Renal cell carcinoma kubva mumungozi zvinhu zvinodzivirira
Renal cell carcinoma ndiyo yakanyanya kufanana nemararamiro epfungwa, kuverenga kusvika kusvika 90% emhosva dzechirwere chacho. Mu renal cell carcinoma, masero anonyangadza anotenda kuti anomuka kubva mumatope epiyo.
Basa guru rehvo nderokusausa tsvina kubva muropa redu. Inenge madhiyoni makumi mashanu eropa inopinda maitsvo dzedu zuva rimwe nerimwe. Vanoshandisawo zvikamu zviviri zvemadzimiti emvura yakawedzerwa.
Matongo anonatswa, uye mvura yakawedzerwa, inoshanduka kuva urini. Muti wacho unofamba uchidzika pasi, unonzi ureters uye unochengetwa muchokuta kusvikira uchida (urination).
Zvinokonzera uye Zviitiko Zvengozi
Hatisati taziva kuti chii chinokonzera renal cell carcinoma, asi vatsvakurudzi vakaona huwandu hunozivikanwa hwezviitiko zvechirwere. Chinhu chinokonzera njodzi chimwe chinhu chinowedzera mukana wekuti iwe ungava nekenza. Zvinokonzera njodzi yemukenza wepfungwa zvinosanganisira:
- Kuva murume
- Kuva pamusoro pe50
- Kuva pane dialysis
- Von Hippel-Lindau chirwere pamwe chete nedzimwe zvirwere zvegeneti uye zvigadziriswa
- Kusvuta (kanonzi renal cell neyemapapu zvinongova zviviri zvevanhu vakawanda vanokonzerwa nekusvuta )
- Kuva nemhuri yehutano hwekenza yempfungwa kana kenza yemukaka
- Kushandiswa kwenguva refu kwehuwandu hwe-----pain kurwadziwa kunoderedza zvakadai sa aspirin uye Tylenol (acetaminophen)
Zviratidzo
Zvinosuruvarisa kuti, zviratidzo zveReal cell cell carcinoma hazviwanzoonekwa kusvikira chirwere chichifambira mberi.
Ichokwadi, inowanzoonekwa "pangozi" apo imwe chiratidzo kana mamiriro ari kuongororwa.
Symptoms of renal cell carcinoma (kana iripo) inosanganisira:
- Ropa mumuguta , kana kuonekwa mushure mekunge uchizora kana microscopically
- Pamuviri mashoma
- Marwadzo akanzwa kune rumwe rutivi (rwonzi) kana kuti kuderera shure
- Unintentional kurasikirwa kwekurema
- Kuneta
Kuziva
Nhamba yakawanda kana kuti kuwanikwa kwehukuru pane x-ray yakaitwa nokuda kwechimwe chikonzero kazhinji chinotungamirira chiremba kunyungira kenza yempfungwa. Nhanho yekutanga mukutsvaga realal cell carcinoma iri kuburikidza nekuedza kwakasiyana-siyana kwekufungidzira uye kuongorora ropa. Ultrasound , CT scan , MRI , uye intravenous pyelogram (IVP) inzira dzose dzekufungidzira dzinogona kushandiswa kubatsira kubatsira chirwere chepenza mutsvo.
Pakupedzisira, iyo inonzi biopsy yemutsvo iyo ichasimbisa kuvepo kana kusavapo kwekenza uye rudzi rweiyo. Iropi biopsy inogona kuitwa kuburikidza nehutano hwesingano aspiration biopsy technique.
Kana kenza inowanikwa, kuongororwa kwakawanda kungada kuitwa kuti uone kana chirwere chepfungwa chepfungwa chakapararira kune zviduku zvakaswedera nhengo. Izvi zvinonzi kudongedza.
Mishonga
Kurapa kwe renal cell carcinoma kazhinji kunosanganisira kusanganiswa kwerapi.
Kuvhiya kubvisa zvose zvepfungwa yepimpure ndiyo inowanzogadziriswa renal cell carcinoma. Vanhu vane danho rekutanga renal cell carcinoma ndivo vanonyanya kutsvaga kurapwa.
Kumhanyirira kumboove ndiyo nzira yekurapa chirwere ichi umo mabhakitiriya anopa chirwere akavharwa (akaiswa mukati).
Kurapa kwechirwere kunogona kushandiswa kurapa musha wepenyo asi hawanzobudirira zvikuru kana uchienzaniswa nemashandisirwo ayo nemamwe makondombera.
Mishonga yemishonga yakawanda inowanzoshandiswa pamusana pokuti - kubvisa kusagadzikana kunokonzerwa nekenza, asi kwete nechinangwa chokurapa kenza.
Chemotherapy haina kunyanya kushandiswa mukurapa renal cell carcinoma. Iyo inogona kushandiswa pamwe chete ne immunotherapy kana kana immunotherapy isingabatsiri.
Immunotherapy, iyo inonziwo biologic therapy inoshandiswa kurapwa kwemhando dzakawanda dzekenza yempfungwa. Immunotherapy mishonga inoshanda nekusimudzira masimba ezvirwere kuti abatsire kurwisa kenza. Pari zvino, zvose checkpoint inhibitors uye cytokines zviri kushandiswa zve renal cell kanzira.
Mishonga yakawanda yakarongwa nemishonga yakagamuchirwa kuti ishandiswe mune vamwe vanhu vane kenza yempfungwa.
Mhando idzi dzemishonga dzinodzivirira uye dzinodzivirira kukura kana kupararira kwekenza masero. Vanoita izvi nekurwisa masero zvakananga kana kudzivirira kukura kwemitsipa yeropa inopa mishonga kudya kuti ikure. Zvimwe zvinotorwa nemishonga inorapwa inoshandiswa renal cell cancers inosanganisira:
- Sutent (sunitinib)
- Nexavar (sorafenib)
- Vavengi (pazopanib)
- Inlyta (axitinib)
Zvirwere zvemakiriniki zviri kuenderera mberi izvo zvino zviri kudzidza mishonga mishonga mitsva yekenza yempfungwa. Taura nachiremba wako pamusoro pechinhu ichi.
Zvimwe Zvikosha Zvinokosha Mukurapwa
Hakusi kungosvuta fodya chinokonzerwa ne renal cell carcinoma asi kuramba uchisvuta kunogona kuita kuti kurapwa kusanyanya kushanda. Tarisa izvi zvikonzero gumi zvekurega kusvuta kunyange mushure mekunge uongororwa nekenza .
Kudzivirira
Kunyange zvazvo pasina maitiro ekudzivirira chirwere chepfungwa yepfungwa, pane matanho atinogona kutora kuderedza ngozi yedu yekenza yempfungwa.
Rega Kusvuta kana Usatanga. Kusvuta inopisa ngozi ye renal cell carcinoma. Kana uchangobva kurega (hazvina kunonoka!), Muviri wako unokohwa zvakanakira kuva fodya pasina.
Ziva Zvauri Kuzviratidzwa KuMabasa. Kana iwe ukaputirwa nemafuta, guruva, uye makemikisi munzvimbo yebasa, une kodzero yekuziva zvauri kuonekwa. Gasoline, kupera dizizi, arsenic, beryllium, vinyl chloride, nickel chromates, mazai emarasha, gasadhi yemasitadhi uye chloromethyl ethers zvose zvinokonzera mishonga uye zvinowanikwa mune dzimwe nzvimbo dzebasa. Dzidza zvakawanda pamusoro pebasa rinokonzera kenza uye kuti unozvidzivirira sei.
Idya Zvokudya Zvakanaka . Kudya kudya kwakanyatsonaka kunobatsira kune zvikonzero zvizhinji. Zvokudya zvinowanikwa muzvibereko nemiriwo, asi zvakaderera mumafuta emhuka uye munyu zvinobatsira kudzivirira kuneta, chiitiko chinokonzera renal cell carcinoma.
Sources:
National Cancer Institute. Renal Cell Cancer Treatment - Health Professional Version (PDQ). Updated 02/04/16.