Wilms 'mob: Cov tsos mob, kev kho mob

Tawm ntawm tib neeg lub cev yog tsis muaj lub cev uas yuav yeej ib txwm thiab nyob rau hauv tag nrho cov yam nyob noj qab nyob zoo. Tu siab, muaj ntau yam kab mob thiab tsis xws luag raug nteg txawm nyob rau hauv utero. Nyob rau ib tug ntawm lawv peb mam li tham nyob rau hauv peb tsab xov xwm. Muaj coob tus neeg txawv txawv nrog Wilms 'qog. Yuav ua li cas yog nws, ib txhia tsis txawm paub. Qhov tsab xov xwm yuav ua tiag hais nrog cov tsos mob, ua rau thiab tactics ntawm kev kho mob ntawm tus kab mob no.

Lub tswvyim ntawm Wilms 'mob

Wilms 'qog, los yog raws li nws yog hu ua, nephroblastoma, hais txog phem cov kab mob ntawm ob lub raum, uas yuav tshwm sim feem ntau nyob rau hauv thaum yau. Nws yog feem ntau paub hais tias nyob nruab nrab ntawm lub hnub nyoog ntawm 2-5 xyoo. Wilms 'mob rau cov neeg laus tsis tshua muaj, yog li me ntsis kawm.

K Tu siab, cov me nyuam uas raug kev txom nyem los ntawm tus kab mob no yog feem ntau thiab lwm yam kev txawv txav nyob rau hauv txoj kev loj hlob. Nws yog ntseeg hais tias cov tsim ntawm hlav yuav pib nyob rau hauv utero, vim hais tias twb nyob rau hauv ob lub lis piam rau tus me nyuam muaj peev xwm ntes nws.

Wilms 'mob no feem ntau yog laus mus rau ib sab, tab sis muaj mob, thiab ob sab sib dho raum txhab. Yog hais tias koj saib nyob rau ib tug mob lub cev, tej zaum nws yuav muab sau tseg tias nws saum npoo yog sis tsis ncaj, tus txiav pom qhov chaw ntawm hemorrhage thiab necrosis, nyob rau hauv ib txhia qhov chaw muaj cov hlwv. Nyob rau hauv cov ntaub ntawv no peb hais tias tus neeg mob muaj cystic Wilms qog.

Thaum xub thawj, lub qog yog laus tsis pub dhau ob lub raum. Nrog lub tom ntej txoj kev loj hlob nws hlob mus rau hauv ib ncig cov ntaub so ntswg thiab kabmob - yog li kis metastases.

tus kab mob nyob ntev

Qhov no kab mob qog hlav nyob rau hauv nws txoj kev loj hlob ib tug ob peb kauj ruam:

1. Thaum pib ntawm nephroblastoma yog tsuas yog ib lub raum. Cov me nyuam nyob rau hauv lub sij hawm no tej zaum yuav tsis muaj kev tsis xis nyob, thiab tsis muaj kev tsis txaus siab tsis muaj.
2. Lub qog pib kis tshaj lub raum, tab sis metastases tseem tsis tau muaj.
3. Ntxiv txoj kev loj hlob yog nrog los ntawm ib tug germination tsiav tshuaj thiab swb muaj feem xyuam rau cov nyob ze nruab nrog cev thiab cov qog ntshav hauv.
4. Pom metastases nyob rau hauv lub siab, lub ntsws, cov pob txha.
5. Thaum kawg theem ntawm kev loj hlob ntawm Wilms mob nyob rau hauv cov me nyuam muaj feem xyuam rau muaj ob tug ob lub raum.

Koj tej zaum yuav tsum tsis qhia hais tias tus ua ntej lawm ib tug mob thiaj paub tias yog, qhov ntau optimistic outlook yuav muab tus neeg mob.

symptomatology ntawm tus kab mob

Txij li thaum qhov mob ntawm pathology yuav ua tau nyob rau hauv ntau theem, cov cim thiab nyob ntawm seb nws tej zaum yuav txawv. Ntau zaus tshaj tsis, yog hais tias muaj yog ib tug Wilms 'qog, cov tsos mob yuav kuaj raws li nram no:

• general malaise;
• tsis muaj zog, thiab yog hais tias tus me nyuam yog heev me me, nws yog lossi tsaug zog;
• qab los noj mov txo;
• cai kom yuag;
• Nyob rau hauv tej rooj plaub, yog ib tug kub taub hau;
• tawv nqaij yuav daj ntseg;
• yuav ua rau kom cov ntshav siab;
• Ntshav tsom qhia tau hais tias lub zog ESR thiab txo hemoglobin;
• muaj ntshav nyob rau hauv cov zis;
• nyob rau hauv loj heev zaum, nws yuav tsum muaj cai plab hnyuv rhuav txhua, raws li cov mob compresses nws.

Yog hais tias tej yam kab mob yog hloov tus cwj pwm ntawm tus me nyuam, thiab Wilms 'mob nyob rau hauv cov me nyuam yog tsis muaj exception. Niam yeej ib txwm muaj peev xwm tam sim ntawd xav tias ib tug me nyuam uas ib yam dab tsi yog tsis ncaj ncees lawm.

Thaum tus kab mob no mus tam sim ntawd, ces tus mob yog palpable zoo ob txhais tes. Nyob rau hauv cov ntaub ntawv no, tus me nyuam pom tau tias mob, vim hais tias muaj yog compression ntawm nyob ib sab nruab nrog cev, uas tiv thaiv lawv los ntawm ua tau hauj lwm li qub. Nyob rau hauv ib co neeg mob, nws yuav tsub plab yog hais tias mob Wilms 'qog. Lub yees duab hauv qab no yog ib tug zoo qauv qhia.

Thaum ib tug loj tus naj npawb ntawm metastases, tus me nyuam pib mus sai heev poob ceeb thawj. Feem ntau cov feem ntau, txoj kev tuag tshwm sim raws li ib tug tshwm sim ntawm ua pa tsis ua hauj lwm thiab ntau qaug. Remarkably, qhov tshwm sim ntawm metastases nyob, es, tsis nyob rau qhov loj ntawm lub qog, tab sis ntau nyob rau hauv tus neeg mob lub hnub nyoog. Nws hloov tawm hais tias heev cov me nyuam yaus nrog rau qhov no mob ib tug zoo dua lub caij nyoog ntawm ib tug tag nrho rov qab.

Tiam sis ntau tshaj feem ntau tshaj li tsis tsuas paub hais tias Wilms 'qog, nws yog feem ntau nrog lwm kev loj hlob kev ntshawv siab.

Comorbidities

tsis tshua txaus tias qhov mob thiaj paub tias yog li qhov tsuas yog sib txawv nyob rau hauv txoj kev loj hlob. Feem ntau cov feem ntau nws yog nrog los ntawm comorbidities:

• hypospadias, thaum lub qhov zis nyob rau hauv cov tub hluas yog qhib qhov chaw nyob rau hauv nruab nrab ntawm lub chaw mos los yog txawm nyob rau hauv lub crotch;
• mob hauv nruab nrog cev, piv txwv li, loj tus nplaig;
• ib tug povtseg ntau tshaj lwm cov;
• cryptorchidism;
• tsis tuaj kawm ntawv ntawm cov iris ntawm lub qhov muag (lub xav hais tias tus tub ntxhais kawm yog tsis surrounded los ntawm ib yam dab tsi).

Diagnosing Wilms mob

Thaum nephroblastoma yog tsuas yog nyob rau hauv lub heev thaum pib ntawm nws kev loj hlob, qhov tseeb mob yog ib qhov nyuaj, vim yog tsis muaj pronounced cov tsos mob. Vim li no, nyob rau hauv feem ntau tus neeg mob twb pib kho mob thaum lub qog yog nyob rau 3 los yog 4 theem.

Niam txiv yuav tsum soj ntsuam tus txheej xwm ntawm tus me nyuam, thiab yog hais tias muaj yog pallor, ntshav siab, tsis laus, nws yog ua tau los mus ntsuam xyuas lub qog, koj yuav tsum tam sim ntawd yauv ib tug tag nrho cov kev xeem. Nws feem ntau yog muaj xws li cov nram qab no ntawm diagnostics:

1. Analysis ntawm cov ntshav thiab zis. Pom nyob rau hauv cov zis proteinuria, hematuria, thiab cov ntshav erythrocyte sedimentation tus nqi yog nce, muaj yog anemia.
2. Urography tso cai tseeb mob nyob rau hauv ntau tshaj li 70% ntawm cov neeg. Yuav tsis saib qhov nkhaus ntawm lub raum, thiab nyob rau hauv lub xub ntiag ntawm lub qog pom lub slightest kev hloov nyob rau hauv lub cev zoo thiab ua hauj lwm.
3. Siv Ultrasound imaging kuj yooj yim mus saib qhov luaj li cas ntawm lub qog thiab nws qhov chaw nyob.
4. Wilms 'mob rau ultrasound zoo li ib tug uas tsis yog-niaj hnub tsim ntawm cov hlwv hauv.
5. Siv X-ray computer tomography yuav tsis pom tsis tau tsuas yog lub qog nyob rau hauv ib tug lub raum, tab sis kuj rau kev tsom xam cov thib ob lub xeev, thiab saib lub xub ntiag ntawm metastases nyob rau hauv uas nyob ib sab nruab nrog cev.
6. Rau loj loj ntawm lub qog feem ntau yog tshuaj angiography. Qhov no yog ua nyob rau hauv thiaj li yuav ntxiv meej lub nephroblastoma qhov chaw txheeb ze rau loj cov hlab ntsha, yog li ntawd thaum lub sij hawm lub lag luam tus kws phais muaj ib lub tswv yim ntawm qhov teeb meem no.
7. Ultrasonography thiab CT yuav txiav txim seb lub degree ntawm metastasis nyob rau hauv nruab nrog cev thiab cov nqaij.

Tam sim no, kev kho mob cov kev tshawb fawb txoj kev yog nyob rau hauv xws li ib tug theem ntawm kev loj hlob uas pub qhov tseeb mob nyob rau hauv yuav luag 95% ntawm cov neeg. Tab sis 5% tag nrho cov tib yuam kev tshwm sim, piv txwv li, yog ib tug ultrasound multilokulyarnuyu cyst yuam kev Wilms 'mob, nws tsuas yog thaum lub sij hawm lub lag luam yog nws ua tau rau ntes. Thaum lub ultrasonic PP raug yog 97%, thiab me ntsis tsawg ntawm RT. Txawm hais tias muaj neeg mob thaum lub Wilms qog ua ke nrog ib tug cyst.

Ntxiv xeem yog raws kev coj kom lub nrhiav kom tau ntawm metastases, ces xaiv qhov yog tactics kev kho mob ntawm tus kab mob. Yog hais tias tsim Wilms mob nyob rau hauv cov me nyuam, kho mob muab nyob rau hauv txhua tus neeg cov ntaub ntawv, muaj kev xav txog lub cev thiab cov theem ntawm tus kab mob.

Ua rau nephroblastoma

Nrog tseeb hais tias qhov ua rau ntawm lub qog txoj kev loj hlob, nws yog tsis yooj yim sua. Nws yog ntseeg hais tias qhov ua rau ntawm no yog cov kev hloov nyob rau hauv lub DNA ntawm lub hlwb. Nyob rau hauv ib tug me me feem pua ntawm cov neeg mob, nws yog kis tau los ntawm cov niam txiv rau cov me nyuam. Tiam sis ntau tshaj feem ntau, soj ntsuam tsis nrhiav tau cov kev sib raug zoo ntawm caj thiab txoj kev loj hlob ntawm Wilms 'qog.

Cov kws kho mob ntseeg tau hais tias muaj ib co uas muaj feem yuav yam uas ua rau cov emergence of nephroblastoma. Cov no muaj xws li nram qab no:

1. Poj niam. Raws li statistics, cov ntxhais feem ntau txom nyem los ntawm tus kab mob no dua tub.
2. Mob muaj keeb succession. Txawm tias tus neeg mob ntawm familial kab mob yog heev tsis tshua muaj.
3. Teej tug mus rau lub Negroid haiv neeg. Cov no hom ntawm cov pejxeem kab mob no tshwm sim nyob rau hauv 2 lub sij hawm ntau.

Nyob rau hauv kev, nws yuav tsum tau muab sau tseg hais tias kom deb li deb tau tsis tsim lub caij nyoog ua rau ntawm kev loj hlob ntawm Wilms 'qog.

nephroblastoma kev kho mob

Raws li ib tug txoj cai, kev kho mob ntawm tej yam kab mob muaj peev xwm yuav mus los ntawm ces kaum sib txawv. Thaum pom Wilms mob nyob rau hauv cov me nyuam, kev kho mob yog muab rau cov kev tshwm sim ntawm histological xeem. Kws txawj ntseeg tau hais tias ib tug zoo histology muab ib tug ntau paaj raug. Tab sis qhov no tsis txhais hais tias phem analyses pab raws li ib lub teeb liab mus nres cov kev kho mob.

Yog hais tias peb tham txog nephroblastoma, lub nram qab no txoj kev yuav siv los kho nws:

• phais;
• radiotherapy.

Tsis tas li ntawd yielding zoo tau kws khomob rau Wilms 'qog.

Tactics ntawm kev kho mob yog xaiv ib lub zuj zus rau txhua tus me ntsis tus neeg mob. Nws yuav nyob ntawm seb tsis tau tsuas yog rau cov theem ntawm lub qog txoj kev loj hlob, tab sis kuj nyob rau hauv tus me nyuam lub cev kev mob.

phais kev pab

Tshem tawm ntawm ob lub raum - yog nefroektomiya. Nws yog ib ob peb hom:

1. Tej yam yooj yim. Nyob rau hauv cov ntaub ntawv no, tus kws phais thaum lub sij hawm lub lag luam kiag li tshem tawm cov cov raum. Yog hais tias qhov thib ob lub cev yog noj qab nyob zoo, ces tej zaum nws yuav zoo ua hauj lwm "rau ob".
2. Ib nrab nefroektomiya. Thaum lub sij hawm no phais, tus kws kho mob tshem tawm tsuas yog tus mob qog nyob rau hauv lub raum thiab lwm cov ntaub so ntswg kev puas tsuaj. Feem ntau cov feem ntau xws manipulation tau siv yog hais tias tus thib ob lub raum tau raug tshem tawm los yog muaj mob.
3. Radical tshem tawm. Nws seized tsis tau tsuas yog lub raum mus rau lub surrounding lug, tab sis kuj cov ureter, lub adrenal caj pas. Lymph ntshav tej zaum kuj yuav muab tshem tawm yog hais tias lawv muaj mob cancer hlwb pom.

Thaum lub sij hawm lub lag luam yuav yeej ib txwm pom tias lwm tus cov ntaub so ntswg yog puas, ces nws yog tsim nyog los ua kom pom tseeb ntawm qhov teeb meem thiab tshem tawm tag nrho cov kab mob sib kis. Nyob rau hauv loj heev zaum, thaum nephroblastoma (Wilms 'qog) muaj feem xyuam rau ob lub raum nyob rau hauv tus me nyuam, nws yog tsim nyog los cawm lub neej ntawm tus me nyuam kom tshem tawm cov ob lub cev.

Tom qab ob sab sib dho nephrectomy tus me nyuam tus kws kho kev lim ntshav ntxuav cov ntshav ntawm toxins. Ua lub neej tom qab tshem tawm ntawm ob leeg ob lub raum yuav ua tau tiav tsuas yog tom qab hloov ntawm qhov hloov ntawm tus neeg pub, uas yog heev yooj yim mus nrhiav tau. Cov neeg mob tej zaum kuj rau xyoo yog nyob rau hauv lub queue rau ib tug hloov.

Tom qab muab hlais tawm lawm kom tshem tawm nws mob yog xa rau kev tsom xam, mus xyuas lub tseem mob cancer hlwb, lawv Aggressiveness, tus nqi ntawm tu tub tu kiv. Nws yog tsim nyog los xaiv lub zoo tshaj plaws cov hoob kawm ntawm cov kws khomob.

Kws khomob nyob rau hauv cov kev kho mob ntawm nephroblastoma

Yog hais tias lub qog tsis tau kom tshem tawm cov kev kho mob yog txo mus rau lwm txoj kev xws li siv ntawm cov kws khomob.

Thaum lub sij hawm no tshuaj kws khomob tshuaj, uas ua rau kom cov kev puas tsuaj ntawm cov kev mob hlwb. Nyob rau hauv soj ntsuam xyaum, feem ntau nquag kws kho rau lub hom phiaj no:

• "Vincristine".
• "Dactinomycin".
• "Doxorubicin".

Tej kev kho mob yog heev yooj yim rau tus kab mob, kev hloov tshwm sim nyob rau hauv lub chaw ua hauj lwm ntawm ntau hauv nruab nrog cev, rau Piv txwv li:

• disturbed txheej txheem ntawm hematopoiesis;
• puas hauv paus plaub hau, thiab qhov no yog tshwm sim los ntawm cov plaub hau tsis thaum lub sij hawm cov kws khomob;
• raug kev txom nyem hnyuv hlwb uas provokes tus tsis qab los noj mov, ntuav, xeev siab;
• txo kev tiv thaiv uas ua rau lub cev raug rau kab mob.

Cov niam txiv yuav tsum ua ntej tau txais cov kws khomob tshuaj nug koj tus kws kho mob txog tej kev phiv los sis nqa mus rau qhov tsim nyog ntsuas los txhawb tus me nyuam lub cev.

Yog hais tias ib tug me nyuam yog yuam kom taw ib tug high-koob tshuaj, tus kws kho mob yuav tsum ceeb toom rau koj hais tias qhov no tej zaum yuav ua rau kev puas tsuaj ntawm cov hlwb pob txha hlwb, thiab muab lawv rau khov. Tom qab kev kho mob lawv yuav tsum tau rhawv thiab muab tso rau hauv lub cev tus me nyuam, lawv yuav pib lawv ncaj qha feem xyuam rau tus zus tau tej cov ntshav. Txij li thaum pob txha raug mob thaum lub sij hawm cov kws khomob, rov qab los.

tawg txoj kev kho

Yog hais tias xav Wilms mob loj zuj zus, kev kho mob yuav tsum tau muaj ntau thiab radiotherapy. Nws yog tag nrho nrog rau cov kws khomob yog tias nephroblastoma yog 3-4 theem ntawm kev loj hlob. Tawg txoj kev kho yuav pab tua cancer hlwb uas muaj "dim" los ntawm tus kws phais thaum phais.

Thaum lub sij hawm ntawm xws li ib tug txheej txheem, nws yog ib qho tseem ceeb tias tus me nyuam pw motionless, raws li ncaj qha rau ntawm lub qog cheeb tsam yog qhia kab teeb. Yog hais tias tus neeg mob yog heev me me thiab nws immobility ua problematic, ces tus txheej txheem ua ntej nws yog xeem ib tug me me koob tshuaj ntawm sedatives.

Irradiation yuav tsum tau ua raws li leej tswv yim pom zoo. Tus taw tes rau uas yuav tsum tau xa rays, sau cov xim. Txhua yam uas yuav tsum tsis txhob poob mus rau hauv lub irradiation tsam yog them los ntawm tshwj xeeb shields.

Tag nrho cov kev ceev faj, li cas los xij, tsis tiv thaiv cov kev phiv uas ces tshwm sim:

• xeev siab;
• tsis muaj zog;
• daim tawv nqaij voos ntawm qhov chaw ntawm irradiation;
• raws plab.

Tus kws kho mob yuav tsum tau xaiv cov tshuaj uas pab txhawb rau tus neeg mob tus mob thiab cov kev phiv yuav raug tshem tawm.

Therapy raws li cov theem ntawm tus kab mob

Rau tej kev mob kev kho mob yog ib txwm xaiv ib lub zuj zus. Qhov no yog tshwj xeeb tshaj yog muaj tseeb rau cov me nyuam. Wilms mob kuj yuav tsum tau ceev faj tsom xam thiab xaiv tsim nyog kho mob. Nws yuav siv sij hawm mus rau hauv tus account lub theem ntawm tus kab mob, tsis tsuas kev loj hlob, tab sis kuj cov hnub nyoog ntawm cov me nyuam, nws tus mob, tshwj xeeb tshaj yog lub cev.

1. Cov thawj thiab thib ob theem ntawm lub qog txoj kev loj hlob thaum tus txheej txheem yuav tsuas yog ib lub raum mob hlwb thiab tsis txawv Aggressiveness, kev kho mob feem ntau yuav qhov kev tshem tawm ntawm lub cov hloov khoom nruab nrog, thiab tom ntej cov kws khomob. Tej zaum koj yuav xav tau ntau thiab radiotherapy.
2. 3 thiab 4 nephroblastoma theem yuav tsum tau ib tug txawv mus kom ze. Lub qog extends tshaj lub raum, li ntawd nws yog tsis tau tawm tsis tsoo lub nyob ib sab nruab nrog cev. Nyob rau hauv cov ntaub ntawv no tso rau hauv lub phais tshem tawm ntawm lub qog, ua raws li los ntawm cov kws khomob thiab irradiation.
3. Theem 5 yog tsiag ntawv los ntawm cov tsos ntawm tus kab mob nyob rau hauv ob qho tib si ob lub raum. Nqa tawm ib nrab mob tshem tawm, thiab yog li muaj feem xyuam rau cov nyob ze lymph node. Tom qab lub lag luam, nqa tawm ib lub chav kawm ntawm hluav taws xob thiab cov kws khomob. Yog hais tias koj yuav tsum tshem tawm ob ob lub raum, tus neeg mob yuav tsum dialyzed, thiab ces koj xav kom hloov kev noj qab nyob nrog cev.

Cov me nyuam yog tag nrho cov sib txawv, thiab txhua tus neeg tshuaj tiv thaiv ntawm tus kab mob mus rau lub qog txoj kev kho. Ua ntej pom zoo rau qhov kev npaj khomob, cov niam txiv yuav tau tag nrho cov teeb meem los sib tham nrog ib tug kws kho mob. Lawv yuav tsum paub dab tsi ua rau cov tshuaj muaj nyob rau hauv lub cev, yuav ua li cas kom tsis txhob muaj los yog mitigate phiv thaum lub sij hawm kev kho mob.

soj ntsuam hlw kom qis

Txhua txhua xyoo muaj cov tshiab hom kev kawm thiab cov hau kev rau cov kev kho mob ntawm tej yam kab mob. Qhov no yog tshwj xeeb yog muaj tseeb rau cov mob cancer raws li lub neej no los ntawm lawv yog high school.

Nyob rau hauv ntau lub teb chaws, tsis tau tsuas yog rau cov neeg laus, tab sis kuj cov me nyuam muaj peev xwm coj ib feem nyob rau hauv cov kev soj ntsuam kev txom nyem ntawm tshiab kev kho mob rau o Wilms. Cov niam txiv muaj peev xwm nug tus kws kho mob seb puas xws ntsuam xyuas yog nqa tawm nyob rau hauv peb lub teb chaws, muaj ib lub sij hawm mus rau noj ib feem nyob rau hauv lawv.

Yog hais tias qhov yuav tshwm yog muaj, tus kws kho mob yuav tsum muab tag nrho cov ntaub ntawv rau txoj kev ruaj ntseg ntawm kev kho mob. Nws yog ib nqi sau cia hais tias feem ntau koom nyob rau hauv xws sim ntsuam xyuas muab ib tug ntxiv sij hawm nyob rau hauv sib ntaus tawm tsam tus kab mob.

Tab sis tus kws kho mob yuav tsum tau ceeb toom txog qhov tseeb hais tias nyob rau hauv lub chav kawm ntawm kev kho mob tej zaum yuav muaj unpredictable kev phiv uas muaj tsis tau ntsib ua ntej, raws li zoo li 100% kho tsis muaj ib tug yuav lav tsis tau.

relapse

Nws yog ib qho tseem ceeb tsis tas yuav tiv nrog tus kab mob, tab sis kuj yog xyuas kom tsis muaj kev rov qab los. Hmoov tsis, qhov no tshwm sim nrog nephroblastoma thaum lub caij kho thiab tom qab ntawd. Cov kev soj ntsuam no raug coj los siv, thiab yog hais tias lawv muaj txiaj ntsig, ces txoj cai ntawm cov tshuaj tua kab mob cheem tsis tau yog:

• Vincristine.
• Doxorubicin.
• "Cyclophosphamide" nrog "Dactinomycin" lossis "Ifosfamide".
• Carboplatin.

Txhua rooj plaub yog sib txawv, thiab nyob rau hauv cov ntaub ntawv ntawm ib co neeg mob relapse muab ib tug high school cov koob tshuaj ntawm cov kws khomob, raws li los ntawm qia cell transplantation cov ntshav. Qhov zoo tshaj plaws cov nyhuv yuav yog tias koj muab cov tshuaj phais nrog cov hluav taws xob thiab cov hluav taws xob.

Wilms nqaij hlav hauv keeb kwm kev xeeb tub

Lub raum nyob rau hauv tib neeg lub cev ua ib qho ntawm lub ntsiab functions - purification ntawm cov ntshav los ntawm co toxins thiab metabolic khoom. Thaum muaj menyuam hauv plab, lawv muaj ob lub luag haujlwm tsis yog rau tus poj niam tus mob xwb, tab sis kuj rau lub neej ntawm tus kab mob tshiab.

Yog hais tias lub expectant niam underwent phais rau raum tshem tawm ntev ua ntej cev xeeb tub, cov raug yuav ua tau heev lig. Muaj ntau tus pojniam xeeb txawm xeeb tub thiab yug me nyuam noj qab nyob zoo.

Tab sis kuj muaj kev zam ntxiv, thaum muaj ib qho mob tshiab tuaj yeem ua rau mob rov huam mob. Tom qab ntawd nws yog ib qhov tsim nyog los cuam tshuam kev xeeb tub kom thiaj li cawm tau lub neej ntawm ib tug poj niam.

Qee lub sij hawm tus qog ntawm Wilms tso rau thaum yau muaj peev xwm ua kom muaj kev txhawj xeeb ntawm pyelonephritis, thiab nws tuaj yeem cuam tshuam rau kev ua haujlwm ntawm tus me nyuam hauv plab. Txawm tias muaj tseeb ntawm qhov tseeb uas feem ntau ntawm qhov kev xeeb tub tau zoo, qhov kev pheej hmoo ntawm metastasis mob siab thiab 10-20 xyoo tom qab tshem tawm ntawm lub raum.

Kev kuaj mob rau tus neeg mob uas muaj tus mob nephroblastoma

Muab ib qho kev paub tseeb tseeb ntawm Wilms lub qog, nws yog qhov tsim nyog los kwv yees nws qhov loj me, theem ntawm kev loj hlob thiab kev tshuaj ntsuam keeb kwm. Qhov feem ntau unfavorable yog muaj qog ntau tshaj 500 g thiab hauv 3-4 theem ntawm kev loj hlob nrog ib tus neeg txom nyem histology.

Yog tias txoj kev kho kom haum tsim nyog, cov neeg mob 'survival yog li 60%. Hauv cov theem pib, tus mob qog nws tus kheej kom kho dua, 80-90% ntawm cov neeg zoo.

Vim tias tsis muaj kev tiv thaiv tshwj xeeb rau qhov mob, nws tuaj yeem raug nquahu kom coj mus kuaj xyuas yog tias tus me nyuam muaj teeb meem. Yav dhau los yog pom muaj qog nqaij hlav, qhov siab zog rov qab los.