Kanesa maʻi ʻaʻai

Anter

• Nā ʻano maʻi ʻaʻai o ka maʻi ʻaʻai
• Carcinoma kelepaʻi hoʻololi
• Ka maʻi kanesa puʻukū
• Adenocarcinoma
• He aha nā ʻōuli o ka maʻi ʻaʻai bladder?
• He aha ke kumu o ka maʻi ʻaʻai?
• ʻO wai ka mea e makaʻu i ka maʻi ʻaʻai?
• Pehea e ʻike ʻia ai ka maʻi ʻaʻai?
• Pehea e mālama ʻia ai ka maʻi ʻaʻai?
• Lapaʻau no ka pae 0 a me ka pae 1
• Hoʻomaʻo no ka pae 2 a me ka pae 3
• Lapaʻau no ka maʻi ʻehā maʻi maʻi ʻaʻai
• He aha ke kuanaʻike no ka poʻe me ka maʻi ʻaʻai pākī?
• Kāohi
• Q:
• A:

He aha ka maʻi ʻaʻai pākī?

Loaʻa ka maʻi ʻaʻai o ka puhā ma nā aʻa o ka pūpū, ʻo ia ka lālā i loko o ke kino e paʻa ana i ka mimi. Wahi a ka National Institutes of Health, ma kahi o 45,000 mau kāne a me 17,000 mau wahine i kēlā me kēia makahiki e ʻike ʻia me kēia maʻi.

Nā ʻano maʻi ʻaʻai o ka maʻi ʻaʻai

ʻEkolu ʻano o ke kanulau maʻi ʻaʻai:

Carcinoma kelepaʻi hoʻololi

ʻO ka maʻi kanesa transitional ke ʻano maʻamau o ke kanulau maʻi ʻaʻa. Hoʻomaka ia i nā keena hoʻololi i ka papa o loko o ka huki. ʻO nā keena transitional nā hunaola e loli i ke ʻano me ka ʻole e hōʻino ʻia ke kikoo ʻia ke kiko.

Ka maʻi kanesa puʻukū

ʻO ka maʻi kanesa maʻi kanesa kahi maʻi ʻaʻai laha ʻole ia ma ʻAmelika Hui Pū ʻIa. Hoʻomaka ia ke hana a lahilahi nā papa squamous pālahalaha i loko o ka pākeke ma hope o ka maʻi lōʻihi a i ʻole ka huhū i loko o ka puhā.

Adenocarcinoma

ʻO Adenocarcinoma kekahi maʻi ʻaʻai liʻiliʻi loa i ʻAmelika Hui Pū ʻIa. Hoʻomaka ia i ka wā e hana ai nā hunaola glandular i loko o ka puhū ma hope o ka ukiuki a me ka mumū o ka wā lōʻihi. ʻO nā hunaola glandular ka mea e hana i nā gland-secreting glands i ke kino.

He aha nā ʻōuli o ka maʻi ʻaʻai bladder?

Hiki i nā poʻe he nui me ka maʻi ʻaʻai pūhū ke loaʻa i ke koko i kā lākou mimi akā ʻaʻohe ʻeha ʻoiai e mimiki ana. Aia kekahi mau ʻōuli e hōʻike i ka maʻi ʻaʻai bladder e like me ka luhi, ka pohō kaumaha, a me ka palupalu o ka iwi, a hiki i kēia mau mea ke hōʻike i ka maʻi ʻoi loa. Pono ʻoe e nānā pono i nā ʻōuli penei:

• koko i ka mimi
• urination ʻeha
• urination pinepine
• urination wikiwiki
• incontinence mimi
• ʻeha ma kahi o ka ʻōpū
• ʻeha ma ka ʻaoʻao haʻahaʻa

He aha ke kumu o ka maʻi ʻaʻai?

ʻAʻole ʻike ʻia ke kumu kūpono o ka maʻi ʻaʻai. Kū aʻe ia i ka wā e ulu a hoʻonui pinepine ai nā hunaola kūlohelohe a kāohi ʻole ʻia, a hoʻouka i nā mea ʻē aʻe.

ʻO wai ka mea e makaʻu i ka maʻi ʻaʻai?

Hoʻonui ka puhihihi ʻana i kou makaʻu i ka maʻi ʻaʻai. Hoʻokumu ka puhihaka i ka hapalua o nā maʻi ʻaʻai āpau i nā kāne a me nā wahine. Hoʻonui pū nā mea aʻe i kou makaʻu i ka hoʻomohala ʻana i ka maʻi ʻaʻa bladder:

• ke kuʻi ʻana i nā kemika
• nā maʻi pākī paʻa
• hoʻemi wai hoʻohaʻahaʻa
• he kāne
• keʻokeʻo
• ʻoi aku ka nui, ʻoiai ka hapanui o nā maʻi ʻaʻai o ka maʻi i loaʻa i ka poʻe ma mua o 55 mau makahiki
• ʻai i ka papaʻai momona kiʻekiʻe
• ka loaʻa ʻana o ka moʻolelo ʻohana o ka maʻi ʻaʻai o ka maʻi ʻaʻai
• me ka mālama mua ʻana me ka lāʻau chemotherapy i kapa ʻia ʻo Cytoxan
• ka loaʻa ʻana o ka radiation radiation mua e mālama ai i ka maʻi ʻaʻai i ka wahi pelvic

Pehea e ʻike ʻia ai ka maʻi ʻaʻai?

Hoʻomaopopo paha kāu kauka i ka maʻi ʻaʻai bladder e hoʻohana nei i hoʻokahi a ʻoi paha o kēia mau hana.

• he urinalisis
• kahi hoʻokolohua kūloko, e pili ana i kāu kauka e hoʻokomo i nā manamana lima lima i loko o kāu ʻōpala a i ʻole ka pololei e manaʻo ai no nā puʻupuʻu e hōʻike paha i kahi ulu maʻi ʻaʻai.
• kahi cystoscopy, kahi e hoʻokomo ai i kāu kauka i ka hoʻokomo ʻana i kahi paipu liʻiliʻi i loaʻa kahi kāmela liʻiliʻi ma luna o ia ma o kāu urethra e ʻike ai i loko o kāu puhā.
• kahi biopsy kahi e hoʻokomo ai kāu kauka i kahi mea hana liʻiliʻi ma o kāu urethra a lawe i kahi liʻiliʻi o nā mea mai kāu kīʻaha e hoʻāʻo ai no ka maʻi ʻaʻai.
• kahi CT scan e ʻike ai i ka ʻōpū
• kahi pyelogram intravenous (IVP)
• Nā kukuna X

Hiki i kāu kauka ke helu i ka maʻi ʻaʻai me ka ʻōnaehana hoʻonohonoho e hele ana mai nā pae 0 a 4 e ʻike i ka lōʻihi o ka laha ʻana o ka maʻi ʻaʻai. ʻO ke kahua o ka maʻi ʻaʻai bladder ka mea penei:

• ʻAʻole i pālahalaha ka maʻi ʻaʻai ʻo bladder pae ma mua o ka uhi o ka ʻōpū.
• Ua hohola ka maʻi ʻaʻai bladder pae 1 ma mua o ka uhi o ka ʻōpū, akā ʻaʻole i hiki i ka papa o ka mākala i loko o ka ʻōpū.
• Ua hohola ka maʻi ʻaʻai bladder 2 i ka papa o ka mākala i loko o ka ʻai.
• Ua pālahalaha ʻia ka maʻi ʻaʻai 3 bladder i loko o nā aʻa e hoʻopuni i ka ʻai.
• Ua hohola ka maʻi ʻaʻai bladder 4 ma mua o ka ʻōpū i nā wahi kokoke o ke kino.

Pehea e mālama ʻia ai ka maʻi ʻaʻai?

E hana pū ana kāu kauka me ʻoe e hoʻoholo i ka lāʻau e hāʻawi ai e pili ana i ke ʻano a me ke kahua o kāu maʻi ʻaʻai, a me kāu hōʻailona, ​​a me kou olakino holoʻokoʻa.

Lapaʻau no ka pae 0 a me ka pae 1

ʻO ka mālama ʻana no ka pae 0 a me ka maʻi ʻaʻai 1 ka maʻi ʻaʻai e komo pū paha me ke kaha ʻana e hemo ai i ka tumo mai ka maʻi ʻaʻai, chemotherapy, a i ʻole immunotherapy, e pili ana i ka lawe ʻana i ka lāʻau e hoʻouka ai i kāu ʻōnaehana pale maʻi e hoʻouka aku i nā hunaola maʻi ʻaʻai.

Hoʻomaʻo no ka pae 2 a me ka pae 3

Hoʻomaʻamaʻa no ka pae 2 a me ka pae 3 i ka maʻi ʻaʻai.

• ka hoʻoneʻe ʻana i kahi ʻāpana o ka bladder me ka chemotherapy
• ka hoʻoneʻe ʻana i ka ʻōpū holoʻokoʻa, kahi cystectomy radical, a ukali ʻia e ke kahakaha e hana i kahi ala hou no ka mimi e puka i waho o ke kino.
• chemotherapy, radiation therapy, a i ʻole immunotherapy i hiki ke hana ʻia e hōʻemi i ka tumo ma mua o ke kahakaha ʻana, e mālama ai i ka maʻi ʻaʻaʻa inā ʻaʻole he koho ke ʻōpala, e hoʻomake i nā hunaola maʻi ʻea ma hope o ke kaha ʻana, a i ʻole e pale i ka maʻi ʻaʻai.

Lapaʻau no ka maʻi ʻehā maʻi maʻi ʻaʻai

Hoʻomaʻo ʻia no ka pae 4 i ka maʻi ʻaʻai maʻi:

• chemotherapy me ka hana ʻole e hoʻomaha i nā hōʻailona a hoʻolōʻihi i ke ola
• radst cystectomy a me ka wehe ʻana o nā lymph node a puni, ukali ʻia e kahi ʻoki e hana i kahi ala hou no ka mimi e puka i waho o ke kino.
• chemotherapy, radiation radiation, a me immunotherapy ma hope o ke kaha ʻana e pepehi i nā pūnaʻi maʻi ʻaʻai a i ʻole e hoʻokuʻu i nā ʻōuli a hoʻonui i ke ola
• lāʻau hoʻāʻo hoʻokolohua

He aha ke kuanaʻike no ka poʻe me ka maʻi ʻaʻai pākī?

Pili kāu kuana i ka nui o nā loli, me ke ʻano a me ke kahua o ka maʻi ʻaʻai. Wahi a ka American Cancer Society, ʻo nā helu ola ola ʻelima mau makahiki ma ke kahua ke ʻano penei:

• ʻO ke ola ola ʻelima mau makahiki no ka poʻe me ka maʻi ʻaʻa pae 0 bladder ma kahi o 98 pākēneka.
• ʻO ke ola ola ʻelima mau makahiki no ka poʻe me ka maʻi ʻaʻai bladder pae ma kahi o 88 pākēneka.
• ʻO ke ola ola ʻelima mau makahiki no ka poʻe me ka maʻi ʻaʻai 2 pae ma kahi o 63 pākēneka.
• ʻO ke ola ola ʻelima mau makahiki no ka poʻe me ka maʻi ʻaʻai 3 pae o ka maʻi ma kahi o 46 pākēneka.
• ʻO ka helu ola ʻelima mau makahiki no ka poʻe me ka maʻi ʻaʻai pae 4 ma kahi o 15 pākēneka.

Loaʻa nā lapaʻau no nā pae āpau. Eia kekahi, ʻaʻole haʻi mau nā helu ola i ka moʻolelo āpau a ʻaʻole hiki ke wānana i kou wā e hiki mai ana. E kamaʻilio me kāu kauka e pili ana i kāu nīnau a hopohopo paha āu e pili ana i kāu hōʻailona a me kāu lāʻau.

Kāohi

Ma muli o ka ʻike ʻole o nā kauka i ke kumu o ka maʻi ʻaʻai bladder, ʻaʻole hiki ke pale ʻia i nā hihia āpau. Hiki i nā mea aʻe a me nā lawena ke hōʻemi i kou makaʻu i ka loaʻa ʻana i ka maʻi ʻaʻa maʻi.

• puhipaka ʻole
• ka ʻalo ʻana i ka uahi paka paka
• e hōʻalo nei i nā kemikino carcinogenic ʻē aʻe
• inu wai nui

Q:

He aha ka hopena o ka mālama ʻana i ka maʻi ʻaʻai bladder ma nā hana kino ʻē aʻe, e like me ka neʻe ʻana o ka ʻōpū?

A:

Hoʻololi ka hopena o ka mālama ʻana i ka maʻi ʻaʻai bladder i nā hana kino ʻē aʻe e like me ka mālama ʻana i loaʻa. ʻO ka hana moekolohe, ʻo ka hana ʻana i ka sperm, hiki ke hoʻopili ʻia e ka cystectomy radical. ʻO ka hōʻino i nā aʻalolo ma ka wahi pelvic hiki i kekahi manawa ke hoʻololi i ke kūkulu ʻana. ʻO kou neʻe ʻana o kou ʻōpū, e like me ke kū ʻana o ka maʻi pākī, e hoʻopili ʻia paha e ka radiation radiation i kēlā wahi. - Ke Keʻena Lapaʻau Ola