Nā kumu kūpilikiʻi a me ka pale ʻana i ka maʻi ʻaʻa maʻi

Nā kumu kūpilikiʻi a me ka pale ʻana i ka maʻi ʻaʻa maʻi

Nā mea pilikino 

  • Puhi paka: ʻoi aku i ka hapalua o nā hihia maʻi ʻaʻai o ka maʻi ʻaʻai. ʻO ka e uwahi ana (nā puhipaka, nā paipu a i ʻole nā ​​sika) ʻaneʻane ʻekolu mau manawa i ʻoi aku ma mua o ka poʻe puhipaka ʻole e loaʻa maʻi ʻaʻai o ka bladder1.
  • Hoʻolālā lōʻihi i kekahi huahana kemika ʻoihana (nā peʻa, aila lānahu a me ka pitch, soot kuni ahi, nā ʻākena amine a me N-nitrodibutylamine). Hoʻoweliweli ʻino nā poʻe hana i ka pena ʻana, ka pehu, ka tar a me nā ʻoihana metallurgical. ʻO ka maʻi ʻaʻai ʻōpala kekahi o nā maʻi ʻoihana hana ʻekolu i ʻike ʻia e ka World Health Organization3. No laila e ʻimi kekahi kanesa maʻi ʻaʻa.
  • kekahi nā lāʻauʻona Loaʻa i ka cyclophosphamide, hoʻohana pono ʻia i ka chemotherapy, hiki ke kumu i ka maʻi ʻaʻai urothelial.

  • La aila o ka pelvic region (ka pelvis). ʻO kekahi mau wahine i loaʻa i ka radiation radiation no ka maʻi ʻaʻai cervier ma hope e hoʻomohala i kahi maʻi tumā bladder. Hoʻonui pū ka maʻi ʻaʻai Prostate me ka radiation therapy i ka makaʻu o ka maʻi ʻaʻai o ka maʻi ʻaʻai, akā ma hope o 5 mau makahiki (4).

 

Kāohi

Nā hana pale maʻamau

  • Mai puhi a haʻalele i ka puhi pua ʻana hōʻemi nui i nā pilikia;
  • Hōʻike ʻia ka poʻe i huahana kemika ʻO nā carcinogens i ka wā o kā lākou hana pono e hoʻokō me nā kaʻina palekana. Pono e hana ʻia nā hoʻokolohua screening 20 mau makahiki ma hope o ka hoʻomaka ʻana o ka ʻike ʻana i kēia mau huahana.

ʻO ka loiloi diagnostic a me ka hoʻonui ʻana

Loiloi diagnostic

Ma waho o ka hoʻokolohua hoʻokolohua, pono kekahi mau noiʻi no ka ʻike ʻana.

• Ninaninau mimi e hōʻalo i ka maʻi (ECBU a i ʻole cyto-bacteriological ninaninau o ka mimi).

• Ke nānā nei ʻo Cytology i nā hunaola ʻino i ka mimi;

• Cystoscopy: ninaninau pololei ʻana i ka ʻōpū ma ka hoʻokomo ʻana i kahi paipu e loaʻa ana nā olonā i loko o ka urethra.

• Ninaninau ʻia ʻo microscopic o ka lesion i hoʻoneʻe ʻia (anatomo-pathological examination).

• Nīnaninau fluorescence.

Loiloi o ka hoʻolōʻihi

ʻO ke kumu o kēia loiloi e ʻike inā ʻike lōkō ʻia ka tumo i ka paia bladder a i ʻole ua pālahalaha ʻia ma kahi ʻē.

Inā he tumew superficial o ka bladder (TVNIM), kūlike ʻole ʻia kēia loiloi a koe wale no ka hana ʻana i kahi scan CT urological e nānā no nā mea ʻino ʻē aʻe i ka mimi. .

I ka hanana o kahi tumo hōʻeuʻeu nui aʻe (IMCT), ʻo ka ninaninau kuhikuhi ʻana he CT scan o ka umauma, ʻōpū, a me ke pelvis (ʻaoʻao haʻahaʻa o ka ʻōpū kahi i loaʻa ai ka pūpū) e hoʻoholo ai i ka hopena o ka tumo, a ʻo ʻo kona hoʻolōʻihi ʻia i nā lymph node a me nā mea ʻē aʻe.

Pono paha nā mākaʻikaʻi ʻē aʻe e pili ana i ka hihia.

 

 

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