Perşembe , 14 Kasım 2019
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Wilms Tumor

Also known as Nefroblastom. Wilms tumor, bad-tempered about 6-8 percent of kidney tumors, about 40 percent of babyhood tumor creates a bad-tempered. Bad-tempered between childhood tumors of the nervous system tumors in terms of frequency immediately after nefroblastom, in this age is seen in kidney tumors is almost the only bad-tempered. Basic features: 
– Almost every time out in the first year of life (after puberty or in adults is less than the 50 reported the number of phenomenon). 

– Tumors of the tissue structure is not known how the final form, the embryo is thought to be associated with the development phase. 

– Tissue structure in terms of tumor tissue from advanced embriyonsu and is seen to occur. 

Tumors in 70-80 percent of cases, life in the first 6 months appears. 

Tumor does not make gender discrimination. The tumor in the direction of the evidence that heredity is passed through. At a rate of 30-40 percent, depending on Nefroblastomların has been reported to heredity. Tumors of the state of origin usually inherited in both kidney tumors in addition to the sick and the other is seen doğumsal disorders. 

Therefore, a gene also responsible for other tumors such as nefroblastomun is likely to originate from. Indeed, no treatment is nefroblastomun patients tend to develop a new tumor can be seen. Two children of patients with pro-nefroblastomu likely to develop these tumors, while 30 per cent, this rate was one-sided treatment of patients nefroblastomu stop children 9 percent. Children carry the gene responsible, although it is possible to be healthy. The tumor is accompanied on the reproductive and urinary tract disorders doğumsal the development of the embryo into the circuit is considered canker. 

Symptoms 

The first clinical symptom is abdominal addressed the audience. Mass or more with low waist region discussed in income. Abdominal pain, even if symptoms are not typical. Loss of appetite, general condition is rare disorders and symptoms such as fatigue. The babies usually appear healthy Nefroblastomu and often disease symptoms occurs will awaken suspicion. Bloody urine is seen in 20-30 percent of cases. This audience does not handle cases of tumors may be the only clinical symptom. The size of the audience sometimes are large enough to cover half of the cam. Some of the first signs of anomalistic cases lung or liver tumors, depending on the bounce occurs. 

Reviews 

Radiological examination of the ways to open ürografi kidney disorder, the format of the help to put the final full. Sometimes be disabled as the functional kidney of the cases, ultrasonography provides more accurate information. Moreover, the borders of the tumor and the vessels are arteries film about the nature of information is obtained from surgery. With this method also revealed that bounces are possible to the liver. Angiography, the contrast of the arteries by providing materials and information from being viewed, the computer tomography (imaging section) method is also provided. 

Patients with non-destructive analysis method of renal ultrasonography be functionally disabled by taking the cases to the definitive diagnosis. Also provides valuable information about the bounce in the liver. In the clinical approach to a baby Nefroblastomlu, tumors in both kidneys are likely to be always taken into consideration. Therefore, the investigation or during the removal of kidneys with tumors, appear relatively stable in the kidney must be carefully checked. 

As for laboratory examination, hematocrit is usually deemed to be normal. In the urine can lead to anemia has plenty of blood. Speed up construction with a erythrocyte Erythropoietic increased cases hormone in the blood increases the number of red blood corpuscle (polisitemi). Indicators for renal function is usually normal. The blood and urine analysis are seen less frequently in proteins. Tumors of the liver, depending on the bounce does not work in extreme cases come to the extent of the phenomenon, except in liver function tests usually give normal results. Some cases the increase in the lactic dehydrogenase level indicates that the tumor tissue. Erythrocyte sedimentation rate may be higher. 

Departure and Complications of Tumor 

Determined at the time of the kidney nefroblastom, tumors are usually only limited to this organ. Tumor tissue around where the splash spread, lymph through the lymph nodes, kidneys and aorta pit around the waist region has reached the lymph chain. Ender as above collarbone breast and lymph glands, especially the solo leap can be seen. Is usually spread by blood to other organs Nefroblastom. Tumor development occurred in the lungs are affected most by this bounce, it bounces to the liver is not a few. In patients with tumors of the kidney is removed, repeat the facts have been reported. Therefore, regular medical supervision nefroblastom phenomenon is very important after the surgery. 

Regularly for early diagnosis of lung jump X-ray of the lungs are kept under control by the patient. Less as can be seen to jump into the bones and brain. In these cases, patients described symptoms are usually enough to put the full. Reappearance of tumor after treatment possibility is a situation that should not be ignored. 

Treatment 

General principles 

Received treatment for kidney surgery initiative creates the foundation. Radiation therapy and chemotherapy is applied after the surgery recently, had given positive results in the treatment of tumors. 

A single focus, such as secondary tumors in the lung is usually seen in cases with the focus of the initiatives resulting surgery! Másik way to go. These methods, especially the second! After a long period of time will be applied if the tumor developed. These cases are usually provided improvement. Create more than one focus of the bounce of disease with chemotherapy and radiation treatment outcome in the worst way to use it in conjunction with the patient longer to live, rare as it is possible to improve. 

Side effects 

After the receipt of kidney complications are very rarely seen. These complications are similar to that caused by abdominal surgery. In the period after the surgery of the urinary tract are common in inflammation. Therefore, several months after surgery in the urine culture is made through regular, whether the infection is controlled. 

Radiation therapy, even after several months of mechanical bowel syndrome can cause congestion. In this case the agenda is a new surgical initiatives. 

Tumors of the remaining kidney with a kidney was removed with normal kidney function can be easily undertaken. Radiation treatment was the right of the wife half the cases, the liver is affected to a great extent depends on the beam and the liver inflammation can develop. As a result, the growth of liver and spleen, and liver function impairment, platelet count, such as reduction of symptoms occurs. The effects of radiation in the region of the liver, liver scintigraphy in the “cold area” and the image appears as a tumor can be confused with the jump. All regions of the stomach in young babies are given ray can be seen in cases severe diarrhea. In this case, treatment should be interrupted. Also taken with milk and cereal gluten, should be removed before being fed. Another complication of radiation treatment later emerged as skolyoz (the right side of the irregularity of backbone), of the vertebra can be prevented by keeping the beam on. Radiation treatment to shrink the stomach and chest in the side, the format may result in disorders. 

The cases of kidney robust year-ray beam is then connected to the kidney inflammation (nephritis) may develop.

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2002 yılında başladığım yazı hayatıma ilk önce 2007 yılında blogspot ile devam ederken daha sonra 2009 yılında Wordpress ile devam ettim. 2009'dan bu yana Cihan Blog'ta yazmaktayım. Yazılım, Diziler ve Sosyal Medya ağırlıklı yazıların yanı sıra güncel konular ile ilgili yazılar da yazmaktayım.