I-renal cell carcinoma

I-Renal cell carcinoma luhlobo lomhlaza wezintso oqala kuludwe lweetyhubhu ezincinci kakhulu (iitubules) kwizintso.

I-Renal cell carcinoma lolona hlobo luqhelekileyo lomhlaza kwizintso kubantu abadala. Kwenzeka rhoqo kumadoda aneminyaka engama-60 ukuya kuma-70 ubudala.

Oyena nobangela awaziwa.

Oku kulandelayo kunokunyusa umngcipheko womhlaza wezintso:

• Ukutshaya
• Ukutyeba kakhulu
• Unyango lwe-Dialysis
• Imbali yosapho yesi sifo
• Igazi elonyukayo
• Izintso zeHorseshoe
• Ukusetyenziswa kwexesha elide kwamayeza athile, njengeepilisi zentlungu okanye iipilisi zamanzi (i-diuretics)
• Isifo sezintso sePolycystic
• Isifo seVon Hippel-Lindau (isifo esivela kwilifa esichaphazela imithambo yegazi kwingqondo, emehlweni, nakwamanye amalungu omzimba)
• I-Birt-Hogg-Dube syndrome (isifo semfuza esihambelana namathumba esikhumba kunye nemiphunga)

Iimpawu zalo mhlaza zinokubandakanya oku kulandelayo:

• Iintlungu zesisu kunye nokudumba
• Umqolo obuhlungu
• Igazi kumchamo
• Ukudumba kwemithambo ejikeleze ityhalarha (varicocele)
• Intlungu yeflank
• Ukuhla ukusinda
• Ifiva
• Ukungasebenzi kwesibindi
• Ireyithi yokunyuka kwe-erythrocyte ephakanyisiweyo (ESR)
• Ukukhula okugqithisileyo kweenwele kubantu basetyhini
• Ulusu oluthuthu
• Iingxaki zombono

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Oku kungabonisa ubunzima okanye ukudumba kwesisu.

Uvavanyo olunoku-odolwa lubandakanya:

• Ukuskena kwe-CT esiswini
• Ikhemesti yegazi
• Gcwalisa ubalo lwegazi (CBC)
• Ipyramogram efakwa ngaphakathi (IVP)
• Uvavanyo lomsebenzi wesibindi
• I-arteriography yezintso
• I-Ultrasound yesisu kunye nezintso
• Uhlalutyo lomchamo

Olu vavanyo lulandelayo lunokwenziwa ukubona ukuba umhlaza usasazekile na:

• I-MRI yesisu
• Uqhaqho
• Ukuskena amathambo
• I-x-ray yesifuba
• Isifuba se-CT scan
• Ukuskena iPET

Ugqirha lokususa konke okanye inxalenye yezintso (nephrectomy) ihlala icetyiswa. Oku kunokubandakanya ukususa isinyi, izicubu ezijikelezileyo, okanye ii-lymph node. Unyango alunakwenzeka ngaphandle kokuba wonke umhlaza ususwe ngotyando. Kodwa nokuba umhlaza ushiywe ngasemva, kusekho izibonelelo zotyando.

I-Chemotherapy ngokubanzi ayisebenzi ekunyangeni umhlaza wezintso kubantu abadala. Amayeza amatsha amajoni omzimba anokunceda abanye abantu. Amayeza ajolise kuphuhliso lwemithambo yegazi eyondla ithumba inokusetyenziselwa ukunyanga umhlaza wezintso. Umboneleli wakho unokukuxelela ngakumbi.

Unyango lwe-radiation luhlala lwenziwa xa umhlaza usasazeka kwithambo okanye kwingqondo.

Ungaluphelisa uxinzelelo lokugula ngokujoyina iqela lenkxaso elinamalungu abelana ngamava aqhelekileyo kunye neengxaki.

Ngamanye amaxesha, zombini izintso ziyabandakanyeka. Umhlaza usasazeka ngokulula, ngokufuthi kwimiphunga nakwamanye amalungu. Phantse kwisinye kwisine sabantu, umhlaza sele usasazekile (uhlengahlengiso) ngexesha lokuchongwa.

Ukusebenza kakuhle komntu onomhlaza wezintso kuxhomekeke ekubeni umhlaza usasazeke kangakanani kwaye unyango lusebenza njani. Izinga lokusinda liphezulu kakhulu ukuba ithumba likwisigaba sokuqala kwaye alizange lisasazeke ngaphandle kwezintso. Ukuba inwenwele kwii-lymph node okanye kwamanye amalungu, inqanaba lokusinda liphantsi kakhulu.

Iingxaki zomhlaza wezintso zibandakanya:

• Uxinzelelo lwegazi (uxinzelelo lwegazi)
• I-calcium eninzi egazini
• Inani elibomvu leeseli ezibomvu
• Iingxaki zesibindi kunye neepeni
• Ukusasazeka komhlaza

Biza umboneleli wakho ngalo naliphi na ixesha ubona igazi kumchamo. Biza kwakhona ukuba unazo naziphi na ezinye iimpawu zesi sifo.

Yeka ukutshaya. Landela iingcebiso zomboneleli wakho kunyango lweengxaki zezintso, ngakumbi ezo zinokufuna i-dialysis.

Umhlaza kwezintso; Umhlaza wezintso; Hypernephroma; Adenocarcinoma iiseli kwezintso; Umhlaza - izintso

• Ukususwa kwezintso - ukubhobhoza

• I-anatomy yezintso
• Ithumba lezintso-CT scan
• I-metastases yezintso-i-CT scan
• Izintso - ukuhamba kwegazi kunye nomchamo

Kwiwebhusayithi yeZiko loMhlaza weSizwe. Unyango lomhlaza weseli (i-PDQ) yinguqulelo yezempilo. www.cancer.gov/types/kidney/hp/kidney- unyango-pdq. Ukuhlaziywa ngoJanuwari 28, 2020. Ifikeleleke ngo-Matshi 11, 2020.

Iwebhusayithi yeNethiwekhi yeCancer epheleleyo yoMhlaza. Imikhombandlela ye-NCCN yezonyango kwi-oncology: umhlaza wezintso Inguqulelo 2.2020. www.nccn.org/professionals/physician_gls/pdf/kidney.pdf. Ukuhlaziywa kwe-5 ka-Agasti ka-2019. Ifikeleleke ngo-Matshi 11, 2020.

I-Weiss RH, iJaimes EA, i-Hu SL. Umhlaza wezintso. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 41.