Ke pilikia nei ʻoe me kou mau puʻupaʻa? E aʻo kākou e pili ana i ka Renal Cell Carcinoma (RCC)!

Ua noʻonoʻo hohonu paha ʻoe e pili ana i kou mau puʻupaʻa? ʻO nā puʻupaʻa he ʻelua mau ʻāpana liʻiliʻi akā koʻikoʻi loa i loko o ko kākou kino. Ua like lākou me nā kānana i loko o ko kākou kino. Eia nō naʻe, i kekahi manawa hiki i kēia mau puʻupaʻa ke loaʻa nā pilikia. I kēia lā e kamaʻilio mākou e pili ana i kekahi o nā ʻano maʻi kanesa maʻamau e hiki ke hana i loko o nā puʻupaʻa, ʻo "Renal Cell Carcinoma" a i ʻole RCC . Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka renal cell carcinoma (RCC)?

I ka ʻōlelo maʻalahi, ʻo ka renal cell carcinoma (RCC) ke ʻano maʻamau o ka maʻi puʻupaʻa. Loaʻa i ko mākou mau puʻupaʻa kahi pūnaewele maikaʻi loa o nā ʻōmole i kapa ʻia ʻo tubules . ʻO kēia mau ʻōmole ka mea e lawe i ka wai a me nā meaʻai o ke kino i loko o ke koko a hoʻoneʻe i nā huahana ʻōpala i loko o ka mimi. Aia i loko o kēia mau tubules e hoʻomaka ai ka RCC e hana. Ma kahi o 85% o nā maʻi puʻupaʻa o kēia ʻano.

ʻO ka hapa pinepine, hoʻomaka ka RCC ma ke ʻano he puʻupuʻu liʻiliʻi o nā hunaola kanesa i loko o hoʻokahi puʻupaʻa. Ua kapa ʻia hoʻi kēia he puʻupuʻu . Eia nō naʻe, i kekahi manawa hiki ke hana ʻia nā puʻupuʻu he nui i loko o hoʻokahi puʻupaʻa, a i ʻole ma nā puʻupaʻa ʻelua.

He aha nā ʻano nui o ka RCC?

Aia nā ʻano like ʻole o ka RCC. E noʻonoʻo e like me ka loaʻa ʻana o nā kānaka like ʻole i loko o ka ʻohana hoʻokahi. Hoʻokumu ʻia kēia hoʻokaʻawale ʻana ma ke ʻano o ke ʻano o nā hunaola kanesa ma lalo o kahi microscope, kā lākou DNA , a i ʻole nā ​​mea genetic. Aia kekahi mau ʻano nui:

• ʻO ka maʻi kanesa renal cell clear cell (ccRCC): ʻO kēia ʻano ka helu no kahi 85% o ka RCC. Loaʻa iā ia kona inoa no ka mea ua ʻike ʻia nā hunaola kanesa ma lalo o kahi microscope.
• ʻO ka papillary renal cell carcinoma: ʻO kēia ʻano ma waena o 10% a me 15% o nā renal cell carcinomas āpau. Ua kapa ʻia ʻo ia no nā puka e like me ka manamana lima ( papillae ) i loaʻa ma kēia mau puʻupuʻu.
• ʻO ka maʻi kanesa o ke kele renal chromophobe: ʻO kēia ʻano ma waena o 5% a me 10%. He māmā hoʻi ke kala o kēia mau kele, e like me nā kele moakaka, akā ʻoi aku ka nui.
• RCC i hoʻokaʻawale ʻole ʻia: Ma kahi o 6% o RCC ʻaʻole hiki ke hoʻokaʻawale ʻia i kekahi ʻano nui. Eia nō naʻe, ke hoʻāʻo mau nei nā kānaka ʻepekema e hoʻokaʻawale i kēia hui i hoʻokaʻawale ʻole ʻia ma nā ʻano hou, ma muli o nā mea e like me nā ʻano microscopic o nā cell a me kā lākou DNA .

Ua lohe paha ʻoe i nā kauka e hoʻohana ana i nā huaʻōlelo "localized" a i ʻole "advanced" a i ʻole "metastatic" i ke kamaʻilio ʻana e pili ana i ka RCC. ʻO ke ʻano o ka Localized RCC aia wale nō ke kanesa i loko o ka puʻupaʻa, a ua laha paha i nā ʻiʻo kokoke.ʻO ia hoʻi, ua laha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino. ʻO ke ʻano āu i loaʻa ai e hoʻoholo ai i kāu mau koho lapaʻau a me nā manawa e hoʻōla ai.

Pehea ka maʻamau o ka RCC?

Ma ka honua holoʻokoʻa, ma kahi o 400,000 mau hihia hou o ka RCC i hōʻike ʻia i kēlā me kēia makahiki. Ma ʻAmelika Hui Pū ʻIa, ʻo ka helu ma kahi o 80,000. ʻOiai hiki i kekahi ke loaʻa i ka RCC, ʻoi aku ka maʻamau i nā kāne ma waena o 60 a me 80 mau makahiki .

He aha nā hōʻailona o ka renal cell carcinoma?

ʻAʻole ʻike ka nui o ka poʻe i kekahi mau hōʻailona i nā pae mua. Hoʻomaka ka ʻike ʻia ʻana o nā hōʻailona ke ulu ka maʻi ʻaʻai a hoʻomaka e hoʻopilikia i nā ʻiʻo a i ʻole nā ​​​​​​kino e pili ana.

Hiki i nā hōʻailona o ka RCC ke komo pū me:

• Koko i loko o ka mimi (hematuria). ʻO kēia ka hōʻailona maʻamau.
• ʻEha ʻaoʻao: Pili kēia i ka ʻeha e kū ana ma nā ʻaoʻao ʻelua o ke kino, ma luna o ka pūhaka a ma lalo o nā iwi ʻaoʻao.
• Ka manaʻo o kahi puʻu i loko o ka ʻōpū, ke kua i lalo, a i ʻole ka ʻūhā.
• Ke kuni e hiki mai ana me ke kumu ʻole.
• Ka hou o ka pō.
• Ka pohō kaumaha i wehewehe ʻole ʻia.

Eia kekahi, hiki ke loaʻa nā hōʻailona o ka anemia , e like me ka pōkole o ka hanu a me ka luhi. A i ʻole e ʻike ʻia nā hōʻailona o kahi maʻi i kapa ʻia ʻo paraneoplastic syndromes . I kēia hihia, hoʻokuʻu ʻia nā mea e like me nā hormones mai nā puʻupuʻu kanesa, e hoʻoulu ai i nā loli like ʻole i ke kino.

He aha nā kumu o ka RCC?

Hana ʻia ka RCC i ka wā e hoʻomaka ai nā pūnaewele ʻano ʻē i loko o nā tubules puʻupaʻa e ulu me ke kāohi ʻole. ʻAʻole ʻike ʻia ke kumu pololei. Eia nō naʻe, ua ʻike nā kānaka ʻepekema i kekahi mau mea pilikia e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka RCC.

He aha nā kumu pilikia?

ʻOi aku ka kiʻekiʻe o ka pilikia o ka hoʻomohala ʻana i ka RCC inā loaʻa iā ʻoe kēia mau mea:

• Puhipaka: ʻO ka nui o kāu puhipaka, ʻo ka nui aʻe o ka pilikia.
• Momona: ʻO ke kiʻekiʻe o kou helu helu kino (BMI), ʻo ke kiʻekiʻe o kou pilikia.
• Ke koko kiʻekiʻe (Hypertension).
• Maʻi puʻupaʻa mau loa: ʻO kēia ka poʻe e loaʻa ana i ka lāʻau dialysis lōʻihi.
• Ka maʻi Hepatitis C mau loa.
• Ka hoʻohana lōʻihi ʻana i kekahi mau lāʻau ʻeha (e like me NSAID, acetaminophen).
• Ma hope o ka loaʻa mua ʻana o ka radiation therapy i ka ʻāpana ʻōpū.
• Ka hōʻike ʻana i nā carcinogens, e like me ka cadmium a me ka asbestos .
• Maʻi ʻeha cell sickle: Pili kēia me kahi ʻano RCC kakaikahi.
• Ka moʻolelo ʻohana o ka maʻi ʻaʻai puʻupaʻa.
• Nā hoʻololi hoʻoilina: ʻO kēia nā loli i loko o ka DNA o nā pūnaewele.
• ʻO ka paʻakikī o ka sclerosis tuberous.
• ʻO ka maʻi Von Hippel-Lindau (VHL).

Inā loaʻa iā ʻoe kekahi o kēia mau kumu pilikia, hiki i kāu kauka ke ʻōlelo aku e hana ʻoe i nā hoʻokolohua puʻupaʻa maʻamau, hiki ke kōkua i ka ʻike ʻana i ka maʻi kanesa i ka wā mua.

Pehea e ʻike ai i ka RCC?

Ma kahi o 25% o ka poʻe me RCC ua ʻike ʻia ua loaʻa iā lākou ka maʻi ma hope o ka laha iki ʻana o ke kanesa, ʻo ia hoʻi ka wā e hoʻomaka ai nā hōʻailona e ʻike ʻia.

Eia nō naʻe, ʻo ka nūhou maikaʻi, ʻo nā hoʻokolohua kiʻi i hana ʻia no nā kumu ʻē aʻe ke ʻike nui nei i nā ʻōpū RCC ma ke ʻano ulia pōpilikia, ma mua o ka ʻike ʻia ʻana o nā hōʻailona. ʻO ka hopena, nui ka poʻe e loaʻa ana i ka lāʻau no ke kanesa i kona pae hiki ke mālama ʻia.

Nā hoʻāʻo e ʻike i ka RCC

Hoʻohana nā kauka i nā hoʻokolohua kiʻi e ʻike i ke kanesa a hoʻolālā i ka mālama ʻana. ʻO nā hoʻokolohua maʻamau:

• ʻO ke scan ultrasound: Pili kēia i ka hoʻouna ʻana i nā nalu kani alapine kiʻekiʻe ma o nā ʻiʻo o ke kino a me ka hana ʻana i nā kiʻi e hiki ke nānā ʻia ma kahi monitor. Hiki i kahi ultrasound ke kōkua i ka hoʻoholo ʻana inā ua piha ka puʻupuʻu i ka wai (ʻo ia hoʻi he cyst pinepine) a i ʻole he paʻa (ʻoi aku ka maʻamau i nā puʻupuʻu kanesa).
• ʻO ke scan tomography computed (CT): Hoʻokumu kēia i kahi moʻo o nā kiʻi e hāʻawi i kahi kiʻi kikoʻī o loko o ke kino. Pono paha ʻoe e hoʻokomo i kahi dye i kapa ʻia ʻo contrast i loko o kahi vein a loaʻa kahi scan ma mua a ma hope. Hele kēia dye i ke kanesa a hōʻike maopopo iā ia.
• ʻO ke kiʻi ʻana i ka resonance imaging (MRI): Hoʻohana kēia i kahi magnet nui, nā nalu lekiō, a me kahi kamepiula e hana i nā kiʻi kikoʻī o loko o ke kino. Hiki i kāu kauka ke paipai i kahi MRI inā ʻaʻole hiki iā ʻoe ke loaʻa kahi CT scan (no ka laʻana, inā he maʻi ʻoe i ka dye i ʻōlelo ʻia ma mua), a inā ʻaʻole i hoʻoholo ʻia nā hopena o kahi ultrasound a me CT scan.

ʻOiai ke hana pinepine ʻia nei kahi biopsy no ka ʻike ʻana i ke kanesa, ʻaʻole hana pinepine ʻia kēia ma RCC. Pili ka biopsy i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupuʻu a nānā iā ia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa.

Akā, he mea weliweli pinepine ka biopsying RCC no ka mea hiki ke hōʻino i ka puʻupaʻa. No laila, hoʻāʻo pinepine nā kauka no nā hunaola kanesa ma hope o ka wehe ʻana i ka puʻupuʻu holoʻokoʻa ma ke ʻano he lāʻau lapaʻau. Inā hōʻike ke kiʻi ʻana ua laha ka kanesa, hiki iā lākou ke lawe i nā hunaola kanesa mai kahi ʻē aʻe ma mua o ka puʻupaʻa a hoʻāʻo iā lākou.

ʻO ka hoʻāʻo ʻana i kēia mau cell ke ala wale nō e ʻike pono ai i ke ʻano o ka RCC āu (inā ʻaʻole maopopo mai ke kiʻi ʻana). Kōkua nō hoʻi ia i ka ʻike ʻana i nā lāʻau lapaʻau e hana maikaʻi loa no kēlā ʻano maʻi kanesa.

Ke kahua o ka renal cell carcinoma

ʻO ka ʻike ʻana i ke kahua o kou maʻi ʻaʻai e kōkua i kāu kauka e hoʻomaopopo i ka mamao o ka laha ʻana o kou maʻi ʻaʻai. Hōʻike pū ia iā ʻoe inā ua kūloko a metastatic paha ke kanesa. Hiki i kēia ʻike ke kōkua iā ʻoe e hoʻolālā i kāu lāʻau a hāʻawi iā ʻoe i kahi manaʻo o ka prognosis.

Hoʻohana nā kauka i kahi ʻōnaehana i kapa ʻia ʻo TNM (tumor, lymph node, metastasis) e hoʻoholo ai i ke kahua o RCC. Hoʻokaʻawale lākou i ke kanesa i nā pae I a hiki i IV. Hoʻokaʻawale ʻia nā pae I, II, a me III i nā kanesa kūloko, ʻoiai ʻo ke kahua IV he metastatic RCC.

• Pae I RCC: He liʻiliʻi ka maʻi kanesa ma mua o 7 kenimika a ʻaʻole i pālahalaha ma waho o ka puʻupaʻa.
• Pae II RCC: ʻOi aku ka nui o ke kanesa ma mua o 7 kenimika, akā ʻaʻole i pālahalaha ma waho o ka puʻupaʻa.
• Pae III RCC: Hiki i ka puʻupuʻu ke nui a ua pālahalaha aku i nā ʻiʻo kokoke a puni ka puʻupaʻa.
• Pae IV RCC: Ua pālahalaha ke kanesa ma ʻō aku o ka puʻupaʻa i nā lymph nodes a me nā ʻōpū ʻē aʻe.

He mea nui: ʻO ka ʻike ʻana i ke kahua o ke kanesa he mea nui ia no ka hoʻoholo ʻana i ka lāʻau lapaʻau, no laila e kūkākūkā pono i kēia me kāu kauka.

Ma hea kahi e laha mua ai ka RCC?

Hoʻolaha pinepine ka Metastatic RCC i kou mau lymph nodes, māmā, iwi, akepaʻa, a me ka lolo. I kekahi manawa hiki iā ia ke laha i kāu mau ovaries a i ʻole testicles.

He aha nā lāʻau lapaʻau no ka renal cell carcinoma?

Aia ka lāʻau lapaʻau i nā kumu he nui, me ke kahua o ke kanesa a me kou olakino holoʻokoʻa. He ʻokoʻa ka lāʻau lapaʻau no ka RCC kūloko mai ka lāʻau lapaʻau no ka RCC metastatic .

Lapaʻau ʻana i ka maʻi kanesa cell renal kūloko

ʻO ka lāʻau lapaʻau no kēia, ʻo ia ka wehe ʻana i ke kanesa, a i ʻole ka luku ʻana i ke kanesa me ka hoʻohana ʻana i nā ʻano hana ablation (pepehi ʻana i nā cell me ka wela nui a i ʻole ke anu).

ʻO ke ʻoki ʻana ka lāʻau lapaʻau maʻamau no ka RCC kūloko.

• ʻO ka nephrectomy radical: Pili kēia i ka wehe ʻana i ka puʻupaʻa me ke kanesa a me kekahi o nā ʻiʻo a puni (e like me nā lymph nodes a me nā adrenal glands, kahi e loaʻa ai nā hunaola kanesa). No ka hapa nui o nā kānaka, ua lawa hoʻokahi puʻupaʻa olakino.
• Nephrectomy hapa:ʻO kēia ka wehe ʻana i ka ʻāpana o ka puʻupaʻa i loaʻa i ka maʻi kanesa. Hiki ke hana ʻia kēia ʻoki kino inā he liʻiliʻi kou maʻi kanesa. Hiki i kēia ke mālama i kekahi o kāu hana puʻupaʻa. He mea nui loa kēia inā ʻaʻohe ou puʻupaʻa olakino ʻelua.

Inā ʻaʻole ʻoe he moho maikaʻi no ke ʻoki kino, hiki i kāu kauka ke ʻōlelo i nā kaʻina hana ablation . ʻO kēia mau mea:

• Cryotherapy: Hoʻopau ʻia nā hunaola kanesa ma ka hoʻokuʻu ʻana iā lākou i ke anu nui.
• ʻO ka hoʻopau ʻana o ke alapine radio: Ua puhi ʻia nā hunaola kanesa ma ka hōʻike ʻana iā lākou i ka wela nui.

Ka mālama ʻana i ka maʻi kanesa cell renal metastatic

ʻO ka mālama ʻana no ka metastatic RCC e pili ana i ke kaua ʻana i nā hunaola kanesa ma ke kino holoʻokoʻa. Hiki ke hana ʻia ke ʻoki ʻana e wehe i ka puʻupuʻu, akā ʻaʻole lawa ia e hoʻopau loa i ka maʻi kanesa metastatic. Eia nō naʻe, hiki i ka wehe ʻana i ka puʻupuʻu ke kōkua i ka hōʻemi ʻana i nā hōʻailona a hoʻopaneʻe i ka hoʻomaka ʻana o nā lāʻau lapaʻau ʻē aʻe.

ʻO nā lāʻau lapaʻau maʻamau ka immunotherapy a me ka therapy i hoʻolālā ʻia . Ma muli o nā kumu like ʻole, hāʻawi ʻia kēia mau lāʻau lapaʻau hoʻokahi a i ʻole i ka hui pū ʻana.

Nā lāʻau lapaʻau immunotherapy

Hana ka Immunotherapy ma ka hoʻoikaika ʻana i kāu ʻōnaehana pale, e kōkua ana iā ia e ʻimi a hakakā i nā hunaola kanesa. ʻO kekahi o kēia mau lāʻau lapaʻau:

• ʻAvelumab (Avelumab - Bavencio®)
• ʻIpilimumab (Ipilimumab - Yervoy®)
• Nivolumab (Nivolumab - Opdivo®)
• ʻO Pembrolizumab (Pembrolizumab - Keytruda®)

Nā lāʻau lapaʻau i kuhikuhi ʻia

Hana nā lāʻau lapaʻau i kuhikuhi ʻia ma ke keakea ʻana i ke kaʻina hana o ka hoʻonui ʻia ʻana o nā cell cancer. Hoʻopaʻa kēia lāʻau i ka lako koko i nā cell cancer, e hoʻolohi ana i ko lākou ulu ʻana. ʻO kekahi o kēia mau lāʻau lapaʻau:

• Axitinib (Axitinib - Inlyta®)
• Bevacizumab (Bevacizumab - Avastin®)
• ʻO Cabozantinib (Cabozantinib - Cabometyx®)
• Everolimus (Everolimus - Afinitor®)
• ʻO Lenvatinib (Lenvatinib - Lenvima®)
• Pazopanib (Pazopanib - Votrient®)
• Sorafenib (Sorafenib - Nexavar®)
• Sunitinib (Sunitinib - Sutent®)
• Temsirolimus (Temsirolimus - Torisel®)
• Tivozanib (Tivozanib - Fotivda®)

Ma muli o ke kahua o ke kanesa, kahi i laha ai, kona koʻikoʻi, a me kāu pane ʻana i nā lāʻau lapaʻau ʻē aʻe, hiki i kāu kauka ke ʻōlelo aku i nā lāʻau lapaʻau ʻē aʻe, e like me ka radiation therapy .

Hiki ke ho'ōla loa ʻia ka RCC?

Aia ia i kāu hōʻailona kikoʻī. RCC kūlokoʻO ka poʻe me ka RCC kūloko kiʻekiʻe-pilikia i wehe ʻia ko lākou maʻi ʻaʻai ma ke ʻoki ʻana he hopena maikaʻi ko lākou i ka wā lōʻihi. Hiki ke hāʻawi ʻia i ka immunotherapy i ka poʻe me ka RCC kūloko kiʻekiʻe-pilikia ma hope o ka wehe ʻia ʻana o ke kanesa e hoʻomaikaʻi i nā hopena lōʻihi.

ʻAʻohe lāʻau lapaʻau i kēia manawa no ka RCC holomua i pālahalaha ma waho o ka puʻupaʻa. Eia nō naʻe, i ka loaʻa ʻana o nā kānaka ʻepekema i nā lāʻau lapaʻau maikaʻi aʻe e pili ana i nā hunaola kanesa kikoʻī, ke ola nei ka poʻe me ka metastatic RCC i kēia manawa no ka lōʻihi.

He aha ka manaʻo no nā RCC?

I kēia manawa, hiki i nā kauka ke ʻike i ka RCC i kahi pae mua, i ka wā e hiki ai ke mālama ʻia ke kanesa. Ua hoʻomaikaʻi ka ʻike mua ʻana a me nā lāʻau lapaʻau i hoʻomaikaʻi ʻia i nā helu ola. 90% o ka poʻe me ke kahua I RCC e ola ana no ʻelima mau makahiki. Pēlā nō, ʻoiai ʻo ka manaʻolana ola no ka poʻe me ke kahua IV RCC i kaupalena ʻia i nā mahina, nui ka poʻe i kēia manawa e ola ana no kekahi mau makahiki.

Hiki ke pale ʻia ka RCC?

ʻAʻole hiki ke pale ʻia ka RCC i nā manawa a pau. Akā hiki iā ʻoe ke hōʻemi i kou pilikia. No ka laʻana, ʻo ka puhi ʻole ʻana (a i ʻole ka haʻalele ʻana inā hana ʻoe) kekahi o nā mea maikaʻi loa hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka maʻi kanesa. He mea nui hoʻi e mālama i ke kaumaha olakino, e ʻai i ka meaʻai kaulike, a e kāohi i ke koko kiʻekiʻe.

Pehea e hiki ai iaʻu ke mālama iaʻu iho?

E kamaʻilio me kāu kauka e pili ana i kahi hoʻolālā mālama e kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona maʻi kanesa a me nā hopena ʻaoʻao o kāu lāʻau lapaʻau. No ka laʻana, pono paha kekahi poʻe e hoʻomaka i ka dialysis ma hope o ke ʻoki ʻana inā ʻaʻole hana pono kekahi a i ʻole nā ​​​​pūpū ʻelua. He mea nui e ʻike pehea e hoʻopilikia ai kēia mau lāʻau lapaʻau iā ʻoe.

Pono paha ʻoe i ke kōkua i ka hoʻokele ʻana i nā hopena ʻaoʻao o ka lāʻau lapaʻau i kuhikuhi ʻia a i ʻole ka immunotherapy . E nīnau i kāu kauka i ka mea e manaʻo ai ma mua o ka hoʻomaka ʻana i ka lāʻau.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

• He aha ke ʻano o ka RCC iaʻu?
• Pehea ka mamao i laha ai koʻu maʻi kanesa (he aha ke kahua)?
• He aha nā pōmaikaʻi a me nā pōʻino o nā lāʻau lapaʻau i loaʻa?
• He aha nā hopena ʻaoʻao a i ʻole nā ​​pilikia e pono iaʻu e makaʻala ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau?
• ʻEhia pinepine e pono ai iaʻu e hele mai no nā nānā kino ma hope o ka lāʻau lapaʻau?
• He aha nā loli e pono iaʻu e manaʻo i koʻu nohona i ka wā o ka mālama ʻana?
• He aha ka wānana o koʻu kūlana?

ʻO kou ʻike lapaʻau no ka maʻi kanesa renal cell carcinoma (RCC) e hilinaʻi ʻia i nā kumu he nui, me kou olakino holoʻokoʻa, ke ʻano a me ke kahua o RCC, a me kāu pane ʻana i ka lāʻau lapaʻau. Akā, ʻo ka poʻe i ʻike ʻia me ka maʻi kanesa puʻupaʻa e pōmaikaʻi mai ka kūkulu ʻana i kahi pilina pili me kā lākou hui lapaʻau. Mai kānalua e nīnau e pili ana i kāu hōʻailona, ​​​​nā pono a me nā pōʻino o nā koho lapaʻau, a me nā hopena i manaʻo ʻia. ʻO kāu kauka ke kanaka maikaʻi loa e wehewehe i ke ʻano o ka loaʻa ʻana o ka RCC iā ʻoe.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻOiai he maʻi koʻikoʻi ka renal cell carcinoma (RCC), ua hoʻomaikaʻi nui ʻia kona wikiwiki hoʻōla me ka ʻike mua ʻana a me ka mālama kūpono. Inā loaʻa iā ʻoe kekahi mau hōʻailona, ​​ʻoiai ke koko i loko o kou mimi, ka ʻeha ma kou ʻūhā, kahi puʻupuʻu ma kou lima, a i ʻole ka mōʻaukala ʻohana o ka maʻi ʻaʻai puʻupaʻa, e ʻimi koke i ke kōkua lapaʻau. Hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o kēia maʻi ma ka pale ʻana i ka puhipaka a me ka lawe ʻana i kahi nohona olakino. Mai makaʻu e kamaʻilio me kāu kauka inā he mau hopohopo kāu. ʻAʻole ʻoe hoʻokahi.

ʻO ke kanesa puʻupaʻa, renal cell carcinoma, RCC, nā puʻupuʻu puʻupaʻa, nā hōʻailona kanesa, ka mālama ʻana i ke kanesa, ke olakino o nā puʻupaʻa