kuvura impyiko selile kanseri yindwara Ibitaro

Gusobanukirwa Indwara Yimpyiko Carcinoma Pathology nuburyo bwo kuvura mubitaro biyoboye

Aka gatabo kasesenguye ubushakashatsi ku ndwara ya kanseri yimpyiko (RCC) ikanagaragaza uburyo bwo kuvura buboneka mu bitaro bikuru by’inzobere mu bijyanye na onologiya. Tuzacukumbura muburyo butandukanye bwa RCC, uburyo bwo gusuzuma, uburyo bwo gutegura, hamwe nuburyo butandukanye bwo kuvura burimo kubaga, kuvura intego, kuvura indwara, no kuvura imirasire. Amakuru yatanzwe agamije guha imbaraga abantu bashaka amakuru kubyerekeye kuvura impyiko selile kanseri yindwara Ibitaro n'amahitamo yabo.

Indwara ya kanseri y'impyiko (RCC) ni iki?

Kanseri y'impyiko (RCC) ni ubwoko bwa kanseri y'impyiko ikomoka mu murongo w'uduce duto (tubules) imbere y'impyiko. Ifite ubwinshi bwa kanseri yimpyiko. Gusobanukirwa na patologiya yihariye ya RCC ningirakamaro muguhitamo neza kuvura impyiko selile kanseri yindwara Ibitaro irashobora gutanga. Raporo y’indwara itanga amakuru arambuye kubyerekeranye nibiranga ikibyimba, harimo icyiciro cyayo nicyiciro, bigira uruhare runini mubyemezo byo kuvura.

Ubwoko na Pathologiya ya Kanseri Yimpyiko

Ubwoko butandukanye bwa RCC burahari, buri kimwe gifite ibimenyetso byihariye byindwara nibisubizo byokuvura. Ubwoko bukunze kugaragara harimo:

Kuraho kanseri yimpyiko selile Carcinoma

Ubu ni ubwoko bwa RCC bukunze kugaragara, burangwa na cytoplazme isobanutse muri selile ya kanseri munsi ya microscope. Indwara ya pathologiya ikunze guhindura uburyo bwo kuvura, hamwe nubuvuzi bugamije akenshi bukora neza.

Papillary Renal Cell Carcinoma

Papillary RCC iranga papillary (imeze nkurutoki). Indwara ya patologiya ikenera ubundi buryo ugereranije na selile isobanutse RCC.

Chromophobe Renal Cell Carcinoma

Ubu bwoko bwubwoko burangwa ningirabuzimafatizo zangiza nabi hamwe namabara asanzwe. Indwara ya patologiya yayo itandukanye itegeka protocole zitandukanye.

Ubundi bwoko

Ubwoko busanzwe bwa RCC burahari, harimo gukusanya kanseri ya duct na RCC idafite ibyiciro, buri kimwe gifite ibimenyetso byihariye bisaba kwitabwaho kuva kuvura impyiko selile kanseri yindwara Ibitaro.

Gupima no Gutunganya Kanseri Yimpyiko

Gusuzuma neza no kubika ni ngombwa mugutegura neza imiti. Uburyo bwo gusuzuma busanzwe bukubiyemo:

Kwiga Amashusho

CT scan, MRI scan, na ultrasound bikoreshwa mugushushanya impyiko no kumenya ikibyimba. Ubu buryo bwo gufata amashusho bufasha kumenya ingano n’aho ikibyimba giherereye, ndetse no kuba hari metastase iyo ari yo yose (ikwirakwira mu bindi bice byumubiri).

Biopsy

Biopsy ikubiyemo gukuramo ingero ntoya mu kibyimba kugirango isuzume microscopique. Isesengura ry’imiterere ya biopsy ni ngombwa mu kwemeza indwara, kumenya ubwoko bwihariye bwa RCC, no gusuzuma igipimo cy’ibibyimba (agresse).

Gutegura

Sisitemu yo kubika, nka sisitemu ya TNM, itondekanya RCC ukurikije ubunini bwikibyimba, aho giherereye, ikwirakwira hafi ya lymph node, hamwe na metastase ya kure. Icyiciro kigira uruhare runini mubyifuzo byo kuvura.

Amahitamo yo kuvura kanseri yimpyiko

Uburyo bwo kuvura RCC buterwa nibintu byinshi, harimo icyiciro cya kanseri, ubuzima bwumurwayi muri rusange, nubwoko bwihariye bwa RCC. Kuyobora kuvura impyiko selile kanseri yindwara Ibitaro tanga uburyo butandukanye bwo kuvura, bushobora kuba bukubiyemo:

Kubaga

Kubaga, nka nephrectomy igice (kuvanaho ikibyimba gusa) cyangwa nephrectomie radical (gukuramo impyiko zose), nuburyo busanzwe bwo kuvura RCC yaho. Ubwoko bwo kubaga bushingiye ku bintu byinshi birimo ingano y'ibibyimba n'aho biherereye.

Ubuvuzi bugamije

Ubuvuzi bugamije gukoresha imiti yibasira kanseri ya kanseri, bikagabanya kwangirika kwingirabuzimafatizo. Iyi miti ikunze kubuza poroteyine zihariye zigira uruhare mu mikurire ya kanseri no kubaho.

Immunotherapy

Immunotherapy ikoresha umubiri wumubiri urwanya kanseri. Harimo gukoresha imiti cyangwa imiti ifasha sisitemu yumubiri kumenya no gusenya kanseri.

Ubuvuzi

Imiti ivura imirasire ikoresha imirasire yingufu nyinshi kugirango yice selile. Mugihe bidakunze gukoreshwa nkubuvuzi bwibanze kuri RCC, birashobora kugira uruhare mukuvura indwara zanduye cyangwa kuvura ibisanzwe.

Guhitamo Ibitaro Byukuri kubyo Ukeneye

Guhitamo ibitaro bifite ubuhanga muri onologiya ya urologiya hamwe nibikorwa bikomeye byo kuvura RCC ni ngombwa. Ibintu bigomba kwitabwaho harimo uburambe bwibitaro hamwe nubwoko bwihariye bwa RCC, kubona uburyo bugezweho bwo gusuzuma no kuvura, hamwe nuburyo butandukanye bwo kuvura kanseri. Shandong Baofa Ikigo Cyubushakashatsi Kanseri ni ikigo kizwi gitanga ubuvuzi bwuzuye kubarwayi barwaye kanseri yimpyiko.

Inshingano

Ibisobanuro byatanzwe muriyi ngingo bigenewe intego zuburezi gusa kandi ntibigomba 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.