Zomwe Muyenera Kuchita Ngati Chithandizo Chanu cha Metastatic RCC Sichigwira Ntchito

Zamkati

• Njira zothandizira
• Opaleshoni
• Chithandizo chofuna
• Chitetezo chamatenda
• Thandizo la radiation
• Mayesero azachipatala
• Mankhwala othandizira
• Lankhulani ndi dokotala wanu
• Tengera kwina

Chidule

Metastatic renal cell carcinoma (RCC) ndi mtundu wa khansa ya impso yomwe yafalikira kupitirira impso mbali zina za thupi lanu. Ngati mukuchiritsidwa ndi RCC ya metastatic ndipo simukumva kuti ikugwira ntchito, itha kukhala nthawi yolankhula ndi dokotala za mankhwala ena.

Pali mitundu ingapo yamankhwala yopezeka kwa anthu omwe ali ndi metastatic RCC. Izi zikuphatikiza kulembetsa mayeso azachipatala kapena kuyesa chithandizo chothandizira. Dziwani zambiri pazomwe mungasankhe, komanso maupangiri oyambira kukambirana ndi dokotala.

Njira zothandizira

Mankhwala omwe akukuyenerani amadalira gawo la khansa yanu, mitundu ya mankhwala omwe mudayesapo m'mbuyomu, komanso mbiri yanu yazachipatala, mwazinthu zina.

Lankhulani ndi dokotala wanu za njira izi zomwe simunayeserepo.

Opaleshoni

Anthu omwe ali ndi metastatic RCC atha kupindula ndi ma cytoreductive opaleshoni. Iyi ndi njira yomwe imakhudzanso khansa yoyamba mu impso. Imachotsanso khansa ina kapena yonse yomwe yafalikira mbali zina za thupi.

Kuchita opaleshoni kumatha kuchotsa khansa ndikuchepetsa zina mwazizindikiro zanu. Zitha kupanganso kupulumuka, makamaka ngati mukuchitidwa opaleshoni musanayambe chithandizo chamankhwala. Komabe, pali zifukwa zoopsa zomwe muyenera kuziganizira musanasankhe njira iyi. Lankhulani ndi dokotala wanu kuti mumve zambiri.

Chithandizo chofuna

Chithandizo chofunikira chimalimbikitsidwa kwa anthu omwe RCC ikufalikira mwachangu kapena imayambitsa matenda akulu. Mankhwala othandizira omwe amagwira ntchito amagwirira ntchito polimbana ndi mamolekyulu ena m'maselo anu ndikuchepetsa kukula kwa zotupa.

Pali mankhwala osiyanasiyana omwe amapezeka. Zitsanzo zochepa ndi izi:

• Chinyama (Nexavar)
• sunitinib (Sutent)
• everolimus (Wothandizira)
• pazopanib (Wotchuka)

Mankhwala othandizira omwe amagwiritsidwa ntchito amagwiritsidwa ntchito kamodzi. Komabe, akuyesera njira zochiritsira zatsopano komanso kuphatikiza mankhwala. Chifukwa chake, ngati mankhwala omwe mukugwiritsa ntchito pano sakugwira ntchito, mutha kuyesa mankhwala ena kapena kuphatikiza ndi mankhwala ena pansi pa banja la chemotherapies.

Chitetezo chamatenda

Immunotherapy imagwira ntchito kukulitsa chitetezo cha mthupi kapena kuthandizira chitetezo chanu cha mthupi kuthana ndi khansa. Imachita izi pogwiritsa ntchito zinthu zachilengedwe komanso zopangira kuti ziukire ndikuchepetsa kukula kwa maselo a khansa.

Pali mitundu iwiri ikuluikulu ya chithandizo cha immunotherapy cha RCC: cytokines ndi checkpoint inhibitors.

Ma cytokines awonetsedwa kuti ndi othandiza pagulu laling'ono la odwala, komanso amakhala ndi chiopsezo chazovuta. Zotsatira zake, ma checkpoint inhibitors amagwiritsidwa ntchito masiku ano, monga mankhwala a nivolumab (Opdivo) ndi ipilimumab (Yervoy).

Thandizo la radiation

Thandizo la radiation limagwiritsa ntchito cheza champhamvu kwambiri kuwononga ma cell a khansa, kufinya zotupa, ndikuwongolera zizindikilo zapamwamba za RCC. Khansa ya impso siimakonda kwenikweni ma radiation. Chifukwa chake, chithandizo chama radiation nthawi zambiri chimagwiritsidwa ntchito ngati njira yochepetsera kuthandiza kuchepetsa zizindikilo monga kupweteka ndi magazi.

Mayesero azachipatala

Ngati mwayesa njira imodzi kapena zingapo zamankhwala pamwambapa popanda kuchita bwino, mungafune kulingalira zokatenga nawo mbali pazoyeserera zamankhwala. Mayesero azachipatala amakupatsani mwayi wopeza zoyeserera zoyeserera. Izi zikutanthauza kuti sanalandiridwebe ndi FDA.

Mabungwe monga a ndi American Cancer Society nthawi zambiri amapereka mindandanda yamayesero azachipatala patsamba lawo. Database ya clinicaltrials.gov ndiodalirika kuti ipeze mndandanda wamaphunziro azachinsinsi omwe amathandizidwa ndi anthu padziko lonse lapansi. Dokotala wanu angakulimbikitseninso mayesero aliwonse oyenera azachipatala omwe angakhale akupezeka mdera lanu.

Mankhwala othandizira

Njira zochiritsira zowonjezerapo ndi mitundu ingapo yamankhwala omwe mungagwiritse ntchito limodzi ndi chithandizo chanu chapano cha khansa. Izi nthawi zambiri zimakhala zopangidwa komanso machitidwe omwe samawonedwa ngati gawo la mankhwala wamba. Koma zitha kukhala zothandiza pothana ndi zizindikilo zanu ndikukhalitsa moyo wabwino.

Mitundu ina yamankhwala othandizira yomwe mungapeze kuti ndi yopindulitsa ndi monga:

• mankhwala kutikita
• kutema mphini
• mankhwala azitsamba
• yoga

Ndikofunika kuti mufunsane ndi dokotala musanayambe njira zochiritsira zatsopano. Ndizotheka kuti atha kubweretsa zovuta zina kapena osagwirizana ndi mankhwala ena omwe mukumwa.

Lankhulani ndi dokotala wanu

Dokotala wanu akufuna kukupatsani chithandizo chabwino kwambiri. Chifukwa chake, ngati simukuganiza kuti chithandizo chanu cha RCC chikugwira ntchito, lembani nkhawa iyi mwachangu. Musaope kufunsa mafunso ambiri, ndipo onetsetsani kuti dokotala wanu akufotokozereni chilichonse chomwe mwasokonezeka kapena simukudziwa.

Mafunso omwe angayambitse zokambiranazi ndi awa:

• Chifukwa chiyani chithandizo changa chamakono sichikugwira ntchito?
• Kodi njira zina zanga zochiritsira ndi ziti?
• Ndi zoopsa ziti zomwe zimakhudzana ndi njira zina zamankhwala?
• Kodi ndi njira ziti zochiritsira zomwe mungalimbikitse?
• Kodi pali zovuta zamankhwala zomwe zikupezeka m'dera langa?

Tengera kwina

Kumbukirani kuti ngati mankhwala anu amtundu wa RCC atasiya kugwira ntchito, sizitanthauza kuti mulibe zosankha. Gwirani ntchito ndi dokotala kuti mupeze njira zabwino zopitira patsogolo, ndipo musataye chiyembekezo.