Wilms tumo

Wilms tumo (nephroblastoma) wani mummunan ƙwayar cuta ne, wanda ya fi kowa a cikin yara daga shekaru 2 zuwa 15. Fiye da 80% na lokuta na cututtuka na yara a cikin yara ke faruwa a nephroblastoma. Yawancin lokaci, raunuka guda daya na ciwon koda. An yi imanin cewa ci gabanta ya haifar da rashin cin zarafin kodan a lokacin jima'i.

Wilms yana ciwo a cikin yara: rarrabuwa

A cikin duka, akwai 5 matakai na cutar:

1. Ciwon shine kawai cikin daya daga cikin kodan. A matsayinka na mai mulki, yaron bai fuskanci rashin jin daɗi ba kuma ba ya koka.
2. Kyakkyawan waje a koda, babu matin ganyayyaki.
3. Ciwon ya fara tsirar da su da kuma gabobin da ke kusa. Hakan ya shafi nau'in ƙwayar cuta.
4. Akwai metastases (hanta, huhu, kasusuwa).
5. Bilateral sake shiga ta hanyar ƙwayoyi.

Wilms tumor: bayyanar cututtuka

Dangane da shekarun yaro da kuma mataki na cutar, wadannan alamun bayyanar sun bambanta:

• raunin gaba daya;
• jin dadi;
• rage yawan ci;
• asarar nauyi;
• ƙara yawan yawan zafin jiki;
• pallor na fata;
• wani karamin karuwa a saukar karfin jini;
• a cikin gwaje-gwajen jini akwai karuwa a cikin ESR da rage a baƙin ƙarfe;
• macrogematuria (jini a cikin fitsari);
• a wasu lokuta akwai tsangwama na hanji saboda matsawa na ciwon ciki na hanji.

Har ila yau, a gaban ciwon Wilms, ƙwayar yaron zai canza.

A ƙarshen wannan cuta, zai yiwu a bincika hannu a cikin ciki. Yaro zai iya yin kuka da zafi wanda zai haifar da squeezing gabobin da ke kusa da juna (hanta, tissun retroperitoneal, diaphragm).

Rashin ƙananan ƙwayoyin cuta suna yaduwa zuwa huhu, hanta, kishiyar koda, kwakwalwa. Tare da yalwacin ƙwayar ganyayyaki, yaron da yaron ya fara rasa nauyi da ƙarfin da sauri. Sakamakon lalacewa zai iya faruwa ne sakamakon sakamakon rashin ƙarfi na huhu da kuma ciwo mai tsanani na jiki.

Har ila yau, wasu kwayoyin cututtukan kwayoyin cututtukan wutsiya suna iya zama tare da wasu cututtukan cututtukan kwayoyin halitta: sunadarai a ci gaba da tsarin musculoskeletal, hypospadias, cryptorchidism, ectopia, koda biyu, hemihypertrophy.

Cutar nephroblast a cikin yara: magani

A wani ɗan ƙaramin zato na neoplasm a cikin rami na ciki, likita ya tsara wani tsari na hanyoyin bincike:

• uzi na dukan gabobin da tsarin;
• amintattun abubuwa;
• radiyo;
• lissafin rubutu;
• kididdigar ƙira;
• radioisotope dubawa don ƙayyade metastases a cikin yaro jiki.

Anyi amfani da ciwon daji, da kuma rediyon rediyo da magani mai tsanani. Za a iya amfani da farfadowa na radiation a cikin lokaci na baya da kuma bayan aiki. Amfani da mafi yawan amfani da kwayoyi masu magunguna (vinblastine, doxirubicin, vincristine). A matsayinka na mulkin, ba a yi amfani da maganin radiation don kula da yara a karkashin shekara biyu.

Idan aka sake komawa, ƙwaƙwalwar cututtukan kwayoyin cuta, jiyya da kuma radiotherapy ana gudanar. Hadarin na sake dawowa ba fiye da 20% ba tare da la'akari da nau'in shekarun ba.

Idan ba za'a iya amfani da ciwon ƙwayar ba, to an yi amfani da hanya na chemotherapy, sannan kuma duba ƙwayar koda (cire).

Dangane da mataki na cutar, bayyanarwar ta bambanta: mafi yawan adadin dawowa (90%) an lura a mataki na farko, na huɗu - har zuwa 20%.

Sakamakon magani ma yana da shekaru da yaron yaron lokacin da aka samo tumo. A matsayinka na mulkin, yara suna rayuwa har zuwa shekara guda cikin 80% na lokuta, kuma bayan shekara guda - ba fiye da rabin yara ba.