Yiziphi izimpawu umdlavuza wesinye besifazane? umdlavuza Isinye kwabesifazane: izimpawu, uphethwe

imithi yesimanje ngenkuthalo yokufeza ekutholeni ikhambi umdlavuza. Nokho, lokhu kulindeleke iziguli eziningi wokugoma okwamanje. Kulesi sihloko Ngifuna ukuxoxa ngalesi sifo, ezifana nomdlavuza esinyeni abesifazane.

Ezinye izibalo

Lesi sifo - umdlavuza kwesinye - is abatelekile Russia ngokwesilinganiso abantu abayizinkulungwane 10-15 ngonyaka. Ngakho amadoda yilesi sifo kuthiwa ephindwe kane uma kuqhathaniswa nabesifazane (cishe, ngokusho kodokotela, imbangela olusungulwe yokwakheka besilisa uhlelo urogenital). Nokho, kulesi sihloko Ngifuna sicatshangelwe izimpawu umdlavuza we esinyeni abesifazane, njengoba izimpawu nesenzakalo lesi sifo abantu abesilisa nabesifazane ezahlukene ziyahluka kancane.

izizathu

Ngakho, umdlavuza kwesinye. Izimbangela zesifo avame okulandelayo:

1. umsebenzi womuntu sisondelene kakhulu Amine elimnandi (ukuthi aluminium, ukudaya, ukukhiqiza plastic). Ingozi yesifo kuleli cala kuze kube izikhathi ezingu-30.
2. ingozi cishe kayishumi okuba nomdlavuza kwesinye abantu ababhemayo.
3. Ososayensi bathi kwakheka lesi sifo kabili njengoba ngokuvamile kwenzeka abantu baphuze amanzi kampompi ukuxova umuthi wokugoma.
4. Kushisa bhé kule ndawo imiphumela ku ingozi womuntu futhi anda isifo kuze kube kathathu.
5. Futhi-ke, izinkinga esinyeni yezokwelapha kungaholela ukuthuthukiswa yilesi sifo esesabekayo. Ngakho, izikhathi ezimbili nengozi yokuthola labo labantu abaphethwe cystitis ezingamahlalakhona. Ngezinye izikhathi ezinhlanu ingozi kulabo uxilongwe "isinye shistosomotoz" (isifo yisinanakazana).

Izimpawu zokuqala

Yiziphi izimpawu zokuqala umdlavuza wesinye besifazane? Ngakho, lokhu hematuria. Ukuze wenze kube sobala, indlela elula ukuthi "igazi umchamo." Lokhu uphawu kwenzeka cishe ngo-85% eziguli. Nokho, kufanele kusho ukuthi ngenkathi ubuhlungu kungase kungabi uma uchama. Futhi umchamo kungaba igazi hhayi kuphela, kodwa futhi amahlule encane yegazi. Abatshele ukuthi isiguli kufanele kube ukuvama okwenziwe ngaleli uphawu. Ngakho, uma kukhona igazi umchamo ngezikhathi ezithile, kuba isizathu kumele ubonane nodokotela masinyane. hematuria unomphela kungenzeka kuphela in iziguli eziphambili isifo esiteji. Ngempela, kulesi simo, isimila ngeke opha ngokuqhubekayo. Izici:

1. Amandla umbala wegazi ziyahlukahluka kusuka pink kuya okukhanyayo. Kulokhu, igazi owesifazane umchamo awukwazi kudidaniswe nyangazonke osenyameni - menses.
2. Amahlule kungaba emasayizi nabobunjwa labehlukene. Kubalulekile ukukhumbula ukuthi idatha imfundo Ungagcwalisa lonke kwesinye, okuvame ukuholela tamponade yayo. okungukuthi esinyeni ngakho ugcwale amahlule ukuthi umchamo awukwazi nje hamba endleleni yemvelo. Kulokhu, uzodinga ukuhlinzwa.
3. Kuwufanele ethi isimila kulencane kungaba opha kakhulu, futhi iningi ayikwazi ephelezelwa ukopha esindayo. Lena inkinga yokuqala uphethwe yini.

Okubalulekile: Igazi emchamweni kungaba uphawu hhayi kuphela umdlavuza wesinye, kodwa futhi cystitis abavamile. Ngakho-ke, i-okuyikona kubalulekile ukufuna usizo kadokotela.

Uphawu 1. dysuria

Yini enye izimpawu umdlavuza wesinye besifazane? Ngakho, lokhu dysuria. Noma izinkinga nge ukuchama, uma kuziwa ngolimi yansuku zonke. Esimweni esinjalo isimila kungase cindezela urethra, okuholela ubuhlungu. Ekuqaleni, ubuhlungu ngeke isebenze endaweni pubic. Nokho, phakathi ukuthuthukiswa lesi sifo kungaba "ukunikeza" ku ukuxhuma, ngisho esithweni sowesifazane. Ubuhlungu ngesikhathi ukuchama kungaba namandla khulu.

2. Izindlela urinary

Izimpawu ezilandelayo umdlavuza wesinye besifazane - incontinence futhi ukuchama kaningi. Ngokwesibonelo, isiguli bangezwa njalo izifiso zamanga zishobinge. Ingase futhi kube osenyameni okungalindelekile umchamo. Nokho, lezi zimpawu kwenzeke kuphela uma ebulalayo isimila esinomdlavuza uzobe etholakala endaweni entanyeni esinyeni.

Uphawu 3. amaphunga

Sibheka izimpawu eminye lomdlavuza esinyeni abesifazane. Ngakho, elinikeziwe isifo akhishwe uketshezi ungakwazi ukunuka edabukisayo. Lokhu kungenxa isimila ukunwetshwa, izinkinga ababa nazo ukuchama. Kulokhu, nephunga umchamo uba ammonia, a kwenze kungase kubhekwe njengokuvamile (umchamo kungenzeka ubovu) ezansi izitsha.

nezinye izimpawu

Ngakho, umdlavuza wesinye kwabesifazane. Yiziphi ezinye izimpawu oyizwayo?

1. Fistulas. Zingavela endaweni kwesinye ukuze sangasese noma esinyeni bubheke ingemuva. Kwezinye izimo, kungenzeka futhi fistula suprapubic.
2. ukuvuvukala kwemilenze. Uma isiguli athuthukile Ukudlulela e inguinal futhi retroperitoneal lymph node, lokho kungase kubangele lymphoedema imilenze.

ukuhlola

Kubaluleke kakhulu futhi kuyindlela komdlavuza esinyeni. Yeka ukuthi luhlobo luni izindlela ungakwazi ukuxilonga elivela kuzo izifo kubantu?

1. Cystoscopy. Kuze kube manje-ke ukuphela kwendlela olunembile ukuxilonga lesi sifo. Ngo ezifana icala atawutadishelwa esinyeni mucosa ngethuluzi ekhethekile - le endoscope. Okuwukuphela Ububi le nqubo - invasiveness. Lolu cwaningo ephelezelwa emizweni kabi kabi. A plus elikhulu: ithuba hhayi kuphela 'ukubona' futhi batadishe isimila, kodwa futhi ukuthatha ucezu ke ucwaningo.
2. imithi yesimanje akemi namanje. Futhi ososayensi baye baklama ukuhlolwa strip esikhethekile uphethwe eksperess of nomdlavuza wesinye. Isebenza isimiso ukuhlolwa sokukhulelwa ebizwa ngokuthi NMP22. Nokho okwandile le ndlela ukuxilongwa ongakabi wathola.
3. ukubaluleka Omkhulu futhi izifundo ezifana MRI, CT kanye ultrasound. Konke neizvazivnye izindlela zokuxilonga. Thola umdlavuza kungenziwa ehleliwe ngesikhathi evamile behlolwa (ultrasound ukuhlola) kanye inkathi post-op ucwaningo kanye ngomkhondo imiphumela yokwelashwa (CT kanye magnetic resonance ukuhlola).
4. izindlela Laboratory nanesandla ekutadisheni isifo. Kulokhu, lo Udokotela angase anikeze isiguli urinalysis. Libuye cwaningo olufanele cytological ka inzika urinary.

esigabeni

Kunezigaba ezine umdlavuza wesinye, kuye ngokuthi indlela isifo "lihluma" emzimbeni.

1. Epithelium. Kulokhu, umdlavuza luphakathi mucosal umzimba - epithelium. Treatment kalula kakhulu eyenziwa futhi ayinayo imiphumela esobala.
2. Submucosal ungqimba, esebenza njengesikhali isisekelo epithelium futhi imisipha izicubu. Kulesi sigaba, umdlavuza ikhula eside izicubu kwemisipha.
3. izicubu Adipose futhi kwesinye udonga. In esigabeni sesithathu isimila ikhula eside idatha izicubu.
4. Ngesikhathi esigabeni yokugcina isimila angase akhule ku izitho eseduze - kwesibeletho, sangasese, amathambo okhalo futhi komgodi ongaphakathi kwamathumbu. Kuwufanele ethi kulesi simo ukwelashwa cishe akwenzeki kuholele emiphumeleni nokuvulwa ubekezele, njengoba metastases kuthinte izitho eziningi ezibalulekile.

ngezigaba

Ngaphezu kwalokho ngezigaba histological of nomdlavuza wesinye kumelwe ibhekwe. Ngakho, izimila kulokhu zimi kanje:

izimila EPITHELIAL. Litholakala isikhathi esiningi - mayelana 97% of amacala.

1. Perehodnokletochnaya papilloma.
2. Ploskoletochnaya papilloma.
3. umdlavuza Perehodnokletochny.
4. -Squamous cell carcinoma.
5. Adenocarcinoma.
6. Umdlavuza ezingeke umahluko.

Kuwufanele ethi umdlavuza perehodnokletochny esinyeni selihlukene laba zenyathi eziningana:

1. Nge metaplasia yezindlala.
2. Nge metaplasia squamous.
3. Ahlanganisiwe Inguqulo - ne metaplasia yezindlala ne-squamous.

Non-EPITHELIAL izimila:

1. Ebulalayo (isb rhabdomyosarcoma).
2. Benign.

Ezixutshiwe izimila iqembu:

1. Lymphoma.
2. Carcinosarcoma.
3. melanoma ebulalayo nabanye.

ushintsho Non-tumorous:

1. Polypoid noma papillary "cystitis".
2. Cystic "cystitis".
3. polyp fibrous.
4. Von Brunn izidleke, nabanye.

Isimila ekubhujisweni:

1. Gemartomy.
2. Izinhlumba.
3. Amyloidosis.
4. Njll endometriosis.
5. A nakho kungase izimila neklasifitsiruemye futhi metastatic.

ukwelashwa

Izindlela yokwelashwa kuzoncika kahle ukuthi uhlobo oluthile lomdlavuza siyenzeka esigulini. Kunoma ikuphi, kufanele kusho ukuthi uma kwenzeka izimpawu zokuqala zesifo kudingeka afune usizo lwezokwelapha. Phela, umdlavuza ikhambi esinyeni kusaqalwa basengaba. Nakuba egijima sifo ngeke welaphe.

umdlavuza okukha phezulu: ukwelashwa

Ngingayithola kanjani thola lokho ifana nomdlavuza wesinye olukha phezulu? Izithombe kuleli cala - umsizi kuqala. Uma anentshisekelo, ungacela udokotela ukukutshela okwengeziwe ngalesi sifo futhi ahlinzeke ezihlukahlukene izithombe. Nokho, odokotela ngokwabo angikwenzi, ngoba izenzo ezinjalo bangakwazi nje ukusabisa nesineke. A olukha phezulu umdlavuza isimila kumiswa luphakathi epithelium, ingangena ku izicubu kwemisipha. Kulokhu, lesi sifo singumbulali namanje kahle ekwelashweni futhi isiguli ukuqeda le nkinga.

1. INDAWO, okusho resection transurethral. Le nqubo kuyinto zokuxilonga hhayi kuphela (biopsy), kodwa futhi ephulukisa izakhiwo. Kulokhu, ngokusebenzisa le nqubo, isiguli kuzosusa lwesimila. Nokho, mangisho ukuthi ngemva kokushelela kwenzeka ngo-50% eziguli.
2. Kunganciphisa izinga Ukuphinda usebenzisa zonke intravesical BCG wokugoma eyaziwa noma amanye amalungiselelo wezokwelapha ( "Doxorubicin", "Mitomycin" et al.).
3. Emva inqubo INDAWO nesineke kumelwe ibhekane isimiso bayohlolwa. Kulokhu, sizokwazi yini ukuthola isikhathi ukubuyela lesi sifo.
4. Uma isimila esibulalayo emva kokususwa futhi "ukubuya", ngokuvamile odokotela beluleka iziguli iphendukele ngaphezulu ukuhlinzwa olukhulu - cystectomy. Kulokhu, isiguli bazobhujiswa isinye (uzobe kwakhiwa isitho kusukela ingxenye esiswini), okuyinto kakhulu kwandisa ingozi sokusinda.

umdlavuza koda: ukwelashwa

Kulokhu, isimila akwazi ukungena nje kuphela ku izicubu imisipha kwesinye, kodwa futhi ngaphandle komzimba. Kuwufanele sicacise ukuthi uma lolu hlobo sifo kakhulu kwandisa ingozi Ukudlulela lymph node. Khona-ke, singasetshenziswa izindlela ukususa inkinga?

1. ngempumelelo kakhulu kulokhu cystectomy nge lymphadenectomy, isb ukususwa esinyeni ne lesifunda zamanzi.
2. Kwezinye izimo, kungase kusetshenziswe okungenhla inqubo INDAWO, kanye evulekile mochevika esinqunyiwe.
3. Futhi-ke, futhi asebenza kahle kanjani imiphumela emibi yokwelashwa ngamakhemikhali.

umdlavuza generalized: ukwelashwa

Lesi sifo kuhilela khona metastases. Ngokuvamile zenzeka, njengoba sekushiwo ngenhla, e engumakhelwane lymph node kanye wamaphaphu, isibindi, namathambo. Konke Kulezo zimo, udokotela angase atuse ukuba - kuyinto nokwelashwa ngamakhemikhali enamandla, okumele kwenziwe nge ukusetshenziswa kwezidakamizwa eziningana ngesikhathi esisodwa. Kungenzeka izidakamizwa "Vinblastine", "Methotrexate", "Doxorubicin", nabanye. Nokho, mangisho ukuthi konke lokhu izidakamizwa akuzona ephephile. Ngakho-ke, kubalulekile ukuba uzisebenzise kuphela kwemvume udokotela ukuba khona.

okusinda

umdlavuza okukha phezulu. engu-isilinganiso lokusinda iziguli kuphezulu kakhulu futhi 80%.

Okuhlaselayo nomdlavuza wesinye. engu-rate sokusinda 50-55% ngokwesilinganiso.

Metastatic (noma generalized) nomdlavuza wesinye. sokusinda engu-nxazonke 20% (ekwelapheni qualitative).

ukudla

Ukudla kubaluleke kakhulu nomdlavuza wesinye. Ngoba ngokuvamile, iziguli ezithola umthamo ngemisebe noma imiphumela emibi yokwelashwa ngamakhemikhali, nje "ulahlekelwe" umzimba udinga izakhi kanye amavithamini. Abakwazi ukugcwala hhayi kuphela imithi, kodwa futhi ukudla "kwesokudla".

1. Ukudla isiguli kufanele kube njengoba okunomsoco. Eqinisweni, iziguli kaningi unciphise umzimba futhi badinga kabusha amabutho azo.
2. Kubalulekile futhi ukuba abathile abanomdlavuza wathola isamba elanele amaprotheni. Kuwufanele ethi ekusetshenzisweni ngokweqile wamaprotheni ukukhula izimila isibindi esinyeni siyehla.
3. Ukuze inyama ukusetshenziswa kufanele aphathwe ngokuqapha. Ososayensi baye babonisa ukuthi inyama ebomvu kuholela ukukhuthazwa emdlavuzeni. Ngakho-ke, okuthandayo kumele inikezwe olunamafutha amancane noma inkukhu webele kanye unogwaja.
4. Futhi, isiguli kufanele udle inhlanzi.