He aha kāu e ʻike ai e pili ana i ka hoʻāʻo ʻana no ka Metastatic Renal Cell Carcinoma

Anter

• Nā hōʻike Lab
• Nā hoʻāʻo kiʻi
• ʻO Biopsy
• Pākuʻi RCC

Inā ʻoe e ʻike nei i nā hōʻailona e like me ke koko i loko o kou mimi, ʻehaʻeha o ke kua i lalo, ka pohō kaumaha, a i ʻole ka puʻupuʻu ma kou ʻaoʻao, e ʻike i kāu kauka

He mau hōʻailona paha kēia o ka carcinoma kōkō, ʻo ia ka maʻi ʻaʻai o nā puʻupaʻa. E holo ana kāu kauka i nā hoʻokolohua e ʻike inā loaʻa kēia maʻi ʻaʻai a, inā pēlā, inā paha ua pālahalaha ia.

E hoʻomaka, e nīnau kāu kauka e pili ana i kāu mōʻaukala. E nīnau ʻia paha ʻoe e pili ana i ka mōʻaukala olakino o kou ʻohana e ʻike ai inā he pilikia paha kāu no nā maʻi puʻuwai puʻupaʻa.

E nīnau kāu kauka e pili ana i kāu mau hōʻailona a i ka wā i hoʻomaka ai. A, e loaʻa paha ʻoe i kahi hoʻokolohua kino i hiki i kāu kauka ke nānā no nā puʻupuʻu a i ʻole nā ​​hōʻailona ʻike ʻia o ka maʻi ʻaʻai.

Inā kānalua kāu kauka iā RCC, loaʻa iā ʻoe hoʻokahi a ʻoi paha o kēia mau hoʻāʻo.

Nā hōʻike Lab

ʻAʻole hoʻoholo pono nā hōʻoia koko a me ka mimi i ka maʻi ʻaʻai. Hiki iā lākou ke ʻike i nā kuhi e loaʻa paha iā ʻoe ka carcinoma a me ka hoʻoholo ʻana inā he kūlana ʻē aʻe, e like me ka maʻi maʻi urinary tract, ke kumu nei i kāu mau ʻōuli.

ʻO nā hoʻokolohua lab no RCC:

• Urinalysis. Hoʻouna ʻia kahi laʻana o kāu mimi i kahi lab e nānā no nā mea e like me ka protein, nā hunaola ʻulaʻula, a me nā hunaola keʻokeʻo e hiki ke hōʻike ʻia i ka mimi o ka poʻe me ka maʻi ʻaʻai. ʻO kahi laʻana, hiki i ke koko i ka mimi ke hōʻailona o ke kanesa maʻi ʻaʻai.
• Helu piha ke koko (CBC). Nānā kēia hōʻike i nā pae o nā hunaola ʻulaʻula, nā hunaola keokeo, a me nā platelet i loko o kou koko. ʻO ka poʻe me ka maʻi ʻaʻai puʻupuʻu paha he kakaikahi paha nā ʻulaʻula o ke koko, i kapa ʻia he anemia.
• Nā hoʻāʻo kemika koko. Nānā kēia mau hoʻāʻo i nā pae o nā mea e like me ka calcium a me nā akepona ate i loko o ke koko, kahi e hiki ai i ka maʻi ʻaʻai kidney

Nā hoʻāʻo kiʻi

Hana ʻo Ultrasound, CT scan, a me nā hōʻike kiʻi ʻē aʻe i nā kiʻi o kāu puʻupaʻa i hiki i kāu kauka ke ʻike inā he maʻi ʻaʻai kou a inā ua pālahalaha ia. ʻO nā hoʻokolohua kiʻi a nā kauka e hoʻohana ai e hōʻoia i ka carcinoma pūnana renal:

• Pāʻālua tomography compute (CT). Hoʻohana kahi CT scan i nā kukuna X e hana i nā kiʻi kikoʻī o kou puʻupaʻa mai nā ʻaoʻao ʻokoʻa. ʻO ia kekahi o nā hoʻokolohua kūpono loa no ka loaʻa ʻana o ka carcinoma cell cell. Hiki i kahi CT scan ke hōʻike i ka nui a me ke ʻano o kahi tumo a inā paha ua palahalaha ia mai ke konāhua a i nā lymph node kokoke a i ʻole nā ​​mea ʻē aʻe. Loaʻa paha iā ʻoe kahi kala ʻokoʻa i injected i loko o kahi aa ma mua o ka CT scan. Kōkua ka kala i kou puʻupaʻa e hōʻike akāka hou aʻe i ka scan.
• Mākēneki resonance kiʻi (MRI). Hoʻohana kēia ho'āʻo i nā nalu uila ikaika e hana i nā kiʻi o kāu puʻupaʻa. ʻOiai ʻaʻole maikaʻi ia no ke kuhi ʻana i ka maʻi ʻaʻai pūpū ma ke ʻano he CT scan, hāʻawi paha kāu kauka iā ʻoe i kēia hōʻoia inā ʻaʻole hiki iā ʻoe ke hoʻomanawanui i ka kala ʻokoʻa. Hiki i kahi MRI ke hōʻike i nā kīʻaha koko i ʻoi aku ka maikaʻi ma mua o ka CT scan, no laila he mea pono inā manaʻo kāu kauka ua ulu ka maʻi ʻaʻai i loko o nā kīʻaha koko i loko o kou ʻōpū.
• Kukuna ultrasound. Hoʻohana kēia ho'āʻo i nā nalu kani e hana i nā kiʻi o nā puʻupaʻa. Hiki i kahi ultrasound ke haʻi inā he ulu a paʻa paha i kou puʻupaʻa a piha paha i ka wai. Kū paʻa nā Tumors.
• Pyelogram intravenous (IVP). Hoʻohana kahi IVP i kahi kala kūikawā i injected i loko o kahi aa koko. Ke neʻe nei ke kala i loko o kāu mau puʻupaʻa, ureter, a me ka hāmele, lawe kahi mīkini kūikawā i nā kiʻi o kēia mau mea ʻike e ʻike inā aia nā ulu i loko.

ʻO Biopsy

Lawe kēia hoʻāʻo i kahi laʻana o ke kiko mai ka maʻi ʻaʻai hiki me kahi nila. Hoʻouna ʻia ka ʻāpana o ke kiko i kahi keʻena hoʻokolohua a hoʻāʻo e ʻike inā loaʻa ka maʻi ʻaʻai.

ʻAʻole hana pinepine ʻia nā biopsies no ka maʻi ʻaʻai ʻōpala e like me nā ʻano maʻi ʻaʻai ʻē aʻe no ka mea ua hōʻoia pinepine ʻia ke kuhi ke hana ʻia ke ʻoki e wehe i ka tumo.

Pākuʻi RCC

Ke hōʻoia kāu kauka iā ʻoe me RCC, ʻo ka hana hou e hāʻawi iā ia i kahi pae iā ia. Hōʻike nā pae i ka holomua o ka maʻi ʻaʻai. Hoʻokumu ʻia ke kahua ma:

• pehea ka nui o ka tumo
• ʻino kūpikipiki ia
• inā paha ua pālahalaha
• ʻo nā lymph node a me nā ʻāpana āna i pālahalaha aku ai

ʻO kekahi o nā hoʻokolohua like i hoʻohana ʻia e ʻike pono i ka maʻi ʻaʻai pūpū puʻuwai pū kekahi e hoʻokumu iā ia, me CT scan a me MRI. Hiki i ka X-ray umauma a i ʻole scan iwi ke hoʻoholo inā ua laha ka maʻi ʻaʻai i kou mau māmā a i ʻole nā ​​iwi.

ʻEhā pae o ka maʻi ʻaʻai pū kinona kanesa.

• ʻOi aku ka liʻiliʻi o ke kinetona cell cell caromaoma 1 ma mua o 7 kenimika (3 ʻīniha), a ʻaʻole ia i pālahalaha ma waho o kou puʻupaʻa.
• ʻO ka nui o ka cell cancer carcinoma pae 2 ma mua o 7 cm. Aia wale ia i ka puʻupaʻa, a ua ulu paha i loko o kahi aʻa nui a i ʻole nā ​​meaola a puni ka puʻupaʻa.
• Ua pālahalaha ʻia ke kinona kinona liʻiliʻi i nā pūnana lymph kokoke i ka puʻupaʻa, akā ʻaʻole i hiki i nā lymph node a i ʻole nā ​​ʻokena.
• Ua pālahalaha ʻia ke kinona kinipona 4 i nā pūnana lymph mamao a / a i ʻole nā ​​mea ʻē aʻe.

Hiki i ke ʻike i ke kahua ke kōkua i kāu kauka e hoʻoholo i ka lāʻau maikaʻi loa no kāu maʻi ʻaʻai. Hiki i ke kahua ke hāʻawi i nā hōʻailona e pili ana i kāu kuana, a i ʻole wānana.