ka maʻi maʻi maʻi i loko o ka puʻupaʻa

Ka hoʻomaopopo ʻana i ka maʻi maʻi ʻaʻai: ʻano, hōʻailona, ʻike, a me ka lapaʻau

ʻO ka maʻi maʻi maʻi ʻaʻai, ʻike ʻia hoʻi ʻo ka maʻi maʻi maʻi maʻi ʻaʻai (RCC), he maʻi kahi e hoʻokumu ʻia ai nā maʻi maʻi ʻaʻai i loko o nā ʻiʻo o hoʻokahi a i ʻole ʻelua mau puʻupaʻa. Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole o ka maʻi maʻi maʻi i loko o ka puʻupaʻa, kā lākou mau hōʻailona, nā ʻano diagnostics, nā koho lapaʻau, a me ke koʻikoʻi o ka ʻike mua ʻana. E kūkākūkā pū mākou i nā holomua hou loa i ka noiʻi a hāʻawi i nā kumuwaiwai no ka ʻike hou aku a me ke kākoʻo.

Nā ʻano o ka maʻi maʻi ʻaʻai

ʻO ka maʻi maʻi maʻi maʻi maʻi ʻaʻai (RCC)

ʻO RCC ke ʻano maʻamau o ka maʻi maʻi maʻi maʻi, helu ʻia ma kahi o 90% o nā hihia. Aia kekahi mau subtypes o RCC, kēlā me kēia me kona mau hiʻohiʻona ponoʻī a me ka wānana. Hoʻoholo pinepine ʻia kēia mau ʻano subtypes ma o ka nānā ʻana microscopic o kahi laʻana biopsy. He mea koʻikoʻi ka hoʻomaopopo ʻana i ka subtype kikoʻī no ka hoʻoholo ʻana i ke ʻano o ka mālama ʻana. Hiki ke loaʻa ka ʻike hou aku e pili ana i nā subtypes RCC kikoʻī ma o nā kumuwaiwai olakino kaulana a me nā oncologists.

Ka maʻi maʻi maʻi maʻi maʻi hoʻololi (TCC)

Hoʻokumu ʻia ka TCC i ke kapa o ka pelvis renal, ke ʻano ʻano funnel e hōʻiliʻili ai i ka mimi mai ka puʻupaʻa. ʻAʻole maʻamau ia ma mua o RCC akā hiki ke hoʻopaʻapaʻa inā ʻaʻole ʻike mua ʻia. Hiki i nā hōʻailona ke hoʻohālikelike pinepine i nā pilikia o ka ʻāpana mimi ʻē aʻe, e hōʻike ana i ka pono o ka mālama olakino wikiwiki i ka wā e loaʻa ai nā pilikia mimi mau.

Nā maʻi maʻi maʻi maʻi ʻaʻai ʻē aʻe

ʻOiai ʻo RCC a me TCC nā ʻano maʻamau loa, aia nā ʻano maʻi ʻē aʻe o ka maʻi maʻi ʻaʻai. ʻAʻole maʻamau kēia mau mea a pono paha i nā hoʻolālā lapaʻau kūikawā. He mea koʻikoʻi ke kamaʻilio ʻana me ke kauka no ka hōʻoia pololei ʻana a me ka hoʻolālā lapaʻau ʻana no kēia mau ʻano maʻamau ka maʻi maʻi maʻi i loko o ka puʻupaʻa.

Nā hōʻailona o ka maʻi maʻi ʻaʻai

ʻAkahi-pae ka maʻi maʻi maʻi i loko o ka puʻupaʻa ʻike pinepine ʻia me nā hōʻailona ʻike ʻole. Eia naʻe, i ka holomua ʻana o ka maʻi kanesa, hiki ke ʻike ʻia kekahi mau hōʻailona. Hiki i kēia mau mea ke komo:

• Koko i loko o ka mimi (hematuria)
• ʻO kahi puʻupuʻu a i ʻole ka nui o ka ʻōpū
• ʻEha hope mau a ʻeha ʻaoʻao paha
• Paona kaumaha
• Ka luhi
• ʻO ke kuni
• Ke koko kiʻekiʻe

He mea nui e hoʻomaopopo i kēia mau hōʻailona hiki ke pili pū me nā maʻi olakino ʻē aʻe. Inā ʻike ʻoe i kekahi o kēia mau mea, he mea koʻikoʻi ia e nīnau i kahi ʻoihana mālama ola no ka ʻike kūpono a me ka loiloi.

ʻIke ʻia o ka maʻi maʻi ʻaʻai

Ka hoʻopaʻa ʻana ka maʻi maʻi maʻi i loko o ka puʻupaʻa ʻO ka mea maʻamau ka hui pū ʻana o nā hoʻokolohua a me nā kaʻina hana:

• Hōʻike kino: E nānā ke kauka i kou ʻōpū no nā puʻupuʻu ʻokoʻa a i ʻole nā ​​puʻupuʻu.
• Nā hoʻāʻo kiʻi: Hoʻohana pinepine ʻia ka Ultrasound, CT scan, MRI, a me intravenous pyelogram (IVP) e nānā i nā puʻupaʻa a ʻike i nā mea ʻino.
• Biopsy: Wehe ʻia kahi laʻana liʻiliʻi o ka ʻiʻo a nānā ʻia ma lalo o kahi microscope e hōʻoia i ka hele ʻana o nā maʻi kanesa a hoʻoholo i ke ʻano kikoʻī o ka maʻi maʻi maʻi i loko o ka puʻupaʻa.
• Nā hoʻāʻo koko: Hiki ke hana ʻia nā hoʻāʻo koko no ka nānā ʻana i ka hana ʻāʻī a nānā i nā mea ʻino ʻē aʻe.

Nā Koho Lapaʻau no ka maʻi maʻi ʻaʻai

Nā koho lapaʻau no ka maʻi maʻi maʻi i loko o ka puʻupaʻa ʻokoʻa ma muli o nā kumu he nui, me ke ʻano a me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. ʻO nā ʻano lapaʻau maʻamau ka:

• ʻO ka ʻoki ʻana: ʻO kēia ka lāʻau lapaʻau mua no nā maʻi he nui, a hiki ke komo i ka nephrectomy hapa (ka wehe ʻana i kahi ʻāpana o ka puʻupaʻa) a i ʻole ka nephrectomy radical (ka wehe ʻana i ka puʻupaʻa holoʻokoʻa).
• ʻO ka lāʻau lapaʻau i hoʻopaʻa ʻia: Hoʻopili kēia mau lāʻau i nā protein kikoʻī e pili ana i ka ulu ʻana o nā cell cancer.
• Immunotherapy: ʻO kēia ʻano lāʻau lapaʻau e kōkua i ka ʻōnaehana pale o ke kino e hakakā i nā maʻi maʻi maʻi.
• Radiation Therapy: Ke hoʻohana nei kēia lāʻau lapaʻau i ka pāhawewe ikehu kiʻekiʻe e pepehi i nā maʻi maʻi maʻi.
• Chemotherapy: ʻOiai ʻaʻole maʻamau i ka mālama ʻana i ka maʻi maʻi ʻaʻai, hiki ke hoʻohana ʻia ka chemotherapy i kekahi mau kūlana.

E hoʻoholo ʻia ka hoʻolālā lapaʻau maikaʻi loa ma ke kūkākūkā ʻana me kahi oncologist a me nā ʻoihana olakino ʻē aʻe.

Nā ʻanuʻu o ka maʻi maʻi ʻaʻai

Hoʻonohonoho ʻia ka maʻi maʻi ʻaʻai no ka hoʻoholo ʻana i kona nui a alakaʻi i nā hoʻoholo lapaʻau. Hoʻohana ʻo Staging i kahi ʻōnaehana e noʻonoʻo ana i ka nui o ka ʻōpū, inā paha ua laha i nā ʻōpū lymph kokoke a i ʻole nā ​​​​mea mamao. ʻO ka hoʻomaopopo ʻana i ka pae o kāu ka maʻi maʻi maʻi i loko o ka puʻupaʻa He mea koʻikoʻi ia no ka hoʻoholo ʻana e pili ana i kāu lapaʻau.

Ka noiʻi a me ke kākoʻo

No ka ʻike hou aku a me ke kākoʻo e pili ana ka maʻi maʻi maʻi i loko o ka puʻupaʻa, makemake paha ʻoe e ʻimi i nā kumuwaiwai mai nā hui kaulana e like me ka National Cancer Institute (https://www.cancer.gov/) a me ka American Cancer Society (https://www.cancer.org/). ʻO ka Shandong Baofa Cancer Research Institute ua hoʻolaʻa pū ʻia i ka holomua ʻana i ka ʻike a me ka mālama ʻana i nā maʻi maʻi like ʻole, me ka maʻi maʻi maʻi kīkī.

Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi kauka mālama ola no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.