Wilms bundu

Wilms bundu (WT) imhando yekenza yeitsvo inoitika muvana.

WT ndiyo yakajairika fomu yekenza yeitsvo kenza. Chikonzero chaicho chebundu iri muvana vazhinji hachizivikanwe.

Iris irisipo yeziso (aniridia) hurema hwekuzvarwa iyo dzimwe nguva inosanganisirwa neWT. Humwe urema hwekuzvarwa hwakabatana nemhando iyi yekenza yeitsvo unosanganisira mamwe matambudziko eurinari uye kuzvimba kwerimwe divi remuviri, chirwere chinonzi hemihypertrophy.

Izvo zvinowanzoitika pakati pevamwe vanin'ina uye mapatya, izvo zvinoratidza zvinogona kuitika geni chikonzero.

Chirwere ichi chinowanzoitika muvana anenge makore matatu. Vanopfuura makumi mapfumbamwe muzana ezviitiko vanoonekwa vasati vava nemakore gumi. Muzviitiko zvisingawanzoitika, inoonekwa muvana vakura kupfuura makore gumi nemashanu, uye nevakuru.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Marwadzo emudumbu
• Wakajairika weti weti
• Kuzvimbirwa
• Kupindwa nechando
• Kazhinji kusagadzikana kana kusagadzikana (malaise)
• Kuwedzera kweropa
• Kuwedzera kukura padivi rimwe chete remuviri
• Kupererwa nechido
• Kusvotwa uye kurutsa
• Kuzvimba mudumbu (mudumbu hernia kana mashoma)
• Kudikitira (husiku)
• Ropa mumurini (hematuria)

Anopa hutano anozoongorora muviri uye obvunza mibvunzo nezve zviratidzo zvemwana wako uye nhoroondo yezvokurapa. Iwe uchabvunzwa kana uine nhoroondo yemhuri yekenza.

Kuongorora kwepanyama kunogona kuratidza huremu hwepamuviri. Kuwedzera kweropa kunogona kunge kuripo.

Miedzo inosanganisira:

• Abdominal ultrasound
• Abdominal x-ray
• BUN
• Chest x-ray kana CT scan
• Yakazara kuverenga ropa (CBC), inogona kuratidza kupererwa neropa
• Creatinine
• Chibvumirano cheCreatinine
• CT scan yemudumbu nekusiyana
• MRI
• Intravenous pyelogram
• MR angiography (MRA)
• Kuongorora urinal
• Alkaline phosphate
• Calcium
• Transaminases (enzyme yechiropa)

Mimwe bvunzo inodiwa kuti uone kana bundu rapararira rinogona kusanganisira:

• Echocardiogram
• Lung scan
• PET scan
• Biopsy

Kana mwana wako akaonekwa kuti ane WT, usatenderedza kana kusundira padumbu remwana. Shandisa hanya panguva yekugeza nekubata kuti udzivise kukuvara kune bundu nzvimbo.

Nhanho yekutanga pakurapa ndeyekuisa bundu. Kugadzira matanho kunobatsira mupi kuona kuti kenza yapararira zvakadii uye kuronga kwekurapwa kwakanyanya. Kuvhiya kubvisa bundu kunorongwa nekukurumidza sezvazvinogona. Nyama dzakakomberedza uye nhengo dzinogona zvakare kuda kubviswa kana bundu rapararira.

Radiation Therapy uye chemotherapy inowanzo kutanga mushure mekuvhiyiwa, zvinoenderana nedanho rebundu.

Chemotherapy yakapihwa pamberi pekuvhiya inoshanda zvakare mukudzivirira matambudziko.

Vana vane bundu risina kupararira vane 90% yekurapa mwero nemabatiro akakodzera. Kufungidzira kuri nani zvakare muvana vadiki pane makore maviri ekuberekwa.

Bundu rinogona kuve rakakura kwazvo, asi kazhinji rinoramba rakazvivharira. Kupararira kwethumba kumapapu, lymph node, chiropa, pfupa, kana huropi ndicho chinonyanya kunetsa.

Yakakwira BP uye itsvo kukuvara kunogona kuitika semhedzisiro yebundu kana kurapwa kwayo.

Kubviswa kweWT kubva kuitsvo mbiri kunogona kukanganisa itsvo kushanda.

Zvimwe zvinogona kunetsa zvekurapa kwenguva refu kweWT zvinogona kusanganisira:

• Kutadza kwemoyo
• Kenza yechipiri kumwe kunhu mumuviri kunoitika mushure mekurapa kenza yekutanga
• Kureba kupfupi

Fonera mupi wemwana wako kana:

• Iwe unowana iro bundu mudumbu remwana wako, ropa mune weti, kana zvimwe zviratidzo zveWT.
• Mwana wako ari kurapwa chirwere ichi uye zviratidzo zvinowedzera kana zviratidzo zvitsva zvichikura, kunyanya kukosora, kurwadziwa pachipfuva, kuonda, kana kupisa muviri.

Kune vana vane njodzi inozivikanwa yeWT, kuongorora uchishandisa ultrasound yeitsvo kana prenatal genetic ongororo inogona kutaurwa.

Nephroblastoma; Bundu reitsvo - Wilms

• Itsvo anatomi
• Wilms bundu

National Cancer Institute webhusaiti. Wilms bundu uye imwe yehudiki itsvo mamota marapirwo (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/kidney/hp/wilms-treatment-pdq. Yakagadziridzwa June 8, 2020. Yakasvika Nyamavhuvhu 5, 2020.

Ritchey ML, Mutengo NG, Shamberger RC. Chiremba urologic oncology: renal uye adrenal. Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chits. 53.

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.