
Aka gatabo gatanga amakuru yingenzi kubantu bashaka kwivuza kanseri yimpyiko ya kanseri (PRCC) mukarere kabo. Tuzasobanura gusobanukirwa PRCC, gushakisha uburyo bwo kuvura, no gushaka inzobere zibishoboye hafi yawe. Wige uburyo bwo gusuzuma, kuvura kuboneka, nibintu byingenzi ugomba gusuzuma mugihe ufata ibyemezo byo kuvura.
Papillary impyiko kanseri ya kanseri ni ubwoko bwa kanseri yimpyiko ikomoka kumurongo wimpyiko. Bishyizwe mubwoko bwa 1 n'ubwoko bwa 2, buri kimwe gifite ibimenyetso bitandukanye bigira ingaruka kubikorwa byo kuvura. Kumenya hakiri kare nibyingenzi kugirango bigerweho neza. Ibimenyetso birashobora kuba byoroshye kandi birashobora gushiramo amaraso muminkari (hematuria), kubabara kumpande, cyangwa misa igaragara munda. Kwipimisha mubisanzwe bikubiyemo ibizamini byerekana amashusho nka CT scan cyangwa MRI, hamwe na biopsy kugirango hemezwe ko ubwoko bwa PRCC buhari.
Umuti wa kuvura papillary impyiko selile kanseri biratandukanye bitewe nibintu byinshi, harimo icyiciro cya kanseri, ubuzima bwumurwayi muri rusange, nubwoko bwa PRCC (ubwoko bwa 1 cyangwa ubwoko 2). Uburyo rusange bwo kuvura burimo:
Kubaga akenshi nubuvuzi bwibanze kuri PRCC yaho. Ibi birashobora kuba birimo nephrectomy igice (kuvanaho ikibyimba nigice gito cyimpyiko) cyangwa nephrectomie radical (gukuramo impyiko zose). Guhitamo biterwa nubunini n’aho ikibyimba nubuzima bwumurwayi muri rusange. Tekinike yo kubaga byibura, nka laparoskopi cyangwa kubaga ifashwa na robot, ikoreshwa cyane, bigatuma ibihe byo gukira byihuse kandi bigabanya ibibazo.
Ubuvuzi bugamije ni imiti igenewe kwibasira kanseri ya kanseri itangiza ingirabuzimafatizo nziza. Ubu buryo bwo kuvura bukoreshwa kenshi muri PRCC yateye imbere cyangwa metastatike. Ingero zirimo tyrosine kinase inhibitor (TKIs) nka sunitinib, pazopanib, na axitinib. Guhitamo imiti igamije guterwa nibiranga genetike yihariye yibibyimba.
Immunotherapy ikoresha imbaraga z'umubiri zo kurwanya kanseri. Inzitizi za Checkpoint, nka nivolumab na pembrolizumab, zikoreshwa mukuvura PRCC igezweho. Iyi miti ifasha sisitemu yumubiri kumenya no gutera kanseri neza. Gukoresha immunotherapy akenshi biyoborwa na biomarkers yihariye.
Imiti ivura imirasire ikoresha imirasire yingufu nyinshi kugirango yice selile. Irashobora gukoreshwa mubihe bimwe kugirango igabanye ibimenyetso cyangwa igenzura imikurire ya PRCC, cyane cyane mubyiciro byateye imbere. Ni gake ikoreshwa nkubuvuzi bwibanze kuri PRCC.
Kubona oncologue wujuje ibyangombwa cyangwa urologiste kabuhariwe muri kanseri yimpyiko ni ngombwa. Gushakisha kumurongo, kubohereza kwa muganga wawe wibanze, hamwe ninama zitangwa nitsinda ryabafasha birashobora kuba ibikoresho byingenzi. Reba ibintu nkuburambe bwa muganga hamwe kuvura papillary impyiko selile kanseri, ubufatanye bwabo n'ikigo kizwi cya kanseri, hamwe no gusuzuma abarwayi. Ntutindiganye guteganya inama ninzobere nyinshi kugirango ubone ibyiza bihuye nibyo ukeneye.
Kugira ngo ubuvuzi bwuzuye bwa kanseri, tekereza kuvugana Shandong Baofa Ikigo Cyubushakashatsi Kanseri. Batanga uburyo bwo kuvura buhanitse hamwe nuburyo butandukanye bwo kuvura abarwayi. Itsinda ryabo ryinzobere muri oncologiste hamwe nabakozi bunganira biyemeje gutanga gahunda yo kuvura yihariye kubantu bahura nazo papillary impyiko selile kanseri.
Wibuke ko imiterere ya buri muntu yihariye. Ibyemezo byo kuvura bigomba gufatwa hifashishijwe inama n’ubuvuzi bwawe, urebye ibihe byihariye, icyiciro nubwoko bwa PRCC, hamwe nibyo ukunda. Gushyikirana kumugaragaro nitsinda ryanyu ryubuvuzi nibyingenzi murugendo rwawe.
| Ubwoko bwo kuvura | Ibyiza | Ibibi |
|---|---|---|
| Kubaga | Birashoboka kuvura indwara zaho, kuzamura imibereho | Ingaruka zo kugorana, ntizishobora kuba mubyiciro byose |
| Ubuvuzi bugamije | Ingaruka zindwara zateye imbere, uburozi buke kuruta chimiotherapie | Birashobora kugira ingaruka, birashobora guteza imbere kurwanya igihe |
| Immunotherapy | Irashobora kuganisha kubisubizo biramba, cyane cyane mubihe byihariye | Ingaruka zirashobora kuba ingirakamaro, ntabwo zifite akamaro kubarwayi bose |
Inshingano: Aya makuru agamije uburezi gusa kandi ntagomba gufatwa nkinama zubuvuzi. Buri gihe ujye ubaza inzobere mu by'ubuzima zujuje ibisabwa kugira ngo zisuzume kandi zivure indwara iyo ari yo yose.
Reba: (Shyiramo ingingo zamakuru yubuvuzi hamwe nimbuga zizwi za organisation ya kanseri hano, byakozwe nkibisobanuro cyangwa ibisobanuro.)