Kansarka kelyaha, calaamadaha metastases

kansarka kelyaha waa mid ka mid ah cudurada urological, kuwaas oo si gaar ah ugu nugul yihiin ragga ka soo 40 ilaa 60 sano. Haweenka qabto kansarka badan ka yar caadiga ah kelyaha. Astaamaha u muuqdaan in ay noqon in marxaladaha hore ee bukaanka ha dhibin, waxa marar badan dhaca hore u metastases.

Waxyaabaha saamaynaya horumarka cudurkan way badan tahay, laakiin kuwa ugu muhiimsan yihiin cayilka, ku tiirsanaanta nikotiinka, qaadashada lab estrogen hormone waqti-dheer, xiriir toos ah oo joogto ah la asbestos, shaqo la xidhiidha beds maqaar iyo wax soo saarka ah ee badeecada, iyo sidoo kale dialysis sii dheeraaday.

Calaamadaha Kansarka Kilyaha

Kelyaha iyo extrarenal - kuwani waa calaamadaha caafimaad oo lagu arkay bukaanka qaba cudurka ah "kansarka kelyaha". calaamadaha Kelyaha: waxaa ka mid ah hematuria, barar, kaas oo lagu dareemi karin taataabasho, iyo xanuun. Waa in la ogaadaa in calaamadaha dheeraad ah bukaan ayaa dareensan, waxyaalaha ka xun yihiin.

Sida caadiga ah, bukaanka xanuunka hematuria, kaas oo si lama filaan ah u muuqda, oo aan xanuun (halka cudurrada kale ee xanuunka kelyaha dhacdaa marka hore), ka dhanka ah asalka ah ee fayo-qabka. Waxay leedahay hadda go'aysa la joogto ah hoos dura waqtiga u dhexeeya dhiig. Isla mar ahaantaana on profusion ee hematuria cudurka of "kansarka kelyaha" stage of cudurka iyo cabbirka burada aan la saameeyeen xitaa haddii ay buradu ka yar iyo cudurka aan weli la soo maray marxalad la soo dhaafay, mugga dhiigga kaadida waxay noqon kartaa mid weyn.

calaamad kale oo si caddaalad ah wax caadi ah in kansarka kelyaha waa xanuun gobolka lumbar ah. Xanuun noqon kartaa dabiiciga ah ee kala duwan iyo darnaanta, laakiin ugu khatarsan waa xanuun caajis, kaas oo natiijo wanaagsan uma badna.

By calaamadaha extrarenal ka mid ah qandho (heerkulka jidhka kala duwan tahay 37 ° C ilaa 39 ° C, bukaanka si adag qandho), sii daraysa caafimaadka guud ee bukaanka (rabitaanka cuntada laga badiyay, tabar guud, bukaanka lumiyo miisaanka). Tan waxa u sabab xaqiiqda ah in uu jiro khubad walxaha sunta ah u shaqeeyo (total sarkhaan). Laakiin ha iloobin in astaamaha kansarka kelyaha kor ku xusan waxaa laga yaabaa in aan tuso. Xaaladan oo ah dhiig-yaraan ay sabab u saamayn formation buro ee sunta ah ee dhuuxa lafta muujinaysaa in horumarka burada ayaa meel ka durugsan dayactir.

Iyadoo ku xiran meesha uu metastases in astaamaha kansarka kelyaha jirka aadanaha siin kartaa kala duwan. metastases Sambabka inta badan keenayso hemoptysis in unugyada lafta in xanuun aad u daran oo joogto ah, kaas oo si dhib leh yaraadaa ka dib markii la helo analgesics ama maandooriyaha, hogaanka spinal si curyaannimo oo ka mid ah addimada hoose iyo qas ah xubnaha miskaha.

Khatarta metastasis

Cell malignant buro kelyaha uu leeyahay midab khafiif ah brown. In foomka iyo qaab-dhismeedka waa granular, fusiform, alveolar, solidnotubulyarnaya, unugyada polygonal. Its "caleemaha", "haadeed" ama metastasis faafin dadka deegaanka ee aqueous ee jirka aadanaha iyada oo dhiigga (hematogenic) ama qanjirada (lymphogenous) oo waxaa lagu shubo ee unugyada sambabada, maskaxda, lafta iyo beerka. Inta badan, ugu dhakhsaha badan caafimaad ahaan isu muujin si hufan metastases. Laakiin xitaa haddii loo maleeyo in kansarka ayaa laga saaray, ma jiraan wax damaanad ah in 10 - 20 sano oo aan la dib-u-kelyaha kansarka kuwaas oo metastases go'aan ka si ay isu muujiyaan.

Isla mar ahaantaana, ka dib markii ka saarida ee ugu horreeya ee diiradda metastases pulmonary mararka qaar u muuqdaan in ay la wiiqo. metastases Bone dhacaan inta badan ee lafaha miskaha ah, bowdyaha, dhabarta, lafihii-xidhka garabka, feeraha iyo wareegga dhakada. lesions xadka- dhaxayn waa ballaadhan - qanjidhada, subcutaneous iyo perirenal unugyada adipose, murqaha caloosha, iyo xataa nabarradii post-qalliinka.