Pelo ea renal kapa mofetše oa ureter

Kankere ea renal pelvis kapa ureter ke mofetše o hlahang pelvis ea liphio kapa tube (ureter) e tsamaisang moroto ho tloha liphio ho ea senya.

Kankere e ka hola tsamaisong ea pokello ea moroto, empa ha e ea tloaeleha. Kankere ea renal le kankere ea ureter li ama banna khafetsa ho feta basali. Kankere ena e atile haholo ho batho ba baholo ho feta lilemo tse 65.

Ha ho tsejoe hantle lisosa tsa 'nete tsa mofetše ona. Ho teneha nako e telele (ho sa foleng) ha liphio linthong tse kotsi tse ntšitsoeng morotong e ka ba sesosa. Ho halefa hona ho ka bakoa ke:

• Tšenyo ea liphio meriana, haholo-holo bakeng sa bohloko (analgesic nephropathy)
• Ho pepesetsoa dae le lik'hemik'hale tse itseng tse sebelisetsoang ho etsa thepa ea letlalo, masela, polasetiki le rabara
• Ho tsuba

Batho ba nang le mofetše oa senya le bona ba kotsing.

Matšoao a ka kenyelletsa efe kapa efe ea tse latelang:

• Kamehla bohloko ba morao
• Mali ka morong
• Ho chesa, bohloko kapa ho se utloise bohloko ka ho ntša metsi
• Mokhathala
• Bohloko ba Flank
• Ho fokotsa boima ba 'mele bo sa hlaloseheng
• Ho felloa ke takatso ea lijo
• Khaello ea mali
• Makgetlo a moroto kapa ho potlaka

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele, mme a hlahlobe sebaka sa mpa (mpa). Maemong a sa tloaelehang, sena se ka senola liphio tse atolositsoeng.

Haeba liteko li etsoa:

• Ho hlahlojoa ha urinalysis ho ka bontša mali ka morong.
• Palo e felletseng ea mali (CBC) e kanna ea bontša phokolo ea mali.
• Urine cytology (tlhahlobo e nyane ea lisele) e ka senola lisele tsa mofetše.

Liteko tse ling tse ka laeloang li kenyelletsa:

• Tlhaloso ea mpa ea mpa
• X-ray sefubeng
• Cystoscopy e nang le ureteroscopy
• Pyelogram e kenang ka hare (IVP)
• Liphio tsa ultrasound
• MRI ea mpa
• Sesepa sa renal

Liteko tsena li ka senola hlahala kapa tsa bontša hore mofetše o nametse liphio.

Morero oa kalafo ke ho felisa mofetše.

Ho latela lits'ebetso ho ka sebelisoa ho phekola boemo bona:

• Nephroureterectomy - Sena se kenyelletsa ho tlosoa ha liphio, ureter le cuff ea senya (lisele tse hokahanyang ureter le senya)
• Nephrectomy - Ho buuoa ho tlosa tsohle kapa karolo ea liphio hangata ho etsoa. Sena se ka kenyelletsa ho tlosa karolo ea senya le lisele tse e potileng, kapa li-lymph node.
• Ureter resection - Ho buoa ho tlosa karolo ea ureter e nang le mofetše, le lisele tse ling tse phetseng hantle ho e potoloha. Sena se ka sebelisoa haeba ho na le lihlahala tse kaholimo feela tse teng karolong e tlase ea ureter haufi le senya. Sena se ka thusa ho boloka liphio.
• Chemotherapy - Sena se sebelisoa ha mofetše o hasane kantle ho liphio kapa ureter. Hobane lihlahala tsena li ts'oana le mofuta oa mofets'e oa senya, li alafshoa ka mofuta o ts'oanang oa chemotherapy.

U ka fokotsa khatello ea maikutlo ea bokuli ka ho kenela sehlopha sa ts'ehetso ea mofets'e. Ho arolelana le ba bang ba nang le liphihlelo tse tšoanang le mathata ho ka u thusa hore u se ke ua ikutloa u le mong.

Sephetho sea fapana, ho latela sebaka sa hlahala le hore na mofetše o hasane. Kankere e ka liphio kapa ureter e ka phekoloa ka ho buuoa.

Kankere e nametseng lithong tse ling hangata ha e phekolehe.

Mathata a tsoang mofets'eng ona a ka kenyelletsa:

• Ho hloleha ha liphio
• Ho ata ha sebaka sa hlahala ka bohloko bo ntseng bo eketseha
• Ho ata ha mofets'e ho ea matšoafong, sebeteng le masapong

Ikopanye le mofani oa hau haeba u na le matšoao a boletsoeng kaholimo.

Mehato e ka thusang ho thibela mofetše ona e kenyelletsa:

• Latela likeletso tsa mofani oa hau mabapi le meriana, ho kenyeletsoa le litlhare tse rekisoang haholo.
• Khaotsa ho tsuba.
• Apara thepa ea ho itšireletsa haeba ho ka etsahala hore u pepesehe linthong tse chefo liphio.

Kankere ea nakoana ea sele ea renal pelvis kapa ureter; Kankere ea liphio - noka ea renal; Kankere ea ureter; Urothelial carcinoma

• Anatomy ea liphio

Bajorin DF. Lihlahala tsa liphio, senya, li-ureters le pelvis pelvis. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 187.

Webosaete ea National Cancer Institute. www.cancer.gov/types/kidney/hp/transitional-cell-treatment-pdq. E ntlafalitsoe ka la 30 Pherekhong 2020. E fihlile ka la 21 Phupu 2020.

Wong WW, Daniels TB, Peterson JL, Tyson MD, Tan WW. Liphio le ureteral carcinoma. Ka: Tepper JE, Foote RL, Michalski JM, eds. Oncology ea mahlaseli a kotsi ea Gunderson & Tepper. La 5th. Philadelphia, PA: Elsevier; 2021: khaolo ea 64.