Unyango lwe-bladder cancer

Umhlaza we-bladder ngumhlaza wesine oxhaphakileyo phakathi kwamadoda; kubafazi, yinto eqhelekileyo. Njengomthetho, ithumba lesinyi liyakhula kancinci, kwaye linokulawulwa ngempumelelo ngaphandle kokuhlinzwa okukhulu. Ngapha koko, kwiimeko ezininzi zomhlaza webangela, umngcipheko wokuhlaselwa sisifo esisongela ubomi buncinci kakhulu. Ukuxilongwa kwangoko kunye noviwo oluqhelekileyo kubalulekile kwimpumelelo yonyango.Iimpawu zomhlaza we-bladderOlona phawu luqhelekileyo lomhlaza weblack9 kukubonakala kwegazi emchameni. Ngamanye amaxesha inokuthi ibonwe ngamehlo agudileyo, kodwa ubukho beeseli zegazi bunokubonwa kuphela ngexesha ngokubanziUkuchama. Ukubonakala kwegazi kumchamo kunokuhamba kunye nokuziva okungathandekiyo ngexesha lokuchama (okuhlala kuchazwa ngokuthi “ukutshisa”). Ukongeza, ukuchama kunokuba yinto ethe rhoqo kwaye kungxamiseke ngakumbi kunesiqhelo. Kwinqanaba lokuqala lesi sifo, ezinye iimpawu azikho. Ke ngoko, ukuba kukho igazi emchameni okanye kwimeko yokuchamachama, uviwo kufuneka lwenziwe ngoko nangoko. Kubalulekile ukukhumbula ukuba ezi mpawu azibonisi ubukho besibeleko - zinokubangelwa nangamatye, ukuvuvukala kwe-urethra, i-prostate eyandisiweyo njl njl. Kuyo nayiphi na imeko, unobangela wezi mpawu kufuneka umiselwe ngokuchanekileyo.Njani?Ngaba ufumanisa ukuba unomdlavuza webhedi?Ukuba igazi lifunyenwe kumchamo, kufuneka kwenziwe iimvavanyo ezininzi ukuze kungabandakanywa isimhumba. Esi sifo luxanduva lwe-urology, ngoko nokuba ukhe waya kwagqirha wosapho, kuya kufuneka utyelele ugqirha ongu-urologist. Emva kokucacisa imbali yezonyango kunye novavanyo lomzimba, kuyakufuneka uhambe ngetshekhi ezongeziweyo, ngesiqhelo awudingi ukuba esibhedlela.Ngexesha le-cystoscopy, i-endoscope emxinwa ifakwa kwi-urethra (urethra) kwisinye. Ngalo, unokuvavanya ngononophelo indawo yangaphakathi yesinye kunye nokujonga amathumba okanye ezinye izifo. Unokuthatha isampula eludongeni.i-bladder (biopsy). Uviwo lwenziwa ukuba ulele phantsi, phantsi kwe-anesthesia yendawo, kwaye ayifuni kulaliswa esibhedlele. Emva kwe-cystoscopy, ukuziva kancinci okuvuthayo ngexesha lokuchama kunokwenzeka, okuya kudlula emva kosuku okanye ezimbini. Ukusela amanzi amaninzi kule mihla kuyacetyiswa.I-urology ye-CT yikhomputha ye-Tomogra eyicomputer yokuvavanya ixesha apho iarhente yokuchasana ifakwe emzimbeni kwaye igxile ngokukhawuleza kwi-urethra. Emva koku, i-tomography ehlanganisiweyo ibonisa imeko yezintso, i-ureters kunye ne-bladder. Ukuba isigulana sinokugula sisifo i-asthma okanye sibangelwa ziyobisi okanye iodine, amayeza akhethekileyo kufuneka athatyathwe ngaphambi kwenkqubo yokuthintela ukungahambi kakuhle. Kubalulekile ukuba uqaphele ukuba i-ultrasound kunye ne-compact tomographyizintso azonelanga ukunika ingcaciso egqibeleleyo nengathandabuzekiyo yoonobangela begazi kumchamo.Unyango lomhlaza webladderInyathelo lokuqala kukususa ithumba. Izicubu ezisusiweyo zithunyelwa elabhoratri ukuze zichonge uhlobo lwesisu kunye nobunzulu bokungena kwalo eludongeni lwesinye. Ukukhupha isisu (okanye ukuphinda kusetyenziswe), kudla ngokwenzeka xa usesibhedlela. Ukusetyenzwa ngokutsha kwenziwa phantsi kwe-anesthesia kusetyenziswa isixhobo esifana ne-cystoscope esifakwe kwi-urethra (urethra), ngaphandle kokufaka okanye ukuvula isisu esiswini. Kwiimeko ezininzi, emva kokuba ithumba libhaqiwe, isiguli simenyiwe kwisicelo esimiselweyo. Nangona kunjalo, kwiimeko apho ithumba likhokelelaukopha okungapheliyo, kufuneka ngokukhawuleza utyando. Njengomthetho, ukuvela kwakhona kwe-tumor kukhokelela ekuyekeni kokopha. Ngamanye amaxesha ukususwa ngokupheleleyo kwe-tumor akunakwenzeka ngenxa yobukhulu bayo okanye ubunzulu bokungena kudonga lwesinye. Kwiimeko ezinjalo, i-biopsy iya kwenziwa ukumisela uhlobo lwesisu kunye nobunzulu bokungena kwalo, emva koko kuya kusetyenziswa ezinye iindlela zonyango. Emva koqhaqho, i-catheter iyakushiyeka kwi-bladder kwi-urethra kangangeentsuku ezininzi ukuze inxeba lokuhlinzwa liphilise. Kwiintsuku zokuqala emva koqhaqho, kunokubakho ukopha okuncinci ukusuka kwisinye, ekuyekeni kancinci kancinci. Emva kokususwa kwe-catheterUkuziva ungxamisekile kwaye uvutha, okanye buhlungu xa uchama. Ngokwesiqhelo, oku kuphazamiseka yinto yethutyana. Kwiimeko ezininzi, isiguli siya kuba nakho ukubuyela ekusebenzeni ekhaya okuqhelekileyo kwiintsuku ezingama-2-3 emva kotyando. Isigqibo sokuqhubeka nonyango kuxhomekeke kwiziphumo zovavanyo lwe-histological (uhlobo lwe-tumor kunye nobunzulu bokungena).Inqanaba lesibini lonyango linokubandakanya iindlela ezintathu.    Isityholo esingathethekiyo, esingangeni ngaphezulu kune-epithelium yotshintsho. Kule meko, unyango oluqhubekayo aludingeki. Ngaphandle koku, amathumba anjalo ahlala evela kwakhona, ngakumbi kwiminyaka yokuqala emva koqhaqho. Ngesi sizathu, ngakumbiKubalulekile ukuba ihlolwe rhoqo kwikliniki ye-urological.     Isigaxa singene ngaphaya kwe-epithelium yotshintsho, kodwa singangeni kwisisipha. Kule meko, sithetha malunga nes tumor esingaqhelekanga, kodwa kufuneka unyango olungaphezulu. Njengomthetho, amayeza akhethekileyo afakwa kwi-bladder. Esona siyobisi siqhelekileyo nesisebenzayo sibizwa ngokuba yi-BCG. Injongo yayo kukwandisa impendulo yendawo yokulwa izifo. Iziyobisi zeCytotoxic ezibulala iiseli zomhlaza ziyasetyenziswa. Injongo ye-BCG kunye namanye amachiza kukuthintela ukuvela kwakhona kwe-tumor emva kokuphinda usele. Olu nyango lukwacetyiswa kwiimeko ezinje ngobukho bamaqhubu angawona aphezulu.okanye ukubuyela ngokukhawuleza kwethumba kwiinyanga ezininzi emva kotyando. Eli chiza lihanjiswa kanye ngeveki kangangeeveki ezintandathu, kwiklinikhi ye-urological, isebenzisa i-catheter emncinci efakwe kwisinye. Emva kokuphatha iyeza, isiguli sicelwa ukuba siyeke ukuchitha iiyure ezimbini. Isigulana sinokufumana imvakalelo evuthayo xa uchama kunye nemvakalelo engathandekiyo kwisisu esisezantsi, nangona kunjalo, badlula ngokukhawuleza.     Isundu singene emngxunyeni, singene kwiindonga zesinye. Kule meko, ukuvela kwakhona kwe-tumor kwi-urethra akwanele. Ngokwesiqhelo, kuya kufuneka ukuba ususe ibhedi yonke ngaphambiliukuvula isisu esiswini. Injongo yokuphinda i-bladder isuse ngokupheleleyo iiseli zomhlaza emzimbeni ukuze ziphinde ziphile.     Emva kokumiswa kwakhona kwe-bladder, kufuneka kufakwe enye endaweni yakhe ukumvumela ukuba achame. Kukho iindlela ezininzi zokukhetha ezinokuthi zitshintshe    Umchamo ungena ngokuthe ngqo kwiibhegi ezixhonywe eludongeni lwesisu.     Ukwenza enye ipokhethi yomchamo kwindawo yomzimba (kufuna ukwenziwa kwe-catheter kaninzi ngemini ukukhupha ipokotho yomchamo).     Enye ipokhethi yomchamo kwindawo yomzimba evumela ukuchama okuqhelekileyo ngokusebenzisa urethra.MhlawumbiNgaba kukho ukubuyela kwakhona ngokupheleleyo?Impendulo ayithandabuzi: ewe. Uninzi lwamaqhubu ebadinadethi zizinto ezingaphezulu nje. Ukukhupha ithumba ngokuhamba kwe-urethra (ngamanye amaxesha ngokudibeneyo kunye nokuqaliswa kwe-BCG kwisinye) kukhokelela ekunyamalaleni kwayo ngokupheleleyo. Rhoqo, emva kwexesha elithile, ithumba liyavela, kodwa ngokuhlolwa rhoqo, unokuyifumana kwasekuqaleni kwaye uyixhathise ngempumelelo. Uvavanyo lweklinikhi lubandakanya i-urinalysis, i-cystoscopy kunye ne-tomography ye-urethra. Ixesha elininzi lidlulile kunyango lokugqibela, kuya kufuneka ukuba uhlolwe rhoqo. Kubalulekile ukuba ukhumbule ukuba ukutshaya kuyayandisa ingozi yakho.ukuphinda uvele esibelekweni; ke, ukuba uyatshaya, kufuneka uyeke lo mkhwa ombi.Amaqumza angena nzulu eludongeni lwebhedi anokunyangeka ngokupheleleyo ngoncedo lokuvela kwakhona. Kwiimeko ezininzi, kuyenzeka ukuba kubekho enye ibladder evumela ukuchama okuqhelekileyo ngokusebenzisa urethra. Ndiyabulela kule nto, isiguli asikwazi kuphela ukululama ngokupheleleyo, kodwa kwakhona sibuyele ekusebenzeni kwesiqhelo esiqhelekileyo kuye.Shiya isicelo kwiwebhusayithi yethu kwaye iingcali zethu ziya kunxibelelana nawe kwaye zikuncede ukhethe ezona klinikhi zibalaseleyo ngokubhekisele kwimeko yakho yasimahla.