Ukwelashwa kweRenal Cell Carcinoma: I-Prognosis PresetundaNestings Inketho ye-Prognosis kanye nokwelashwa kwe-Renal Cell CarcinoMonarenal cell cell carcinoma (RCC), uhlobo olujwayelekile lomdlavuza wezinso, luveza izinhlobo ezahlukahlukene zezinso ngokuya ngezici ezimbalwa. Le ndatshana inikezela ngesibukezo sezindlela zokwelashwa zamanje ze-RCC futhi ihlole izici ezinethonya lokuqapha, okuhlose ukunikeza ukuqonda okucacile kwalabo abafuna ulwazi ngalezi zifo eziyinkimbinkimbi. Sizohlola izigaba ezahlukahlukene, izinketho zokwelashwa, kanye nombono wabantu abatholakala bethola i-RCC.
Ukuqonda ama-renal cell carcinoma
Yini i-renal cell carcinoma?
I-Renal Cell Carcinoma (
Ukwelashwa Renal Cell Carcinoma Prognosis) ngumdlavuza ovela ekulweni kwamabhuzu wezinso. Lawa amashubhu amancane ukuhlunga imikhiqizo yemfucuza egazini. Imbangela ngqo ye-RCC ayikaziwa, kepha izici ezimbalwa zengozi ziye zabonakala, kufaka phakathi ukubhema, ukukhuluphala, umfutho wegazi ophakeme kanye nomlando womndeni walesi sifo.
Stialung renal cell carcinoma
Isigaba se-RCC ekuxilongeni kungukucaciswa okubalulekile kwe-prognosical. Izinhlelo ezithinta, njengohlelo lwe-TNM (isimila, i-node, i-metastasis), siza odokotela bahlole ubukhulu bokusakazwa komdlavuza. Izigaba zibanga kusuka ku-I (kwasendaweni) kuya ku-IV (metastatic), ngezigaba eziphakeme ezibonisa i-degogshosos ehlwempu. Isiteji esinembile sibalulekile ekunqumeni isu elifanele kakhulu lokwelashwa.
Izinketho zokwelashwa zeRenal Cell Carcinoma
Indlela yokwelashwa ye-RCC yenzelwe isiguli ngasinye futhi incike kakhulu esiteji somdlavuza, impilo yesiguli yonke, nezinye izinto ezifanele. Izinketho zokwelashwa zifaka:
Indawo kadokotela
Okwe-RCC okwenziwe yasendaweni, ukuhlinzwa (isb. Ukususwa kwe-Tumor okuhlosiwe kuhlose ukwelashwa okuphelele, ikakhulukazi ezigabeni zokuqala. Izinga lokuhlinzwa lincike endaweni kanye nosayizi kamusi.
Ukwelashwa okuhlosiwe
Izindlela zokwelapha ezihlosiwe zenzelwe ukuhlasela amaseli athize umdlavuza ngaphandle kokulimaza amaseli anempilo. Izindlela eziningi zokwelapha ezihlosiwe, njengeSunitinib, iPazoPanib, ne-Axitinib, zikhombise ukusebenza kahle ekwelapheni i-RCC ethuthukisiwe (izigaba ze-III ne-IV). Le mishanguzo ivame ukuqondisa amaprotheni athile ahilelekile ekukhuleni komdlavuza.
I-ImmunoSatherapy
I-ImmunoSatherapy ihlanganisa amandla okuvikelwa komzimba womzimba ukulwa nomdlavuza. Izidakamizwa ezinjenge-nivolumab ne-ipilikub zivusa amasosha omzimba ukuba aqaphele futhi acekele phansi amaseli omdlavuza. I-ImmunoSatherapy iguqule ukwelashwa kwe-Advanced RCC futhi kungaholela ezimpendulweni ezihlala isikhathi eside.
Chemotherapy
Ngenkathi i-chemotherapy isetshenziswa kaningi njengokwelashwa komugqa wokuqala we-RCC kuqhathaniswa nokwelashwa okuhlosiwe kanye ne-immunotherapy, kungadlala indima ezimweni ezithile, njengokuthola ukuhlinzwa kwemetastatic noma ngemuva kokuhlinzwa kwesengozini yokuphindaphindeka.
Izici ezithonya i-prognosing ye-renal cell carcinoma
Kunezici eziningana ezibangela ukuqondiswa kwe-RCC, kufaka phakathi:
| Into eqinile | Umthelela kwi-prognosis |
| Isiteji ekuxilongeni | Izigaba eziphakeme zihlotshaniswa nokuhlolisisa kabi. |
| Ibanga le-tumor | Ama-tumor aphezulu ebangeni (ekhombisa ukukhula okunolaka) abe nesifo esibi kakhulu. |
| Ukuba khona kwe-metastasis | Isifo seMetastatic sinciphisa kakhulu amanani okusinda. |
| Impilo yesiguli iphelele | Izimo zezokwelapha ezikhona zangaphambi kokuba zithinte ukubekezelela ukwelashwa kanye nomphumela. |
Ithebula 1: Izici ezithonya ukuqondiswa kwe-renal cell carcinoma
Ukuqapha nokulandela ukunakekelwa
Ngemuva kokwelashwa kwe-RCC, ukuqokwa okujwayelekile kokulandela okubalulekile kubalulekile ekuqapheleni kabusha kokuphindeka nokulawula noma yimiphi imiphumela emibi engaba khona. Lokhu kuqokwa kuvame ukubandakanya izivivinyo zomzimba, ukuhlolwa kwegazi kanye nezifundo ze-imaging (e.g., ama-CT Scans). Ukutholwa kusenesikhathi kokuphindaphindwa kubalulekile ekungeneleleni okusheshayo kanye nemiphumela ethuthukisiwe.
Ukugcina
Le khasi
Ukwelashwa Renal Cell Carcinoma Prognosis Kuyahlukahluka ngokuya ngezinto eziningana, ngokuyinhloko isigaba somdlavuza ekuxilongeni. Ukutholwa kusenesikhathi nokuphathwa okusheshayo kubalulekile ukwenza ngcono imiphumela. Intuthuko ekwelashweni okuhlosiwe kanye nama-amcynotherapapies athuthukise kakhulu i-disgodtos yabantu abaningi nge-RCC. Ukuthola eminye imininingwane nokunakekelwa komdlavuza okuphelele, sicela uvakashele
I-Shandong Baafa Cancer Research Institute. Khumbula ukuthintana nomhlinzeki wakho wezokunakekelwa kwempilo ngezeluleko ezenzelwe umuntu nokwelashwa.
Qaphela: 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.
