unyango umhlaza kwiimpawu zezintso Izibhedlele

Unyango lweeMpawu zoMhlaza wezintso: Ukhetho lweSibhedlele kunye neSikhokelo

Esi sikhokelo sibanzi siphonononga iindlela ezahlukeneyo zonyango lweempawu zomhlaza wezintso, ukunika ulwazi malunga nokuxilongwa, iindlela zonyango, kunye nendima ebalulekileyo yezibhedlele ezikhethekileyo ekulawuleni esi sifo sinzima. Siza kuhlolisisa amanqanaba ahlukeneyo omhlaza wezintso, sixoxe ngonyango olukhoyo, kwaye sibalaselise ukubaluleka kokufuna ukhathalelo kwiingcali zonyango ezinamava. Ukuqonda iinketho zakho kunye nokufumana isibhedlele esifanelekileyo ngundoqo wokuphumelela unyango umhlaza kwiimpawu zezintso Izibhedlele.

Ukuqonda iimpawu zoMhlaza wezintso

Ukuyiqonda Imiqondiso

Ukufunyanwa kwangoko kubalulekile kumlo ochasene nomhlaza wezintso. Iimpawu zinokuthi zingabonakali kwaye zihlala zilinganisa ezinye iimeko, zenza ukuxilongwa kwangaphambili kube nzima. Iimpawu eziqhelekileyo zingabandakanya igazi kumchamo (hematuria), intlungu eqhubekayo yeflank (intlungu ecaleni), ubunzima besisu obucacileyo, ukulahleka kwesisindo esingenakuchazwa, ukukhathala, kunye nomkhuhlane. Kubalulekile ukuba udibane nogqirha ukuba ufumana nayiphi na kwezi mpawu zithe gqolo. Ukulibazisa unyango kunokuba nempembelelo enkulu kwi-prognosis. Eyangaphambili unyango umhlaza kwiimpawu zezintso Izibhedlele iqala, ngcono amathuba okuba nesiphumo esihle. Ukufumana amagqabantshintshi ngeempawu zomhlaza wezintso, jonga iwebhusayithi yeZiko loMhlaza leSizwe.¹

Uxilongo kunye neStaging of Kidney Cancer

Inkqubo yokuxilongwa

Ukufumanisa umhlaza wezintso ngokuqhelekileyo kubandakanya indibaniselwano yovavanyo lokucinga olunje nge-CT scan, i-MRI scans, kunye ne-ultrasounds, kunye ne-biopsy yokuqinisekisa ubukho kunye nohlobo lweeseli zomhlaza. Ukwenziwa kweqonga linyathelo elibalulekileyo elimisela ubungakanani bokunwenwa komhlaza, linika isikhokelo kwizigqibo zonyango. Inqanaba lomhlaza wezintso zakho liya kuba nefuthe kakhulu ekucetyiswayo unyango umhlaza kwiimpawu zezintso Izibhedlele.

IiKhetho zoNyango loMhlaza wezintso

Iinketho zoTyando

Utyando luhlala lolona nyango luphambili kumhlaza wezintso wasekhaya. Uhlobo lotyando luxhomekeke kubukhulu kunye nendawo ye-tumor, kunye nempilo yonke yesigulane. Ukhetho lungabandakanya i-nephrectomy engaphelelanga (ukususwa kwe-tumor kuphela), i-radical nephrectomy (ukususwa kwezintso zonke), okanye utyando olubanzi ngakumbi ukuba umhlaza usasazekile. Ubuchwephesha botyando bubaluleke kakhulu, kwaye ukukhetha isibhedlele esineengcali ze-urologic oncologists kubalulekile kwiziphumo ezilungileyo unyango umhlaza kwiimpawu zezintso Izibhedlele.

Unyango ekujoliswe kulo

Unyango olujoliswe kuyo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza, ukunciphisa umonakalo kwiiseli eziphilileyo. Olu nyango luhlala lusetyenziselwa umhlaza wezintso ophezulu okanye we-metastatic. Uhlobo oluthile lonyango olujoliswe kuyo luya kuxhomekeka kwiimpawu zofuzo zeeseli zomhlaza. Olu nyango ludla ngokulawulwa ngama-oncologists anamava ngaphakathi kwesakhelo esibanzi unyango umhlaza kwiimpawu zezintso Izibhedlele.

Immunotherapy

I-Immunotherapy ibamba amandla amajoni omzimba okulwa iiseli zomhlaza. Amachiza e-Immunotherapy anceda amajoni omzimba ukuba abone kwaye atshabalalise iiseli zomhlaza ngokufanelekileyo. Le ndlela isebenza ngokukodwa kwiintlobo ezithile zomhlaza wezintso kwaye ihlala idityaniswa nolunye unyango. Eyona ilungileyo unyango umhlaza kwiimpawu zezintso Izibhedlele ukunika ufikelelo kuphuculo lwamva nje lwe-immunotherapy.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Isenokusetyenziswa yodwa okanye kudityaniswe nolunye unyango, kuxhomekeke kwinqanaba kunye nohlobo lomhlaza wezintso. Ukhetho lonyango lweradiation, ukuba kufanelekile, luya kwenziwa yi-oncologist yakho ngaphakathi kwesakhelo sakho unyango umhlaza kwiimpawu zezintso Izibhedlele isicwangciso sonyango.

Ukukhetha isibhedlele esiLungileyo kuNyango loMhlaza wezintso

Ukukhetha isibhedlele sonyango lomhlaza wezintso kufuna ukuqwalaselwa ngenyameko. Khangela izibhedlele ezineengcali ze-urologic oncologists kunye neqela leqela leendlela ezininzi, ukudibanisa ubuchule beengcali zonyango, i-radiation oncologists, kunye nezinye iingcali. Qwalasela iinkalo ezinjengomlinganiselo wempumelelo yesi sibhedlele, ukuhambela phambili kobugcisa, neenkonzo zokuxhasa abaguli. Ukuzinikela kwesibhedlele kuphando kunye nolingo lwezonyango lukwangumqondiso olungileyo. Umzekelo, i-Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) liziko elikhokelayo elizinikele ekuboneleleni ngokhathalelo oluphezulu lomhlaza.

I-Prognosis kunye noNonophelo lokulandela

Ukuxilongwa komhlaza wezintso kuyahluka ngokuxhomekeke kwizinto ezininzi, kubandakanywa inqanaba lomhlaza ekuxilongweni, impilo yonke yesigulana, kunye nokusebenza konyango. Ukuqeshwa okulandelwa rhoqo kubalulekile emva konyango ukubeka iliso lokuphindaphinda kunye nokujongana nazo naziphi na iingxaki ezinokubakho. Ukuzibophelela kwesibhedlele esikhethiweyo kukhathalelo olulandelelweyo lwexesha elide kunye nenkxaso eqhubekayo kubalulekile.

I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo olufanelekileyo ukuze uxilongwe kunye nonyango lwaso nasiphi na isimo sonyango.

¹ Iziko lomhlaza leSizwe. (n.d.). Unyango lomhlaza wezintso (PDQ?)—Uguqulelo lwesigulane. Ifunyenwe [https://www.cancer.gov/types/kidney/patient/kidney-treatment-pdq](https://www.cancer.gov/types/kidney/patient/kidney-treatment-pdq)