lapaau rcc renal cell carcinoma

Nā Koho Lapaʻau no ka maʻi maʻi maʻi maʻi maʻi maʻi maʻi ʻaʻai (RCC)

ʻO ka maʻi maʻi maʻi maʻi renal (RCC), ke ʻano maʻamau maʻamau o ka maʻi maʻi maʻi ʻaʻai, pono kahi ala lapaʻau pilikino e pili ana i nā kumu he nui. Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole lapaʻau koho no RCC, e uhi ana i ke oki, ka laau lapaau, immunotherapy, a me ka radiation therapy. E nānā mākou i nā holomua hou a me nā noʻonoʻo no ke koho ʻana i ke ala kūpono i ka hoʻihoʻi. He mea koʻikoʻi ka hoʻomaopopo ʻana i kāu mau koho no ka hoʻoholo ʻana me kāu hui mālama olakino. No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e pani i ka ʻōlelo aʻoaʻo lapaʻau ʻoihana.

Ka hoʻomaopopo ʻana i ka maʻi maʻi maʻi maʻi Renal Cell (RCC)

Nā ʻano a me nā pae o RCC

RCC Hoʻopili ʻia nā ʻano ʻano like ʻole, kēlā me kēia me nā hiʻohiʻona kūʻokoʻa lapaʻau nā hoʻolālā. ʻO ka pae o ka maʻi kanesa, i hoʻoholo ʻia e kona nui, wahi, a me ka laha, ʻo ia kekahi mea koʻikoʻi. ʻO ka hoʻonohonoho pololei e pili ana i nā hoʻokolohua kiʻi e like me CT scans a hiki i kahi biopsy. He hopena nui ka ʻike mua ʻana lapaʻau holomua.

Nā mea e pili ana i nā hoʻoholo lapaʻau

ʻO ke koho o lapaʻau no ka mea RCC pili i kekahi mau kumu, e like me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me ka loaʻa ʻana o nā hoʻololi genetic kikoʻī. ʻO ka makahiki o ka mea maʻi a me nā comorbidities kekahi hana koʻikoʻi i ka hoʻoholo ʻana i ka hana maikaʻi loa. ʻO kahi hui hui multidisciplinary, e pili ana i nā urologists, oncologists, a me nā loea ʻē aʻe, ʻo ia ke ala maikaʻi loa e mālama ai. RCC.

Nā Koho Lapaʻau no RCC

ʻO ka ʻoki ʻana

ʻO ka wehe ʻana i ka ʻōpū i hoʻopilikia ʻia (nephrectomy hapa a i ʻole radical) ka mea mua lapaʻau no ka mea i hoopiliia RCC. Hoʻohana pinepine ʻia nā ʻano hana invasive liʻiliʻi, e like me ka laparoscopic a i ʻole ka robotic surgery, e hōʻemi i ka manawa hoʻōla a me nā pilikia. ʻO ka kūleʻa o ka ʻoki ʻana e pili ana i ka hoʻopiha piha ʻana o ka wehe ʻana o ka tumo a me ka ʻole o ka metastasis.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia, e like me sunitinib, sorafenib, pazopanib, a me axitinib, hana ma ke kāohi ʻana i nā protein kikoʻī e alakaʻi i ka ulu ʻana o nā maʻi kanesa. Hoʻohana mau ʻia kēia mau lāʻau lapaʻau i nā pae kiʻekiʻe o RCC a i ʻole ma ke ʻano he adjuvant therapy ma hope o ke ʻoki ʻana. He ʻokoʻa nā hopena ʻaoʻao, a he mea nui ka nānā pono ʻana. E aʻo hou e pili ana i nā lāʻau lapaʻau i hoʻopaʻa ʻia mai ka National Cancer Institute.

Immunotherapy

Hoʻohana ʻo Immunotherapy i ke kino ponoʻī o ke kino e hakakā i nā maʻi maʻi maʻi. Ua hoʻololi hou nā mea hoʻopaneʻe hōʻoia, e like me nivolumab a me ipilimumab RCC lapaʻau, ʻoi aku ma nā pae kiʻekiʻe. Hoʻopaʻa kēia mau lāʻau i nā protein e pale ai i ka ʻōnaehana pale mai ka hoʻouka ʻana i nā maʻi maʻi maʻi. ʻO nā hopena ʻaoʻao hiki ke loaʻa i nā hanana ʻino e pili ana i ka immune, pono e mālama pono. E ʻimi i nā koho immunotherapy mai ka American Cancer Society.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi kanesa. ʻAʻole i hoʻohana pinepine ʻia ma ke ʻano he kumu mua lapaʻau no ka mea RCC akā hiki ke hana i ka mālama ʻana i ka ʻeha, ka mālama ʻana i ka hoʻi hou ʻana o ka wahi, a i ʻole ka mālama ʻana i nā metastases. ʻO ka stereootactic body radiotherapy (SBRT) kahi ʻano pololei o ka radiation therapy e hōʻemi i ka pōʻino i nā ʻiʻo olakino a puni.

Nā hoʻokolohua lapaʻau

ʻO ke komo ʻana i nā hoʻokolohua lapaʻau e hāʻawi i ka hiki i ka ʻoki ʻoki lapaʻau nā koho a kōkua i ka holomua ma RCC noiʻi. ʻO nā hoʻokolohua lapaʻau e loiloi i nā lāʻau lapaʻau hou, nā lāʻau lapaʻau, a lapaʻau nā hoʻolālā. Hiki i kāu mea mālama ola ke kōkua iā ʻoe e hoʻoholo inā kūpono kahi hoʻokolohua lapaʻau no kāu kūlana kikoʻī.

Ke koho ʻana i ke ala lapaʻau kūpono

ʻO ka maikaʻi loa lapaʻau hoʻolālā no RCC he hoʻoholo hui pū ma waena o ka mea maʻi a me kā lākou hui mālama ola. Kūkākūkā wehe, ʻike maopopo i ka lapaʻau nā koho, a he mea nui ka noʻonoʻo pono ʻana i nā pono kūpono a me nā hopena ʻaoʻao. Paipai ʻia nā maʻi e ʻimi i nā manaʻo ʻelua a kūkākūkā pono i kā lākou mau koho me kā lākou kauka.

Lapaʻau RCC kiʻekiʻe a me ka noiʻi

No nā poʻe maʻi me ka holomua a i ʻole ka metastatic RCC, ʻimi ka noiʻi hoʻomau i nā immunotherapies hou, nā lāʻau lapaʻau i hoʻopaʻa ʻia, a me nā hoʻoponopono hui e hoʻomaikaʻi i nā hopena. ʻO ka Shandong Baofa Cancer Research Institute hoʻolaʻa ʻia i ka holomua ʻana o ka ʻike a lapaʻau o RCC, hāʻawi i nā ala hou i ka mālama maʻi kanesa.

Hōʻole: Ua manaʻo ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole ia 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.