Kodi mudamvapo kuti mitundu yosiyanasiyana ya zotupa imatha kumera mu impso? Nthawi zina izi zimapezeka mwangozi, poyesa zina. Lero tikambirana za mtundu wa chotupa chomwe chimayamba mu impso, koma nthawi zambiri sichimakhala ndi khansa, kutanthauza chotupa cha '(chosaopsa). Ichi chimatchedwa '(Renal Oncocytoma)'. Musachite mantha, tikambirana izi mwatsatanetsatane, mwachidule.
Kodi ichi ndi chiyani (Renal Oncocytoma)?
Mwachidule, Renal Oncocytoma ndi chotupa chosaopsa chomwe chimakula mu impso imodzi kapena zonse ziwiri. Taganizirani ngati mpira waung'ono. Nthawi zina zotupazi sizimayambitsa zizindikiro zilizonse ndipo sizifuna chithandizo. Nthawi zambiri, madokotala amazipeza mwangozi, akamayesa matenda ena. Mwachitsanzo, abambo a mnzanuyo anali kuchitidwa CT scan kuti adziwe mavuto am'mimba ndipo anapezeka kuti ali ndi chotupa chaching'ono mu impso yake.
Kodi mawu awiriwa amatanthauza chiyani?
Ngati titafotokoza tanthauzo la mawu oti `(Renal Oncocytoma)`, ndi motere:
- Mawu akuti `(Renal)` ndi Chilatini otanthauza `zokhudzana ndi impso.' Mawuwa amagwiritsidwa ntchito pofotokoza zinthu zokhudzana ndi impso zathu.
- ``(Oncocytoma)`` amatanthauza chotupa chopangidwa kuchokera ku mtundu wapadera wa selo lotchedwa ``(oncocytes)`` mu sayansi ya zamankhwala. Choncho pamene ziwirizi ziphatikizidwa, zimatanthauza chotupa chopangidwa kuchokera ku maselo a oncocyte mu impso. Kodi mukumvetsa?
Kodi izi ndi zofala bwanji (Renal Oncocytoma)?
Pafupifupi 7% ya zotupa za impso ndi Renal Oncocytoma. Izi zikutanthauza kuti pafupifupi 7 mwa zotupa 100 zilizonse za impso ndi zamtunduwu. Anthu ena, pafupifupi 13% ya omwe ali ndi Renal Oncocytoma, amatha kukhala ndi zotupa zingapo mu impso zonse ziwiri. Vutoli limatchedwa Renal Oncocytosis.
Ndani ali pachiwopsezo chachikulu chotenga matenda a Renal Oncocytoma?
Zotupa zimenezi, zomwe zimatchedwa ``Renal Oncocytoma'', zimatha kufalikira mwa aliyense. Komabe, zikuwoneka kuti mwayi woti zituluke ndi wokwera pang'ono mwa amuna ndi anthu azaka zopitirira 60 .
Komanso, matenda ena a majini, monga `(Birt-Hogg-Dubé syndrome), angayambitse `(Renal Oncocytoma).` Matendawa a majini, `(Birt-Hogg-Dubé syndrome)` amawonjezera chiopsezo chokhala ndi ma cysts a impso, zotupa zomwe si khansa, monga `(Renal Oncocytoma)` ndi khansa ya impso.
Kodi chotupa ichi (Renal Oncocytoma) chingakhale khansa?
Ili ndi vuto lomwe anthu ambiri ali nalo. Mwayi woti zotupa izi, zotchedwa ``Renal Oncocytoma'', zikhale khansa ndi wochepa kwambiri . Izi zikutanthauza kuti nthawi zambiri zimakhala "zoyipa".
Komabe, nthawi zina, anthu ena omwe ali ndi `(Renal Oncocytoma)` omwe alibe mbiri ya khansa amapezeka kuti ali ndi maselo a khansa omwe afalikira ku chiwindi kapena mafupa (khansa yofalikira). Izi zikutanthauza kuti oncocytoma yawo yakhala khansa. Koma, ndikubwerezanso, izi zimachitika kawirikawiri kwambiri . Choncho musamachite mantha mosayenera.
Kodi pali kusiyana kotani pakati pa Renal Oncocytoma ndi Renal Cell Carcinoma?
Apa ndi zomwe muyenera kusamala nazo. Chotupa ichi, chotchedwa `(Renal Oncocytoma), tikachiyang'ana kunja, ndiko kuti, tikachiyang'ana ndi `(CT scan)` kapena `(MRI)`, chimawoneka chofanana kwambiri ndi `(Renal Cell Carcinoma)` yomwe ndi khansa ya impso yofala kwambiri.
Mwatsoka, n'zovuta kudziwa motsimikiza kuchokera ku `(mayeso ojambulira zithunzi)` okha ngati chotupa chili `(chosavulaza)`, kutanthauza kuti sichili khansa, kapena `(choyipa)`, kutanthauza khansa. Ichi ndichifukwa chake madokotala nthawi zambiri amalimbikitsa opaleshoni kuti achotse chotupacho. Kenako, chidutswa cha chotupacho chimatengedwa ndikuyesedwa `(biopsy)` kuti atsimikizire ngati ndi `(Renal Oncocytoma)`, kapena khansa ya impso.
Kodi kusiyana pakati pa ma cysts ndi zotupa ndi kotani?
Pali kufanana ndi kusiyana pakati pa ziwirizi. Tiyeni tiwone zomwe zili.
- Matumba ndi timatumba tating'onoting'ono tomwe timakhala ndi madzi, mpweya, kapena zinthu zolimba. Matumba ambiri si a khansa.
- `(Zotupa)` (Zotupa) ndi tinthu tolimba ta minofu. `(Chotupa)` chingakhale khansa kapena ayi. `(Renal Oncocytoma)` ndi `(chotupa)`, koma nthawi zambiri sichikhala khansa.
Kodi n’chiyani chimayambitsa matenda a renal oncocytoma?
Chifukwa chenicheni cha matenda ambiri a impso, monga renal oncocytoma, sichikudziwika . Akatswiri ena azachipatala amakhulupirira kuti kusintha kwa majini komwe kumachitika munthu akangobadwa kumapangitsa anthu ena kukhala pachiwopsezo chachikulu chotenga matendawa. Izi zikufufuzidwabe.
Kodi (Renal Oncocytoma) ndi cholowa?
M'mabanja ena, kusintha kwa majini kapena kusintha kwa majini komwe kunabadwa nako kungapangitse kuti pakhale chiopsezo chotenga matenda ambiri a impso m'maimpso onse awiri. Matenda monga tuberous sclerosis complex ndi Birt-Hogg-Dubé syndrome angayambitse zotupa m'magawo osiyanasiyana a thupi, kuphatikizapo impso. Ngati wina aliyense m'banja mwanu ali ndi matendawa, ndikofunikira kuuza dokotala wanu.
Kodi zizindikiro za (Renal Oncocytoma) ndi ziti?
Tangoganizirani, anthu atatu mwa anayi aliwonse omwe ali ndi `(Renal Oncocytoma)` saona zizindikiro zilizonse ! Izi zikutanthauza kuti sakudziwa ngakhale pang'ono kuti ali ndi matendawa.
Komabe, ngati zizindikiro zichitika, zimatha kufanana kwambiri ndi za khansa ya impso. Nazi zitsanzo zingapo:
- Magazi mu mkodzo wanu (hematuria). Siziyenera kukhala zofiira nthawi imodzi, nthawi zina zimakhala pinki kapena zofiirira.
- Kupweteka kwa m'mbali mwa mimba ndi ululu womwe umachokera m'mbali mwa mimba . Ululu uwu ukhoza kukhala wokhazikika kapena wobwera ndi kutuluka.
- Chotupa chomwe chimamveka ngati chingagwire dzanja lake m'mbali mwa impso yomwe yakhudzidwa. Komabe, si aliyense amene amamva izi.
Kodi matenda a Renal Oncocytoma amachiritsidwa bwanji?
Kawirikawiri, madokotala amapeza `(Renal Oncocytoma)` mwangozi akamaunika `(mayeso ojambula zithunzi)`, monga `(ma ultrasound a impso)`, `(MRIs)`, kapena `(ma CT scans)`, kuti aone mavuto ena, monga miyala ya impso.
Monga ndanenera kale, zotupa za khansa monga `(Renal Oncocytoma)` ndi `(Renal Cell Carcinoma)` zimaoneka chimodzimodzi pa `(imaging scans). Chifukwa cha izi, zimakhala zovuta kuti madokotala adziwe nthawi yomweyo ngati munthu ali ndi chotupa chosakhala khansa kapena cha khansa. Njira yokhayo yodziwira matenda molondola ndikuchita `(biopsy)`, yomwe imafufuza maselo a chotupacho. `(biopsy)` iyi nthawi zambiri imachitika opaleshoni ikatha kuchotsa chotupacho.
Mwachitsanzo, pafupifupi 45% ya zotupa za impso zimapezeka kuti sizili khansa zikachitidwa biopsy. Chifukwa chake, ngati chotupa chanu ndi chaching'ono (nthawi zambiri chochepera masentimita 3-4) ndipo sichimayambitsa mavuto, dokotala wanu angakulangizeni kuti "muyang'anire mosamala" m'malo mwa opaleshoni. Munthawi iyi ya "kuyang'anira mosamala", muyenera kukhala ndi "ma scans" nthawi zonse kuti muwone ngati chotupacho chikukula kapena kusintha mwanjira iliyonse yomwe ingakhale khansa.
Kodi zotupa za impso zomwe si khansa ziyenera kuchotsedwa?
Ngati chotupacho sichikukula kapena kuyambitsa mavuto aliwonse, sichingafunike kuchiritsidwa . Komabe, ngati pali kukayikira kulikonse pa matenda, ngati chotupacho chikukula mofulumira, kapena ngati muli ndi zizindikiro, dokotala wanu angakulangizeni opaleshoni.
Opaleshoni ingachotse chotupa chokha (kuchotsedwa kwa impso pang'ono) kapena impso yonse (kuchotsedwa kwa impso mwachangu). Dokotala adzasankha mtundu wa opaleshoni yoti achite kutengera kukula ndi malo a chotupacho. Ngakhale impso yanu imodzi itachotsedwa, mutha kukhalabe ndi moyo wabwinobwino komanso wokangalika ndi impso inayo. Palibe chodetsa nkhawa.
Kodi chiyembekezo cha munthu amene ali ndi matenda a Renal Oncocytoma ndi chotani?
Matenda a impso osakhala khansa, kutanthauza kuti, osavulaza, sakhudza kwambiri moyo wanu watsiku ndi tsiku komanso wotanganidwa. Mwayi woti matenda a impso asanduke khansa ndi wochepa kwambiri. Matenda a impso omwe achotsedwa opaleshoni ndi okayikitsa kwambiri kuti angabwerenso.
Komabe, ngati muli ndi vuto la majini (monga Birt-Hogg-Dubé syndrome) lomwe limayambitsa zotupa m'ziwalo, ndiye kuti vutoli likhoza kukhala losiyana pang'ono. Pazochitika zotere, ndikofunikira kulankhula ndi dokotala wanu ndikupita kukayezetsa nthawi zonse.
Ndiyenera kupita kwa dokotala nthawi yanji?
Ngati mukukumana ndi zizindikiro izi, onetsetsani kuti mwawonana ndi dokotala:
- Ngati muli ndi magazi mu mkodzo wanu.
- Ngati muli ndi ululu wosalekeza m'mbali mwanu kapena chotupa chomwe mungamve m'dzanja lanu.
- Palibe vuto ngati muli ndi malungo popanda chifukwa, kapena ngati mukumva ngati mukuchepetsa thupi.
Zizindikiro izi sizili zenizeni za `(Renal Oncocytoma)`, koma zithanso kukhala zizindikiro za matenda ena a impso. Chifukwa chake, ndi bwino kufunafuna upangiri wa dokotala nthawi yomweyo.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala?
Mungathe kufunsa dokotala mafunso monga awa:
- N’chifukwa chiyani ndinapeza `(Renal Oncocytoma)`?
- Kodi ndikufunika kuchitidwa opaleshoni? Kapena ndingachite "kuyang'anira odwala mwachangu"?
- Kodi ndili pachiwopsezo chotenga khansa?
- Kodi ndiyenera kuda nkhawa ndi zovuta?
- Kodi ndikufunika kusintha moyo wanga?
Musaope kufunsa mafunso awa. Ndikofunikira kwambiri kuti mumvetse bwino momwe zinthu zilili.
Tiyeni tiwone kusiyana pakati pa (Renal Oncocytoma) ndi (Chromophobe Renal Cell Carcinoma)
Matenda a Chromophobia (Chromophobia) Matenda a impso (Renal Cell Carcinoma) ndi khansa ya impso yosowa kwambiri. Imayamba m'machubu ang'onoang'ono (tubules) mu impso zanu zomwe zimathandiza kuchotsa zinyalala m'magazi anu. Zinyalalazi zimatuluka kudzera mu mkodzo wanu. Pafupifupi 5% ya khansa ya impso ndi ya mtundu wa chromophobia.
Anthu omwe ali ndi matenda a Birt-Hogg-Dubé ali ndi mwayi waukulu wopeza zotupa za impso. Ali pachiwopsezo chachikulu chotenga zotupa zomwe sizili khansa (Renal Oncocytoma) ndi zotupa za khansa (Chromophobe Renal Cell Carcinoma). Mtundu weniweni wa chotupacho ungadziwike kokha mwa opaleshoni ndi biopsy.
Ndiye, kodi tiyenera kukumbukira chiyani kuchokera pa zonsezi?
Matenda a impso otchedwa renal oncocytoma ndi mtundu wa chotupa chosakhala khansa chomwe nthawi zambiri chimayamba m'impso ndipo sichimayambitsa zizindikiro zilizonse. Madokotala nthawi zambiri amapeza kuti ndi chotupa mwangozi akamayesedwa. Chifukwa chimawoneka ngati khansa ya impso, mtundu wa khansa ya impso, opaleshoni ingafunike kuti chotupacho chichotsedwe. Kuyeza magazi ndiyo njira yokhayo yodziwira ngati muli ndi khansa ya impso kapena khansa ya impso. Musachite mantha, koma ngati muli ndi nkhawa, onani dokotala. Kuzindikira msanga ndi kasamalidwe koyenera ndikofunikira.
` Ma cysts a impso, renal oncocytoma, osakhala khansa, khansa ya impso, zizindikiro, biopsy, opaleshoni ya impso











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