Bladder kenza kurapa

Bladder cancer kenza yechina inonyanya kuzivikanwa pakati pevanhurume; mune vakadzi, izvo zvishoma. Sezvo mutemo, bundu rebundu rinokura zvishoma, uye rinogona kunyatsobudirira pasina kuvhiyiwa kukuru. Uyezve, kazhinji kenza yegomarara, njodzi yekukuvarira bundu rinoisa hupenyu mudiki idiki kwazvo. Kutanga kuongororwa uye kuongororwa nguva dzose kwakakosha pakubudirira kwekurapa.Bladder cancer cancerChikwangwani chinowanzozivikanwa chekenza yemabhonzo ndiko kuoneka kweropa mumwena. Dzimwe nguva inogona kuoneka neziso rakashama, asi kazhinji kuvepo kwemasero eropa kunogona chete kuonekwa panguva yakavanzikaurinalysis. Kuonekwa kweropa mumubhino kunogona kuperekedzwa nemanzwiro asiri ekunakisa panguva yekupenda (kazhinji kunotsanangurwa se "kupisa"). Mukuwedzera, kuyera kunogona kuve kwakawanda uye kuchikurumidza kupfuura zvakajairwa. Mumatanho ekutanga echirwere, zvimwe zviratidzo zvisipo. Naizvozvo, kana paine iropa mune urini kana kuti mune yekukanganisa kupinda mukati, kuongororwa kunofanira kutorwa pakarepo. Izvo zvakakosha kuti urangarira kuti izvi zviratidzo hazvireve kuratidza kuvepo kwe bundu - zvinogonawo kukonzerwa nematombo, kuzvimba kweiyo urethra, yakawedzera prostate, nezvimwe. Chero mamiriro ezvinhu, chikonzero cheizvi zviratidzo chinofanira kutanga chanyatsotsanangurwa.SeiUnowanikwa uine kenza yemabhonzo?Kana ropa rikawanikwa mune urini, bvunzo dzinoverengeka dzinofanira kuitwa kusabvisa bundu rechironda. Ichi chirwere ibasa reurology, saka kunyangwe iwe wanga uri kuna chiremba wemhuri, unofanirwa kushanyira urologist. Mushure mekujekesa nhoroondo yekurapa uye kuongororwa kwemuviri, iwe uchafanirwa kuenda nekuwongorora akati wandei, kazhinji usingade kuchipatara.Munguva ye cystoscopy, endrosope yakaonda inoiswa kuburikidza neurethra (urethra) mubhedhuru. Nayo, iwe unokwanisa kunyatsoongorora nzvimbo yemukati yemabheji uye kutarisa tumors kana zvimwe zvirwere. Iwe unogona zvakare kutora sampuli kubva kumadziro.bhebhi (biopsy). Kuongororwa kunoitwa pakarara pasi, pasi peanesthesia yemuno, uye hazvidi kuchipatara. Mushure me cystoscopy, kunzwa kupisa zvishoma panguva yekurumwa kunogoneka, uko kuchapfuura mushure mezuva kana maviri. Kunwa yakawanda yemvura iyi mazuva ano zvinokurudzirwa.CT urography ndeye computed tomography scan panguva iyo musiyano mumiririri akaiswa mukati memuviri uye nekukurumidza inosimbisa mu urethra. Mushure meizvozvi, computer tomography inoratidza mamiriro eitsvo, ureters uye bhudhi. Kana murwere aine chirwere cheasthma kana kuti allergic kune zvinodhaka kana iodini, mishonga yakakosha inofanira kutorwa pamberi penzira yekudzivirira iyo isinganetseke. Izvo zvakakosha kuti uzive iyo ultrasound uye computed tomographyitsvo hadzi dzakakwanira kupa tsanangudzo inopedza simba uye isingaite yezvikonzero zveropa mumhino.Bladder cancer kurapwaNhanho yekutanga kubvisa bundu. Iyo minwe yakabviswa inotumirwa kuchipatara kuti itarise mhando yebundu uye kudzika kwaro mukati maro mumadziro emabhonzo. Kubviswa kwe bundu (kana resection yayo) kazhinji kunoitika panguva yekuchipatara. Iyo resection inoitwa pasi peanesthesia uchishandisa cystoscope-senge zvishandiso zvakaiswa mukati meiyo urethra (urethra), pasina incways kana kuvhura dumbu. Muzhinji, mushure mekunge bundu raonekwa, murwere anokokwa kuvhiyiwa kwakarongwa. Nekudaro, mune zviitiko apo bundu rinotungamirakugara uchibuda ropa, nekukurumidza kuvhiya kunodiwa. Sezvo mutemo, tumor resection inotungamira kumira kwekubuda ropa. Dzimwe nguva kubviswa kwakakwana kwe bundu hakugone nekuda kwehukuru hwayo kana kudzika kwekupinda mumadziro emabhonzo. Mune zviitiko zvakadaro, biopsy ichaitwa kuti itarise mhando yehuputi uye kudzika kwekupinda kwayo, mushure meizvozvo dzimwe nzira dzekurapa dzichashandiswa. Mushure mekuvhiyiwa, catheter inosara mu bladder kuburikidza ne urethra kwemazuva akati wandei kuti ronda rekuvhiya ripore. Mumazuva ekutanga mushure mekuvhiyiwa, panogona kunge paine kubuda ropa zvishoma kubva pamabhonzo, ayo anofanira kumira zvishoma nezvishoma. Mushure mekubviswa kwe catheterkunzwa kukurumidza uye kupisa, kana kurwadziwa kana uchitsvaga. Kazhinji, kupindira uku ndekwenguva pfupi. Muzhinji, murwere anozokwanisa kudzokera kune zvakajairika kushanda kumba mazuva maviri matatu mushure mekuvhiyiwa. Iyo sarudzo yekuenderera mberi nekurapa inoenderana nemhedzisiro yeye histological kuongororwa (tumor rudzi uye kupenya kwakadzika).Chikamu chechipiri chekurapa chinogona kusanganisira sarudzo nhatu.    Zvepamusoro tumor, kwete kupinda mukati kupfuura inochinja epithelium. Mune ino kesi, kuenderera kurapwa hakudiwi. Pasinei neizvi, maronda akadaro anowanzoitika zvakare, kunyanya mumakore ekutanga mushure mekuvhiyiwa. Neichi chikonzero, kunyanyaIzvo zvakakosha kuti uongororwe nguva dzose mukiriniki yekurapa.     Bundu rakapinda mukati meiyo epithelium inochinja, asi haina kupinda muswe. Mune ino kesi, isu tiri kutaurawo nezve chepamusoro chepundu, asi kuwedzera kurapwa kunodiwa. Semutemo, mishonga yakakosha inoiswa mubhedhuru. Mushonga wakanyanya uye unoshanda anonzi BCG. Chinangwa chayo ndechekuvandudza mhinduro yemuviri yekudzivirira. Cytotoxic zvinodhaka zvinouraya cancer maseru zvinoshandiswawo. Icho chinangwa cheBGG uye zvimwe zvinodhaka ndechekudzivirira tumor kudzokorora mushure mekupamhazve. Iyi kurapwa inokurudzirwazve mune zviitiko zvakadai sekuvapo kweakawanda anoputika tumor.kana kukurumidza kudzosera bundu mwedzi yakati wandei mushure mekuvhiyiwa. Mushonga uyu unopihwa kamwe chete pasvondo kweanenge mavhiki matanhatu, mukiriniki yekurapa, uchishandisa catheter yakaonda iyo inoiswa mubhedhuru. Mushure mekurapa mushonga, murwere anokumbirwa kuti arege kuyama kwemaawa maviri. Murwere anogona kusangana nekunzwa kupisa kana uchitsvaga uye kusanakidzwa kwekunzwa mudumbu rakadzika, zvisinei, vanokurumidza kupfuura.     Bundu rakapinda mukati merimwe musumbu, rakadzika mukati memadziro emabhonzo. Mune ino kesi, resection ye tumor kuburikidza ne urethra haina kukwana. Kazhinji, iwe unofanirwa kubvisa bhebhi rese pamberikuvhura dumbu. Chinangwa chekutanga bhebhi ndechokubvisa zvachose maseru emukenza kubva mumuviri kuti apore.     Mushure mekupamhidzwazve kwebhedhi, kutsiva kunofanirwa kuumbwa kuti kumubvumidze kupuruzira. Pane zvisarudzo zvinoverengeka zvekutsiva izvi:    Urini inopinda yakananga muhombodo yakabatanidzwa kumadziro emudumbu.     Kugadzira imwe muhomwe yekurongedza muhari yemukati (inoda kuiswa kweye catheter kanoverengeka pazuva pazuva kuti uburitse muhomwe yewaini).     Imwe homwe yekurapa muhombodo yemuviri inobvumira yakajairwa yekubaya kuburikidza ne urethra.ZvimwePane kupora kwakazara here?Mhinduro yacho haina kujeka: ehe. Mazhinji maronda ebhedhi ingori bundu repamuromo. Kubviswa kwe bundu kuburikidza ne urethra (dzimwe nguva mubatanidzwa nekuiswa kweCBG mumabheji) kunotungamira mukutsakatika kwayo kwakakwana. Kazhinji, mushure menguva yakati, bundu rinodzokororazve, asi nekugara uchiongorora, unogona kuriona achiri mudanho uye nekubudirira kuriramba. Kuongororwa kwekiriniki kunosanganisira urinalysis, cystoscopy uye computer tomography ye urethra. Nguva yakawanda yafamba kubva pakurapwa kwekupedzisira, zvishoma pane zvaunofanira kuongororwa. Izvo zvakakosha kuti iweuke kuti kuputa kunowedzera njodzi yako.kudzokorora kwe bundu bundu; saka, kana iwe uchiputa, iwe unofanirwa kurega iyi yakaipa tsika.Tumors inopinda zvakadzika mumadziro emabhedhi inogonesa kupora zvizere nerubatsiro rwe resection. Muzviitiko zvakawanda, zvinokwanisika kugadzira imwe bladder iyo inobvumira yakajairwa kukurudzira kuburikidza ne urethra. Nekuda kweizvi, murwere haagone chete kupora zvakakwana, asi zvakare kudzokera kune zvakajairika kushanda izvo zvakajairika kwaari.Rega chikumbiro pane webhusaiti yedu uye nyanzvi dzedu dzichaonana newe uye dzichakubatsira kusarudza kiriniki yakanakira maererano nenyaya yako yemahara.