
Cov lus qhia dav dav no muab cov ntaub ntawv tseem ceeb rau cov tib neeg nrhiav kev kho mob mob qog noj ntshav hauv tsev kho mob raum. Peb mam li tshawb txog ntau yam ntawm lub raum mob cancer, los ntawm kev kuaj mob thiab kev kho mob rau qhov tseem ceeb ntawm kev xaiv lub tsev kho mob zoo. Kev nkag siab txog cov nuances ntawm tus kab mob no thiab cov peev txheej muaj yog qhov tseem ceeb rau kev tswj xyuas kom zoo thiab txhim kho cov txiaj ntsig ntawm tus neeg mob.
Lub raum mob cancer, tseem hu ua lub raum cell carcinoma (RCC), yog ib hom mob qog noj ntshav uas tshwm sim hauv ob lub raum. Nws tshwm sim thaum cov hlwb hauv ob lub raum loj hlob uncontrollably, tsim cov qog. Ntau yam tuaj yeem ua rau muaj kev pheej hmoo ntawm kev mob qog noj ntshav raum, suav nrog kev haus luam yeeb, rog rog, ntshav siab, thiab keeb kwm ntawm tsev neeg. Kev kuaj pom ntxov yog qhov tseem ceeb, vim tias mob qog noj ntshav raum thaum ntxov feem ntau muaj kev kho mob siab.
Kev kuaj mob mob qog noj ntshav hauv tsev kho mob raum feem ntau muaj kev sib xyaw ua ke ntawm kev sim thiab cov txheej txheem. Cov no tuaj yeem suav nrog kev kuaj ntshav (xws li suav cov ntshav suav tag nrho thiab cov kab mob metabolic), kev kuaj pom (xws li ultrasound, CT scan, MRI, thiab X-ray), thiab kuaj ntshav. Kev kuaj ntshav biopsy yog qhov tseem ceeb kom paub meej qhov kev kuaj mob thiab txiav txim siab hom thiab theem ntawm tus mob qog noj ntshav.
Kev kho mob raum mob qog noj ntshav txawv nyob ntawm theem thiab hom mob qog noj ntshav, nrog rau tus neeg mob txoj kev noj qab haus huv tag nrho. Cov kev kho mob uas muaj xws li:
Kev phais feem ntau yog thawj txoj kev kho mob rau lub raum mob qog noj ntshav. Qhov no yuav suav nrog tshem cov qog (ib nrab nephrectomy) lossis tag nrho lub raum (radical nephrectomy). Cov txheej txheem phais me me, xws li laparoscopy lossis kev phais neeg hlau, feem ntau nyiam rau lawv lub sijhawm rov qab los thiab kev phais me me.
Cov phiaj xwm kho mob siv cov tshuaj uas tshwj xeeb tsom rau cov qog nqaij hlav cancer, txo qis kev puas tsuaj rau cov hlwb noj qab haus huv. Cov tshuaj no thaiv cov proteins tshwj xeeb lossis txoj hauv kev cuam tshuam rau kev mob qog noj ntshav thiab kev loj hlob. Piv txwv xws li sunitinib, pazopanib, thiab axitinib.
Immunotherapy siv lub cev lub cev tiv thaiv kab mob los tua cov qog nqaij hlav cancer. Cov kev kho mob no tuaj yeem txhawb lub cev tiv thaiv kab mob kom paub txog thiab rhuav tshem cov qog nqaij hlav cancer zoo dua. Checkpoint inhibitors, xws li nivolumab thiab ipilimumab, feem ntau siv tshuaj tiv thaiv kab mob.
Kev kho hluav taws xob siv hluav taws xob hluav taws xob ntau los tua cov qog nqaij hlav cancer. Nws feem ntau siv los tswj kev kis mob qog noj ntshav lossis txo cov tsos mob, xws li mob.
Xaiv lub tsev kho mob rau mob qog noj ntshav hauv tsev kho mob raum kev kho mob yuav tsum tau ua tib zoo xav. Cov laj thawj uas yuav tsum xav txog muaj xws li:
Kev tshawb fawb tsis tu ncua ua lub luag haujlwm tseem ceeb hauv kev txhim kho cov txiaj ntsig rau cov tib neeg muaj mob qog noj ntshav raum. Cov koom haum zoo li cov Shandong Baofa Cancer Research Institute tau mob siab rau ua kom peb nkag siab txog mob qog noj ntshav raum thiab txhim kho kev kho mob zoo dua. Lawv txoj kev mob siab rau kev tshawb fawb thiab kev tsim kho tshiab ua rau muaj txiaj ntsig zoo rau kev txhim kho cov neeg mob thiab kev muaj sia nyob.
Cov ntaub ntawv no yog rau kev paub dav dav thiab tsis yog cov lus qhia kho mob. Nco ntsoov sab laj nrog ib tus kws kho mob uas tsim nyog rau kev kuaj mob thiab kho txhua yam mob. Kev kuaj pom ntxov thiab kev kho mob tsim nyog yog qhov tseem ceeb rau kev txhim kho cov txiaj ntsig ntawm lub raum mob qog noj ntshav.
| Kev kho mob xaiv | Kev piav qhia | Tej yam tshwm sim |
|---|---|---|
| Kev phais | Tshem tawm cov qog los yog lub raum. | Mob, kab mob, los ntshav. |
| Hom Kev Kho Mob | Cov tshuaj uas tsom rau cov qog nqaij hlav cancer tshwj xeeb. | qaug zog, ntshav siab, xeev siab. |
| Immunotherapy | Stimulates lub cev tiv thaiv kab mob los tiv thaiv qog noj ntshav. | qaug zog, daim tawv nqaij ua pob khaus, raws plab. |
Nco ntsoov nrog koj tus kws kho mob ib txwm mus ntsib kws kho mob thiab kho txhua yam mob.