Bundu raWilms: chii icho, zviratidzo uye kurapwa
Zvemukati
Bundu raWilms, iro rinonziwo nephroblastoma, mhando isingawanzo kenza inobata vana vari pakati pemakore maviri kusvika mashanu ekuberekwa, ichiwanzoitika pamakore matatu. Mhando iyi yebundu inoratidzirwa nekubatanidzwa kweiyo imwe kana mbiri itsvo uye inogona kucherechedzwa kuburikidza nekuonekwa kwesimba rakaoma mudumbu.
Rudzi urwu rwebundu rinowanzo kukura pasina zviratidzo, zvichionekwa kana zvatova mumatanho epamberi. Kunyangwe uchionekwa kuti yatove yakakura kwazvo, pane kurapwa uye mwero wekupona unosiyana zvichienderana nedanho pakaonekwa bundu, nemukana wekurapwa.
Zviratidzo zvikuru
Bundu raWilms rinogona kukura risina zviratidzo, zvisinei, zvakajairika kuona huwandu hunobatika husingakonzere kurwadziwa mudumbu remwana, uye zvakakosha kuti vabereki vaendese mwana kunechiremba kuti vazviite.
Zvimwe zviratidzo zvinogona kuitika nekuda kweichi chiitiko ndezvi:
- Kurasikirwa nechido;
- Kuzvimba mudumbu;
- Kupindwa nechando;
- Kusvotwa kana kurutsa;
- Kuvapo kweropa mumurini;
- Kuwedzera kweropa;
- Chinja mukufema.
Bundu raWilms rinowanzo bata imwe yeitsvo, zvisinei, panogona kunge paine kubatanidzwa kwezvose kana kutokanganisa dzimwe nhengo dzemwana, zvichiwedzera mamiriro echipatara uye zvichitungamira kuzviratidzo zvakakomba, sekubuda ropa kweziso, kushanduka kwekuziva uye kunetseka mukufema.
Zvinogona kukonzerwa
Izvo zvinokonzeresa bundu raWilms hazvina kunyatso tsanangurwa, hazvizivikanwe zvechokwadi kana paine hunhu hwekugara nhaka uye kana zvakatipoteredza zvinhu sekuratidzwa kwaamai kumakemikari panguva yekuzvitakura kunokonzera rudzi urwu rwebundu. Nekudaro, mamwe marudzi e syndromes ane hukama nekuitika kwechironda cheWilms, senge Fraser syndrome, Perlman syndrome, Beckwith-Wiedemann syndrome uye Li-Fraumeni syndrome.
Mamwe eaya ma syndromes akabatana nekuchinja kwemajini uye shanduko uye ane rimwe geni, rinonzi WT1 neWT2, uye izvi zvinogona kutungamira pakuonekwa kwethumba raWilms.
Pamusoro pezvo, vana vakazvarwa vaine dambudziko rekuzvarwa vari panjodzi yekuve nemhando iyi yebundu, senge vana vane cryptorchidism, inova iyo iyo testicle isingaburuke. Tsvaga zvimwe nezve marapirwo e cryptorchidism anoitwa.
Maitiro ekuongororwa kunoitwa
Iyo yekutanga kuongororwa kunoitwa nekupuruzira dumbu kuitira kuti utarise huremu hwemudumbu, kuwedzera pakuongorora zviratidzo zvinoratidzwa nemwana. Kazhinji chiremba wevana anokumbira bvunzo dzekufungidzira, senge ultrasound, ultrasound, computed tomography uye magnetic resonance imaging, kuti utarise huvepo hwebundu.
Kunyangwe ichikwanisa kukurumidza uye chinyararire, bundu rinowanzoonekwa dzimwe nhengo dzisati dzabatanidzwa.
Kurapa nzira
Bundu raWills rinogona kurapwa kuburikidza nekurapwa kwakakodzera, uko kunosanganisira kubvisa itsvo yakakanganiswa, ichiteverwa neyekuwedzera kurapwa, kunoitwa nekemotherapy uye kurapwa nemwaranzi. Munguva yekuvhiyiwa, chiremba anofanira kuongorora dzimwe nhengo kuti aone chero shanduko uye otarisa metastases, inova iyo bundu rinopararira kune dzimwe nhengo dzomuviri.
Panyaya yekuremara kweitsvo mbiri, chemotherapy inoitwa pamberi pekuvhiyiwa kuitira kuti pave nemukana wakawanda wekuti imwe itsvo ichashanda nemazvo, pasina kukuvara kwakanyanya. Ona zvimwe nezve chii chemotherapy uye kuti inoitwa sei.
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