Renal cell carcinoma

Renal cell carcinoma imhando yekenza yeitsvo inotangira mumucheka wematubhu madiki (tubules) muitsvo.

Renal cell carcinoma ndiyo yakajairika mhando yekenza yeitsvo muvanhu vakuru. Inoitika kazhinji muvarume vane makore makumi matanhatu kusvika makumi manomwe ekuberekwa.

Chikonzero chaicho hachizivikanwi.

Izvi zvinotevera zvinogona kuwedzera njodzi yako yekenza yeitsvo:

• Kusvuta
• Kufutisa
• Dialysis kurapwa
• Nhoroondo yemhuri yechirwere
• Kuwedzera kweropa
• Horseshoe itsvo
• Kushandiswa kwenguva yakareba kwemimwe mishonga, yakadai semarwadzo ekurwadziwa kana mapiritsi emvura (diuretics)
• Polycystic itsvo chirwere
• Von Hippel-Lindau chirwere (chirwere chinoberekwa chinokanganisa tsinga dzeropa muuropi, maziso, uye zvimwe zvikamu zvemuviri)
• Birt-Hogg-Dube syndrome (chirwere chemajini chinosangana nemabundu eganda uye mapapu cysts)

Zviratidzo zvegomarara iri zvinogona kusanganisira chero chinotevera:

• Kutambudzika kwepamuviri uye kuzvimba
• Kutambudzika shure
• Ropa mune weti
• Kuzvimba kwemitsipa yakakomberedza testicle (varicocele)
• Flank kurwadziwa
• Kuonda
• Kupindwa nechando
• Chiropa kusagadzikana
• Yakakwidziridzwa erythrocyte sedimentation mwero (ESR)
• Bvudzi rakawandisa kukura muvakadzi
• Ganda rakachenuruka
• Matambudziko ekuona

Anopa hutano anoita bvunzo dzepanyama. Izvi zvinogona kuratidza kuwanda kana kuzvimba kwedumbu.

Miedzo inogona kurairwa inosanganisira:

• Abdominal CT scan
• Ropa kemisitiri
• Yakazara kuverenga ropa (CBC)
• Intravenous pyelogram (IVP)
• Chiropa basa bvunzo
• Renal arteriography
• Ultrasound yemudumbu neitsvo
• Kuongorora urinal

Iyi bvunzo inotevera inogona kuitwa kuti uone kana gomarara rapararira:

• Abdominal MRI
• Biopsy
• Bone scan
• Chest x-ray
• Chest CT scan
• PET scan

Kuvhiya kubvisa zvese kana chikamu cheitsvo (nephrectomy) inowanzo kurudzirwa. Izvi zvinogona kusanganisira kubvisa dundira, zvinyama zvakakomberedza, kana ma lymph node. Mushonga haufanike kunze kwekunge kenza yese yabviswa nekuvhiyiwa. Asi kunyangwe kana gomarara rasara kumashure, kuchine bhenefiti nekuvhiyiwa.

Chemotherapy kazhinji haina kushanda pakurapa kenza yeitsvo muvanhu vakuru. Mishonga mitsva yekudzivirira immune inogona kubatsira vamwe vanhu. Mishonga inotarisa kuvandudzwa kwemitsipa yeropa iyo inodyisa bundu inogona kushandiswa kurapa kenza yeitsvo. Wako mupi anogona kukuudza zvimwe.

Radiation therapy inowanzoitwa kana kenza ichipararira kune pfupa kana huropi.

Unogona kudzikisira kushungurudzika kwehurwere nekujoinha boka rekutsigira iro nhengo dzaro dzinogovana zvakajairika matambudziko nematambudziko.

Dzimwe nguva, itsvo mbiri dzinobatanidzwa. Gomarara rinopararira zviri nyore, kazhinji kumapapu nedzimwe nhengo. Munenge chikamu chimwe muzvina chevanhu, kenza yatopararira (metastasized) panguva yekuongororwa.

Kunyatsoita munhu ane gomarara repvo zvinoenderana nekuti kenza yapararira zvakadii uye nemushonga unoshanda sei. Kupona kwehuwandu kwakanyanya kana bundu riri mumatanho ekutanga uye risina kupararira kunze kweitsvo. Kana yakapararira kune iyo lymph node kana kune dzimwe nhengo, mwero wekupona wakanyanya kuderera.

Matambudziko ekenza yeitsvo anosanganisira:

• Kuwedzera kweropa (hypertension)
• Yakawandisa calcium muropa
• Yakakwirira tsvuku masero eropa kuverenga
• Chiropa uye spleen matambudziko
• Kupararira kwekenza

Fonera mupiki wako chero nguva iwe paunoona ropa mumurini. Zvakare fona kana iwe uine zvimwe zviratidzo zveichi chirwere.

Rega kusvuta. Tevedza zvinokurudzirwa nemupi wako pakurapwa kweitsvo, kunyanya izvo zvingangoda dialysis.

Kenza yezve renal; Kenza yeitsvo; Hypernephroma; Adenocarcinoma renal masero; Gomarara - itsvo

• Kubvisa itsvo - kubuda

• Itsvo anatomi
• Itsvo bundu - CT scan
• Itsvo metastases - CT scan
• Itsvo - kuyerera kweropa uye weti

National Cancer Institute webhusaiti. Renal cell cancer kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/kidney/hp/kidney-treatment-pdq. Yakagadziridzwa Ndira 28, 2020. Yakasvika munaKurume 11, 2020.

National Yakakwana Cancer Network webhusaiti. NCCN kiriniki yekudzidzira maitiro mune oncology: kenza yeitsvo. Shanduro 2.2020. www.nccn.org/professionals/physician_gls/pdf/kidney.pdf. Yakagadziridzwa Nyamavhuvhu 5, 2019. Yakasvika munaKurume 11, 2020.

Weiss RH, Jaimes EA, Hu SL. Kenza yeitsvo. Mune: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner uye Rector Iyo Itsvo. 11th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 41.