Holo anei ka maʻi ʻaʻai Bladder i nā ʻohana?

Anter

• Nā Kumu
• Nā kumu weliweli
• Ka hanana
• Nā ʻōuli
• ʻO ka hoʻāʻo ʻana i ka maʻi ʻaʻai
• Nā kaʻina hana loiloi
• Lapaʻau
• Outlook
• Nā ʻanuʻu aʻe

Nui a hewahewa nā ʻano maʻi ʻaʻai e hiki ke hoʻopili i ka maʻi ʻaʻai. He mea ʻokoʻa no ka holo ʻana o ka maʻi ʻaʻai bladder i loko o nā ʻohana, akā hiki i kekahi ʻano ke loaʻa ka loulou hoʻoilina.

ʻO ka loaʻa ʻana o hoʻokahi a ʻoi aku paha o nā lālā o ka ʻohana me ka maʻi ʻaʻai bladder ʻaʻole ia he kumu e loaʻa ai kēia maʻi iā ʻoe. ʻOiai paha he pāʻani nā genetics, nā kumu ʻē aʻe e hoʻopili i kāu makaʻu, e like me nā koho o ke ʻano o ke ola, aia ma lalo o kāu kaohi.

Nā Kumu

Pākuʻi ka puhi paka i kou makaʻu i ka hoʻomohala ʻana i ka maʻi ʻaʻa maʻi. Pili ka hapalua o nā maʻi ʻaʻai āpau i ka puhipaka.

ʻO kekahi poʻe me ka maʻi ʻaʻai puhā he loiloi laha ʻole i ka gen RB1. Hiki i kēia gen ke hana iā retinoblastoma, kahi maʻi ʻaʻai maka. Hiki paha ke hoʻonui i ka makaʻu maʻi ʻaʻai. Hiki ke hoʻoilina ʻia kēia hoʻololi kūʻē.

ʻO nā hoʻoilina hoʻoilina hoʻoilina ʻē aʻe a me nā laha ʻole e hoʻonui ai i ka maka maʻi ʻaʻai o ka maʻi maʻi. ʻO hoʻokahi ʻo Cowden Syndrome, ka mea e ulu ai nā ulu noncancerous he nui i kapa ʻia he hamartomas. ʻO Lynch Syndrome kekahi, kahi i pili loa me ka hoʻonui ʻia o ka makaʻu o ka maʻi ʻaʻai kolona.

Nā kumu weliweli

Nui a hewahewa nā kumu pilikia no ka maʻi ʻaʻai o ka maʻi ʻaʻai, me kēia mau mea:

ʻO nā kīnā hānau hānau ʻōpala: ʻElua hiki i nā hānau hānau maʻamau ke hoʻonui i ka makaʻu. ʻO kekahi ke koena urachus. Hoʻopili ka urachus i kou pihi ʻōpū i kāu ʻōpū ma mua o ka hānau ʻana. Nalo mau ia ma mua o ka hānau ʻana. I nā hihia maʻamau, hiki i kahi o ia ke noho a lilo i maʻi ʻaʻai.

ʻO ka exstrophy ka mea ʻē aʻe, kahi ia e kū ai ka pūpū a me ka paia o ka ʻōpū i mua o ka fuse pū i ka ulu ʻana o ka fetal. ʻO ia ke kumu i waho o ka paia o ka bladder a hōʻike ʻia. ʻOiai ma hope o ka hoʻoponopono ʻoki ʻana, hoʻonui kēia kīnā i ka makaʻu o ka maʻi ʻaʻa maʻi.

ʻIki maʻi ʻaʻai: ʻO kahi moʻolelo pilikino o ka maʻi ʻaʻai bladder e hoʻonui i kou makaʻu i ka loaʻa hou ʻana o ka maʻi. Ke loaʻa nei i nā ʻano ʻano ʻē aʻe o ka maʻi ʻaʻai, e like me ka maʻi ʻaʻai o ka maʻi urinary, e hoʻonui ai hoʻi i ka makaʻu.

Nā maʻi ʻino: Hoʻonui ka maʻi o ka maʻi maʻi bladder a i ʻole nā ​​maʻi maʻi urinary, e like me nā mea i hoʻolōʻihi ʻia i ka hoʻohana ʻana i nā catheters bladder.

Nā Parasite: ʻO kahi maʻi i hoʻokumu ʻia e kahi worm parasite, i kapa ʻia ʻo schistosomiasis, kahi mea pilikia. Eia nō naʻe, kākaʻikahi loa kēia i loko o ʻAmelika Hui Pū ʻIa.

Lāhui: Loaʻa i ka poʻe keʻokeʻo i ka maʻi ʻaʻai maʻi maʻi ma nā helu kiʻekiʻe ma mua o ka poʻe ʻEleʻele, Hispanics, a me nā ʻAsia.

Makahiki: Hoʻonui ka makaʻu o ka maʻi ʻaʻai me ka makahiki. ʻO ka makahiki maʻamau o ka ʻike he 73.

Hoohanau: ʻEkolu a ʻehā paha manawa ka nui o ka loaʻa ʻana o ka maʻi ʻaʻai bladder ma mua o nā wahine, ʻoiai ʻoi aku ka makaʻu o nā wahine puhipaka ma mua o nā kāne ʻaʻole.

Hoʻoilina: Loaʻa i kahi lālā o ka ʻohana pili me ka maʻi ke hoʻonui i kou makaʻu, ʻoiai he laha ʻole ka maʻi ʻaʻa heredary. Hiki i nā ʻōkuhi maʻi ʻaʻai ʻōpala ke hui pū ʻia i loko o nā ʻohana i hōʻike mau ʻia i nā mea like o ke kaiapuni, e like me ka uahi paka a i ʻole arsenic i ka wai. He ʻokoʻa kēia mai ka loaʻa ʻana o kahi loulou hoʻoilina.

Puhipaka: He mea nui ka pilina ma waena o ka uahi paka ʻana a me ka maʻi ʻaʻai. ʻOi aku ka makaʻu o ka poʻe puhipaka o kēia manawa ma mua o ka poʻe puhipaka, akā ʻoi aku ka kiʻekiʻe o ka makaʻala no nā hui ʻelua ma mua o ka poʻe i puhipaka ʻole ʻole.

Hōʻike kemikala: ʻO ka hōʻike ʻana i nā toxins e like me ka arsenic i loko o ka wai inu hoʻohaumia e hoʻonui i ka makaʻu. ʻO nā poʻe e hana nei me nā lole, nā kala, ka pena, a me nā huahana paʻi hiki ke hōʻike ʻia i ka benzidine a me nā mea ʻino weliweli e pili ana i ka maʻi ʻaʻai. ʻO ke kū nui i ka ʻaila diesel kekahi kumu.

Laau Lapaʻau: ʻO ka hoʻohana wā lōʻihi o nā lāʻau lapaʻau i loaʻa i ka pioglitazone e hoʻonui i ka makaʻu. Hoʻopili kēia i mau lāʻau i hoʻohana ʻia e mālama i ka maʻi diabetes type 2:

• pioglitazone (Actos)
• metformin-pioglitazone (Actoplus Met, Actoplus Met XR)
• glimepiride-pioglitazone (Duetact)

ʻO kekahi lāʻau lapaʻau e hoʻonui ai i ka makaʻu ka lāʻau chemotherapy cyclophosphamide.

ʻAno inu maikaʻi ʻole: ʻO ka poʻe inu ʻole i ka wai e hoʻonui i ka makaʻu, ma muli paha o ka loaʻa ʻana o ka lāʻau make i loko o ka puhā.

Ka hanana

Ma ʻAmelika Hui Pū ʻIa, ma kahi o 2.4 ka pākēneka o ka poʻe i ʻike ʻia me ka maʻi ʻaʻai o ka maʻi ʻaʻai ma kekahi manawa i ko lākou ola.

Nui a hewahewa nā ʻano maʻi ʻaʻai o ka maʻi ʻaʻai. ʻO ka mea maʻamau ka carotoma urothelial. Hoʻomaka kēia maʻi ʻaʻai i loko o nā hunaola e kū laina ana i ka loko o ka pale a me nā helu no nā maʻi ʻaʻai āpau. ʻO nā maʻi ʻino liʻiliʻi ʻoi aku ka nui o ka maʻi kanesa squamous a me ka adenocarcinoma.

Nā ʻōuli

ʻO ka ʻōuli maʻamau o ka maʻi ʻaʻai nui ka maʻi koko i loko o ka mimi, a i ʻole hematuria. Inā loaʻa ʻoe i ka maʻi ʻaʻa ʻai, hiki i kou mimi ke ʻākala, ʻulaʻula a ʻulaʻula paha. ʻIke wale ʻia ke koko ke nānā ʻia kou mimi ma lalo o kahi microscope.

ʻO nā ʻōuli ʻē aʻe e pili pū me:

• ʻeha kua
• ʻeha pelvis
• ʻeha i ka wā o ka urination
• makemake pinepine i ka mimi

ʻO ka hoʻāʻo ʻana i ka maʻi ʻaʻai

ʻAʻole koi ʻia ka loiloi no ka maʻi ʻaʻai bladder no ka poʻe o ka awelika.

Pono nā kānaka kūlana kiʻekiʻe e kūkākūkā i ka loiloi maʻamau me kā lākou kauka. Hiki paha iā ʻoe ke hoʻonui i ka makaʻu inā ʻoe:

• e launa pinepine me nā kemika
• hānau ʻia me kahi kīnā pili pili i ka maʻi ʻaʻa
• Loaʻa i kahi moʻolelo pilikino o ka maʻi ʻaʻai
• he puhipuhi kaumaha

Nā kaʻina hana loiloi

Hiki i kāu kauka ke hoʻohana i kahi urinalysis e nānā i ke koko i kāu mimi. Pono ʻoe e hoʻolako i kahi laʻana mimi no kēia hōʻike. ʻAʻole hāʻawi kahi urinalysis i kahi hōʻoia o ka maʻi ʻaʻai bladder, akā hiki ke hoʻohana ʻia ma ke ʻano he ʻanuʻu mua.

ʻO nā hoʻokolohua loiloi ʻē aʻe e like me:

• Mimi cytology: Nānā kēia hōʻike no nā hunaola maʻi ʻaʻai i ka mimi. Pono ia i kahi mimi.
• Cystoscopy: I loko o kēia hoʻokolohua, hoʻokomo kāu kauka i kahi puʻupuʻu ololi me kahi aniani i loko o kāu urethra e ʻike ai i loko o kāu pēpē. Pono ia i ka anesthesia kūloko.
• ʻO ka transurethral resection o ka tumad bladder (TURBT): ʻO ka hana Forthis, hoʻohana kāu kauka i kahi cystoscope ʻoʻoleʻa me ka loop loop ma kona hopena e hemo i nā kikoʻī ʻole a i ʻole nā ​​tumors mai ka pūpū. Hoʻouna ʻia ke kiko i kahi lab no ka loiloi. Pono ia i ka anesthesia ākea a i ʻole ka anesthesia āpana. Hiki ke hoʻohana ʻia i kēia kaʻina hana e mālama i ka maʻi ʻaʻai mua o ka maʻi ʻaʻai.
• ʻO ka pyelogram Intravenous: I kēia kaʻina hana, injhes ke kauka i ka wai kala i loko o kou mau aa koko. Hoʻohana lākou i nā kukuna X e nānā i kāu mau puʻupaʻa, loko, a me nā ureter.
• CT scan: Hāʻawi kahi CT scan i ka ʻike kikoʻī e pili ana i kāu ʻōpū a me ka maʻi urinary.

Inā ʻike ʻia ʻoe me ka maʻi ʻaʻai o ka maʻi ʻaʻai, pono paha ʻoe i nā hoʻokolohua hou aku e hoʻoholo ai i ke kahua o kāu maʻi ʻaʻai. Hoʻopili kēia i ka x-ray umauma, scan iwi, a me ka scan MRI.

Lapaʻau

ʻO ke ʻano o ka mālama ʻana āu e koi ai i ka paepae a me ke ʻano o ke kanulau maʻi ʻaʻa āu i loaʻa ai, a me kou makahiki a me ke olakino holoʻokoʻa. Hiki ke hoʻopili ʻia i ka mālama ʻana:

• wehe i ka tumora ʻoki lāʻau, me ka ʻole a me ka hapa o ka ʻai
• immunotherapy
• ʻoki wehe kino
• chemotherapy
• pāhawewe

Outlook

Hiki ke hoʻōla maikaʻi ʻia ka maʻi ʻaʻaiā, ʻoiai ke ʻike ʻia a mālama ʻia i kāna wā mua. Aia kāu nānā i ke kahua a me kou olakino holoʻokoʻa ma ke kuhi.

Wahi a ka American Cancer Society, ʻo ka helu ola 5 mau makahiki no ka pae 1 he 88 pakeneka. ʻO ia ke kumu o kou ola ʻana i nā makahiki 5 he 88 pakeneka ke kiʻekiʻe ma mua o kekahi me ka maʻi ʻaʻai ʻole o ka maʻi ʻaʻai.

No ka pae 2, hāʻule kēlā helu i ka 63 pakeneka, a no ka pae 3, 46 pakeneka. No ka pae 4, a i ʻole ka maʻi ʻaʻai metastatic bladder, ʻo ka helu ola 5 mau makahiki he 15 pākēneka.

He mea nui e hoʻomaopopo he helu kēia mau helu a ʻaʻole hiki ke wānana i kou manawa e ola ai. Inā hoʻomohala ʻoe i kekahi o nā ʻōuli i helu ʻia, e ʻike koke i kāu kauka i hiki ai iā ʻoe ke ʻike ʻia a mālama koke ʻia inā pono.

Nā ʻanuʻu aʻe

ʻO ke ala ʻoi loa e hōʻalo ai i ka nui o nā ʻano maʻi ʻaʻai o ka bladder e hōʻoki i ka puhipaka. He mea nui nō hoʻi ka pale ʻana iā ʻoe iho mai nā toxins i kou kaiapuni ke hiki. Inā hōʻike pinepine ʻia ʻoe i nā kemika hoʻoweliweli i ka hana, pono ʻoe e komo i nā kapa pale, e like me nā mīkina lima a me ka pale maka.

Inā hopohopo ʻoe e pili ana i kahi loulou, e kamaʻilio me nā lālā o kou ʻohana. E noi iā lākou i kēlā me kēia no kahi moʻolelo olakino kikoʻī e pili ana i nā ʻano nohona. E ʻike pono e kaʻana like i kāu ʻike me kāu kauka. Inā hoʻoholo kāu kauka he kiʻekiʻe kou makaʻikaʻi, e nīnau iā lākou inā ʻoe e loaʻa i nā hōʻike loiloi maʻamau.