Kuongorora kweTestal Cancer
Kune dzimwe mhando dzekenza iyo kuongorora kunowanzoshandiswa. Izvi zvinosanganisira maitiro akadai sezamu, colon, prostate, uye mapapu. Mumwe angabvunza kana paine kuve nekuongororwa kwekenza yepereticular pane kungomirira munhu kuti aone bundu kana zvimwe zviratidzo. Chikonzero chekuongorora hachisi kutevedzwa kana kukurudzirwa ndeyekudzidzira.
Nechinhu chimwe chete, kanzira dzakawanda dzehutano dzinowanikwa mukutanga kwekutanga kunyange pasina kuongorora. Kune chimwe chinhu, kunyange kana kenza yechipupuriro yapararira, ichiri kunyanya kuporesa. Kuchengetedza kunogona kuitwa nenzira nhatu dzakasiyana-siyana: periodic testicular test (zvichida nechiremba kana kuzviongorora), nguva nenguva kuongororwa kweropa kutsvaga zvimwe zvirwere zvinokonzerwa nekenza uye / kana periodic scrotal ultrasounds. Hapana chimwe chezvizvi chakave chichiratidza kuti chinobatsira pakuderedza kufa (kufa) kubva pamukenza wepayipi 1 , iyo yakatova yakadzika chaizvo sezvairi, pasi pe5% yezviitiko.
Kukudziridza Kutongwa
Kuongororwa kwekenza yepenticular kunoitwa nenzira yakatsauka. Chokutanga pane zvose, panofanira kuva nekusahadzika kwekenza yemukenza. Izvi zvinonyanya kuitika apo mumwe munhu anocherechedza bundu risina kurwadza pane imwe ye testis (imwe yevheti, inonyanya kufanana nesheti) kana kuputika kwekudzivirira.
Zvimwe zviratidzo uye zviratidzo zvinogonawo kuvapo.
Clinical Assessment
Chipatori kuongororwa nechiremba ane ruzivo, anokwanisa (chiremba, mubatsiri wechiremba kana mukoti mushandi) ndiro danho rinotevera mukuongorora. A test testicular ichaitwa ne palpating (kunzwa) buri testis pakati pechigunwe uye zvinopesana nhamba.
Kuchengetedza kunotorwa kuti uone kana bundu kana kuvhara kunokonzerwa nechinokonzera chinokonzerwa neyero hydrocele kana varicocele, pakati pezvimwe zvinhu. Kana kushungurudzika kwakakosha, ultrasound ndiro danho rinotevera pakuongorora.
Ultrasound
Ultrasound ye-scrotum ndiyo yegoridhe yepamusoro yekugadzirisa zvinokonzerwa nekenza yepenticular mushure mekuongorora kliniki. Ultrasound zvishandiswa zvinoshandiswa nepamusoro-frequency sound waves izvo zvino zvakagamuchirwa uye zvichishandurwa kuti zvigadzire mifananidzo yezvinyorwa zvemaatomic. Izvozvo hazvina kuzivikanwa zvinokonzerwa nezvinokonzerwa ne-scrotal ultrasound uye hapana magetsi anoshandiswa. Kana uwandu huchiratidzwa pa testis inoshushikana nekenza yepenticular, chirwere chinotevera danho.
Surgery
Radical orchiectomy inobviswa pakusunungurwa kwe testis neyekufungidzirwa nekenza. Inowanzoitwa neurologist anokwanisa. Nyoyo biopsy haisi inowanzoitwa kare kare nokuti uchapupu hunoratidza kuti izvi zvinogona kukanganisa lymphatic drainage uye zvinokonzera kenza kupararira mumhando dzakasiyana. Mushure mekuvhiyiwa, matese ose akabviswa, anotumirwa kuhutano kuti uongororwe uye kuongororwa.
Pathologic Kuongorora
Imwe nyanzvi chiremba chaiye akadzidziswa mukuongorora maitiro ezvirwere zvechirwere, kusanganisira chirwere.
Mhuka / masero anoongororwa pasi pe microscope ine tsvina. Apa ndipo apo kuongororwa kwekenza yepenticular inogadzirwa nemaitiro uye mamwe etiologies akatongwa kunze. Iyo chaiyo inopupurirwa chekenza subtype inowanikwa panguva ino nenguva. Izvi zvinowanzotora mazuva matatu zvichienderana nesangano.
Kuongorora Kupararira kweKenza
Pamberi pekuvhiyiwa chero kupi zvako kwekenza, zvakakosha kupedzisa kushambadzira kuburikidza nekuongororwa kwekufungidzira uye kuongororwa kweropa kwekemikari mbiri, kukwana kweropa, uye tumor mark markers . A CT scan inoitwa mudumbu nemapuranga kuti zviongorore zvakananga kana kenza iri mumakirini.
Kufungidzira kunowanzoitwawo mubhokisi. Izvi zvinogona kungova yer-ray kana kuti inogona kuva CT scan, kunyanya kana pane chero zviratidzo zvemapurmoni zvakadai sekukanganiswa kana kupererwa kwemhepo.
Izvi zvinopedzisa chirwere chekuongorora chirwere chepencerular. Zvichienderana nechigarire uye zvimwe zvikonzero, kuwedzera kurapwa kunogona kusanganisira chemotherapy kana kuti rayation .
> Sources:
1. http://www.ncbi.nlm.nih.gov.xlib1.intermountain.net/pubmed?term=21328302