Ukwelashwa kwezimpawu zomdlavuza wezinso: Izinketho zesibhedlela kanye nokuholwa

Lo mhlahlandlela ophelele uhlola izinketho ezahlukahlukene zokwelashwa kwezimpawu zomdlavuza wezinso, ukuhlinzeka ngokuqonda ekuxilongeni, izindlela zokwelashwa kanye nendima ebalulekile yezibhedlela ezikhethekile ekuphatheni lesi sifo esiyinkimbinkimbi. Sizokwenza ngezigaba ezahlukahlukene zomdlavuza wezinso, xoxa ngezokwelapha ezitholakalayo, futhi sigqamise ukubaluleka kokufuna ukunakekelwa kochwepheshe bezokwelapha abanolwazi. Ukuqonda izinketho zakho nokuthola isibhedlela esifanele kuyisihluthulelo sokuphumelela Umdlavuza Wezokwelapha Ezimweni Zezinso Izimo.

Izimpawu zokuqonda umdlavuza wezinso

Ukubona izimpawu

Ukutholwa kusenesikhathi kubalulekile ekulweni nomdlavuza wezinkukazi. Izimpawu zingaba ukucasuka futhi zivame ukulingisa ezinye izimo, zitholakale zinhlekelele kusenesikhathi. Izimpawu ezijwayelekile zingafaka igazi emchameni (hematuria), izinhlungu eziphikelelayo ezibucayi (izinhlungu ohlangothini), isisindo esingenakuphikwa, ukuncipha kwesisindo esingachazwanga, ukukhathala, ukuncipha kwesisindo, ukukhathala, ukunciphisa umzimba, ukukhathala, ukunciphisa umzimba. Kubalulekile ukubonana nodokotela uma uhlangabezana nanoma yiziphi zalezi zimpawu eziphikelelayo. Ukulibazisa ukwelashwa kungathinta kakhulu ukufuthazeka. Phambilini Umdlavuza Wezokwelapha Ezimweni Zezinso Izimo iqala, amathuba angcono wemiphumela emihle. Ukuze uthole umbono onemininingwane yezimpawu zomdlavuza wezinso, thintana ne-National Cancer Institute Iwebhusayithi.¹

Ukuxilongwa kanye nokuchithwa komdlavuza wezinso

Inqubo yokuxilonga

Ukutholwa komdlavuza wezinso ngokuvamile kufaka phakathi ukuhlanganiswa kokuhlolwa kokucabanga okufana nezikena ze-CT, ama-MRI Scans, kanye ne-ultrasound, kanye ne-biopsy ukuqinisekisa ubukhona nohlobo lwamaseli omdlavuza. Isiteji siyisinyathelo esibalulekile esinquma ubukhulu bokusakazeka komdlavuza, ukuqondisa izinqumo zokwelashwa. Isigaba somdlavuza wakho wezinso sizothonya kakhulu kunconyelwe Umdlavuza Wezokwelapha Ezimweni Zezinso Izimo.

Izinketho zokwelashwa zomdlavuza wezinso

Izinketho Zokuhlinza

Ukuhlinzwa kuvame ukwelashwa okuyinhloko komdlavuza wezinso olwenziwe yizokwenziwa. Uhlobo lokuhlinzwa luxhomeke ngosayizi nendawo nendawo yesimila, kanye nempilo ephelele yesiguli. Izinketho zingafaka i-Nephrectomy enengxenye (ukususwa kwesimila kuphela), i-nephrectomy enamandla (ukususwa kwazo zonke izinso), noma ukuhlinzwa okuningana kakhulu uma umdlavuza usakazeke. Ubuchwepheshe bokuhlinza obukhulu obukhulu, futhi ukhetha isibhedlela i-oncologist enolwazi ye-urologic ebalulekile ukuthola imiphumela efanelekile kuyo Umdlavuza Wezokwelapha Ezimweni Zezinso Izimo.

Ukwelashwa okuhlosiwe

Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ngqo amaseli omdlavuza, ukunciphisa ukulimala kwamaseli anempilo. Lezi zindlela zokwelapha zivame ukusetshenziselwa umdlavuza wezinso ezithuthukile noma ze-metastatic. Uhlobo oluthile lokwelashwa okuhlosiwe luzoncika ezimfanelweni zofuzo zamaseli womdlavuza. Lezi zindlela zokwelapha zivame ukuphathwa ngabakwa-Oncologists abanolwazi ngaphakathi kohlaka lwe-comferensive Umdlavuza Wezokwelapha Ezimweni Zezinso Izimo.

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amandla okuvikelwa komzimba uqobo ukuze alwe namaseli womdlavuza. Izidakamizwa ze-ImmunoSatherapy zisiza amasosha omzimba aqaphele futhi acekele phansi amaseli womdlavuza ngempumelelo. Le ndlela isebenza ngokukhethekile ezinhlotsheni ezithile zomdlavuza wezinso futhi ivame ukuhlanganiswa nezinye izindlela zokwelapha. Okuncono Umdlavuza Wezokwelapha Ezimweni Zezinso Izimo Nikeza ukufinyelela kwentuthuko yakamuva ye-immunotherapy.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukubulala umdlavuza amaseli. Ingasetshenziswa yedwa noma inhlanganisela nezinye izindlela zokwelapha, kuya ngesigaba nohlobo lomdlavuza wezinso. Ukukhethwa kokwelashwa kwemisebe, uma kufanelekile, kuzokwenziwa yi-Oncologist yakho ngaphakathi kohlaka lwakho Umdlavuza Wezokwelapha Ezimweni Zezinso Izimo uhlelo lokwelashwa.

Ukukhetha isibhedlela esifanele ukwelashwa komdlavuza wezinso

Ukukhetha isibhedlela ukwelashwa komdlavuza wezinso kudinga ukucatshangelwa ngokucophelela. Funa izibhedlela ezine-oncologists enolwazi ye-urologic kanye nendlela yeqembu elihlangene, ehlanganisa ubungcweti bezincwadi ze-omopologists, ama-radiation oncologists, nabanye ochwepheshe. Cabanga ngezinto ezifana namanani empumelelo yesibhedlela, intuthuko yezobuchwepheshe kanye nezinsizakalo zokusekelwa kweziguli. Ukuzibophezela esibhedlela ekucwaningeni nasezemitholampilo nakho kuyinkomba enhle. Isibonelo, isikhungo sokucwaninga umdlavuza we-Shandong Bandoong Bacces (https://www.baofahospital.com/) yisikhungo esiholayo esinikezelwe ekunikezeni ukunakekelwa komdlavuza okuthuthukile.

Ukunakekelwa kanye nokunakekelwa kokulandela

I-prognosis yomdlavuza wezinso iyahlukahluka ngokuya ngezinto eziningana, kufaka phakathi isigaba somdlavuza lapho kutholakalesisi khona, impilo yesiguli, kanye nokusebenza kahle kokwelashwa. Ukuqokwa okujwayelekile kokulandela ukuthuthuka kubalulekile ngemuva kokwelashwa ukuqapha ukuphindeka futhi kubhekane nanoma yikuphi ukubhekana nezinkinga. Ukuzibophezela kwesibhedlela sakho esikhethiwe ekunakekelweni kokulandela isikhathi eside nokusekelwa okuqhubekayo kubalulekile.

Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nomuntu oqeqeshiwe wezokunakekelwa kwezempilo ukuze kuxilongwa kanye nokwelashwa kwanoma yisiphi isimo sezokwelapha.

¹ Isikhungo Somdlavuza Kazwelonke. (N.D.). Ukwelashwa komdlavuza wezinso (PDQ?) - Isiguli. Kutholakale kusuka ku- [https: