Ukuqonda Ukusabalala: I-Metastatic Renal Cell Carcinoma

-Delile

• Usakazeka kanjani umdlavuza
• Izimpawu ze-metastatic renal cell carcinoma
• Ukuhlonza i-metastatic renal cell carcinoma
• Ukuhlolwa kwelebhu
• Ukufanekisa
• Izigaba zomdlavuza wezinso
• Ukwelapha i-metastatic renal cell carcinoma
• Ukuhlinzwa
• I-Immunotherapy kanye ne-chemotherapy
• Ukuvimbela
• Umbono

I-metastatic renal cell carcinoma

I-Renal cell carcinoma, ebizwa nangokuthi umdlavuza wezinso, yenzeka lapho amangqamuzana omdlavuza akha ama-tubules ezinso. Ama-tububu amashubhu amancane ezinso zakho asiza ukuhlunga imfucuza egazini lakho ukuze wenze umchamo.

Ukubhema, umfutho wegazi ophakeme, ukukhuluphala ngokweqile, kanye nesifo sokusha kwesibindi kohlobo C konke kwandisa ubungozi be-renal cell carcinoma. I-renal cell carcinoma iba yi-metastatic renal cell carcinoma lapho isakazeka ngaphesheya kwezinso zakho ku-lymph system yakho, amathambo, noma ezinye izitho.

Usakazeka kanjani umdlavuza

I-renal cell carcinoma ingasakazeka isuke kumaseli amaningi omdlavuza noma isimila iye kwezinye izingxenye zomzimba wakho. Le nqubo ibizwa ngokuthi i-metastasis. Kwenzeka ngenye yezindlela ezintathu:

• Amaseli womdlavuza asakazeka ezicutshini ezungeze isimila sezinso zakho.
• Umdlavuza usuka ezinso zakho ungene ohlelweni lwakho lwe-lymph, olunezitsha emzimbeni wonke.
• Amaseli womdlavuza wezinso angena egazini futhi athwalwa abekwe kwesinye isitho noma indawo emzimbeni wakho.

Izimpawu ze-metastatic renal cell carcinoma

Lapho i-renal cell carcinoma isezigabeni zayo zokuqala, akunakwenzeka ukuthi uzohlangabezana nezimpawu ezisobala. Izimpawu eziphawuleka kaningi ziwuphawu lokuthi lesi sifo sine-metastasized.

Izimpawu ngokuvamile zifaka:

• igazi emchameni
• ubuhlungu ohlangothini olulodwa lomhlane ongezansi
• isigaxa ngemuva noma ohlangothini
• ukuncipha komzimba
• ukukhathala
• imfiva
• ukuvuvukala kwamaqakala
• ukujuluka ebusuku

Ukuhlonza i-metastatic renal cell carcinoma

Ukuhlolwa ngokomzimba kanye nokubuyekezwa komlando wakho wezokwelapha kungadala ukuhlolwa okwengeziwe ukuthola impilo yezinso zakho.

Ukuhlolwa kwelebhu

Ukuhlolwa komchamo akukwazi ukuqinisekisa umdlavuza wezinso, kepha kungasiza ukuveza impilo yezinso zakho. Kwezinye izimo, ukuhlolwa kwe-urinalysis kusikisela ukuthi umdlavuza ususakazekele kwezinye izitho zomzimba.

Okunye ukuhlolwa kwelab okuwusizo ukubalwa kwegazi okuphelele, okubandakanya ukubalwa kwamazinga amangqamuzana akho abomvu namhlophe egazi. Amazinga angajwayelekile abonisa ukuthi kungenzeka kube nomdlavuza.

Ukufanekisa

Odokotela basebenzisa ukuhlolwa kwe-imaging ukuthola indawo nobukhulu besimila. Ukuhlolwa kwesikrini kusiza odokotela ukuthi babone ukuthi umdlavuza ususabalalisile yini. Ukuhlolwa kwe-CT nokuhlolwa kwe-MRI kusiza kakhulu ekusizeni odokotela ukuthi bathole umdlavuza wezinso.

Ama-X-ray esifuba kanye nokuhlolwa kwamathambo kunganquma ukuthi umdlavuza ususabalele kwezinye izingxenye zomzimba wakho. Ukufanekisa nakho kuyithuluzi eliwusizo lokubona ukuthi ukwelashwa okuthile kuyasebenza yini.

Izigaba zomdlavuza wezinso

Ukunquma ukwelashwa okulungile, i-renal cell carcinoma ihlukaniswa njengesinye sezigaba ezine:

• Izigaba 1 no-2: Umdlavuza utholakala kuphela ezinso lakho.
• Isigaba 3: Umdlavuza usabalalele endaweni enesikhumba eduze kwezinso zakho, isitsha segazi sezinso, noma izicubu ezinamafutha ezungeze izinso zakho.

• Ukwelapha i-metastatic renal cell carcinoma

  Izinketho zokwelashwa kwe-metastatic renal cell carcinoma zingafaka ukuhlinzwa, i-immunotherapy, noma i-chemotherapy.

  Ukuhlinzwa

  Ukuhlinzwa komdlavuza wezinso kuvame ukubekelwa isigaba 1 noma 2. Umdlavuza wesigaba 3 nawo ungahlinzwa, kepha izinga umdlavuza osabalale ngalo kuzocacisa ukuthi kungenzeka yini ukuhlinzwa.

  Ukuhlinzwa ukususa izifo ezinomdlavuza esigabeni 4 somdlavuza kungenziwa. Lokhu kuvame ukufaka ukwelashwa kwezidakamizwa, futhi. Kwezinye iziguli, kwenziwa ukuhlinzwa okukodwa ukuze kususwe isimila ezinso laso kanye nezicubu zemetastasized ezivela kwezinye izindawo emzimbeni wazo.

  
  

  I-Immunotherapy kanye ne-chemotherapy

  Ngaphezu kokuhlinzwa, kunezinye izindlela ezimbili zokwelapha ezivamile: i-immunotherapy ne-chemotherapy.

  Ku-immunotherapy, kunikezwa izidakamizwa zokuqinisa amasosha akho omzimba ukulwa nomdlavuza.

  I-Chemotherapy ifaka ukusetshenziswa kwepilisi noma imijovo yokubulala amangqamuzana omdlavuza. Kepha inemiphumela engemihle futhi imvamisa idinga ukwelashwa okwengeziwe njengokuhlinzwa.

  Ukuvimbela

  I-Renal cell carcinoma ivame ukushaya abantu abadala asebekhulile. Indlela yokuphila enempilo ingakhuphula amathuba omuntu osemncane wokugwema lesi sifo ngokuhamba kwesikhathi.

  Ukubhema kalula kuyingozi enkulu ye-renal cell carcinoma. Uma ungakaze uqale ukubhema, noma uyeke kungekudala, unethuba elingcono lokugwema i-renal cell carcinoma.

  Lawula umfutho wegazi lakho futhi ulawule isisindo sakho uma kunesidingo ukusiza ukugcina impilo yezinso.

  Umbono

  Izinga lokusinda leminyaka emihlanu le-renal cell carcinoma liyahlukahluka kakhulu kuye ngokuthi utholakalaphi kulesi sigaba. Ngokusho kwe-American Cancer Society, amazinga okusinda kweminyaka emihlanu yomdlavuza wezinso imi kanje:

  • isigaba 1: 81%
  • isigaba 2: 74%
  • isigaba 3: 53%
  • isigaba 4: 8%

  Amanani okusinda izibalo ezivela kubantu jikelele beziguli ezitholwe ngaphambilini futhi azikwazi ukubikezela icala lakho.