lapaʻau ʻana i ka maʻi maʻi ʻaʻai ma ka puʻupaʻa

Nā Koho Lapaʻau no ka maʻi maʻi ʻaʻai

ʻO ka maʻi maʻi maʻi kīpē, ʻo ia hoʻi ka maʻi maʻi maʻi renal cell carcinoma (RCC), pono i kahi ala lehulehu e mālama ai. ʻO ka hana maikaʻi loa e pili ana i nā kumu he nui, me ke ʻano a me ke ʻano o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole lapaʻau ʻana i ka maʻi maʻi ʻaʻai ma ka puʻupaʻa nā koho, kōkua iā ʻoe e hoʻomaopopo i nā mea hiki a hoʻoholo i nā hoʻoholo.

Ka hoʻomaopopo ʻana i ka maʻi maʻi ʻaʻai a me kona mau pae

Nā ʻano o ka maʻi maʻi ʻaʻai

Nui nā ʻano o ka maʻi maʻi maʻi ʻaʻai, me ka maʻi maʻi maʻi renal cell ka mea maʻamau. He mea koʻikoʻi ka hoʻomaopopo ʻana i ke ʻano kikoʻī no ka hoʻoholo ʻana i ka hopena maikaʻi loa lapaʻau ʻana i ka maʻi maʻi ʻaʻai ma ka puʻupaʻa. ʻO nā ʻano ʻano liʻiliʻi ʻē aʻe e pili ana i ka carcinoma cell transition a me nephroblastoma (Wilms tumor). E hana ana kāu kauka oncologist i nā ho'āʻo e hoʻoholo i ke ʻano pololei a me ka pae o kāu maʻi maʻi maʻi kīkī.

Hoʻopaʻa ʻia i ka maʻi maʻi ʻaʻai

Hōʻike ka staging i ka nui o ka laha ʻana o ke kanesa. Hoʻohana ʻia ka hoʻomaʻamaʻa ʻana i ka maʻi maʻi kīpē i kahi ʻōnaehana (maʻamau maʻamau TNM staging) e nānā i ka nui o ka tumo, kahi a me ka laha ʻana i nā ʻōpū lymph kokoke a i ʻole nā ​​ʻāpana mamao. Hoʻokomo pinepine ʻia ka maʻi maʻi maʻi maʻi maʻi mua, aʻo nā pae kiʻekiʻe e pili ana i ka metastasis. Hoʻoikaika nui ka pae lapaʻau ʻana i ka maʻi maʻi ʻaʻai ma ka puʻupaʻa hoʻolālā.

Nā Koho Lapaʻau no ka maʻi maʻi ʻaʻai

ʻO ka ʻoki ʻana

ʻO ka ʻoki ʻana he mea mua lapaʻau ʻana i ka maʻi maʻi ʻaʻai ma ka puʻupaʻa no ka maʻi maʻi ʻaʻai kūloko. Loaʻa kekahi mau koho ʻokiʻoki, e like me ka nephrectomy hapa (ka wehe wale ʻana i ka ʻāpana maʻi maʻi o ka puʻupaʻa) a me ka nephrectomy radical (ka wehe ʻana i ka puʻupaʻa holoʻokoʻa). ʻO ke koho e pili ana i nā mea e like me ka nui o ka tumo, ka wahi, a me ka hana o ka puʻupaʻa holoʻokoʻa. ʻO nā ʻenehana hōʻemi liʻiliʻi, e like me ka laparoscopy a i ʻole ke ʻoki ʻana i ka robotic-assisted, i makemake pinepine ʻia no ko lākou hōʻemi ʻana i ka manawa hoʻōla a me ka ʻili. ʻO ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) hāʻawi i nā keʻena ʻokiʻoki hou a me nā kauka lapaʻau ʻike.

ʻO ka Lapaʻau Kūlohelohe

Hoʻopili ʻia nā lāʻau lapaʻau i hoʻopaʻa ʻia i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i nā maʻi koko a i ʻole e hoʻolōʻihi i ko lākou holomua. Loaʻa kekahi mau lāʻau lapaʻau i manaʻo ʻia no ka maʻi maʻi maʻi maʻi kiʻekiʻe, hoʻohana pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe. ʻO nā laʻana he sunitinib, pazopanib, a me bevacizumab. E noʻonoʻo ana kāu kauka i kāu ʻano maʻi maʻi kikoʻī a me nā ʻano i ke koho ʻana i kahi lāʻau lapaʻau.

Immunotherapy

Hoʻohana ka Immunotherapy i ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. Hoʻohana maʻamau ʻia nā mea hoʻopaʻapaʻa checkpoint, e like me nivolumab a me pembrolizumab, e mālama i ka maʻi maʻi maʻi maʻi, ʻoi aku ka nui o nā pae kiʻekiʻe. Ke hana nei kēia mau lāʻau lapaʻau ma ke kāohi ʻana i nā protein e pale ai i ka ʻōnaehana pale mai ka hoʻouka ʻana i nā maʻi maʻi maʻi. Hiki i ka Immunotherapy ke hāʻawi i nā pōmaikaʻi nui i kekahi mau hihia, akā lawe pū kekahi i nā hopena ʻaoʻao.

Kemoterapi

ʻO Chemotherapy, ʻoiai ʻaʻole i hoʻohana pinepine ʻia ma ke ʻano he lāʻau lapaʻau mua no ka maʻi maʻi maʻi maʻi i hoʻohālikelike ʻia me ka ʻoki ʻana, ka lāʻau lapaʻau i manaʻo ʻia, a me ka immunotherapy, hiki ke hana i kahi kuleana i ka mālama ʻana i nā maʻi holomua a i kekahi mau kūlana. Hoʻohana ʻo ia i nā lāʻau lapaʻau e pepehi koke i nā maʻi maʻi maʻi.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e luku ai i nā maʻi maʻi. Hiki ke hoʻohana ʻia no ka hoʻomaha ʻana i nā hōʻailona ma nā hihia koʻikoʻi a i ʻole i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe, e like me ka maʻi ma mua o ke kaʻina e hoʻemi ai i ka ʻōpū.

Nā hoʻokolohua lapaʻau

Hāʻawi ke komo ʻana i nā hoʻokolohua lapaʻau i ke komo ʻana i nā lāʻau lapaʻau hou ʻaʻole i loaʻa ākea. He mea nui nā hoʻokolohua lapaʻau no ka holomua lapaʻau ʻana i ka maʻi maʻi ʻaʻai ma ka puʻupaʻa a me ka hoʻomaikaʻi ʻana i nā hopena maʻi. Pono e kūkākūkā i nā koho hoʻokolohua lapaʻau me kāu kauka oncologist.

Ke koho ʻana i ka Papahana Lapaʻau Pono

Ke koho ʻana i ka maikaʻi lapaʻau ʻana i ka maʻi maʻi ʻaʻai ma ka puʻupaʻa ʻO ka hoʻolālā kahi kaʻina hana ma waena o ka mea maʻi a me kā lākou hui mālama ola. E noʻonoʻo ʻia kekahi mau kumu, e like me:

• ʻAno a me ka pae o ka maʻi maʻi ʻaʻai
• ʻO ke kūlana olakino a me ke olakino holoʻokoʻa
• Nā makemake pilikino a me nā waiwai
• Loaʻa nā pōmaikaʻi a me nā pilikia o kēlā me kēia koho lapaʻau

He mea nui ke kamaʻilio wehe ʻana me kāu kauka no ka hoʻoholo ʻana.

Malama hahai

He mea koʻikoʻi ka hoʻonohonoho maʻamau ma hope lapaʻau ʻana i ka maʻi maʻi ʻaʻai ma ka puʻupaʻa e nānā no ka hoʻi hou ʻana a i ʻole nā hopena ʻaoʻao. Hoʻopili pinepine kēia mau koho i nā scan kiʻi a me nā hoʻāʻo koko.

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