Izinketho zokwelashwa zeRenal Cell Carcinoma

I-Renal cell carcinoma (RCC), eyaziwa nangokuthi umdlavuza wezinso, yisifo esibi esidinga ukwelashwa okuphelele. Le ndatshana ihlinzeka ngesibukezo sabahlukahlukene Izinketho zokwelashwa zeRenal Cell Carcinoma, kufaka phakathi ukuhlinzwa, ukwelashwa okuhlosiwe, i-immunotherapy, kanye nokwelashwa kwemisebe. Sizohlola izinto ezithonya izinqumo zokwelashwa kanye nezinzuzo ezingaba khona kanye nobungozi obuhambisana nendlela ngayinye. Ukuqonda lezi zinketho kunika amandla iziguli nemindeni yazo ukwenza izinqumo ezinolwazi kanye nethimba labo lezokunakekelwa kwempilo.

Ukuqonda ama-renal cell carcinoma

Izinhlobo nezigaba ze-RCC

I-Renal Cell Carcinoma ifaka ama-subtypes ahlukahlukene, ngalinye linezimpawu ezihlukile ezithinta amasu okulashwa. Isigaba somdlavuza, sinqunywe ngokulingisa kanye ne-biopsy, siyisici esibucayi ekuhlelweni kokwelashwa. I-RCC yesigaba sokuqala ingalashwa ngokuhlinzwa yedwa, ngenkathi i-Advanced-Stage RCC ivame ukudinga inhlanganisela yokwelashwa. Ukuhlukaniswa okuqondile kubalulekile ekunqumeni okusebenzayo kakhulu Ukwelashwa kweRenal Cell Carcinoma.

Izindlela zokwelashwa zeRenal Cell Carcinoma

Indawo kadokotela

Ukuhlinzwa kuvame ukwelashwa okuyinhloko kwe-RCC eyenziwe yasendaweni. Izinqubo ezimbalwa zokuhlinza zikhona, kufaka phakathi i-nephrectomy eyingxenye (ukususwa kwesimila kanye nengxenye encane yezinso) kanye ne-nephrectomy ye-radical (ukususwa kwazo zonke izinso). Ukukhetha kwenqubo kuncike ngosayizi, indawo, kanye nesigaba sesimila. Amasu ahlaselayo ahlaselayo, njengeLaparoscopy kanye neRobotic Surgery, avame ukuqashwa ukunciphisa isikhathi sokuvuselela nokuvuselelwa. Ukunakekelwa kokusebenza kwangemva kokusebenza kubalulekile ukuze kubuyiselwe ngempumelelo. Ezigulini ezinesifo semetastatic, ukuhlinzwa kungasetjenziselwa ukususa ama-tumors amakhulu.

Ukwelashwa okuhlosiwe

Izidakamizwa zokwelapha ezihlosiwe zigxile kuma-molecule athile ahilelekile ekukhuleni kweseli yomdlavuza. Le mithi, efana neSunitinib, iPazoPanib, ne-Axitinib, iphazamisa izindlela zokusayina umdlavuza, zehlisa noma zivimba ukukhula kwesimila. Imiphumela emibi iyahlukahluka phakathi kwabantu, kepha okuvamile kufaka phakathi ukukhathala, umfutho wegazi ophakeme, nesifo sangemva kwezandla. Ukuqapha okujwayelekile kubalulekile ukuphatha imiphumela emibi futhi kuhlolwe ukusebenza kwezokwelapha. Ukukhethwa kokwelashwa okuqondile okuhlosiwe kuvame ukuncika ezingozini zomuntu ngamunye kanye nohlobo oluthile lwe-RCC.

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amandla okuvikelwa komzimba wesiguli ukuze alwe namaseli womdlavuza. Ukuvikelwa kwama-inhibitors, njenge-nivolumab ne-ipilamab, amaprotheni avimba amasosha omzimba ekuhlaseleni amaseli omdlavuza. Lezi zindlela zokwelapha zingasebenza kakhulu, ikakhulukazi e-Advanced-Stage RCC, kodwa futhi zingahlotshaniswa nemiphumela emibi ehlobene nokugula. Ukuqapha ngokucophelela nokuphatha kubalulekile. Ukusetshenziswa kwe-immunotherapy, kungaba yodwa noma ngokuhlanganiswa nezinye izindlela zokwelapha, kuyinto ebalulekile ngaphakathi Ukwelashwa Ukwelashwa kwe-Renal Cell Carcinoma.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukubulala umdlavuza amaseli. Ngokuvamile akulona ukwelashwa komugqa wokuqala we-RCC, kepha kungasetshenziswa ezimweni ezithile, njengokuhlangenwe nakho kwesifo esisezingeni eliphakeme noma ukulawulwa kwasendaweni kwama-tumors kulandela ukuhlinzwa. Ukwelashwa kwemisebe kungadambisa ngempumelelo izimpawu ezihambisana nobuhlungu noma ukucindezelwa kwezitho eziseduze. Indlela yokulethwa iyahluka ngokuya ngesimo esithile.

Izilingo Zomtholampilo

Ukubamba iqhaza ezivivinyweni zemitholampilo kunikeza ukufinyelela kokuthembisa okusha Izinketho zokwelashwa zeRenal Cell Carcinoma. Lezi zivivinyo zihlola ukuphepha nokusebenza kahle kwezindlela zokwelapha. Ezigulini ezine-RCC ezithuthukile noma eziphindaphindwayo, izivivinyo zemitholampilo zinganikeza ithuba ngezinketho ezengeziwe zokwelashwa. Ukubonisana ne-Oncologist kunganquma ukufaneleka ukufaneleka kwezilingo zomtholampilo ezifanele.

Ukukhetha ukwelashwa okulungile

Okulungile Ukwelashwa kweRenal Cell Carcinoma Kuya ngezinto eziningana, kufaka phakathi uhlobo nesigaba somdlavuza, impilo yesiguli ephelele, kanye nokuthandwa ngumuntu. Ithimba labaningi labachwepheshe bezokunakekelwa kwempilo, kufaka phakathi izazi ze-urologist, ama-oncologists, kanye ne-radiologists, bazosebenza ngokubambisana ukuthuthukisa uhlelo lokwelashwa oluqondene nomuntu uqobo. Ukuxhumana okuvulekile phakathi kwesiguli nethimba lezempilo kubalulekile ekwenzeni izinqumo ezinolwazi.

Ukunakekelwa Okusekelayo

Kuyo yonke le Ukwelashwa kweRenal Cell Carcinoma, Ukunakekelwa kokusekela kudlala indima ebalulekile ekwenzeni ngcono ikhwalithi yempilo. Lokhu kufaka phakathi ukuphathwa kwemiphumela emibi, ukuhlinzeka ukusekelwa okungokomzwelo, kanye nokubhekana nezidingo zokudla okunempilo. I-Shandong Baafa Cancer Research Institute (https://www.baofahospital.com/) Izipesheli izinhlelo zokunakekela ezisekelwayo. Ukufinyelela izinsizakusebenza kanye namanethiwekhi okusekelwa kubalulekile ukuze uzulazule izinselelo zokwelashwa komdlavuza.

Ukuphathwa Kwesikhathi Eside

Ngisho nangemva kokuphathwa ngempumelelo, ukunakekelwa okujwayelekile kokulandela kuyadingeka ukubheka ukuphindaphindeka. Lokhu kufaka phakathi izifundo zokucabanga nokuhlolwa kwegazi ngezikhathi ezithile. Ukutholwa kusenesikhathi kwe-Rectionlence kuvumela ukungenelela okusheshayo kanye nemiphumela engathuthukiswa. Ukugcina impilo enempilo, kufaka phakathi ukudla okulinganiselayo nokuzivocavoca njalo, kungaba nomthelela enhlalakahleni yesikhathi eside. Ezigulini ezigabeni ezithuthukile zesifo, ukuhlela ukunakekelwa okuthuthukile kungadingeka.

Ukuzikhulula: Lolu lwazi lungelolwazi olujwayelekile futhi alukha ngezeluleko zokwelashwa. Hlala uthintana nochwepheshe wezokunakekelwa kwempilo ukuze uthole ukutholakala nokwelashwa kwanoma yisiphi isimo sezokwelapha.