Renal cell carcinoma

Renal cell carcinoma ke mofuta oa mofetše oa liphio o qalang ka lera la methapo e menyenyane haholo (li-tubules) liphio.

Renal cell carcinoma ke mofuta o tloaelehileng haholo oa mofetše oa liphio ho batho ba baholo. E etsahala hangata ho banna ba lilemo li 60 ho isa ho tse 70.

Ha ho tsejoe hore na sesosa sa 'nete ke sefe.

Tse latelang li ka eketsa menyetla ea ho tšoaroa ke mofetše oa liphio:

• Ho tsuba
• Botenya
• Kalafo ea Dialysis
• Nalane ea lelapa ea lefu lena
• Khatello ea mali e phahameng
• Liphio tsa Horseshoe
• Tšebeliso ea nako e telele ea meriana e meng, joalo ka lipilisi tsa bohloko kapa lipilisi tsa metsi (diuretics)
• Lefu la liphio tsa Polycystic
• Lefu la Von Hippel-Lindau (lefu le futsitseng le amang methapo ea mali bokong, mahlo le likarolo tse ling tsa 'mele)
• Birt-Hogg-Dube syndrome (lefu la lefutso le amanang le lihlahala tse kotsi tsa letlalo le li-cysts tsa matšoafo)

Matšoao a mofets'e a kenyeletsa tse latelang:

• Bohloko ba mpeng le ho ruruha
• Bohloko ba morao
• Mali ka morong
• Ho ruruha ha methapo ho potoloha testicle (varicocele)
• Bohloko ba Flank
• Ho fokotsa boima ba 'mele
• Feberu
• Ho se sebetse ha sebete
• Sekhahla se phahameng sa erythrocyte sedimentation (ESR)
• Khōlo e feteletseng ea moriri ho basali
• Letlalo le putswa
• Mathata a pono

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Sena se ka senola boima kapa ho ruruha ha mpa.

Liteko tse ka laeloang li kenyelletsa:

• Tlhaloso ea mpa ea mpa
• Khemistri ea mali
• Palo e felletseng ea mali (CBC)
• Pyelogram e kenang ka hare (IVP)
• Liteko tsa ts'ebetso ea sebete
• Boitsebiso ba renal
• Ultrasound ea mpa le liphio
• Ho hlahloba urinal

Liteko tse latelang li ka etsoa ho bona hore na mofetše o nametse:

• MRI ea mpeng
• Tlhaho
• Ho hlahloba lesapo
• X-ray sefubeng
• Sekena sa CT
• Scan ea PET

Ho buoa ho tlosa tsohle kapa karolo ea liphio (nephrectomy) hangata ho khothaletsoa. Sena se ka kenyelletsa ho tlosa senya, lisele tse haufi, kapa li-lymph node. Pheko e ke ke ea etsahala ntle le haeba kankere eohle e tlosoa ka ho buuoa. Empa leha mofets'e o ka salla morao, ho ntse ho na le molemo oa ho buuoa.

Chemotherapy hangata ha e sebetse ho phekoleng mofetše oa liphio ho batho ba baholo. Meriana e mecha ea sesole sa 'mele e ka thusa batho ba bang. Meriana e shebileng nts'etsopele ea methapo ea mali e fepang hlahala e ka sebelisoa ho alafa mofetše oa liphio. Mofani oa hau a ka u joetsa tse ling.

Phekolo ea radiation e etsoa hangata ha mofetše o namela masapong kapa bokong.

U ka fokotsa khatello ea maikutlo ea bokuli ka ho kenella sehlopheng sa ts'ehetso seo litho tsa sona li arolelanang liphihlelo le mathata a tšoanang.

Ka linako tse ling, liphio ka bobeli lia ameha. Kankere e ata habonolo, hangata ho ea matšoafong le ho litho tse ling. Hoo e ka bang karolo ea bone ea batho, mofets'e o se o hasane (metastasized) nakong ea tlhahlobo.

Hore na motho ea nang le mofetše oa liphio o sebetsa hantle hakae ho latela hore na mofetše o hasane hakae le hore na kalafo e sebetsa hantle hakae. Sekhahla sa pholoho se phahame haholo haeba hlahala e le maemong a pele mme ha e so hasane kantle ho liphio. Haeba e nametse ho li-lymph node kapa ho litho tse ling, sekhahla sa pholoho se tlase haholo.

Mathata a kankere ea liphio a kenyelletsa:

• Khatello ea mali e phahameng (hypertension)
• Kalsiamo e ngata maling
• Palo e phahameng ea lisele tse khubelu tsa mali
• Mathata a sebete le spleen
• Ho ata ha mofetše

Bitsa mofani oa hau nako efe kapa efe ha u bona mali ka morong. Hape letsetsa haeba u na le matšoao a mang a lefu lena.

Khaotsa ho tsuba. Latela litlhahiso tsa mofani oa hau ha u phekola mathata a liphio, haholoholo a ka hlokang dialysis.

Mofetše oa renal; Kankere ea liphio; Hypernephroma; Adenocarcinoma ea lisele tsa renal; Kankere - liphio

• Ho tlosoa ha liphio - ho tsoa

• Anatomy ea liphio
• Lefu la liphio - CT scan
• Metastases ea liphio - CT scan
• Liphio - phallo ea mali le moroto

Webosaete ea National Cancer Institute. Phekolo ea kankere ea renal (PDQ) - mofuta oa litsebi tsa bophelo bo botle. www.cancer.gov/types/kidney/hp/kidney-treatment-pdq. E ntlafalitsoe ka la 28 Pherekhong 2020. E fihlile ka la 11 Hlakubele 2020.

Webosaete ea National Comprehensive Cancer Network. Litaelo tsa NCCN tsa litloaelo tsa kliniki ho oncology: mofetše oa liphio. Mofuta oa 2.2020. www.nccn.org/professionals/physician_gls/pdf/kidney.pdf. E ntlafalitsoe ka Phato 5, 2019. E fihlile ka la 11 Hlakubele 2020.

Weiss RH, Jaimes EA, Hu SL. Kankere ea liphio. Ka: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, li-eds. Brenner le Rector ea Liphio. 11th ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 41.