Iseli ecacileyo sezintso cell carcinoma: unyango, abantu abane

Kwiminyaka yakutshanje, amatyala xa oogqirha ukuxilonga ecacileyo cell sezintso cell carcinoma. Indlela yokuphatha esi sifo yaye oko ungalindela kwixesha elizayo? I ukuyichonga ukuba kunokwenzeka, baqonde ukuba kuqala ukuba lo Ithumba yaye yahlukile kwezinye iintlobo umhlaza.

Yintoni?

Gipernefroidny cell ecacileyo umhlaza zezintso ngokuqhelekileyo lwenza kwi esikule ngakwimida imiphantsi nephron proximal. Ngaphantsi abhalwe rhoqo imizekelo benkqubo yokwehlulwa pyelocaliceal. Xa kuthelekiswa nezinye iintlobo zeHPV zingonobangela kwezifo oncological, oku akuxhaphakanga kakhulu, njengoko banesifo kwi malunga amabini ekhulwini zonke izigulane kunye nomhlaza. Okwangoku kokwabo kwindawo yeshumi, ngomhla nezihlandlo ukwenzeka ehlabathini.

Rhoqo ngonyaka kule sifo emhlabeni "umhlaza ecacileyo iseli kidney," kubeka 250 amawaka abantu. Malunga nekhulu lamawaka minyaka le bayafa ngenxa kwesi sifo. Iinkcukacha-manani zibonisa ukuba iseli ecacileyo cell sezintso carcinoma kwezintso ivame abemi kwizixeko ezikhulu. Iqela ubungozi - labantu abaneminyaka eyi-50 ukuya kuma-70.

Indlela yokuphatha?

Ukuba unesifo iseli ecacileyo cell kwezintso carcinoma, unyango kunokuba ngeendlela ezahlukahlukeneyo. Uyakwazi ukusebenzisa amayeza esizwe kunye nonyango iyavumelana, kodwa aninako ngoyaba oko kucetyiswa ngoogqirha. Oku kanye ulandele imiyalelo phezu Ukwamkelwa kweziyobisi ngokukhawuleza yabamba inkqubo yokuqesha. Ukuba oogqirha bacebisa indlela olungele konyango esi sifo, kuyimfuneko ukuba bakholose kumava abo.

Ngokuqhelekileyo khetha Amaqhinga yonyango sifo ngokukhawuleza kangangoko kunokwenzeka ukuba iseke diagnosis esichazayo ukuba baqonde ukuba sifikelela kuxeshani kwesi sifo. Kulo mzekelo, oogqirha ziqikelela:

• ubudala yesigulana;
• nemeko ngokubanzi eziphilayo;
• awamnika metastases cell cell sezintso carcinoma ecacileyo;
• indlela izilonda ezinkulu amalungu ezikufutshane, iithishu.

iindlela ezisebenzayo: utyando

Ukuba unesifo ecacileyo umhlaza iseli kidney, oogqirha ukucebisa usebenzise zonke iimpawu zezonyango namhlanje kwindawo yokuqala - ixesha ezisebenza kummandla zotyando. Kukholelwa ukuba lo msebenzi - kuba yeyona ndlela isebenzayo yokujongana sifo.

Ngale ndlela ukunyanga ugqirha Oncology lifumana ukufikelela ngokupheleleyo amalungu kunye nezihlunu yomguli ochaphazelekayo kwaye inokuba endaweni ukukhetha nokususwa ngokupheleleyo ukhetho isigqibo indawo kufuneka zisuswe nendlela yokwenza oko enkulu kangakanani. Oku kwenzeka ngolu hlobo lulandelayo:

1. Bandaging imithambo yegazi ekhokelela nezintso.
2. Ususe a block kwinyama abachaphazelekayo: kidney ithumba kwithishyu.
3. Nkovu node asike kwenziwa.

Simema uncedo sifo

iziphumo ezihle kakhulu ukuba iseli ecacileyo umhlaza kwezintso kwafunyaniswa, likuvumela ukuba unyango omzimba. Le yindlela enjalo ngempumelelo utshabalalisa iiseli zeethishu siguqulwe.

Xa lokufunyaniswa "iseli ecacileyo cell sezintso carcinoma" umba "interleukin-2" lisetyenziswa kwindawo yokuqala. Lubonakala yi impembelelo esisebenzayo ithumba izihlunu, okukhokelela lysis yamathumba. Ngaphezu arhente kuchaphazela umsebenzi T-lymphocyte. Ezi seli kuqala ukuvelisa esisebenza ngokwayo.

Enye indlela, ukuba kungafumaniseka kwi yezonyango - ichiza "Interferon Alfa-2a '. Kokuba zidityaniswe kunye ichiza ekhankanywe ngasentla. Le yindibaniselwano unika isiphumo kakhulu umxhelo.

Umhlaza

Ukuba ugqirha bene cell ecacileyo cell kwezintso carcinoma, iingqikelelo emva ukususwa ixhomekeke kakhulu kusetyenziswa uhlobo lonyango. Ukuba kuye kwagqitywa ekubeni ukubhenela utyando, oko akuthethi akuthethi ukuba unyango anqongophele ukuya itafile yotyando. Emva koko, siya kuya kufuneka ukuba uhambe kakhulu kwikhondo elide nechemotherapy. Yabela phambi nokusebenza.

Iziyobisi enokusetyenziswa ukulwa nomhlaza kidney:

• "Cisplatin".
• "Doxorubicin".
• "Methotrexate".
• "Vinblastine".

Kwezinye iimeko, oogqirha bacebisa unyango usebenzisa iziyobisi kunye nomxholo platinum. Amayeza zinokudityaniswa with "gemcitabine".

Khumbula ukuba chemotherapy njengoko ingasetyenziswa indlela oluzimeleyo yokujongana sifo, kuba ukusebenza kwawo lisezantsi kakhulu. Esi Singqinisiso nje extra ukwenza unyango olusebenzayo ngakumbi nokubekwa.

therapy radiation

Lokudambisa umhlaza sezintso - therapy radiation. Kuyaphumelela xa sifo izakufunyanwa xa metastases bone yesigulane. therapy eyingozi ngayo ukunciphisa intlungu.

Isetyenziswa njengoko fractionation 3 wulwe. Lokuqhubeka kwekhosi - iiveki ezimbini. Ubuninzi - izihlandlo ezili-10. Kwezinye iimeko, amisele 4 wulwe 5 amaxesha. Ngoko izinga kunciphisa ukuya ngeveki. Iinkcukacha-manani zibonisa ukuba ukuze kuncitshiswe iintlungu kunokwenzeka-80% yamatyala.

Hormone nomhlaza

zonyango hormone bebodwa ayiyi kunceda umhlaza ekubulaleni kidney, kodwa inzuzo zazo eziphambili - ukukwazi yokukhula kancinane somhlaza. Isetyenziswa kakhulu uluhlu olubanzi lwamachiza, ngempumelelo kakhulu kwaphumelela:

• "Tamoxifen".
• "Medroxyprogesterone".

Lilonke, izibalo zibonisa ukuba umntu uyakwazi ukubala kwi impumelelo kuphela xa unyango kudibanisa iindlela eziliqela. Surgery - oku linqanam lubalulekileyo indlela ebanzi, kodwa kubalulekile ukugcina amandla emzimbeni umntu ogulayo ezinye iindlela ezaziwayo.

Yintoni ukuba ulindele?

Ukuba ugqirha bene ecacileyo umhlaza iseli kidney, i-ALS ixhomekeke eqongeni apho yakwazi ukubona sifo. Kwaye oku kuxhomekeke kuhlobo Oncology kunye nokuba metastases abakhoyo, njengoko esebenzayo. Kakade ke, ozibonayo umhlaza kusekwangoko kwenyusa amathuba a ukuphumelela.

Ukuba awukwazi ukuhlola isifo kwinqanaba lokuqala, lo nyaka emihlanu-elingama ungaphezulu kwe-90%. In inyathelo lesibini, eli nani ziyohluka malunga 70-75%. Ngelo kwisigaba sesithathu kunyaka emihlanu-elingama - hayi ngaphezulu kwe-65%. Ekugqibeleni, isigaba sokugqibela esi sifo, xa Oncology wambetha iindawo nkovu kunye nethumba liye lakhula laba amalungu ezikude kunye nezihlunu emva kweminyaka emihlanu ukususela kumhla komyalelo ka-10-40% yezigulane asinde kugqitywe unyango.

ezinye iimpawu

Kwimeko apho kwafunyanwa ithumba, netoti ongadluli santimentov abathathu ukuba ukususwa resection ngendlela. Kungakhathaliseki imfundo indlela enkulu, ukuba ungenelelo ngotyando kunokwenzeka ukubhenela le ndlela kuphela ukuba ogulayo omnye kuphela zezintso.

Kwiminyaka embalwa edlulileyo, izazinzulu baye bakwazi ukuphuhlisa iindlela ezintsha ukususwa ithumba eziliqela. Eyona idumileyo ubugcisa ezintsha zonyango:

• imela cyber;
• ablation sokuquqa kwerediyo;
• embolization of kwemithambo kwezintso.

Zonke ezi ndlela kuvumela oogqirha ngokukhawuleza nangendlela eyiyo ukususa nethumba kwezi meko zinzima. Iinkcukacha-manani zibonisa ukuba bayanda oogqirha aphilise abagulayo, nto leyo kwiminyaka 5-7 eyadlulayo, ebeya kunganxulunyaniswa udidi embi kwiminyaka yakutshanje. Kodwa musa nokuba uzame ukukhetha indlela yaso, ukuba ungenza kuphela umntu oneemfanelo eziphakamileyo. Somdlavuza ihlola imo yomzimba yomguli kwaye idibane awohluke ayo, apho ekwenzeni isigqibo sokugqibela malunga nokwenzeka ngokusebenzisa indlela ethile.

Umhlaza kunye Quality of Life

Indlela avakala ngayo umntu ukugcina umgangatho wobomi kuxhomekeke indlela wambetha ngenxa yokugula yomzimba wakhe. Kakade ke, oku kuphungula uphuhliso somhlaza elingama seminyaka emihlanu-nabanye abantu abane ibe intle kangako abanenqanaba ngasinye esitsha. Kodwa kwimeko apho isigulane yasinda emva kweminyaka emihlanu ukususela sicatshulwa konyango, umgangatho wobomi soze kuba enye kwakhona.

Kakade ke, lo msebenzi unika isiphumo elungileyo, kodwa kwixesha elizayo kuya kufuneka aphile ngaphandle kwizintso omnye, nto leyo umisela imiqathango ethile ngokutya kunye nendlela yokuphila, imisebenzi semihla ngemihla. Kwakhona, ugqirha liya kuqesha unyango zonyango, apho kuya kufuneka zilandele ngokoqobo ukuya ekupheleni kobomi.

therapy ekujoliswe

Le ndlela yaziwa amagqirha kutshanje kwaye sele zingqineke impumelelo yayo kumlo somhlaza. Le ndlela isekelwe phezu ukusetyenziswa amayeza ethile esebenza kwiiseli ithumba. Inqanaba eliphezulu yokusebenza ngenxa tagetirovanostyu, oko kukuthi ekujoliswe kwezinto esebenzayo ulwalathiso. Kulo mzekelo, iiseli ezinempilo azichaphazeleki ngexesha uthatha ezi amayeza. Oku kuthetha ukuba kakhulu kuncitshiswa (nangona zero) iziphumo ebezingalindelekanga.

Phambi kokuba into esebenzayo isiyobisi enza iimolekyuli zohlobo olufanayo kwaye kuchaphazela iindlela zeselula engabangela ukukhula iiseli ithumba kumguli. Ukusetyenziswa kweziyobisi ezinjalo sele ebonisa njengoko kucikizeko, ezinye izazinzulu sicebisa ukuba indawo kubo immunotherapy. Nanini na kunokwenzeka, le mihla oogqirha ukuba isetyenziswe xa zidityaniswe ne omzimba ekujoliswe - libonisa nemiphumo emihle. Ukukhula yamathumba abuhlungu yehliswe ubuncinane kabini.

unyango ekujoliswe buyafuneka xa sele yaba radiation angasebenzi kunye nechemotherapy. amayeza Used:

• "Nexavar".
• "Inlita".
• "Torisel."

iindlela ekhaya nomhlaza

Kakade ke, indlela engundoqo ukulwa umhlaza emiselwe ngugqirha emva kokuba zoviwo ezipheleleyo yomguli, kodwa ukuba ukubhenela ezinye iindlela zonyango ekhaya ukuqhuba iiseli zomzimba usempilweni kwaye ulwe uyakuzalwa kwakhona. Okokuqala unyango ekhaya umhlaza kidney uza ukugcina ukutya okhethekileyo. It abamisa somdlavuza, ugxininise kwimeko ethile. Isenokuba zingasetyenziswa ukutya kuphela zizityebi vitamin-ukutya ukuba zifunxe lula yi emzimbeni womntu.

Akuvumelekile ukuba umhlaza kwezintso:

• ukutshaya;
• ukusela utywala.

Lemithetho - ubomi.

Musa ukusebenzisa ukutya:

• fat;
• nezinongo;
• elibukhali.

Ungazama ukusela iti, eyayivutyelwa kwi nasemifunweni zilandelayo:

• Rhodiola;
• yedwa;
• AIR;
• Chaga;
• horsetail;
• umba.