How kubata testicular kenza muIsraeri?

Testicular kenza - chirwere umo testes (testes aiwanzopiwa wokushanda pabonde omumuviri, izvo zvibereko bonde masero uye mahormone).

Maererano nenhamba, nerimwe gore kenza testicular unongokarira vanhu zviuru makumi mashanu. Saizvozvowo, bundu iri zvisinganyanyi kuitika. Uyewo kucherechedza ndechokuti chirwere ichi chete unowanikwa vanhu pamusoro mana kwemakore. Zvisinei, izvi hazvirevi kuti zvakakosha kuteerera chirwere uye chimiro zviratidzo vake kutaura anokwanisa mukoti.

Pari zvino pane zvinhu zvinoverengeka zvinogona kukonzera kukura kenza testis:

• Vachiberekwa renal zvirwere (semuenzaniso, doubling ari ureter, itsvo kaviri), testes (varicocele gispopadiya, testicular atrophy) mboro. Kunowedzerawo mukana testicular kenza inzira inguinal heniya;
• Kushaya mbereko kunowedzerawo mukana wokuti neoplasia-yemo, izvo zvinogona pakupedzisira kuva rakapinza kenza rimwe testicular;
• Kuvapo hama bolevshih testicular kenza;
• Undescended jende kupinda scrotum (cryptorchidism), izvo zvinogona kunge imwe-nzira (mukana kenza iri yakawedzera kashanu) uye bilateral (mikana yokuva nekenza kunowedzera kagumi);
• Kushaya muviri;
• Toxemia pamuviri kuti nezvechinhu nokuda kushandisa inonzi estrogen kana hypersecretion kuti inonzi estrogen kwenguva yakareba kungawedzera mukana testicular kenza ari mucheche.

Zvinotevera zvingaratidza kuonekwa kukura testicular kenza:

• A kunzwa waziya uye kurwadziwa scrotum uye mudumbu;
• Chimiro growths mutsva scrotum;
• Yakakura node nodes ari muhudyu nzvimbo.

To musi, anenge 90% anomera akadaro testicular kenza, vanachiremba kugadzirisa namamota kuti ndiyo hwaro utachiona masero zvibereko dzisingaoneki. Nyanzvi kusiyanisa marudzi maviri utachiona sero inotungamirwa:

1. Seminoma - anenge makumi matanhatu muzana zvose utachiona sero anomera;
2. Nonseminoma - vanenge makumi mana muzana utachiona masero anomera.

Seminoma testicular sokunge zvakasimba fundo lobed uye rakakamurwa mapoka makuru maviri:

1. Negerminativnaya seminoma - chinovapo testis stroma (leydigoma, sertolioma, sarcoma);
2. The germinal testicular seminoma - rinowanika kubva epithelial munyama (teratoblastoma, horionepitelioma, seminoma, embryonal kenza, etc.);

In mhando iyi bundu metastases kuonekwa inochinja kazhinji limfauzly.

Nonseminoma Kazhinji kunoitika pakati pemakore makumi maviri kusvika makumi matatu. The akasiyana bundu ichi zvinosanganisira teratoma, choriocarcinoma, embryonal carcinoma, mapundu ose nduru bhegi. With ichi mhando metastases ose akaipa anomera anogona kupindira zvose node nodes uye nemapapu.

Mabatirwo testicular kenza muIsraeri pakutanga kunoda mararamiro yepamusoro Diagnostics, unosanganisira zvinotevera mabasa:

1. Inspection testis uye node nodes palpation;
2. Laboratory miedzo ropa uye weti assays (nokukanganisika pachisara Kutsunga bundu zvezvinangwa, etc.);
3. Ultrassom of testes uye scrotum;
4. Angiography;
5. Positron achine tomography;
6. Computed tomography;
7. Magnetic resonance kuri.

Pashure pokudzidza migumisiro chirwere miedzo iri basa nekenza kurapwa manhu muIsraeri, izvo zvichaita kufunga peculiarities pakati kukura chirwere uye utano murwere. Kunyanya pakurapa testicular kenza muIsraeri zvino sohunobishairira kushandiswa nzira dzakaoma kuti zvinobudirira kunogona kubatsira murwere.

Zvikurukuru, kuvhiya kupindira, iro nhasi ndiyo nzira mikuru Mabatirwo testicular kenza, zvinogona pamwe nemwaranzi kurapa zvemusangano uye negashiro chemotherapeutic mishonga inogona kubatsira kuderedza kukura namamota uye vakasara pashure kuvhiyiwa kuuraya masero kenza. Uyewo kana mishonga anogadzwa nechirwere pamusoro yechipiri foci vakanga dzakaonekwa.