Ingabe unesimila ezinso zakho? (Isimila sezinso) Ungesabi, ake siqaphele lokhu!

Wake watshelwa udokotela ukuthi unesimila esincane ezinso zakho? Noma wake watshelwa ukuthi unenkinga ngezinso zakho ngenxa yokuthile okuhlukile emzimbeni wakho, noma ngesikhathi sokuhlolwa kwe-'scan' ukuze uthole okunye? Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uzwa into efana nale. Kodwa ungakhathazeki. Namuhla sizokhuluma ngalezi zimila zezinso, noma njengoba odokotela bezibiza ngokuthi `(Amathumba Ezinso)` noma `(Amathumba Ezinso)`, ngendlela elula.

Iyini ngempela isimila sezinso?

Kalula nje, isimila sezinso yiqembu lamaseli angajwayelekile, noma lokho esikubiza ngokuthi iqhubu lamaseli, akha ezinso zakho noma ngaphakathi. Lawa ngezinye izikhathi angaba angewona umdlavuza (angabi yingozi) , noma angaba umdlavuza (ayingozi) , okusho ukuthi angaba umdlavuza.

Kubaluleke kangakanani lokhu? Ingabe kuyinto okufanele sikhathazeke ngayo?

Ubunzima balokhu buxhomeke kakhulu ohlotsheni lwesimila. Khumbula, ezinye izimila zezinso aziwona umdlavuza. Ngokuvamile zincane kunezimila ezinomdlavuza (ezingaphansi kwamasentimitha angu-4, noma cishe amasentimitha angu-1.6, cishe ngobukhulu be-walnut). Lezi zimila ezingenawo umdlavuza azisabalali kwezinye izingxenye zomzimba. Kodwa-ke, izimila ezinkulu zezinso (lezo ezinkulu kunamasentimitha angu-4) zinamathuba amaningi okuba nomdlavuza. Zivame ukukhula ngokushesha futhi zingasabalala kwezinye izingxenye zomzimba.

Into ebaluleke kakhulu ukuthi kungakhathaliseki ukuthi isimila sakho sezinso sinomdlavuza noma cha, kungcono ukufuna usizo lwezokwelapha ngokushesha okukhulu . Uma sitholakala kusenesikhathi, kuba lula kakhulu ukwelapha.

Angakanani amathuba okuba izimila zezinso zibe umdlavuza?

Ngokwezibalo, cishe ama-75% ezimila zezinso anesifo somdlavuza . Kodwa-ke, izimila ezincane ngokuvamile aziziphathi ngendlela enobudlova.

La mantongomane akhula ngokushesha kangakanani?

Ucwaningo lubonise ukuthi izimila zezinso zingakhula ngesilinganiso esimaphakathi esingamasentimitha angu-0.3 ngonyaka . Lokho kusho ukuthi zikhula kancane.

Ubani onamathuba amaningi okuthuthukisa lezi zinto?

Noma ubani angaba nesimila sezinso. Kodwa-ke, abanye abantu basengozini enkulu yokuba naso. Isibonelo:

• Kulabo abaneminyaka engaphezu kwengu-65 ubudala.
• Kwabesilisa .
• Kulabo abanezimo ezithile zofuzo (lokhu kuvame ukuhlotshaniswa nomlando womndeni walesi sifo).

Avame kangakanani amatshe ezinso?

Izimila zezinso ezinomdlavuza ziwuhlobo oluvamile lomdlavuza kwamanye amazwe. Kubalulekile ukuqaphela lesi simo naseSri Lanka. Yingakho kuhle ukuqaphela lokhu.

Ziyini izimpawu zesimila sezinso?

Abantu abaningi ekuqaleni abanazo izinhlungu noma ezinye izimpawu.Akubonakali. Ngokuvamile, udokotela uthola lesi simila sezinso ngengozi ngenkathi ehlola esinye isimo. Kodwa-ke, ngezinye izikhathi izimpawu zingavela. Lezi zifaka:

• Umchamo wakho ungase ubonakale unegazi kuwo (odokotela bakubiza ngokuthi "i-hematuria"). Umchamo ungase ube bomvu, upinki, noma ube nsundu.
• Ukuzwa ubuhlungu endaweni ephakathi kwezimbambo zakho kanye nesinqe (indawo yembobo) , ikakhulukazi uma uthintwa.
• Ubuhlungu emhlane ongezansi .
• Ukulahlekelwa yisifiso sokudla .
• Ukuba mncane ngaphandle kwesizathu.
• Ukuba nomkhuhlane .
• I-anemia yisimo sokuntuleka kwegazi .

Yiziphi izimbangela zesimila sezinso?

Odokotela nabacwaningi abakayazi imbangela eqondile yamatshe ezinso. Kodwa-ke, kutholakale ukuthi ezinye izici zandisa ingozi yamatshe ezinso. Lezi zifaka:

• Ukusebenzisa imikhiqizo kagwayi ( ugwayi , ama-beedis, njll.).
• Ukuphuza utshwala obungaphezu kobujwayelekile ngesonto.
• Ukukhuluphala ngokweqile kusho ukuthi isisindo somzimba siphezulu kakhulu kunesilinganiso esinconywayo.
• Uma othile emndenini enomfutho wegazi ophakeme .
• Uma othile emndenini wakho eke waba nezimila zezinso noma umdlavuza .
• Kulabo abavame ukuxhumana namakhemikhali aqukethe i-chlorine .

Uma kungumdlavuza, usakazeka kanjani kwezinye izingxenye zomzimba?

Izimila zezinso ezingezinhle azisabalali kwezinye izingxenye zomzimba. Zihlala lapho zikhona. Kodwa-ke, izimila zezinso ezinobungozi zingasabalala ziye ezicutshini ezinamafutha ezizungeze izinso, imithambo yegazi, noma indlala ye-adrenal engaphezulu kwezinso. Zingahamba ngegazi noma ngohlelo lwe-lymphatic ziye kwezinye izingxenye zomzimba bese zakha izimila ezintsha. Odokotela babiza le nqubo ngokuthi i-metastasis .

Uthola kanjani ukuthi unesimila sezinso noma cha?

Ngenxa yokuthi izimila zezinso azivamile ukubangela izimpawu, odokotela bavame ukuzithola lapho behlolwa ezinye izimo. Uma unezimpawu, udokotela wakho uzoqala ngokukwenza ukuhlolwa okuphelele. Bazokubuza nokuthi wena noma omunye umuntu emndenini wakho wake waba nezimila zezinso noma umdlavuza ngaphambili. Ngaphezu kwalokho, ezinye izivivinyo zingenziwa ukusiza ukuthola ukuthi unomdlavuza wezinso yini. Lokhu kufaka phakathi:

• Ukuhlolwa okuhlukahlukene kwe-`scan`: Lokhu ukuhlolwa okungenabuhlungu futhi okungangenisi uhlaselo okungakunikeza umbono omuhle wezinso zakho. Isibonelo, i-`CT. Scan (CT - computed tomography scan), i-`MRI. Scan (MRI - magnetic resonance imaging) scan` kanye ne-`ultrasound scan` kungenziwa.
• Ukuhlolwa komchamo: Kuthathwa isampula yomchamo kuwe bese ithunyelwa elabhorethri ukuze kuhlolwe igazi elincane kakhulu ukuthi lingabonwa ngamehlo enyama.
• Ukuhlolwa kwegazi: Inani elincane legazi lakho lithathwa ngenaliti bese lihlolwa elabhorethri. Izinhlobo ezahlukene zamaseli egazini ziyabalwa, amazinga ama-electrolyte ahlukahlukene emzimbeni ayahlolwa, futhi izinga le-creatinine (umkhiqizo ophuma emsebenzini wemisipha) liyahlolwa ukuze kubonakale ukuthi izinso zakho zisebenza kahle yini.
• Ukuhlolwa kwe-renal mass biopsy: Udokotela usebenzisa inalithi encane ukususa isampula encane ye-renal mass . Bese ihlolwa ngaphansi kwe-microscope elabhorethri ukuze kubonakale ukuthi kukhona yini amangqamuzana omdlavuza. Kodwa-ke, lokhu kuhlolwa kwe-renal mass akuwona njalo ukunemba okungu-100%, ngakho odokotela bangase bangakuncomi.

Pho-ke, yiziphi izindlela zokwelapha lokhu?

Ukwelashwa kwesimila sezinso kuncike kubukhulu besimila, ukuthi sinomdlavuza, nokuthi ngabe sisakazekele kwezinye izingxenye zomzimba. Kunezindlela eziningana zokwelapha:

1. Ukuqapha okusebenzayo

Kumathumba amancane kakhulu ezinso angakasabalali kwezinye izingxenye zomzimba, udokotela wakho angase akuncome lokho okubizwa ngokuthi ukuqapha okusebenzayo . Lokhu kusho ukuthi awuselaphi isimila, kodwa usiqapha njalo ngama-scan avamile. Ukwelashwa kuqala kuphela uma imiphumela yokuhlolwa ishintsha. Lokhu kungenziwa njalo ezinyangeni ezintathu, njalo ezinyangeni eziyisithupha, noma kanye ngonyaka.

2. Ukuhlinzwa

Udokotela wakho angase akuncome ukuhlinzwa ukuze kususwe ingxenye noma yonke inso yakho. Kunezinhlobo eziningana zokuhlinzwa:

• Ukususwa kwe-nephrectomy okuyingxenye: Udokotela ohlinzayo ususa ingxenye yezinso equkethe isimila kuphela, ashiye ingxenye ephilile ingathintekile. Lokhu kuvame ukwenziwa ezimila ezincane ezingakasabalali.
• Ukususwa kwezinso zonke (i-radical nephrectomy):Udokotela ohlinzayo uzosusa yonke inso yakho kanye nezicubu ezizungezile. Bangase basuse nama-lymph node azungeze inso. Lokhu kuvame ukwenziwa ezimila ezinkulu eziseduze nemithambo yegazi emikhulu.

3. Ukwelashwa kokukhipha isisu

Kuma-tumor amancane ezinso, udokotela wakho angase ancome ukwelashwa kwe-ablation , okusebenzisa ukushisa okukhulu noma ukubanda okukhulu ukubhubhisa amaseli e-tumor.

• Ukuhlinzwa kwe-Cryoablation: Udokotela ufaka inaliti esikhumbeni iye esimila bese esebenzisa umoya obandayo kakhulu ukuze aqandise futhi abhubhise amangqamuzana esimila.
• Ukususwa kwama-radiofrequency: Kule nqubo, kufakwa inaliti esigaxeni bese kudluliswa ugesi kuso ukuze kushiswe futhi kubhubhise amangqamuzana esigaxa.

4. Ukwelashwa ngemisebe

Uma unenso eyodwa kuphela, noma uma ukuhlinzwa kungenzeki, udokotela wakho angase akuncome ukwelashwa ngemisebe . Lokhu kusebenzisa imisebe ukubhubhisa amangqamuzana esimila sezinso.

5. Ukwelashwa ngemithi okuqondiwe

Lokhu kwelashwa kungasetshenziswa lapho ukuhlinzwa kungenzeki. Noma kungasetshenziswa ukuvimbela umdlavuza ukuthi ungabuyi ngemva kokuhlinzwa. Le mithi isiza ekumiseni ukukhula nokusabalala kwamaseli esimila sezinso.

6. Ukwelashwa nge-immunotherapy

Lokhu kuhilela ukunikeza amasosha omzimba wakho imithi esiza ekuqapheleni nasekubhubhiseni amangqamuzana esimila sezinso.

Ingabe kukhona esingakwenza ukuvimbela ukwakheka kwesimila sezinso?

Izimila eziningi zezinso zikhula ngaphandle kwesizathu esicacile. Kodwa-ke, ukulandela lawa macebiso kungasiza ekunciphiseni ingozi yakho yokuthola isimila sezinso:

• Yeka ukubhema nokusebenzisa imikhiqizo kagwayi.
• Nciphisa inani lotshwala oluphuzayo.
• Vivinya umzimba njalo.
• Gcina isisindo somzimba esinempilo esikufanele.

Kwenzekani uma nginesimila sezinso? Yini okufanele ngiyilindele?

Uhlelo lwakho lokululama kanye nokwelashwa luzoncika ngobukhulu besimila sakho sezinso, ukuthi singumdlavuza, nokuthi ngabe sisakazekele kwezinye izingxenye zomzimba wakho. Lokhu kuzoncika futhi eminyakeni yakho kanye nempilo yakho jikelele.

Ingabe amatshe ezinso angelapheka ngokuphelele?

Izimila zezinso zingelapheka uma zitholakale kusenesikhathi futhi zelashwa kahle.

Isimila sezinso esingenabungozi ngokuvamile asisongeli impilo. Ngisho nesimila sezinso esibi, uma sitholakala ngaphambi kokuba sisakazeke ngale kwesembozo sangaphandle sezinso, kunethuba elikhulu lokwelashwa nokwelashwa.

Kufanele ngimbone nini udokotela?

Unezimpawu zesimila sezinso, njengegazi emchameni wakho, ubuhlungu embotsheni yakho noma emhlane ongezansi, noma ukwehla kwesisindo okungachazeki.Uma ubona noma yiziphi zalezi zimpawu, bona udokotela ngokushesha. Udokotela wakho angenza izivivinyo ukuze abone ukuthi isimila sezinso siyimbangela yezimpawu zakho.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma uthola ukuthi unesimila sezinso, ungakhohlwa ukubuza udokotela wakho le mibuzo:

• Ikuphi ithumba lami lezinso?
• Ingabe lo mdlavuza noma cha?
• Ingakanani ithumba lezinso zami?
• Ingabe lokhu kusakazekele kwezinye izingxenye zomzimba wami?
• Ingabe udokotela ucabanga ukuthi lokhu kuzosabalala kakhulu?
• Yiziphi izindlela zokwelapha ozincomayo?
• Ingabe lesi simila singabuya ngemva kokwelashwa?
• Yini okufanele ngiyenze uma ukwelashwa kungaphumeleli?
• Ungamncoma yini udokotela wezifo zomchamo noma wezifo zomdlavuza omuhle?
• Izinso zami zisebenza kanjani ngemva kokwelashwa?

Ekugcineni, khumbula lokhu...

Kuvamile ukuzizwa wesaba futhi ukhathazekile lapho uthola ukuthi unesimila sezinso, ikakhulukazi uma siwumdlavuza. Njengoba izimila zezinso ngokuvamile zingabangeli izimpawu, ungase ungazi nokuthi unesisodwa. Kodwa-ke, into ebaluleke kakhulu ukubamba lesi sifo kusenesikhathi. Lokhu kwenza ukwelashwa kuphumelele kakhulu. Udokotela wakho angachaza zonke izinketho zakho zokwelapha, kanye nokukutshela ukuthi ungalutholaphi usizo. Angaphendula nanoma yimiphi imibuzo ongase ube nayo futhi akusize uhlale unethemba njengoba ucabanga ngokwelashwa. Ngakho-ke ungakhathazeki ngalutho futhi ukhulume nodokotela wakho.

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