Kev Kho Mob Raum CancerKidney cancer, tshwj xeeb rau lub raum cell carcinoma (RCC), yog ib qho mob hnyav uas yuav tsum tau ua tib zoo xav txog ntau yam. kev kho mob. Kab lus no muab cov ntsiab lus dav dav ntawm cov kev kho mob uas muaj, pab koj nkag siab txog cov xwm txheej cuam tshuam rau kev xaiv txoj hauv kev rau koj qhov xwm txheej. Peb yuav tshawb xyuas cov kev xaiv phais mob, kev kho mob, kev tiv thaiv kab mob, thiab kev kho hluav taws xob, hais txog qhov tseem ceeb ntawm cov tshuaj kho tus kheej hauv kho mob qog noj ntshav hauv lub raum.
Nkag siab txog mob raum
Lub raum mob cancer tshwm sim los ntawm cov hlwb ntawm lub raum. Hom kab mob feem ntau yog lub raum cell carcinoma (RCC), pib hauv ob sab phlu ntawm lub raum tubules. Lwm yam tsis tshua muaj xws li kev hloov pauv cell carcinoma ( cuam tshuam rau lub raum pelvis thiab ureter) thiab nephroblastoma (Wilms' qog), feem ntau tshwm sim hauv cov menyuam yaus. Kev tshawb pom ntxov yog qhov tseem ceeb rau kev ua tiav
kho mob qog noj ntshav hauv lub raum, raws li qhov kev kwv yees tau zoo dua rau cov qog nqaij me me. Cov tsos mob tuaj yeem suav nrog cov ntshav hauv cov zis (hematuria), ib pob hauv plab, mob tsis tu ncua ntawm sab lossis nraub qaum, qaug zog, poob phaus, thiab kub taub hau. Yog tias koj ntsib ib qho ntawm cov no, nrog koj tus kws kho mob tam sim ntawd txhawm rau kuaj xyuas thiab tswj kom raug.
Kev Kho Mob Raum Cancer
Qhov kev xaiv ntawm
kev kho mob cancer hauv lub raum nyob ntawm ntau yam, suav nrog hom thiab theem ntawm tus mob qog noj ntshav, tus neeg mob lub cev tag nrho, thiab kev nyiam ntawm tus kheej. Cov kev kho mob uas muaj xws li:
Kev phais
Kev phais feem ntau yog thawj txoj kev kho mob rau lub raum mob qog noj ntshav. Muaj ob peb txoj kev phais mob, suav nrog: Ib Nrab Nephrectomy: Cov txheej txheem no tsuas yog tshem tawm cov qog nqaij hlav ntawm lub raum, khaws cov ntaub so ntswg kom noj qab haus huv ntau li ntau tau. Radical Nephrectomy: Qhov no suav nrog tshem tag nrho lub raum, nrog rau cov qog ntshav nyob ze thiab cov nqaij rog nyob ib puag ncig. Laparoscopic lossis Robotic Surgery: Cov txheej txheem cuam tshuam me me uas muaj qhov me me, txo qhov mob, thiab lub sijhawm rov qab sai dua.Qhov kev xaiv ntawm kev phais yog nyob ntawm qhov loj, qhov chaw, thiab cov yam ntxwv ntawm cov qog, thiab tag nrho kev noj qab haus huv ntawm tus neeg mob.
Hom Kev Kho Mob
Cov phiaj xwm kho mob tsom rau cov molecules tshwj xeeb koom nrog hauv kev loj hlob thiab kev loj hlob ntawm cov qog nqaij hlav cancer. Cov tshuaj no cuam tshuam rau cov qog nqaij hlav cancer lub peev xwm loj hlob thiab sib faib. Piv txwv ntawm cov hom phiaj kho mob siv hauv
kho mob raum mob cancer muaj xws li sunitinib, sorafenib, pazopanib, thiab axitinib. Cov no feem ntau siv tom qab phais lossis rau mob qog noj ntshav raum theem siab.
Immunotherapy
Immunotherapy siv lub zog ntawm lub cev tiv thaiv kab mob los tiv thaiv qog noj ntshav. Cov kev kho mob no pab txhawb lub cev tiv thaiv kab mob kom paub txog thiab rhuav tshem cov qog nqaij hlav cancer. Ntau cov tshuaj tiv thaiv kab mob, suav nrog cov tshuaj tiv thaiv kab mob (xws li nivolumab thiab pembrolizumab), tau pom zoo rau kev kho mob raum mob cancer siab. Lawv feem ntau xa cov txiaj ntsig zoo kawg tab sis muaj peev xwm tshwm sim uas yuav tsum tau saib xyuas kom zoo.
Kev kho hluav taws xob
Kev kho hluav taws xob siv hluav taws xob hluav taws xob ua kom puas thiab tua cov qog nqaij hlav cancer. Nws feem ntau tsis yog thawj txoj kev kho mob raum mob qog noj ntshav tab sis yuav siv tau rau qee lub sijhawm, xws li kev kho mob palliative los txo qhov mob lossis tswj cov tsos mob hauv cov kab mob theem siab lossis ua ntej kev phais kom txo cov qog.
Kev sim tshuaj
Kev koom tes hauv kev sim tshuaj muaj kev nkag mus rau cov kev kho tshiab uas tseem tab tom tshawb nrhiav. Cov kev sim no tuaj yeem muab kev cog lus tshiab rau txoj hauv kev
kho mob qog noj ntshav hauv lub raum, thiab kev koom tes tuaj yeem pab txhawb kev nce qib hauv kev tshawb fawb mob qog noj ntshav. Cov neeg mob uas xav txog kev sim tshuaj yuav tsum ua tib zoo soj ntsuam cov qauv tsim nyog thiab sib tham txog qhov txaus ntshai thiab cov txiaj ntsig nrog lawv tus kws kho mob.
Xaiv txoj kev kho kom raug
Xaiv qhov tsim nyog tshaj plaws
kev kho mob cancer hauv lub raum koom nrog kev sib koom tes ntawm tus neeg mob thiab lawv pab neeg kho mob. Cov ntsiab lus suav nrog: | Factor | Description ||------------------------------------------------------------------------------------------------------------------|| Theem Mob Cancer | Kev kis mob qog noj ntshav (theem I-IV) cuam tshuam rau kev kho mob. || Cov tsos mob qog nqaij hlav | Qhov loj, qhov chaw, thiab hom mob qog noj ntshav cuam tshuam rau kev phais thiab lwm yam kev xaiv. || Tus neeg mob Health | Zuag qhia tag nrho kev noj qab haus huv thiab kev qoj ib ce cuam tshuam rau kev ua siab ntev rau ntau yam kev kho mob. || Kev nyiam ntawm tus kheej | Cov neeg mob nyiam thiab qhov tseem ceeb yog qhov tseem ceeb hauv kev txiav txim siab sib koom. |
Table 1: Yam muaj feem cuam tshuam rau kev xaiv kho mob raum
Ntxiv cov peev txheej thiab kev txhawb nqa
Yog xav paub ntxiv thiab kev txhawb nqa txog mob qog noj ntshav raum, koj tuaj yeem tshawb nrhiav cov koom haum muaj koob npe xws li National Cancer Institute (NCI) (
https://www.cancer.gov/) thiab American Cancer Society (ACS) (
https://www.cancer.org/). Nco ntsoov, kev tshawb pom ntxov thiab kev cuam tshuam raws sijhawm yog qhov tseem ceeb rau kev ua haujlwm zoo
kho mob qog noj ntshav hauv lub raum. Nco ntsoov sab laj nrog koj tus kws kho mob rau cov lus qhia thiab kev taw qhia tus kheej. Rau kev kho mob siab heev thiab kev tshawb fawb, xav txog kev tshawb nrhiav cov peev txheej muaj nyob ntawm
Shandong Baofa Cancer Research Institute. Lawv muab cov kev daws teeb meem zoo tshaj plaws thiab kev saib xyuas dav dav rau cov neeg mob nrhiav qib siab
kev kho mob.