Aimpso cell carcinoma

Renal cell carcinoma ndi mtundu wa khansa ya impso yomwe imayambira pakatikati mwa machubu ang'onoang'ono (ma tubules) mu impso.

Renal cell carcinoma ndi khansa yodziwika bwino kwambiri ya impso mwa akulu. Amachitika kawirikawiri mwa amuna azaka 60 mpaka 70 zakubadwa.

Zomwe zimayambitsa sizikudziwika.

Zotsatirazi zitha kukulitsa chiopsezo cha khansa ya impso:

• Kusuta
• Kunenepa kwambiri
• Chithandizo cha Dialysis
• Mbiri yakubadwa kwa matendawa
• Kuthamanga kwa magazi
• Impso za Horseshoe
• Kugwiritsa ntchito mankhwala ena kwa nthawi yayitali, monga mapiritsi opweteka kapena mapiritsi amadzi (okodzetsa)
• Matenda a impso a Polycystic
• Von Hippel-Lindau matenda (matenda obadwa nawo omwe amakhudza mitsempha yamagazi muubongo, maso, ndi ziwalo zina za thupi)
• Matenda a Birt-Hogg-Dube (matenda omwe amabwera chifukwa cha zotupa za khungu zopweteka komanso zotupa m'mapapu)

Zizindikiro za khansara zitha kuphatikizira izi:

• Kupweteka m'mimba ndi kutupa
• Ululu wammbuyo
• Magazi mkodzo
• Kutupa kwa mitsempha mozungulira testicle (varicocele)
• Kumva kupweteka
• Kuchepetsa thupi
• Malungo
• Kulephera kwa chiwindi
• Mlingo wokwera wa erythrocyte sedimentation (ESR)
• Kukula kwambiri kwa tsitsi mwa akazi
• Khungu lotumbululuka
• Mavuto masomphenya

Wothandizira zaumoyo adzayesa. Izi zitha kuwulula kukula kwa m'mimba kapena kutupa.

Mayeso omwe atha kulamulidwa ndi awa:

• M'mimba mwa CT scan
• Magazi amadzimadzi
• Kuwerengera kwathunthu kwa magazi (CBC)
• Mitsempha yotchedwa pyelogram (IVP)
• Kuyesa kwa chiwindi
• Zojambula zamkati
• Ultrasound pamimba ndi impso
• Kupenda kwamadzi

Mayesero otsatirawa akhoza kuchitidwa kuti awone ngati khansara yafalikira:

• M'mimba mwa MRI
• Chisokonezo
• Kujambula mafupa
• X-ray pachifuwa
• Chifuwa cha CT
• Kujambula PET

Kuchita opaleshoni kuchotsa zonse kapena gawo la impso (nephrectomy) nthawi zambiri kumalimbikitsidwa. Izi zingaphatikizepo kuchotsa chikhodzodzo, minofu yoyandikana nayo, kapena ma lymph node. Chithandizo sichingachitike pokhapokha khansa yonse itachotsedwa ndikuchitidwa opaleshoni. Koma ngakhale khansa itatsalira, palinso phindu pochita opaleshoni.

Chemotherapy nthawi zambiri siyothandiza pochiza khansa ya impso mwa akulu. Mankhwala atsopano a chitetezo cha mthupi angathandize anthu ena. Mankhwala omwe amayang'ana kukula kwa mitsempha yamagazi yomwe imadyetsa chotupacho atha kugwiritsidwa ntchito pochiza khansa ya impso. Wopereka wanu akhoza kukuwuzani zambiri.

Thandizo la radiation limachitika nthawi zambiri khansa ikafalikira kufupa kapena ubongo.

Mutha kuchepetsa kupsinjika kwa matenda polowa nawo gulu lothandizira lomwe mamembala ake amagawana zomwe akumana nazo pamavuto.

Nthawi zina, impso zonse zimakhudzidwa. Khansara imafalikira mosavuta, nthawi zambiri kumapapu ndi ziwalo zina. Pafupifupi gawo limodzi mwa anayi mwa anthu, khansara inali itafalikira kale (metastasized) panthawi yodziwitsa.

Momwe munthu amakhalira ndi khansa ya impso zimadalira kuchuluka kwa khansara komanso momwe mankhwala amagwirira ntchito. Chiwerengero cha opulumuka chimakhala chachikulu kwambiri ngati chotupacho chikuyamba kumene ndipo sichinafalikire kunja kwa impso. Ngati yafalikira kumatenda am'mimba kapena ziwalo zina, chiwerengerochi chimakhala chotsika kwambiri.

Zovuta za khansa ya impso ndizo:

• Kuthamanga kwa magazi (matenda oopsa)
• Kashiamu wambiri m'magazi
• Maselo ofiira ofiira kwambiri
• Mavuto a chiwindi ndi ndulu
• Kufalikira kwa khansa

Itanani omwe akukuthandizani nthawi iliyonse mukawona magazi mkodzo. Komanso itanani ngati muli ndi zizindikiro zina za matendawa.

Lekani kusuta. Tsatirani malingaliro a omwe akukuthandizani pochiza matenda a impso, makamaka omwe angafune dialysis.

Aimpso khansa; Khansa ya impso; Hypernephroma; Adenocarcinoma aimpso maselo; Khansa - impso

• Kuchotsa impso - kutulutsa

• Matenda a impso
• Chotupa cha impso - CT scan
• Impso metastases - CT scan
• Impso - kutuluka magazi ndi mkodzo

Tsamba la National Cancer Institute. Chithandizo cha khansa ya renal cell (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/kidney/hp/kidney-kuchiza-pdq. Idasinthidwa pa Januware 28, 2020. Idapezeka pa Marichi 11, 2020.

Tsamba la National Comprehensive Cancer Network. Malangizo azachipatala a NCCN mu oncology: khansa ya impso. Mtundu wa 2.2020. www.nccn.org/professionals/physician_gls/pdf/kidney.pdf. Idasinthidwa pa Ogasiti 5, 2019. Idapezeka pa Marichi 11, 2020.

Pezani nkhaniyi pa intaneti Weiss RH, Jaimes EA, Hu SL. Khansa ya impso. Mu: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, olemba. Brenner ndi Rector a Impso. 11th ed. Philadelphia, PA: Elsevier; 2020: mutu 41.