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I-Transitional Cell Cancer ye-Renal Pelvis ne-Ureter Treatment (®) -Patient Version

Imininingwane Jikelele Ngomdlavuza Wamaseli Wenguquko we-Renal Pelvis ne-Ureter

AMAPHUZU ASEMQOKA

  • Umdlavuza weseli wesikhashana we-renal pelvis kanye ne-ureter yisifo lapho amangqamuzana amabi (umdlavuza) akha khona ku-renal pelvis kanye ne-ureter.
  • Umlando womuntu siqu womdlavuza wesinye nokubhema ungathinta ingozi yomdlavuza weseli wesikhashana we-renal pelvis kanye ne-ureter.
  • Izimpawu nezimpawu zomdlavuza wesikhashana wesikhashana we-renal pelvis kanye ne-ureter zifaka igazi emchameni nasezinhlungwini zasemhlane.
  • Ukuhlolwa okuhlola isisu nezinso kusetshenziselwa ukuxilonga umdlavuza weseli wesikhashana we-renal pelvis kanye ne-ureter.
  • Izici ezithile zithinta ukubikezela (ithuba lokululama) kanye nezinketho zokwelashwa.

Umdlavuza weseli wesikhashana we-renal pelvis kanye ne-ureter yisifo lapho amangqamuzana amabi (umdlavuza) akha khona ku-renal pelvis kanye ne-ureter.

I-renal pelvis yingxenye ephezulu ye-ureter. I-ureter yishubhu elide elixhumanisa izinso nesinye. Kunezinso ezimbili, eyodwa ohlangothini ngalunye lomgogodla, ngenhla kwesinqe. Izinso zomuntu omdala zicishe zibe ngamasentimitha ama-5 ubude no-3 amayintshi ububanzi futhi zimiswe okobhontshisi wezinso. Amashubhu amancane ezinso ahlunga futhi ahlanze igazi. Bakhipha imfucuza benze umchamo. Umchamo uqoqa maphakathi nenso ngalinye esithweni sezinso. Umchamo udlula usuka okhalweni lwezinso ungene nge-ureter ungene esinyeni. Isinye sigcina umchamo uze udlule kumchamo bese ushiya umzimba.

I-anatomy yesistimu yomchamo wesilisa (iphaneli yesobunxele) nohlelo lwabesifazane lokuchama (iphaneli langakwesokudla) olubonisa izinso, ama-ureters, isinye, ne-urethra. Umchamo wenziwa kuma-tubules wezinso futhi uqoqwa ku-pelvis ye-renal yenso ngalinye. Umchamo ugeleza kusuka ezinso udabule ureters uye esinyeni. Umchamo ugcinwa esinyeni uze ushiye umzimba ngomchamo.

I-renal pelvis nama-ureters ahlanganiswe namaseli wesikhashana. Lawa maseli angashintsha ukwakheka nokwelula ngaphandle kokuhlukana. Umdlavuza weseli oguqukayo uqala kulawa maseli.

Umdlavuza weseli oguqukayo ungakheka okhalweni lwezinso, i-ureter, noma kokubili.

Umdlavuza we-renal cell uhlobo oluvame kakhulu lomdlavuza wezinso. Bona isifinyezo se- mayelana ne-Renal Cell Cancer Treatment ukuthola eminye imininingwane.

Umlando womuntu siqu womdlavuza wesinye nokubhema ungathinta ingozi yomdlavuza weseli wesikhashana we-renal pelvis kanye ne-ureter.

Noma yini enyusa ubungozi bokuthola isifo ibizwa ngokuthi ingozi. Ukuba nengcuphe akusho ukuthi uzothola umdlavuza; ukungabi nezici zobungozi akusho ukuthi ngeke uthole umdlavuza. Khuluma nodokotela wakho uma ucabanga ukuthi ungaba sengozini. Izici ezinobungozi zomdlavuza weseli wesikhashana we-renal pelvis kanye ne-ureter zifaka okulandelayo:

  • Ukuba nomlando womuntu siqu womdlavuza wesinye.
  • Ukubhema osikilidi.
  • Ukuthatha imithi eminingi yobuhlungu, efana ne-phenacetin.
  • Ukuvezwa odayi namakhemikhali athile asetshenziselwa ukwenza izimpahla zesikhumba, izindwangu, amapulasitiki nenjoloba.

Izimpawu nezimpawu zomdlavuza wesikhashana wesikhashana we-renal pelvis kanye ne-ureter zifaka igazi emchameni nasezinhlungwini zasemhlane.

Lezi kanye nezinye izimpawu nezimpawu zingabangelwa umdlavuza weseli wesikhashana we-renal pelvis kanye ne-ureter noma ngezinye izimo. Kungase kungabikho zimpawu noma izimpawu ezigabeni zokuqala. Izimpawu nezimpawu zingavela njengoba isimila sikhula. Buza nodokotela wakho uma unokunye kwalokhu okulandelayo:

  • Igazi emchameni.
  • Ubuhlungu emhlane obungapheli.
  • Ukukhathala okukhulu.
  • Ukwehla kwesisindo ngaphandle kwesizathu esaziwayo.
  • Ukuchama kabuhlungu noma okuvamile.

Ukuhlolwa okuhlola isisu nezinso kusetshenziselwa ukuxilonga umdlavuza weseli wesikhashana we-renal pelvis kanye ne-ureter.

Lezi zivivinyo nezinqubo ezilandelayo zingasetshenziswa:

  • Ukuhlolwa komzimba kanye nomlando wezempilo: Ukuhlolwa komzimba ukuhlola izimpawu ezijwayelekile zempilo, kufaka phakathi nokuhlola izimpawu zezifo, njengezigaxa noma yini enye ebonakala ingajwayelekile. Kuzothathwa nomlando wemikhuba yezempilo yesiguli kanye nokugula nokwelashwa kwangaphambilini.
  • I-Urinalysis: Isivivinyo sokubheka umbala womchamo nokuqukethwe kuwo, njengoshukela, amaprotheni, igazi, namagciwane.
  • I-Ureteroscopy: Inqubo yokubheka ngaphakathi kwe-ureter kanye ne-renal pelvis ukuhlola izindawo ezingavamile. I-ureteroscope iyinsimbi encane, efana nethubhu enokukhanya nelensi yokubuka. I-ureteroscope ifakwa nge-urethra iye esinyeni, ku-ureter, naku-renal pelvis. Ithuluzi lingafakwa nge-ureteroscope ukuthatha amasampula wezicubu azohlolwa ngaphansi kwesibonakhulu ukuthola izimpawu zesifo.
I-Ureteroscopy. I-ureteroscope (insimbi encane, efana nethubhu enokukhanya nelensi yokubuka) ifakwa nge-urethra ku-ureter. Udokotela ubheka isithombe sangaphakathi se-ureter kumqapha wekhompyutha.
  • I-urine cytology: Isivivinyo selabhorethri lapho kuhlolwe khona isampula lomchamo ngaphansi kwesibonakhulu ukuthola amaseli angajwayelekile. Umdlavuza ezinso, esinyeni, noma e-ureter ungakhipha amangqamuzana omdlavuza emchameni.
  • I-CT scan (i-CAT scan): Inqubo eyenza uchungechunge lwezithombe ezinemininingwane yezindawo ezingaphakathi komzimba, ezithathwe ezinhlangothini ezahlukene. Izithombe zenziwa yikhompyutha exhunywe kumshini we-x-ray. Idayi ingajovwa emthanjeni noma igwinywe ukusiza izitho noma izicubu zivele kahle. Le nqubo ibizwa nangokuthi i-computed tomography, i-computerized tomography, noma i-computer axial tomography.
  • I-Ultrasound: Inqubo lapho amaza omsindo wamandla aphezulu (i-ultrasound) ehlaselwa izicubu zangaphakathi noma izitho bese enza ama-echoes. Ama-echoes akha isithombe sezicubu zomzimba esibizwa nge-sonogram. I-ultrasound yesisu ingenziwa ukusiza ukuthola umdlavuza we-renal pelvis kanye ne-ureter.
  • I-MRI (imaging resonance imaging): Inqubo esebenzisa uzibuthe, amagagasi omsakazo, nekhompyutha ukwenza uchungechunge lwezithombe ezinemininingwane yezindawo ezingaphakathi komzimba, ezifana nesinqe. Le nqubo ibizwa nangokuthi i-nuclear magnetic resonance imaging (i-NMRI).
  • I-Biopsy: Ukususwa kwamaseli noma izicubu ukuze kubhekwe ngaphansi kwesibonakhulu ngudokotela wezifo ukuhlola izimpawu zomdlavuza. Lokhu kungenziwa ngesikhathi se-ureteroscopy noma ukuhlinzwa.

Izici ezithile zithinta ukubikezela (ithuba lokululama) kanye nezinketho zokwelashwa.

Isibikezelo sincike esiteji kanye nebanga lesimila.

Izinketho zokwelashwa zincike kokulandelayo:

  • Isigaba nebanga lesimila.
  • Lapho okukhona isimila.
  • Ukuthi ezinye izinso zesiguli ziphilile yini.
  • Ukuthi umdlavuza ubuyile yini.

Umdlavuza weseli wesikhashana wesikhumba se-renal kanye ne-ureter ungalapheka uma utholakala kusenesikhathi.

Izigaba Zomdlavuza Wamaseli Wenguquko we-Renal Pelvis ne-Ureter

AMAPHUZU ASEMQOKA

  • Ngemuva kokutholakala komdlavuza weseli wesikhashana we-renal pelvis ne-ureter, kwenziwa ukuhlolwa ukuze kutholakale ukuthi ngabe amangqamuzana omdlavuza asakazekile ngaphakathi kwe-renal pelvis ne-ureter noma kwezinye izingxenye zomzimba.
  • Zintathu izindlela umdlavuza osakazeka ngayo emzimbeni.
  • Umdlavuza ungasakazeka usuka lapho uqale khona kwezinye izingxenye zomzimba.
  • Lezi zigaba ezilandelayo zisetshenziselwa umdlavuza weseli wesikhashana we-renal pelvis kanye / noma i-ureter:
  • Isigaba 0 (I-Noninvasive Papillary Carcinoma neCarcinoma eSitu)
  • Isiteji I
  • Isigaba II
  • Isigaba III
  • Isigaba IV
  • Umdlavuza wesikhashana wesikhashana we-renal pelvis kanye ne-ureter nawo uchazwa njengowendawo, wesifunda, we-metastatic, noma ophindayo:
  • Kwenziwe kwaba okwasendaweni
  • Okwesifunda
  • I-Metastatic
  • Okuphindayo

Ngemuva kokutholakala komdlavuza weseli wesikhashana we-renal pelvis ne-ureter, kwenziwa ukuhlolwa ukuze kutholakale ukuthi ngabe amangqamuzana omdlavuza asakazekile ngaphakathi kwe-renal pelvis ne-ureter noma kwezinye izingxenye zomzimba.

Inqubo esetshenziselwe ukuthola ukuthi umdlavuza ususabalele ngaphakathi kwesikhumba se-renal kanye ne-ureter noma kwezinye izingxenye zomzimba ibizwa nge-staging. Imininingwane eqoqwe kusuka kusistimu yesiteji inquma isigaba sesifo. Kubalulekile ukwazi isigaba ukuze uhlele ukwelashwa. Udokotela uzosebenzisa imiphumela yezivivinyo zokuxilonga ukusiza ukuthola isigaba sesifo.

Lezi zivivinyo nezinqubo ezilandelayo zingasetshenziswa kunqubo yokubeka iziteji:

  • I-x-ray yesifuba: I-x-ray yezitho namathambo ngaphakathi kwesifuba. I-x-ray uhlobo lwesigongolo samandla esingangena emzimbeni nasefilimini, lwenze isithombe sezindawo ezingaphakathi komzimba.
  • I-PET scan (i-positron emission tomography scan): Inqubo yokuthola amangqamuzana abulalayo omzimba emzimbeni. Inani elincane le-glucose enemisebe (ushukela) lifakwa emthanjeni. Isithwebuli se-PET sizungeza umzimba futhi senze isithombe lapho i-glucose isetshenziswa khona emzimbeni. Amaseli amathumba amabi abonakala ekhanya esithombeni ngoba ayasebenza futhi athatha i-glucose eningi kunamaseli avamile.
  • Ukuskena kwamathambo: Inqubo yokubheka ukuthi kunamaseli ahlukanisa ngokushesha yini, njengamaseli womdlavuza, ethanjeni. Inani elincane kakhulu lezinto ezinomsakazo lifakwa emthanjeni futhi lihambe phakathi kwegazi. Izinto ezinemisebe eqoqa emathanjeni ezinomdlavuza futhi zitholwa isithwebuli.

Zintathu izindlela umdlavuza osakazeka ngayo emzimbeni.

Umdlavuza ungasakazeka ngezicubu, uhlelo lwe-lymph, kanye negazi:

  • Izicubu. Umdlavuza usakazeka lapho uqale khona ngokukhulela ezindaweni eziseduze.
  • Uhlelo lweLymph. Umdlavuza usakazeka lapho uqale khona ngokungena ohlelweni lwe-lymph. Umdlavuza udabula imithambo ye-lymph uye kwezinye izingxenye zomzimba.
  • Igazi. Umdlavuza usakazeka lapho uqale khona ngokungena egazini. Umdlavuza uhamba ngemithambo yegazi uye kwezinye izingxenye zomzimba.

Umdlavuza ungasakazeka usuka lapho uqale khona kwezinye izingxenye zomzimba.

Lapho umdlavuza usakazekela kolunye uhlangothi lomzimba, ubizwa ngokuthi yi-metastasis. Amaseli womdlavuza aqhamuka lapho aqale khona (isimila sokuqala) futhi ahamba ngohlelo lwe-lymph noma igazi.

  • Uhlelo lweLymph. Umdlavuza ungena ohlelweni lwe-lymph, udabule emithanjeni ye-lymph, bese wenza isimila (isimila se-metastatic) kwenye ingxenye yomzimba.
  • Igazi. Umdlavuza ungena egazini, udabule emithanjeni yegazi, bese wenza isimila (isimila se-metastatic) kwenye ingxenye yomzimba.

Isigaxa se-metastatic luhlobo olufanayo lomdlavuza njengesimila sokuqala. Isibonelo, uma umdlavuza weseli wesikhashana we-ureter usabalala uye emaphashini, amangqamuzana omdlavuza asephashini empeleni angamaseli omdlavuza we-ureter. Lesi sifo umdlavuza we-metastatic we-ureter, hhayi umdlavuza wamaphaphu.

Lezi zigaba ezilandelayo zisetshenziselwa umdlavuza weseli wesikhashana we-renal pelvis kanye / noma i-ureter:

Isigaba 0 (I-Noninvasive Papillary Carcinoma neCarcinoma eSitu)

Esigabeni 0, amangqamuzana angajwayelekile atholakala ezicutshini ezingena ngaphakathi kwesikhumba se-renal noma i-ureter. Lawa maseli angajwayelekile angaba ngumdlavuza futhi asabalale abe izicubu ezijwayelekile eziseduze. Isigaba 0 sihlukaniswe ngezigaba 0a no-0is, kuya ngohlobo lwesimila:

  • Isigaba 0a sibizwa nangokuthi i-papillary carcinoma engavuseleleki, engabukeka njengokumila okude, okuncane okuvela ezicutshini ezingaphakathi ngaphakathi kwe-renal pelvis noma i-ureter.
  • Isigaba 0is sibizwa nangokuthi i-carcinoma in situ, okuyisisu esiyisicaba esicutshini esifaka ngaphakathi kwe-renal pelvis noma i-ureter.

Isiteji I

Esigabeni I, umdlavuza wakhekile futhi usabalale kusuka ezicutshini ezingaphakathi ngaphakathi kwesikhumba se-renal noma i-ureter kuya kungqimba lwezicubu ezihlanganayo.

Isigaba II

Esigabeni II, umdlavuza usabalalele kungqimba yemisipha ye-renal pelvis noma i-ureter.

Isigaba III

Esigabeni III, umdlavuza usakazekile:

  • kusukela kusendlalelo semisipha yamathambo wezinso kuya emafutheni azungeze isinqe sezinso noma izicubu ezinso; noma
  • kusukela kungqimba yemisipha ye-ureter kuya emafutheni azungeze i-ureter.

Isigaba IV

Esigabeni IV, umdlavuza usabalale kokungenani kokulandelayo:

  • isitho esiseduze.
  • ungqimba lwamafutha azungeze izinso.
  • ama-lymph node.
  • ezinye izitho zomzimba, njengephaphu, isibindi, noma ithambo.

Umdlavuza wesikhashana wesikhashana we-renal pelvis kanye ne-ureter nawo uchazwa njengowendawo, wesifunda, we-metastatic, noma ophindayo:

Kwenziwe kwaba okwasendaweni

Umdlavuza utholakala ezinso kuphela.

Okwesifunda

Umdlavuza ususabalele ezicutshini ezizungeze izinso nakuma-lymph node aseduze nemithambo yegazi ethangeni.

I-Metastatic

Umdlavuza ususabalele nakwezinye izingxenye zomzimba.

Okuphindayo

Umdlavuza ubuye wabuya (ubuya) ngemuva kokuba welashwe. Umdlavuza ungabuya emathangeni e-renal, ureter, noma kwezinye izingxenye zomzimba, njengephaphu, isibindi noma ithambo.

Uhlolojikelele lwenketho yokwelashwa

AMAPHUZU ASEMQOKA

  • Kunezinhlobo ezahlukahlukene zokwelashwa kweziguli ezinomdlavuza wesikhashana wesikhashana we-renal pelvis kanye ne-ureter.
  • Uhlobo olulodwa lokwelashwa okujwayelekile lusetshenziswa:
  • Ukuhlinzwa
  • Izinhlobo ezintsha zokwelashwa ziyahlolwa ezivivinyweni zokwelashwa.
  • Ukugcwaliswa
  • Ukubuyiswa kwesigaba se-pelvis yezinso
  • Ukuhlinzwa kwe-Laser
  • Ukwelashwa ngamakhemikhali wesifunda nokwelashwa kwesifunda kwe-biologic
  • Ukwelashwa komdlavuza weseli wesikhashana we-renal pelvis kanye ne-ureter kungadala imiphumela emibi.
  • Iziguli zingafuna ukucabanga ngokubamba iqhaza esivivinyweni somtholampilo.
  • Iziguli zingangena ezivivinyweni zokwelashwa ngaphambi, ngesikhathi, noma ngemuva kokuqala ukwelashwa kwazo komdlavuza.
  • Ukuhlolwa kokulandelela kungadingeka.

Kunezinhlobo ezahlukahlukene zokwelashwa kweziguli ezinomdlavuza wesikhashana wesikhashana we-renal pelvis kanye ne-ureter.

Izinhlobo ezahlukene zokwelashwa ziyatholakala ezigulini ezinomdlavuza wesikhashana wesikhashana we-renal pelvis kanye ne-ureter. Ezinye izindlela zokwelapha zijwayelekile (indlela esetshenziswa njengamanje), kanti ezinye ziyahlolwa ezivivinyweni zokwelashwa. Isivivinyo somtholampilo wokwelashwa isifundo socwaningo esihloselwe ukusiza ukuthuthukisa ukwelashwa kwamanje noma ukuthola ulwazi ngezindlela zokwelashwa ezintsha zeziguli ezinomdlavuza. Lapho izivivinyo zokwelashwa zibonisa ukuthi ukwelashwa okusha kungcono kunokwelashwa okujwayelekile, ukwelashwa okusha kungaba ukwelashwa okujwayelekile. Iziguli zingafuna ukucabanga ngokubamba iqhaza esivivinyweni somtholampilo. Ezinye izivivinyo zokwelashwa zivulekele kuphela iziguli ezingakaqali ukwelashwa.

Uhlobo olulodwa lokwelashwa okujwayelekile lusetshenziswa:

Ukuhlinzwa

Enye yalezi zinqubo zokuhlinza ezilandelayo ingasetshenziselwa ukwelapha umdlavuza weseli wesikhashana we-renal pelvis ne-ureter:

  • I-Nephroureterectomy: Ukuhlinzwa kususwe yonke inso, i-ureter, kanye nekhafula lesinye (izicubu ezixhuma i-ureter esinyeni).
  • Ukwehliswa okuhlukanisiwe kwe-ureter: Inqubo yokuhlinza ukususa ingxenye ye-ureter equkethe umdlavuza kanye nezinye izicubu ezinempilo ezizungezile. Imikhawulo ye-ureter bese ibanjwa kabusha. Lokhu kwelashwa kusetshenziswa lapho umdlavuza ungaphezulu futhi engxenyeni engezansi yesithathu ye-ureter kuphela, eduze kwesinye.

Izinhlobo ezintsha zokwelashwa ziyahlolwa ezivivinyweni zokwelashwa.

Lesi sigaba esifingqiwe sichaza izindlela zokwelashwa ezicwaningwa ekuhlolweni kwemitholampilo. Kungenzeka kungasho yonke imishanguzo emisha efundwayo. Imininingwane mayelana nokuhlolwa kwemitholampilo iyatholakala kwiwebhusayithi ye-NCI.

Ukugcwaliswa

Ukugcwaliswa ngokuphelele kuyindlela yokuhlinzwa ebulala izicubu kusetshenziswa amandla kagesi. Ithuluzi elinentambo encane yocingo ekugcineni lisetshenziselwa ukususa umdlavuza noma ukushisa isimila ngogesi.

Ukubuyiswa kwesigaba se-pelvis yezinso

Le yinqubo yokuhlinza ukususa umdlavuza wasendaweni ethangeni le-renal ngaphandle kokukhipha yonke izinso. Ukwehliswa kwesigaba kungenziwa ukonga umsebenzi wezinso lapho enye inso ilimele noma isivele isusiwe.

Ukuhlinzwa kwe-Laser

I-laser beam (ugongolo oluncane wokukhanya okukhulu) isetshenziswa njengommese ukususa umdlavuza. Ugongolo lwe-laser lungasetshenziswa futhi ukubulala amangqamuzana omdlavuza. Le nqubo ingabizwa nangokuthi i-laser fulguration.

Ukwelashwa ngamakhemikhali wesifunda nokwelashwa kwesifunda kwe-biologic

I-Chemotherapy yindlela yokwelapha umdlavuza esebenzisa izidakamizwa ukuvimba ukukhula kwamangqamuzana omdlavuza, kungaba ngokubulala amaseli noma ngokuvimba amaseli ukuthi angahlukani. Ukwelashwa nge-Biologic ukwelashwa okusebenzisa amasosha omzimba esiguli ukulwa nomdlavuza; izinto ezenziwe ngumzimba noma ezenziwe elabhorethri zisetshenziselwa ukukhulisa, ukuqondisa, noma ukubuyisa izivikelo zemvelo zomdlavuza. Ukwelashwa kwesifunda kusho ukuthi imishanguzo yokulwa nomdlavuza noma izinto ze-biologic zifakwa ngqo esithweni noma emzimbeni womzimba njengesisu, ngakho-ke le mithi izothinta amangqamuzana omdlavuza kuleyo ndawo. Ukuhlolwa komtholampilo kutadisha i-chemotherapy noma i-biologic therapy kusetshenziswa izidakamizwa ezibekwe ngqo ku-renal pelvis noma ku-ureter.

Ukwelashwa komdlavuza weseli wesikhashana we-renal pelvis kanye ne-ureter kungadala imiphumela emibi.

Ngemininingwane ngemiphumela engemihle ebangelwe ukwelashwa komdlavuza, bheka ikhasi lethu le-Side Effects.

Iziguli zingafuna ukucabanga ngokubamba iqhaza esivivinyweni somtholampilo.

Kwezinye iziguli, ukubamba iqhaza esivivinyweni somtholampilo kungaba yindlela engcono kakhulu yokwelashwa. Ukuhlolwa kwemitholampilo kuyingxenye yenqubo yocwaningo lomdlavuza. Ukuhlolwa komtholampilo kuyenziwa ukuthola ukuthi ngabe ukwelashwa komdlavuza okusha kuphephile futhi kuyasebenza yini noma kungcono kunokwelashwa okujwayelekile.

Eziningi zezindlela zokwelashwa ezijwayelekile zomdlavuza zisuselwa ekuhlolweni kokuqala komtholampilo. Iziguli ezibamba iqhaza esivivinyweni somtholampilo zingathola ukwelashwa okujwayelekile noma zibe phakathi kwabokuqala ukuthola ukwelashwa okusha.

Iziguli ezibamba iqhaza ezivivinyweni zokwelashwa zisiza nokwenza ngcono indlela umdlavuza ozophathwa ngayo ngokuzayo. Noma izilingo zomtholampilo zingaholeli ekwelashweni okusha okusebenzayo, zivame ukuphendula imibuzo ebalulekile futhi zisize ukuqhubela phambili ucwaningo.

Iziguli zingangena ezivivinyweni zokwelashwa ngaphambi, ngesikhathi, noma ngemuva kokuqala ukwelashwa kwazo komdlavuza.

Ezinye izivivinyo zokwelashwa zifaka kuphela iziguli ezingakatholi ukwelashwa. Ezinye izilingo zivivinya ukwelashwa kweziguli ezinomdlavuza ongakabi ngcono. Kukhona nokuhlolwa komtholampilo okuhlola izindlela ezintsha zokunqanda umdlavuza ukuthi ungaphindi (ubuye) noma kunciphise imiphumela emibi yokwelashwa komdlavuza.

Ukuhlolwa kwemitholampilo kuyenzeka ezingxenyeni eziningi zezwe. Imininingwane mayelana nokuhlolwa kwemitholampilo esekelwa yi-NCI ingatholakala ekhasini lewebhu le-NCI lokuhlolwa kokuhlolwa kwemitholampilo. Izivivinyo zomtholampilo ezisekelwa ezinye izinhlangano zingatholakala kuwebhusayithi yeClinicalTrials.gov.

Ukuhlolwa kokulandelela kungadingeka.

Olunye uvivinyo olwenziwe ukuxilonga umdlavuza noma ukuthola isigaba somdlavuza lungaphindwa. Olunye uvivinyo luzophindwa ukuze kubonakale ukuthi umuthi usebenza kanjani. Izinqumo mayelana nokuthi uqhubeke, ushintshe, noma umise ukwelashwa zingasuselwa emiphumeleni yalezi zivivinyo.

Ezinye zezivivinyo zizoqhubeka ukwenziwa ngezikhathi ezithile ngemuva kokuphela kokwelashwa. Imiphumela yalezi zivivinyo ingakhombisa ukuthi ngabe isimo sakho sishintshile noma uma umdlavuza ubuyile (buyela emuva). Lezi zivivinyo kwesinye isikhathi zibizwa ngokuthi izivivinyo zokulandelela noma ukuhlolwa.

Ukwelashwa Komdlavuza Wamaseli Wenguqu Yesikhashana we-Renal Pelvis ne-Ureter

Ngemininingwane mayelana nokwelashwa okubalwe ngezansi, bheka isigaba se-Treatment Option Overview section.

Ukwelashwa komdlavuza wamaseli wenguqu owenziwe owasendaweni we-renal pelvis kanye ne-ureter kungafaka okulandelayo:

  • Ukuhlinzwa (i-nephroureterectomy noma ukuvuselelwa kwesigaba se-ureter).
  • Isivivinyo somtholampilo sokugcwaliseka.
  • Isivivinyo somtholampilo sokuhlinzwa kwelaser.
  • Isivivinyo somtholampilo sokuthengiswa kabusha kwengxenye yamathambo wezinso.
  • Isivivinyo somtholampilo se-chemotherapy yesifunda.
  • Isivivinyo somtholampilo sokwelashwa kwesifunda kwe-biologic.

Sebenzisa ukusesha kwethu kokuhlolwa komtholampilo ukuthola izivivinyo zomtholampilo ezisekelwa yi-NCI ezamukela iziguli. Ungasesha izivivinyo ngokususelwa ohlotsheni lomdlavuza, iminyaka yesiguli, nalapho kwenziwa khona izivivinyo. Imininingwane ejwayelekile mayelana nokuhlolwa kwemitholampilo iyatholakala.

Ukwelashwa Komdlavuza Wamaseli Wenguqu Yesifunda we-Renal Pelvis ne-Ureter

Ngemininingwane mayelana nokwelashwa okubalwe ngezansi, bheka isigaba se-Treatment Option Overview section.

Ukwelashwa komdlavuza weseli wesikhashana wesikhashana wesikhumba se-renal kanye ne-ureter kuvame ukwenziwa esivivinyweni somtholampilo.

Sebenzisa ukusesha kwethu kokuhlolwa komtholampilo ukuthola izivivinyo zomtholampilo ezisekelwa yi-NCI ezamukela iziguli. Ungasesha izivivinyo ngokususelwa ohlotsheni lomdlavuza, iminyaka yesiguli, nalapho kwenziwa khona izivivinyo. Imininingwane ejwayelekile mayelana nokuhlolwa kwemitholampilo iyatholakala.

Ukwelashwa Komdlavuza Wamangqamuzana We-Metastatic or Recurrent Transitional Cell of the Renal Pelvis and Ureter

Ngemininingwane mayelana nokwelashwa okubalwe ngezansi, bheka isigaba se-Treatment Option Overview section.

Ukwelashwa komdlavuza weseli wesikhashana noma ophindaphindayo wesikhumba se-renal kanye ne-ureter kuvame ukwenziwa esivivinyweni somtholampilo, esingafaka i-chemotherapy.

Sebenzisa ukusesha kwethu kokuhlolwa komtholampilo ukuthola izivivinyo zomtholampilo ezisekelwa yi-NCI ezamukela iziguli. Ungasesha izivivinyo ngokususelwa ohlotsheni lomdlavuza, iminyaka yesiguli, nalapho kwenziwa khona izivivinyo. Imininingwane ejwayelekile mayelana nokuhlolwa kwemitholampilo iyatholakala.

Ukufunda Kabanzi Ngomdlavuza Wamaseli Wenguqu we-Renal Pelvis ne-Ureter

Ngeminye imininingwane evela ku-National Cancer Institute mayelana nomdlavuza weseli wesikhashana we-renal pelvis kanye ne-ureter, bheka okulandelayo:

  • Ikhasi Lasekhaya Lomdlavuza Wezinso
  • Ugwayi (uhlanganisa usizo ngokuyeka)

Ngemininingwane ejwayelekile yomdlavuza nezinye izinsiza ezivela ku-National Cancer Institute, bheka okulandelayo:

  • Mayelana Nomdlavuza
  • Isiteji
  • I-Chemotherapy kanye Nawe: Ukusekelwa Kwabantu Abanomdlavuza
  • Ukwelashwa Kwemisebe Nawe: Ukusekelwa Kwabantu Abanomdlavuza
  • Ukubhekana Nomdlavuza
  • Imibuzo Ongayibuza Udokotela Wakho mayelana Nomdlavuza
  • Kwabasindile Nabanakekeli


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