Ngaba wakha weva ukuba iintlobo ezahlukeneyo zeethumba zinokukhula kwizintso? Ngamanye amaxesha ezi zifunyanwa ngengozi, ngelixa senza olunye uvavanyo. Namhlanje siza kuthetha ngohlobo lwethumba olukhula kwizintso, kodwa uninzi lwazo alunawo umhlaza, oko kukuthi, ithumba '(elingenobungozi)'. Eli libizwa ngokuba yi-'(Renal Oncocytoma)'. Musa ukoyika, siza kuthetha ngale nto ngokweenkcukacha, ngokulula.
Yintoni le (i-Renal Oncocytoma)?
Ngamafutshane, i-Renal Oncocytoma sisimila esingenabungozi esikhula kwisinye okanye kuzo zombini izintso zakho. Yicinge njengebhola encinci. Ngamanye amaxesha ezi zimila azibangeli zimpawu kwaye azidingi nyango. Uninzi lwexesha, oogqirha bazifumana ngengozi, ngelixa besenza uvavanyo lokuxilongwa kwesinye isifo. Umzekelo, utata womhlobo wakho wayesenza i-CT scan yeengxaki zesisu waza wafunyaniswa enesisu esincinci kwizintso zakhe.
Athetha ukuthini la magama mabini?
Ukuba siyayicacisa intsingiselo yegama elithi `(Renal Oncocytoma)`, ilandelayo:
- `(Izintso)` ligama lesiLatini elithetha 'okuphathelele izintso.' Eli gama lisetyenziselwa izinto ezinxulumene nezintso zethu.
- ``(Oncocytoma)`` lithetha ithumba elenziwe ngohlobo oluthile lweseli olubizwa ngokuba yi``(oncocytes)`` kwisayensi yezonyango. Ngoko ke xa ezi zimbini zidityanisiwe, lithetha ithumba elenziwe ngeeseli ze-oncocyte ezintsoni. Uyaqonda?
Ixhaphake kangakanani le nto (i-Renal Oncocytoma)?
Malunga ne-7% yeethumba zezintso yiRenal Oncocytoma. Oko kuthetha ukuba malunga ne-7 kwi-100 yeethumba zezintso zilolu hlobo. Abanye abantu, malunga ne-13% yabo baneRenal Oncocytoma, banokuba neethumba ezininzi kwizintso zombini. Le meko ibizwa ngokuba yiRenal Oncocytosis.
Ngubani osengozini enkulu yokufumana i-Renal Oncocytoma?
Ezi tumors, ezibizwa ngokuba yi-"Renal Oncocytoma", zinokukhula nakubani na. Nangona kunjalo, kubonakala ukuba amathuba okuba zikhule aphezulu kancinci kumadoda nakubantu abangaphezu kweminyaka engama-60 ubudala .
Kwakhona, ezinye iimeko zemfuza, ezifana ne-`(Birt-Hogg-Dubé syndrome), zinokubangela i-`(Renal Oncocytoma).` Le meko yemfuza, `(Birt-Hogg-Dubé syndrome)` inyusa umngcipheko wokuba nee-kidney cysts, ii-tumor ezingezizo zomhlaza, ezifana ne-`(Renal Oncocytoma)` kunye nomhlaza wezintso.
Ingaba le thumba (yeRenal Oncocytoma) ingaba yingozi?
Le yingxaki abantu abaninzi abanayo. Amathuba okuba la mathumba, abizwa ngokuba yi-"Renal Oncocytoma", abe ngumhlaza aphantsi kakhulu . Oko kukuthi, adla ngokuba "angabi yingozi".
Nangona kunjalo, kunqabile kakhulu, oko kukuthi, kwiimeko ezingaqhelekanga kakhulu, abanye abantu abane-`(Renal Oncocytoma)` abangenayo imbali yomhlaza ngaphambili bafunyenwe beneeseli zomhlaza ezisasazeke esibindini okanye emathanjeni (umhlaza osasazekayo). Oku kuthetha ukuba i-oncocytoma yabo ibe ngumhlaza. Kodwa, ndiyaphinda, oku kwenzeka kaninzi kakhulu . Ngoko ke ungoyiki ngokungeyomfuneko.
Yintoni umahluko phakathi kwe-Renal Oncocytoma kunye ne-Renal Cell Carcinoma?
Nantsi into ekufuneka uyiqwalasele. Eli thumba libizwa ngokuba yi-`(Renal Oncocytoma)`, xa silijonga ngaphandle, oko kukuthi, xa silijonga nge-`(CT scan)` okanye `(MRI)`, lifana kakhulu ne-`(Renal Cell Carcinoma)`, olulolona hlobo luqhelekileyo lomhlaza wezintso.
Ngelishwa, kunzima ukubona ngokuqinisekileyo kwezi `(imvavanyo zomfanekiso)` zodwa ukuba ingaba ithumba `(alinabungozi)`, oko kuthetha ukuba alinamhlaza, okanye `(alinabungozi)`, oko kuthetha ukuba linomhlaza. Yiyo loo nto oogqirha behlala becebisa utyando lokususa ithumba. Emva koko, kuthathwa iqhekeza lethumba lize lihlolwe `(i-biopsy)` ukuqinisekisa ukuba `(i-Renal Oncocytoma)`, okanye umhlaza wezintso.
Yintoni umahluko phakathi kwee-cysts kunye nee-tumor?
Kukho ukufana nokwahluka phakathi kwezi zimbini. Masibone ukuba ziyintoni na.
- Ii-cysts ziingxowa ezincinci ezinokuqulatha ulwelo, umoya, okanye izinto eziqinileyo. Uninzi lwee-cysts azinawo umhlaza.
- `(Ii-Tumors)` (Ii-Tumors) ziziqwenga eziqinileyo zezicubu. `(I-Tumor)` isenokuba ngumhlaza okanye ingabi ngumhlaza. `(I-Renal Oncocytoma)` yi-`(i-tumor)`, kodwa uninzi lwexesha ayisiyo umhlaza.
Yintoni ebangela i-Renal Oncocytoma?
Isizathu esichanekileyo see-kidney tumors ezininzi, ezifana ne-renal oncocytoma, asikaziwa . Ezinye iingcali zonyango zikholelwa ukuba utshintsho oluthile lwezakhi zofuzo oluvela emva kokuba sizelwe lwenza abanye abantu babe sesichengeni sokufumana ezi tumors. Oku kusaphandwa.
Ingaba (i-Renal Oncocytoma) idluliselwa kwilifa?
Kwezinye iintsapho, utshintsho lwe-gene okanye utshintsho oluvela kwilifa lunokunyusa umngcipheko wokuba ne-multiple renal oncocytomas kwizintso zombini. Iimeko ezifana ne-tuberous sclerosis complex kunye ne-Birt-Hogg-Dubé syndrome zinokubangela ukuba ii-tumor zakheke kwiindawo ezahlukeneyo zomzimba, kuquka nezintso. Ukuba kukho namalungu osapho lwakho anezi meko, kubalulekile ukuxelela ugqirha wakho.
Zithini iimpawu ze (Renal Oncocytoma)?
Khawucinge nje, abantu abathathu kwabane abane-`(Renal Oncocytoma)` abanazo naziphi na iimpawu ! Oko kuthetha ukuba abazi nokuba banayo.
Nangona kunjalo, ukuba iimpawu ziyabonakala, zinokufana kakhulu nezo zomhlaza wezintso. Nazi imizekelo embalwa:
- Igazi kumchamo wakho (i-hematuria). Akunyanzelekanga ukuba libe bomvu ngaxeshanye, ngamanye amaxesha linokuba pinki okanye libe mdaka.
- Intlungu emqolo yintlungu evela ecaleni lesisu . Le ntlungu inokuba yinto engapheliyo okanye ifike ize idlule.
- Iqhuma elivakala ngathi linokubanjwa esandleni ecaleni kwezintso ezichaphazelekayo. Nangona kunjalo, ayinguye wonke umntu ovakalelwa ngolu hlobo.
Ifunyanwa njani i-Renal Oncocytoma?
Izihlandlo ezininzi, oogqirha bafumana i-`(Renal Oncocytoma)` ngengozi xa behlola i-`(iimvavanyo zomfanekiso)`, ezifana ne-`(i-ultrasound yezintso)`, `(i-MRI)`, okanye `(i-CT scans)`, ukujonga ezinye iingxaki, ezifana namatye ezintso.
Njengoko benditshilo ngaphambili, iithumba ezinomhlaza ezifana ne-`(Renal Oncocytoma)` kunye ne-`(Renal Cell Carcinoma)` zifana kwi-`(imaging scans). Ngenxa yesi sizathu, kunzima koogqirha ukufumanisa ngoko nangoko ukuba umntu unethumba elingelona umhlaza okanye elinomhlaza. Indlela ekuphela kwayo yokwenza uxilongo oluchanekileyo kukwenza i-`(biopsy)`, ehlola iiseli zethumba. Le `(biopsy)` idla ngokwenziwa emva kotyando lokususa ithumba.
Umzekelo, malunga ne-45% yeethumba zezintso zifunyaniswa zingenamhlaza xa zijongwa nge-biopsy. Ngoko ke, ukuba ithumba lakho lincinci (lidla ngokuba ngaphantsi kwe-3-4 centimeters) kwaye alibangeli ngxaki, ugqirha wakho unokucebisa "ukuhlolwa okusebenzayo" endaweni yotyando. Ngeli xesha "lokuhlolwa okusebenzayo", kuya kufuneka ube "nee-imaging scans" rhoqo ukuze ubone ukuba ithumba liyakhula okanye liyatshintsha nangayiphi na indlela enokuba ngumhlaza.
Ngaba kufuneka kususwe izihlunu zezintso ezingezizo ezomhlaza?
Ukuba ithumba alikhuli okanye alibangeli ngxaki, lisenokungadingi kunyangwa . Nangona kunjalo, ukuba kukho amathandabuzo malunga nokuxilongwa, ukuba ithumba likhula ngokukhawuleza, okanye ukuba uneempawu, ugqirha wakho unokucebisa utyando.
Utyando lunokususa kuphela ithumba (i-partial nephrectomy) okanye yonke intso (i-radical nephrectomy). Ugqirha uya kugqiba ukuba loluphi uhlobo lotyando oluza kwenziwa ngokusekwe kubukhulu nendawo yethumba. Nokuba enye yezintso zakho isusiwe, usenokuphila ubomi obuqhelekileyo nobusebenzayo kunye nenye intso. Akukho nto inokubangela ixhala ngayo.
Injani imeko yomntu one-(Renal Oncocytoma)?
Ii-oncocytomas ezingezizo zomhlaza, oko kukuthi, ezingenabungozi, zezintso azinampembelelo ingako kubomi bakho obuqhelekileyo nobusebenzayo. Amathuba okuba i-oncocytoma ibe ngumhlaza mancinci kakhulu. Ii-oncocytomas ezisusiwe ngotyando akunakwenzeka ukuba ziphinde zivele.
Nangona kunjalo, ukuba unesifo semfuza (esifana neBirt-Hogg-Dubé syndrome) esibangela iithumba zomzimba, imeko isenokuba yahlukile kancinci. Kwiimeko ezinjalo, kubalulekile ukuthetha nogqirha wakho kwaye uhlolwe rhoqo.
Ndifanele ndibonane nogqirha nini?
Ukuba ufumana naziphi na kwezi mpawu, qiniseka ukuba ubona ugqirha:
- Ukuba unegazi kumchamo wakho.
- Ukuba unentlungu engapheliyo ecaleni okanye iqhuma olivayo esandleni sakho.
- Kulungile ukuba unomkhuhlane ngaphandle kwesizathu, okanye ukuba uziva ngathi uyancipha umzimba.
Ezi mpawu azikho ngqo kwi-`(Renal Oncocytoma)`, kodwa zinokuba ziimpawu zezinye izifo zezintso. Ke ngoko, kungcono ukufuna ingcebiso kagqirha ngokukhawuleza.
Ndingayibuza yiphi imibuzo ugqirha?
Ungabuza ugqirha imibuzo efana nale:
- Kutheni ndiphuhlise le `(Renal Oncocytoma)`?
- Ngaba kufuneka ndenze utyando? Okanye ndingenza "ukubeka esweni okusebenzayo"?
- Ngaba ndisengozini yokuba nomhlaza?
- Ngaba kufuneka ndixhalabele iingxaki?
- Ngaba kufuneka ndenze utshintsho kwindlela endiphila ngayo?
Ungoyiki ukubuza le mibuzo. Kubaluleke kakhulu ukuba uyiqonde kakuhle imeko yakho.
Makhe sijonge umahluko phakathi kwe (Renal Oncocytoma) kunye ne (Chromophobe Renal Cell Carcinoma)
I-Chromophobe I-Renal Cell Carcinoma luhlobo olungaqhelekanga lomhlaza wezintso. Lukhula kwiityhubhu ezincinci (iityhubhu) kwizintso zakho ezinceda ekususeni inkunkuma egazini lakho. Ezi nkunkuma zikhutshwa ngenkqubo yakho yomchamo. Malunga ne-5% yomhlaza wezintso luhlobo lwe-chromophobe.
Abantu abaneBirt-Hogg-Dubé syndrome banamathuba amaninzi okufumana iithumba zezintso. Basengozini enkulu yokufumana iithumba ezingezizo umhlaza (iRenal Oncocytoma) kunye neethumba ezibangelwa ngumhlaza (iChromophobe Renal Cell Carcinoma). Uhlobo oluchanekileyo lwethumba lunokufunyanwa kuphela ngotyando kunye ne-biopsy.
Ngoko ke, yintoni esifanele siyikhumbule kuyo yonke le nto?
I-renal oncocytoma luhlobo lwethumba elingelona umhlaza elihlala likhula kwizintso kwaye lingabangeli zimpawu. Oogqirha badla ngokuyifumana ngengozi kwezinye iimvavanyo. Ngenxa yokuba ifana ne-renal cell carcinoma, uhlobo lomhlaza wezintso, kunokufuneka utyando ukuze kususwe ithumba. I-biopsy yeyona ndlela yokwazi ngokuqinisekileyo ukuba unesifo se-renal oncocytoma okanye umhlaza wezintso. Musa ukoyika, kodwa ukuba uneengxaki, bona ugqirha. Ukufunyanwa kwangoko kunye nolawulo olufanelekileyo kubalulekile.
Ii - cysts zezintso, i-renal oncocytoma, umhlaza wezintso ongengomhlaza, iimpawu, i-biopsy, utyando lwezintso











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