Umdlavuza Wokulashwa Kwezinso

Ukwelashwa komdlavuza wezinso: Umdlavuza ogcwele we-GuideKidney, ngokuqondile uRenal Carcinoma (RCC), ukukhathazeka okubalulekile kwezempilo. Lo mhlahlandlela uhlinzeka ngesibukezo esibanzi se Ukwelashwa komdlavuza wezinso, ukumboza izigaba ezahlukahlukene, izinketho zokwelashwa kanye nokunakekelwa kokusekela. Ukuqonda lezi zici kubalulekile ezigulini nasemindenini yazo kuzulazula lolu hambo olunzima.

Ukuqonda umdlavuza wezinso

Izinhlobo zomdlavuza wezinso

Umdlavuza wezinso uhlanganisa izinhlobo eziningana, nge-renal cell carcinoma (RCC) evame kakhulu. Ezinye izinhlobo ezingaphansi kakhulu zifaka ama-Carcinoma ye-Convermetional Carcinoma (TCC) ne-Nephroblastoma (i-Wilms Tumos). Uhlobo oluthile luthonya kakhulu Ukwelashwa komdlavuza wezinso Isu. Ukuxilongwa okunembile ngokuhlolwa kokulingisa njenge-CT Scans kanye nama-biopopsies kubalulekile ekunqumeni uhlobo nesiteji.

Ukugabha umdlavuza wezinso

Ukuzithoba kuhilela ukunquma ubukhulu bomdlavuza ukusakazeka. Lokhu kubalulekile ekutholeni kahle Ukwelashwa komdlavuza wezinso. Izinhlelo ezihlangene, njengohlelo lwe-TNM, zihlukanisa usayizi we-tumor (t), ukuhilela ukuzibandakanya kwe-lymph node (n), kanye ne-metastasis (m). Isiteji sithinta izinqumo zokwelashwa.

Izinketho zokwelashwa zomdlavuza wezinso

Indlela eya Ukwelashwa komdlavuza wezinso Kuya ngesici eziningana, kufaka phakathi isigaba, uhlobo, kanye nempilo ephelele yesiguli. Izinketho eziningana zikhona, zivame ukusetshenziswa ngokuhlanganiswa.

Indawo kadokotela

Ukukhishwa Kokuhlinzwa Kwezinso (Nephrectomy) kuyindlela ejwayelekile, ikakhulukazi ekuqaleni Umdlavuza wezinso. Ingxenye ye-Nephrectomy eyingxenye (isusa kuphela ingxenye yomdlavuza) iyindlela engenzeka uma kungenzeka, ilondoloze umsebenzi wezinso. Amasu aphezulu okuhlinza athuthukile, njengokuhlinzwa okusizwa ngoRomatic, anciphise ukungabonakali futhi athuthukise izikhathi zokutakula.

Ukwelashwa okuhlosiwe

Izindlela zokwelapha ezihlosiwe zigxile kuma-molecule athile ahilelekile ekukhuleni komdlavuza, ukunciphisa ukulimala kwamaseli anempilo. Izidakamizwa ezifana neSunitinib, iPazoPanib, futhi ama-axitinib ayizibonelo zokwelapha ezihlosiwe ezisetshenzisiwe Ukwelashwa komdlavuza wezinso. I-Shandong Bandoong Baafa Cancer Research Institute https://www.baofahospital.com/ inikeza ulwazi oluthuthukile ekwelashweni okuhlosiwe.

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amasosha omzimba wokulwa nomdlavuza. Ukuhlola ama-inhibitors, njenge-nivolumab ne-ipilamab, kusetshenziselwa ukuthuthukisa impendulo yokuzivikela komzimba ngokumelene namaseli omdlavuza wezinso. Lokhu kuvame ukusetshenziswa ezigabeni ezithuthukile.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukubulala umdlavuza amaseli. Ingasetshenziswa ukuncipha kwamathumbu ngaphambi kokuhlinzwa noma ukuphatha izinhlungu nezimpawu ngezigaba ezithuthukile. Ngokuvamile akuyona eyokuqala Ukwelashwa komdlavuza wezinso.

Chemotherapy

I-Chemotherapy ayisebenzi kangako kunezinye izinketho zokwelashwa ze-RCC kepha zingabhekwa ngamacala athuthukile, angenakugwenywa. Imvamisa isebenzisa inhlanganisela yezidakamizwa.

Ukukhetha uhlelo lokulashwa olufanele

Ukukhetha okungcono kakhulu Ukwelashwa komdlavuza wezinso kudinga ukucubungula ngokucophelela kwezinto eziningi. Iqembu le-multodisciplinary, kufaka phakathi ama-oncologists, odokotela abahlinzayo, ama-radiologists kanye nabanye ochwepheshe, basebenza ngokubambisana ukudala uhlelo lokwelashwa oluqondene nezidingo kanye nezimo ngazinye. Le ndlela ibheka hhayi umdlavuza kuphela kepha futhi nempilo yesiguli ephelele kanye nezinketho.

Ukunakekelwa Okusekelayo

Ngaphandle kokuqala Ukwelashwa komdlavuza wezinso, Ukunakekelwa kokusekela kudlala indima ebalulekile ekuphatheni imiphumela emibi kanye nokwenza ngcono impilo. Lokhu kufaka phakathi ukuphathwa kwezinhlungu, ukusekelwa okunempilo, ukwelulekwa ngokomzwelo kanye nokuvuselelwa.

Ukulandela isikhathi eside

Ukuqokwa kokulandela njalo kubalulekile ngemuva Ukwelashwa komdlavuza wezinso. Lokhu kuqokwa kubandakanya ukuqapha ukuphindeka nokuphatha imiphumela emibi yesikhathi eside. Ukutholwa kusenesikhathi kwanoma yikuphi ukuphindaphinda kubalulekile ekuphathweni okusebenzayo.

Izilingo Zomtholampilo

Ukubamba iqhaza ezivivinyweni zemitholampilo kunikeza ukufinyelela ku-Innovative Ukwelashwa komdlavuza wezinso Izinketho ezingakatholakali kabanzi. Lezi zivivinyo zivame ukubheka izidakamizwa ezintsha kanye nokwelashwa, ngokuqondene nemiphumela ethuthukisiwe. Umhlinzeki wakho wezokunakekelwa kwempilo angakweluleka ngokufaneleka.

Uhlobo lokwelashwa	Izinzuzo	Okubi
Indawo kadokotela	Ukususwa okuqondile kwezicubu zomdlavuza; izinga lokulahla okuphezulu ezigabeni zokuqala.	Kungenzeka ingalungele zonke izigaba; amandla okubhekana nezinkinga.
Ukwelashwa okuhlosiwe	Isenzo esihlosiwe, ukunciphisa ukulimala kwamaseli anempilo; ngempumelelo ezigabeni ezithuthukile.	Imiphumela emibi engaba khona; ayisebenzi kuzo zonke iziguli.
I-ImmunoSatherapy	Kuvuselela amasosha omzimba okuvikelwa komzimba ukulwa nomdlavuza; imiphumela ehlala njalo kwezinye izimo.	Imiphumela emibi ehlobene nokuvikelwa komzimba; ayisebenzi kuzo zonke iziguli.

Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nochwepheshe wezokunakekelwa kwempilo ukuze uthole ukutholakala nokwelashwa kwanoma yisiphi isimo sezokwelapha.