
Kanseri y'impyiko (RCC) ni ubwoko bwa kanseri y'impyiko ku bantu bakuru. Ikomoka kumurongo wa tubulike yegeranye cyane, igice cyigituba gito cyane mumpyiko zungurura amaraso kandi ikagisukura. Aka gatabo kinjira mubibazo bya kanseri y'impyiko, gutwikira ibintu byose uhereye kumpamvu nibimenyetso kugeza kwisuzumisha, uburyo bwo kuvura, hamwe no guhanura. Kumva Kanseri y'impyikoNiki Kanseri y'impyiko?Kanseri y'impyiko (RCC) ni kanseri itangirira mu mpyiko. Impyiko ni ingingo ebyiri zimeze nk'ibishyimbo, buri kimwe kingana n'ikiganza, giherereye inyuma yingingo zawe, imwe kuruhande rwumugongo. Akazi kabo nyamukuru nukuyungurura imyanda n'amazi arenze mumaraso yawe, hanyuma bigasohoka muminkari yawe. Ubwoko butandukanye bwa kanseri y'impyiko kubaho, hamwe na selile isobanutse kanseri y'impyiko kuba benshi. Ubundi bwoko burimo papillary kanseri y'impyiko, chromophobe kanseri y'impyiko, no gukusanya umuyoboro kanseri y'impyiko.Ubwoko bwa Kanseri y'impyikoGusobanukirwa ubwoko bwihariye bwa kanseri y'impyiko ni ngombwa mu kumenya gahunda nziza yo kuvura. Bimwe mubisanzwe bikunze kuboneka harimo: Sobanura Akagari Kanseri y'impyiko: Ubwoko busanzwe, bingana na 70-80% byimanza. Utugingo ngengabuzima tugaragara neza munsi ya microscope. Papillary Kanseri y'impyiko: Ubwoko bwa kabiri busanzwe (10-15% yimanza), burangwa nintoki zisa. Chromophobe Kanseri y'impyiko: Konti igera kuri 5% yimanza kandi ikunda kugira prognoza nziza kuruta selile isobanutse kanseri y'impyiko. Gukusanya Umuyoboro Kanseri y'impyiko: Ubwoko budasanzwe kandi bukaze bwa kanseri y'impyiko.Ibibazo bishobora guteza Kanseri y'impyikoIbintu byinshi birashobora kongera ibyago byo gutera imbere kanseri y'impyiko: Kunywa itabi: Kunywa itabi byongera cyane ingaruka. Umubyibuho ukabije: Kugira umubyibuho ukabije cyangwa umubyibuho ukabije bifitanye isano n'ingaruka nyinshi. Umuvuduko ukabije w'amaraso: Hypertension irashobora kongera amahirwe yo gutera imbere kanseri y'impyiko. Amateka yumuryango: Amateka yumuryango wa kanseri yimpyiko arashobora kongera ibyago byawe. Imiterere imwe n'imwe ya genetike: Indwara nka von Hippel-Lindau (VHL), syndrome ya Birt-Hogg-Dubé, hamwe na tuble sclerose complex irashobora kongera ibyago. Dialysis y'igihe kirekire: Abantu bafite impyiko zidakira bakeneye dialyse yigihe kirekire bafite ibyago byinshi. Guhura nibintu bimwe na bimwe: Cadmium na bimwe mu bimera byatewe no kwiyongera.Ibimenyetso na DiagnoseIbimenyetso bisanzwe bya Kanseri y'impyikoMu ntangiriro zayo, kanseri y'impyiko ntishobora gutera ibimenyetso bigaragara. Mugihe ikibyimba kimaze gukura, ibimenyetso bishobora kubamo: Amaraso muminkari (hematuria) Ikibyimba cyangwa misa kuruhande cyangwa umugongo wo hepfo Ububabare kumpande cyangwa mugongo bitavaho Gutakaza ibiro Gutakaza ubushake bwo kurya Fever AnemiaNi ngombwa kumenya ko ibyo bimenyetso nabyo bishobora guterwa nibindi bihe, ariko niba uhuye nimwe muribi, ni ngombwa kugisha inama muganga kugirango ubisuzume neza.Gusuzuma Kanseri y'impyikoGusuzuma kanseri y'impyiko mubisanzwe birimo guhuza ibi bikurikira: Ikizamini cyumubiri: Muganga azakora ikizamini cyumubiri kugirango arebe niba hari ibintu bidasanzwe. Ibizamini by'inkari: Kugenzura amaraso cyangwa ibindi bidasanzwe muminkari. Kwipimisha Amaraso: Gusuzuma imikorere y'impyiko no gushaka ibindi bimenyetso bya kanseri. Ibizamini byo Kwerekana: CT Gusikana: Akenshi ibizamini byerekana amashusho yo gusuzuma kanseri y'impyiko. MRI: Irashobora gutanga amashusho arambuye yimpyiko nuduce tuyikikije. Ultrasound: Irashobora gufasha gutandukanya ibibyimba bikomeye na cysts. Gusikana amagufwa: Niba hari gukeka metastasis. Biopsy: Urugero ruto rwa tissue ruvanwa mu mpyiko hanyuma rusuzumwa munsi ya microscope kugirango hemezwe ko rusuzumye kandi rumenye ubwoko bwa kanseri y'impyiko.Amahitamo yo kuvura Kanseri y'impyikoUbuvuzi bwo kubaga Ubuvuzi akenshi nubuvuzi bwibanze kubantu kanseri y'impyiko. Amahitamo yo kubaga arimo: Nephrectomy: Gukuraho impyiko zose, ingirabuzimafatizo zikikije, ndetse rimwe na rimwe hafi ya lymph node. Nephrectomy igice: Kurandura ikibyimba gusa nuduce duto twa tissue nzima. Ibi bikunze gukundwa kubibyimba bito cyangwa mugihe umurwayi afite impyiko imwe gusa.Nta-Surgical TreatmentNiba kubaga atari amahitamo cyangwa niba kanseri yarakwirakwiriye, ubundi buryo bwo kuvura bushobora gukoreshwa: Ubuvuzi bugamije: Ibiyobyabwenge byibasira molekile zihariye zigira uruhare mu mikurire ya kanseri no kubaho. Ingero zirimo tyrosine kinase inhibitor (TKIs) nka sunitinib (Sutent) na pazopanib (Votrient), hamwe na mTOR inhibitor nka everolimus (Afinitor) na temsirolimus (Torisel). Immunotherapy: Ibiyobyabwenge bifasha umubiri wumubiri kurwanya kanseri. Ingero zirimo PD-1 inhibitor nka nivolumab (Opdivo) na pembrolizumab (Keytruda), na CTLA-4 inhibitor nka ipilimumab (Yervoy). Ubuvuzi bw'imirasire: Gukoresha imirasire yingufu nyinshi kugirango wice selile. Ibi ntabwo bikunze gukoreshwa kuri kanseri y'impyiko ariko irashobora gukoreshwa mukuvura metastasis. Ubuvuzi bwo gukuraho: Gukoresha ubushyuhe cyangwa ubukonje kugirango urimbure kanseri. Ingero zirimo gukuraho radiofrequency (RFA) hamwe na cryoablation. Amahitamo yo kuvura Kugereranya Ibisobanuro Ibisobanuro Byuruhande Rusange Ingaruka Zikabije Nephrectomy Gukuraho impyiko zose Ububabare, kwandura, kuva amaraso, kugabanuka kumikorere yimpyiko Igice cya Nephrectomy Kurandura ikibyimba gusa Ububabare, kwandura, kuva amaraso, inkari zanduye Gukwirakwiza indwara ya selile umuvuduko ukabije wamaraso Immunotherapy Ibiyobyabwenge byongera ubudahangarwa bw'umubiri kurwanya kanseri Umunaniro, kurwara uruhu, impiswi, gutwika ingingo Kumenyekanisha no Gukurikirana Ibintu bigira ingaruka KumenyekanishaIbisobanuro kuri kanseri y'impyiko biterwa nibintu byinshi, harimo: Icyiciro cya kanseri Ubwoko bwa kanseri y'impyiko Ubuzima bwumurwayi muri rusange Ingaruka zokuvura Kumenya neza no kuvura nibyingenzi mugutezimbere imenyekanisha. Gukurikirana Ubuvuzi Nyuma yo kuvurwa kanseri y'impyiko, gahunda yo gukurikirana buri gihe ni ngombwa mugukurikirana ibisubirwamo no gucunga ingaruka zose zokuvurwa. Gukurikirana bishobora kubamo ibizamini byumubiri, gupima amaraso, hamwe no gupima amashusho. Kubaho hamwe Kanseri y'impyikoIngamba zo Guhangana Kubaho hamwe kanseri y'impyiko birashobora kuba ingorabahizi, haba kumubiri no mumarangamutima. Zimwe mu ngamba zo guhangana nazo zirimo: Gushaka inkunga kumuryango ninshuti Kwinjira mumatsinda yingoboka Kuganira numuvuzi cyangwa umujyanama Gukomeza ubuzima bwiza, harimo indyo yuzuye hamwe nimyitozo isanzweShandong Baofa Research Research Institute na Kanseri y'impyiko Ubushakashatsi Shandong Baofa Ikigo Cyubushakashatsi Kanseri, twiyemeje guteza imbere ubushakashatsi no kuvura kanseri, harimo kanseri y'impyiko. Ikigo cyacu cyibanze ku buryo bushya bwo gusuzuma no kuvura, hagamijwe kuzamura umusaruro w’abarwayi ku isi.Inshingano: Aya makuru agamije uburezi gusa kandi ntagomba 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.Inkomoko: Umuryango w'Abanyamerika Ikigo cy'igihugu gishinzwe kanseri