I-Renal cell carcinoma

I-Renal cell carcinoma uhlobo lomdlavuza wezinso oqala emgqeni wamashubhu amancane kakhulu (ama-tubules) ezinso.

I-Renal cell carcinoma uhlobo oluvame kakhulu lomdlavuza wezinso kubantu abadala. Kwenzeka kaningi emadodeni aneminyaka engama-60 kuya kwengama-70 ubudala.

Imbangela ngqo ayikaziwa.

Okulandelayo kungakhuphula ingozi yokuba nomdlavuza wezinso:

• Ukubhema
• Ukukhuluphala ngokweqile
• Ukwelashwa nge-Dialysis
• Umlando womndeni wesifo
• Umfutho wegazi ophezulu
• Izinso zehorseshoe
• Ukusetshenziswa kwesikhathi eside kwemithi ethile, njengamaphilisi ezinhlungu noma amaphilisi amanzi (isisu)
• Isifo sezinso sePolycystic
• Isifo i-Von Hippel-Lindau (isifo esizalwa njengefa esithinta imithambo yegazi ebuchosheni, emehlweni, nakwezinye izitho zomzimba)
• I-Birt-Hogg-Dube syndrome (isifo sofuzo esihambisana nezicubu zesikhumba ezinobungozi kanye nama-cysts wamaphaphu)

Izimpawu zalo mdlavuza zingafaka noma yikuphi okulandelayo:

• Ubuhlungu besisu nokuvuvukala
• Ukuhlungu obusemhlane
• Igazi emchameni
• Ukuvuvukala kwemithambo ezungeze i-testicle (varicocele)
• Ubuhlungu beFlank
• Ukwehla kwesisindo
• Imfiva
• Ukungasebenzi kwesibindi
• Izinga eliphakeme le-erythrocyte sedimentation (ESR)
• Ukukhula ngokweqile kwezinwele kwabesifazane
• Isikhumba esiphaphathekile
• Izinkinga zombono

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Lokhu kungaveza isisu noma ukuvuvukala kwesisu.

Izivivinyo ezinga-odwa zifaka:

• Iskena se-CT esiswini
• Amakhemikhali egazi
• Qedela ukubalwa kwegazi (CBC)
• I-pyelogram efakwa emithanjeni (IVP)
• Ukuhlolwa kokusebenza kwesibindi
• I-renal arteriography
• I-Ultrasound yesisu nezinso
• Ukuhlolwa komchamo

Ukuhlolwa okulandelayo kungenziwa ukubona ukuthi umdlavuza ususakazekile yini:

• I-MRI yesisu
• Isidumbu
• Ukuskena kwamathambo
• I-x-ray yesifuba
• Isikena se-CT esifubeni
• Ukuskena kwe-PET

Ukuhlinzwa ukususa konke noma ingxenye yezinso (nephrectomy) kuvame ukunconywa. Lokhu kungafaka ukususa isinye, izicubu ezizungezile, noma ama-lymph node. Ukwelashwa akunakwenzeka ngaphandle kokuthi wonke umdlavuza ususwe ngokuhlinzwa. Kepha noma ngabe umdlavuza ushiywe ngemuva, kusekhona inzuzo ngokuhlinzwa.

I-Chemotherapy ngokuvamile ayisebenzi ekwelapheni umdlavuza wezinso kubantu abadala. Imithi emisha yokuzivikela komzimba ingasiza abanye abantu. Imithi ebhekise ekukhuleni kwemithambo yegazi eyondla isimila ingasetshenziswa ukwelapha umdlavuza wezinso. Umhlinzeki wakho angakutshela okuningi.

Ukwelashwa ngemisebe kuvame ukwenziwa lapho umdlavuza usakazekela ethanjeni noma ebuchosheni.

Unganciphisa ukucindezela kokugula ngokujoyina iqembu lokusekelwa elinamalungu abelana ngokuhlangenwe nakho okuvamile nezinkinga.

Kwesinye isikhathi, zombili izinso ziyabandakanyeka. Umdlavuza usakazeka kalula, uvame kakhulu ukuya emaphashini nakwezinye izitho. Cishe ingxenye eyodwa kwezine yabantu, umdlavuza bese usuvele usabalele (u-metastasized) ngesikhathi sokuxilongwa.

Ukuthi umuntu onomdlavuza wezinso wenza kahle kangakanani kuya ngokuthi umdlavuza usabalale kangakanani nokuthi umuthi usebenza kahle kangakanani. Izinga lokusinda liphezulu kakhulu uma isimila sisezigabeni zokuqala futhi singazange sisabalale ngaphandle kwezinso. Uma isakaze kuma-lymph node noma kwezinye izitho, izinga lokusinda liphansi kakhulu.

Izinkinga zomdlavuza wezinso zifaka:

• Umfutho wegazi ophezulu (umfutho wegazi ophakeme)
• I-calcium eningi egazini
• Ukubalwa kwamaseli abomvu aphezulu
• Izinkinga zesibindi nobende
• Ukusabalala komdlavuza

Shayela umhlinzeki wakho noma kunini lapho ubona igazi emchameni. Fonela futhi uma unezinye izimpawu zalesi sifo.

Yeka ukubhema. Landela izincomo zomhlinzeki wakho ekwelapheni ukuphazamiseka kwezinso, ikakhulukazi lezo ezingadinga i-dialysis.

Umdlavuza wezinso; Umdlavuza wezinso; I-Hypernephroma; I-Adenocarcinoma yamaseli wezinso; Umdlavuza - izinso

• Ukususwa kwezinso - ukukhipha

• Ukwakheka kwezinso
• Isimila sezinso - i-CT scan
• Izinso metastases - CT scan
• Izinso - ukugeleza kwegazi nomchamo

Iwebhusayithi yeNational Cancer Institute. Ukwelashwa komdlavuza weseli we-renal (PDQ) - inguqulo yezobuchwepheshe yezempilo. www.cancer.gov/types/kidney/hp/kidney-treatment-pdq. Kubuyekezwe uJanuwari 28, 2020. Kufinyelelwe ngoMashi 11, 2020.

Iwebhusayithi ye-National Comprehensive Cancer Network. Imikhombandlela ye-NCCN yokwenza imitholampilo ku-oncology: umdlavuza wezinso. Inguqulo 2.2020. www.nccn.org/professionals/physician_gls/pdf/kidney.pdf. Kubuyekezwe u-Agasti 5, 2019. Kufinyelelwe ngoMashi 11, 2020.

I-Weiss RH, Jaimes EA, Hu SL. Umdlavuza wezinso. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 41.