Ka hoʻomaopopo ʻana i ka hoʻolaha: Metastatic Renal Cell Carcinoma
Anter
- Pehea ka laha ʻana o ka maʻi ʻaʻai
- Nā ʻōuli o ka metastatic renal cell carcinoma
- Nānā i ka carcinoma pūnana renal metastatic
- Nā hōʻike Lab
- Kiʻi kiʻi
- ʻO nā pae o ka maʻi ʻaʻai kidney
- ʻO ka mālama ʻana i ka carcinoma kolamu metastatic renal
- ʻOki kino
- Immunotherapy a me ka chemotherapy
- Kāohi
- Outlook
Ka maʻi kanesa o ke kolamu metastatic
Ka maʻi kanesa o ke kolamu pūhaka, i kapa ʻia hoʻi he kanesa ʻaʻa puʻuwai, ke hana ʻia ke kinikini maʻi maʻi i loko o nā tubula o ka puʻupaʻa. ʻO nā paipu he mau paipu liʻiliʻi ia i kou puʻupaʻa e kōkua i ke kānana i nā huahana neoneo mai kou koko i mea e mimi ai.
ʻO ka puhihihi, hypertension, obesity, a me ka hepatitis C nā mea āpau e hoʻonui ai i ka makaʻu o ka carcinoma cell renal. Lilo i ka carcinoma puʻuwai puʻuwai e lilo ai i carcinoma puʻuwai puʻuwai metastatic ke pālahalaha ʻia ia ma ʻō aku o kou kōpaʻa i kāu ʻōnaehana lymph, iwi, a i ʻole nā mea ʻē aʻe.
Pehea ka laha ʻana o ka maʻi ʻaʻai
Hiki ke laha ke kinikini kinipona mai kahi lehulehu o nā hunaola maʻi ʻaʻai a i ʻole nā tumo i nā ʻāpana ʻē aʻe o kou kino. Kapa ʻia kēia hana he metastasis. Kū ʻia i hoʻokahi o nā ala ʻekolu:
- Hoʻolahalaha nā hunaola maʻi ʻaʻai i loko o kaʻiʻo a puni ka tumo i loko o kou puʻupaʻa.
- Holo ka maʻi ʻaʻai mai kou puʻupaʻa i kāu ʻōnaehana lymph, nona nā moku i loko o ke kino.
- Komo nā hunaola maʻi ʻaʻai kolo i ke kahe o ke koko a lawe ʻia a waiho ʻia i kekahi mea ʻē aʻe a i ʻole kahi i loko o kou kino.
Nā ʻōuli o ka metastatic renal cell carcinoma
Ke hoʻomaka mua nei ke kinetona puʻupaʻa renal, ʻaʻole paha ʻoe e ʻike i nā ʻōuli maopopo. ʻO nā hōʻailona ʻike pinepine ʻia kahi hōʻailona e metastasized ka maʻi.
Pākuʻi ʻia nā hōʻailona me:
- koko i ka mimi
- ʻeha ma kekahi ʻaoʻao o ka ʻaoʻao haʻahaʻa
- puʻupuʻu ma ka ʻaoʻao a ʻaoʻao paha
- Kaumaha emi
- luhi
- fiva
- pehu o nā kuʻekuʻe wāwae
- puhū pō
Nānā i ka carcinoma pūnana renal metastatic
ʻO kahi hoʻokolohua kino a me kahi loiloi i kāu mōʻaukala olakino hiki ke hoʻonā hou ʻia e hoʻoholo i ke olakino o kou puʻupaʻa.
Nā hōʻike Lab
ʻAʻole hiki i kahi urinalysis ke hōʻoia i ka maʻi ʻaʻai kidney, akā hiki iā ia ke kōkua e hōʻike i ke olakino o kou puʻupaʻa. I kekahi mau hihia, hōʻike kahi urinalysis ua pāhola ka maʻi ʻaʻai i nā ʻāpana kino ʻē aʻe.
ʻO kekahi hōʻike hoʻokolohua pono loa kahi helu piha o ke koko, kahi e hoʻopili ai i ka helu o kāu pae ʻulaʻula a me keʻokeʻo. Hōʻike nā pae maʻamau i kahi pilikia o ka maʻi ʻaʻai.
Kiʻi kiʻi
Hoʻohana nā kauka i nā hoʻokolohua kiʻi e ʻike i ka wahi a me ka nui o kahi tumo. Kōkua ka kānana ʻana i nā kauka e hoʻoholo inā ua laha ke kanesa. Pono pono ka CT scans a me nā kānana MRI i ke kōkua ʻana i nā kauka e hōʻoia i ka maʻi ʻaʻai.
Hiki i nā X-ray a me nā scans iwi ke hoʻoholo inā ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o kou kino. ʻO ke kiʻi ʻana kekahi mea pono e ʻike ai inā e hana ana kekahi ʻano lapaʻau.
ʻO nā pae o ka maʻi ʻaʻai kidney
No ka hoʻoholo ʻana i ka lāʻau kūpono, ua hoʻohālikelike ʻia ka carcinoma pūnana renal ma ke ʻano he hoʻokahi o nā hanana ʻehā.
- Nā Papa 1 a me 2: Aia wale ka maʻi ʻaʻai ma kāu puʻupaʻa.
- Kahua 3: Ua pālahalaha ka maʻi ʻaʻai i kahi pūnana lymph kokoke i kou puʻupaʻa, kahi kīʻaha koko nui, a i ʻole nā mea momona a puni kou puʻupaʻa.
ʻO ka mālama ʻana i ka carcinoma kolamu metastatic renal
ʻO nā koho lapaʻau ʻana no ka metastatic renal cell carcinoma e komo pū paha me ke kahakaha ʻana, immunotherapy, a me chemotherapy.
ʻOki kino
Hoʻomaʻamaʻa pinepine ʻia ke kahakaha kanesa maʻi no ka pae 1 a i ʻole 2. Hiki ke hoʻohana ʻia i nā maʻi ʻohe pae 3, akā ʻo ka nui o ka laha ʻana o ka maʻi ʻaʻai e hoʻoholo inā he hiki ke ʻoki.
ʻO ke kaha e wehe i nā ulu maʻi ʻaʻai i ka pae 4 i ke kanesa. Hoʻopili maʻamau kēia i ka lāʻau lapaʻau. No kekahi mau mea maʻi, hana ʻia kahi ʻoki hoʻokahi e wehe i ka tumo mai kā lākou hakuʻala a me nā tumors metalahehe mai nā wahi ʻē aʻe i ko lākou kino.
Immunotherapy a me ka chemotherapy
Ma waho aʻe o ke kaha ʻana, loaʻa ʻelua mau lāʻau maʻamau ʻē aʻe: immunotherapy a me chemotherapy.
I ka immunotherapy, hāʻawi ʻia nā lāʻau e hoʻonui i kou ʻōnaehana pale pale e pale aku i ka maʻi ʻaʻai.
Hoʻohui ka Chemotherapy i ka hoʻohana ʻana o kahi pila a i ʻole nā injection e make ai i nā hunaola maʻi ʻaʻai. Akā hāpai ia i nā hopena a koi pinepine i nā hoʻoponopono hou e like me ke ʻoki ʻana.
Kāohi
ʻO ka maʻi maʻi ʻōpae maʻamau e hahau pinepine i nā mākua. Hiki i kahi nohona olakino ke hoʻonui i ka manawa o ka ʻōpio o ka hōʻalo ʻana i kēia maʻi ma hope.
ʻO ka puhipaka ka maʻalahi ka pilikia nui no ka carcinoma cell cell. Inā ʻaʻole ʻoe e hoʻomaka i ka puhipaka, a i ʻole haʻalele koke, loaʻa iā ʻoe kahi manawa ʻoi aku ka maikaʻi o ka hōʻalo ʻana i ka carcinoma kōkō.
Mālama i kou kaomi koko a kaohi i kou kaumaha inā pono e kōkua e mālama i ke olakino olakino.
Outlook
ʻO nā helu ola ʻelima mau makahiki o ka carcinoma cell carenaloma ʻokoʻa loa i ka pae āu i ʻike ai. Wahi a ka American Cancer Society, ʻo nā helu ola ʻelima mau makahiki no ka maʻi ʻaʻai ʻōpala penei:
- pae 1: 81%
- pae 2: 74%
- pae 3: 53%
- pae 4: 8%
ʻO nā helu ola he helu helu mai ka heluna lehulehu o nā mea maʻi i hōʻike mua ʻia a ʻaʻole hiki ke wānana i kāu hihia ponoʻī.