Oko Umele Ukwazi Ngokuvavanywa kweMetastatic Renal Cell Carcinoma

Umxholo

• Uvavanyo lweLebhu
• Ukujonga iimvavanyo
• Uqhaqho
• Ukulinganisa i-RCC

Ukuba ufumana iimpawu ezinjengegazi kumchamo wakho, iintlungu ezisezantsi, ukunciphisa umzimba, okanye isigaxa kwicala lakho, jonga ugqirha wakho.

Oku kunokuba yimpawu ye-renal cell carcinoma, engumhlaza wezintso. Ugqirha wakho uza kuqhuba iimvavanyo ukufumanisa ukuba unalo na lo mhlaza kwaye, ukuba kunjalo, nokuba sele usasazekile na.

Ukuqala, ugqirha wakho uya kubuza imibuzo malunga nembali yakho yonyango. Unokuphinda ubuzwe malunga nembali yonyango yosapho lwakho ukubona ukuba ngaba unazo naziphi na izinto ezinobungozi kwi-renal cell carcinoma.

Ugqirha wakho uya kubuza malunga neempawu zakho kunye nokuba baqale nini. Kwaye, unokufumana uvavanyo lomzimba ukuze ugqirha wakho ajonge naziphi na izigaqa okanye ezinye iimpawu ezibonakalayo zomhlaza.

Ukuba ugqirha ukrokrela i-RCC, uya kuba nolunye okanye nangaphezulu kwezi mvavanyo:

Uvavanyo lweLebhu

Uvavanyo lwegazi kunye nomchamo aluchazi ngokuqinisekileyo umhlaza. Banokufumana imikhondo yokuba unokuba ne-renal cell carcinoma okanye unqume ukuba ngaba enye imeko, enjengosulelo lwe-urinary tract, ibangela iimpawu zakho.

Uvavanyo lweLebhu lweRCC lubandakanya:

• Uhlalutyo lomchamo. Isampuli yomchamo wakho ithunyelwa kwilebhu ukukhangela izinto ezinje ngeprotein, iiseli ezibomvu zegazi, kunye neeseli ezimhlophe zegazi ezinokubonisa kumchamo wabantu abanomhlaza. Umzekelo, igazi kumchamo linokuba luphawu lomhlaza kwizintso.
• Gcwalisa ubalo lwegazi (CBC). Olu vavanyo lujonga amanqanaba eeseli ezibomvu zegazi, iiseli ezimhlophe zegazi, kunye neeplatelets egazini lakho. Abantu abanomdlavuza wezintso banokuba neeseli ezibomvu zegazi, ezibizwa ngokuba yi-anemia.
• Uvavanyo lwechemistry. Ezi mvavanyo zijonga amanqanaba ezinto ezinje nge-calcium kunye nee-enzyme zesibindi egazini, ezinokuthi zichaphazele umhlaza wezintso.

Ukujonga iimvavanyo

I-Ultrasound, i-CT scan, kunye nezinye iimvavanyo zokucinga zenza imifanekiso yezintso zakho ukuze ugqirha wakho abone ukuba unomdlavuza na kwaye usasazekile. Ukulinganisa iimvavanyo ezisetyenziswa ngoogqirha ukufumanisa isifo se-renal cell carcinoma kubandakanya:

• Iskena sekhompyuter ye-tomography (CT). Iskena se-CT sisebenzisa ii-X-reyi ukwenza imifanekiso eneenkcukacha zezintso zakho kwiindawo ezahlukileyo. Olunye lolona vavanyo lusebenzayo ekufumaneni i-renal cell carcinoma. Iskena se-CT sinokubonisa ubungakanani kunye nokumila kwethumba kwaye nokuba sele lisasazekile ukusuka kwizintso ukuya kwii-lymph node ezikufutshane okanye kwamanye amalungu. Unokufumana idayi eyahlukileyo ejoyiweyo emthanjeni ngaphambi kokuvavanywa kwe-CT. Idayi inceda izintso zakho zibonise ngokucacileyo kwiskena.
• Imagnetic resonance imaging (MRI). Olu vavanyo lusebenzisa amaza ombane anamandla ukudala imifanekiso yezintso zakho. Nangona kungakulungelanga ukuxilonga umhlaza we-renal cell njenge-CT scan, ugqirha wakho unokukunika olu vavanyo ukuba awukwazi ukunyamezela idayi eyahlukileyo. I-MRI inokuqaqambisa imithambo yegazi ngcono kune-CT scan, ke kunokuba luncedo ukuba ugqirha wakho ucinga ukuba umhlaza ukhule waba yimithambo yegazi esiswini sakho.
• I-Ultrasound. Olu vavanyo lusebenzisa amaza esandi ukwenza imifanekiso yezintso. I-ultrasound inokuxela ukuba ukukhula kwizintso zakho kuqinile okanye kuzaliswe lulwelo. Amathumba aqinile.
• Ipiramidi efakwa ngaphakathi (IVP). I-IVP isebenzisa idayi ekhethekileyo ejojowe emthanjeni. Njengoko idayi ihamba kwizintso zakho, ureters, kunye nesinyi, umatshini okhethekileyo uthatha imifanekiso yala malungu ukubona ukuba akukho zikhula ngaphakathi.

Uqhaqho

Olu vavanyo lususa isampulu yethishu kumhlaza onokubakho ngenaliti. Isiqwenga sezicubu sithunyelwa elebhu kwaye sivavanywe ukufumanisa ukuba ngaba sinomhlaza na.

Ii-Biopsies azenziwa rhoqo kumhlaza wezintso njengoko zisenziwa kwezinye iintlobo zomhlaza kuba ukuxilongwa kuhlala kuqinisekiswa xa kusenziwa utyando ukususa ithumba.

Ukulinganisa i-RCC

Nje ukuba ugqirha afumanise ukuba une-RCC, inyathelo elilandelayo kukunika inqanaba kuyo. Amanqanaba achaza ukuba umhlaza uqhubele phambili kangakanani. Inqanaba lisekwe:

• likhulu kangakanani ithumba
• ukuba ndlongondlongo kangakanani
• nokuba sele isasazekile
• yeyiphi i-lymph nodes kunye namalungu asasazeke kuyo

Ezinye zeemvavanyo ezifanayo ezisetyenziselwa ukufumanisa isifo somhlaza we-renal nazo ziyibeka, kubandakanya i-CT scan kunye neMRI. Isifuba X-reyi okanye ukuskena kwethambo kungachonga ukuba umhlaza usasazekile na kwimiphunga yakho okanye emathanjeni.

Umhlaza we-Renal cell carcinoma unezigaba ezine:

• Inqanaba 1 renal cell carcinoma incinci kuneesentimitha ezisi-7 (ii-intshi ezintathu), kwaye ayisasazekanga ngaphandle kwezintso zakho.
• Inqanaba 2 renal cell carcinoma inkulu kune-7 cm. Kukwintso kuphela, okanye ikhule yaba ngumthambo omkhulu okanye izicwili ezijikeleze izintso.
• Inqanaba 3 renal cell carcinoma isasazeke kwii-lymph node ezikufutshane nezintso, kodwa ayikafikeleli kwiindawo ezikude okanye kwizitho.
• Isigaba 4 se-renal cell carcinoma sinokusasazeka kwii-lymph node ezikude kunye / okanye amanye amalungu.

Ukwazi inqanaba kunokunceda ugqirha wakho amisele olona nyango lufanelekileyo lomhlaza wakho. Inqanaba linokunika isikhokelo malunga nembono yakho, okanye isifo.