Unyango lwe-RCC

Ukuqonda kunye nokulawula i-Renal Calcinoma (i-RCC) ukhetho lonyango lwe-renal carcinoma (I-RCC) Zininzi kwaye zixhomekeka kwizinto ezininzi, kubandakanya nenqanaba lomhlaza, impilo epheleleyo yesigulana, kunye neempawu ezithile zethumbu. Isikhokelo esibanzi siphonononga ezahlukeneyo unyango iindlela ze I-RCC, ihambisa ukuqonda ekusebenzeni kwabo kunye neziphumo ebezinokubakho. Siza kuphinda sibe selokukhetha iindlela zonyango, unyango olujolise kulo, umongo-hle, kunye ne-radiation, ukubonelela ngesifo esicacileyo kwesi sifo sinzima.

Ukuqonda i-reacinal carcinoma (i-rcc)

Iseli ye-renalic carcinoma (I-RCC) Luhlobo lomhlaza wezintso ovela kwi-tubue ye-tubules yezintso. Olona hlobo luqhelekileyo sisisele esicacileyo I-RCC, kodwa ezinye izinto ezityhutywe zikho, nganye ineempawu zayo ezizodwa kunye neengqwalaselo zonyango. Ukufunyanwa kwangoko kuphucula kakhulu amathuba okuphumelela unyango. Izinto ezinomngcipheko zibandakanya ukutshaya, ukukhuluphala, uxinzelelo lwegazi oluphezulu, kunye nembali yosapho yomhlaza wezintso. Iimpawu zinokubakho ngokuthe ngcembe okanye zingafiki kumanqanaba okuqala, kodwa zinokubandakanya igazi kumchamo, iintlungu zeflethi, kunye nobunzima obungaqondakaliyo.

Isifo kunye nokuxilongwa kwe-RCC

Isitayile esichanekileyo sibalulekile ekuqinisekiseni ngokufanelekileyo unyango Isicwangciso se I-RCC. Oku kubandakanya ubuchwephesha becinga njenge-CT Scans kunye ne-MRI scans ukuvavanya ubungakanani be-tumar kunye nokusasazeka kwayo kwi-lymph node okanye amanye amaziko. I-biopsy inokuba yimfuneko ukuqinisekisa ukuxilongwa kwaye ichonge uhlobo oluthile lwe I-RCC. Iinkqubo zemingca, ezinje ngenkqubo ye-TNM, zinceda ii-oncologists ziqengqeleka umhlaza kwaye ziqikelele i-prognosis.

Izinketho zoNyango lwe-RCC

Unyango kuba I-RCC Ihluka kakhulu kwinqanaba kunye neempawu zomhlaza. Eyona nto iphambili unyango Ukhetho lubandakanya:

Ukususwa kwetyala lezintso (Nephrectomy)

Yeyasekhaya I-RCC, I-Nephrectomy - Ukususwa kwe-subgical yenney yesintso-ihlala iphambili unyango. Oku kungenziwa kuhlelo oluvulekileyo, i-laparoscopy, okanye utyando lwerobhothi. Ukukhetha indlela yoNyango kuxhomekeke kwizinto ezinje ngobungakanani kunye nendawo ye-tumar kunye nempilo yesigulana iyonke. Inxalenye ye-Nephrectomy, ebandakanya ukususa ithumba kuphela kunye nenxalenye encinci yezintso, inokuba kukhetho kwezinye iimeko ukugcina umsebenzi wesifo.

Unyango olujolise kunyango

Unyango olujolisiweyo ngamayeza ajolise ngqo kwiiseli zomhlaza, ukunciphisa ukwenzakala kwiiseli ezisempilweni. Iziyobisi ezininzi ekujoliswe kuzo zingqineke zinokuphumelela ekunyangeni I-RCC. La machiza asebenza ngokuthintela iiproteni ezithile okanye iindlela ezibandakanyeka ekukhuleni kweseli yomhlaza kunye nokusinda. Imizekelo ibandakanya iSunitorinib, uSorafenib, Pazitolib, kunye ne-Axitinib. Iziphumo ebezingalindelekanga eziqhelekileyo zinokubandakanya ukudinwa, uxinzelelo lwegazi oluphezulu, kunye nesifo senyawo senyawo.

I-gonotherapy

Ugonyo uhenyuza amajoni omzimba ukuze alwe nomhlaza. I-Inhindoint yokutshekisha amagorha, enjengeNivolomab kunye ne-IPillimeyab, iguqukele unyango ye-Add I-RCC. La machiza asebenza ngokuthintela iiproteni ezithintela amajoni omzimba akwazi ukuhlasela uhlambulisi womhlaza. Ngelixa kusebenza kakhulu kwezinye izigulana, umongo-hle unyango kunokuba neziphumo ezibi kakhulu, kubandakanya nokuphendula kwe-autommune.

Unyango lwe-radiation

Unyango lwe-radiation lonyango lusebenzisa imitha yamandla amakhulu ukubulala iiseli zomhlaza. Ngokwesiqhelo ayisosiseko unyango kuba I-RCC Kodwa inokusetyenziswa kwiimeko ezithile, njengokunciphisa iintlungu ezibangelwa sisifo se-metatititic okanye ukunyanga ukuphindaphinda emva kotyando.

Olunye unyango

Enye unyango Imodyuli, ezinje ngonyango lwe-chemotherapy kunye nonyango lwebhayoloji, linokusetyenziswa kwiimeko ezithile ngokuxhomekeke kwimeko kunye neempawu zomhlaza. Indlela yeqela elininzi, ebandakanya oochwephesha, oochwephesha, kunye nabanye abaqeqeshi bezempilo, baqinisekisa ukuba abaguli bafumana inkathalo ebanzi nenentu.

Ukukhetha isicwangciso sonyango esifanelekileyo

Ukukhetha eyona ifanelekileyo unyango kuba I-RCC ifuna ukuthathelwa ingqalelo ngenyameko kwizinto ezininzi. Esi sigqibo kufuneka senziwe ngokubonisana nomnxibelelanisi we-oncologist ofanelekileyo, kuthathelwa ingqalelo inqanaba kunye nohlobo lwe I-RCC, impilo yesigulana iyonke, kunye neengozi ezinokubakho kunye nezibonelelo zenye unyango Inketho. I IZiko loPhando lweShandong Baeo Nika iindawo zobugcisa ze-GE-ART kunye neengcali ezinamava ukuze ufumane isifo kwaye unyango yomhlaza ohlukeneyo, kubandakanya I-RCC.

Ukuqukumbela

I unyango imbonakalo yomhlaba I-RCC ihlala ivela, kunye nonyango olutsha kunye nokuhambela phambili ngokubonelela ngeziphumo eziphuculweyo zezigulana. Ukufunyanwa kwangoko kunye nokukhawuleza unyango zibalulekile kwiziphumo ezigqibeleleyo. Esi sikhokelo sibonelela ngesishwankathelo sabahlukeneyo unyango Izinketho ezikhoyo, kodwa kubalulekile ukuba unxibelelane nengcali yezempilo kwisikhokelo esibekiweyo kunye nesetileji unyango Cwangcisa.