Ukuqonda ukusasazeka: iMetastatic Renal Cell Carcinoma

Umxholo

• Usasazeka njani umhlaza
• Iimpawu ze-metastatic renal cell carcinoma
• Ukuchonga i-metastatic renal cell carcinoma
• Uvavanyo lweLebhu
• Ukucinga
• Amanqanaba omhlaza wezintso
• Ukunyanga i-metastatic renal cell carcinoma
• Ugqirha
• I-Immunotherapy kunye ne-chemotherapy
• Uthintelo
• Imbonakalo

I-metastatic renal cell carcinoma

I-Renal cell carcinoma, ekwabizwa ngokuba ngumhlaza wezintso, yenzeka xa iiseli zomhlaza zenzeka kwiityhubhu zezintso. Ii-Tubules ziityhubhu ezincinci kwizintso zakho ezinceda ukucoca iimveliso zenkunkuma egazini lakho ukuze wenze umchamo.

Ukutshaya, uxinzelelo lwegazi, ukutyeba kakhulu, kunye nehepatitis C konke kwandisa umngcipheko we-renal cell carcinoma. I-renal cell carcinoma iba yi-metastatic renal cell carcinoma xa isasazeka ngaphaya kweentso zakho kwi-lymph system, amathambo, okanye amanye amalungu.

Usasazeka njani umhlaza

I-Renal cell carcinoma inokusasazeka kubunzima beeseli zomhlaza okanye ithumba kwamanye amalungu omzimba wakho. Le nkqubo ibizwa ngokuba yi-metastasis. Kwenzeka kwenye yeendlela ezintathu:

• Iiseli zomhlaza zisasazeka kwizicubu ezijikeleze ithumba kwizintso zakho.
• Umhlaza usuka kwizintso zakho uye kwinkqubo yakho ye-lymph, eneenqanawa kuwo wonke umzimba.
• Iiseli zomhlaza wezintso zingena kwigazi kwaye ziqhutywa kwaye zibekwe kwelinye ilungu okanye indawo emzimbeni wakho.

Iimpawu ze-metastatic renal cell carcinoma

Xa i-renal cell carcinoma ikumanqanaba ayo okuqala, akunakulindeleka ukuba ube neempawu ezibonakalayo. Iimpawu ezibonakalayo zihlala zibonisa ukuba esi sifo sine-metastasized.

Iimpawu zibandakanya:

• igazi kumchamo
• iintlungu kwelinye icala lomqolo ongezantsi
• iqhuma ngasemva okanye kwicala
• ukuhla ukusinda
• ukudinwa
• ifiva
• ukudumba kwamaqatha
• ukubila ebusuku

Ukuchonga i-metastatic renal cell carcinoma

Uvavanyo lomzimba kunye nokuphononongwa kwembali yakho yezonyango kunokuqhubela phambili kuvavanyo ukumisela impilo yezintso zakho.

Uvavanyo lweLebhu

Uvavanyo lwe-urinalysis alunakuqinisekisa umhlaza wezintso, kodwa lunokunceda ukuveza impilo yezintso zakho. Ngamanye amaxesha, uvavanyo lokuchama lubonisa ukuba umhlaza usasazekile kwamanye amalungu omzimba.

Olunye uvavanyo lweelebhu oluluncedo lubalo olupheleleyo lwegazi, olubandakanya ukubalwa kwamanqanaba eeseli ezibomvu namhlophe zegazi. Amanqanaba angaqhelekanga abonisa umngcipheko womhlaza.

Ukucinga

Oogqirha basebenzisa iimvavanyo zokucinga ngemifanekiso ukufumana indawo kunye nobungakanani bethumba. Uvavanyo lunceda ogqirha ukubona ukuba umhlaza usasazekile. Ukuvavanywa kwe-CT kunye nokuhlolwa kwe-MRI kuluncedo ngakumbi ekuncedeni oogqirha bafumane isifo somhlaza wezintso.

I-X-ray yesifuba kunye nokuvavanywa kwethambo kunokumisela ukuba umhlaza usasazekile na kwamanye amalungu omzimba wakho. Ukulinganisa kukwisixhobo esiluncedo ukubona ukuba unyango oluthile luyasebenza.

Amanqanaba omhlaza wezintso

Ukufumanisa unyango olufanelekileyo, i-renal cell carcinoma ihlelwa njengenye yezigaba ezine:

• Amanqanaba 1 no-2: Umhlaza ukho kuphela kwizintso zakho.
• Inqanaba 3: Umhlaza usasazeke kwi-lymph node kufutshane nezintso zakho, isitya segazi sezintso eziphambili, okanye izicwili ezinamanqatha kwizintso zakho.

• Ukunyanga i-metastatic renal cell carcinoma

  Izinketho zonyango lwe-metastatic renal cell carcinoma zingabandakanya ukuhlinzwa, i-immunotherapy, okanye i-chemotherapy.

  Ugqirha

  Utyando lomhlaza wezintso uhlala ugcinelwe inqanaba loku-1 okanye lesi-2. Inqanaba lesithathu lomhlaza linokuhlinzwa, kodwa indlela umhlaza osasaze ngayo uya kugqiba ukuba ngaba kunokwenzeka ukuba uqhaqho.

  Utyando lokususa ukukhula komhlaza kwinqanaba lesine lomhlaza lunokwenziwa. Oku kuhlala kubandakanya unyango lweziyobisi, kananjalo. Kwezinye izigulana, kwenziwa utyando olunye ukususa ithumba kwizintso zabo kunye nezicubu zemastasized ezivela kwezinye iindawo emzimbeni wabo.

  
  

  I-Immunotherapy kunye ne-chemotherapy

  Ukongeza kotyando, ezinye iindlela zonyango ezimbini ziyafumaneka: i-immunotherapy kunye ne-chemotherapy.

  Kwi-immunotherapy, iziyobisi zinikwa ukonyusa amajoni akho omzimba ukulwa umhlaza.

  I-Chemotherapy ibandakanya ukusetyenziswa kwepilisi okanye inaliti ukubulala iiseli zomhlaza. Kodwa ithwala iziphumo ebezingalindelekanga kwaye ihlala ifuna unyango olongezelelekileyo njengotyando.

  Uthintelo

  I-Renal cell carcinoma ihlala ihlasela abantu abadala. Indlela yokuphila esempilweni inokuwonyusa amathuba omntu omncinci okuphepha esi sifo kamva.

  Ukutshaya ngokulula yeyona nto iphambili yomngcipheko we-renal cell carcinoma. Ukuba awusoze uqale ukutshaya, okanye uyeke kungekudala, unethuba elingcono lokuphepha i-renal cell carcinoma.

  Lawula uxinzelelo lwegazi kwaye ulawule ubunzima bakho xa kukho imfuneko yokunceda ukugcina impilo yezintso.

  Imbonakalo

  Iminyaka emihlanu yokuphila kwe-renal cell carcinoma iyahluka kakhulu kuxhomekeke kweliphi inqanaba ofunyaniswa unalo. Ngokwe-American Cancer Society, iminyaka emihlanu yokuphila komhlaza wezintso zilandelayo:

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

  Amanqanaba okusinda ziinkcukacha manani ezisuka kubantu abaguliweyo kwaye abanakho ukuqikelela ityala lakho.