Zomwe Muyenera Kudziwa Zokhudza Kuyesedwa kwa Metastatic Renal Cell Carcinoma

Zamkati

• Mayeso a labu
• Kuyesa mayeso
• Chisokonezo
• Kuyika RCC

Ngati mukukumana ndi zizindikiro monga magazi mumkodzo wanu, kupweteka kwa msana, kuchepa thupi, kapena chotupa kumbali yanu, onani dokotala wanu.

Izi zikhoza kukhala zizindikiro za aimpso cell carcinoma, yomwe ndi khansa ya impso. Dokotala wanu amayesa mayeso kuti adziwe ngati muli ndi khansara ndipo, ngati ndi choncho, ngati yafalikira.

Poyamba, dokotala wanu adzafunsa mafunso okhudza mbiri yanu yazachipatala. Mwinanso mungafunsidwe za mbiri ya zamankhwala ya banja lanu kuti muwone ngati muli ndi zoopsa zilizonse za renal cell carcinoma.

Dokotala wanu akufunsani za zizindikilo zanu komanso nthawi yomwe adayamba. Ndipo, mutha kuyezetsa thupi kuti dokotala wanu athe kuyang'ana zotupa zilizonse kapena zizindikilo zina za khansa.

Ngati dokotala akukayikira RCC, mudzayesedwa kamodzi kapena zingapo:

Mayeso a labu

Mayeso amwazi ndi mkodzo samazindikira motsimikiza khansa. Amatha kupeza mayankho oti mwina mungakhale ndi renal cell carcinoma kapena kudziwa ngati vuto lina, monga matenda amkodzo, likuyambitsa zizindikilo zanu.

Mayeso a labu a RCC ndi awa:

• Kupenda kwamadzi. Chitsanzo cha mkodzo wanu chimatumizidwa ku labu kuti chifufuze zinthu monga mapuloteni, maselo ofiira, ndi maselo oyera amwazi omwe amatha kuwonekera mumkodzo wa anthu omwe ali ndi khansa. Mwachitsanzo, magazi mumkodzo amatha kukhala chizindikiro cha khansa ya impso.
• Kuwerengera kwathunthu kwa magazi (CBC). Mayesowa amawunika kuchuluka kwa maselo ofiira amwazi, maselo oyera amwazi, ndi ma platelet m'magazi anu. Anthu omwe ali ndi khansa ya impso atha kukhala ndi maselo ofiira ochepa, omwe amatchedwa kuchepa magazi.
• Kuyesedwa kwa magazi. Mayesowa amawunika kuchuluka kwa michere ya calcium ndi chiwindi m'magazi, yomwe khansa ya impso imatha kukhudza.

Kuyesa mayeso

Ultrasound, CT scan, ndi zina zoyesa kujambula zimapanga zithunzi za impso zanu kuti dokotala wanu athe kuwona ngati muli ndi khansa komanso ngati yafalikira. Kuyerekeza mayeso omwe madokotala amagwiritsa ntchito kuti apeze renal cell carcinoma ndi awa:

• Kuwerengera kwa tomography (CT). CT scan imagwiritsa ntchito ma X-ray kuti apange chithunzi cha impso zanu mosiyanasiyana. Ndi imodzi mwazoyeserera zothandiza kwambiri kuti mupeze renal cell carcinoma. Kujambula kwa CT kumatha kuwonetsa kukula ndi mawonekedwe a chotupa komanso ngati chafalikira kuchokera ku impso kupita ku ma lymph node kapena ziwalo zina zapafupi. Mutha kupeza utoto wosiyanitsidwa ndi jekeseni mu CT scan. Utoto umathandiza impso zanu kuwonekera bwino pa scan.
• Kujambula kwa maginito (MRI). Kuyesaku kumagwiritsa ntchito mafunde amphamvu amagetsi kuti apange zithunzi za impso zanu. Ngakhale sizabwino kupeza khansa yaposachedwa ngati CT scan, dokotala wanu angakupatseni mayeso ngati simungalolere utoto wosiyanitsa. MRI itha kuwunikiranso mitsempha yamagazi bwino kuposa CT scan, chifukwa chake zingakhale zothandiza ngati dokotala akuganiza kuti khansara yakula kukhala mitsempha yamagazi m'mimba mwanu.
• Ultrasound. Kuyesaku kumagwiritsa ntchito mafunde akumveka kuti apange zithunzi za impso. Ultrasound imatha kudziwa ngati kukula kwa impso zanu kuli kolimba kapena kodzaza ndimadzimadzi. Zotupa ndizolimba.
• Mitsempha yotchedwa pyelogram (IVP). IVP imagwiritsa ntchito utoto wapadera womwe umalowetsedwa mumtsempha. Utoto ukudutsa mu impso, ureters, ndi chikhodzodzo, makina apadera amatenga zithunzi za ziwalozi kuti aone ngati pali zotupa mkati.

Chisokonezo

Kuyesaku kumachotsa mtundu wa minofu kuchokera ku khansa yomwe ingachitike ndi singano. Chidacho chimatumizidwa ku labu ndikuyesedwa kuti chipeze ngati chili ndi khansa.

Ma biopsies samachitidwa pafupipafupi ndi khansa ya impso monga amachitira mitundu ina ya khansa chifukwa matendawa amatsimikiziridwa nthawi zambiri opaleshoni ikachitika kuti ichotse chotupacho.

Kuyika RCC

Dokotala wanu akakupezani kuti muli ndi RCC, gawo lotsatira ndikupatseni gawo. Magawo akufotokozera momwe khansara yapita patsogolo. Sitejiyi idakhazikitsidwa ndi:

• kukula kwa chotupacho
• zaukali bwanji
• kaya zafalikira
• komwe ma lymph node ndi ziwalo zafalikira

Mayeso omwewo omwe amagwiritsidwa ntchito pozindikira kuti khansa ya minyewa yam'thupi imayikanso, kuphatikiza CT scan ndi MRI. Kujambula X-ray pachifuwa kapena kuyesa fupa kumatha kudziwa ngati khansara yafalikira m'mapapu kapena mafupa anu.

Khansa ya renal cell carcinoma ili ndi magawo anayi:

• Gawo 1 renal cell carcinoma ndi laling'ono kuposa masentimita 7 (mainchesi atatu), ndipo silinafalikire kunja kwa impso yanu.
• Gawo 2 renal cell carcinoma ndi lalikulu kuposa 7 cm. Zili mu impso zokha, kapena zakula kukhala mtsempha waukulu kapena minofu yozungulira impso.
• Gawo la 3 renal cell carcinoma lafalikira ku ma lymph node pafupi ndi impso, koma silinafikire ma lymph node kapena ziwalo zakutali.
• Gawo la 4 renal cell carcinoma likhoza kufalikira kumatenda akutali ndi / kapena ziwalo zina.

Kudziwa sitejiyi kumatha kuthandiza dokotala kuti adziwe chithandizo chabwino cha khansa yanu. Sitejiyi imaperekanso chitsogozo chokhudza momwe mumaonera, kapena malingaliro anu.