Ukwelashwa komdlavuza we-bladder

Umdlavuza we-bladder umdlavuza wesine ojwayelekile kakhulu phakathi kwabesilisa; kwabesifazane, kuvame kakhulu. Njengomthetho, isimila sesigaxa sikhula kancane, futhi singalawulwa ngempumelelo ngaphandle kokuhlinzwa okukhulu. Ngaphezu kwalokho, ezimweni eziningi zomdlavuza wesinye, ingozi yokuthola isimila esisongela impilo incane kakhulu. Ukuxilongwa kusenesikhathi kanye nokuhlolwa njalo kubalulekile ukuze uphumelele ekwelashweni.Izimpawu zomdlavuza wesinyeIsibonakaliso esivame kakhulu somdlavuza wesinye ukuvela kwegazi emchameni. Kwesinye isikhathi kungabonakala ngeso elinqunu, kepha imvamisa ubukhona bamangqamuzana egazi bungabonakala kuphela phakathi nokujwayelekileurinalysis. Ukuvela kwegazi kumchamo kungahle kuhambisane nemizwa engathandeki ngenkathi uchama (imvamisa ichazwa ngokuthi “ukushisa”). Ngaphezu kwalokho, ukuchama kungaba njalo futhi kuphuthumayo kunokujwayelekile. Esikhathini sokuqala kwesifo, ezinye izimpawu azikho. Ngakho-ke, uma kunegazi umchamo noma uma kungaphazamiseka umchamo, ukuhlolwa kufanele kuthathwe ngokushesha. Kubalulekile ukukhumbula ukuthi lezi zimpawu azivezi ubukhona besimila - zingabangelwa nangamatshe, ukuvuvukala kwe-urethra, i-prostate eyandisiwe, njll. Kunoma ikuphi, imbangela yalezi zimpawu kumele inqunywe ngokuqondile.Kanjaniutholakala ukuthi unomdlavuza wesinye?Uma kutholakala igazi emchamweni, kufanele kwenziwe izivivinyo eziningana ukukhipha isimila sesinye. Lesi sifo yisibopho se-urology, ngakho-ke noma ngabe uye kudokotela womndeni, kufanele uvakashele udokotela oyi-urologist. Ngemuva kokucacisa umlando wezokwelapha kanye nokuhlolwa ngokomzimba, kuzodingeka ukuthi uhlole amasheke amaningi angeziwe, ngokuvamile awudingi ukwelashwa esibhedlela.Ngesikhathi se-cystoscopy, i-endoscope emincane ifakwa ngokusebenzisa i-urethra (urethra) esikhwameni. Ngalo, ungabheka ngokucophelela isikhala sangaphakathi sesinye bese ubheka ukuthi kunama-tumors noma ezinye izifo. Ungathatha futhi isampula odongeni.isinye (i-biopsy). Ukuhlolwa kwenziwa elele phansi, ngaphansi kwe-anesthesia yendawo, futhi akudingi ukuthi kungeniswe esibhedlela. Ngemuva kwe-cystoscopy, umuzwa ovuthayo omncane ngesikhathi sokuchama kungenzeka, ozodlula ngemuva kosuku noma ezimbili. Ukuphuza uketshezi oluningi kulezi zinsuku kunconywa.I-urography ye-CT is a scan compact tomography scan lapho i-ejenti ehlukile ifakwa emzimbeni futhi igxilike ngokushesha ku-urethra. Ngemuva kwalokhu, i-compact tomography ikhombisa isimo sezinso, i-ureters kanye nesinye. Uma isiguli sinesifo somoya noma i-allergic izidakamizwa noma iodine, kufanele kuthathwe imithi ekhethekile ngaphambi kwenqubo ukuvikela ukusabela komzimba. Kubalulekile ukuqaphela ukuthi i-ultrasound ne-compact tomographyizinso akwanele ukunikeza incazelo eqeda futhi engaxakanisi yezimbangela zegazi kumchamo.Ukwelashwa umdlavuza we-bladderIsinyathelo sokuqala ukususa isimila. Izicubu ezisusiwe zithunyelwa elabhoratri ukuthola ukuthi hlobo luni lwesisu kanye nokujula kokungena kwalo odongeni lwesinye. Ukususwa kwesimila (noma ukumiswa kabusha kwaso) kuvame ukwenzeka ngesikhathi esibhedlela. Ukusetshenzelwa kabusha kwenziwa ngaphansi kwe-anesthesia usebenzisa i-cystoscope-efana ne-into efakwa ngokusebenzisa i-urethra (urethra), ngaphandle kokuvuleka noma ukuvula i-patity yesisu. Ezimweni eziningi, ngemuva kokutholakala kwesimila, isiguli simenyelwa ekuhlinzweni okuhleliwe. Kodwa-ke, ezimweni lapho i-tumor iholela khonaukopha okungapheli, kudinga ukuhlinzwa okuphuthumayo. Njengomthetho, resection tumor iholela ekumisweni kokuphuma kwegazi. Kwesinye isikhathi ukususwa ngokuphelele kwe-tumor akunakwenzeka ngenxa yobukhulu bayo noma ukujula kokungena ngaphakathi odongeni lwesinye. Ezimweni ezinjalo, i-biopsy izokwenziwa ukubheka uhlobo lwesimila nokujula kokungena kwalo, emva kwalokho kuzosetshenziswa ezinye izindlela zokwelapha. Ngemuva kokuhlinzwa, i-catheter izoshiywa esinyeni i-urethra izinsuku eziningana ukuze isilonda sokuhlinzwa singaphola. Ezinsukwini zokuqala ngemuva kokuhlinzwa, kungahle kube nokopha okuncane okuvela esinyeni, okufanele kuyeke kancane kancane. Ngemuva kokususwa kwe-catheterukuzwa kuphuthuma futhi kuvutha, noma kubuhlungu lapho uchama. Imvamisa, lokhu kuphazamiseka kungokwesikhashana. Ezimweni eziningi, isiguli sizokwazi ukubuyela ekhaya sisebenze ngokujwayelekile izinsuku ezingama-2-3 ngemuva kokuhlinzwa. Isinqumo sokuqhubeka nokwelashwa kuya ngemiphumela yokuhlolwa kwe-histological (uhlobo lwe-tumor nokujula kokungena).Isigaba sesibili sokwelashwa singafaka izindlela ezintathu.    Isimila esigqamile, hhayi ukungena ngaphandle kwe-epithelium yesikhashana. Kulokhu, ukwelashwa okuqhubekayo akudingekile. Ngaphandle kwalokhu, izimila ezinjengalezi zivame ukwenzeka futhi, ikakhulukazi eminyakeni yokuqala ngemuva kokuhlinzwa. Ngalesi sizathu, ikakhulukaziKubalulekile ukuthi uhlolwe njalo emtholampilo we-urological.     Isimila singene ngale kwe-epithelium yesikhashana, kodwa asizange singene emsipha. Kulokhu, sikhuluma futhi ngesimila esikhulukazi, kepha kuyadingeka ukwelashwa okuqhubekayo. Njengomthetho, umuthi okhethekile ufakelwa esikhunjeni. Umuthi ovame kakhulu futhi osebenzayo ubizwa nge-BCG. Umgomo wayo ukuthuthukisa impendulo yasendaweni yokuzivikela komzimba. Izidakamizwa ze-Cytotoxic ezibulala amaseli womdlavuza nazo ziyasetshenziswa. Inhloso ye-BCG nezinye izidakamizwa ukuvikela isimila ngemuva kokuphinda sisebenze. Lokhu kwelashwa kuyanconywa ezimweni ezinjengokuba khona kwezimila eziningi ezingeqile.noma ukubuyisa ngokushesha isimila izinyanga eziningana ngemuva kokuhlinzwa. Umuthi uphathwa kanye ngeviki cishe amasonto ayisithupha, emtholampilo we-urological, usebenzisa i-catheter emincane efakwa emabeleni. Ngemuva kokuphatha umuthi, isiguli sicelwa ukuba senqabe ukuchama amahora amabili. Isiguli singathola umuzwa ovuthayo lapho uchama kanye nomuzwa ongathandeki esiswini esingezansi, noma kunjalo, zidlula ngokushesha.     Isimila singene emthanjeni, sijule ezindongeni zesinye. Kulesi simo, ukuhlelwa kabusha kwe-tumor nge-urethra akwanele. Imvamisa, udinga ukususa wonke amabhlogo ngaphambiliukuvula isisu sesisu. Umgomo wokuqalwa kabusha kwe-bladder ukususa ngokuphelele amaseli womdlavuza emzimbeni ukuze alulame ngokuphelele.     Ngemuva kokuhlelwa kabusha kwe-bladder, kufanele kudalwe okunye ukufaka esikhundleni sakhe ukumvumela ukuba achame. Kunokukhethwa okuningana kokushintshwa okunjalo:    Umchamo ungena ngqo esikhwameni esinamathiselwe odongeni lwesibeletho.     Ukwakha enye ipokhethi lomchamo emgodini womzimba (kudinga ukwethulwa kwe-catheter kaningana ngosuku ukukhipha ephaketheni umchamo).     Isikhwama somchamo esisemgodini womzimba esivumela ukuchama okujwayelekile ngokusebenzisa i-urethra.MhlawumbeIngabe kukhona ukululama okuphelele?Impendulo ayiveli obala: yebo. Iningi lama-bladder tumors yizimila ezingasho lutho. Ukususwa kwesimila ngokusebenzisa i-urethra (kwesinye isikhathi okuhambisana nokungeniswa kwe-BCG esinyeni) kuholela ekunyamalaleni kwayo ngokuphelele. Imvamisa, ngemuva kwesikhashana, isimila siyabuya, kepha uma usihlola kaninginingi, ungasithola sisencane futhi umelane naso ngempumelelo. Ukuhlolwa kwemitholampilo kufaka i-urinalysis, i-cystoscopy kanye ne-compact tomography ye-urethra. Isikhathi esithe xaxa seludlulile ekwelashweni kokugcina, kuncane kakhulu okudingeka ukuthi uhlolwe. Kubalulekile ukuthi ukhumbule ukuthi ukubhema kukhulisa ubungozi bakho.ukubuyela kwesimila sesinye; ngakho-ke, uma ubhema, kufanele uyeke lo mkhuba omubi.Ama-tumors angena ngokujulile odongeni lwesinye angalapheka ngokuphelele ngosizo lwe-resection yalo. Ezimweni eziningi, kungenzeka ukudala elinye ibhulethi elivumela ukuchama okuvamile nge-urethra. Ngenxa yalokhu, isiguli asikwazi ukululama ngokuphelele, kodwa futhi sibuyele ekusebenzeni okujwayelekile esikujwayele.Shiya isicelo kuwebhusayithi yethu futhi ongoti bethu bazokuthinta bakusize ukhethe umtholampilo ohamba phambili ngokuhambisana necala lakho mahhala.