Okufanele Ukwazi Ngokuhlola I-Metastatic Renal Cell Carcinoma

-Delile

• Ukuhlolwa kwelebhu
• Ukuhlola ukuhlolwa
• Isidumbu
• Isiteji i-RCC

Uma uhlangabezana nezimpawu ezifana negazi emchameni wakho, izinhlungu ezisezingeni eliphansi, ukwehla kwesisindo, noma isigaxa ohlangothini lwakho, bheka udokotela wakho.

Lokhu kungaba yizimpawu ze-renal cell carcinoma, okuwumdlavuza wezinso. Udokotela wakho uzokuhlolela ukuthola ukuthi unalo mdlavuza nokuthi, uma kunjalo, ngabe ususabalele yini.

Ukuqala, udokotela wakho uzokubuza imibuzo ngomlando wakho wezokwelapha. Ungase futhi ubuzwe ngomlando wezokwelapha womndeni wakho ukuze ubone ukuthi unezici ezithile eziyingozi ze-renal cell carcinoma.

Udokotela wakho uzokubuza ngezimpawu zakho nokuthi zaqala nini. Futhi, cishe uzothola ukuhlolwa ngokomzimba ukuze udokotela wakho abheke noma yiziphi izigaxa noma ezinye izimpawu ezibonakalayo zomdlavuza.

Uma udokotela wakho esola i-RCC, uzoba nohlolo olulodwa noma ngaphezulu:

Ukuhlolwa kwelebhu

Ukuhlolwa kwegazi nomchamo akuwutholi ngokuqinisekile umdlavuza. Bangathola izinkomba zokuthi ungaba ne-renal cell carcinoma noma unqume ukuthi ngabe esinye isimo, njengokutheleleka kwe-urinary tract, sidala izimpawu zakho.

Ukuhlolwa kweLab kwe-RCC kufaka:

• Ukuhlolwa komchamo. Isampula yomchamo wakho ithunyelwa ebhodini ukufuna izinto ezifana namaprotheni, amaseli abomvu egazi, namaseli amhlophe egazi angavela emchameni wabantu abanomdlavuza. Isibonelo, igazi emchameni kungaba uphawu lomdlavuza wezinso.
• Qedela ukubalwa kwegazi (CBC). Lokhu kuhlolwa kubheka amazinga wamangqamuzana abomvu egazi, amaseli amhlophe egazi, nama-platelets egazini lakho. Abantu abanomdlavuza wezinso bangaba namaseli abomvu ambalwa kakhulu, okuthiwa i-anemia.
• Ukuhlolwa kwamakhemikhali egazi. Lezi zivivinyo zihlola amazinga wezinto ezinjenge-calcium kanye nama-enzyme wesibindi egazini, umdlavuza wezinso ongathinta.

Ukuhlola ukuhlolwa

I-Ultrasound, i-CT scan, nokunye ukuhlolwa kwe-imaging kwakha izithombe zezinso zakho ukuze udokotela wakho abone ukuthi unomdlavuza nokuthi usakaze yini. Ukufanekisa izivivinyo odokotela abazisebenzisayo ukuxilonga i-renal cell carcinoma zifaka:

• Ukuskena kwe-computed tomography (CT). I-CT scan isebenzisa ama-X-ray ukudala izithombe eziningiliziwe zezinso zakho ezinhlangothini ezahlukene. Kungenye yezivivinyo eziphumelela kakhulu zokuthola i-renal cell carcinoma. Iskena se-CT singabonisa usayizi nokuma kwesimila nokuthi ngabe sisakazekile yini kusukela ezinso kuya kuma-lymph node aseduze noma ezinye izitho. Ungathola idayi yokuqhathanisa ejojelwe emthanjeni ngaphambi kwe-CT scan. Idayi isiza izinso zakho ukuthi zibonakale ngokucacile kuskena.
• Imagnetic resonance imaging (i-MRI). Lokhu kuhlolwa kusebenzisa amaza amakhulu kazibuthe ukudala izithombe zezinso zakho. Yize akukuhle ukuxilonga umdlavuza wamaseli wezinso njenge-CT scan, udokotela wakho angakunika lesi sivivinyo uma ungakwazi ukubekezelela udayi wokuqhathanisa. I-MRI nayo ingagqamisa imithambo yegazi kangcono kune-CT scan, ngakho-ke kungasiza uma udokotela wakho ecabanga ukuthi umdlavuza usukhule waba yimithambo yegazi esiswini sakho.
• I-Ultrasound. Lokhu kuhlolwa kusebenzisa amaza omsindo ukudala izithombe zezinso. I-ultrasound ingasho ukuthi ukukhula kwezinso zakho kuqinile noma kugcwele uketshezi. Izimila ziqinile.
• I-pyelogram efakwa ngaphakathi (IVP). I-IVP isebenzisa udayi okhethekile ojojowe emthanjeni. Njengoba udayi ungena ngezinso zakho, ureters, nesinye, umshini okhethekile uthatha izithombe zalezi zitho ukuze ubone ukuthi kukhona yini ukukhula ngaphakathi.

Isidumbu

Lokhu kuhlolwa kususa isampula lesicubu somdlavuza ongaba khona ngenaliti. Ucezu lwethishu luthunyelwa elebhu futhi kuhlolwe ukuthola ukuthi alinawo yini umdlavuza.

Ama-biopsies awenziwa kaningi ngomdlavuza wezinso njengoba enzela ezinye izinhlobo zomdlavuza ngoba ukuxilongwa kuvame ukuqinisekiswa lapho kwenziwa ukuhlinzwa ukuze kususwe isimila.

Isiteji i-RCC

Lapho udokotela wakho esekutholile ukuthi une-RCC, isinyathelo esilandelayo ukusinika isigaba. Izigaba zichaza ukuthi umdlavuza usuthuthuke kangakanani. Isiteji sisuselwa ku:

• ukuthi sikhulu kangakanani isimila
• lulaka kangakanani
• noma ngabe isakazekile
• yiziphi izakhi zamalunga nezitho zomzimba ezisabalalele kuzo

Ezinye zezivivinyo ezifanayo ezisetshenziselwa ukuxilonga umdlavuza wamangqamuzana e-renal nazo ziyasifaka, kufaka phakathi i-CT scan neMRI. I-X-ray yesifuba noma ukuskena kwethambo kunganquma ukuthi umdlavuza ususabalalise yini emaphashini noma emathanjeni akho.

Umdlavuza we-Renal cell carcinoma unezigaba ezine:

• Isigaba 1 i-renal cell carcinoma sincane kunamasentimitha ayi-7 (amayintshi ama-3), futhi asakazekanga ngaphandle kwezinso zakho.
• Isigaba 2 i-renal cell carcinoma sikhulu kuno-7 cm. Kusezinso kuphela, noma isikhule saba umthambo omkhulu noma isicubu esizungeze izinso.
• Isigaba 3 so-renal cell carcinoma sesisabalalele kuma-lymph node asondele ensozwaneni, kepha asikafiki kuma-lymph node noma izitho ezikude.
• Isigaba 4 se-renal cell carcinoma kungenzeka ukuthi sisakazekele kuma-lymph node akude kanye / noma ezinye izitho.

Ukwazi isigaba kungasiza udokotela wakho ukuthola ukwelashwa okungcono kakhulu komdlavuza wakho. Isiteji singanikeza nezinkomba ngombono wakho, noma ukubikezela.