Ka maʻi ʻaʻai Renal

Anter

• He aha ke kumu o ke kanesa puʻuwai?
• Nā ʻōuli o ka maʻi kanalā cell carcinoma
• Pehea e ʻike ʻia ai ka maʻi kanalā?
• Nā mālama ʻana no ka maʻi puʻupaʻa pūnaʻi
• Outlook ma hope o kahi hōʻike RCC

He aha ke kinikini kinikini?

Kāhea ʻia ʻo Renal cell carcinoma (RCC) me hypernephroma, adenocarcinoma renal, a i ʻole ka maʻi ʻaʻai a ʻōhala paha. ʻO ia ka ʻano maʻamau o ka maʻi ʻaʻai kidney i loaʻa i nā mākua.

ʻO nā puʻupaʻa nā ʻāpana i kou kino e kōkua i ka hemo ʻana i ka ʻōpala ʻoiai ke kaohi nei i ke kaulike wai. Aia nā paipu liʻiliʻi i nā puʻupaʻa i kapa ʻia he tubules. Kōkua kēia i ke kānana i ke koko, kōkua i ka hoʻopau ʻana i ka ʻōpala, a kōkua i ka mimi. Kū ka RCC ke hoʻomaka ka ulu ʻana o nā pūnaʻi maʻi ʻaʻai i ka pale o nā tubula o ka puʻupaʻa.

ʻO RCC kahi maʻi ʻaʻai e ulu wikiwiki ana a pālahalaha pinepine i nā akemāmā a me nā meaola e pili ana.

He aha ke kumu o ke kanesa puʻuwai?

ʻAʻole ʻike ka poʻe loea olakino i ke kumu kikoʻī o RCC. ʻIke pinepine ia i nā kāne ma waena o nā makahiki 50 a 70 akā hiki ke ʻike ʻia i kekahi.

Aia kekahi mau kumu pilikia no ka maʻi, e like me:

• moʻolelo ʻohana o RCC
• lāʻau lapaʻau dialysis
• hypertension
• momona
• puhipaka
• maʻi polycystic kidney (kahi hoʻoilina hoʻoilina e hana i nā cist e hana i nā puʻupaʻa)
• ke kūlana kūlohelohe ʻo Von Hippel-Lindau maʻi (ʻano e nā cist a me nā tumors i nā mea like ʻole)
• ka hoʻomāinoino mau ʻana i kekahi mau lāʻau i kauoha ʻia a me nā lāʻau lapaʻau e like me nonsteroidal anti-inflammatory drug i hoʻohana ʻia e mālama ai i ka maʻi kōpaʻa, a me nā lāʻau no ke kuni a me ka ʻeha e like me ka acetaminophen

Nā ʻōuli o ka maʻi kanalā cell carcinoma

Ke hoʻomaka nei ʻo RCC i kāna mau hanana mua, hiki ʻole i nā mea maʻi ke loaʻa ʻole nā ​​hōʻailona. Ke holo nei ka maʻi, hiki i nā ʻōuli ke hoʻopili ʻia:

• he puʻupuʻu i loko o ka ʻōpū
• koko i ka mimi
• lilo kaumaha maopopo ʻole
• nalo ʻai ʻole
• luhi
• pilikia pilikia ʻike
• ʻeha mau i ka ʻaoʻao
• ulu lauoho ulu nui (i nā wahine)

Pehea e ʻike ʻia ai ka maʻi kanalā?

Inā manaʻo kāu kauka he RCC paha kāu, e nīnau lākou e pili ana i kāu mōʻaukala pilikino a me ka ʻohana. A laila e hana lākou i kahi hoʻokolohua kino. ʻO nā ʻike i hiki ke hōʻike i ka RCC e pili ana i ka pehu ʻana a i ʻole nā ​​puʻupuʻu i loko o ka ʻōpū, a i ʻole i nā kāne, hoʻonui ʻia nā uaua i ka ʻeke scrotal (varicocele).

Inā manaʻo ʻia ʻo RCC, e kauoha ana kāu kauka i kekahi mau hoʻokolohua e loaʻa ai kahi ʻike pololei. Pākuʻi ʻia kēia mau mea:

• helu piha koko - kahi hoʻokolohua koko e mālama ʻia e ke kiʻi ʻana i ke koko mai kou lima a hoʻouna iā ia i kahi hale hana no ka loiloi
• CT scan - kahi hoʻokolohua kiʻi e hiki ai i kāu kauka ke nānā pono i kāu puʻupaʻa e ʻike ai i kahi ulu ulu ʻole
• ʻōpū a me nā puʻuwai ultrasounds - kahi ho'āʻo e hoʻohana i nā nalu kani e hana i kahi kiʻi o kāu mau meaola, e ʻae ai i kāu kauka e nānā i nā tumors a me nā pilikia i loko o ka ʻōpū
• loiloi mimi - nā hoʻokolohua i hoʻohana ʻia e ʻike i ke koko i ka mimi a e kālailai i nā hunaola i ka mimi e ʻimi nei i nā hōʻike o ke kanesa
• biopsy - ka hemo ʻana o kahi ʻāpana o nā puʻupaʻa puʻupaʻa, hana ʻia e ka hoʻokomo ʻana i kahi nila i loko o ka puʻupuʻu a huki i kahi kiko kiko, a laila hoʻouna ʻia i kahi keʻena hoʻokolohua e kāpae a hōʻoia i ka loaʻa ʻana o ka maʻi ʻaʻai

Inā ʻike ʻia ʻoe he RCC, e hana hou ʻia nā hoʻokolohua e ʻike inā a me kahi i laha ai ka maʻi ʻaʻai. Kāhea ʻia kēia. Hoʻokū ʻia ʻo RCC mai ka pae 1 a i ka pae 4, i ke ʻano o ka piʻi piʻi i luna o ka paʻakikī. Hiki i nā hoʻokolohua hoʻonohonoho ke hoʻokomo i kahi scan iwi, PET scan, a me ka pahu X-ray.

Ma kahi o ka hapakolu o nā kānaka me RCC i loaʻa i ka maʻi ʻaʻai i pāhola ʻia i ka manawa o ke kuhi.

Nā mālama ʻana no ka maʻi puʻupaʻa pūnaʻi

Aia he ʻelima mau ʻano maʻamau o ka mālama ʻana no ka RCC. Hoʻohana ʻia hoʻokahi a ʻoi paha e mālama ai i kou maʻi ʻaʻai.

1. ʻOki kino hiki ke hoʻokomo i nā ʻano hana like ʻole. I loko o kahi nephrectomy ʻāpana, wehe ʻia kahi ʻāpana o ka puʻupaʻa. I loko o kahi nephrectomy, hiki ke hoʻoneʻe ʻia ke kola āpau. Kaukaʻi ʻia i ka lōʻihi o ka laha ʻana o ka maʻi, pono ʻia kahi ʻoki ʻoi aku ka nui no ka hoʻoneʻe ʻana i nā mea āpau, nā lymph node, a me kāu gland adrenal. He nephrectomy radical kēia. Inā hemo nā puʻupaʻa ʻelua, pono ka dialysis a i ʻole ke transplant.
2. Lapaʻau hoʻomākala pili i ka hoʻohana ʻana i nā kukuna X ikaika loa e pepehi i nā hunaola maʻi ʻaʻai. Hiki ke hāʻawi ʻia i ka pāhawewe e waho e kahi mīkini a hoʻonoho ʻia i loko e hoʻohana ana i nā hua a i ʻole nā ​​kaula.
3. ʻO Chemotherapy hoʻohana i nā lāʻau e make ai i nā hunaola maʻi ʻaʻai. Hiki ke hāʻawi ʻia i ka waha a i ʻole ke aniani, e kaukaʻi ʻia i ka lāʻau i koho ʻia. ʻAe kēia i nā lāʻau e hele i loko o ke kahe o ke kōkō a hōʻea i nā hunaola maʻi ʻaʻai i laha paha i nā ʻāpana ʻē aʻe o ke kino.
4. Hoʻolaola biologic, i kapa ʻia ʻo immunotherapy, hana pū me kāu ʻōnaehana pale pale e hoʻouka aku i ka maʻi ʻaʻai. Hoʻohana ʻia nā enzim a i ʻole nā ​​mea i hana ʻia e ke kino e pale aku i kou kino i ka maʻi ʻaʻai.
5. Pahuhopu kau ʻia he ʻano hou loa o ka maʻi ʻaʻai. Hoʻohana ʻia nā lāʻau lapaʻau e hoʻouka i kekahi mau hunaola maʻi ʻole me ka hōʻino ʻole ʻana i nā pūnaewele olakino. Hana kekahi mau lāʻau i nā kīʻaha koko e pale i ke kahe o ke koko i ka tumo, "wī" a hoʻoliʻiliʻi iā ia.

ʻO nā hoʻokolohua hoʻokolohua kahi koho ʻē aʻe no kekahi mau maʻi me RCC. ʻO nā hoʻokolohua hoʻokolohua e hoʻāʻo i nā lāʻau hou e ʻike inā maikaʻi lākou i ka mālama ʻana i ka maʻi. I ka wā o ka hoʻokolokolo, e nānā pono ʻoe, a hiki iā ʻoe ke haʻalele i ka hoʻokolokolo i kēlā me kēia manawa. E kamaʻilio me kāu hui lapaʻau e ʻike inā he hoʻokolokolo kūpono kahi koho kūpono nāu.

Outlook ma hope o kahi hōʻike RCC

ʻO ka nānā ʻana ma hope o ka ʻike ʻia ʻana me RCC kaukaʻi ʻia ma ka laha ʻana o ka maʻi ʻaʻai a pehea ka hoʻomaka ʻana o ka lāʻau. ʻO ka loaʻa koke ʻana, ʻo ka nui o ka loaʻa hou ʻana o kāu ola.

Inā ua pālahalaha ka maʻi ʻaʻai i nā meaola ʻē aʻe, ʻoi aku ka haʻahaʻa o ke ola i mua o ka hopu ʻia ma mua o ka hoʻolaha ʻana.

Wahi a ka National Cancer Institute, ʻo ke ola o ʻelima mau makahiki no RCC ma mua o 70 pākēneka. ʻO kēia ka manaʻo ma luna o ʻelua hapakolu o ka poʻe i ʻike ʻia me RCC e noho ma kahi o ʻelima mau makahiki ma hope o kā lākou ʻike ʻia.

Inā hoʻōla ʻia ka maʻi ʻaʻai a mālama ʻia paha, hiki paha iā ʻoe ke ola me nā hopena lōʻihi o ka maʻi, i hiki ke hoʻopili ʻia i nā hana hakuʻala maikaʻi ʻole.

Inā hoʻopau ʻia kahi transplan kidney, koi ʻia ka dialysis mau e like me ka lāʻau lapaʻau lōʻihi.