Kanseri y'impyiko: Gusobanukirwa Ubwoko, Ibimenyetso, Gusuzuma, no Guhitamo Uburyo bwo kuvura Kunanirwa kwa kanseri y'impyiko bisaba incamake yubwoko butandukanye, ibimenyetso, uburyo bwo gusuzuma, hamwe nuburyo bwo kuvura buhari. Aka gatabo kagamije gutanga ibikoresho bisobanutse kandi bitanga amakuru kubashaka ubumenyi kuri iyi ndwara yiganje.
Ubwoko bwa Kanseri y'impyiko
Kanseri y'impyiko, izwi ku izina rya kanseri y'impyiko (RCC), ikubiyemo ubwoko butandukanye, buri kimwe gifite imiterere yihariye na prognoza. Ubwoko bukunze kugaragara ni selile RCC isobanutse, hafi 70-80% yimanza zose. Ibindi bisobanuro byingenzi birimo papillary RCC na chromophobe RCC. Gusobanukirwa ubwoko bwihariye bwa
kanseri mu mpyiko ni ngombwa mu kumenya ingamba zifatika zo kuvura. Ikigo cy’ubushakashatsi bwa kanseri ya Shandong Baofa ([https://www.baofahospital.com/Igihugu (http: Ubuhanga bwabo bukoreshwa muburyo butandukanye, butuma abarwayi bahabwa ubuvuzi bwihariye.
Kuraho kanseri yimpyiko ya kanseri (ccRCC)
Ubu ni ubwoko bwa kanseri y'impyiko ikunze kugaragara, akenshi ifitanye isano na mutation yihariye. Kugaragara kwayo munsi ya microscope kurangwa na cytoplazme isobanutse muri selile ya kanseri.
Papillary Renal Cell Carcinoma (pRCC)
Papillary RCC itandukanijwe nuburyo bukura bwa papillary, busa nkibito, bisa nintoki. Byongeye gushyirwa mubwoko bwa 1 n'ubwoko bwa 2, buri kimwe gifite impamyabumenyi zitandukanye.
Chromophobe Renal Cell Carcinoma (chRCC)
Chromophobe RCC ni subtype isanzwe, irangwa na selile igaragara yoroshye mumabara munsi ya microscope. Mubisanzwe ifite prognoza nziza ugereranije na selile isobanutse RCC.
Ibimenyetso bya Kanseri y'impyiko
Intangiriro
kanseri mu mpyiko bikunze kwerekana ibimenyetso bike cyangwa nta bimenyetso bigaragara. Ariko, uko ikibyimba gikura, ibimenyetso byinshi bishobora kugaragara. Ibi bishobora kubamo: Amaraso mu nkari (hematuria) Ikibyimba cyangwa misa kuruhande cyangwa mu nda Ububabare budashira kuruhande cyangwa inyuma Kugabanuka ibiro bidasobanutse Umunaniro ukabije Anemia
Gupima Kanseri y'impyiko
Gusuzuma
kanseri mu mpyiko ikubiyemo guhuza ibizamini byerekana amashusho na biopsies. Uburyo busanzwe bwo kwisuzumisha burimo: Ultrasound: Tekinike yerekana amashusho idakoresha imashini ikoresha amajwi kugirango ikore amashusho yimpyiko. CT Scan: Ikizamini kirambuye cyerekana amashusho ukoresheje X-imirasire kugirango utange amashusho atandukanye yumubiri. MRI: Ubuhanga bukomeye bwo gufata amashusho ukoresheje imirima ya magnetique hamwe na radio yumurongo kugirango ukore amashusho arambuye yimpyiko. Biopsy: Uburyo bukurwaho uduce duto twa tissue hanyuma tugasuzumwa munsi ya microscope kugirango hemezwe ko kanseri ihari.
Guteza Kanseri Impyiko
Bimaze kwemezwa ko hasuzumwe kanseri y'impyiko, hakorwa igenamigambi kugira ngo hamenyekane urugero rwa kanseri ikwirakwira. Aya makuru ni ngombwa mu kuyobora ibyemezo byo kuvura. Sisitemu yo kubika TNM ikoreshwa cyane, urebye ubunini bwikibyimba (T), uruhare rwa lymph node (N), na metastasis ya kure (M).
Uburyo bwo kuvura Kanseri y'impyiko
Uburyo bwo kuvura
kanseri mu mpyiko zitandukanye bitewe na stade, ubwoko, nubuzima rusange bwumurwayi. Uburyo bukunze kuboneka harimo: Kubaga: Kubaga impyiko (nephrectomy) nuburyo bwibanze bwo kuvura kanseri yimpyiko. Nephrectomy igice, ikuraho igice cya kanseri yimpyiko gusa, irashobora guhitamo mugihe runaka. Ubuvuzi bugamije: Iyi miti yibanda kuri poroteyine zihariye zigira uruhare mu mikurire ya kanseri, bikabangamira neza ikibyimba. Ingero zirimo sunitinib, sorafenib, na pazopanib. Immunotherapy: Ubu buryo bwo kuvura bukoresha umubiri urinda umubiri kanseri. Kugenzura ibiyobora, nka nivolumab na ipilimumab, bikoreshwa cyane. Ubuvuzi bwimirasire: Ubuvuzi bwimirasire bukoresha imirasire yingufu nyinshi kugirango bice kanseri. Irashobora gukoreshwa ifatanije nubundi buvuzi. Chimiotherapie: Mugihe bidakunze gukoreshwa nkubuvuzi bwibanze bwa kanseri yimpyiko, chimiotherapie irashobora kuba amahitamo mubihe bimwe.
| Ubwoko bwo kuvura | Ibisobanuro | Ibyiza | Ibibi |
| Kubaga | Gukuraho impyiko cyangwa igice cya kanseri. | Nibyiza kuri kanseri yaho. | Birashobora kugira ingaruka nkububabare no kwandura. |
| Ubuvuzi bugamije | Ibiyobyabwenge byibasira poroteyine zihariye. | Irashobora kugabanya ibibyimba, kunoza ubuzima. | Irashobora kugira ingaruka nkumunaniro numuvuduko ukabije wamaraso. |
| Immunotherapy | Bitera ubudahangarwa bw'umubiri kurwanya kanseri. | Irashobora gushikana igihe kirekire. | Irashobora kugira ingaruka nkumunaniro no kurwara uruhu. |
Kubana na Kanseri y'impyiko
Kubana
kanseri mu mpyiko yerekana ibibazo bidasanzwe, haba kumubiri no mumarangamutima. Amatsinda atera inkunga, ubujyanama, hamwe n'itumanaho risanzwe hamwe nabashinzwe ubuvuzi nibyingenzi kugirango bayobore uru rugendo neza. Ikigo cy’ubushakashatsi cya kanseri ya Shandong Baofa gitanga serivisi zifasha abarwayi n’imiryango yabo.Aya makuru agenewe intego z’uburezi gusa kandi ntizigomba gufatwa nkinama zubuvuzi. Buri gihe ujye ubaza inzobere mu by'ubuzima zujuje ibisabwa ku buzima cyangwa mbere yo gufata ibyemezo byose bijyanye n'ubuzima bwawe cyangwa ubuvuzi. Amakuru aturuka mu kigo cyigihugu cya kanseri na societe y'Abanyamerika. (Nyamuneka menya neza: Amahuza yihariye yaya masoko yakongerwaho hano muri verisiyo yanyuma.)