ʻO ka maʻi hōʻokoʻa

ʻO ka maʻi hōʻokoʻa

Hiki i nā pūpū bladder kauā ou hoʻomākeʻe. ʻO kēia ke kumu e kamaʻilio pinepine ai mākou e pili ana i nā polyps, nā tumors a i ʻole ke kanesa. ʻOiaʻiʻo, aia kahi ākea ākea o nā pūpū bladder e kū ana mai ka benign a i ka weliweli loa. No kēia kumu, he mea nui ka nānā ʻana i nā ʻōpuʻu o ka puhā ma lalo o kahi microscope i mea e hoʻokumu ai i kahi ʻike pololei e hoʻoholo ai i ke ʻano o ka lapaʻau.

I ka hapa nui o nā hihia, hoʻomohala kēia mau tumors mai nā hunaola i ka uhi o loko o ka puhaka e hoʻomaka ai e hoʻonui: kapa ʻia lākou he urothelial.

Me 7 mau hihia hou i manaʻo ʻia ma 100 ma Kanada, ʻo ka maʻi ʻaʻai bladder ʻo ia ka 2010e ʻike pinepine ʻia ka maʻi ʻaʻai i kēia ʻāina. I Palani, e like me ka hōʻike 2012, ʻo ia ka 5th ʻo ka maʻi ʻaʻai nui a me ka maʻi ʻaʻai urinary ma hope o ka maʻi ʻaʻai prostate. Hana ʻia ia i ka poʻe ʻelemakule 60 a ʻoi.

La bladder he ʻōpū hakahaka i loko o ka ʻāpana pelvic. ʻO kāna hana ka mālama ʻana i ka mimi i hua ʻia e nā puʻupaʻa ʻelua nāna ka hana o nā kānana i hiki i ke kino ke hoʻopau i kekahi mau ʻōpala i ke ʻano o ka mimi. Hoʻokomo ʻia ka mimi i ka puhā ma o nā paipu 2: nā ureter. Hoʻopiha iki ka puhaka, a piha, nā mākala i loko o ka paia o kēia ʻōpala i hoʻohālikelike ʻia e hoʻoneʻe mimi ma loko kekahi Tube ma o ka urethra. Kapa ʻia kēia ka mimi ʻana.

I ka hana mau ʻana o ka mimi, me ka ʻole o ka hana o ka waihona o ka ʻai, pono mākou e hoʻopau mau loa ia.

ʻO nā maʻi ʻaʻai ʻokoʻa

I kēia manawa ʻelua ʻano nui o nā tumad waiū: nā tumors i ʻole e hoʻopili i ka mākeke o ka maʻi ʻaʻa (TVNIM), i kapa ʻia ma mua he mau tumors superficial, a me nā mea e hoʻopili ana i ka mākala hollow o ka puhaka (TVIM), i kapa ʻia he mau invasive tumors. ʻO kā lākou ala, mālama a me ka ulu ʻana he ʻokoʻa.

Hiki ke hoʻololi

ʻO nā Tumors i ʻole e hoʻopili i ka mākeke o ka bladder (TVNIM) ʻike ʻia e a ke kiʻekiʻe kiʻekiʻe o ka hoʻi hou ʻana (60-70% i ka makahiki mua), ʻo ia hoʻi ma hope o ka lapaʻau ʻana, ke luku ʻia ka tumo, pono ke kanaka e mālama ʻia hahai a hana i nā hoʻokolohua kānana maʻamau no kekahi mau makahiki a i ʻole ke ola. ʻO kahi liʻiliʻi liʻiliʻi (10 a 20%) hiki ke holomua i nā ʻano invasive a me nā metastases.

Ke pālahalaha ka tumo i Muscle pūpū (TVIM), aia kahi pilikia o ka hoʻouka ʻana i kekahi mau mea kokoke a i ʻole ka hoʻolaha ʻana i nā wahi ʻē aʻe o ke kino (nā lymph node, nā iwi, a me nā mea ʻē aʻe) ma o ke koko, e hana ana i nā metastases.

Hoʻohuli ʻia ka makaʻu o ka hoʻi hou ʻana a me ka wānana e kekahi mau kumu, e like me ke ʻano o ka tumo, kona pae a me ka nui, ka helu o nā liona, a me ke ʻano a me nā makahiki o ke kanaka i hoʻopilikia ʻia.

Nā hōʻailona o ka maʻi

  • I 80% a 90% o nā hihia, ke ʻano o ke koko i ka mimi (hematuria) ka hōʻailona mua o ka maʻi ʻaʻa maʻi. ʻO ke kala i ʻike ʻia mai ka ʻulaʻula a i ka ʻalani ʻalani. I kekahi manawa hiki ke ʻike ʻia ke koko i ka mimi me kahi microscope (microscopic hematuria).
  • ʻOi aku ka liʻiliʻi, he urinary burns paha ia, kahi pinepine a ʻoi aku paha o ka wikiwiki e mimi.

ʻAʻole kuhi kēia mau ʻōuli i ke alo o kahi tumo malignant. ʻO kēia no ka mea hiki iā lākou ke hōʻailona o nā pilikia e like me nā manawa maʻamau, e like me ka maʻi urinary tract. Inā kū kēlā mau ʻōuli, pono e ʻike i ke kauka e kauoha i nā hoʻokolohua e hoʻoholo ai i ke kumu o nā ʻōuli.


Kanaka pilikia

  • ʻO ka poʻe i loaʻa i ka maʻi ʻaʻai ʻē aʻe o ka maʻi urinary.
  • ka na kanaka ʻoi aku ka makaʻu ma mua o ka wahine;
  • ʻO ka poʻe i loaʻa i kahi maʻi mau loa o ka bladder me kahi parasite, ʻO Billiardziasis.

Ka manaʻo o kā mākou kauka

Ma ke ʻano he ʻano kūpono, hoʻokipa aku ʻo Passeportsanté.net iā ʻoe e ʻike i ka manaʻo o kahi ʻoihana olakino. ʻO Kauka Geneviève Nadeau, ke kauka noho i urology, hāʻawi iā ʻoe i kona manaʻo no ka bladder maʻi 'aʻai :

ʻO ka wānana no ka mea i kapa ʻia ʻo "superficial" canad bladder (TVNIM) ʻoi aku ka maikaʻi. ʻO ka helu ola 5 mau makahiki ma hope o ka mālama ʻana ma ke ʻano o 80% a 90%. Akā loaʻa pinepine kēia mau tumors i ka hoʻi hou, no laila ka mea nui o ka nānā ʻana i ka lāʻau lapaʻau i nā poʻe āpau me ka maʻi ʻaʻai. E hoʻokau i nā kuʻina i kou makemake, pono e mālama i kēia kau manawa no ke koena o kou ola. Pono e hana i nā hoʻokolohua lapaʻau like ʻole (cystoscopies a me cytology) i nā wā maʻamau. Hiki i kēia mau mea ke ʻike koke i ka hoʻi hou ʻana o ka tumo a mālama iā ia i ka hiki wawe. Hoʻoemi kēia i ka makaʻu o ka tumo e lilo i "infiltrative", a ʻoi aku ka maikaʻi ʻole o ka prognosis.

ʻO ka mea hope loa, ʻo ke ala ʻoi loa e pale aku ai i ka maʻi ʻaʻai bladder ʻaʻohe kānalua no ka hoʻomaka ʻole ʻana i ka puhi puhi a haʻalele paha i ka puhipaka.

Dre ʻO Geneviève Nadeau, ke kauka noho i urology

Nānā Lapaʻau (Pepeluali 2016): Dre ʻO Geneviève Nadeau, ke kauka noho i urology, ka noho no kahi ala i hoʻohui ʻia i ka pale ʻana, Université Laval

 

 

Waiho i ka Reply