Iseli ye-renalic carcinoma (I-RCC), Olona hlobo luqhelekileyo lomhlaza wezintso, kufuna indlela yonyango elungiselelwe izinto ezininzi. Isikhokelo esibanzi siphonononga ezahlukeneyo unyango Iinketho ze I-RCC, ukugubungela utyando, unyango olujolisiyo, i-immunotherapy, kunye nonyango lwe-radiation. Siza kuhlolisisa inkqubela phambili kunye nokuqwalaselwa ngokukhetha indlela elungileyo yokufumana kwakhona. Ukuqonda ukhetho lwakho kubalulekile ekwenzeni izigqibo ezinolwazi neqela lakho lezempilo. Olu lwazi luyinjongo yemfundo kuphela kwaye akufuneki luthinteli icebiso lonyango.
I-RCC Ibandakanya imithwalo emininzi, nganye ineempawu ezizodwa ezaphembelela unyango Izicwangciso-qhinga. Inqanaba lomhlaza, limiselwe busayizi, indawo, kwaye lisasazeke, yenye into ebalulekileyo. Isitayile esichanekileyo sibandakanya uvavanyo lokucinga njenge-CT kunye ne-biOPSy. UKUFUNYANWA KOKUFUMANEKA KWEXESHA unyango Impumelelo.
Ukhetho lwe unyango kuba I-RCC Kuxhomekeka kwizinto ezininzi, kubandakanya nenqanaba lomhlaza, impilo yesigulana iyonke, kunye nobukho bohlobo oluthile lwendalo. Iminyaka yobudala kunye ne-cortoriadies ikwadlala indima ebalulekileyo ekuqinisekiseni eyona nto ilungileyo yesenzo. Indlela yeqela elininzi, ebandakanya oochwephesha, oochwephesha, kunye nezinye iingcali, zihlala zezona ndlela zisebenzayo zokulawula I-RCC.
Ukususwa kwetyala lezintso unyango yeyasekhaya I-RCC. Iindlela ezihlaselayo ezincinci, ezinjenge-laparoscopic okanye utyando lwerobhothi, zihlala zisetyenziselwa ukunciphisa ixesha lokubuyisela kunye neengxaki. Impumelelo yotyando ixhomekeke ekupheleleni kwe-tumor kunye nokungabikho kwe-metastasis.
Unyango olujolise, olunjengeSunnitinib, uSorafenib, Pazithib, kunye ne-Axitinib, sebenza ngokuthintela iiproteni ezithile eziqhuba ukukhula kweeseli zomhlaza. La mayeza asetyenziswa rhoqo kumanqanaba aphezulu I-RCC Okanye njengoko i-addsual lonyango emva kotyando. Iziphumo ebezingalindelekanga azifani, kwaye iliso kwiliso elibonakalayo libalulekile. Funda ngakumbi malunga nonyango olujolisiweyo kwiZiko loDrazi leSizwe.
Ugonyo uhenyuza amajoni omzimba ukuze alwe iiseli zomhlaza. Ukujonga izinto zokujonga, ezinjengeNivolomab kunye ne-IPillimeyab, iguqukele I-RCC unyango, ngakumbi kumanqanaba aphezulu. La machiza athintela iiproteni ezithintela amajoni omzimba akwazi ukuhlasela uhlambulisi womhlaza. Iziphumo ezinokubakho zibandakanya iziganeko ezimbi ezinxulumene nomzimba, ezifuna ulawulo ngononophelo. Ukuphononongwa kweenketho zokunyanga ukusuka kuluntu lwaseMelika.
Unyango lwe-radiation radi lusebenzisa imiqadi enamandla enamandla ukubulala iiseli zomhlaza. Kuyinto esetyenziswayo njengeyona nto iphambili unyango kuba I-RCC Kodwa banokudlala indima ekulawuleni iintlungu, ukulawula ukuphinda kwenziwe kwendawo, okanye ukuphatha i-metastases. I-Sterereothactic Social Commotherapy (SBRT) ye-StereTheepy (SBRT) yifom echanekileyo yonyango lwe-radiation enciphisa umonakalo kwizicubu ezinempilo.
Ukuthatha inxaxheba kwiimvavanyo zeklinikhi kubonelela ngokufikelela kumda wokusika unyango Ukukhetha kwaye kunegalelo ekuqhubeni I-RCC uphando. Uvavanyo lwezonyango luvavanya amachiza amatsha, unyango, kunye unyango Izicwangciso-qhinga. Umboneleli wakho wezempilo unokukunceda ubone ukuba ilingo leklinikhi lilungele imeko yakho ethile.
Eyona ifanelekileyo unyango Isicwangciso se I-RCC sisigqibo sentsebenzo phakathi kwesigulana neqela labo lezempilo. Vula unxibelelwano, ukuqonda okucacileyo kwe unyango Izinketho, kunye nokuqwalaselwa ngononophelo kwezibonelelo ezinokubakho kunye neziphumo ebezingalindelekanga kubalulekile. Izigulana ziyakhuthazeka ukuba zifune izimvo zesibini kwaye zixoxa ngokucokisekileyo ukhetho lwabo ngoogqirha babo.
Kwizigulana ezihamba phambili okanye kwi-metastatic I-RCC, Uphando oluqhubekayo luphonononga ama-NovelOtherapies, unyango olujolisiweyo, kunye neerejista zokudibanisa ukuphucula iziphumo. I IZiko loPhando lweShandong Baeo uzinikezelwe ekuqhubeleni ukuqonda kwaye unyango ye I-RCC, igalelo kwizigqibo ezinobuchule kwinkathalo yomhlaza.
Uhlobo lonyango | Izibonelelo | Ukungancedi |
---|---|---|
Utyando | Inokwenzeka ukuba ihlawulwe i-RCC yasekhaya; ukhetho oluncinci olungenalokho. | Isenokungalungelanga onke amabakala; inokwenzeka kwiingxaki. |
Unyango olujolise kunyango | Isebenza kwi-RCC; inokuncipha amathumba kwaye uphucule ukusinda. | Iziphumo ebezinokubaluleka; Ayisebenzi kuzo zonke izigulana. |
I-gonotherapy | Isebenza kakuhle kwezinye izigulana; Inokubakho i-deight-xolo. | Zinokubangela iziphumo ebezingalindelekanga ezinxulumene nesiqhamo; Ayisebenzi kuzo zonke izigulana. |
Iphepha elichazayo: Olu lwazi lucetywa ngeenjongo zemfundo kuphela kwaye alunangqondo. Soloko unxibelelana nengcali yokhathalelo lwempilo olufanelekileyo ukuze ufumane i-disnosis kunye nonyango lwemeko yonyango.
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