Ka maʻi ʻaʻai ʻōpala: nā ʻōuli, ka hōʻoia a me ka mālama ʻana

Anter

• Nā ʻōuli maʻi ʻaʻai puʻuwai
• Pehea e hōʻoia ai i ke kuhi
• Pehea e hana ai i ka lāʻau
• 1. ʻoki kino
• 2. Hoʻolaolaolaolaola
• 3. Embolization
• 4. Radiotherapy
• ʻO wai ka mea ʻino loa

ʻO ka maʻi ʻaʻai puʻuwai, i ʻike ʻia he maʻi ʻaʻai kuni, he ʻano maʻamau o ka maʻi ʻaʻai e pili nui ana i nā kāne ma waena o 55 a 75 mau makahiki o ka makahiki, e hana ana i nā ʻōuli e like me ke kū ʻana o ke koko i ka mimi, ka ʻeha mau ma ke kua a i ʻole ka hoʻonui ʻia o ke kaomi koko, o kahi laʻana.

ʻO ka maʻa mau, ʻo ka maʻa maʻamau o ke kanesa ʻaʻa puʻuwai ʻo ia ka carcinoma cell cell, a hiki ke hoola ʻia me ka ʻoki ʻana, inā ʻike mua ʻia. Eia nō naʻe, inā ua hoʻomohala ka maʻi ʻaʻai i nā metastases, e ʻoi aku paha ka paʻakikī o ka mālama ʻana, a he mea pono paha e hana i nā ʻano lāʻau ʻē aʻe, e like me radiation therapy, me ka hoʻopili ʻana i ke ʻoki.

Nā ʻōuli maʻi ʻaʻai puʻuwai

ʻO nā ʻōuli a me nā ʻōuli o ka maʻi ʻaʻai kidney ʻaʻole maʻa mau i nā wā mua o ka maʻi, akā i ka holo ʻana o ka maʻi ʻaʻai, kū mai kekahi mau ʻōuli, ʻo nā mea nui ke:

• Koko i ka mimi;
• Ka pehu ʻana a i ʻole ka nui i ka mahele o ka ʻōpū;
• ʻEha mau i ka lalo o ke kua;
• Ka luhi nui loa;
• Ka emi mau o ke kaumaha;
• Ke kuni haʻahaʻa.

Hoʻohui ʻia, no ke kuleana o nā puʻupaʻa no ka hoʻoponopono ʻana i ke kahe o ke koko a me ka hana ʻana o ka erythrocyte, he loli koke ka nui o nā koina kaomi koko, a me ka piʻi ʻana a me ka hōʻemi ʻia ʻana o ka nui o nā erythrocytes i ka hoʻāʻo ʻana o ke koko.

Inā kū kēia mau ʻōuli he mea nui e nīnau aku i kahi loio ākea a i ʻole nephrologist e nānā inā aia paha kahi pilikia e hoʻomaka ana i nā ʻōuli a, inā ʻike ia, e ʻike i ka maʻi ʻaʻai i ka wā mua, kōkua i ka lāʻau.

Pehea e hōʻoia ai i ke kuhi

E nānā i nā mea e hana nei i nā puʻupaʻa a kālailai i ke kuhiakau o ka maʻi ʻaʻai, e kauoha paha ke kauka i nā hoʻokolohua like ʻole e like me ultrasound, umauma X-ray, tomography i helu ʻia a i ʻole resonance ʻume mākenēki, no ka laʻana.

ʻO ka Ultrasound ka hoʻāʻo mua e kauoha ʻia, no ka mea he kōkua ia e ʻike a loiloi i nā lehulehu a me nā cist i loko o ka puʻuwai, kahi e hōʻike ai i ka maʻi ʻaʻai. ʻO nā hoʻokolohua ʻē aʻe, ma ka ʻaoʻao ʻē aʻe, hiki ke hana e hōʻoia i ka ʻike a i ʻole ke kahua o ka maʻi.

Pehea e hana ai i ka lāʻau

ʻO ka mālama ʻana i ka maʻi ʻaʻai kidney e pili ana i ka nui a me ka ulu ʻana o ka tumo, akā ʻo nā ʻano nui o ka mālama ʻana:

1. ʻoki kino

Hana ʻia ia ma kahi o nā hihia āpau a kōkua i ka lawe ʻana i ka ʻāpana i hoʻopili ʻia o ka puʻupaʻa. No laila, ke ʻike ʻia ke kanesa i ka wā mua, ʻo ke ʻoki wale nō ke ʻano o ka lapaʻau e pono ai, no ka mea hiki ke hemo i nā hunaola maʻi āpau a hoʻōla i ka maʻi ʻaʻai.

I nā hihia holomua loa o ka maʻi ʻaʻai, hiki ke hoʻohana pū ʻia me ke kālai me radiotherapy, no ka laʻana, e hōʻemi i ka nui o ka tumo a kōkua i ka lāʻau.

2. Hoʻolaolaolaolaola

I kēia ʻano lapaʻau, hoʻohana ʻia nā lāʻau e like me Sunitinib, Pazopanib a i ʻole Axitinib, kahi e hoʻoikaika ai i ka ʻōnaehana paleʻoniʻoni a kōkua i ka hoʻopau ʻia ʻana o nā hunaola maʻi ʻaʻai.

Eia nō naʻe, ʻaʻole maikaʻi kēia ʻano lapaʻau i nā hihia āpau a, no laila, pono paha ke kauka e hana i nā loiloi he nui i ka wā o ka hoʻomaʻamaʻa e hoʻomaʻa i nā lāʻau a hōʻoki hoʻi i ka hoʻohana ʻana o kēia mau lāʻau.

3. Embolization

Hoʻohana maʻamau kēia ʻano i nā hihia ʻoi loa o ka maʻi ʻaʻai ke ʻaʻole ʻae ke kūlana olakino o ke kanaka i ke ʻoki ʻana, a pale i ka hele ʻana o ke koko i ka ʻāpana i hoʻopili ʻia o ka puʻupaʻa, e make ai iā ia.

No ka hana ʻana i kēia, hoʻokomo ke kauka i kahi puʻupuʻu liʻiliʻi, i ʻike ʻia he catheter, i loko o ke aʻa aʻa a alakaʻi iā ia i ka puʻupaʻa. A laila, hoʻopili ʻoe i kahi mea e hiki ai ke pani i nā kīʻaha koko a pale i ka hele ʻana o ke koko.

4. Radiotherapy

Hoʻohana pinepine ʻia ka radiation radiation i nā hihia o ka maʻi ʻaʻai me ka metastasis, no ka mea hoʻohana ia i ka radiation e hoʻolohi i ka ulu ʻana o ka maʻi ʻaʻai a pale i nā metastases mai ka hoʻomau ʻana e ulu.

Hoʻohana pinepine ʻia kēia ʻano lapaʻau ma mua o ke kaha ʻana e hana i ka tumo liʻiliʻi a maʻalahi hoʻi e hemo, a ma hope paha, e hoʻopau i nā hunaola maʻi ʻaʻai i kūleʻa ʻole ʻia me ke ʻoki.

ʻOiai he mau minuke wale nō e pono ai ka hoʻomaʻamaʻa i kēlā me kēia lā, loaʻa i ka radiation therapy nā hopena ʻē aʻe e like me ka luhi nui, ka maʻi diarrhea a i ʻole ke ʻano maʻi mau.

ʻO wai ka mea ʻino loa

ʻO ka maʻi ʻaʻai puʻuwai, me ka hoʻohui ʻia o nā kāne ma hope o ka makahiki 60, ʻoi aku ka maʻamau o ka poʻe me:

• ʻOi aku ka nui o ka BMI ma mua o 30 Kg / m²;
• Ke koko kiʻekiʻe;
• ʻO ka moʻolelo ʻohana o ka maʻi ʻaʻai puʻuwai
• Nā maʻi genetic, e like me Von Hippel-Lindau Syndrome;
• Nā mea puhipaka;
• Momona

Hoʻohui ʻia, ʻo ka poʻe e pono ai ka lāʻau dialysis e kānana i ke koko, ma muli o nā pilikia ʻiʻo ʻē aʻe, aia pū me ka nui o ka pilikia o ka hoʻomohala ʻana i kēia ʻano maʻi ʻaʻai.