Iindidi / izintso / isigulana / unyango lwenguqu-pdq

Inguqu yoMhlaza weSeli yeRenal Pelvis kunye neUreter Treatment (®) -Patient Version

Ulwazi ngokubanzi malunga noMhlaza weSeli weTshintsho le-Renal Pelvis kunye ne-Ureter

IINGONGOMA EZIPHAMBILI

• Umhlaza weseli wotshintsho lwe-pelvis ye-renal kunye ne-ureter sisifo apho iiseli ezibi (zomhlaza) ze-pelvis kunye ne-ureter.

• Imbali yobuqu yomhlaza wesinyi kunye nokutshaya kunokuchaphazela umngcipheko wotshintsho lomhlaza weseli ye-renal pelvis kunye ne-ureter.

• Iimpawu kunye neempawu zomhlaza weseli wotshintsho we-renal pelvis kunye ne-ureter kubandakanya igazi kumchamo kunye nentlungu yomqolo.

• Uvavanyo oluvavanya isisu kunye nezintso zisetyenziselwa ukufumanisa umhlaza weseli wotshintsho lwe-pelvis ye-renal kunye ne-ureter.

• Izinto ezithile zichaphazela ukuxela kwangaphambili (ithuba lokufumana kwakhona) kunye nokhetho lonyango.

Umhlaza weseli wotshintsho lwe-pelvis ye-renal kunye ne-ureter sisifo apho iiseli ezibi (zomhlaza) ze-pelvis kunye ne-ureter.

I-pelvis ye-renal yeyona ndawo iphambili ye-ureter. I-ureter yityhubhu ende edibanisa izintso kwisinyi. Kukho izintso ezimbini, elinye kwicala ngalinye lomqolo, ngaphezulu kwesinqe. Izintso zabantu abadala zimalunga nee-intshi ezintlanu ubude nee-intshi ezintathu ububanzi kwaye zimile okweembotyi zezintso. Iityhubhu ezincinci kwizicoca izintso kwaye zicoca igazi. Bakhupha iimveliso zenkunkuma benze umchamo. Umchamo uqokelela embindini wentso nganye kwi-pelvis pelvis. Umchamo udlula ukusuka kwi-renal pelvis ngokusebenzisa i-ureter ukuya kwisinyi. Isinyi sibamba umchamo de udlule kwi-urethra kwaye ushiye umzimba.

Inkqubo ye-urinary yamadoda (ipaneli yasekhohlo) kunye nenkqubo yomchamo yabasetyhini (iphaneli esekunene) ebonisa izintso, ureters, isinyi kunye ne-urethra. Umchamo wenziwe ngee-tubules zezintso kwaye uqokelela kwi-renal pelvis yezintso nganye. Umchamo uqukuqela uphuma kwizintso udlula kwizicwili uze uye kwesinye. Umchamo ugcinwe esinyini de ushiye umzimba kwi-urethra.

I-pelvis ye-renal kunye ne-ureters igcwele iiseli zotshintsho. Ezi seli zinokutshintsha ukumila nokuzolula ngaphandle kokuqhekeka. Utshintsho lomhlaza weseli uqala kwezi seli.

Umhlaza weseli wotshintsho unokubumba kwi-renal pelvis, ureter, okanye zombini.

Umhlaza wesifo somhlaza luhlobo oluqhelekileyo lomhlaza wezintso. Jonga isishwankathelo se- malunga nonyango lweCancer yeRenal Cell ngolwazi olungakumbi.

Imbali yobuqu yomhlaza wesinyi kunye nokutshaya kunokuchaphazela umngcipheko wotshintsho lomhlaza weseli ye-renal pelvis kunye ne-ureter.

Nantoni na eyandisa umngcipheko wokufumana isifo ibizwa ngokuba yingozi. Ukuba nomngcipheko akuthethi ukuba uza kuba nomhlaza; ukungabinamngcipheko oko akuthethi ukuba awuzukufumana umhlaza. Thetha nogqirha wakho ukuba ucinga ukuba usengozini. Izinto ezinobungozi kumhlaza wesifo somhlaza wotshintsho lwe-pelvis ye-renal kunye ne-ureter zibandakanya oku kulandelayo:

• Ukuba nembali yobuqu yomhlaza wesinyi.

• Ukutshaya imidiza.

• Ukuthatha amayeza athile entlungu, afana ne-phenacetin.

• Ukuvezwa kwidayi ezithile kunye neekhemikhali ezisetyenziselwa ukwenza izinto zesikhumba, amalaphu, iiplastiki kunye nerabha.

Iimpawu kunye neempawu zomhlaza weseli wotshintsho we-renal pelvis kunye ne-ureter kubandakanya igazi kumchamo kunye nentlungu yomqolo.

Ezi kunye neminye imiqondiso kunye neempawu zinokubangelwa ngumhlaza weseli wotshintsho lwe-pelvis ye-renal kunye ne-ureter okanye ngezinye iimeko. Kungangabikho mpawu okanye zimpawu kumanqanaba okuqala. Iimpawu kunye neempawu zinokubonakala njengoko ithumba likhula. Jonga ugqirha wakho ukuba unayo nayiphi na kwezi zinto zilandelayo:

• Igazi kumchamo.

• Intlungu emqolo engasuki.

• Ukudinwa kakhulu.

• Ukwehla kwesisindo ngaphandle kwesizathu esaziwayo.

• Ukuchama okubuhlungu okanye rhoqo.

Uvavanyo oluvavanya isisu kunye nezintso zisetyenziselwa ukufumanisa umhlaza weseli wotshintsho lwe-pelvis ye-renal kunye ne-ureter.

Ezi mvavanyo zilandelayo kunye neenkqubo zinokusetyenziswa:

• Uvavanyo lomzimba kunye nembali yezempilo: Uvavanyo lomzimba ukukhangela iimpawu zempilo ngokubanzi, kubandakanya nokujonga iimpawu zesifo, ezinje ngamaqhuma okanye nayiphi na into ebonakala ingaqhelekanga. Imbali yemikhwa yempilo yesigulana kunye nezifo zangaphambili kunye nonyango ziya kuthathwa.

• Urinalysis: Uvavanyo lokujonga umbala womchamo kunye neziqulatho zawo, ezinje ngeswekile, iprotein, igazi kunye neebhaktiriya.

• I-Uterteroscopy: Inkqubo yokujonga ngaphakathi kwe-ureter kunye ne-renal pelvis ukujonga iindawo ezingaqhelekanga. I-ureteroscope sisixhobo esincinci, esifana netyhubhu esinesibane kunye neelensi zokujonga. I-ureteroscope ifakwe kwi-urethra kwi-bladder, ureter, kunye ne-renal pelvis. Isixhobo sinokufakwa kwi-ureteroscope ukuthatha iisampuli zethishu ukuba zijongwe phantsi kwemicroscope kwimpawu zesifo.

Ureteroscopy. I-ureteroscope (isixhobo esincinci, esifana netyhubhu esinokukhanya kunye nelensi yokujonga) sifakwa kwi-urethra kwi-ureter. Ugqirha ujonga umfanekiso wangaphakathi we-ureter kwisohlo sekhompyuter.

• I-cytology yomchamo: Uvavanyo lwelebhu apho isampulu yomchamo ihlolwe khona ngemicroscope yeeseli ezingaqhelekanga. Umhlaza kwizintso, isinyi, okanye i-ureter inokuphalaza iiseli zomhlaza kumchamo.

• Ukuskena i-CT (ukuskena i-CAT): Inkqubo eyenza uthotho lwemifanekiso eneenkcukacha zeendawo ezingaphakathi emzimbeni, ezithathwe kwii-engile ezahlukeneyo. Imifanekiso yenziwe yikhompyuter edityaniswe kumatshini we-x-ray. Idayi inokufakwa ngaphakathi emthanjeni okanye iginywe ukunceda amalungu okanye izicwili zibonise ngokucacileyo. Le nkqubo ikwabizwa ngokuba yi-computed tomography, ikhompyuter ye-tomography, okanye ikhompyuter ye-axial tomography.

• I-Ultrasound: Inkqubo apho amaza esandi aphembelela amandla aphezulu (i-ultrasound) akhutshelwa ngaphandle kwizicubu zangaphakathi okanye kwizitho zokwenza i-echoes. Iingqungquthela zenza umfanekiso wezicubu zomzimba ezibizwa ngokuba yi-sonogram. I-ultrasound yesisu ingenziwa ukunceda ukuxilonga umhlaza we-renal pelvis kunye ne-ureter.

• I-MRI (imaging resonance imaging): Inkqubo esebenzisa umazibuthe, amaza erediyo kunye nekhompyuter ukwenza uthotho lwemifanekiso eneenkcukacha zeendawo ezingaphakathi emzimbeni, ezinjenge-pelvis. Le nkqubo ikwabizwa ngokuba yimifanekiso yenyukliya yokujonga umfanekiso (i-NMRI).

• Biopsy: Ukususwa kweeseli okanye izicwili ukuze zijongwe ngemicroscope ngugqirha wezilwanyana ukujonga imiqondiso yomhlaza. Oku kunokwenziwa ngexesha le-ureteroscopy okanye utyando.

Izinto ezithile zichaphazela ukuxela kwangaphambili (ithuba lokufumana kwakhona) kunye nokhetho lonyango.

Ukuxela kwangaphambili kuxhomekeke kwinqanaba kunye nenqanaba lethumba.

Ukhetho lonyango luxhomekeke koku kulandelayo:

• Inqanaba kunye nenqanaba lethumba.

• Liphi ithumba.

• Nokuba esinye sezintso zomguli sisempilweni.

• Nokuba umhlaza ubuyile.

Uninzi lomhlaza weseli wotshintsho lwe-pelvis ye-renal kunye ne-ureter inokunyangwa ukuba ifunyenwe kwangethuba.

Amanqanaba oMhlaza weSeli yeTshintsho ye-Renal Pelvis kunye ne-Ureter

IINGONGOMA EZIPHAMBILI

• Emva kokuba kufunyaniswe isifo somhlaza weseli we-renal pelvis kunye ne-ureter, kwenziwa iimvavanyo zokufumanisa ukuba ngaba iiseli zomhlaza zisasazekile ngaphakathi kwe-renal pelvis kunye ne-ureter okanye kwamanye amalungu omzimba.

• Zintathu iindlela umhlaza onwenwa ngayo emzimbeni.

• Umhlaza unokusasazeka ukusuka apho waqala khona kwamanye amalungu omzimba.

• Amanqanaba alandelayo asetyenziselwa umhlaza weseli wotshintsho lwe-pelvis ye-renal kunye / okanye i-ureter:

• Inqanaba 0 (iPapillary Carcinoma engafunekiyo kunye neCarcinoma kwiSitu)

• Inqanaba I

• Inqanaba II

• Inqanaba III

• Inqanaba IV

• Umhlaza weseli wotshintsho lwe-pelvis ye-renal kunye ne-ureter ikwachazwa njengendawo yendawo, yengingqi, ye-metastatic, okanye ephindaphindayo:

• Yenziwe yaNgingqi

• Ingingqi

• Imitha

• Qho

Emva kokuba kufunyaniswe isifo somhlaza weseli we-renal pelvis kunye ne-ureter, kwenziwa iimvavanyo zokufumanisa ukuba ngaba iiseli zomhlaza zisasazekile ngaphakathi kwe-renal pelvis kunye ne-ureter okanye kwamanye amalungu omzimba.

Inkqubo esetyenziselwa ukufumanisa ukuba umhlaza usasazekile ngaphakathi kwe-renal pelvis kunye ne-ureter okanye kwamanye amalungu omzimba kuthiwa yi-staging. Ulwazi oluqokelelwe kwinkqubo yokubeka inqanaba lesifo. Kubalulekile ukwazi inqanaba ukuze ucwangcise unyango. Ugqirha uza kusebenzisa iziphumo zovavanyo lokuqonda ukunceda ukufumanisa inqanaba lesi sifo.

Ezi mvavanyo zilandelayo kunye neenkqubo zinokusetyenziswa kwinkqubo yokuqokelela:

• I-x-ray yesifuba: IX-reyi yamalungu namathambo ngaphakathi kwesifuba. IX-reyi luhlobo lwe-beam yamandla enokuhamba emzimbeni nakwifilimu, yenza umfanekiso weendawo ezingaphakathi komzimba.

• Ukuskena i-PET (positron emission tomography scan) Inkqubo yokufumana iiseli zethumba ezinobungozi emzimbeni. Inani elincinci leswekile ene-radioactive (iswekile) itofelwe emthanjeni. Iskena se-PET sijikeleza ujikeleze umzimba kwaye senze umfanekiso wendawo esetyenziswa kuyo iswekile emzimbeni. Iiseli zethumba ezinobungozi zibonakala ziqaqambile emfanekisweni kuba ziyasebenza kwaye zithatha iswekile eninzi kuneseli eziqhelekileyo.

• Ukuskena amathambo: Inkqubo yokujonga ukuba ngaba kukho iiseli ezahlula ngokukhawuleza, ezinje ngeeseli zomhlaza, emathanjeni. Inani elincinci kakhulu lezinto ezisasazeka ngemitha lifakwa emthanjeni kwaye lihamba ngokuhamba kwegazi. Izinto ezinemitha eqhumayo ziqokelela emathanjeni anomhlaza kwaye zifunyenwe siskena.

Zintathu iindlela umhlaza onwenwa ngayo emzimbeni.

Umhlaza unokusasazeka ngezicubu, inkqubo ye-lymph, kunye negazi:

• Izicubu. Umhlaza usasazeka ukusuka apho waqala ngokukhula waya kwiindawo ezikufuphi.

• Inkqubo yeLymph. Umhlaza usasazeka ukusuka apho waqala ngokungena kwinkqubo ye-lymph. Umhlaza uhamba ngemithambo ye-lymph ukuya kwamanye amalungu omzimba.

• Igazi. Umhlaza usasazeka ukusuka apho waqala ngokungena egazini. Umhlaza uhamba ngemithambo yegazi uye kwamanye amalungu omzimba.

Umhlaza unokusasazeka ukusuka apho waqala khona kwamanye amalungu omzimba.

Xa umhlaza usasazeka kwelinye ilungu lomzimba, ubizwa ngokuba yi-metastasis. Iiseli zomhlaza ziyaphuma apho ziqale khona (ithumba lokuqala) kwaye zihamba ngenkqubo ye-lymph okanye igazi.

• Inkqubo yeLymph. Umhlaza ungena kwinkqubo ye-lymph, uhamba kwiinqanawa ze-lymph, kwaye wenze i-tumor (i-metastatic tumor) kwenye indawo yomzimba.

• Igazi. Umhlaza ungena egazini, uhambe kwimithambo yegazi, kwaye wenze ithumba (metastatic tumor) kwelinye ilungu lomzimba.

I-tumor ye-metastatic yinto efanayo yomhlaza njenge-tumor yokuqala. Umzekelo, ukuba umhlaza wesifo wotshintsho we-ureter usasazeka emiphungeni, iiseli zomhlaza emiphungeni ziiseli zomhlaza ze-ureter. Esi sifo ngumhlaza we-metastatic we-ureter, hayi umhlaza wemiphunga.

Amanqanaba alandelayo asetyenziselwa umhlaza weseli wotshintsho lwe-pelvis ye-renal kunye / okanye i-ureter:

Inqanaba 0 (iPapillary Carcinoma engafunekiyo kunye neCarcinoma kwiSitu)

Kwinqanaba le-0, iiseli ezingaqhelekanga zifunyenwe kwizicubu ezingena ngaphakathi kwithambo le-renal okanye i-ureter. Ezi seli zingaqhelekanga zinokuba ngumhlaza kwaye zisasazeke kwizicubu eziqhelekileyo ezikufutshane. Isigaba 0 sahlulwe sangamanqanaba 0a kunye no-0is, kuxhomekeka kuhlobo lwethumba:

• Isigaba 0a sikwabizwa ngokuba yi-noninvasive papillary carcinoma, enokubonakala ngathi kukukhula okude, okucekeceke okuphuma kwizicwili ezingaphakathi kwithambo le-renal okanye i-ureter.

• Isigaba 0is sikwabizwa ngokuba yi-carcinoma in situ, esisicwili esithe tyaba kwithishu engaphakathi ngaphakathi kwe-renal pelvis okanye i-ureter.

Inqanaba I

Kwinqanaba I, umhlaza uye waseka kwaye usasazekile ukusuka kwizicwili ezingene ngaphakathi kwithambo le-renal okanye i-ureter ukuya kulungelelwaniso lwethishu.

Inqanaba II

Kwinqanaba lesibini, umhlaza usasazeke kumaleko esihlunu se-renal pelvis okanye ureter.

Inqanaba III

Kwinqanaba le-III, umhlaza usasazekile:

• ukusuka kumaleko esihlunu sezintso ukuya kumanqatha ajikeleze ithambo lezintso okanye kwithishu yezintso; okanye

• ukusuka kwinqanaba le-muscle le-ureter ukuya kumanqatha ajikeleze i-ureter.

Inqanaba IV

Kwinqanaba IV, umhlaza usasazeke kokukodwa kwezi zilandelayo:

• ilungu elikufutshane.

• Uluhlu lwamafutha ajikeleze izintso.

• ithumba.

• amanye amalungu omzimba, njengomphunga, isibindi, okanye ithambo.

Umhlaza weseli wotshintsho lwe-pelvis ye-renal kunye ne-ureter ikwachazwa njengendawo yendawo, yengingqi, ye-metastatic, okanye ephindaphindayo:

Yenziwe yaNgingqi

Umhlaza ufumaneka kwizintso kuphela.

Ingingqi

Umhlaza usasazeke kwizicubu ezijikeleze izintso nakwiindawo ezikufuphi ezikhulayo kunye nemithambo yegazi esinqeni.

Imitha

Umhlaza usasazeke nakwamanye amalungu omzimba.

Qho

Umhlaza uphinde wabuya (ubuye) emva kokuba unyangiwe. Umhlaza ungabuyela kwi-renal pelvis, ureter, okanye amanye amalungu omzimba, njengomphunga, isibindi, okanye ithambo.

Unyango ngoKhetho lonyango

IINGONGOMA EZIPHAMBILI

• Kukho iintlobo ezahlukeneyo zonyango kwizigulana ezinomhlaza weseli wotshintsho lwe-pelvis ye-renal kunye ne-ureter.

• Uhlobo olunye lonyango olusetyenziswayo lusetyenziswa:

• Ugqirha

• Iindidi ezintsha zonyango ziyavavanywa kuvavanyo lweklinikhi.

• Ukugcwaliswa

• Ukuthengiswa kwakhona kwecandelo le-pelvis

• Utyando lweLaser

• I-chemotherapy yengingqi kunye nonyango lwe-biologic yommandla

• Unyango lomhlaza wesifo wotshintsho lwe-pelvis ye-renal kunye ne-ureter kunokubangela iziphumo ebezingalindelekanga.

• Izigulana zinokufuna ukucinga ngokuthatha inxaxheba kuvavanyo lweklinikhi.

• Izigulana zinokungena kuvavanyo lweklinikhi ngaphambi, ngexesha, okanye emva kokuqala unyango lomhlaza.

• Iimvavanyo zokulandelela zisenokufuneka.

Kukho iintlobo ezahlukeneyo zonyango kwizigulana ezinomhlaza weseli wotshintsho lwe-pelvis ye-renal kunye ne-ureter.

Iindidi ezahlukeneyo zonyango ziyafumaneka kwizigulana ezinomhlaza weseli wotshintsho lwe-pelvis ye-renal kunye ne-ureter. Olunye unyango lusemgangathweni (unyango olusetyenziswayo ngoku), kwaye olunye luvavanywa kuvavanyo lweklinikhi. Uvavanyo lweklinikhi yonyango luphononongo olwenzelwe ukunceda ukuphucula unyango lwangoku okanye ukufumana ulwazi kunyango olutsha kwizigulana ezinomhlaza. Xa uvavanyo lwezonyango lubonisa ukuba unyango olutsha lungcono kunonyango oluqhelekileyo, unyango olutsha kunokuba lunyango olusemgangathweni. Izigulana zinokufuna ukucinga ngokuthatha inxaxheba kuvavanyo lweklinikhi. Olunye uvavanyo lwezonyango luvuleleke kuphela kwizigulana ezingaluqalanga unyango.

Uhlobo olunye lonyango olusetyenziswayo lusetyenziswa:

Ugqirha

Enye yezi nkqubo zilandelayo zingasetyenziselwa ukunyanga umhlaza weseli wotshintsho lwe-pelvis ye-renal kunye ne-ureter:

• I-Nephroureterectomy: Utyando lokususa zonke izintso, i-ureter, kunye ne-bladder cuff (izicwili ezidibanisa i-ureter kwi-bladder).

• Ukuthengiswa kwecandelo le-ureter: Inkqubo yotyando lokususa icandelo le-ureter elinomhlaza kunye nezinye izihlunu ezisempilweni ezijikelezileyo. Iziphelo ze-ureter emva koko zinamathele. Olu nyango lusetyenziswa xa umhlaza ungaphezulu kwaye nakwisithathu esisezantsi se-ureter kuphela, kufutshane nesinyi.

Iindidi ezintsha zonyango ziyavavanywa kuvavanyo lweklinikhi.

Eli candelo lesishwankathelo lichaza unyango olufundwayo kuvavanyo lweklinikhi. Isenokungakhankanyi lonke unyango olutsha olufundwayo. Ulwazi malunga novavanyo lweklinikhi luyafumaneka kwiWebhusayithi ye-NCI.

Ukugcwaliswa

Ukugcwaliswa yinkqubo yotyando etshabalalisa izicwili kusetyenziswa umbane. Isixhobo esinomtya omncinci wocingo ekugqibeleni sisetyenziselwa ukususa umhlaza okanye ukutshisa ithumba ngombane.

Ukuthengiswa kwakhona kwecandelo le-pelvis

Le yinkqubo yotyando yokususa umhlaza wasekhaya kwindawo ye-renal ngaphandle kokususa izintso zonke. Ukuthengiswa kwesahlulo kungenziwa ukugcina umsebenzi wezintso xa ezinye izintso zonakalisiwe okanye sele zisusiwe.

Utyando lweLaser

Umqadi we-laser (umqadi omxinwa wokukhanya okukhulu) usetyenziswa njengemela ukususa umhlaza. Umqadi we-laser ungasetyenziselwa ukubulala iiseli zomhlaza. Le nkqubo inokubizwa ngokuba yi-laser.

I-chemotherapy yengingqi kunye nonyango lwe-biologic yommandla

I-Chemotherapy yonyango lomhlaza olusebenzisa iziyobisi ukunqanda ukukhula kweeseli zomhlaza, nokuba kungokubulala iiseli okanye kukumisa iiseli zahlule. Unyango lwe-Biologic lunyango olusebenzisa amajoni omzimba omzimba ukulwa nomhlaza; Izinto ezenziwe ngumzimba okanye ezenziwe elebhu zisetyenziselwa ukonyusa, ukuqondisa, okanye ukubuyisela ukhuseleko lwendalo lomzimba kumhlaza. Unyango lwengingqi luthetha ukuba amachiza e-anticancer okanye izinto zebhayoloji zibekwa ngqo kwilungu okanye kumzimba ofana nesisu, ngenxa yoko amachiza aya kuchaphazela iiseli zomhlaza kuloo ndawo. Uvavanyo lwezonyango lufunda i-chemotherapy okanye unyango lwe-biologic usebenzisa iziyobisi ezibekwe ngqo kwi-pelvis ye-renal okanye kwi-ureter.

Unyango lomhlaza wesifo wotshintsho lwe-pelvis ye-renal kunye ne-ureter kunokubangela iziphumo ebezingalindelekanga.

Ngolwazi malunga neziphumo ebezingalindelekanga ezibangelwa lunyango lomhlaza, jonga iphepha lethu Iziphumo ezingalunganga.

Izigulana zinokufuna ukucinga ngokuthatha inxaxheba kuvavanyo lweklinikhi.

Kwezinye izigulana, ukuthatha inxaxheba kuvavanyo lweklinikhi kunokuba lolona khetho lonyango lufanelekileyo. Uvavanyo lwezonyango luyinxalenye yenkqubo yophando ngomhlaza. Uvavanyo lwezonyango luyenziwa ukufumanisa ukuba unyango lomhlaza olutsha lukhuselekile kwaye luyasebenza okanye lungcono kunonyango oluqhelekileyo.

Uninzi lonyango oluqhelekileyo lwanamhlanje lomhlaza lusekwe kuvavanyo lweklinikhi lwangaphambili. Izigulana ezithatha inxaxheba kuvavanyo lweklinikhi zingafumana unyango olusemgangathweni okanye zibe phakathi kwabokuqala ukufumana unyango olutsha.

Izigulana ezithatha inxaxheba kuvavanyo lweklinikhi zikwanceda ukuphucula indlela umhlaza oza kunyangwa ngayo kwixa elizayo. Nokuba uvavanyo lwezonyango alukhokeleli kunyango olusebenzayo, bahlala bephendula imibuzo ebalulekileyo kwaye bancedisa ukuqhubela phambili uphando.

Izigulana zinokungena kuvavanyo lweklinikhi ngaphambi, ngexesha, okanye emva kokuqala unyango lomhlaza.

Olunye uvavanyo lwezonyango lubandakanya kuphela izigulana ezingekafumani unyango. Olunye uvavanyo lokuvavanywa kunyango kwizigulana ezinomhlaza ongakhange ubengcono. Kukwakho nezilingo zeklinikhi ezivavanya iindlela ezintsha zokumisa umhlaza ekubuyeleni (ekubuyeni) okanye ukunciphisa iziphumo ebezingalindelekanga zonyango lomhlaza.

Uvavanyo lwezonyango lwenzeka kwiindawo ezininzi zelizwe. Ulwazi malunga novavanyo lweklinikhi oluxhaswe yi-NCI lunokufumaneka kwiphepha lewebhu le-NCI. Uvavanyo lwezonyango oluxhaswa yiminye imibutho lunokufumaneka kwiwebhusayithi yeClinicalTrials.gov.

Iimvavanyo zokulandelela zisenokufuneka.

Ezinye zeemvavanyo ezenziweyo ukufumanisa umhlaza okanye ukufumanisa inqanaba lomhlaza zinokuphindwa. Olunye uvavanyo luya kuphindwa ukuze kubonwe ukuba lusebenza njani unyango. Izigqibo malunga nokuqhubeka, ukutshintsha, okanye ukuyeka unyango zinokusekwa kwiziphumo zolu vavanyo.

Ezinye zeemvavanyo ziya kuqhubeka ukwenziwa amaxesha ngamaxesha emva kokuba unyango luphelile. Iziphumo zolu vavanyo zingabonisa ukuba imeko yakho itshintshile okanye ukuba umhlaza ubuyile (buyela). Olu vavanyo ngamanye amaxesha lubizwa ngokuba luvavanyo olulandelayo okanye ukuhlolwa.

Unyango lweCancer Transitional Cell Cancer yeRenal Pelvis kunye neUreter

Ngolwazi malunga nonyango oludweliswe ngezantsi, jonga kwiCandelo loKhetho ngokujonga uKhetho.

Unyango lwesifo somhlaza wotshintsho lwasekhaya lwe-pelvis ye-renal kunye ne-ureter kunokubandakanya oku kulandelayo:

• Utyando (i-nephroureterectomy okanye ukuthengiswa kwecandelo le-ureter).

• Uvavanyo lweklinikhi lokufezekiswa.

• Uvavanyo lweklinikhi lotyando lwe-laser.

• Uvavanyo lweklinikhi lokuthengiswa ngokutsha kwecandelo le-pelvis.

• Uvavanyo lwezonyango lwe-chemotherapy yengingqi.

• Uvavanyo lweklinikhi yonyango lwe-biologic yommandla.

Sebenzisa uvavanyo lwethu lweklinikhi ukufumana ulingo lweklinikhi oluxhaswayo lwekliniki olwamkela izigulana. Unokukhangela izilingo ngokusekwe kuhlobo lomhlaza, ubudala besigulana, kwaye nokuba zenziwa phi izilingo. Ulwazi ngokubanzi malunga novavanyo lweklinikhi luyafumaneka.

Unyango loMhlaza weSifo seTshintsho seCellal Pelvis kunye neUreter

Ngolwazi malunga nonyango oludweliswe ngezantsi, jonga kwiCandelo loKhetho ngokujonga uKhetho.

Unyango lomhlaza wesifo somhlaza wotshintsho lwe-pelvis ye-renal kunye ne-ureter zihlala zenziwa kuvavanyo lweklinikhi.

Sebenzisa uvavanyo lwethu lweklinikhi ukufumana ulingo lweklinikhi oluxhaswayo lwekliniki olwamkela izigulana. Unokukhangela izilingo ngokusekwe kuhlobo lomhlaza, ubudala besigulana, kwaye nokuba zenziwa phi izilingo. Ulwazi ngokubanzi malunga novavanyo lweklinikhi luyafumaneka.

Unyango lweCancer Metastatic okanye iTransitional Transcer Cancer yeCenal Pelvis kunye neUreter

Ngolwazi malunga nonyango oludweliswe ngezantsi, jonga kwiCandelo loKhetho ngokujonga uKhetho.

Unyango lomhlaza wesifo se-metastatic okanye esenzeka rhoqo somhlaza wesibindi kunye ne-ureter zihlala zenziwa kuvavanyo lweklinikhi, olunokuthi lubandakanye i-chemotherapy.

Sebenzisa uvavanyo lwethu lweklinikhi ukufumana ulingo lweklinikhi oluxhaswayo lwekliniki olwamkela izigulana. Unokukhangela izilingo ngokusekwe kuhlobo lomhlaza, ubudala besigulana, kwaye nokuba zenziwa phi izilingo. Ulwazi ngokubanzi malunga novavanyo lweklinikhi luyafumaneka.

Ukufunda ngakumbi malunga noMhlaza weSeli yeTshintsho ye-Renal Pelvis kunye ne-Ureter

Ngolwazi oluthe kratya kwiZiko leSizwe loMhlaza malunga nomhlaza weseli wotshintsho lwe-pelvis ye-renal kunye ne-ureter, jonga oku kulandelayo:

• Ikhasi Lasekhaya Lomhlaza Wezintso

• Icuba (kubandakanya uncedo ngokuyeka)

Ngolwazi lomhlaza ngokubanzi kunye nezinye izixhobo ezivela kwiNational Cancer Institute, jonga oku kulandelayo:

• Malunga noMhlaza

• Ukuqokelela

• I-Chemotherapy kunye nawe: Inkxaso yabantu abanomdlavuza

• Unyango ngemitha kunye nawe: Inkxaso yabantu abanomhlaza

• Ukujamelana noMhlaza

• Imibuzo yokubuza ugqirha wakho malunga neCancer

• Abasindileyo kunye nabaNonopheli

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