Umdlavuza Wezokwelapha Izinso

Ukwelashwa komdlavuza wezinso: Umdlavuza wezinso ophelele kanye ne-Terment OvermentThes Umhlahlandlela uhlinzeka ngesibukezo esiphelele somdlavuza wezinso, izinhlobo zayo ezahlukahlukene, nezinketho zokwelashwa ezikhona. Sizohlola izindlela zokuxilonga, izindlela zokwelashwa, kanye nemiphumela emibi engaba khona, ikunikeze ukunika amandla ngolwazi ukwenza izinqumo ezinolwazi mayelana nempilo yakho. Sizophinde sixoxe ngokubaluleka kokusekelwa okuqhubekayo nezinsizakusebenza ezitholakala ezigulini nasemindenini yazo. Khumbula, ukutholwa kusenesikhathi nokwelashwa okufanele kuthuthukiswa kakhulu imiphumela Umdlavuza Wezokwelapha Izinso.

Izinhlobo zomdlavuza wezinso

Umdlavuza wezinso uhlanganisa izinhlobo eziningana, i-renal cell carcinoma (RCC). I-RCC uqobo inama-subtypes ahlukahlukene, ngalinye linezici ezihlukile kanye nezimpendulo zokwelashwa. Eminye imidlavuza yezinso evamile ehlanganisa i-Carcinoma ye-Convermetional Cell Carcinoma (TCC) ne-Nephroblastoma (i-Wilms Tumos). Ukuqonda uhlobo oluthile lomdlavuza wezinso lubalulekile ekunqumeni okusebenzayo kakhulu Umdlavuza Wezokwelapha Izinso Hlela.

I-Renal Cell Carcinoma (RCC)

I-RCC ibamba iningi umdlavuza wezinso. Ama-subtypes alo, njengeseli elicwengekile, i-papillary, i-chromophobe, kanye nokuqoqa i-duct RCC, ahlukane nokwenza kwabo izakhi zofuzo, amaphethini okukhula, nezimpendulo zokwelashwa. I-subtype ethile ithonya izinketho zokwelashwa.

I-Convermer Cell Carcinoma (TCC)

I-TCC ivela ekulweni kwe-pelvis yezinso kanye ne-ureter. Ukwelashwa kwalo kuvame ukubandakanya ukuhlinzwa, i-chemotherapy, kanye / noma ukwelashwa kwemisebe, kuya ngesigaba nobukhulu besifo.

I-Nephroblastoma (i-Wilms Tumos)

I-Wilms Tumos ngumdlavuza wezinso ongavamile ngokuyinhloko ethinta izingane. Ukwelashwa kuhlanganisa ukuhlinzwa, chemotherapy, futhi kwesinye isikhathi ukwelashwa kwemisebe.

Ukuhlonza umdlavuza wezinso

Ukutholwa kusenesikhathi kuyisihluthulelo sokuphumelela Umdlavuza Wezokwelapha Izinso. Ukuxilongwa kuhlanganisa ukuhlanganiswa kwe: Ukuhlolwa ngokomzimba: Udokotela wakho uzohlola izimpawu zakho futhi enze ukuhlolwa ngokomzimba. Ukuhlolwa kokucabanga: Lokhu kufaka phakathi i-ultrasound, i-CT Scan, i-MRI, futhi kwesinye isikhathi i-biopsy ukuqinisekisa ukuxilongwa kanye nesigaba umdlavuza. Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kungasiza ukubona amamaki ahambisana nomdlavuza wezinso.

Izinketho zokwelashwa zomdlavuza wezinso

Izinketho zokwelashwa ze Umdlavuza Wezokwelapha Izinso ziyahlukahluka ngokuya ngezinto eziningana, kufaka phakathi uhlobo, isigaba, kanye nebanga lomdlavuza, kanye nempilo yesiguli yonke. Izindlela ezijwayelekile zifaka: Ukuhlinzwa: INephrectomy (ukususwa kokuhlinza kwezinso) kuyindlela yokuqala yokwelashwa yomdlavuza wezinso ongenziwa yizinso zasendaweni. Ingxenye eyingxenye ye-Nephrectomy (ukususwa kwengxenye yomdlavuza kuphela yezinso) okungenzeka ukuthi inketho kwezinye izimo. I-Shandong Bandoong BacceCancer Research Institute (https://www.baofahospital.com/) Nikeza amasu athuthukisiwe okuhlinzwa aphathwa umdlavuza wezinso. Ukwelashwa okuhlosiwe: Le mithi ihlose ama-molecule athile athile ababambe iqhaza ekukhuleni komdlavuza, enikeza enye indlela enobuthi enobuthi be-chemotherapy yendabuko kwezinye izimo ezithile. I-ImmunoSatherapy: Lokhu kwelashwa kuhlanganisa amasosha omzimba okuvimbela amasosha umdlavuzelo. Kuyaphumelela kwezinye izinhlobo zomdlavuza wezinso, izigaba ezithuthukile ikakhulukazi. I-Chemotherapy: I-Chemotherapy ingahle isetshenziswe ezigabeni ezithuthukile zomdlavuza wezinso, imvamisa ngokuhlanganiswa nezinye izindlela zokwelapha. Ukwelapha imisebe: Ukwelashwa kwemisebe kungasetjenziswa ezimweni ezithile, njengokunciphisa izinhlungu ezibangelwa isifo semetastatic.

Ukugabha umdlavuza wezinso

Isikhungo somdlavuza wezinso sisiza ekutholeni ubukhulu besifo kanye nokuqondisa ukwelashwa. Uhlelo oludumile lusebenzisa izinombolo zamaRoma (I-IV), nginokwenziwa kwasekhaya kanye ne-IV ngokumelele i-metastasis ebanzi. Isiteji sithonya kakhulu Umdlavuza Wezokwelapha Izinso Isu.

Itafula lezinso lomdlavuza wezinso

Isiteji	Ukufanisa	Izinketho zokwelashwa
I	Umdlavuza ovalelwe ezinso	Ukuhlinzwa (okuyingxenye noma i-nephrectomy)
2	Umdlavuza usakazeka ezicutshini eziseduzane noma ama-lymph node	Ukuhlinzwa, kulandelwa ukwelashwa okunama-adjuvant (e.g., i-immunotherapy, ukwelashwa okuhlosiwe)
I-III	Umdlavuza usakazeka ezindlini ezikude ze-lymph	Ukuhlinzwa, chemotherapy, i-immunotherapy, noma ukwelashwa okuhlosiwe
I-IV	Umdlavuza usakazeka ezithweni ezikude (metastasis)	Inhlanganisela ye-chemotherapy, i-immunotherapy, kanye nokwelashwa okuhlosiwe; Ukunakekelwa kwe-Palliative

Ukuphila nomdlavuza wezinso

Ukuphila nomdlavuza wezinso kungaletha izinselelo, ngokomzimba nangokomzwelo. Amaqembu okusekela, ukwelulekwa, kanye nokuxhumana nethimba lakho lezempilo libalulekile ngalesi sikhathi. Khumbula ukuthi izinsiza ziyatholakala ukukusiza uzulazule lolu hambo.

Nesitatimende

Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze uthole ukuxilonga nokwelashwa kwanoma yisiphi isimo sezokwelapha.Ngokuwe: National Cancer Institure (NCI) Umtholampilo waseMelika