Ka maʻi kanesa puʻupaʻa

ʻO ke kinetona pūpū liʻiliʻi kekahi ʻano o ka maʻi ʻaʻai kolo e hoʻomaka i ka uhi ʻana o nā paipu liʻiliʻi (tubules) i ka puʻupaʻa.

ʻO ka maʻi kanesa o ke kīpona ka ʻano maʻamau o ka maʻi ʻaʻai kidney ma nā mākua. Kū pinepine ia i nā kāne 60 a 70 paha makahiki.

ʻAʻole ʻike ʻia ke kumu kūpono.

Hiki i ka mea aʻe ke hoʻonui i kāu makaʻu o ka maʻi ʻaʻai kidney.

• Puhipaka
• Ka momona
• Lāʻau lapaʻau Dialysis
• ʻO ka moʻolelo ʻohana o ka maʻi
• Piʻi koko kiʻekiʻe
• Kahiko holo lio
• Hoʻohana lōʻihi o kekahi mau lāʻau, e like me nā lāʻau ʻeha a i ʻole nā ​​wai wai (diuretics)
• Maʻi maʻi polycystic
• ʻO ka maʻi ʻo Von Hippel-Lindau (kahi maʻi hoʻoilina e pili ana i nā kīʻaha koko i ka lolo, nā maka, a me nā ʻāpana kino ʻē aʻe)
• ʻO Birt-Hogg-Dube Syndrome (kahi maʻi maʻi e pili ana i nā tumors ʻili benign a me nā cysts māmā)

Hiki i nā ʻōuli o kēia maʻi ʻaʻai ke hoʻopili i kekahi o kēia mau mea:

• ʻEha o ka ʻōpū a me ka pehu
• ʻEha kua
• Koko i ka mimi
• ʻO ka pehu ʻana o nā uaua e pili ana i kahi testicle (varicocele)
• ʻEha Flank
• Kaumaha emi
• Fiva
• Hewa ke ake
• ʻO ka helu sedimentation erythrocyte kiʻekiʻe (ESR)
• ʻO ka ulu nui o ka lauoho i nā wahine
• ʻIli pale
• Nā pilikia ʻike

E hana ka mea mālama ola i kahi hoʻokolohua kino. Hōʻike kēia i ka nui a i ʻole ka pehu ʻana o ka ʻōpū.

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Scanner CT ʻōpū
• Ke kemika koko
• Helu piha koko (CBC)
• ʻO ka pyelogram Intravenous (IVP)
• Nā hoʻāʻo hana ate
• ʻOihana arenalography
• Ultrasound o ka ʻōpū a me ka hakuʻala
• Urinalysis

E hana ʻia paha nā hōʻike aʻe e ʻike ai inā ua laha ka maʻi ʻaʻai.

• ʻO MRI ʻōpū
• ʻO Biopsy
• ʻImi iwi
• Pākuʻi x-ray
• Scanner CT pahu
• Scanner PET

ʻO ke kaha e wehe i nā mea āpau a ʻāpana paha o ka puʻupaʻa (nephrectomy) e paipai pinepine ʻia. Pākuʻi paha kēia i ka hemo ʻana i ka bladder, nā aʻa puni, a i ʻole nā ​​lymph node. ʻAʻole hiki i kahi hoʻōla ke ʻole e hemo ʻia nā maʻi ʻaʻai āpau me ke ʻoki kino. Akā ʻoiai e waiho ʻia kekahi maʻi ʻaʻai, aia nō ka pōmaikaʻi mai ke ʻoki.

ʻAʻole maikaʻi ka Chemotherapy no ka mālama ʻana i ka maʻi ʻaʻai ʻōpū i nā mākua. Hiki i nā lāʻau lapaʻau ʻōnaehana hou ke kōkua i kekahi poʻe. ʻO nā lāʻau i kuhi i ka hoʻomohala ʻana o nā kīʻaha koko e hānai i ka tumo i hiki ke hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai ʻōpala. Hiki i kāu mea hāʻawi ke haʻi hou aku iā ʻoe.

Hana pinepine ʻia ka radiation radiation ke pā ka maʻi ʻaʻai i ka iwi a me ka lolo.

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo nāna nā lālā e kaʻana like i nā ʻike a me nā pilikia.

I kekahi manawa, pili nā puʻupaʻa ʻelua. Pālahalaha maʻalahi ka maʻi ʻaʻai, pinepine i nā akemāmā a me nā meaola ʻē aʻe. Ma kahi o ka hapahā o ka poʻe, ua pālahalaha ka maʻi ʻaʻai (metastasized) i ka manawa o ke kuhi.

Ma ke ʻano o ka laha ʻana o ka maʻi ʻaʻai a me ka maikaʻi o ka hana ʻana e hoʻomaikaʻi ai kekahi me ka maʻi ʻaʻai kolo. ʻOi aku ka kiʻekiʻe o ke ola inā aia ka tumo i ka wā mua a ʻaʻole i pālahalaha ma waho o ka puʻupaʻa. Inā ua pālahalaha ʻia i nā lymph node a i nā mea ʻē aʻe, ʻoi aku ka haʻahaʻa o ke ola.

ʻO nā pilikia o ka maʻi ʻaʻai pūpū e:

• Ke koko kiʻekiʻe (hypertension)
• Nui loa ka puna i loko o ke koko
• Helu helu ʻulaʻula koko kiʻekiʻe
• Nā pilikia o ke akepaʻa a me ka spleen
• Ka hohola ʻana o ka maʻi ʻaʻai

Kāhea i kāu mea hāʻawi i kēlā me kēia manawa ke ʻike ʻoe i ke koko i ka mimi. E kāhea aku hoʻi inā loaʻa iā ʻoe kekahi mau ʻōuli ʻē aʻe o kēia maʻi.

Uoki ka puhipaka. E hāhai i nā ʻōlelo aʻoaʻo a kāu mea hoʻolako i ka mālama ʻana i nā maʻi kīnā, ʻoi aku kēlā mau mea e koi ai i ka dialysis.

Maʻi ʻaʻai Renal; Ka maʻi ʻaʻa puʻuwai; Hypernephroma; Adenocarcinoma o nā puʻupaʻa renal; Kanesa - hakuʻala

• Wehe i nā puʻupaʻa - hoʻokuʻu

• Anatomia hakuʻala
• Tumo hakuʻala - CT scan
• Nā metastases hakuʻala - CT scan
• ʻO Kidney - ke kahe o ke koko a me ka mimi

Pūnaewele ʻo National Cancer Institute. ʻO ka mālama ʻana i ka maʻi ʻaʻai cell Renal (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/kidney/hp/kidney-treatment-pdq. Hoʻohou i Ianuali 28, 2020. Loaʻa iā Malaki 11, 2020.

Pūnaewele Pūnaewele Manuahi Manuahi. Nā papa hana hoʻomaʻamaʻa maʻi NCCN i ka oncology: cancer cancer. Mana 2.2020. www.nccn.org/professionals/physician_gls/pdf/kidney.pdf. Hoʻohou ʻia ʻAukake 5, 2019. Loaʻa ʻia ma Malaki 11, 2020.

Weiss RH, Jaimes EA, Hu SL. Ka maʻi ʻaʻai ʻōpū. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. ʻO Brenner a me Rector's The Kidney. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 41.