Ingaba unethumba kwizintso zakho? (Ithumba lezintso) Musa ukoyika, masiqaphele oku!

Ngaba wakha waxelelwa ngugqirha ukuba unethumba elincinci kwintso yakho? Okanye wakha waxelelwa ukuba unengxaki kwintso yakho ngenxa yento eyahlukileyo emzimbeni wakho, okanye ngexesha lovavanyo lwe-'scan' lwento ethile? Kuqhelekile ukuba uzive usoyika kwaye ukhathazekile xa usiva into efana nale. Kodwa ungakhathazeki. Namhlanje siza kuthetha ngezi thumba zezintso, okanye njengoko oogqirha bezibiza ngokuba yi-'(Kidney Tumors)' okanye '(Renal Tumors)', ngendlela elula.

Yintoni kanye kanye ithumba lezintso?

Ngamafutshane, ithumba lezintso liqela leeseli ezingaqhelekanga, okanye oko sikubiza ngokuba yiqhuma leeseli, ezikhula ngaphakathi okanye ngaphakathi kwizintso zakho. Ezi ngamanye amaxesha zinokuba zingezizo zomhlaza (ezingenobungozi) , okanye zinokuba ngumhlaza (ezinobungozi) , oko kuthetha ukuba zinokuba ngumhlaza.

Ingaba oku kubaluleke kangakanani? Ngaba yinto ekufuneka siyixhalabele?

Ubunzima boku buxhomekeke kuhlobo lwethumba. Khumbula, ezinye iithumba zezintso azingomhlaza. Zihlala zincinci kuneethumba ezinomhlaza (zingaphantsi kweesentimitha ezi-4, okanye malunga ne-1.6 intshi, malunga nobukhulu be-walnut). Ezi thumba zingengomhlaza azisasazeki kwezinye iindawo zomzimba. Nangona kunjalo, iithumba ezinkulu zezintso (ezikhulu kuneesentimitha ezi-4) zinokuba ngumhlaza. Zihlala zikhula ngokukhawuleza kwaye zinokusasazeka kwezinye iindawo zomzimba.

Eyona nto ibalulekileyo kukuba nokuba isifo sakho sezintso singumhlaza okanye akunjalo, kungcono ukufuna uncedo lwezonyango ngokukhawuleza . Okukhona sifunyanwa kwangethuba, kokukhona kulula ukunyanga.

Angakanani amathuba okuba iithumba zezintso zibe ngumhlaza?

Ngokwezibalo, malunga ne-75% yeethumba zezintso zinomhlaza . Nangona kunjalo, iithumba ezincinci azihlali ziziphatha ngendlela eyoyikekayo.

Zikhula ngokukhawuleza kangakanani ezi nati?

Izifundo zibonise ukuba iithumba zezintso zinokukhula ngesantya esiphakathi esimalunga neesentimitha eziyi-0.3 ngonyaka . Oko kuthetha ukuba zikhula kancinci.

Ngubani onokuba nethuba elikhulu lokuphuhlisa ezi zinto?

Nabani na unokuba nomhlaza wezintso. Nangona kunjalo, abanye abantu basengozini enkulu. Umzekelo:

• Kwabo baneminyaka engaphezu kwama-65 ubudala.
• Kwamadoda .
• Kwabo baneempawu ezithile zemfuza (oku kudla ngokunxulunyaniswa nembali yentsapho yesi sifo).

Zixhaphake kangakanani ii-kidney stones?

Iithumba zezintso ezibangelwa ngumhlaza luhlobo oluqhelekileyo lomhlaza kwamanye amazwe. Kubalulekile ukuqaphela le meko naseSri Lanka. Yiyo loo nto kulungile ukuqaphela oku.

Zithini iimpawu zethumba lezintso?

Abantu abaninzi ekuqaleni abanazo iintlungu okanye ezinye iimpawu.Ayibonakali. Ngokwesiqhelo, ugqirha ufumana le thumba yezintso ngengozi ngelixa evavanya enye imeko. Nangona kunjalo, ngamanye amaxesha iimpawu zinokuvela. Ezi ziquka:

• Umchamo wakho usenokubonakala ngathi unegazi kuwo (oogqirha bakubiza oku ngokuthi "i-hematuria"). Umchamo usenokuba bomvu, upinki, okanye umdaka.
• Ukuva iintlungu kwindawo ephakathi kweembambo zakho kunye nesinqe (indawo yempumlo) , ingakumbi xa uchukunyiswa.
• Intlungu emqolo ongezantsi .
• Ukulahlekelwa yintliziyo .
• Ukuba mncinci ngaphandle kwesizathu.
• Ifiva .
• I-anemia yimeko yokungabikho kwegazi .

Zithini izizathu zomhlaza wezintso?

Oogqirha nabaphandi abakayazi eyona nto ibangela amatye ezintso. Nangona kunjalo, kuye kwafunyaniswa ukuba kukho izinto ezibangela umngcipheko wamatye ezintso. Ezi ziquka:

• Ukusebenzisa iimveliso zecuba ( iicuba , ii-beedis, njl.njl.).
• Ukusela utywala obungaphezulu kunomlinganiselo oqhelekileyo ngeveki.
• Ukutyeba kakhulu kuthetha ukuba ubunzima bomzimba buphezulu kakhulu kunomlinganiselo ocetyiswayo.
• Ukuba kukho umntu kusapho one- high blood pressure .
• Ukuba kukho umntu kusapho oye waba neethumba zezintso okanye umhlaza .
• Kwabo badibana rhoqo neekhemikhali ezine- chlorine .

Ukuba ngumhlaza, usasazeka njani kwezinye iindawo zomzimba?

Iithumba zezintso ezingalunganga azisasazeki kwezinye iindawo zomzimba. Zihlala apho zikhoyo. Nangona kunjalo, iithumba zezintso ezinobungozi zinokusasazeka kwizicubu ezinamafutha ezijikeleze izintso, imithambo yegazi, okanye i-adrenal gland engaphezulu kwezintso. Emva koko zinokuhamba ngegazi okanye inkqubo ye-lymphatic ziye kwezinye iindawo zomzimba kwaye zenze iithumba ezintsha. Oogqirha babiza le nkqubo ngokuba yi-metastasis .

Ufumanisa njani ukuba unethumba lezintso okanye akunjalo?

Ngenxa yokuba amathumba ezintso adla ngokungabangeli zimpawu, oogqirha badla ngokuwafumana xa bevavanywa ezinye iimeko. Ukuba uneempawu, ugqirha wakho uya kuqala enze uvavanyo olucokisekileyo. Baza kukubuza nokuba wena okanye nabani na kusapho lwakho ukhe waba namathumba ezintso okanye umhlaza ngaphambili. Ukongeza, ezinye iimvavanyo zinokwenziwa ukunceda ukufumanisa ukuba unomhlaza wezintso. Ezi ziquka:

• Uvavanyo olwahlukeneyo lwe-`scans`: Olu luvavanyo olungenabuhlungu nolungangenisi ntlungu olunokukunika umbono olungileyo wezintso zakho. Umzekelo, i-`CT. Scan (CT - computed tomography scan), i-`MRI. Scan (MRI - magnetic resonance imaging) scan` kunye ne-`ultrasound scan` zingenziwa.
• Uhlalutyo lomchamo: Kuthathwa isampulu yomchamo kuwe ize ithunyelwe kwilabhoratri ukuze kuhlolwe igazi elincinci kakhulu ukuba lingabonwa ngamehlo enyama.
• Uvavanyo lwegazi: Inani elincinci legazi lakho lithathwa ngenaliti lize lihlolwe kwilebhu. Iindidi ezahlukeneyo zeeseli egazini ziyabalwa, amanqanaba ee-electrolytes ezahlukeneyo emzimbeni ayajongwa, kwaye amanqanaba e-creatinine (imveliso yomsebenzi wezihlunu) ayajongwa ukuze kubonwe ukuba izintso zakho zisebenza kakuhle na.
• I-biopsy yobunzima bezintso: Ugqirha usebenzisa inaliti encinci ukususa isampuli encinci yobunzima bezintso . Emva koko ihlolwa phantsi kwemakroskopu kwilebhu ukuze kubonwe ukuba kukho iiseli zomhlaza na. Nangona kunjalo, le biopsy ayisoloko ichanekile ngokupheleleyo, ngoko oogqirha basenokungayicebisi.

Kaloku, zeziphi iindlela zonyango zoku?

Unyango lwethumba lezintso luxhomekeke kubukhulu bethumba, nokuba lingumhlaza, nokuba lisasazeke na kwamanye amalungu omzimba. Kukho iindlela ezahlukeneyo zonyango:

1. Ukubeka esweni okusebenzayo

Kwizihlunu ezincinci kakhulu zezintso ezingasasazekanga kwezinye iindawo zomzimba, ugqirha wakho unokucebisa into ebizwa ngokuba yi -active surveillance . Oku kuthetha ukuba awuyinyangi i-tumor, kodwa uyijonga rhoqo nge-scan rhoqo. Unyango luqalwa kuphela ukuba iziphumo zovavanyo ziyatshintsha. Oku kungenziwa rhoqo emva kweenyanga ezintathu, rhoqo emva kweenyanga ezintandathu, okanye kanye ngonyaka.

2. Utyando

Ugqirha wakho angacebisa utyando lokususa inxalenye okanye yonke intso yakho. Kukho iintlobo ezahlukeneyo zotyando:

• Utyando lwe-nephrectomy oluyingxenye: Ugqirha ususa kuphela inxalenye yezintso equlathe ithumba, eshiya inxalenye ephilileyo iphelele. Oku kudla ngokwenziwa kwiithumba ezincinci ezingasasazekanga.
• Ukususa yonke intso (i-radical nephrectomy):Ugqirha uza kususa yonke intso yakho kunye nezinye izicwili ezijikeleze yona. Basenokususa nee-lymph nodes ezijikeleze intso. Oku kudla ngokwenziwa kwiithumba ezinkulu ezikufutshane nemithambo yegazi emikhulu.

3. Unyango lokukhupha isisu

Kwizihlunu ezincinci zezintso, ugqirha wakho unokucebisa unyango lwe-ablation , olusebenzisa ubushushu obugqithisileyo okanye ukubanda kakhulu ukutshabalalisa iiseli zethumba.

• Ukufakelwa kwe-Cryoablation: Ugqirha ufaka inaliti eluswini kwithumba aze asebenzise umoya obandayo kakhulu ukukhenkceza nokutshabalalisa iiseli zethumba.
• Ukususwa kwe-Radiofrequency: Kule nkqubo, kufakwa inaliti kwi-tumor kwaye umbane udlula kuyo ukuze ufudumale kwaye utshabalalise iiseli ze-tumor.

4. Unyango ngemitha

Ukuba unentso enye kuphela, okanye ukuba utyando alunakwenzeka, ugqirha wakho unokucebisa unyango lwemitha . Oku kusebenzisa imitha ukutshabalalisa iiseli zethumba lezintso.

5. Unyango olujoliswe kumayeza

Olu nyango lungasetyenziswa xa utyando lungenakwenzeka. Okanye lungasetyenziswa ukuthintela umhlaza ukuba ungabuyi emva kotyando. La mayeza anceda ekumiseni ukukhula nokusasazeka kweeseli zethumba lezintso.

6. Unyango lwe-immunotherapy

Oku kuquka ukunika amachiza omzimba wakho anceda ekuqapheleni nasekutshabalaliseni iiseli zethumba lezintso.

Ngaba kukho into esinokuyenza ukuthintela ukwakheka kwethumba lezintso?

Iithumba ezininzi zezintso zikhula ngaphandle kwesizathu esicacileyo. Nangona kunjalo, ukulandela la macebiso kunokunceda ukunciphisa umngcipheko wokuba nethumba lezintso:

• Yeka ukutshaya nokusebenzisa iimveliso zecuba.
• Nciphisa umlinganiselo wotywala obuselayo.
• Zilolonge rhoqo.
• Gcina ubunzima bomzimba obusempilweni obufanela wena.

Kuza kwenzeka ntoni ukuba ndinethumba lezintso? Ndimele ndilindele ntoni?

Isicwangciso sakho sokuchacha kunye nonyango siya kuxhomekeka kubukhulu bethumba lakho lezintso, nokuba lingumhlaza, nokuba lisasazeke na kwamanye amalungu omzimba wakho. Oku kuya kuxhomekeka nakwiminyaka yakho kunye nempilo yakho ngokubanzi.

Ngaba amatye ezintso anokunyangwa ngokupheleleyo?

Iithumba zezintso zinokunyangwa ukuba zifunyaniswe kwangethuba kwaye zinyangwe ngokufanelekileyo.

Ithumba lezintso elingenabungozi alisoloko libeka ubomi esichengeni. Nokuba ithumba lezintso elibi, ukuba lifunyenwe lingekasasazeki ngaphaya kwengubo engaphandle yezintso, kukho ithuba elikhulu lonyango nokunyangwa.

Ndifanele ndimbone nini ugqirha?

Uneempawu zethumba lezintso, ezifana negazi kumchamo wakho, iintlungu kwimiphunga okanye emqolo osezantsi, okanye ukwehla kobunzima ngendlela engachazekiyo.Ukuba ubona naziphi na kwezi mpawu, bonana nogqirha ngokukhawuleza. Ugqirha wakho angenza uvavanyo ukuze abone ukuba ingaba kukho umhlaza wezintso obangela ezi mpawu.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Xa ufumanisa ukuba unesifo sezintso, ungalibali ukubuza ugqirha wakho le mibuzo:

• Iphi ithumba lam lezintso?
• Ingaba ngumhlaza lo okanye akunjalo?
• Ingakanani ithumba lam lezintso?
• Ingaba oku kusasazeka nakwezinye iindawo zomzimba wam?
• Ngaba ugqirha ucinga ukuba oku kuza kusasazeka ngakumbi?
• Zeziphi iindlela zonyango ozicebisayo?
• Ingaba eli thumba lingabuya emva konyango?
• Ndingenza ntoni ukuba unyango aluphumelelanga?
• Ungacebisa ingcali ye-Urologist okanye i-Oncologist elungileyo?
• Zisebenza njani izintso zam emva konyango?

Okokugqibela, khumbula oku...

Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa ufumanisa ukuba unesimila sezintso, ingakumbi ukuba sisifo somhlaza. Ekubeni izimila zezintso zingasoloko zibangela iimpawu, usenokungazi nokuba unaso. Nangona kunjalo, eyona nto ibalulekileyo kukusifumana kwangethuba esi sifo. Oku kwenza unyango lube yimpumelelo ngakumbi. Ugqirha wakho unokukuchazela zonke iindlela zakho zonyango, kunye nokukuxelela apho ungafumana khona uncedo. Angaphendula nayiphi na imibuzo onokuba nayo aze akuncede uhlale unethemba njengoko ucinga ngonyango. Ngoko ke ungakhathazeki nganto kwaye uthethe nogqirha wakho.

---