lapaʻau maʻi maʻi maʻi maʻi renal cell carcinoma Prognosis

Lapaʻau ʻana i ka maʻi maʻi maʻi maʻi Renal: Prognosis a me nā halemai

Hāʻawi kēia ʻatikala i ka ʻike piha e pili ana i ka mālama ʻana, prognosis, a me ke alakaʻi ʻana i nā haukapila kūikawā ka maʻi ʻaʻai ʻana o ke kino (RCC). Ke ʻimi nei mākou i nā koho lapaʻau like ʻole, nā mea e hoʻopiʻi nei i ka prognosis, a me nā kumuwaiwai no ka loaʻa ʻana o ka mālama maikaʻi loa.

Ka hoʻomaopopo ʻana i ka maʻi maʻi maʻi maʻi Renal

He aha ka Renal Cell Carcinoma?

ʻO ka maʻi maʻi maʻi kino (RCC) ʻo ia ke ʻano o ka maʻi maʻi maʻi ʻaʻai i puka mai ma ka ʻili o nā paipu liʻiliʻi i loko o ka puʻupaʻa. Loaʻa ia i kahi ʻāpana nui o nā maʻi maʻi maʻi maʻi a hiki ke hoʻokaʻawale ʻia i loko o nā ʻano ʻano like ʻole e pili ana i nā cell o ke kumu. He mea koʻikoʻi ka ʻike mua ʻana a me ka mālama koke ʻana i kahi hopena maikaʻi.

Nā ʻanuʻu o ka maʻi maʻi ʻaʻai kino

Hoʻonohonoho ʻia ka RCC e like me ka nui o ka laha ʻana o ka maʻi kanesa. He mea koʻikoʻi ka staging i ka hoʻoholo ʻana i ka hoʻolālā lapaʻau kūpono a me ka wānana wānana. Aia nā pae mai ka maʻi kūloko (Stage I) a i ka maʻi metastatic (Stage IV), me kēlā me kēia pae e pili ana i nā koho lapaʻau a me nā helu ola. He mea nui ka hoʻomaopopo ʻana i ka ʻōnaehana staging no nā maʻi a me ko lākou ʻohana.

Nā koho lapaʻau no ka maʻi maʻi maʻi maʻi maʻi

Nā Koho ʻokiʻoki

He lāʻau lapaʻau maʻamau ka ʻoki ʻana no ka RCC kūloko, e pili pinepine ana i ka wehe ʻana i ke kīkī i hoʻopilikia ʻia (radical nephrectomy). ʻO ka nephrectomy hapa, kahi i wehe ʻia ai ka ʻāpana maʻi maʻi o ka puʻupaʻa, he koho paha i kekahi mau hihia. ʻO ke koho ʻana o ka ʻoki ʻana ma muli o nā kumu he nui, me ke kahua a me kahi o ka ʻōpū.

ʻO ka Lapaʻau Kūlohelohe

Hoʻolālā ʻia nā lāʻau lapaʻau i hoʻopaʻa ʻia e hoʻouka pono i nā maʻi maʻi maʻi ʻoiai e hōʻemi ana i ka pōʻino i nā cell olakino. Ua hoʻololi kēia mau lāʻau lapaʻau i ka hoʻokele ʻana i ka RCC kiʻekiʻe, e hāʻawi ana i nā helu ola ola. ʻO nā laʻana he sunitinib, pazopanib, a me axitinib. Hoʻokumu ʻia ke koho ʻana o ka lāʻau lapaʻau ma luna o nā ʻano kikoʻī o ka ʻōpū a me ke olakino holoʻokoʻa o ka mea maʻi.

Immunotherapy

Hoʻohana ʻo Immunotherapy i ke kino ponoʻī o ke kino e hakakā i nā maʻi maʻi maʻi. Ua hōʻike ʻia nā mea hoʻopaʻapaʻa Checkpoint, e like me nivolumab a me ipilimumab, i ka kūleʻa maikaʻi loa i ka mālama ʻana i ka RCC kiʻekiʻe. Hana 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 ke hoʻohana wale ʻia ka immunotherapy a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. ʻOiai ʻaʻole ia he lāʻau lapaʻau mua no RCC, hiki ke hoʻohana ʻia i nā kūlana kikoʻī, e like me ka mālama ʻana i ka hoʻi hou ʻana a i ʻole nā ​​​​hōʻailona palliating i nā maʻi holomua.

ʻO ka wānana o ka maʻi maʻi maʻi maʻi

Nā mea e pili ana i ka wānana

Nui nā kumu i ka wānana o ka maʻi maʻi maʻi maʻi renal, me ka pae o ka ma'i 'a'ai ma ka ma'i ma'i, ka pae tumo, ka hele 'ana o ka metastasis, a me ke ola kino o ka mea ma'i. ʻO ka ʻike mua ʻana a me ka mālama koʻikoʻi e hoʻomaikaʻi nui i ka helu ola. He mea koʻikoʻi nō hoʻi ka mālama maʻamau i ka nānā ʻana no ka hoʻi hou ʻana a i ʻole ka holomua.

ʻImi ʻana i ka Halemaʻi kūpono no ka mālama ʻana i ka maʻi maʻi maʻi maʻi

Ke koho ʻana i kahi kikowaena kūikawā

Ke koho ʻana i kahi haukapila me ke akamai i ka mālama ʻana ka maʻi maʻi maʻi maʻi renal he mea koʻikoʻi no nā hopena maikaʻi loa. E ʻimi i nā kikowaena me nā urologists akamai, oncologists, a me nā hui multidisciplinary hoʻolaʻa. E noʻonoʻo i nā halemai me nā koho lapaʻau kiʻekiʻe, e like me ke ʻoki robotic a me ke komo ʻana i nā hoʻokolohua lapaʻau. ʻO ka heluhelu ʻana i nā loiloi maʻi a me ka ʻimi ʻana i nā kuhikuhi mai nā limahana mālama ola hiki ke kōkua pū kekahi.

No nā poʻe maʻi e ʻimi ana i ka papa kiʻekiʻe ka maʻi maʻi maʻi maʻi renal lapaʻau, Shandong Baofa Cancer Research Institute hāʻawi i ka mālama olakino kiʻekiʻe a me ka ʻenehana ʻokiʻoki. ʻO kā lākou kūpaʻa i ka mālama ʻana i ka mea maʻi e lilo lākou i koho nui no ka mālama ʻana i ka maʻi kanesa.

Hoʻokaʻawale: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole ia he ʻōlelo aʻo lapaʻau. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.