lapaʻau Ka maʻi maʻi ʻaʻai

Nā Koho Lapaʻau no ka maʻi maʻi ʻaʻai

ʻO ka maʻi maʻi kīpē, ʻike ʻia hoʻi ʻo ka maʻi maʻi maʻi renal cell (RCC), pono kahi ala lapaʻau pilikino e pili ana i nā kumu like ʻole, me ke ʻano o ka maʻi kanesa, ke ʻano o ka maʻi maʻi ʻaʻai, kou olakino holoʻokoʻa, a me nā makemake pilikino. Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole lapaʻau maʻi maʻi ʻaʻai nā koho, e kōkua ana iā ʻoe e hoʻomaopopo i nā koho i loaʻa a me kā lākou hopena.

Ka hoʻomaopopo ʻana i nā pae a me nā ʻano o ka maʻi maʻi maʻi ʻaʻai

ʻO ke kau ʻana

Hiki ke hoʻoholo i ka nui o ka laha ʻana o ka maʻi kanesa. ʻO nā pae mai ka I (localized) a i ka IV (metastatic), me nā pae kiʻekiʻe e hōʻike ana i ka maʻi ʻoi aʻe. He mea koʻikoʻi ka hoʻonohonoho pono ʻana i ke koho kūpono lapaʻau maʻi maʻi ʻaʻai hoʻolālā. Hoʻohana mau ʻia ka ʻōnaehana staging TNM, e loiloi ana i ka nui o ke koko (T), ke komo ʻana o ka lymph node (N), a me ka metastasis mamao (M).

Nā ʻano o ka maʻi maʻi ʻaʻai

ʻO ke ʻano maʻamau ka maʻi maʻi maʻi renal cell (RCC), e hoʻopuni ana i kekahi mau ʻano subtypes me nā ʻano like ʻole a me nā pane i ka mālama ʻana. ʻO RCC pūlima māmā ka subtype maʻamau. ʻO nā ʻano ʻē aʻe he papillary RCC a me ka chromophobe RCC. Pono ka hoʻomaopopo ʻana i ke ʻano kikoʻī no ka maikaʻi lapaʻau maʻi maʻi ʻaʻai.

Nā Koho Lapaʻau no ka maʻi maʻi ʻaʻai

ʻO ka ʻoki ʻana

ʻO ka ʻoki ʻana ka lāʻau lapaʻau mua no ka maʻi maʻi maʻi maʻi kūloko. ʻO nā koho he nephrectomy hapa (ka wehe ʻana i ka ʻōpū a me kahi ʻāpana liʻiliʻi o ka puʻupaʻa) a me ka nephrectomy radical (ka wehe ʻana i ka puʻupaʻa holoʻokoʻa). Hoʻohana pinepine ʻia nā ʻenehana hōʻemi liʻiliʻi, e like me ka laparoscopy a me ke kāʻei kōkua robotic, no ka emi ʻana o ka manawa hoʻōla a me ke ʻano invasive. ʻO ke koho ʻana o ke ʻoki ʻana e pili ana i nā mea e like me ka nui o ka tumo, kahi, a me ke olakino holoʻokoʻa.

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 cell cancer a me ke ola. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau no ka maʻi maʻi maʻi maʻi kiʻekiʻe a i ʻole i nā hihia kahi i koho ʻole ʻia ai ke ʻoki. ʻO nā laʻana o nā lāʻau lapaʻau e pili ana i ka sunitinib, pazopanib, a me axitinib. Hiki i kēia mau lāʻau lapaʻau ke alakaʻi i nā hopena ʻaoʻao, a pono ka nānā mau ʻana.

Immunotherapy

Hoʻohana ka Immunotherapy i ka ʻōnaehana pale ʻana o ke kino e hakakā i nā maʻi maʻi maʻi. He mea maikaʻi loa kēia ala no kekahi mau ʻano o ka maʻi maʻi ʻaʻai, ʻoi aku ka maʻi holomua a i ʻole ka maʻi metastatic. Hoʻohana maʻamau ʻia nā lāʻau lapaʻau immunotherapy e like me ka nivolumab a me ipilimumab lapaʻau maʻi maʻi ʻaʻai. Hiki i kēia mau lāʻau lapaʻau ke loaʻa nā hopena koʻikoʻi, pono e mālama pono.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. ʻAʻole ʻo ia ka lāʻau lapaʻau mua no ka maʻi maʻi ʻaʻai, akā hiki ke hoʻohana ʻia e hōʻoluʻolu i nā hōʻailona, ​​​​e like me ka ʻeha i hoʻokumu ʻia e ka metastases iwi, a i ʻole i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.

Kemoterapi

Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. He ʻoi aku ka maikaʻi ma mua o ka lāʻau lapaʻau i manaʻo ʻia a me ka immunotherapy no ka maʻi maʻi ʻaʻai a mālama ʻia no nā hihia i pane ʻole i nā lāʻau lapaʻau ʻē aʻe.

Ke koho ʻana i ka Lapaʻau Pono

Ke koho ʻana i ka maikaʻi lapaʻau maʻi maʻi ʻaʻai Pono ka hoʻolālā e noʻonoʻo pono i nā kumu like ʻole. ʻO nā kūkākūkā me kahi hui o nā loea, me ka oncologists, urologists, a me nā ʻoihana mālama olakino ʻē aʻe, he mea nui ia no ka hoʻolālā ʻana i ka mālama pilikino. E kūkākūkā kēia hui i nā pōmaikaʻi, nā pilikia, a me nā hopena ʻaoʻao o kēlā me kēia koho, e noʻonoʻo ana i kou kūlana olakino a me kou makemake. ʻO ka Shandong Baofa Cancer Research Institute He keʻena alakaʻi i hoʻolaʻa ʻia no ka hoʻolako ʻana i ka mālama piha a me nā lāʻau lapaʻau ʻokiʻoki no nā maʻi maʻi maʻi maʻi ʻaʻai. Hāʻawi lākou i kahi ala multidisciplinary e hōʻoia e loaʻa iā ʻoe ka mālama maikaʻi loa.

Nā Manaʻo Nui

He mea koʻikoʻi ka hoʻomaopopo ʻana e ulu mau ana ka mālama ʻana i ka maʻi maʻi ʻaʻai, me nā lāʻau lapaʻau hou a me nā ala e kū mau nei. He mea nui ka hoʻomaopopo ʻana e pili ana i nā holomua hou loa, a he mea nui ka mālama maʻamau me kāu hui lapaʻau no ka nānā ʻana i kāu holomua a me ka hoʻoponopono ʻana i nā hoʻolālā lapaʻau inā pono.

Kuhi ʻia kēia ʻike no ka ʻike ākea a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no ka hōʻoia ʻana a me ka mālama ʻana i ka maʻi maʻi ʻaʻai.

Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole ia he ʻōlelo aʻo lapaʻau. E kamaʻilio mau me kāu kauka a i ʻole nā ​​​​mea mālama ola olakino ʻē aʻe inā he mau nīnau kāu e pili ana i kou olakino a makemake ʻoe i ka ʻōlelo aʻo olakino.