He kakaikahi ka ma'i 'a'ai ma'i keʻano o ka maʻi kanesa. Hoʻomaka ia i loko o ka ʻōpū, kahi ʻōpū puha liʻiliʻi e paʻa ai kāu pipi. I kēia mau lā, aia nā ʻano like ʻole o ka mālama ʻana i ka maʻi maʻi maʻi maʻi ma ke kahua lapaʻau. Loaʻa iā ia ke ʻokiʻoki, ʻo ia ka lāʻau lapaʻau mua no kēia maʻi. Aia paha ke ala hou ʻana o kēia maʻi ma hope o ka lāʻau lapaʻau. No laila, pono e makaʻala ka poʻe maʻi i ka hahai ʻana me kā lākou mau mea mālama ola.

Hiki i nā kauka lapaʻau ke hoʻōla i ka maʻi maʻi ʻaʻai mua. He ʻoiaʻiʻo ma kahi o 75% o nā maʻi maʻi maʻi maʻi maʻi mua.

Pehea ka maʻamau o ka maʻi kanesa?

ʻO ka maʻi maʻi ʻaʻai ka hā o ka maʻi maʻi nui loa i nā kāne a me nā poʻe i koho ʻia he kāne ma ka hānau ʻana (DMAB). ʻEhā mau manawa o ka loaʻa ʻana o kēia maʻi ma mua o nā wahine a me ka wahine i koho ʻia ma ka hānau ʻana (DFAB). Eia naʻe, ʻoiai ʻaʻole ʻike ka poʻe hope i nā hōʻailona maʻi maʻi maʻi maʻi, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi maʻi.

E like me ka Bladder Cancer Advocacy Network, ʻaʻole ʻike nā wahine i ke koko i kā lākou pee (hematuria). ʻO ia ka hōʻailona mua a koʻikoʻi loa i ka maʻi maʻi maʻi ʻaʻai, ʻoiai ua pili lākou me nā maʻi gynecological maʻamau. Pili kēia maʻi i nā kāne makua nona nā makahiki he 55 a ʻoi aku. Ma ka awelika, he 73 mau makahiki o ka poʻe maʻi ke ʻike ʻia lākou

Nā kumu o ka maʻi kanesa

Ke ʻike ʻia nei ke kumu maoli o ka hoʻololi ʻana i ka maʻi maʻi maʻi ʻaʻai, a ke hele nei ka noiʻi. ʻO nā kumu pilikia like ʻole e hoʻonui ai i kou manawa e hoʻomohala ai i kēia maʻi:

Puhi paka: Hoʻonui nui kēia i kou pilikia o ka loaʻa ʻana o ka maʻi kanesa. ʻO ka puhi ʻana i ka paipu a me ka cigar, a me ka ʻike ʻana i ka uahi lua, hiki ke hoʻonui i kou pilikia.
Makahiki a me ke kāne: ʻOi aku ka maʻalahi o ka poʻe ma mua o 55 mau makahiki i kēia maʻi. ʻOi aku ka pilikia o nā kāne makua ma mua o nā wahine ma muli o ko lākou ʻano puhi ahi a me ka ʻike ʻana i nā kemika make.
Hōʻike ʻia ka Radiation: Hiki i ka lāʻau lapaʻau no ka maʻi kanesa ke hoʻonui i kou kūlana o ka loaʻa ʻana o ka maʻi kanesa.
Hōʻike i nā mea kemika kūikawā: Nui ka pilikia o ka poʻe i ka loaʻa ʻana o kēia maʻi koʻikoʻi e hana nei i nā ʻoihana hoʻokumu kemika. ʻO ka poʻe i loaʻa i nā maʻi maʻi maʻi maʻi, nā pōhaku ʻōpū, a i ʻole nā maʻi ʻāpana mimi ʻē aʻe e loaʻa i ka maʻi maʻi squamous cell carcinoma.

Nā ʻōuli o ka maʻi ʻaʻa Bladder

ʻO ka hōʻailona ʻike nui ʻia ʻo ke koko mai ka mimi. E ʻoluʻolu e hoʻokaʻaʻike i kāu mālama olakino inā ʻo ia ka hihia. ʻO nā hōʻailona ʻē aʻe he:

Hematuria, a i ʻole ke koko ʻike ʻia i loko o ka mimi: I ka hana ʻana i ka mimi, hiki i nā kauka lapaʻau ke ʻike i ka nui o ke koko i loko o ka mimi.
ʻO Dysuria, a i ʻole ʻeha i ka wā e mimi ana: He ʻeha a ʻeha paha ia e hiki mai ana ma mua a ma hope paha o ka mimi ʻana. Loaʻa paha i nā kāne ma DMAB ka ʻeha penile ma mua a ma hope paha o ka mimi ʻana.
ʻUmi pinepine: ʻO ka mimi pinepine ʻana e hōʻike ana ʻoe e mimi pinepine i loko o kahi manawa 24-hola.
Loaʻa nā pilikia i ka urinating: ʻAʻole hiki ke kahe ikaika o kāu mimi e like me ka maʻamau, a i ʻole e hoʻomaka a pau.
ʻO nā maʻi maʻi maʻi maʻamau: ʻO ka pōhaku ʻōpū, ʻo ia ka maʻi maʻi maʻi maʻi, hoʻonui i ka pilikia o ka maʻi maʻi maʻi.

Nā ho'āʻo diagnost

Aia nā ʻano hoʻokolohua like ʻole:

Cystoscopy: Hoʻokomo ʻia kahi paipu lohi i ʻike ʻia he cystoscope i loko o ka urethra a me ka ʻōpū. Aia kēia paipu i kahi lens i hoʻopaʻa ʻia iā ia e nānā ana i ka ʻōpū no nā cell abnormal.
Urinalysis: Hoʻopili ʻia ka mimi no ka loaʻa ʻana o ke koko, ka protein, ke kō, a me ke koko keʻokeʻo a ʻulaʻula paha.
Ho'āʻo Kiʻi: Hiki i ke kauka ke nānā i ke ʻano o ka ʻāpana urinary.

Nā koho no ka Lapaʻau ʻana i ka maʻi maʻi ʻaʻai

Hōʻike pōkole ʻia kēia mau mea ma lalo nei:

Ho'āla

Ma muli o ke ʻano o ka maʻi kanesa, hiki i ke kauka ke kuhikuhi i ke ʻano o ke ʻoki. Hiki ke komo i kahi o ka wehe ʻana i ka maʻi maʻi a i ʻole ka hoʻohana ʻana i ka ikehu kiʻekiʻe e hoʻopau i nā maʻi maʻi maʻi.

ʻO ka ʻoki ʻana i ka ʻōpū o ka ʻōpū

Mālama ʻia ka maʻi maʻi maʻi maʻi maʻi mua a i ʻole ka maʻi maʻi maʻi maʻi. Hoʻokomo ʻia kahi cystoscope i loko o ka urethra e hoʻoneʻe i nā pūnaewele tumo.

ʻO Radical Cystectomy

He koho ʻē aʻe kēia a hana ʻia i ka wā i laha ai ka ʻōpū ma waho o ka ʻāpana ʻōpū. Lawe ʻia ka ʻōpū holoʻokoʻa, me nā ʻāpana pili.

Hoʻohuli Urinary

I ka wā ʻaʻole paʻa ka ʻōpū o ka ʻōpū e hana ʻia kēia kaʻina hana. Hoʻokumu ʻia kahi alahele hou no ka wahi mimi

ʻO kemoterapi o ka pūpū

Hoʻomaʻamaʻa kēia mau mea i nā maʻi maʻi maʻi i loaʻa i loko o ka ʻili o ka ʻōpū a hiki ke hoʻi hou. Hiki i kēia mau pūnaewele ke neʻe i kahi pae kiʻekiʻe. Hoʻohana ʻia nā lāʻau lapaʻau ma ʻaneʻi me ka cisplatin, kalapona.

Ke Kūwela Ola

Inā ʻaʻole hiki ke ʻoki ʻia a makemake ʻole ʻia a laila ʻōlelo ʻia ka radiation. He mea maʻamau ia no nā maʻi o ka Papa II kahi i hiki ai ke kanesa i ka ʻiʻo, akā naʻe e holomua hou.

ʻO Terapy Pahuhopu

ʻO ka hoʻololi ʻana i ke ʻano ke kumu o kēia lapaʻau. Hoʻololi ia i nā pūnaewele olakino i mau pūnana maʻi kanesa. No ka laʻana, nā lāʻau lapaʻau e like me ka FGFR gene inhibitors i nā cell target me nā hoʻololi gene e hoʻoikaika i ka ulu ʻana o ka maʻi kanesa.

Nā Manaʻo Palekana no ka Lapaʻau ʻana i ka maʻi maʻi ʻaʻai

ʻO ka hana ʻana i nā koho ola maikaʻi a me ka pale ʻana i nā mea pilikia i ʻike ʻia he mau hana koʻikoʻi ia i ka pale ʻana i ka maʻi kanesa. Eia kekahi mau ala maʻalahi e hoʻohaʻahaʻa i kou pilikia:

Hoʻopau i ka puhi paka: ʻO ia ke kumu pilikia nui loa no ka maʻi kanesa. Inā haʻalele ʻoe i ka puhi paka, hiki iā ia ke hōʻemi nui i kou pilikia. E pale i ka uahi lua.
Noho wai wai: Ke inu ʻoe i ka wai lawa, kōkua ia i ka hoʻopau ʻana i nā mea make mai kou ʻōpū. ʻO ka lawe ʻana i 8 mau kīʻaha wai i kēlā me kēia lā e mālama pono i ka ʻōpū.
ʻAi kaulike a me ke ola kino: ʻO nā huaʻai, nā huaʻai, a me nā kīʻaha holoʻokoʻa i komo i loko o ka meaʻai he olakino a maikaʻi no ke kino.
E hōʻalo i nā mea kemika ʻino: Inā ʻoe e hana ma ka ʻoihana kemika a i ʻole ka ʻoihana lāʻau lapaʻau e mālama i ka palekana a hoʻohana i nā mea pale. ʻO ka mālama ʻana iā ʻoe iho mai nā mea pōʻino hiki ke kōkua i ka hōʻemi ʻana i kou pilikia o ka maʻi kanesa.
E hahai me ke Kauka: Pono ka nānā mau ʻana a hiki ke ʻike i nā pilikia i ka wā mua.