Yiziphi lezi zimila ezingavamile ezakha izinso? Ake sifunde nge-(Renal Oncocytoma) ngendlela elula!

Wake wezwa ukuthi izinhlobo ezahlukene zezimila zingakhula ezinso? Ngezinye izikhathi lezi zitholakala ngengozi, ngenkathi kwenziwa olunye uhlolo. Namuhla sizokhuluma ngohlobo lwesimila esikhula ezinso, kodwa ngokuvamile asisona umdlavuza, okungukuthi, isimila '(esingesihle)'. Lokhu kubizwa ngokuthi '(i-Renal Oncocytoma)'. Ungesabi, sizokhuluma ngalokhu ngokuningiliziwe, kalula.

Kuyini lokhu (i-Renal Oncocytoma)?

Kalula nje, i-Renal Oncocytoma iyisimila esingenabungozi esikhula enso eyodwa noma zombili. Cabanga ngaso njengebhola elincane. Ngezinye izikhathi lezi zimila azibangeli zimpawu futhi azidingi ukwelashwa. Esikhathini esiningi, odokotela bazithola ngengozi, ngenkathi benza izivivinyo zokuxilonga esinye isimo. Isibonelo, ubaba womngane wakho wayehlolwa nge-CT scan ukuze athole izinkinga zesisu futhi kwatholakala ukuthi unesimila esincane ezinso zakhe.

Asho ukuthini la magama amabili?

Uma sichaza incazelo yegama elithi `(Renal Oncocytoma)`, lisho okulandelayo:

• Igama elithi `(Renal)` lisho ukuthi `eliphathelene nezinso.' Leli gama lisetshenziselwa izinto ezihlobene nezinso zethu.
• ``(Oncocytoma)`` kusho isimila esakhiwe ngohlobo olukhethekile lweseli olubizwa ngokuthi ``(oncocytes)`` kwisayensi yezokwelapha. Ngakho-ke uma lokhu okubili kuhlanganiswa, kusho isimila esakhiwe ngamaseli e-oncocyte ezinso. Uyaqonda?

Kuvame kangakanani lokhu (i-Renal Oncocytoma)?

Cishe u-7% wezimila zezinso yi-Renal Oncocytoma. Lokho kusho ukuthi cishe u-7 kwangu-100 wezimila zezinso yilolu hlobo. Abanye abantu, cishe u-13% walabo abane-Renal Oncocytoma, bangase babe nezimila eziningi kuzo zombili izinso. Lesi simo sibizwa ngokuthi i-Renal Oncocytosis.

Ubani osengozini enkulu yokuthola i-Renal Oncocytoma?

Lezi zimila, ezibizwa ngokuthi "i-Renal Oncocytoma", empeleni zingakhula kunoma ubani. Kodwa-ke, kubonakala ukuthi amathuba okuzihlakulela aphezulu kancane kwabesilisa nakubantu abaneminyaka engaphezu kwengu-60 .

Futhi, ezinye izimo zofuzo, njenge-`(Birt-Hogg-Dubé syndrome), zingabangela i-`(Renal Oncocytoma).` Lesi simo sofuzo, `(Birt-Hogg-Dubé syndrome)` sandisa ingozi yokuthola ama-cyst ezinso, izimila ezingezona umdlavuza, njenge-`(Renal Oncocytoma)` kanye nomdlavuza wezinso.

Ingabe lesi simila (se-Renal Oncocytoma) singaba yingozi?

Lena inkinga abantu abaningi abanayo. Amathuba okuba la mathumba, abizwa ngokuthi "i-Renal Oncocytoma", abe nomdlavuza aphansi kakhulu . Okusho ukuthi, ngokuvamile "awanabungozi".

Kodwa-ke, akuvamile kakhulu, okungukuthi, ezimweni ezingavamile kakhulu, abanye abantu abane-`(Renal Oncocytoma)` abangenawo umlando wangaphambilini womdlavuza batholakale benamangqamuzana omdlavuza asakazekele esibindini noma emathanjeni (umdlavuza osakazekile). Lokhu kusho ukuthi i-oncocytoma yabo isibe ngumdlavuza. Kodwa, ngiyaphinda, lokhu kwenzeka kakhulu, akuvamile kakhulu . Ngakho-ke ungesabi ngokungadingekile.

Uyini umehluko phakathi kwe-Renal Oncocytoma kanye ne-Renal Cell Carcinoma?

Nakhu okudingeka ukuqaphele. Lesi simila, esibizwa ngokuthi `(Renal Oncocytoma), uma sisibheka ngaphandle, okungukuthi, uma sisibheka nge `(CT scan)` noma `(MRI)`, sibukeka sifana kakhulu ne `(Renal Cell Carcinoma)` okuwuhlobo oluvame kakhulu lomdlavuza wezinso.

Ngeshwa, kunzima ukubona ngokuqiniseka kulezi `(izivivinyo zezithombe)` zodwa ukuthi ngabe isimila `(sibi)`, okusho ukuthi asisona umdlavuza, noma `(siyingozi)`, okusho ukuthi sinomdlavuza. Yingakho odokotela bevame ukuncoma ukuhlinzwa ukuze kususwe isimila. Bese kuthathwa ingxenye yesimila bese kuhlolwa `(i-biopsy)` ukuqinisekisa ukuthi `(i-Renal Oncocytoma)`, noma umdlavuza wezinso.

Uyini umehluko phakathi kwama-cyst nama-tumors?

Kukhona ukufana nokwehluka phakathi kwalokhu okubili. Ake sibone ukuthi kuyini.

• Ama-cyst ayizikhwama ezincane ezingaba noketshezi, umoya, noma izinto eziqinile. Ama-cyst amaningi awawona umdlavuza.
• `(Amathumba)` (Amathumba) ayizigaxa eziqinile zezicubu. `(Ithumba)` lingaba nomdlavuza noma lingabi nomdlavuza. `(I-Renal Oncocytoma)` iyi-`(ithumba)`, kodwa isikhathi esiningi alinawo umdlavuza.

Yini ebangela i-Renal Oncocytoma?

Imbangela eqondile yezimila eziningi zezinso, njenge-renal oncocytoma, ayaziwa . Abanye ochwepheshe bezokwelapha bakholelwa ukuthi izinguquko ezithile zofuzo ezenzeka ngemva kokuzalwa kwethu zenza abanye abantu babe sengozini enkulu yokuthuthukisa lezi zimila. Lokhu kusacwaningwa.

Ingabe i-(Renal Oncocytoma) idluliselwa ngofuzo?

Kweminye imindeni, ushintsho lwezakhi zofuzo noma ukuguqulwa kwezakhi zofuzo okuzuzwe njengefa kungandisa ingozi yokuthola ama-multiple renal oncocytomas kuzo zombili izinso. Izimo ezifana ne-tuberous sclerosis complex kanye ne-Birt-Hogg-Dubé syndrome zingabangela ukwakheka kwamathumba ezingxenyeni ezahlukene zomzimba, okuhlanganisa nezinso. Uma noma yiliphi ilungu lomndeni wakho linalezi zimo, kubalulekile ukutshela udokotela wakho.

Ziyini izimpawu ze-(Renal Oncocytoma)?

Cabanga nje, abantu abathathu kwabane abane-`(Renal Oncocytoma)` abanazo izimpawu ! Lokho kusho ukuthi abazi nokuthi banayo.

Kodwa-ke, uma kuvela izimpawu, zingafana kakhulu nezomdlavuza wezinso. Nazi izibonelo ezimbalwa:

• Igazi emchameni wakho (i-hematuria). Lokhu akudingeki kube bomvu ngesikhathi esisodwa, ngezinye izikhathi kungaba pink noma nsundu.
• Ubuhlungu besifuba bubuhlungu obuvela ohlangothini lwesisu . Lobuhlungu bungaba obuhlala njalo noma bube budlule.
• Iqhubu elizwakala sengathi lingabanjwa esandleni ohlangothini lwezinso ezithintekile. Kodwa-ke, akuwona wonke umuntu ozizwa kanje.

I-Renal Oncocytoma itholakala kanjani?

Ngokuvamile, odokotela bathola i-`(Renal Oncocytoma)` ngengozi lapho bebuyekeza i-`(izivivinyo zezithombe)`, njenge-`(izinso ze-ultrasound)`, `(MRIs)`, noma `(CT scans)`, ukuze bahlole ezinye izinkinga, njengamatshe ezinso.

Njengoba ngishilo ngaphambili, izimila ezinomdlavuza ezifana ne-`(Renal Oncocytoma)` kanye ne-`(Renal Cell Carcinoma)` zibukeka zifana ku-`(imaging scans). Ngenxa yalokhu, kunzima ngodokotela ukubona ngokushesha ukuthi umuntu unesimila esingesona umdlavuza noma esinomdlavuza. Okuwukuphela kwendlela yokwenza ukuxilongwa okunembile ukwenza i-`(biopsy)`, ehlola amangqamuzana esimila. Lokhu `(biopsy)` kuvame ukwenziwa ngemva kokuhlinzwa ukuze kususwe isimila.

Isibonelo, cishe ama-45% ezimila zezinso atholakala engenawo umdlavuza uma ehlolwa nge-biopsy. Ngakho-ke, uma isimila sakho sincane (ngokuvamile singaphansi kwamasentimitha angu-3-4) futhi singabangeli izinkinga, udokotela wakho angase ancome "ukubhekwa okusebenzayo" esikhundleni sokuhlinzwa. Phakathi nalesi sikhathi "sokubhekwa okusebenzayo", kuzodingeka ube "nezithombe ezithwetshuliwe" njalo ukuze ubone ukuthi isimila siyakhula noma siyashintsha nganoma iyiphi indlela engaba umdlavuza.

Ingabe izimila zezinso ezingezona umdlavuza zidinga ukususwa?

Uma isimila singakhuli noma singabangeli izinkinga, singase singadingi ukwelashwa . Kodwa-ke, uma kukhona ukungabaza mayelana nokuxilongwa, uma isimila sikhula ngokushesha, noma uma unezimpawu, udokotela wakho angase akuncomele ukuhlinzwa.

Ukuhlinzwa kungasusa kuphela isimila (i-partial nephrectomy) noma yonke inso (i-radical nephrectomy). Udokotela uzonquma ukuthi hlobo luni lokuhlinzwa okufanele lwenziwe ngokusekelwe kubukhulu nendawo yesimila. Ngisho noma enye yezinso zakho isusiwe, usengaphila impilo evamile, esebenzayo nenye inso. Akukho okufanele ukhathazeke ngakho.

Uyini umbono womuntu one-(Renal Oncocytoma)?

Ama-oncocytoma angewona umdlavuza, okungukuthi, angenabungozi, ezinso awanayo ithonya elikhulu empilweni yakho evamile nesebenzayo. Amathuba okuthi i-oncocytoma ibe umdlavuza aphansi kakhulu. Ama-oncocytoma asuswe ngokuhlinzwa cishe awaphinde avele.

Kodwa-ke, uma unesifo sofuzo (njenge-Birt-Hogg-Dubé syndrome) esibangela izimila zomzimba, khona-ke isimo singase sihluke kancane. Ezimweni ezinjalo, kubalulekile ukukhuluma nodokotela wakho futhi uhlolwe njalo.

Ngingambona nini udokotela?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, qiniseka ukuthi ubona udokotela:

• Uma unegazi emchameni wakho.
• Uma unezinhlungu ezingapheli ohlangothini lwakho noma iqhubu olizwa esandleni sakho.
• Kulungile uma unomkhuhlane ngaphandle kwesizathu, noma uma uzizwa sengathi wehlisa isisindo.

Lezi zimpawu aziqondile ku-`(Renal Oncocytoma)`, kodwa zingaba futhi izimpawu zezinye izifo zezinso. Ngakho-ke, kungcono ukufuna iseluleko sezokwelapha ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Ungabuza udokotela imibuzo efana nale:

• Kungani ngithole le `(Renal Oncocytoma)`?
• Ingabe ngidinga ukuhlinzwa? Noma ngingenza "ukuqapha okusebenzayo"?
• Ingabe ngisengozini yokuthola umdlavuza?
• Ingabe kufanele ngikhathazeke ngezinkinga?
• Ingabe kudingeka ngenze izinguquko endleleni yami yokuphila?

Ungesabi ukubuza le mibuzo. Kubaluleke kakhulu ukuthi uqonde kahle isimo sakho.

Ake sibheke umehluko phakathi kwe-(Renal Oncocytoma) kanye ne-(Chromophobe Renal Cell Carcinoma)

I-Chromophobe Iseli Lezinso I-Carcinoma uhlobo olungavamile kakhulu lomdlavuza wezinso. Luvela emapayipini amancane (ama-tubules) ezinso zakho asiza ekususeni imfucuza egazini lakho. Le mfucuza ikhishwa ngohlelo lwakho lomchamo. Cishe u-5% womdlavuza wezinso ungowohlobo lwe-chromophobe.

Abantu abane-Birt-Hogg-Dubé syndrome banamathuba amaningi okuthola izimila zezinso. Basengozini enkulu yokuthola izimila ezingezona umdlavuza (i-Renal Oncocytoma) kanye nezimila ezinomdlavuza (i-Chromophobe Renal Cell Carcinoma). Uhlobo oluqondile lwesimila lungatholakala kuphela ngokuhlinzwa kanye ne-biopsy.

Ngakho-ke, yini okudingeka siyikhumbule kukho konke lokhu?

I-renal oncocytoma uhlobo lwesimila esingesona umdlavuza esivame ukuvela ezinso futhi singabangeli zimpawu. Odokotela bavame ukuyithola ngengozi ngesikhathi sokuhlolwa okunye. Ngenxa yokuthi ibukeka ifana ne-renal cell carcinoma, uhlobo lomdlavuza wezinso, kungadingeka ukuhlinzwa ukuze kususwe isimila. I-biopsy ukuphela kwendlela yokwazi ngokuqinisekile ukuthi une-renal oncocytoma noma umdlavuza wezinso. Ungesabi, kodwa uma unenkinga, bona udokotela. Ukutholwa kusenesikhathi kanye nokuphathwa okufanele kubalulekile.

Ama - cyst ezinso, i-renal oncocytoma, okungeyona umdlavuza, umdlavuza wezinso, izimpawu, i-biopsy, ukuhlinzwa kwezinso