Izinto ezinobungozi nokuvimbela umdlavuza wesinye

Izinto ezinobungozi nokuvimbela umdlavuza wesinye

Izici zengozi 

  • Ukubhema: ngaphezu kwesigamu samacala omdlavuza wesinye abangelwa yikho. I ukubhema (ugwayi, amapayipi noma ugwayi) cishe amathuba aphindwe kathathu kunalabo abangabhemi ukuba nawo umdlavuza we esinyeni1.
  • Ukuchayeka isikhathi eside kokuthile imikhiqizo yamakhemikhali izimboni (ama-tars, uwoyela wamalahle ne-pitch, umsizi wamalahle ovuthayo, ama-amine anephunga elimnandi ne-N-nitrodibutylamine). Abasebenzi basezimbonini zokudaya, zenjoloba, zetiyela nezensimbi basengozini enkulu. Umdlavuza wesinye ungomunye wemidlavuza emithathu yasemsebenzini eqashelwa yiWorld Health Organisation3. Ngakho-ke noma yimuphi umdlavuza wesinye kufanele ufune imvelaphi yomsebenzi.
  • Abanye izidakamizwa equkethe i-cyclophosphamide, esetshenziswa ikakhulukazi ekwelapheni ngamakhemikhali, ingabangela umdlavuza we-urothelial.

  • La i-radiotherapy indawo ye-pelvic (i-pelvis). Abanye besifazane abake belashwa ngemisebe yomdlavuza womlomo wesibeletho bangase babe nesimila esinyeni. Umdlavuza wendlala yesinye welashwa ngokwelashwa ngemisebe ungase futhi andise ingozi yomdlavuza wesinye, kodwa kuphela ngemva kweminyaka emi-5 (4).

 

Prevention

Izindlela eziyisisekelo zokuvimbela

  • Ungabhemi noma uyeke ukubhema kunciphisa kakhulu ubungozi;
  • Abantu abadaluliwe imikhiqizo yamakhemikhali ama-carcinogens ngesikhathi somsebenzi wawo kufanele ahambisane nemithetho yokuphepha. Ukuhlolwa kokuhlolwa kufanele kwenziwe eminyakeni engama-20 ngemuva kokuqala kokuchayeka kule mikhiqizo.

Ukuhlola nokunwetshwa kokuhlola

Ukuhlolwa kokuhlonza

Ngaphandle kokuhlolwa komtholampilo, izifundo eziningana ziwusizo ekuxilongweni:

• Ukuhlolwa komchamo ukuze kukhishwe ukutheleleka (ECBU noma ukuhlolwa kwe-cyto-bacteriological yomchamo).

• I-Cytology ibheka amaseli angavamile emchameni;

• I-Cystoscopy: ukuhlolwa okuqondile kwesinye isinye ngokufaka ishubhu elinemicu optical emgudwini womchamo.

• Ukuhlolwa kwe-Microscopic yesilonda esisusiwe (ukuhlolwa kwe-anatomo-pathological).

• Ukuhlolwa kwe-fluorescence.

Ukuhlolwa kwesandiso

Inhloso yalokhu kuhlola ukuthola ukuthi ingabe isimila sitholakala kuphela obondeni lwesinye noma ukuthi sisabalele kwenye indawo.

Uma kuyithumba elingaphezulu lesinye (i-TVNIM), lokhu kuhlolwa kwesandiso ngokomthetho akuthetheleleki ngaphandle kokwenza i-CT scan yomchamo ukuze kubhekwe omunye umonakalo emgudwini womchamo. .

Uma kwenzeka kuba nesimila esihlasela kakhulu (IMCT), ukuhlolwa kwereferensi kuyi-CT scan yesifuba, isisu, ne-pelvis (ingxenye engezansi yesisu lapho isinye sikhona) ukuze kutholwe umthelela wesimila , kanye ukunwetshwa kwayo kuma-lymph nodes nezinye izitho.

Okunye ukuhlola kungase kudingeke kuye ngecala.

 

 

shiya impendulo