
Esi sikhokelo sibanzi sikunceda ukuba ukhangele ubunzima be unyango lomhlaza wezintso kwaye ufumane eyona ndlela ilungileyo kufutshane nawe. Siza kujonga iindlela ezahlukeneyo zonyango, izinto ekufuneka uziqwalasele xa ukhetha indawo, kunye nezixhobo zokunceda inkqubo yakho yokwenza izigqibo. Ukuqonda iinketho zakho kubalulekile ukuze usebenze unyango lomhlaza wezintso, kwaye silapha ukukuxhasa kwinqanaba ngalinye lendlela.
Umhlaza wezintso, ngokukodwa i-renal cell carcinoma (RCC), luhlobo oluqhelekileyo lomhlaza ochaphazela izintso. Ukufunyaniswa kwangoko ngundoqo kunyango oluyimpumelelo. Iimpawu zinokwahluka, kodwa zinokubandakanya igazi kumchamo, iintlungu eziqhubekayo zeflank, ukwehla kobunzima obungachazwanga, kunye nobunzima besisu obuvakalayo. Izigaba ezahlukeneyo zomhlaza wezintso zifuna iindlela ezahlukeneyo zonyango. Ukuba ukrokrela ukuba unomhlaza wezintso, dibana nengcali yezempilo ngokukhawuleza ukuze ufumane ukuxilongwa ngokufanelekileyo kunye nesikhokelo malunga nokhetho lwakho lonyango.
Utyando luhlala lolona nyango luphambili kumhlaza wezintso. Uhlobo lotyando luxhomekeke kwinqanaba kunye nendawo ye-tumor. Ukhetho lubandakanya i-nephrectomy engaphelelanga (ukususwa kwethumba kuphela), i-nephrectomy enkulu (ukususwa kwezintso zonke), kunye nephroureterectomy (ukususwa kwezintso kunye ne-ureter). Ubuchwephesha botyando obungenelelayo obuncinci, obufana ne-laparoscopy kunye noqhaqho lwerobhothi, zihlala zikhethwa ngenxa yokuncitshiswa kwexesha lokuchacha kunye nokukrala. Ukuphumelela kwezi nkqubo kuyahluka ngokuxhomekeke kwizinto ezininzi, kubandakanywa ubungakanani kunye nendawo yethumba, kunye nempilo yonke yesigulane. Hlala uxoxa ngezinto ezilungileyo kunye nezibi zenkqubo nganye kunye nomboneleli wakho wezempilo.
Amachiza onyango ekujoliswe kuwo agxile kwiimolekyuli ezithile ngaphakathi kweeseli zomhlaza, ezithintela ukukhula kwazo kunye nokusasazeka. La mayeza ahlala esetyenziswa kwizigaba eziphambili zomhlaza wezintso okanye xa utyando alukhethi. Imizekelo ibandakanya i-sunitinib, pazopanib, kunye ne-axitinib. La mayeza anokuba neziphumo ebezingalindelekanga, ngoko ke kubalulekile ukuba uxoxe ngazo nogqirha wakho ukuze ufumane unyango olufanelekileyo. Ukusebenza kuxhomekeke kuhlobo oluthile kunye nenqanaba lomhlaza wezintso, kunye nezinto ezigulayo.
Immunotherapy inceda amajoni omzimba wakho ukulwa iiseli zomhlaza. Olu nyango lusetyenziselwa umhlaza wezintso ophezulu kwaye lunokusebenza ekwandiseni ubomi kunye nokuphucula umgangatho wobomi. I-Checkpoint inhibitors, njenge-nivolumab kunye ne-ipilimumab, isetyenziswa ngokuqhelekileyo i-immunotherapies yomhlaza wezintso. Ngokufana nonyango olujoliswe kuyo, unyango lwe-immunotherapy luneziphumo ebezingalindelekanga ezinokuthi zibekwe iliso elibukhali liqela lakho lezonyango.
Unyango ngemitha lusebenzisa imiqadi enamandla kakhulu ukubulala iiseli zomhlaza. Ngelixa ingelulo unyango oluphambili kuninzi lwee-cancer zezintso, lunokusetyenziswa ukuthomalalisa iintlungu okanye ukucutha amathumba phambi kotyando kwiimeko ezithile. Ukusebenza kwale ndlela kunyango lomhlaza wezintso kulinganiselwe xa kuthelekiswa notyando, unyango olujoliswe kuyo, kunye nonyango lomzimba. I-oncologist yakho iya kugqiba ukuba i-radiation ifanelekile kwimeko yakho.
Ukukhetha indawo yokhathalelo lwempilo yakho unyango lomhlaza wezintso kufuna ukuqwalaselwa ngenyameko. Khangela amaziko aneengcali ze-oncologists ezikhethekileyo kwi-urologic oncology kunye neendlela ezininzi zokunyamekela. Qwalasela oku kulandelayo:
Ukwenza uphando ngezibhedlele kunye neekliniki ezinikezelayo unyango lomhlaza wezintso kufutshane nam ibalulekile. Cinga ukusebenzisa izixhobo ze-intanethi, ezifana neendawo zokuphonononga isigulane, ukufumana ulwazi kumava esigulane. Ungalibazisi ukubuza ababoneleli ngemibuzo malunga namava abo, iiprothokholi zonyango, kunye namazinga okuphumelela. Ukufumana isibonelelo esihambelana neemfuno zakho kunye nezinto ozikhethayo kubalulekile kuhambo olulungileyo lonyango.
Ukujongana nokuxilongwa komhlaza wezintso kunokuba ngumngeni. Uninzi lwemibutho yenkxaso kunye nezibonelelo ezikhoyo zokubonelela ngoncedo lweemvakalelo, olusebenzayo kunye nolwemali. Ukuqhagamshelana namaqela enkxaso kunye noluntu lwe-intanethi lunokukunceda uqhagamshelane nabanye abanamava afanayo. Khumbula, awuwedwa kolu hambo.
| Uhlobo loNyango | Iingenelo | Iingxaki |
|---|---|---|
| Utyando | Inokunyanga, isusa ithumba | Isenokufuna ukuchacha okubanzi, iingxaki ezinokubakho |
| Unyango ekujoliswe kulo | Ngaba iyancipha amathumba, iphucule ukusinda | Iziphumo ebezingalindelekanga zinokubaluleka, azisoloko zinyanga |
| Immunotherapy | Inokuvuselela amajoni omzimba ukuba alwe nomhlaza, inzuzo yokusinda ixesha elide kwezinye iimeko | Inokuba neziphumo ebezingalindelekanga ezimandundu, ayisebenzi kumntu wonke |
Ngolwazi oluthe kratya kunye nokufumana indawo ehamba phambili ekufutshane nawe unyango lomhlaza wezintso, ndwendwela IZiko loPhando ngoMhlaza laseShandong Baofa. Bazinikezele ekuboneleleni phambili, ukhathalelo lwemfesane kwizigulana ezinomhlaza wezintso. Khumbula ukubonisana nengcali yezempilo phambi kokuba wenze naziphi na izigqibo malunga nonyango lwakho.
1 Iziko lomhlaza leSizwe. (n.d.). Unyango lomhlaza wezintso (PDQ?)—Uguqulelo lwesigulane. Ifunyenwe [faka ikhonkco leNCI apha]
2 Umbutho womhlaza waseMelika. (n.d.). Umhlaza Wezintso. Ifunyenwe [faka ikhonkco le-ACS apha]
ecaleni>
umzimba>