Unokwenza ntoni ukuba unyango lwakho lweMetastatic RCC luyeka ukusebenza

Umxholo

• Izinketho zonyango
• Ugqirha
• Unyango ekujoliswe kulo
• Unyango lwe-Immunotherapy
• Unyango ngemitha
• Uvavanyo lwezonyango
• Unyango olongezelelekileyo
• Thetha nogqirha wakho
• Yise kude

Ushwankathelo

I-Metastatic renal cell carcinoma (RCC) luhlobo lomhlaza wezintso osasazeke ngaphaya kwezintso kwamanye amalungu omzimba wakho. Ukuba wenza unyango lwe-RCC ye-metastatic kwaye ungaziva ngathi iyasebenza, isenokuba lixesha lokuthetha nogqirha wakho ngezinye iindlela zonyango.

Kukho iintlobo ezahlukeneyo zonyango ezikhoyo kubantu abaphila ne-RCC ye-metastatic. Oku kubandakanya ukubhalisa kuvavanyo lweklinikhi okanye ukuzama unyango olongezelelweyo. Funda ngakumbi malunga nokhetho lwakho, kunye neengcebiso zokuqala le ncoko nogqirha wakho.

Izinketho zonyango

Unyango olulungele wena luxhomekeke kwinqanaba lomhlaza wakho, iintlobo zonyango ozizamile ngaphambili, kunye nembali yakho yezonyango, phakathi kwezinye izinto.

Thetha nogqirha wakho malunga naluphi na ukhetho olulandelayo ongakhange uzame.

Ugqirha

Abantu abane-RCC ye-metastatic banokuxhamla kutyando olwenziwe ngoxinzelelo. Le yinkqubo ebandakanya ukususa umhlaza wokuqala kwizintso. Isusa omnye okanye wonke umhlaza osele udlulele kwamanye amalungu omzimba.

Utyando lunokususa umhlaza kunye nokunciphisa ezinye zeempawu zakho. Inokuphucula ukusinda, ngakumbi ukuba uyenziwa utyando ngaphambi kokuba uqale unyango ekujolise kulo. Nangona kunjalo, kukho izinto ezinobungozi ekufuneka uziqwalasele ngaphambi kokukhetha le ndlela yonyango. Thetha nogqirha wakho ngolwazi oluthe kratya.

Unyango ekujoliswe kulo

Unyango ekujoliswe kulo luyacetyiswa kubantu abane-RCC esasazeka ngokukhawuleza okanye ebangela iimpawu ezinzima. Ukunyanga okujolise kunyango kusebenza ngokuhlasela iimolekyuli ezithile ngaphakathi kweeseli zakho kunye nokucothisa ukukhula kwamathumba.

Zininzi iindlela zonyango ezichongiweyo ezikhoyo. Imizekelo embalwa ibandakanya:

• sorafenib (Nexavar)
• sunitinib (Sutent)
• ngonaphakade (Ummeli)
• ipazopanib (Votrient)

Amachiza ojoliso kunyango aqhelekileyo asetyenziswa kube kanye ngexesha. Nangona kunjalo, bazama unyango olutsha ekujoliswe kulo kunye nonyango oludibeneyo. Ke, ukuba ichiza olithathayo ngoku alisebenzi, unganakho ukuzama elinye ichiza okanye udibane nelinye ichiza phantsi kolu sapho lweemichiza.

Unyango lwe-Immunotherapy

I-Immunotherapy isebenza ukonyusa amajoni omzimba okanye ukunceda amajoni akho omzimba ahlasele ngqo umhlaza. Ukwenza oku ngokusebenzisa izinto zendalo kunye nezinto ezingezizo ukuhlasela kunye nokunciphisa ukukhula kweeseli zomhlaza.

Zimbini iintlobo eziphambili zonyango lwe-immunotherapy ye-RCC: ii-cytokines kunye ne-checkpoint inhibitors.

IiCytokines zibonisiwe ukuba ziyasebenza kwipesenti encinci yezigulana, kodwa zikwanomngcipheko weziphumo ebezingalindelekanga ezibi. Ngenxa yoko, ii-inhibitors zokutshekisha zisetyenziswa ngakumbi namhlanje, njengeziyobisi i-nivolumab (Opdivo) kunye ne-ipilimumab (Yervoy).

Unyango ngemitha

Unyango lwe-radiation lusebenzisa imitha yamandla aphakamileyo ukutshabalalisa iiseli zomhlaza, ukuncipha kwamathumba, kunye nolawulo lweempawu eziphambili ze-RCC. Iintsholongwane zezintso aziqhelekanga kwiimitha. Ke, unyango lwemitha luhlala lusetyenziswa njengenyathelo lokuthomalalisa ukunceda ukunciphisa iimpawu ezinjengeentlungu kunye nokopha.

Uvavanyo lwezonyango

Ukuba uzame enye okanye ngaphezulu kwezi ndlela zonyango zingentla ngempumelelo, ungafuna ukuqaphela ukuthatha inxaxheba kuvavanyo lweklinikhi. Uvavanyo lwezonyango lukubonelela ngokufikelela kunyango lovavanyo. Oku kuthetha ukuba abakavunywa yi-FDA.

Imibutho efana ne-American Cancer Society ihlala ibonelela ngoluhlu lwezilingo zeklinikhi kwiiwebhusayithi zazo. Idathabheyisi ye-clinictrials.gov ikwangumthombo othenjiweyo woluhlu lwazo zonke izifundo zangasese nezixhaswa ngurhulumente eziqhutywa kwihlabathi liphela. Ugqirha wakho unokucebisa naluphi na uvavanyo lwezonyango olunokubakho kwindawo yakho.

Unyango olongezelelekileyo

Unyango olongezelelekileyo ziindlela ezongezelelweyo zonyango onokuzisebenzisa kunye nonyango lwakho lwangoku lomhlaza. Oku kuhlala kuyimveliso kunye nezenzo ezingathathelwa ingqalelo njengenxalenye yeyeza eliqhelekileyo. Kodwa kunokuba luncedo ekunciphiseni iimpawu zakho kunye nokuphucula umgangatho wobomi.

Ezinye iindlela zonyango olongezelelekileyo onokuzifumana ziluncedo zibandakanya:

• unyango lokuthambisa
• ukutshiza
• izongezo zemifuno
• iyoga

Kubalulekile ukukhangela ugqirha ngaphambi kokuba uqalise naluphi na unyango olongezelelweyo. Kungenzeka ukuba banokubangela iziphumo ebezingalindelekanga okanye banxibelelane ngokungalunganga namanye amayeza owathathayo.

Thetha nogqirha wakho

Ugqirha wakho ufuna ukukunika olona nyango lubalaseleyo. Ke, ukuba awucingi ukuba unyango lwakho lwangoku lwe-RCC luyasebenza, phakamisa le nkxalabo ngokukhawuleza. Musa ukoyika ukubuza imibuzo emininzi, kwaye uqiniseke ukuba ugqirha wakho ucacisa nantoni na odidekileyo okanye ongaqinisekanga ngayo.

Imibuzo enokuqalisa incoko ibandakanya:

• Kutheni le nto unyango lwam ngoku lungasebenzi?
• Zeziphi ezinye iindlela zam zonyango?
• Zithini iingozi ezinxulunyaniswa nolunye unyango?
• Luluphi unyango olongezelelekileyo olucebisayo?
• Ngaba zikhona iimvavanyo zonyango ezikhoyo kwindawo yam?

Yise kude

Khumbula ukuba ukuba unyango lwakho lwangoku lwe-RCC luyeka ukusebenza, oko akuthethi ukuba ungaphandle kokukhetha. Sebenza nogqirha wakho ukufumana amanyathelo angcono onokuwathatha ukuya phambili, kwaye ungalahli ithemba.