Apo sero rinorasikirwa nekwanisi yekugadzirisa uye rinotanga kugovera zvisingatarisirwi, maitiro matsva anoonekwa munzvimbo yaunogara. Muinso ivo vashoma, asi vanoonekwa sekutyisa. Nokuda kwehutano hwakanaka hwekuumbwa kwakadaro, zvinokosha kuti zvakarurama uye panguva yakakodzera kuongororongedza, tsanangura maitiro emasumbu emasero.
Renal Tumhetu - Kuronga
Anenge makumi mapfumbamwe kubva kuzana emazana emasikirwo anoonekwa muchirongwa ichi akaipa. Bhendi yepine tumor types inogona kunge isina ngozi, nokuti inowanzowedzera kukurumidza nekuwedzera. Izvi zvinokonzera kudzvinyirira uye kukanganisa kwakatevera kune mutezo yeropa, kusagadzikana kwehutano mu urinary system, kunokonzera kubuda mukati uye kurwadziwa kwakanyanya.
Chimwe chirwere chemakumbo chinotsanangurwa maererano nekubva kwacho - parenchyma kana pelvis. Muchiitiko chekutanga, zviitiko zvinotevera zvinonyangadza zvinozivikanwa:
- fibroangiosarcoma;
- renal cell carcinoma;
- lipoangiosarcoma;
- Kuvhenganiswa neWilms tumor;
- myoangiosarcoma.
Benign parenchymatous neoplasms:
- lipoma;
- adenoma;
- hemangioma;
- myxoma;
- fibroma;
- angiomyolipoma;
- myoma;
- oncocytoma;
- dermoid;
- lymphangioma.
Zvirwere zvinorwadza zvinowedzera kubva pamapanga:
- squamous cell carcinoma;
- mucheche musikana mucheche;
- sarcoma;
- transitional cell carcinoma.
- Benign tumoral formations:
- angioma;
- papilloma;
- leiomyoma.
Tumha yeinso - zviratidzo, zviratidzo
Pakuvamba kwekukura kwechirapa, zviratidzo zvekurapa hazvipo kana kuti hazvina maturo zvokuti zvinoramba zvisingafaniri kutarisirwa. Iko kunoonekwa apo ronda reimpimpamba richifambira uye rinokura muhukuru - zviratidzo zvinogona kunge zvisingaoneki uye zvinofanana nezvimwe zvirwere. Nekuonekwa kwekunetseka kuduku munharaunda yechiparari, zvakakosha kuti tibvunze nephrologist kuti tiongorore.
Bheninyo yenzeve
Iro rinotsanangurwa boka remakushepu haruwanzoperekedzi nemitoo ipi zvayo, kunyanya inowanikwa zvisina kufanira panguva ye ultrasound. A pronounced clinic picture inogona kuvapo kana chirwere chikuru chepfungwa chichikura - zviratidzo:
- arterial hypertension;
- ropa mumuguta;
- kunetseka kana kunetseka kurwadziwa shure kune rumwe rutivi, kazhinji kurasa muhudyu kana kugomera;
- varicocele;
- kuputsa kwekubuda kwemuti.
Dzimwe nguva chiremara chetsvo chinosvika pakukura kwakadaro zvokuti chinoratidzika kuoneka. Inotaridzika sechinhu chinoputika chiri pamusoro peganda. Mucherechedzo we epidermis pamusoro pekushaya maitiro haachinje. Zvinyorwa izvi zvakangoerekana zvisinganzwisisiki uye zvinorwadza neminwe, kunyanya kana iwe ukakotama zvishoma kune nhengo yakakanganiswa kana kukotama pachiuno.
Malignant neoplasm yepso
Zvose izvi zviratidzo zvekunakidza zvinogona kupa uchapupu hwekukura kwekenza. Uyezve, izvi zvinotevera zvipatara zvinogona kunge zviripo:
- kuneta uye kusimba;
- kurasikirwa nokurema;
- renal colic;
- kuora mwoyo kana kurasikirwa nechido;
- anemia;
- kuwedzera muhutano hwemuviri kusvika kune 37-38 degrees;
- high erythrocyte sedimentation rate;
- polycythemia;
- kukanganisa kuoneka kune nhengo dzomukati (zvichienderana nemasisita muzvakaipa masasa masumbu).
Pasina unyanzvi hwekuongororwa, hazvibviri kuziva kuti chirwere chepfungwa chinowedzera-zviratidzo uye kurapwa kwehutano hwakabvunzwa zvakananga zvichienderana nemamiriro ehutu. Kuongorora uye kurapa kwemhando ipi zvayo ye urinary system inoshandiswa navanachiremba vaviri, urologist uye nephrologist. Paanoona kuipa kwakawanda kwemasero asina unspecialized, munhu anofanirwa kubvunzurudza mutambi wenhau.
Kutinhira kwetsvo - kuongororwa
Ultrasound uye computed tomography ndiyo inonyanya kudzidza uye inodzidza zvidzidzo zvekufungidzirwa neoplasm. Vanobatsira kuona kunyange kubatwa kweputsvo kwetsvo mumatangi ekutanga ekukura. Dzimwe nguva nephroscintigraphy inoshandiswawo-kuratidzwa kwakajeka kwechirongwa achishandisa gamma kamera nekutangira kwekutanga kwevhejiki yekugadzirira.
Kuongororwa kwekenza yemuyo kunogona kusanganisira zvidzidzo zvinotevera:
- magnetic resonance imaging with contrast agent;
- kavografiya;
- aortography;
- selective renal arteriography;
- puncture biopsy.
Zviratidzo zvinosvibisa zvinokonzera kusagadzikana uye zvinokonzera kushungurudzika kwehutano, saka urongwa hwekuongorora hutano hunosanganisira:
- radiography yemapapu;
- kuongorora ropa neropa;
- computed tomography yedhehenya uye musana.
Kumhanyira muinso - chii chaunofanira kuita?
Nzira dzekurapa varwere vane dambudziko iri dzinobva pahutano hwemaolasms. Chirwere chetachiona chemazana mashoma asingabatanidzi zviratidzo, hazvirevi kukura uye kupera, zvinongowanikwa chete nekucherechedza uye nguva dzose ultrasound kuongororwa. Zvikamu zvakakura izvo zvinopesana nekushanda kwechirongwa chekuvhenekera kana kuti vanogona kuchinja unhu hwavo vachafanirwa kubviswa chirwere.
Mamiriro acho akaoma kana chirwere chinouraya chepfungwa chichiongororwa - kurapa munyaya iyi kunosarudzwa mumwe nomumwe kune umwe neumwe anofungisisa:
- hurumende yehupenyu;
- danga rekenza;
- kuvapo uye nhamba ye metastases;
- ukuru uye nzvimbo yemarara;
- zvirwere zvisingaperi;
- chiyero chekukuvadza kune nhengo dzezvirongwa nezvimwe zviratidzo.
Kirasi yemakemikrasi uye kusvibiswa kwemazizi hazvina maturo nekenza yepempi. Iyo inoshandiswa chete nokuda kwezviremera zvisingaverengeki sezviyero zvinotsigira hupenyu hwomunhu asingagoni kurapwa. Mukuwedzera, dambudziko remishonga rinorayirwa - immunomodulators (alpha-interferon, interleukin-2 ne 5-fluorouracil) uye hormonal treatment (oxyprogesterone).
Kuvhiya kubvisa tsono nechitunha
Kupindira kwekuvhiya kunogona kusanganisira kusagadzikana kwemaitiro ekudzivirira maitiro pachawo pachawo nedzimwe nzvimbo dzeshamwari dziri pedyo kana kubviswa kwechikamu chose. Chikonzero chega chokusarudza basa ripi richaitwa painso isimba rine maitiro. Radical nephrectomy (kukwaniswa kubviswa kwechirongwa nemapuranga ari pedyo) kunoitwa kana neoplasm ine chimwe chezvinhu zvinotevera:
- kusanganisa;
- chikuru kwazvo;
- nzvimbo yepamunharaunda pedyo nemidziyo yemvura;
- multiple metastases;
- kukurumidza kukurumidza.
Chisarudzo chekupedzisira pamusoro pekugadzwa kwechirongwa chekushanda chinogadzirwa nevecourologist. Kushandiswa kwepabonde kunokonzera kuremara kwomunhu, asi mune dzimwe nguva mishonga inopindira yokuvhiya ndiyo nzira bedzi yekuwedzera hupenyu hwomurwere uye kudzivirira kukanganisa kwakakura uye kusingagadziriswi kune nhengo dzenzira dzekenza - uropi, mushana nemapapu.
Laparoscopy yechipfupa chepvo
Kuvhiyiwa kwakanyanyisa kunoitwa nemidziyo yakakura microscopic kuburikidza nediki duku punctures mudumbu remuviri. Inokurudzirwa nokuda kwechirwere chepfungwa chepfungwa chemadiki mashoma, kana kuwedzerwa kwemaitiro emasero hakusviki pakufa kwekenza nekukura. Iyi nzira yekuvhiya inobatsira kuchengetedza nhengo uye kudzoka nokukurumidza kwemurwere kune hupenyu hwehupenyu. Munguva yekushanda, bundu reimpso uye nhete shoma yemasukisi akakomberedzwa anobviswa. Izvi zvinobatsira kudzivirira kugadzirisa zvakare kwezvivako zvemasero.
Kugadziriswa pashure pokubviswa kweputsvo ine tumarara yekenza
Nemhaka yeunilateral nephrectomy, chikamu chechipiri chakabatana chinotora mutoro wose we urinary system. Basa guru remunhu anenge atarirwa pamusoro apa nderokuti kuchengetedza basa rehono hwakanaka. Yakurudzirwa:
- mvura kuomesa;
- mazuva ose anofamba nzendo;
- kudzvinyirirwa kwe supercoolings;
- kudzivirirwa kune zvirwere zvinotapukira;
- nyanzvi dzenguva dzose neyephrologist kana urologist.
Kudya mushure mokubviswa kweputsvo neyemuviri kunofanira kusanganisira zvokudya zvekudya zvinokonzerwa neproteiniti yakagadzikana. Chikonzero chekudya ndicho:
- Mafuta anocheka-siyana ehove uye nyama;
- rye chingwa;
- mamwe mazai emukaka-mukaka;
- michero nemiriwo.
Zvose zvidyo zvakabikwa, zvakabikwa, zvakabikwa kana kubikwa. Zvakakosha kubvisa zvachose:
- tsvina;
- pickling;
- zvokudya zvekunamatira;
- yakabikwa uye mafuta.
Tumhanho pamakumbo - mazamu
Kubudirira kwemishonga kunoongororwa mukati memakore mashanu ekupona kwenguva. Kana imwe yepopu inowanikwa mumavambo ekutanga, iri 70-80%. Kana zvipembenene zvekudzivirira zvikabatanidzwa mukugadzirisa, chiratidzo chinoderera kusvika 40-60%. Apo lymph nodes dzenharaunda dzinokanganisa, 5-20%. Mune zvikamu zvishoma zvekukura kwekenza, huwandu hwezvakaitika huri huri nani, 95% yevarwere vanofa mushure memakore mashanu mushure mekunyora. Nokuda kwekuongorora kwakarurama zvakakosha kuti uone chiremba kana chirwere chinorwadza chepfungwa chikaonekwa - vangani vanorarama nehutano hwakadaro, nyanzvi ichapindura zvakanyatsonaka.