Pelvis Renal a i ʻole ka maʻi ʻaʻai ureter

ʻO ka maʻi ʻaʻai o ka pelvis renal a i ʻole ureter kahi maʻi ʻaʻai e hana i ka pelvis o ka puʻupaʻa a i ʻole ka paipu (ureter) e lawe i ka mimi mai ka puʻupaʻa i ka pūpū.

Hiki ke ulu ka maʻi ʻaʻai i loko o ka ʻōnaehana hōʻiliʻili mimi, akā maʻamau ʻole ia. ʻO nā pelvis Renal a me nā maʻi ʻaʻai ureter e hoʻopili pinepine i nā kāne ma mua o nā wahine. ʻOi aku ka maʻamau o kēia mau maʻi ʻōpala i ka poʻe ma mua o 65.

ʻAʻole ʻike ʻia nā kumu kūpono o kēia maʻi ʻaʻai. Lōʻihi (wā lōʻihi) ukiuki o ka hakuʻala mai nā mea ʻinoʻino i hoʻoneʻe ʻia i ka mimi he kumu paha. Hiki ke kumu o kēia hoʻonāukiuki e:

• Nā hōʻino kīwaha mai nā lāʻau, ʻoi aku ka nui no ka ʻeha (analgesic nephropathy)
• Hōʻike i kekahi mau kala a me nā kemika i hoʻohana ʻia e hana i nā huahana ʻili, nā lole, nā mea lula, a me ka lākeke
• Puhipaka

ʻO ka poʻe i loaʻa i ka maʻi ʻaʻai ʻōpala e makaʻu pū kekahi hoʻi.

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• ʻEha mau o ke kua
• Koko i ka mimi
• Puhi ʻana, ʻeha, a i ʻole hōʻoluʻolu ʻole me ka mimiki
• Ka luhi
• ʻEha Flank
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia
• Loaʻa ka ʻai ʻole
• Anemia
• ʻO ka pinepine urinary a i ʻole ka wikiwiki

E hana ka mea mālama ola i kahi hoʻokolohua kino, a nānā i kou wahi ʻōpū (ʻōpū). I nā hihia maʻamau, hōʻike paha kēia i kahi puʻupaʻa i hoʻonui ʻia.

Inā hana ʻia nā hoʻokolohua:

• Hōʻike paha ka urinalysis i ke koko i ka mimi.
• Hiki i kahi helu piha o ke koko (CBC) ke hōʻike i ka anemia.
• Hiki ke hōʻike i ka cytology mimi (ka nānā ʻana microscopic o nā hunaola) i nā hunaola maʻi ʻaʻai.

ʻO nā hoʻokolohua ʻē aʻe i kauoha ʻia e komo pū:

• Scanner CT ʻōpū
• Pākuʻi x-ray
• Cystoscopy me ka ureteroscopy
• ʻO ka pyelogram Intravenous (IVP)
• Pākuʻi ultrasound
• MRI o ka ʻōpū
• Mīkini hōʻeuʻeu

Hōʻike paha kēia mau hoʻāʻo i kahi tumo a hōʻike paha i ka pā ʻana o ka maʻi ʻaʻai mai nā puʻupaʻa mai.

ʻO ka pahuhopu o ka mālama ʻana e hoʻopau i ka maʻi ʻaʻai.

Hiki ke hoʻohana ʻia nā kaʻina hana e mālama ai i ke ʻano.

• Nephroureterectomy - pili kēia i ka hemo ʻana o nā puʻupaʻa holoʻokoʻa, ureter a me ka cuff bladder (nāʻaʻaʻa e hoʻopili ana i ka ureter i ka pūpū)
• ʻO Nefrectomy - Hana ʻoki ʻia e wehe i nā mea āpau a ʻāpana paha o ka puʻupaʻa e hana pinepine ʻia. Pākuʻi paha kēia i ka hoʻoneʻe ʻana i kahi ʻāpana o ka bladder a me nā aʻa a puni, a i ʻole nā ​​lymph node.
• Ureter resection - ʻoki kino e hoʻoneʻe i kahi ʻāpana o ka ureter e loaʻa ana i ka maʻi ʻaʻai, a me kekahi mea olakino a puni ia. Hiki ke hoʻohana ʻia i kēia inā ʻo nā tumors superficial i loaʻa ma ka ʻaoʻao haʻahaʻa o ka ureter kokoke i ka puhaka. Hiki i kēia ke kōkua i ka mālama ʻana i ka hakuʻala.
• Chemotherapy - Hoʻohana ʻia kēia ke hoʻolaha ka maʻi ʻaʻai ma waho o ka puʻupaʻa a i ʻole ka ureter. Ma muli o ke kūlike o kēia mau tumors me kekahi ʻano o ka maʻi ʻaʻai bladder, mālama ʻia lākou me kahi ʻano chemotherapy like.

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

Hoʻololi nā hopena, e like me ka wahi o ka tumo a inā ua pāhola ka maʻi ʻaʻai. ʻO ke kanesa e pili wale ana i ka hakuʻala a i ʻole ka ureter hiki ke hoʻōla ʻia me ke ʻoki.

ʻO ka maʻi ʻaʻai i pālahalaha ʻia i nā meaola ʻē aʻe, ʻaʻole hiki ke mālama ʻia.

Komo pū nā pilikia mai kēia maʻi ʻaʻai:

• Hewa ʻole nā ​​hakuʻala
• Hoʻolahalaha kūloko o ka tumo me ka hoʻonui ʻana i ka ʻeha
• Ka hohola ʻana o ka maʻi ʻaʻai i ka maʻi māmā, ke ake, a me ka iwi

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o nā ʻōuli i helu ʻia ma luna.

Nā ana i hiki ke kōkua i ka pale ʻana i kēia maʻi ʻaʻai:

• E hāhai i ka ʻōlelo aʻoaʻo a kāu mea hāʻawi e pili ana i nā lāʻau, e like me ka lāʻau ʻeha ma luna o ka counter.
• Uoki ka puhipaka.
• E komo i nā pono hana pale inā ʻike ʻia ʻoe i nā lāʻau ʻona ʻona i nā puʻupaʻa.

Ka maʻi ʻaʻai kelehe o ke pelvis renal a i ʻole ureter; Ka maʻi ʻaʻai kidney - pelvis renal; Maʻi ʻaʻai Ureter; Carcinoma Urothelial

• Anatomia hakuʻala

ʻO Bajorin DF. Nā tumors o ka puʻupaʻa, loko, ureter, a me nā pelvis renal. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 187.

Pūnaewele ʻo National Cancer Institute. www.cancer.gov/types/kidney/hp/transitional-cell-treatment-pdq. Hoʻohou i Ianuali 30, 2020. Loaʻa iā Iulai 21, 2020.

Wong WW, Daniels TB, Peterson JL, Tyson MD, Tan WW. ʻO ka maʻi kanake a me ka ureteral I: Tepper JE, Foote RL, Michalski JM, eds. ʻO Gunderson & Tepper's Clinical Radiation Oncology. 5th lā. Piladelapia, PA: Elsevier; 2021: chap 64.