Okufanele Ukwenze Uma Ukwelashwa Kwakho Kwe-Metastatic RCC Kumisa Ukusebenza

-Delile

• Izinketho zokwelashwa
• Ukuhlinzwa
• Ukwelashwa okuhlosiwe
• I-Immunotherapy
• Ukwelashwa ngemisebe
• Ukuhlolwa kwemitholampilo
• Izindlela zokwelapha ezihambisanayo
• Khuluma nodokotela wakho
• Ukudla okudlela endlini

Ukubuka konke

I-Metastatic renal cell carcinoma (RCC) uhlobo lomdlavuza wezinso osakazeke ngaphesheya kwezinso waya kwezinye izitho zomzimba wakho. Uma uthola ukwelashwa kwe-metastatic RCC futhi ungazizwa sengathi kuyasebenza, kungaba yisikhathi sokukhuluma nodokotela wakho ngezinye izindlela zokwelapha.

Kunezinhlobo ezahlukahlukene zokwelashwa ezitholakalayo zabantu abaphila ne-metastatic RCC. Lokhu kufaka ukubhalisa esivivinyweni somtholampilo noma ukuzama ukwelashwa okuhambisanayo. Funda kabanzi mayelana nezinketho zakho, kanye namathiphu okuqala le ngxoxo nodokotela wakho.

Izinketho zokwelashwa

Ukwelashwa okufanele wena kuncike esigabeni somdlavuza wakho, izinhlobo zokwelashwa owake wazizama esikhathini esedlule, nomlando wakho wezokwelapha, phakathi kwezinye izinto.

Khuluma nodokotela wakho nganoma yiziphi izinketho ezilandelayo ongakazami.

Ukuhlinzwa

Abantu abane-metastatic RCC bangazuza ngokuhlinzwa okwenziwa nge-cytoreductive. Le yinqubo ebandakanya ukususa umdlavuza oyinhloko ezinso. Iphinde isuse omunye noma wonke umdlavuza osudlulele kwezinye izitho zomzimba.

Ukuhlinzwa kungawususa umdlavuza futhi kwehlise ezinye zezimpawu zakho. Kungabuye kuthuthukise ukusinda, ikakhulukazi uma uhlinzwa ngaphambi kokuqala ukwelashwa okuqondisiwe. Kodwa-ke, kunezici zobungozi okufanele uzicabangele ngaphambi kokukhetha le ndlela yokwelashwa. Khuluma nodokotela wakho ukuthola eminye imininingwane.

Ukwelashwa okuhlosiwe

Ukwelashwa okuqondisiwe kuvame ukunconywa kubantu abane-RCC yabo esakazeka ngokushesha noma ebangela izimpawu ezinzima. Imithi yokwelashwa ehlosiwe isebenza ngokuhlasela ama-molecule athile ngaphakathi kwamaseli akho futhi inciphise ukukhula kwezimila.

Kunemithi yokwelashwa eqondisiwe ehlukahlukene etholakalayo. Izibonelo ezimbalwa zifaka:

• I-sorafenib (Nexavar)
• i-sunitinib (Sutent)
• everolimus (Afinitor)
• i-pazopanib (Votrient)

Imithi yokwelashwa ehlosiwe isetshenziswa ngasikhathi sinye. Kodwa-ke, bazama izindlela zokwelashwa ezihlosiwe ezintsha kanye nokwelashwa okuhlanganisiwe. Ngakho-ke, uma umuthi owuthathayo njengamanje ungasebenzi, ungakwazi ukuzama umuthi ohlukile noma uhlangane nomunye umuthi ngaphansi kwalo mndeni wama-chemotherapies.

I-Immunotherapy

I-Immunotherapy isebenza ukukhulisa amasosha omzimba noma isize amasosha akho omzimba ukuthi ahlasele umdlavuza ngqo. Lokhu ikwenza ngokusebenzisa izinto zemvelo nezokufakelwa ukuhlasela nokunciphisa ukukhula kwamangqamuzana omdlavuza.

Kunezinhlobo ezimbili eziyinhloko zokwelashwa kwe-immunotherapy ye-RCC: ama-cytokines kanye ne-checkpoint inhibitors.

Ama-cytokines akhonjisiwe ukuthi ayasebenza kumaphesenti amancane eziguli, kepha futhi abeka ingozi yemiphumela emibi kakhulu. Ngenxa yalokhu, ama-checkpoint inhibitors asetshenziswa kakhulu namuhla, njengezidakamizwa i-nivolumab (Opdivo) ne-ipilimumab (Yervoy).

Ukwelashwa ngemisebe

Ukwelashwa ngemisebe isebenzisa imisebe ephezulu yamandla ukuqeda amangqamuzana omdlavuza, ukuncipha kwezimila, nokulawula izimpawu ezithuthukile ze-RCC. Umdlavuza wezinso awuvamile ukuzwela emisebeni. Ngakho-ke, ukwelashwa ngemisebe kuvame ukusetshenziswa njengesilinganiso sokuthambisa ukusiza ukunciphisa izimpawu ezinjengezinhlungu nokopha.

Ukuhlolwa kwemitholampilo

Uma uzame okukodwa noma ngaphezulu kokukhethwa kukho ukwelashwa ngenhla ngempumelelo elinganiselwe, ungahle uthande ukubheka ukubamba iqhaza esivivinyweni somtholampilo. Izilingo zomtholampilo zikunikeza ukufinyelela kuzindlela zokwelashwa zokuhlola. Lokhu kusho ukuthi abakamukelwa yi-FDA.

Izinhlangano ezifana ne-American Cancer Society zivame ukuhlinzeka ngohlu lwezilingo zomtholampilo kumawebhusayithi wazo. Idathabhegi ye-clinictrials.gov nayo ingumthombo othembekile wohlu lwazo zonke izifundo zokwelashwa ezizimele futhi ezixhaswe esidlangalaleni ezenziwe emhlabeni wonke. Udokotela wakho futhi angancoma noma yiziphi izivivinyo zokwelashwa ezifanele okungenzeka zenzeka endaweni yangakini.

Izindlela zokwelapha ezihambisanayo

Izindlela zokwelapha ezihambisanayo izindlela zokwelashwa ezengeziwe ongazisebenzisa kanye nokwelashwa kwakho kwamanje komdlavuza. Lokhu kuvame ukuba yimikhiqizo nemikhuba engathathwa njengengxenye yemithi ejwayelekile. Kepha zingaba usizo ekunciphiseni izimpawu zakho nasekuthuthukiseni ikhwalithi yempilo yakho.

Ezinye izinhlobo zokwelashwa okuhambisanayo ongakuthola kunenzuzo zifaka:

• ukwelashwa kokubhucungwa
• ukutshopa
• izithako zemithi
• i-yoga

Kubalulekile ukubuza nodokotela wakho ngaphambi kokuqala noma yiziphi izindlela zokwelapha ezintsha ezengeziwe. Kungenzeka ukuthi bangadala imiphumela emibi engafuneki noma bahlanganyele kabi neminye imithi oyiphuzayo.

Khuluma nodokotela wakho

Udokotela wakho ufuna ukukunikeza ukwelashwa okungcono kakhulu. Ngakho-ke, uma ungacabangi ukuthi ukwelashwa kwakho kwamanje kwe-RCC kuyasebenza, phakamisa lokhu kukhathazeka ngokushesha okukhulu. Ungesabi ukubuza imibuzo eminingi, futhi uqiniseke ukuthi udokotela wakho ucacisa noma yini odidekile noma ongaqiniseki ngayo.

Imibuzo engenza ingxoxo iqale ifaka phakathi:

• Kungani ukwelashwa kwami ​​kwamanje kungasebenzi?
• Yiziphi ezinye izindlela zami zokwelashwa?
• Ziyini izingozi ezihambisana nezinye izindlela zokwelashwa?
• Yiziphi izindlela zokwelapha ezihambisanayo ozincomayo?
• Ingabe kukhona izivivinyo zokwelashwa ezitholakala endaweni yami?

Ukudla okudlela endlini

Khumbula ukuthi uma ukwelashwa kwakho kwamanje kwe-metastatic RCC kuyeka ukusebenza, akusho ukuthi awusekho ongakhetha kukho. Sebenza nodokotela wakho ukuthola izinyathelo ezinhle kakhulu ongazithatha ukuya phambili, futhi ungalilahli ithemba.