Renal pelvis kana kenza yeureter

Gomarara repachende renal kana ureter igomarara rinoumbika muchiuno cheitsvo kana chubhu (ureter) inotakura weti kubva kuitsvo ichienda kudundira.

Cancer inogona kukura mune weti yekuunganidza system, asi hazvishamise. Renal pelvis uye ureter cancer inokanganisa varume kazhinji kupfuura vakadzi. Aya makenza anowanzoitika kune vanhu vakura kupfuura makumi matanhatu nemashanu.

Izvo chaizvo zvinokonzera gomarara iri hazvizivikanwe. Yenguva refu (isingaperi) kutsamwiswa kweitsvo kubva kune zvinokuvadza zvinobviswa mumuti unogona kuva chinhu. Uku kutsamwa kunogona kukonzerwa ne:

• Itsvo kukuvara kubva kumishonga, kunyanya iwo ekurwadziwa (analgesic nephropathy)
• Kuratidzwa kune mamwe madhayi nemakemikari anoshandiswa kugadzira zvigadzirwa zveganda, machira, mapurasitiki, uye rabha
• Kusvuta

Vanhu vakaita gomarara redundiro vari panjodzi.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kugara uchirwadziwa shure
• Ropa mune weti
• Kupisa, kurwadziwa, kana kusagadzikana nekuita weti
• Kuneta
• Flank kurwadziwa
• Kusanzwisisika kuonda
• Kupererwa nechido
• Anemia
• Urinary frequency kana kukurumidza

Anopa hutano anoita bvunzo dzepanyama, uye ongorora dumbu rako nzvimbo (mudumbu). Muzviitiko zvisingawanzoitika, izvi zvinogona kuburitsa itsvo yakawedzerwa.

Kana bvunzo dzaitwa:

• Urinalysis inogona kuratidza ropa mumurini.
• Kuverengera kwakazara kweropa (CBC) kunogona kuratidza kupererwa neropa.
• Urine cytology (microscopic kuongororwa kwemasero) inogona kuratidza cancer maseru.

Mimwe bvunzo inogona kurairwa inosanganisira:

• Abdominal CT scan
• Chest x-ray
• Cystoscopy ine ureteroscopy
• Intravenous pyelogram (IVP)
• Itsvo Ultrasound
• MRI yemudumbu
• Renal scan

Iyi bvunzo inogona kuratidza bundu kana kuratidza kuti gomarara rapararira kubva kuitsvo.

Chinangwa chekurapa ndechekubvisa gomarara.

Kutevera maitiro anogona kushandiswa kurapa mamiriro acho:

• Nephroureterectomy - Izvi zvinosanganisira kubviswa kwese itsvo, ureter uye kabhodhi cuff (tishu inobatanidza ureter kune dundira)
• Nephrectomy - Kuvhiya kubvisa zvese kana chikamu cheitsvo kunowanzoitwa. Izvi zvinogona kusanganisira kubvisa chikamu chedundira uye zvinyama zvakakomberedza, kana ma lymph node.
• Ureter resection - Kuvhiya kubvisa chikamu chereterter chine kenza, uye mamwe materu ane hutano akaitenderedza. Izvi zvinogona kushandiswa kana zvikaitika zvepamusoro mamota aripo muchikamu chezasi chereterter padhuze nechidundira. Izvi zvinogona kubatsira kuchengetedza itsvo.
• Chemotherapy - Izvi zvinoshandiswa kana gomarara rapararira kunze kweitsvo kana ureter. Nekuti aya mamota akafanana nechimiro chegomarara redundira, vanorapwa nemhando yakafanana yekemotherapy.

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Mhedzisiro inosiyana, zvinoenderana nenzvimbo yebundu uye kuti gomarara rapararira here. Gomarara rinongova muitsvo kana ureter rinogona kurapwa nekuvhiya.

Gomarara rakapararira kune dzimwe nhengo kazhinji harirapike.

Zvinetso kubva mukenza iyi zvinogona kusanganisira:

• Itsvo kutadza
• Kupararira kwenzvimbo yebundu nekuwedzera kurwadziwa
• Kupararira kwekenza kuenda kumapapu, chiropa, uye pfupa

Bata mupi wako kana iwe uine chero ezviratidzo zvakanyorwa pamusoro.

Matanho anogona kubatsira kudzivirira chirwere ichi anosanganisira:

• Tevedza rairo yemupi wako maererano nemishonga, kusanganisira yekuwedzera-the-counter mishonga yekurwadziwa.
• Rega kusvuta.
• Pfeka midziyo yekudzivirira kana iwe uchizogona kuve pachena kune zvinhu zvine chepfu kune itsvo.

Kanzuru yesero kenza yeiyo renal pelvis kana ureter; Itsvo kenza - renal chiuno; Kenza yereter; Urothelial carcinoma

• Itsvo anatomi

Bajorin DF. Mamota eitsvo, dundira, ureters, uye renal pelvis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 187.

National Cancer Institute webhusaiti. www.cancer.gov/types/kidney/hp/transitional-cell-treatment-pdq. Yakagadziridzwa Ndira 30, 2020. Yakasvika muna Chikunguru 21, 2020.

Wong WW, Daniels TB, Peterson JL, Tyson MD, Tan WW. Itsvo uye ureteral carcinoma. Mune: Tepper JE, Foote RL, Michalski JM, eds. Gunderson & Tepper's Clinical Mhepo Oncology. 5 ed. Philadelphia, PA: Elsevier; 2021: chits. 64.