Mitundu / impso / wodwala / kusintha-mankhwala-pdq

Khansara ya Transitional Cell ya Renal Pelvis ndi Ureter Treatment (®) -Patient Version

Zambiri Zokhudza Khansa Yosintha Yamaselo a Renal Pelvis ndi Ureter

MFUNDO ZOFUNIKA

• Khansara yosinthira yamatenda am'mimbamo ndi ureter ndimatenda momwe maselo owopsa (khansa) amapangika m'chiuno ndi ureter.

• Mbiri yakale ya khansara ya chikhodzodzo ndi kusuta imatha kukhudza chiwopsezo cha khansa yapafupipafupi yamatenda amphongo ndi ureter.

• Zizindikiro za khansa yapafupipafupi yamatenda a m'mimba ndi ureter zimaphatikizapo magazi mumkodzo ndi kupweteka kwa msana.

• Kuyesa komwe kumayang'ana pamimba ndi impso kumagwiritsidwa ntchito pozindikira khansa yaposachedwa yamatenda amphongo ndi ureter.

• Zinthu zina zimakhudzanso madandaulo (mwayi wochira) ndi njira zamankhwala.

Khansara yosinthira yamatenda am'mimbamo ndi ureter ndimatenda momwe maselo owopsa (khansa) amapangika m'chiuno ndi ureter.

Matenda aimpso ndiye gawo lapamwamba la ureter. Ureter ndi chubu lalitali lomwe limalumikiza impso ndi chikhodzodzo. Pali impso ziwiri, imodzi mbali iliyonse ya msana, pamwamba pa chiuno. Impso za munthu wamkulu zimakhala pafupifupi mainchesi 5 ndi mainchesi atatu mulifupi ndipo zimapangidwa ngati nyemba za impso. Timachubu ting'onoting'ono ta impso timasefa ndikuyeretsa magazi. Amatulutsa zonyansa ndikupanga mkodzo. Mkodzo umasonkhana pakati pa impso iliyonse m'chiuno cha impso. Mkodzo umadutsa kuchokera m'chiuno chaimpso kudzera mu ureter kupita mu chikhodzodzo. Chikhodzodzo chimagwira mkodzo mpaka umadutsa mu mtsempha ndi kutuluka mthupi.

Kutengera kwamkodzo wamwamuna (kumanzere) ndi kwamikodzo yachikazi (kumanja) kuwonetsa impso, ureters, chikhodzodzo, ndi urethra. Mkodzo umapangidwa mu ma tubules amphongo ndipo umasonkhanitsa muimpso ya impso iliyonse. Mkodzo umayenda kuchokera ku impso kudzera mu ureters kupita ku chikhodzodzo. Mkodzo umasungidwa mu chikhodzodzo mpaka umachoka mthupi kudzera mu mtsempha wa mkodzo.

Matenda aimpso ndi ureters amakhala ndi maselo osinthika. Maselowa amatha kusintha mawonekedwe ndikutambasula osagawanika. Khansara yakusintha kwamaselo imayamba m'maselowa.

Khansa yama cell yosintha imatha kupangika m'mimba yaimpso, ureter, kapena zonse ziwiri.

Khansara ya renal ndi mtundu wodziwika bwino wa khansa ya impso. Onani chidule cha chokhudza Chithandizo cha Khansa Yam'magazi Kuti mumve zambiri.

Mbiri yakale ya khansara ya chikhodzodzo ndi kusuta imatha kukhudza chiwopsezo cha khansa yapafupipafupi yamatenda amphongo ndi ureter.

Chilichonse chomwe chimakulitsa chiopsezo chotenga matenda chimatchedwa chiopsezo. Kukhala ndi chiwopsezo sikutanthauza kuti udzakhala ndi khansa; kusakhala ndi zoopsa sikutanthauza kuti simudzakhala ndi khansa. Lankhulani ndi dokotala ngati mukuganiza kuti mutha kukhala pachiwopsezo. Zowopsa zomwe zimayambitsa khansa yamasinthidwe osinthira a mafupa a chiuno ndi ureter ndi izi:

• Kukhala ndi mbiri ya khansa ya chikhodzodzo.

• Kusuta ndudu.

• Kutenga mankhwala ambiri opweteka, monga phenacetin.

• Kuwululidwa ku utoto ndi mankhwala ena omwe amagwiritsidwa ntchito popanga zikopa, nsalu, mapulasitiki, ndi mphira.

Zizindikiro za khansa yapafupipafupi yamatenda a m'mimba ndi ureter zimaphatikizapo magazi mumkodzo ndi kupweteka kwa msana.

Zizindikiro ndi zizindikilozi zimatha kubwera chifukwa cha khansa yakanthawi yayitali yamchiuno ya mtsempha ndi ureter kapena zina. Sipangakhale zisonyezo kumayambiriro. Zizindikiro zimatha kuoneka ngati chotupacho chimakula. Funsani dokotala ngati muli ndi izi:

• Magazi mkodzo.

• Kupweteka kumbuyo komwe sikumatha.

• Kutopa kwambiri.

• Kuchepetsa thupi popanda chifukwa chodziwika.

• Kupweteka kapena kukodza pafupipafupi.

Kuyesa komwe kumayang'ana pamimba ndi impso kumagwiritsidwa ntchito pozindikira khansa yaposachedwa yamatenda amphongo ndi ureter.

Mayeso ndi njira zotsatirazi zitha kugwiritsidwa ntchito:

• Kuyezetsa thupi komanso mbiri yaumoyo: Kuyesedwa kwa thupi kuti muwone zizindikiritso zaumoyo, kuphatikizapo kuyang'ana ngati pali matenda, monga zotupa kapena china chilichonse chomwe chikuwoneka chachilendo. Mbiri yokhudzana ndi thanzi la wodwalayo komanso matenda am'mbuyomu komanso chithandizo chamankhwala adzachitidwanso.

• Urinalysis: Kuyesa kuyesa mtundu wa mkodzo ndi zomwe zili mkati, monga shuga, mapuloteni, magazi, ndi mabakiteriya.

• Ureteroscopy: Ndondomeko yoyang'ana mkati mwa ureter ndi chiuno cham'mimbamo kuti muwone malo osakhazikika. Ureteroscope ndi chopyapyala, chubu ngati chida chowala ndi mandala owonera. Ureteroscope imayikidwa kudzera mu mtsempha wa mkodzo kulowa mu chikhodzodzo, ureter, ndi mafupa a chiuno. Chida chitha kuikidwa kudzera mu ureteroscope kuti mutenge minofu kuti ifufuzidwe pansi pa microscope ngati pali matenda.

Ureteroscopy. Ureteroscope (chopyapyala, chubu ngati chida chokhala ndi kuwala ndi mandala owonera) imalowetsedwa kudzera mu mtsempha kulowa mu ureter. Dokotala amayang'ana chithunzi cha mkatikati mwa ureter pamakina owonera makompyuta.

• Urine cytology: Kuyesa kwa labotale komwe mayeso amkodzo amayang'aniridwa ndi microscope yama cell osazolowereka. Khansa ya impso, chikhodzodzo, kapena ureter imatha kutulutsa ma khansa mumkodzo.

• CT scan (CAT scan): Njira yomwe imapanga zithunzi zingapo zamatupi amthupi, zojambulidwa mosiyanasiyana. Zithunzizo zimapangidwa ndi kompyuta yolumikizidwa ndi makina a x-ray. Utoto ukhoza kulowetsedwa mumtsempha kapena kumeza kuti ziwalo kapena ziwalo ziwoneke bwino. Njirayi imatchedwanso computed tomography, kompyuta tomography, kapena kompyuta axial tomography.

• Ultrasound: Njira yomwe mafunde amphamvu kwambiri (ultrasound) amachotsedwa pamatumba kapena ziwalo zamkati ndikupanga mawonekedwe. Zolembawo amapanga chithunzi cha matupi amthupi otchedwa sonogram. Ultrasound pamimba titha kuchitapo kanthu kuti tipeze khansa ya mafupa a chiuno ndi ureter.

• MRI (magnetic resonance imaging): Njira yomwe imagwiritsa ntchito maginito, mafunde a wailesi, ndi kompyuta kuti ipange zithunzi zingapo za magawo amkati mwa thupi, monga chiuno. Njirayi imatchedwanso nuclear magnetic resonance imaging (NMRI).

• Biopsy: Kuchotsa kwa maselo kapena ziphuphu kotero kuti amatha kuwonedwa ndi microscope ndi wodwalayo kuti aone ngati ali ndi khansa. Izi zitha kuchitika nthawi ya ureteroscopy kapena opaleshoni.

Zinthu zina zimakhudzanso madandaulo (mwayi wochira) ndi njira zamankhwala.

Kulosera kumatengera gawo ndi gawo la chotupacho.

Njira zochiritsira zimadalira izi:

• Gawo ndi chotupa cha chotupacho.

• Kumene kuli chotupacho.

• Kaya impso zina za wodwalayo ndi zathanzi.

• Kaya khansara yabwereranso.

Khansa yambiri yamasinthidwe am'chiuno ndi ureter imatha kuchiritsidwa ikapezeka msanga.

Magawo a Khansa Yamaselo Osintha a Renal Pelvis ndi Ureter

MFUNDO ZOFUNIKA

• Pambuyo poti khansa yaposachedwa yamatenda am'chiuno ndi ureter yapezeka, kuyezetsa kumachitika kuti mupeze ngati maselo a khansa afalikira mkati mwa mphutsi ya mkodzo ndi ureter kapena mbali zina za thupi.

• Pali njira zitatu zomwe khansa imafalikira mthupi.

• Khansa imatha kufalikira pomwe idayamba kupita mbali zina za thupi.

• Magawo otsatirawa amagwiritsidwa ntchito ngati khansa yaposachedwa yamatenda amphongo ndi / kapena ureter:

• Gawo 0 (Noninvasive Papillary Carcinoma ndi Carcinoma ku Situ)

• Gawo I

• Gawo II

• Gawo III

• Gawo IV

• Khansara yakusinthira yamafupa a mafupa a chiuno ndi ureter imafotokozedwanso ngati yakomweko, dera, metastatic, kapena kubwereza:

• Zapafupi

• Zachigawo

• Kusintha

• Zobwereza

Pambuyo poti khansa yaposachedwa yamatenda am'chiuno ndi ureter yapezeka, kuyezetsa kumachitika kuti mupeze ngati maselo a khansa afalikira mkati mwa mphutsi ya mkodzo ndi ureter kapena mbali zina za thupi.

Njira yomwe imagwiritsidwa ntchito pofufuza ngati khansara yafalikira mkati mwa mphuno ya mkodzo ndi ureter kapena mbali zina za thupi zimatchedwa staging. Zomwe amapeza kuchokera pakukonzekera zimatsimikizira gawo la matendawa. Ndikofunikira kudziwa siteji kuti mukonzekere chithandizo. Dokotala adzagwiritsa ntchito zotsatira zamayeso owunikira kuti athandizire kudziwa gawo la matendawa.

Mayeso ndi njira zotsatirazi zitha kugwiritsidwanso ntchito pokonza:

• X-ray pachifuwa : X-ray ya ziwalo ndi mafupa mkati mwa chifuwa. X-ray ndi mtundu wa mphamvu yamphamvu yomwe imatha kupyola thupi ndikupita mufilimu, ndikupanga chithunzi cha madera omwe ali mthupi.

• PET scan (positron emission tomography scan): Njira yopezera maselo oyipa mthupi. Gulu laling'ono la shuga (radio) limabayidwa mumtsempha. Chojambulira cha PET chimazungulira thupi ndikupanga chithunzi cha komwe glucose imagwiritsidwa ntchito mthupi. Maselo otupa owopsa amawonekera pachithunzichi chifukwa amakhala otanganidwa ndipo amatenga shuga wambiri kuposa momwe maselo amachitira.

• Kujambula mafupa: Njira yowunika ngati pali magawo omwe amagawa mwachangu, monga maselo a khansa, m'mafupa. Katundu wocheperako kwambiri wa jakisoni amalowetsedwa mumtsempha ndikuyenda m'magazi. Zinthu zowononga nyukiliya zimasonkhanitsa m'mafupa omwe ali ndi khansa ndipo imadziwika ndi sikani.

Pali njira zitatu zomwe khansa imafalikira mthupi.

Khansa imatha kufalikira kudzera mu minofu, ma lymph system, ndi magazi:

• Minofu. Khansara imafalikira kuchokera pomwe idayamba ndikukula kupita kumadera oyandikana nawo.

• Lymph dongosolo. Khansara imafalikira kuchokera pomwe idayamba polowa m'mitsempha. Khansara imadutsa m'mitsempha yamafuta kupita mbali zina za thupi.

• Magazi. Khansara imafalikira kuchokera pomwe idayamba ndikulowa m'magazi. Khansara imadutsa m'mitsempha yamagazi kupita mbali zina za thupi.

Khansa imatha kufalikira pomwe idayamba kupita mbali zina za thupi.

Khansa ikafalikira mbali ina ya thupi, imatchedwa metastasis. Maselo a khansa amachoka pomwe adayamba (chotupa choyambirira) ndikuyenda mumitsempha kapena magazi.

• Lymph dongosolo. Khansara imalowa mumitsempha, imadutsa m'mitsempha yamafuta, ndikupanga chotupa (chotupa cha metastatic) gawo lina la thupi.

• Magazi. Khansara imalowa m'magazi, imadutsa m'mitsempha yamagazi, ndikupanga chotupa (chotupa cha metastatic) gawo lina la thupi.

Chotupa cha metastatic ndi khansa yofanana ndi chotupa chachikulu. Mwachitsanzo, ngati khansa yakanthawi kochepa ya ureter imafalikira m'mapapu, maselo a khansa m'mapapo alidi maselo a khansa ya ureter. Matendawa ndi khansa ya m'matumbo ya ureter, osati khansa yamapapo.

Magawo otsatirawa amagwiritsidwa ntchito ngati khansa yaposachedwa yamatenda amphongo ndi / kapena ureter:

Gawo 0 (Noninvasive Papillary Carcinoma ndi Carcinoma ku Situ)

Mu gawo la 0, maselo osadziwika amapezeka m'matumba okhala mkati mwa mphuno kapena ureter. Maselo achilendowa amatha kukhala khansa ndikufalikira m'minyewa yabwinobwino. Gawo 0 lagawidwa magawo 0a ndi 0is, kutengera mtundu wa chotupa:

• Gawo 0a limatchedwanso noninvasive papillary carcinoma, lomwe lingawoneke ngati zophuka zazitali, zopyapyala zomwe zimatuluka munthupi zomwe zimalowa mkati mwa mphuno kapena ureter.

• Gawo 0is limadziwikanso kuti carcinoma in situ, lomwe ndi chotupa chathyathyathya paminyewa yomwe ili mkati mwa mphuno kapena ureter.

Gawo I

Pachigawo choyamba, khansara yakhala ikufalikira kuchokera ku minofu yomwe ili mkatikati mwa mafupa a mphuno kapena ureter mpaka pazolumikizira.

Gawo II

Gawo lachiwiri, khansara yafalikira mpaka minofu ya aimpso kapena ureter.

Gawo III

Mu gawo lachitatu, khansa yafalikira:

• kuchokera ku minofu yosanjikiza ya mafupa aimpso mpaka mafuta ozungulira mafupa aimpso kapena minofu ya impso; kapena

• kuyambira minofu ya ureter mpaka mafuta kuzungulira ureter.

Gawo IV

Gawo lachitatu, khansa yafalikira pachimodzi mwazinthu izi:

• chiwalo chapafupi.

• mafuta osanjikizana ndi impso.

• ma lymph node.

• ziwalo zina za thupi, monga mapapo, chiwindi, kapena fupa.

Khansara yakusinthira yamafupa a mafupa a chiuno ndi ureter imafotokozedwanso ngati yakomweko, dera, metastatic, kapena kubwereza:

Zapafupi

Khansara imapezeka mu impso zokha.

Zachigawo

Khansara yafalikira kumatenda ozungulira impso ndi ma lymph node ndi mitsempha yamagazi yapafupi.

Kusintha

Khansara yafalikira mbali zina za thupi.

Zobwereza

Khansara yabwereranso (kubwerera) itatha. Khansara imatha kubwereranso m'chiuno, ureter, kapena ziwalo zina za thupi, monga mapapo, chiwindi, kapena fupa.

Chithandizo Chosankha Mwachidule

MFUNDO ZOFUNIKA

• Pali mitundu yosiyanasiyana ya chithandizo cha odwala omwe ali ndi khansa yapakatikati yamaselo aimpso ndi ureter.

• Mtundu umodzi wamankhwala amagwiritsidwa ntchito:

• Opaleshoni

• Mitundu yatsopano yamankhwala ikuyesedwa m'mayesero azachipatala.

• Kukwaniritsa

• Kutulutsa kwapadera kwa mafupa aimpso

• Opaleshoni ya Laser

• Regional chemotherapy ndi dera biologic therapy

• Chithandizo cha khansa yapafupipafupi yamatenda aimpso ndi ureter zitha kuyambitsa zovuta.

• Odwala angaganize zopita nawo kukayezetsa.

• Odwala amatha kulowa m'mayesero azachipatala asanayambe, asanayambe, kapena atayamba kulandira chithandizo cha khansa.

• Mayeso otsatirawa angafunike.

Pali mitundu yosiyanasiyana ya chithandizo cha odwala omwe ali ndi khansa yapakatikati yamaselo aimpso ndi ureter.

Pali mitundu ingapo yamankhwala othandizira odwala omwe ali ndi khansa yaposachedwa yamatenda amphongo ndi ureter. Mankhwala ena ndi ofanana (mankhwala omwe akugwiritsidwa ntchito pano), ndipo ena akuyesedwa m'mayesero azachipatala. Kuyesedwa kwachipatala ndi kafukufuku wofufuza wothandizira kusintha chithandizo chamakono kapena kupeza zidziwitso zamankhwala atsopano kwa odwala khansa. Pamene mayesero azachipatala awonetsa kuti chithandizo chatsopano ndichabwino kuposa chithandizo chamankhwala, chithandizocho chitha kukhala chamankhwala wamba. Odwala angaganize zopita nawo kukayezetsa. Mayesero ena azachipatala ndi otseguka kwa odwala omwe sanayambe kulandira chithandizo.

Mtundu umodzi wamankhwala amagwiritsidwa ntchito:

Opaleshoni

Imodzi mwanjira zotsatirazi zitha kugwiritsidwa ntchito pochiza khansa yaposachedwa yam'chiuno ndi ureter:

• Nephroureterectomy: Kuchita opaleshoni kuchotsa impso yonse, ureter, ndi khafu ya chikhodzodzo (minofu yolumikiza ureter ndi chikhodzodzo).

• Kugawa magawo a ureteral: Njira yochitira opaleshoni yochotsa gawo la ureter lomwe lili ndi khansa ndi minofu ina yathanzi lozungulira. Mapeto a ureter amalumikizananso. Mankhwalawa amagwiritsidwa ntchito ngati khansara imangopeka komanso pansi pamunsi mwa ureter yekha, pafupi ndi chikhodzodzo.

Mitundu yatsopano yamankhwala ikuyesedwa m'mayesero azachipatala.

Gawo lachiduleli likufotokoza zamankhwala omwe akuwerengedwa m'mayesero azachipatala. Sizingatchule chithandizo chilichonse chatsopano chomwe akuphunzira. Zambiri zamayeso azachipatala zimapezeka patsamba la NCI.

Kukwaniritsa

Kukwaniritsa kwathunthu ndi njira yochitira opaleshoni yomwe imawononga minofu pogwiritsa ntchito magetsi. Chida chokhala ndi zingwe zazing'ono kumapeto chimagwiritsidwa ntchito kuchotsa khansara kapena kuwotcha chotupacho ndi magetsi.

Kutulutsa kwapadera kwa mafupa aimpso

Imeneyi ndi njira yochotsera khansa yapamtunda m'chiuno popanda kuchotsa impso zonse. Sectional resection itha kuchitidwa kuti isunge ntchito ya impso pamene impso zina zawonongeka kapena zachotsedwa kale.

Opaleshoni ya Laser

Mtengo wa laser (mtanda wopapatiza wa kuwala kwakukulu) umagwiritsidwa ntchito ngati mpeni wochotsera khansa. Mtengo wa laser amathanso kugwiritsidwa ntchito kupha ma cell a khansa. Njirayi imatha kutchedwanso kuti kukwaniritsidwa kwa laser.

Regional chemotherapy ndi dera biologic therapy

Chemotherapy ndi chithandizo cha khansa chomwe chimagwiritsa ntchito mankhwala kuletsa kukula kwa maselo a khansa, mwina popha ma cell kapena poyimitsa ma cell kuti asagawane. Thandizo la biologic ndi chithandizo chomwe chimagwiritsa ntchito chitetezo cha mthupi cha wodwalayo kuthana ndi khansa; Zinthu zopangidwa ndi thupi kapena zopangidwa mu labotale zimagwiritsidwa ntchito kukulitsa, kuwongolera, kapena kubwezeretsa chitetezo chathupi chaku khansa. Chithandizo cham'madera chimatanthauza kuti mankhwala a anticancer kapena zinthu za biologic zimayikidwa mwachindunji m'thupi kapena pamimba monga pamimba, chifukwa chake mankhwalawa amakhudza ma cell a khansa m'deralo. Mayesero azachipatala akuphunzira chemotherapy kapena biologic therapy pogwiritsa ntchito mankhwala omwe amaikidwa mwachindunji m'chiuno cha mphuno kapena ureter.

Chithandizo cha khansa yapafupipafupi yamatenda aimpso ndi ureter zitha kuyambitsa zovuta.

Kuti mumve zambiri zamankhwala obwera chifukwa cha khansa, onani tsamba lathu la Zotsatira Zotsatira.

Odwala angaganize zopita nawo kukayezetsa.

Kwa odwala ena, kutenga nawo mbali pakuyesa chithandizo chachipatala kungakhale njira yabwino kwambiri yothandizira. Mayesero azachipatala ndi gawo limodzi la kafukufuku wa khansa. Mayesero azachipatala amachitika kuti apeze ngati mankhwala atsopano a khansa ndi otetezeka komanso ogwira ntchito kapena abwinoko kuposa mankhwala wamba.

Njira zambiri zamankhwala zochiritsira khansa zimachokera kumayeso am'mbuyomu azachipatala. Odwala omwe amatenga nawo mbali pachipatala atha kulandira chithandizo chofananira kapena kukhala oyamba kulandira chithandizo chatsopano.

Odwala omwe amatenga nawo mbali pazoyeserera zamankhwala amathandizanso kukonza momwe khansa idzathandizire mtsogolo. Ngakhale mayesero azachipatala satsogolera kuchipatala chatsopano, nthawi zambiri amayankha mafunso ofunikira ndikuthandizira kupititsa patsogolo kafukufuku.

Odwala amatha kulowa m'mayesero azachipatala asanayambe, asanayambe, kapena atayamba kulandira chithandizo cha khansa.

Mayesero ena azachipatala amangophatikizapo odwala omwe sanalandire chithandizo. Mayesero ena amayesa chithandizo kwa odwala omwe khansa yawo sinakhale bwino. Palinso mayesero azachipatala omwe amayesa njira zatsopano zothetsera khansa kuti isabwererenso (kubwerera) kapena kuchepetsa zovuta zoyambitsidwa ndi khansa.

Mayesero azachipatala akuchitika m'malo ambiri mdziko muno. Zambiri zamayeso azachipatala othandizidwa ndi NCI zitha kupezeka patsamba lofufuza zamankhwala la NCI. Mayesero azachipatala othandizidwa ndi mabungwe ena amapezeka patsamba la ClinicalTrials.gov.

Mayeso otsatirawa angafunike.

Ena mwa mayesero omwe adachitika kuti apeze khansa kapena kuti adziwe momwe khansa iliri angabwerezedwenso. Mayesero ena adzabwerezedwa kuti awone momwe mankhwalawa akugwirira ntchito. Zisankho zakuti mupitilize, kusintha, kapena kusiya kulandira chithandizo zitha kutengera zotsatira za mayeso awa.

Kuyesaku kumangopitilira kuchitika nthawi ndi nthawi mankhwala atatha. Zotsatira zamayesowa zitha kuwonetsa ngati vuto lanu lasintha kapena ngati khansa yabwereranso (bwererani). Mayesowa nthawi zina amatchedwa kuyesa kutsata kapena kukayezetsa.

Kuchiza kwa Khansa Yamasamba Yamasinthidwe Amtundu wa Renal Pelvis ndi Ureter

Kuti mumve zambiri zamankhwala omwe atchulidwa pansipa, onani gawo la Chisankho Chachidule.

Chithandizo cha khansa yaposachedwa yamaselo am'chiuno a mphuno ndi ureter zitha kuphatikizira izi:

• Opaleshoni (nephroureterectomy kapena resection resection of ureter).

• Chiyeso chachipatala chokwanira.

• Kuyesedwa kwachipatala kwa opareshoni ya laser.

• Kuyesedwa kwachipatala kwa gawo logulitsanso mafupa aimpso.

• Kuyesedwa kwachipatala kwa chemotherapy m'chigawo.

• Kuyesedwa kwachipatala kwa mankhwala amchigawo am'deralo.

Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.

Kuchiza kwa Khansa Yachigawo Yachigawo Yachigawo cha Renal Pelvis ndi Ureter

Kuti mumve zambiri zamankhwala omwe atchulidwa pansipa, onani gawo la Chisankho Chachidule.

Chithandizo cha khansa yakanthawi yayitali yam'chiuno ya mafupa a m'mimba ndi ureter nthawi zambiri imachitika poyesa kwamankhwala.

Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.

Kuchiza kwa Khansa ya Metastatic kapena Recurrent Transitional Cell Cancer ya Renal Pelvis ndi Ureter

Kuti mumve zambiri zamankhwala omwe atchulidwa pansipa, onani gawo la Chisankho Chachidule.

Chithandizo cha khansa yapafupipafupi kapena yabwinobwino ya khansa yamphongo ndi ureter nthawi zambiri imachitika pakuyesa kwamankhwala, komwe kungaphatikizepo chemotherapy.

Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.

Kuti mudziwe zambiri za Khansa Yosintha ya Maselo a Renal Pelvis ndi Ureter

Kuti mumve zambiri kuchokera ku National Cancer Institute yokhudza khansa yamasinthidwe osinthira a mphuno ndi ureter, onani izi:

• Tsamba La Khansa Ya Impso

• Fodya (kuphatikizapo chithandizo chosiya)

Kuti mumve zambiri za khansa ndi zinthu zina zochokera ku National Cancer Institute, onani izi:

• Za Khansa

• Kusinthana

• Chemotherapy and You: Kuthandiza Anthu Omwe Ali Ndi Khansa

• Thandizo la Radiation ndi Inu: Thandizo kwa Anthu Omwe Ali ndi Khansa

• Kulimbana ndi khansa

• Mafunso oti mufunse dokotala wanu za khansa

• Kwa Opulumuka ndi Owasamalira

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