Ua lohe paha ʻoe e hiki ke ulu nā ʻano puʻupuʻu like ʻole i loko o nā puʻupaʻa? I kekahi manawa ua ʻike ʻia kēia mau mea ma ke kūlana, ʻoiai e hana ana i kekahi mau hoʻokolohua ʻē aʻe. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano puʻupuʻu e ulu ana i loko o nā puʻupaʻa, akā ʻaʻole pinepine ia he maʻi kanesa, ʻo ia hoʻi, he puʻupuʻu (benign). Ua kapa ʻia kēia ʻo (Renal Oncocytoma). Mai makaʻu, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, me ka maʻalahi loa.
Renal function (eGFR)
Measure kidney function based on creatinine value
He aha kēia (Renal Oncocytoma)?
I ka ʻōlelo maʻalahi, ʻo ka Renal Oncocytoma kahi puʻupuʻu maikaʻi e ulu ana i loko o kekahi a i ʻole nā puʻupaʻa ʻelua. E noʻonoʻo e like me kahi pōpō liʻiliʻi. I kekahi manawa ʻaʻole kēia mau puʻupuʻu e hōʻike i kekahi mau hōʻailona a ʻaʻole pono ka mālama ʻana. ʻO ka hapa nui o ka manawa, ʻike nā kauka iā lākou ma ka hanana, ʻoiai e hana ana i nā hoʻokolohua diagnostic no kekahi maʻi ʻē aʻe. No ka laʻana, ua hana ʻia ka makuakāne o kou hoaaloha i kahi CT scan no nā pilikia ʻōpū a ua ʻike ʻia he puʻupuʻu liʻiliʻi i loko o kona puʻupaʻa.
He aha ke ʻano o nā huaʻōlelo ʻelua?
Inā mākou e wehewehe i ke ʻano o ka huaʻōlelo (Renal Oncocytoma), penei:
- ʻO ke ʻano o "(Renal)" ma ka ʻōlelo Latina, ʻo ia hoʻi "pili i ka puʻupaʻa." Hoʻohana ʻia kēia huaʻōlelo no nā mea e pili ana i ko kākou mau puʻupaʻa.
- ʻO ke ʻano o ka (Oncocytoma) he puʻupuʻu i hana ʻia mai kahi ʻano kūikawā o ke kelepona i kapa ʻia ʻo (oncocytes) i ka ʻepekema lapaʻau. No laila, i ka hui ʻia ʻana o kēia mau mea ʻelua, ʻo ia hoʻi he puʻupuʻu i hana ʻia mai nā kelepona oncocyte i loko o ka puʻupaʻa. Maopopo iā ʻoe?
Pehea ka maʻamau o kēia (Renal Oncocytoma)?
Ma kahi o 7% o nā puʻupaʻa he Renal Oncocytoma. ʻO ia hoʻi, ma kahi o 7 o kēlā me kēia 100 mau puʻupaʻa he ʻano kēia. Hiki i kekahi poʻe, ma kahi o 13% o ka poʻe me Renal Oncocytoma, ke loaʻa i nā puʻupaʻa he nui ma nā puʻupaʻa ʻelua. Ua kapa ʻia kēia ʻano ʻo Renal Oncocytoma.
Medical test equipment that can be used at home
Essential home medical devices including blood pressure monitors, oximeters and digital thermometers.
Check Availability →ʻO wai ka mea i ʻoi aku ka pilikia o ka hoʻomohala ʻana i ka Renal Oncocytoma?
Hiki i kēia mau puʻupuʻu, i kapa ʻia ʻo "Renal Oncocytoma", ke ulu maoli i loko o kekahi. Eia nō naʻe, ua ʻike ʻia he kiʻekiʻe iki ka likelika o ka ulu ʻana iā lākou i nā kāne a me nā poʻe ma luna o 60 mau makahiki .
Eia kekahi, ʻo kekahi mau kūlana hoʻoilina, e like me ka (Birt-Hogg-Dubé syndrome), hiki ke hana i ka (Renal Oncocytoma). ʻO kēia kūlana hoʻoilina, (Birt-Hogg-Dubé syndrome), e hoʻonui i ka pilikia o ka hoʻomohala ʻana i nā cysts kidney, nā tumors non-cancerous, e like me (Renal Oncocytoma), a me ke kanesa o ka puʻupaʻa.
Hiki i kēia puʻupuʻu (Renal Oncocytoma) ke lilo i mea ʻino?
He pilikia kēia i loaʻa i nā kānaka he nui. ʻO ka manawa kūpono o kēia mau puʻupuʻu, i kapa ʻia ʻo "Renal Oncocytoma", e lilo i maʻi kanesa he haʻahaʻa loa . ʻO ia hoʻi, he "benign" lākou.
Eia nō naʻe, he mea kākaʻikahi loa, ʻo ia hoʻi, i nā hihia kākaʻikahi loa, ua ʻike ʻia kekahi poʻe me ka (Renal Oncocytoma) ʻaʻohe mōʻaukala mua o ke kanesa he mau hunaola kanesa i pālahalaha i ke akepaʻa a i ʻole nā iwi (metastatic cancer). ʻO ke ʻano kēia ua lilo kā lākou oncocytoma i kanesa. Akā, ke ʻōlelo hou nei au, he mea kākaʻikahi loa kēia . No laila, mai makaʻu pono ʻole.
He aha ka ʻokoʻa ma waena o Renal Oncocytoma a me Renal Cell Carcinoma?
Eia nā mea āu e pono ai e makaʻala. ʻO kēia puʻupuʻu, i kapa ʻia ʻo (Renal Oncocytoma), ke nānā mākou iā ia ma waho, ʻo ia hoʻi, ke nānā mākou iā ia me ka (CT scan) a i ʻole (MRI), ua like loa ke ʻano me (Renal Cell Carcinoma), ʻo ia ke ʻano maʻamau o ka maʻi puʻupaʻa.
ʻO ka mea pōʻino, he mea paʻakikī ke ʻike maopopo mai kēia mau (nā hoʻāʻo kiʻi) wale nō inā he (benign) kahi puʻupuʻu, ʻo ia hoʻi, ʻaʻole ia he maʻi kanesa, a i ʻole (malignant), ʻo ia hoʻi he maʻi kanesa. ʻO ia ke kumu e ʻōlelo pinepine ai nā kauka i ke ʻoki kino e wehe i ka puʻupuʻu. A laila, lawe ʻia kahi ʻāpana o ka puʻupuʻu a nānā ʻia (biopsy) e hōʻoia inā he (Renal Oncocytoma), a he maʻi puʻupaʻa paha.
He aha ka ʻokoʻa ma waena o nā cysts a me nā tumors?
Aia nā ʻano like a me nā ʻokoʻa ma waena o nā mea ʻelua. E nānā kākou i ke ʻano o lāua.
- He mau ʻeke liʻiliʻi nā cysts e loaʻa ai ka wai, ka ea, a i ʻole nā mea paʻa. ʻAʻole ka hapa nui o nā cysts he maʻi kanesa.
- ʻO nā ʻōpū paʻa o nā ʻiʻo (Tumors) . Hiki i ka ʻōpū ke lilo i maʻi kanesa a ʻaʻole paha. ʻO ka ʻōpū Renal Oncocytoma he ʻōpū, akā i ka hapa nui o ka manawa ʻaʻole ia he maʻi kanesa.
He aha ke kumu o ka Renal Oncocytoma?
ʻAʻole ʻike ʻia ke kumu kikoʻī o ka hapa nui o nā puʻupaʻa, e like me ka renal oncocytoma . Manaʻo kekahi poʻe loea lapaʻau ʻo kekahi mau hoʻololi genetic e hana ʻia ma hope o ko kākou hānau ʻana e hoʻolilo i kekahi poʻe i mea maʻalahi i ka hoʻomohala ʻana i kēia mau puʻupaʻa. Ke noiʻi ʻia nei kēia.
He maʻi hoʻoilina anei (Renal Oncocytoma)?
I loko o kekahi mau ʻohana, hiki i kahi loli gene i hoʻoilina ʻia a i ʻole ka mutation ke hoʻonui i ka pilikia o ka loaʻa ʻana o nā oncocytomas renal he nui i nā puʻupaʻa ʻelua. ʻO nā kūlana e like me ka tuberous sclerosis complex a me ka Birt-Hogg-Dubé syndrome hiki ke hana i nā puʻupuʻu ma nā ʻāpana like ʻole o ke kino, me nā puʻupaʻa. Inā loaʻa i kekahi o kou ʻohana kēia mau kūlana, he mea nui e haʻi i kāu kauka.
He aha nā hōʻailona o (Renal Oncocytoma)?
E noʻonoʻo, ʻekolu o kēlā me kēia ʻehā kānaka me ka (Renal Oncocytoma) ʻaʻole lākou e ʻike i kekahi mau hōʻailona ! ʻO ia hoʻi, ʻaʻole lākou i ʻike ua loaʻa iā lākou.
Eia nō naʻe, inā loaʻa nā hōʻailona, hiki iā lākou ke like loa me nā hōʻailona o ke kanesa puʻupaʻa. Eia kekahi mau laʻana:
- Koko i loko o kou mimi (hematuria). ʻAʻole pono kēia e ʻulaʻula i ka manawa hoʻokahi, hiki i kekahi manawa ke poni a ʻeleʻele paha.
- ʻO ka ʻeha ʻaoʻao he ʻeha ia e puka mai ana mai ka ʻaoʻao o ka ʻōpū . Hiki i kēia ʻeha ke mau a hele mai a hele aku.
- He puʻupuʻu e like me he mea lā hiki ke paʻa i ka lima ma ka ʻaoʻao o ka puʻupaʻa i hoʻopilikia ʻia. Eia naʻe, ʻaʻole nā kānaka a pau e ʻike i kēia.
Pehea e ʻike ʻia ai ka Renal Oncocytoma?
ʻO ka hapa pinepine, ʻike nā kauka i ka (Renal Oncocytoma) ma ka ulia ka nānā ʻana i nā (nā hoʻāʻo kiʻi), e like me (kidney ultrasounds), (MRIs), a i ʻole (CT scans), e nānā i nā pilikia ʻē aʻe, e like me nā pōhaku puʻupaʻa.
E like me kaʻu i ʻōlelo ai ma mua, ʻo nā puʻupuʻu kanesa e like me (Renal Oncocytoma) a me (Renal Cell Carcinoma) ke nānā like nei ma (nā scan kiʻi). Ma muli o kēia, he paʻakikī i nā kauka ke haʻi koke inā he puʻupuʻu ʻaʻole kanesa a he kanesa paha ko ke kanaka. ʻO ke ala wale nō e hana ai i kahi hōʻoia pololei, ʻo ia ka hana ʻana i kahi (biopsy), kahi e nānā ai i nā cell o ka puʻupuʻu. Hana pinepine ʻia kēia (biopsy) ma hope o ke ʻoki ʻana e wehe i ka puʻupuʻu.
Eia kekahi laʻana, ma kahi o 45% o nā puʻupaʻa i ʻike ʻia he ʻaʻole he kanesa ke biopsied. No laila, inā he liʻiliʻi kou puʻupuʻu (ʻoi aku ka liʻiliʻi ma mua o 3-4 kenimika) a ʻaʻole ia e hoʻopilikia, hiki i kāu kauka ke ʻōlelo aku i ka "nānā ikaika" ma kahi o ke ʻoki kino. I loko o kēia wā "nānā ikaika", pono ʻoe e loaʻa i nā "scan kiʻi" maʻamau e ʻike inā e ulu ana ka puʻupuʻu a i ʻole e loli ana ma kekahi ʻano e hiki ai ke lilo i kanesa.
Pono anei e wehe ʻia nā puʻupaʻa ʻaʻole i pili i ka maʻi ʻaʻai?
Inā ʻaʻole e ulu ana ka puʻupuʻu a i ʻole e hoʻoulu ana i kekahi pilikia, ʻaʻole pono paha e mālama ʻia . Eia nō naʻe, inā he kānalua e pili ana i ka hōʻailona, inā e ulu wikiwiki ana ka puʻupuʻu, a inā he mau hōʻailona kāu, hiki i kāu kauka ke ʻōlelo i ke ʻoki ʻana.
Hiki i ke ʻoki kino ke wehe wale i ka puʻupuʻu (partially nephrectomy) a i ʻole ka puʻupaʻa holoʻokoʻa (radical nephrectomy). Na ke kauka e hoʻoholo i ke ʻano o ke ʻoki kino e hana ai ma muli o ka nui a me kahi o ka puʻupuʻu. Inā paha e wehe ʻia kekahi o kou mau puʻupaʻa, hiki nō iā ʻoe ke ola i kahi ola maʻamau a hana me kekahi puʻupaʻa. ʻAʻohe mea e hopohopo ai.
He aha ka manaʻo no kekahi me (Renal Oncocytoma)?
ʻAʻole nui ka hopena o nā oncocytomas renal ʻaʻole kanesa, ʻo ia hoʻi, benign, i kou ola maʻamau a hana. He haʻahaʻa loa ka manawa e lilo ai kahi oncocytoma i kanesa. ʻAʻole paha e hoʻi hou mai nā oncocytomas i wehe ʻia ma ke ʻoki ʻana.
Eia nō naʻe, inā he maʻi hoʻoilina kou (e like me ka maʻi Birt-Hogg-Dubé) e hoʻoulu ai i nā ʻōpū o loko, a laila ʻokoʻa iki paha ke kūlana. I ia mau hihia, he mea nui e kamaʻilio me kāu kauka a hana i nā nānā maʻamau.
I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻike pono i ke kauka:
- Inā he koko kou i loko o kou mimi.
- Inā he ʻeha mau kou ma kou ʻaoʻao a i ʻole kahi puʻupuʻu āu e ʻike ai ma kou lima.
- ʻAʻohe pilikia inā loaʻa iā ʻoe ke kuni me ke kumu ʻole, a inā paha e manaʻo ana ʻoe e emi ana kou kaumaha.
ʻAʻole pili kēia mau hōʻailona i ka (Renal Oncocytoma), akā hiki nō hoʻi ke lilo i mau hōʻailona o nā maʻi puʻupaʻa ʻē aʻe. No laila, ʻoi aku ka maikaʻi o ka ʻimi koke ʻana i ke kōkua lapaʻau.
He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?
Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau penei:
- No ke aha i loaʻa ai iaʻu kēia (Renal Oncocytoma)?
- Pono anei au e hana i ke ʻoki kino? A i ʻole hiki iaʻu ke hana i ka "nānā ikaika"?
- Aia anei au i ka pilikia o ka loaʻa ʻana o ka maʻi kanesa?
- Pono anei au e hopohopo e pili ana i nā pilikia?
- Pono anei iaʻu e hana i kekahi mau hoʻololi i koʻu nohona?
Mai makaʻu e nīnau i kēia mau nīnau. He mea nui loa e loaʻa iā ʻoe kahi ʻike maikaʻi o kou kūlana.
E nānā kākou i ka ʻokoʻa ma waena o (Renal Oncocytoma) a me (Chromophobe Renal Cell Carcinoma)
ʻO Chromophobe Renal Cell Carcinoma kahi ʻano maʻi puʻupaʻa kakaikahi loa. Hoʻomohala ia i loko o nā ʻōmole liʻiliʻi (tubules) i loko o kou mau puʻupaʻa e kōkua i ka wehe ʻana i nā huahana ʻōpala mai kou koko. Hoʻokuʻu ʻia kēia mau huahana ʻōpala ma o kāu ʻōnaehana mimi. Ma kahi o 5% o nā maʻi puʻupaʻa he ʻano chromophobe.
ʻOi aku ka nui o ka poʻe me ka maʻi Birt-Hogg-Dubé i ka loaʻa ʻana o nā puʻupaʻa. Loaʻa iā lākou ka pilikia nui o ka loaʻa ʻana o nā puʻupaʻa ʻaʻole kanesa (Renal Oncocytoma) a me nā puʻupaʻa kanesa (Chromophobe Renal Cell Carcinoma). Hiki ke hoʻoholo ʻia ke ʻano kikoʻī o ka puʻupaʻa ma o ke ʻoki ʻana a me ka biopsy.
No laila, he aha kā mākou e pono ai e hoʻomanaʻo mai kēia mau mea a pau?
ʻO ka Renal oncocytoma kahi ʻano puʻupuʻu ʻaʻole kanesa e ulu pinepine ana i loko o nā puʻupaʻa a ʻaʻole ia e hōʻike i kekahi mau hōʻailona. ʻIke pinepine nā kauka iā ia i ka wā o nā hoʻokolohua ʻē aʻe. No ka mea ua like ia me ka renal cell carcinoma, kahi ʻano maʻi puʻupaʻa, pono paha ke ʻoki ʻana e wehe i ka puʻupuʻu. ʻO ka biopsy wale nō ke ala e ʻike pono ai inā he renal oncocytoma a he maʻi puʻupaʻa paha kāu. Mai hopohopo, akā inā he mau hopohopo kāu, e ʻike i ke kauka. ʻO ka ʻike mua ʻana a me ka hoʻokele kūpono he mea nui ia.
ʻO nā cysts puʻupaʻa, renal oncocytoma, ʻaʻole maʻi kanesa, ka maʻi kanesa puʻupaʻa, nā hōʻailona, biopsy, ʻoki puʻupaʻa
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