Lapaʻau no ka Papillary Renal Cell Carcinoma: alakaʻi i nā halemai a me nā koho kiʻekiʻe.lapaʻau papillary renal cell carcinoma Halemai) hiki ke paʻakikī. Ke ʻimi nei kēia alakaʻi piha i nā koho lapaʻau like ʻole, nā noʻonoʻo ʻana, a me nā halemai alakaʻi kūikawā ma kēia wahi. Makemake ʻo ia e hoʻolako iā ʻoe me ka ʻike e hana i nā hoʻoholo ʻike e pili ana i kāu mālama.
Ka hoʻomaopopo ʻana i ka maʻi maʻi maʻi maʻi maʻi papillary
ʻO ka papillary renal cell carcinoma (PRCC) kahi ʻano o ka maʻi maʻi maʻi ʻaʻai e puka mai ana ma ke kapa o nā tubules kidney. Hōʻike ʻia ʻo ia e kona ʻano ulu papillary (e like me ka manamana lima). ʻElua mau ʻano nui: ʻano 1 a me ke ʻano 2, kēlā me kēia me nā prognoses like ʻole a me nā ala lapaʻau. He mea koʻikoʻi ka ʻike mua ʻana no ka mālama pono ʻana. Hiki i nā hōʻailona ke komo i ke koko i loko o ka mimi (hematuria), ka ʻeha o ka ʻaoʻao, a me ka palpable abdominal mass. Eia nō naʻe, he asymptomatic nā hihia he nui a ʻike ʻia i ka wā o ke kiʻi ʻana no nā kumu ʻē aʻe.
ʻO ka hōʻailona o PRCC
ʻO ka maʻi maʻamau e pili ana i nā hoʻokolohua kiʻi e like me CT scans a me MRI scans e ʻike i ka ʻōpū. Pono pinepine kahi biopsy e hōʻoia i ka hōʻailona a hoʻoholo i ke ʻano kikoʻī o PRCC. Hana ʻia ka hoʻopaʻa ʻana no ka hoʻoholo ʻana i ka nui o ka laha ʻana o ka maʻi kanesa, e pili ana i nā hoʻoholo lapaʻau.
Nā Koho Lapaʻau no PRCC
Nā papahana lapaʻau no
lapaʻau papillary renal cell carcinoma Halemai pili i kekahi mau kumu, e like me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me ke ʻano kikoʻī o PRCC.
Nā Koho ʻokiʻoki
ʻO ka ʻoki ʻana ka lāʻau lapaʻau mua no PRCC kūloko. Loaʻa nā koho: ʻĀpana Nephrectomy: ʻO ka wehe ʻana i ka ʻāpana maʻi maʻi wale nō o ka puʻupaʻa, e mālama ana i ka ʻiʻo puʻupaʻa olakino. ʻO Radical Nephrectomy: Ka wehe ʻana i ka puʻupaʻa holoʻokoʻa, me nā puʻupuʻu lymph kokoke a me nā ʻiʻo a puni.
ʻO ka Lapaʻau Kūlohelohe
ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia e nānā i nā molekole kikoʻī e pili ana i ka ulu a me ka hoʻolaha ʻana o nā maʻi maʻi maʻi. Ua hōʻike maikaʻi ʻia kekahi mau lāʻau lapaʻau i hoʻopaʻa ʻia i ka mālama ʻana i ka PRCC kiʻekiʻe a metastatic paha. Hoʻopili pinepine kēia mau lāʻau lapaʻau i nā lāʻau lapaʻau waha.
Immunotherapy
Hoʻohana ka Immunotherapy i ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. ʻO nā mea hoʻopaneʻe Checkpoint kahi ʻano o ka immunotherapy e ālai ana i nā protein e pale ai i ka ʻōnaehana pale mai ka hoʻouka ʻana i nā maʻi kanesa. Ua hoʻololi kēia mau lāʻau lapaʻau i ka mālama ʻana i ka maʻi maʻi maʻi renal cell carcinoma.
Lapaʻau Radiation
Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e luku ai i nā maʻi maʻi. Hoʻohana ʻia i kekahi manawa me ka ʻokiʻoki a i ʻole nā lāʻau lapaʻau ʻē aʻe.
Nā lāʻau lapaʻau hui
Hoʻohana pinepine ʻia ka hui ʻana o nā lāʻau lapaʻau e hoʻomaikaʻi i nā hopena lapaʻau. No ka laʻana, hiki ke hui pū ʻia ka lāʻau lapaʻau me ka immunotherapy no PRCC kiʻekiʻe.
Ke koho ʻana i ka Halemaʻi kūpono no ka Lapaʻau PRCC
Ke koho ʻana i kahi haukapila no kāu
lapaʻau papillary renal cell carcinoma Halemai he hoʻoholo koʻikoʻi. E noʻonoʻo i kēia mau mea: Ka ʻike a me ka ʻike: E ʻimi i nā halemai me nā oncologists urological ʻike a me nā hui multidisciplinary kūikawā i ka maʻi maʻi maʻi. ʻO ka nui o nā hihia PRCC i mālama pinepine ʻia i nā hopena maikaʻi aʻe. Nā ʻenehana kiʻekiʻe a me nā lapaʻau: E hōʻoia i ka hāʻawi ʻana o ka haukapila i nā ʻenehana diagnostic a me nā ʻenehana lapaʻau hou loa, e komo pū ana i nā ʻenehana ʻokiʻoki kiʻekiʻe, nā mea lapaʻau i manaʻo ʻia, a me nā koho immunotherapy. Nā lawelawe kākoʻo maʻi: ʻO nā lawelawe kākoʻo piha, me ka ʻōlelo aʻo, hoʻoponopono hou, a me nā hui kākoʻo, he mea nui ia no ka ʻike maʻi maikaʻi. Nā Manaʻo o nā maʻi a me nā helu: E noiʻi i nā ʻike maʻi a me nā kūlana o ka haukapila e ana i ka maikaʻi o ka mālama.
Ke alakaʻi nei i nā Halemai no ka Lapaʻau PRCC
ʻOiai e koi ana nā ʻōlelo paipai kikoʻī e kūkākūkā me kāu mea mālama ola, ʻoi aku ka nui o nā haukapila o ka honua i ka mālama ʻana iā PRCC. Pono ʻoe e noiʻi i nā haukapila ma kou wahi i ʻike ʻia no kā lākou keʻena urology a me oncology. ʻO nā halemai e pili ana i nā kikowaena noiʻi maʻi maʻi nui e alakaʻi pinepine i nā lāʻau lapaʻau hou a me nā hoʻokolohua lapaʻau. No ka laʻana, [Shandong Baofa Cancer Research Institute](https://www.baofahospital.com/ Shandong Baofa Cancer Research Institute) he hale alakaʻi i hoʻolaʻa ʻia no ka mālama ʻana i ka maʻi maʻi a me ka noiʻi.
Nā hoʻokolohua lapaʻau
ʻO ke komo ʻana i nā hoʻokolohua lapaʻau hiki ke hāʻawi i ke komo ʻana i nā koho lapaʻau hou ʻaʻole i loaʻa ākea. He kumu waiwai ʻo ClinicalTrials.gov no ka ʻimi ʻana i nā hoʻokolohua lapaʻau e pili ana i PRCC.
Hoʻolele
Kuhi ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.