lapaau rcc

ʻO ka hoʻomaopopo ʻana a me ka mālama ʻana i ka maʻi maʻi maʻi maʻi maʻi ʻaʻai (RCC) Lapaʻau Nā koho lapaʻau no ka maʻi maʻi maʻi maʻi renal cell (RCC) he mau ʻano like ʻole a hilinaʻi ʻia i kekahi mau kumu, e like me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā ʻano kikoʻī o ka maʻi maʻi. Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole lapaʻau hoʻokokoke no RCC, hāʻawi i nā ʻike i ko lākou pono a me nā hopena ʻaoʻao. E noʻonoʻo mākou i nā koho ʻokiʻoki, nā lāʻau lapaʻau i hoʻopaʻa ʻia, immunotherapy, a me ka radiation, e hāʻawi ana i kahi ʻike maopopo o kēia maʻi paʻakikī.

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

ʻO ka maʻi maʻi maʻi maʻi renal (RCC) he ʻano maʻi maʻi maʻi maʻi puʻupaʻa i hoʻomaka ʻia ma ka ʻili o nā tubules kidney. ʻO ke ʻano maʻamau ka cell clear RCC, akā aia nā ʻano subtype ʻē aʻe, kēlā me kēia me kona mau hiʻohiʻona kūʻokoʻa a me nā manaʻo lapaʻau. ʻO ka ʻike mua ʻana e hoʻomaikaʻi nui i nā manawa o ka holomua lapaʻau. ʻO nā mea pilikia e pili ana i ka puhi paka, ka momona, ke koko kiʻekiʻe, a me ka mōʻaukala ʻohana o ka maʻi maʻi ʻaʻai. Hiki ke maʻalahi a ʻaʻole i loaʻa nā hōʻailona i ka wā mua, akā hiki ke komo i ke koko i loko o ka mimi, ka ʻeha o ka ʻaoʻao, a me ka nui o ka ʻōpū.

Ka hoʻonohonoho ʻana a me ka hōʻoia ʻana o RCC

He mea koʻikoʻi ka hoʻonohonoho kūpono no ka hoʻoholo ʻana i ke kūpono lapaʻau hoʻolālā no RCC. Hoʻopili kēia i nā ʻenehana kiʻi e like me CT scans a me MRI scans e loiloi i ka nui o ka ʻōpū a me kona hoʻolaha ʻana i nā nodes lymph kokoke a i ʻole nā ​​​​mea ʻē aʻe. Pono paha kahi biopsy e hōʻoia i ka hōʻoia a hoʻoholo i ke ʻano kikoʻī o RCC. ʻO nā ʻōnaehana staging, e like me ka ʻōnaehana TNM, kōkua i nā oncologists e hoʻokaʻawale i ka maʻi kanesa a wānana i ka wānana.

Nā Koho Lapaʻau no RCC

Lapaʻau no ka mea RCC ʻokoʻa nui ma muli o ke kahua a me nā ʻano o ke kanesa. ʻO ka mea mua lapaʻau Aia nā koho:

ʻO ka wehe ʻana i ka ʻōpū (Nephrectomy)

No ka ʻāina RCC, nephrectomy - ka wehe ʻana i ka ʻōpū i hoʻopilikia ʻia - ʻo ia ka mea mua lapaʻau. Hiki ke hana ʻia kēia ma o ka ʻoki hāmama ʻana, ka laparoscopy, a i ʻole ke ʻoki kōkua robotic. ʻO ke koho ʻana i ke ala ʻokiʻoki e pili ana i nā mea e like me ka nui a me kahi o ka ʻōpū a me ke olakino holoʻokoʻa o ka mea maʻi. ʻO ka nephrectomy hapa, e pili ana i ka wehe wale ʻana i ke koko a me kahi ʻāpana liʻiliʻi o ka puʻupaʻa, hiki ke koho i kekahi mau manawa e mālama i ka hana ʻākena.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia he mau lāʻau lapaʻau e kuhikuhi pono ana i nā cell cancer, e hōʻemi ana i ka pōʻino i nā cell olakino. Ua hōʻike maikaʻi ʻia kekahi mau lāʻau lapaʻau i hoʻopaʻa ʻia i ka mālama ʻana i ka holomua RCC. Ke hana nei kēia mau lāʻau lapaʻau ma ke kāohi ʻana i nā protein a i ʻole nā ​​ala e pili ana i ka ulu ʻana o ka maʻi maʻi a me ke ola. ʻO nā laʻana he sunitinib, sorafenib, pazopanib, a me axitinib. Hiki i nā hopena maʻamau ke komo i ka luhi, ke koko kiʻekiʻe, a me ka maʻi lima-wāwae.

Immunotherapy

Hoʻohana ka Immunotherapy i ke kino ponoʻī o ke kino e hakakā i ka maʻi kanesa. ʻO nā mea hoʻopaneʻe hoʻopaʻa palekana, e like me nivolumab a me ipilimumab, ua hoʻololi i ka lapaʻau o ka holomua RCC. 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. ʻOiai maikaʻi loa no kekahi mau maʻi, hiki i ka immunotherapy ke loaʻa nā hopena ʻaoʻao koʻikoʻi, me nā hopena autoimmune.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. ʻAʻole maʻamau ka mea mua lapaʻau no ka mea RCC akā hiki ke hoʻohana ʻia i kekahi mau kūlana, e like me ka hoʻomaha ʻana i ka ʻeha i hoʻokumu ʻia e ka maʻi metastatic a i ʻole e mālama i ka hoʻi hou ʻana o ka wahi ma hope o ke ʻoki ʻana.

Nā Hana ʻē aʻe

'ē aʻe lapaʻau Hiki ke hoʻohana ʻia nā ʻano hana, e like me ka chemotherapy a me ka biological therapy, i nā kūlana kikoʻī ma muli o ka hihia o kēlā me kēia maʻi a me nā ʻano maʻi kanesa. ʻO kahi hui hui multidisciplinary, e pili ana i nā urologists, oncologists, a me nā ʻoihana mālama olakino ʻē aʻe, e hōʻoia i ka loaʻa ʻana o nā mea maʻi i ka mālama piha a pilikino.

Ke koho ʻana i ka Papahana Lapaʻau Pono

Ke koho ʻana i ka mea kūpono loa lapaʻau no ka mea RCC pono e noonoo akahele i kekahi mau kumu. Pono e hana ʻia kēia hoʻoholo ma ke kūkākūkā ʻana me kahi oncologist kūpono, e noʻonoʻo ana i ke kahua a me ke ʻano o RCC, ke olakino holoʻokoʻa o ka mea maʻi, a me nā pilikia a me nā pōmaikaʻi o kēlā me kēia lapaʻau koho. ʻO ka Shandong Baofa Cancer Research Institute hāʻawi i nā hale hana hou a me nā loea loea no ka ʻike a me lapaʻau o na ma'i ma'i like 'ole, me RCC.

Ka hopena

ʻO ka lapaʻau aina no RCC ke ulu mau nei, me nā lāʻau lapaʻau hou a me nā holomua e hāʻawi ana i nā hopena maikaʻi no nā maʻi. ʻIke mua a me ka wikiwiki lapaʻau he mea koʻikoʻi no nā hopena maikaʻi loa. Hāʻawi kēia alakaʻi i kahi hiʻohiʻona o nā ʻano like ʻole lapaʻau nā koho i loaʻa, akā he mea nui e kūkākūkā me kahi ʻoihana mālama ola no ke alakaʻi pilikino a i hoʻohālikelike ʻia lapaʻau hoʻolālā.