Umdlavuza wesibeletho

Umdlavuza wesibeletho

Izicubu zesinye kungenzeka benign ou okubi. Yingakho sihlala sikhuluma ngama-polyps, izicubu noma umdlavuza. Ngempela, kunezinhlobonhlobo zezimila zesinye ezisukela ebungozini obukhulu ziye kweziyingozi kakhulu. Ngalesi sizathu, kubalulekile ukuhlola zonke izicubu zesinye ngaphansi kwesibonakhulu ukuze kutholakale ukuxilongwa okunembile okuzonquma uhlobo lokwelashwa.

Ezimweni eziningi kakhulu, lezi zicubu zikhula zisuka kumaseli angaphakathi kolwelwesi lwesinye aqala ukwanda: abizwa ngokuthi yi-urothelial.

Njengoba kunamacala amasha ayi-7 alinganiselwa kwangu-100 eCanada, umdlavuza wesinye umele owe-2010e umdlavuza otholakala kakhulu kuleli. EFrance, ngokusho kwedatha ka-2012, kungumdlavuza wesi-5 ovame kakhulu nomdlavuza wesibili womgudu womchamo ngemuva komdlavuza wendlala yabesilisa. Ngokuvamile kwenzeka kubantu abaneminyaka yobudala 60 nangaphezulu.

La esinyeni isitho esingenalutho esise- indawo okhalo. Umsebenzi wawo ukugcina umchamo okhiqizwa izinso ezimbili indima yazo yokuhlunga evumela umzimba ukuthi uqede imfucuza ethile ngendlela yomchamo. Umchamo uhanjiswe esinyeni ngamashubhu ama-2: ama-ureters. Isinye sigcwala kancane kancane, futhi lapho sigcwele, imisipha esodongeni lwalesi sivumelwano somzimba esime njengebhaluni uchame phakathi enye ithubhu: ngokusebenzisa umchamo. Lokhu kubizwa nge- ukuchama.

Njengoba ukukhiqizwa komchamo kuqhubeka, ngaphandle kokusebenza kwesiziba sesinye, kuzofanele sikuqede unomphela.

Umdlavuza wesinye ohlukile

Manje kunezinhlobo ezimbili eziyinhloko zezicubu zesinye: izicubu ezingangeni emisipheni yesinye (i-TVNIM), ezazibizwa ngokuthi izicubu zangaphandle, nalezo ezingena esiswini somgodi wesinye (TVIM), ezazibizwa ngaphambili ngokuthi izicubu ezihlaselayo. Indlela yabo yokwelashwa, ukwelashwa nokuziphendukela kwemvelo kwehlukile.

Ukuvela okungenzeka

Izicubu ezingangeni emisipheni yesinye (TVNIM) zibonakala ngo izinga eliphakeme lokuphindaphinda (60-70% ngonyaka wokuqala), okusho ukuthi ngemuva kokwelashwa, uma isimila sesibhujisiwe, umuntu owelaswayo kufanele abe kulandelwe futhi wenze izivivinyo zokuhlola njalo iminyaka eminingana noma impilo imbala. Ingxenyana encane (10 kuya ku-20%) nayo ingaqhubekela kumafomu angenayo nakuma-metastases.

Lapho isimila sisakazekela ku imisipha yesinye (TVIM), kunengozi yokuhlasela izitho ezithile eziseduze noma ukusakazeka kwenye indawo emzimbeni (ama-lymph node, amathambo, njll) ngegazi, kubangele imastastases.

Ubungozi bokuphindeka nokuqagela kuthonywa yizici eziningana, kufaka phakathi uhlobo lwesimila, isigaba salo nosayizi waso, inani lezilonda, nesimo kanye nobudala bomuntu othintekile.

Izimpawu zesifo

  • Ku-80% kuya ku-90% wamacala, ukubonakala kwegazi emchameni (hematuria) yi uphawu lokuqala lomdlavuza wesinye. Umbala obonwayo ungasuka kokubomvu ngokugqamile kuya konsundu osawolintshi. Kwesinye isikhathi igazi emchameni litholakala kuphela ngemicroscope (microscopic hematuria).
  • Okungajwayelekile kakhulu, kungaba ukushiswa komchamo, isidingo esivame kakhulu noma esisheshayo sokuchama.

Lezi zimpawu azibonisi ukuthi kukhona isimila esibi. Lokhu kungenxa yokuthi zingaba wuphawu lwezinye izinkinga ezivame kakhulu, njengokutheleleka ngomgudu womchamo. Uma lezo zimpawu zenzeka, kubalulekile ukubona udokotela uku-oda izivivinyo ukuthola ukuthi zivela kuphi izimpawu.


Abantu abasengozini

  • Abantu abake baba nomunye umdlavuza wepheshana lomchamo.
  • The amadoda basengozini kakhulu kunabesifazane;
  • Abantu abanesifo esihlala njalo sesinye nesimuncagazi, UBilliardziasis.

Umbono kadokotela wethu

Njengengxenye yendlela yekhwalithi yayo, iPasseportsanté.net ikumema ukuthi uthole umbono wochwepheshe bezempilo. UDkt Geneviève Nadeau, udokotela ohlala e-urology, ukunika umbono wakhe nge umdlavuza wesinye :

Isibikezelo salokho okubizwa ngokuthi "okungenasisekelo" somdlavuza wesinye (TVNIM) ngokuvamile sihle kakhulu. Izinga lokusinda leminyaka emihlanu ngemuva kokwelashwa liku-5% kuya ku-80%. Kepha lezi zicubu zinomkhuba oqinile wokuphindeka, yingakho ukubaluleka kokuqapha okusondele kwezokwelapha kubo bonke abantu abanomdlavuza wesinye. Ukuze ubeke amathuba okukuvuna, lokhu kulandelwa ngezikhathi ezithile kufanele kwenziwe impilo yakho yonke. Ukuhlolwa okuhlukahlukene kwezokwelapha (ama-cystoscopies kanye ne-cytology) kufanele kwenziwe ngezikhathi ezithile. Lokhu kwenza ukuthi kutholakale ngokushesha ukubonakala kwesimila futhi kuselaphe ngokushesha okukhulu. Lokhu kunciphisa ubungozi bokuthi isimila sibe “okungena ngaphakathi”, lapho-ke isibikezelo singathandeki kangako.

Ekugcineni, indlela engcono yokuvimbela umdlavuza wesinye ngokungangabazeki hhayi ukuqala ukubhema noma ukuyeka ukubhema.

Dre UGeneviève Nadeau, udokotela ohlala e-urology

Ukubuyekezwa kwezokwelapha (ngoFebhuwari 2016): Dre Geneviève Nadeau, udokotela ohlala e-urology, uSihlalo wendlela edidiyelwe yokuvikela, i-Université Laval

 

 

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