokuthintela iimolekyuli ezithile ezinegalelo ekukhuleni kwethu. Unyango olujolisiweyo olujolisiweyo lubonakalisile ngokuchasene cima iselfowuni yeseli renali, ngakumbi ezo zijolise kukukhula kwe-vascular endothelial endoltelial endothelial (Vegf) kunye ne-Mammialian ekujolise kuyo kwi-ramamycin (MT). Imizekelo iquka i-sunnitinib, uSorafenib, Pazinan kunye no-Everosimus. La mayeza anokulawulwa ngomlomo kwaye ahlala esetyenziswa njengomgca wokuqala okanye unyango lomgca wesibini lwe-chastastatic CCHC. Iziphumo ebezingalindelekanga kwaye ziyahluka phakathi kwabantu. Ugqirha wakho we-oncologist uyakubeka ekoneni ngononophelo ngexesha lonyango.

I-gonotherapy

Umonotherappy ufumana amajoni omzimba omzimba ukuze alwe iiseli zomhlaza. Izinto zokujonga izinto zokujonga, ezinjengeNivolomab kunye ne-IPillisub, iBhloko yokuThengisa uMzimba, ivumela amajoni omzimba ukuze aqaphele kwaye ahlasele iiseli zomhlaza ngaphezulu. La mayeza asetyenziswa rhoqo kwi-Add okanye kwi-metastatic cima iselfowuni yeseli renali kwaye inokudityaniswa nonyango olujolise kwiziphumo eziphuculweyo. Umgono unokuvelisa iziphumo ebezingalindelekanga ezibalulekileyo, kubandakanya neengxaki zemoto, oko kunokufuna ulawulo olusondeleyo kwezonyango.

Unyango lwe-radiation

Ngelixa kungekho uqhelekileyo kunyango lwe-CCRCC, unyango lwe-radiation lunokudlala indima yokuxhasa ukulawula iintlungu ukusuka kwi-bone metastases okanye ekunyangeni ukuphindaphinda kwendawo emva kotyando.

Iimvavanyo zeklinikhi

Abaguli cima iselfowuni yeseli renali kufuneka ithathele ingqalelo ukuthatha inxaxheba kwiimvavanyo zeklinikhi. Izilingo zeklinikhi zibonelela ngokufikelela kwiindlela ezithembisa unyango kunye negalelo ekuqhubeni phambili kophando lomhlaza. Ugqirha wakho unokukunceda ekufumaneni amathuba afanelekileyo ovavanyo lweklinikhi. IZiko loPhando lweShandong Baeo https: //www.baofitaspital.com/ inikezelwe ekunikezeleni ukhathalelo lomhlaza ophambili kwaye iqhube uphando egxile ekuphuculeni iziphumo zezigulana.

Ukubeka iliso kunye nokulandela

Emva konyango, ukuqeshwa rhoqo okulandelayo kubaluleke kakhulu ekujonganeni kwakhona okanye kuphuhliso lwamathumba amatsha. Izifundo zokucinga kunye novavanyo lwegazi zihlala zisetyenziselwa ukubeka iliso kwi-profes yefonti. Ukufunyanwa kwangoko kokuphinda kwenziwe kwakhona kuvumela ungenelelo olukhawulezayo kwaye unokuluphucula iziphumo.

Uhlobo lonyango	Umatshini	Inqanaba le-CCHCC	Iziphumo zecala eliqhelekileyo
Ukupheliswa kwetyala	Ukususwa komzimba kwethumba	I-CCHC yendawo	Intlungu, usulelo, ukopha
Unyango olujolise kunyango	Ukuthintela iimolekyuli ezithile	I-Mestatitic CCHCC	Ukudinwa, isicaphucaphu, i-hypertertered
I-gonotherapy	Ukukhuthaza amajoni omzimba	I-Mestatitic CCHCC	Ukudinwa, ukungxama kolusu, iingxaki ze-autommune

Iphepha elichazayo: Olu lwazi luyinjongo zemfundo kuphela kwaye akufuneki kuthathelwe ingqalelo icebiso ngonyango. Soloko unxibelelana nengcali yokhathalelo lwempilo olufanelekileyo ukuze ufumane i-disnosis kunye nonyango lwemeko yonyango.