Mob qog nqaij hlav zais zis yog qhov tsawg hom mob cancer. Nws pib nyob rau hauv lub zais zis, ib tug me me hollow lub cev uas tuav koj lub plab. Niaj hnub no, muaj ntau hom kev kho mob qog nqaij hlav zais zis hauv kev kho mob. Nws suav nrog kev phais, uas yog kev kho mob thawj zaug rau tus mob no. Muaj qhov tshwm sim ntawm qhov mob tsis zoo no rov tshwm sim tom qab kho. Yog li ntawd, cov neeg mob yuav tsum tau ceev faj nrog lawv cov kws kho mob.
Cov kws kho mob tuaj yeem kho mob qog noj ntshav thaum ntxov. Nws yog qhov tseeb tias ze li 75% ntawm cov qog nqaij hlav zais zis pib tshwm sim.
Mob plab zais zis ntau npaum li cas?
Mob qog noj ntshav yog mob qog noj ntshav thib plaub hauv cov txiv neej thiab cov neeg xaiv txiv neej thaum yug (DMAB). Cov txiv neej poj niam txiv neej thiab DMAB qeb hom muaj plaub zaug yuav kis tus mob no ntau dua li cov poj niam thiab cov poj niam uas yug los (DFAB). Txawm li cas los xij, raws li yav tas los tsis paub txog cov cim qhia txog mob qog noj ntshav, lawv feem ntau yuav muaj kab mob siab.
Raws li Kev Tiv Thaiv Kab Mob Ntshav Qab Zib, cov poj niam tsis tshua pom cov ntshav hauv lawv cov quav (hematuria). Nws yog thawj thiab tseem ceeb tshaj plaws cov tsos mob qog nqaij hlav zais zis, vim lawv cuam tshuam nrog cov kab mob gynecological. Tus mob no feem ntau cuam tshuam rau cov txiv neej laus uas muaj hnub nyoog 55 xyoos thiab ntau dua. Qhov nruab nrab, cov neeg mob muaj hnub nyoog 73 xyoos thaum lawv kuaj pom
Ua rau mob zais zis
Qhov laj thawj tiag tiag ntawm kev hloov pauv ntawm lub zais zis tseem yuav pom, thiab kev tshawb fawb tseem tab tom mus. Ntau yam kev pheej hmoo uas ua rau koj muaj feem cuam tshuam rau tus mob no suav nrog:
- Kev haus luam yeeb: Qhov no ua rau koj qhov kev pheej hmoo ntawm kev mob qog nqaij hlav qog nqaij hlav. Cov kav dej haus luam yeeb thiab luam yeeb, nrog rau cov pa luam yeeb, yuav ua rau koj muaj kev pheej hmoo.
- Hnub nyoog thiab poj niam txiv neej: Cov neeg uas muaj hnub nyoog tshaj li 55 xyoos muaj ntau dua rau tus mob no. Cov txiv neej laus muaj kev pheej hmoo ntau dua li poj niam vim lawv txoj kev haus luam yeeb thiab raug cov tshuaj tua kab mob.
- Radiation Exposure: Kev kho hluav taws xob rau kev mob qog noj ntshav tuaj yeem ua rau koj muaj feem kis mob qog noj ntshav.
- Kev raug rau cov tshuaj tshwj xeeb: Cov neeg muaj kev pheej hmoo siab kom tau txais tus mob tseem ceeb no uas ua haujlwm hauv kev lag luam tshuaj lom neeg. Cov tib neeg uas muaj kab mob zais zis ntau zaus, zais zis pob zeb, lossis lwm yam kab mob urinary muaj feem yuav kis tau tus kab mob squamous cell carcinoma.
Cov tsos mob ntawm lub zais zis
Cov tsos mob uas pom tau tshaj plaws yog ntshav los ntawm cov zis. Nco ntsoov tiv tauj koj tus kws kho mob yog tias qhov no tshwm sim. Lwm cov cim muaj xws li:
- Hematuria, lossis pom cov ntshav hauv cov zis: Thaum ua ib qho urinalysis, cov kws kho mob tuaj yeem kuaj pom cov ntshav hauv cov zis.
- Dysuria, lossis Mob thaum tso zis: Nws yog qhov kub hnyiab los yog khaus uas tuaj yeem tshwm sim ua ntej lossis tom qab tso zis. Cov txiv neej ntawm DMAB tej zaum yuav muaj qhov mob noov ua ntej lossis tom qab tso zis.
- Kev tso zis ntau zaus: Kev tso zis ntau zaus qhia tias koj tso zis ntau zaus hauv 24 teev.
- Muaj teeb meem tso zis: Koj cov zis yuav tsis ntws zoo li qub, lossis nws yuav pib thiab nres.
- Chronic Bladder Infections: Lub zais zis pob zeb, uas yog mob zais zis, ua rau muaj kev pheej hmoo ntawm zais zis.
Kev kuaj mob
Cov kev xeem sib txawv muaj xws li:
- Cystoscopy: Ib lub raj me me hu ua cystoscope yog muab tso rau hauv cov zis thiab zais zis. Lub raj no muaj lub lens txuas rau nws uas kuaj lub zais zis rau cov hlwb txawv txav.
- Urinalysis: Cov zis yog soj ntsuam rau cov ntshav, protein, qab zib, thiab cov qe ntshav dawb lossis ntshav liab.
- Kev kuaj duab: Computerized tomography tso cai rau tus kws kho mob los xyuas cov qauv ntawm cov zis.
Kev xaiv rau kev kho mob zais zis
Cov no yog luv luv qhia hauv qab no:
phais
Nyob ntawm theem ntawm kev mob qog noj ntshav, tus kws kho mob yuav qhia txog hom kev phais. Nws yuav koom nrog ib feem ntawm cov qog tshem tawm lossis siv lub zog siab tam sim no kom tshem tawm cov qog nqaij hlav cancer.
Transurethral Resection ntawm Bladder Tumor
- Cov theem pib lossis mob qog noj ntshav zais zis tau saib xyuas hauv cov txheej txheem kho mob no. Lub cystoscope yog muab tso rau hauv lub urethra kom tshem tawm cov qog hlwb.
Radical Cystectomy
- Qhov no yog lwm qhov kev xaiv thiab yog nqa tawm thaum lub qog tau kis tawm sab nraud ntawm lub zais zis. Tag nrho cov zais zis, nrog rau cov kabmob uas nyob ib sab raug muab tshem tawm.
Tso zis Cov Mob Tso Tawm
- Thaum lub zais zis tsis ua haujlwm tag nrho cov txheej txheem no tau ua tiav. Tsim ib txoj kev tshiab rau thaj chaw tso zis
Bladder Chemotherapy
Cov no kho cov qog nqaij hlav cancer uas muaj nyob rau hauv lub zais zis hauv ob sab phlu thiab zoo li yuav rov zoo dua. Cov hlwb no tuaj yeem nce mus rau theem siab dua. Cov tshuaj siv ntawm no uas suav nrog cisplatin, carboplatin.
Kab Kev Tiv Thaiv
Thaum kev phais tsis ua tau lossis xav tau ces cov hluav taws xob tau pom zoo. Nws yog ib qho tshwm sim rau theem II uas mob qog noj ntshav tau mus txog cov leeg, tab sis tseem tsis tau nce ntxiv.
Targeted Therapy
Gene alteration yog lub hom phiaj ntawm txoj kev kho no. Nws hloov cov hlwb noj qab nyob zoo rau hauv cov qog nqaij hlav cancer. Piv txwv li, cov tshuaj xws li FGFR noob inhibitors tsom cov hlwb nrog kev hloov pauv noob uas txhawb kev loj hlob ntawm cov qog nqaij hlav cancer.
Kev Tiv Thaiv Cov Lus Qhia rau Kev Kho Mob Ntshav Qab Zib
Kev xaiv txoj kev ua neej zoo thiab zam kom tsis txhob muaj teeb meem tshwm sim yog cov kauj ruam tseem ceeb hauv kev tiv thaiv qog noj ntshav. Nov yog qee txoj hauv kev yooj yim los txo koj txoj kev pheej hmoo:
- Txhob haus luam yeeb: Nws yog qhov tseem ceeb tshaj plaws uas yuav ua rau mob qog noj ntshav zais zis. Yog tias koj txiav luam yeeb, nws tuaj yeem txo koj txoj kev pheej hmoo. Tsis txhob haus luam yeeb thib ob thiab.
- Nyob twj ywm Hydrated: Thaum koj haus dej txaus, nws pab tshem tawm cov co toxins los ntawm koj lub zais zis. Noj 8 khob dej txhua hnub ua rau lub zais zis noj qab haus huv.
- Balanced and Healthy Diet: Txiv hmab txiv ntoo, zaub, thiab tag nrho cov nplej uas muaj nyob rau hauv cov zaub mov yog noj qab nyob zoo thiab zoo rau lub cev.
- Tsis txhob muaj tshuaj lom neeg: Yog tias koj ua haujlwm hauv kev lag luam tshuaj lom neeg lossis roj hmab, ua tib zoo saib xyuas kev nyab xeeb thiab siv cov cuab yeej tiv thaiv. Khaws koj tus kheej kom deb ntawm cov khoom txaus ntshai tuaj yeem pab txo koj txoj kev pheej hmoo ntawm mob qog noj ntshav.
- Ua raws li tus kws kho mob: Kev kuaj xyuas tsis tu ncua yog qhov muaj txiaj ntsig thiab tuaj yeem kuaj pom cov teeb meem ntawm thawj theem.
