Renal pelvis ma ọ bụ ureter cancer

Ọrịa cancer nke akụrụ akụrụ ma ọ bụ ureter bụ ọrịa kansa nke na-etolite na akụrụ akụrụ ma ọ bụ ọkpọkọ (ureter) nke na-ebu mmamịrị site na akụrụ gaa na eriri afo.

Ọrịa cancer nwere ike itolite na usoro nchịkọta mmamịrị, mana ọ bụ ihe omimi. Renal pelvis na ureter cancer na-emetụta ụmụ nwoke karịa ụmụ nwanyị. Ọrịa cancer a na-ahụkarị ndị okenye karịa 65.

Amaghị ihe kpatara ọrịa kansa a. Iwe (ogologo oge) mgbakasị nke akụrụ site na ihe ndị na-emerụ ahụ wepụrụ na mmamịrị nwere ike ịbụ ihe kpatara ya. Iwe a nwere ike ịbụ:

• Akụrụ mmebi site ọgwụ, karịsịa ndị nke mgbu (analgesic nephropathy)
• Ngosipụta ụfọdụ e ji esiji ákwà na mmiri ọgwụ ndị e ji emepụta akpụkpọ anụ, textiles, plastik, na roba
• Okingụ sịga

Ndị mmadụ rịaworo eriri afọ ha na-anọkwa n’ihe egwu.

Mgbaàmà nwere ike ịgụnye nke ọ bụla n'ime ihe ndị a:

• Na-alaghachi azụ mgbu
• Ọbara na mmamịrị
• Ọkụ, mgbu, ma ọ bụ ahụ erughị ala site urination
• Ike ọgwụgwụ
• Ahụ mgbu
• Ọnwụ ọnwụ a na-akọwaghị
• Loss nke agụụ
• Anaemia
• Urinary ugboro ma ọ bụ ịdị mkpa

Onye nlekọta ahụike ga-eme nyocha anụ ahụ, ma nyochaa mpaghara afọ gị (afọ). Na obere okwu, nke a nwere ike ikpughe akụrụ.

Ọ bụrụ na anwale ule:

• Urinalysis nwere ike igosi ọbara n'ime mmamịrị.
• Ọnụọgụ ọbara zuru oke (CBC) nwere ike igosi anaemia.
• Saịtị cytology (microscopic nyochaa sel) nwere ike ikpughe mkpụrụ ndụ kansa.

Nyocha ndị ọzọ nwere ike ịnye iwu gụnyere:

• Ime CT i scanomi
• Igbe x-ray
• Cystoscopy nwere ureteroscopy
• Pralogram igba ogwu (IVP)
• Akụrụ ultrasound
• MRI nke afọ
• Renal scan

Ule ndị a nwere ike ikpughe tumor ma ọ bụ gosi na kansa ahụ agbasaala akụrụ.

Ebumnuche nke ọgwụgwọ bụ iji kpochapụ kansa.

Enwere ike iji usoro ndị a iji mee ihe banyere ọnọdụ a:

• Nephroureterectomy - Nke a gụnyere mwepụ nke akụrụ dum, ureter na eriri afọ cuff (anụ ahụ na-ejikọ ureter na eriri afo)
• Nephrectomy - gerywa ahụ iji wepụ ihe niile ma ọ bụ akụkụ nke akụrụ na-emekarị. Nke a nwere ike ịgụnye iwepụ akụkụ eriri afọ na anụ ahụ gbara ya gburugburu, ma ọ bụ akụkụ lymph.
• Ureter resection - gerywa ahụ iji wepu akụkụ nke ureter nke nwere kansa, na ụfọdụ anụ ahụ dị mma gburugburu ya. Enwere ike iji nke a ma ọ bụrụ na etuto ahụ dị elu dị na akụkụ ala nke ureter n'akụkụ eriri afo. Nke a nwere ike inye aka chekwaa akụrụ.
• Chemotherapy - A na-eji nke a mgbe kansa gbasaa na mpụga akụrụ ma ọ bụ ureter. Ebe ọ bụ na etuto ndị a dị ka ụdị ọrịa cancer nke eriri afọ, a na-eji ụdị ọgwụgwọ yiri ya agwọ ha.

Nwere ike belata nchekasị nke ọrịa site na isonyere ndị otu na-akwado ọrịa kansa. Kọrọ ndị ọzọ ihe ha na-eme na nsogbu niile nwere ike inyere gị aka ichewe naanị gị.

Ihe dị iche iche dịgasị iche, dabere na ọnọdụ etuto ahụ na ma ọrịa kansa a agbasala. Ọrịa nwere naanị akụrụ ma ọ bụ ureter nwere ike ịwa ya na ịwa ahụ.

Ọrịa cancer nke gbasaa na akụkụ ndị ọzọ anaghị agwọ ọrịa.

Nsogbu sitere na ọrịa kansa a nwere ike ịgụnye:

• Akụrụ ọdịda
• Mgbasa nke etuto ahụ na-enwewanye ụfụ
• Mgbasa nke kansa na akpa ume, imeju, na ọkpụkpụ

Kpọtụrụ onye na-eweta gị ma ọ bụrụ na ị nwere nke ọ bụla n'ime ihe mgbaàmà edepụtara n'elu.

Ihe ndị nwere ike inye aka igbochi kansa a gụnyere:

• Soro ndụmọdụ onye nyere gị gbasara ọgwụ, gụnyere ọgwụ ụfụ na-egbo mkpa.
• Kwụsị ise siga.
• Yiri uwe nchebe ma ọ bụrụ na ị nwere ike ibute ihe na-egbu egbu akụrụ.

Mgbanwe nke akwara sel nke akwara akwara ma obu ureter; Akụrụ akụrụ - gbasara akụrụ pelvis; Ọrịa Ureter; Carcinoma Urothelial

• Akụrụ anatomi

Bajorin DF. Tumo nke akụrụ, eriri afo, ureters, na gbasara akụrụ pelvis. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 187.

Weebụsaịtị National Cancer Institute. www.cancer.gov/types/kidney/hp/transitional-cell-treatment-pdq. Emelitere Jenụwarị 30, 2020. Nabata July 21, 2020.

Wong WW, Daniels TB, Peterson JL, Tyson MD, Tan WW. Akụrụ na ucinral carcinoma. Na: Tepper JE, Foote RL, Michalski JM, eds. Gunderson & Tepper's Clinical Radiation Oncology. Nke 5. Philadelphia, PA: Elsevier; 2021: Isi 64.