Ukwelashwa kwe-papillary renal cell carcinoma: I-Papillary ebanzi ye-papillary renal cell carcinoma: Umhlahlandlela wesiguli uhlinzeka ngesibukezo esiphelele se-papillary renal cell carcinoma (Ukwelashwa kwe-papillary renal cell carcinoma), kufaka phakathi ukuxilongwa kwayo, izinketho zokwelashwa, kanye ne-prognosis. Sizohlola izindlela ezahlukahlukene, sixoxe ngemiphumela emibi engaba khona, futhi siqokomise ukubaluleka kokunakekelwa komuntu uqobo ekuphatheni lolu hlobo lomdlavuza wezinso. Imininingwane lapha ngezinjongo zokufundisa futhi akufanele ibhekwe njengezeluleko zokwelashwa. Hlala uthintana nomhlinzeki wakho wezokunakekelwa kwezempilo ngezinhlelo zokwelashwa ezenzelwe wena.
Ukuqonda i-papillary renal cell carcinoma
Yini i-papillary renal cell carcinoma?
I-Papillary Renal Cell Carcinoma (PRCC) uhlobo lomdlavuza wezinso ovela ekulweni kwamabhuzu kabunzima. Ihlukaniswe ngohlobo 1 nohlobo 2, ngohlobo 1 ukuba luvame kakhulu futhi ngokuvamile ukuba ne-prognoson engcono. Amangqamuzana omdlavuza avela ngaphansi kwesibonakhulu njenge-papillary (enjengeminwe) ukuqagela. Ukutholwa kusenesikhathi kubalulekile ukuze uphumelele
Ukwelashwa kwe-papillary renal cell carcinoma.
Ukuxilongwa kwe-PRCC
Ukuxilongwa kuvame ukuqala ngokuhlolwa kokucabanga okufana ne-ultrasound, i-CT Scan, noma i-MRI. I-biopsy imvamisa iyadingeka ukuqinisekisa ukuxilongwa kwesifo nokunquma uhlobo oluthile nesigaba somdlavuza. Ukuhlolwa kwegazi, njengokuhlola amazinga aphakeme e-biomarkers athile, kungaqhutshwa futhi.
Izinketho zokwelashwa ze-papillary renal cell carcinoma
Okuncono
Ukwelashwa kwe-papillary renal cell carcinoma Indlela iya ngokuya ngezinto eziningana, kufaka phakathi isigaba somdlavuza, impilo yesiguli ephelele, kanye nohlobo oluthile lwe-PRCC.
Izinketho Zokuhlinza
Ukuhlinzwa kuvame ukwelashwa okuyinhloko kwe-PRCC yasendaweni. Izinketho zifaka phakathi i-nephrectomy eyingxenye (ukususwa kwesimila kanye nengxenye encane yezinso) noma i-naphrectomy ye-radical (ukususwa kwazo zonke izinso). Amasu wokuhlanza kancane ahlaselayo, anjengeLaparoscopy noma ukuhlinzwa okusizwa ngamarobhothi, kuvame ukuthandwa ngokungena kwabo. Ukukhetha kwendlela yokuhlinza kunqunywa yizinto ezifana nosayizi we-tumor, indawo, kanye nempilo ephelele yesiguli. E-Shandong Bandoof Baccer Research Institute (
https://www.baofahospital.com/), sisebenzisa amasu athuthukisiwe okuhlinza ukuqinisekisa imiphumela efanelekile yeziguli zethu.
Ukwelashwa okuhlosiwe
Izindlela ezihlosiwe izidakamizwa zenzelwe ukuhlasela amaseli athile umdlavuza ngenkathi zinciphisa ukulimala kwamaseli anempilo. Le mithi ingahle isetshenziswe yedwa noma ihlanganiswe nezinye izindlela zokwelapha, njengokuhlinzwa noma i-immunotherapy. Ukukhethwa kokwelashwa okuhlosiwe kuncike ekushintsheni okuthile kwezakhi zofuzo okukhona ngaphakathi kwesimila.
I-ImmunoSatherapy
I-ImmunoSatherapy ihlanganisa amandla okuvikelwa komzimba womzimba ukulwa nomdlavuza. Kubandakanya ukusebenzisa imithi evuselela amasosha omzimba ukuba aqaphele futhi acekele phansi amaseli womdlavuza. Le ndlela ikhombisile isithembiso esibalulekile ekwelapheni i-Advanced PRCC.
Ukwelashwa kwemisebe
Ukwelashwa kwemisebe kusebenzisa imisebe ephezulu kakhulu ukubulala umdlavuza amaseli. Ingasetshenziswa ukuncipha kwamathumbu ngaphambi kokuhlinzwa noma ukuphatha i-PRCC ephindaphindwayo noma ye-metastatic.
Chemotherapy
I-Chemotherapy ifaka ukusebenzisa izidakamizwa ukubulala umdlavuza amaseli. Yize kungekuvamisile ukwelashwa okuyinhloko kwe-PRCC, kungahle kusetshenziswe ezimweni ezithile, njengokuphatha isifo esithuthukile noma se-metastatic.
Isiteji kanye ne-prognosis
Isigaba se
Ukwelashwa kwe-papillary renal cell carcinoma kuthinta kakhulu izinqumo ze-prognosis kanye nokwelashwa. Ukuzishaya kuhilela ukunquma usayizi wesimila, noma ngabe kusakazekele ukuya ezindaweni eziseduze zama-lymph noma izitho ezikude, kanye nempilo ephelele yesiguli. Uhlelo lwesitayela se-TNM luvame ukusetshenziswa ukuhlukanisa i-PRCC.
Ukuphila ne-PRCC
Ukuphila ne-PRCC kudinga indlela ephelele. Ukuqokwa okujwayelekile kokuqokwa nge-Oncologist yakho kubalulekile ekuqapheleni umdlavuza nokulungisa ukwelashwa njengoba kudingeka. Inethiwekhi yokusekelwa yomndeni, abangane, namaqembu okusekelwa anganikeza usizo olungokomzwelo nangokoqobo ngalesi sikhathi.
imibuzo ejwayelekile ukubuzwa
Lesi sigaba sizonwetshwa ekubuyekezweni okuzayo ukufaka izimpendulo zemibuzo evamile yesiguli.
Ithebula: Ukuqhathanisa izinketho zokwelashwa ze-PRCC
| Uhlobo lokwelashwa | Ukufanisa | Izinzuzo | Okubi |
| Ukuhlinzwa (okuyingxenye / i-nephrectomy) | Ukususwa Kokuhlinzwa kwesimila noma Izinso. | Engahle ebelapheni ngesifo esenziwe sendawo. | Ingahle ibe nemiphumela emibi efana nobuhlungu, ukutheleleka, noma ukopha. |
| Ukwelashwa okuhlosiwe | Izidakamizwa ezibhekisele amaseli athile omdlavuza. | Ingancipha isimila futhi senze ngcono ukusinda. | Kungaba nemiphumela emibi, kufaka phakathi ukukhathala, isicanucanu, kanye nokuqhuma kwesikhumba. |
| I-ImmunoSatherapy | Kuvusa amasosha omzimba ukulwa nomdlavuza. | Ingasebenza ngesifo esithuthukile. | Kungaba nemiphumela emibi, kufaka phakathi ukukhathala, ukuqubuka kwesikhumba, kanye nezinkinga ezihlobene nokugula. |
Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Thintana nomhlinzeki wakho wezokunakekelwa kwezempilo nganoma yikuphi ukukhathazeka ngempilo.
