He aha ka Kānā Ureteral? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

He ʻano maʻamau ʻole o ka maʻi kanesa ka Kānā Ureteral, e ulu ana i loko o nā ureter, ʻo ia nā paipu liʻiliʻi e lawe ana i ka mimi mai kou mau puʻupaʻa i kou ʻeke mimi. ʻOiai he mea maʻamau ʻole, e pili ana i ka emi ma mua o 1 i loko o 100,000 mau kānaka i kēlā me kēia makahiki, hiki i ka hoʻomaopopo ʻana i kēia kūlana ke kōkua iā ʻoe e ʻike i nā hōʻailona i ka wā mua a ʻimi i ka mālama kūpono i ka wā e pono ai.

He aha ka Kānā Ureteral?

E hana ʻia ka Kānā Ureteral i ka wā e ulu ai nā cell maʻamau ʻole i loko o ka papa o hoʻokahi a ʻelua paha mau ureter. ʻO kēia mau paipu muscular, ʻo kēlā me kēia ma kahi o 10-12 iniha ka lōʻihi, e lawelawe ana ma ke ʻano he ala nui no ka lawe ʻana i ka mimi i loko o kou ʻōnaehana mimi.

ʻO ka ʻano maʻamau loa ka urothelial carcinoma, i kapa ʻia hoʻi ʻo transitional cell carcinoma, kahi e hoʻomaka ai i nā cell lining o loko o ka ureter. Hiki i kēia ʻano o ka maʻi kanesa ke ulu pū i loko o kou ʻeke mimi a i ʻole ka puʻupaʻa kidney, ʻo ia ke kumu e nānā pono ai nā kauka i kēia mau wahi inā loaʻa iā ʻoe ka maʻi kanesa ureteral.

ʻAʻole pinepine, hiki i nā ʻano ʻē aʻe e like me ka squamous cell carcinoma a i ʻole adenocarcinoma ke ulu i loko o nā ureters. ʻO kēia wale nō kahi hapa liʻiliʻi o nā maʻi kanesa ureteral akā pono nā ala diagnostic like a me nā manaʻo mālama.

He aha nā Hōʻailona o ka Kānā Ureteral?

Hiki i nā hōʻailona mua o ka maʻi kanesa ureteral ke palupalu a hiki ke ulu mālie i ka manawa. ʻO ke koko i loko o kou mimi, i kapa ʻia ʻo hematuria, ʻo ia pinepine ka hōʻailona mua i ʻike ʻia, ʻoiai ʻaʻole paha e ʻike ʻia i ka maka maka.

Eia nā hōʻailona nui e nānā ai:

• Ke koko i loko o ka mimi e hiki ke ʻike ʻia he poni, ʻulaʻula, a i ʻole cola-colored
• Mimi pinepine a i ʻole ka manaʻo e pono e mimi koke
• ʻEha a i ʻole ka puhi ʻana i ka wā e mimi ai
• ʻEha flank ma kekahi ʻaoʻao o kou kua, ma lalo o nā iwi ʻaoʻao
• Kaumaha ʻole i wehewehe ʻole ʻia
• Luhi ʻole e hoʻomaikaʻi me ka hoʻomaha
• ʻO ka pehu ʻana i kou mau wāwae a i ʻole nā wāwae

Loaʻa i kekahi poʻe ka mea e like me ka ʻeha pōhaku kidney, me ka ʻeha ʻoi, cramping e hele mai ana a hele aku.

He mea nui e hoʻomanaʻo i ka nui o kēia mau hōʻailona hiki ke hōʻike i nā kūlana ʻē aʻe, ʻoi aku ka maʻamau e like me nā maʻi mimi a i ʻole nā pōhaku kidney. Eia naʻe, pono e loiloi ʻia nā hōʻailona mau, ʻoiai ke koko i loko o ka mimi, e kahi mea mālama ola.

He aha nā Kumu o ka Kānā Ureteral?

ʻAʻole maopopo loa ke kumu pololei o ka maʻi kanesa ureteral, akā ua ʻike nā mea noiʻi i kekahi mau mea e hiki ke hoʻonui i kou pilikia. E ulu ka hapa nui o nā hihia i ka wā e loli ai nā cell maʻamau i loko o ka papa ureter i nā loli genetic e hoʻokumu ai iā lākou e ulu maʻamau ʻole.

Hiki i kekahi mau mea ke komo i kēia mau loli cellular:

• Ka hōʻike mau i kekahi mau kemika, ʻoiai nā mea i hoʻohana ʻia i nā ʻoihana kala, rapa, a me nā lole
• Ka puhipaka lōʻihi, kahi e hoʻokomo ai i nā kemika e hoʻokumu ana i ka maʻi kanesa i loko o kou ʻōnaehana mimi
• Nā mālama chemotherapy ma mua, ʻoiai me kekahi mau lāʻau lapaʻau
• Ka maʻi kidney mau a i ʻole nā maʻi kidney hou
• Ka hōʻike ʻana i ka aristolochic acid, i loaʻa i loko o kekahi mau lāʻau lapaʻau
• Mōʻaukala ʻohana o nā maʻi kanesa mimi
• Kekahi mau kūlana genetic e pili ana i ka hoʻoponopono DNA

He kuleana pū ke makahiki, me ka hapa nui o nā maʻi kanesa ureteral i ʻike ʻia i nā kānaka ma luna o 65. E ulu pinepine nā kāne i kēia maʻi kanesa ma mua o nā wāhine, ʻoiai ʻaʻole nui ka ʻokoʻa.

ʻO ka loaʻa ʻana o kēia mau pilikia ʻaʻole ia he manaʻo e loaʻa nō ʻoe i ka maʻi kanesa ureteral. ʻAʻole loaʻa i nā kānaka he nui me nā pilikia he nui ka maʻi, ʻoiai kekahi me nā pilikia ʻike ʻole ʻia e hana.

I ka wā e ʻike ai i ke Kauka no ka Kānā Ureteral?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i ke koko i loko o kou mimi, ʻoiai he mea liʻiliʻi a i ʻole hoʻokahi manawa wale nō. ʻOiai he nui nā kumu maʻamau o kēia hōʻailona, ​​pono mau ia e loiloi ʻia e ka mea mālama ola e kāpae i nā kūlana koʻikoʻi.

E ʻimi koke i ka mālama lapaʻau inā loaʻa iā ʻoe ka ʻeha flank mau i hui pū ʻia me nā hōʻailona mimi e like me ka mimi pinepine a i ʻole ka puhi ʻana. Hiki i kēia mau hōʻailona ke hōʻike i ka pale ʻana i kou ʻōnaehana mimi e pono ai ka loiloi koke.

E hoʻonohonoho i kahi hālāwai i loko o kekahi mau lā inā loaʻa iā ʻoe nā hōʻailona mimi mau ʻaʻole e hoʻomaikaʻi me ka mālama maʻamau, ka nalowale kaumaha i wehewehe ʻole ʻia, a i ʻole ka luhi e hoʻopilikia ana i kāu mau hana i kēlā me kēia lā. Hiki i ka loiloi mua ke kōkua i ka ʻike ʻana i nā pilikia ma mua o ka lilo ʻana i mea koʻikoʻi.

E hilinaʻi i kāu mau manaʻo e pili ana i nā loli i loko o kou kino. Inā ʻokoʻa a pilikia paha kekahi mea e pili ana i kāu mau hana mimi, ʻoi aku ka maikaʻi o ka nānā ʻana ma mua o ka kali ʻana a me ka hopohopo.

He aha nā Pilikia no ka Kānā Ureteral?

Hiki i ka maʻi kanesa ureteral ke alakaʻi i kekahi mau pilikia, ʻoiai inā e ulu nui ia e pale ai i ka kahe mimi a i ʻole e pālahalaha i nā ʻāpana ʻē aʻe o kou kino. Hiki i ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e ʻike i ka wā e ʻimi ai i ka mālama lapaʻau koke.

ʻO nā pilikia koke loa e pili pinepine ana i ka pale ʻana o ka mimi:

• Ka hōʻino ʻana o ka puʻupaʻa mai ka mimi i hoʻihoʻi ʻia (hydronephrosis)
• Nā maʻi puʻupaʻa e hiki ke lilo i mea koʻikoʻi
• Ka hāʻule piha ʻana o ka puʻupaʻa inā pili nā ureter ʻelua
• ʻEha nui mai ka mimi i hoʻopaʻa ʻia
• Nā clots koko i loko o ka mimi e hiki ke hoʻokumu i nā pale hou aku

I ka wā e holomua ai ka maʻi kanesa, hiki ke pālahalaha i nā ʻāpana kokoke e like me ka ʻeke mimi, ka puʻupaʻa, a i ʻole nā lymph nodes. Hiki i nā hihia holomua ke hoʻopilikia i nā ʻāpana mamao e komo pū ana i ke ake, nā māmā, a i ʻole nā iwi, ʻoiai he mea maʻamau ʻole kēia ma muli o ke ʻano ulu mālie o ka maʻi kanesa.

Hiki ke loaʻa nā pilikia pili i ka mālama ʻana, e like me nā pilikia ʻoki a i ʻole nā hopena mai ka chemotherapy. Eia naʻe, e hana pono kāu hui lapaʻau e hoʻemi i kēia mau pilikia ʻoiai e mālama pono ana i kāu maʻi kanesa.

Pehea ka ʻIke ʻana o ka Kānā Ureteral?

Hoʻomaka pinepine ka ʻike ʻana i ka maʻi kanesa ureteral me kāu kauka e nīnau ana e pili ana i kāu mau hōʻailona a me ka mōʻaukala lapaʻau, a laila kahi hoʻokolohua kino. ʻOiai nā ureters i loko hohonu o kou kino, pono nā hoʻokolohua kūikawā e ʻike maopopo iā lākou.

E hoʻomaka paha kāu kauka me nā hoʻokolohua mimi e nānā i ke koko, nā cell kanesa, a i ʻole nā hōʻailona o ka maʻi. ʻO ka helu koko piha a me nā hoʻokolohua hana puʻupaʻa e kōkua i ka loiloi ʻana i kou olakino holoʻokoʻa a me ka hana puʻupaʻa.

Hāʻawi nā haʻawina kiʻi i nā kiʻi kikoʻī o kou ʻōnaehana mimi. Hiki i kahi CT scan me ka waihoʻoluʻu contrast ke hōʻike i ka nui a me ka wahi o nā tumors, ʻoiai ka intravenous pyelogram (IVP) e hahai ana i ka maikaʻi o ka kahe mimi ma o kou ʻōnaehana.

Inā hōʻike nā kiʻi i ka maʻi kanesa, hiki i kāu kauka ke ʻōlelo aku i ka ureteroscopy, kahi kaʻina hana kahi e hoʻokomo ʻia ai kahi paipu lahilahi, flexible me kahi kāmela ma o kou ʻeke mimi e nānā pololei i ka ureter. I ka wā o kēia kaʻina hana, hiki ke lawe ʻia nā laʻana pūnaewele no ka biopsy e hōʻoia i ka ʻike.

ʻO ka hana ʻike holoʻokoʻa e lawe pinepine i kekahi mau pule, e ʻae ana i ka manawa no nā hopena hoʻokolohua a me nā haʻawina hou aku e pono ai e hoʻoholo i ke kahua o ka maʻi kanesa a me ke ala mālama maikaʻi loa.

He aha ka Lapaʻau no ka Kānā Ureteral?

Aia ka mālama ʻana i ka maʻi kanesa ureteral ma kekahi mau mea, e komo pū ana i ka nui o ka tumor, ka wahi, ke kahua, a me kou olakino holoʻokoʻa. E hana kāu hui lapaʻau i kahi papahana mālama pilikino e hāʻawi ana i ka manawa maikaʻi loa o nā hopena holomua ʻoiai e mālama ana i ka nui o ka hana puʻupaʻa.

ʻO ka ʻoki kino ka mālama mua no ka hapa nui o nā maʻi kanesa ureteral. Aia ke ʻano o ka ʻoki kino ma kahi o ka tumor a me ka nui o ka ureter i pilikia.

ʻO nā ala ʻoki maʻamau e komo pū ana:

• Ureterectomy - ke kāpae ʻana i ka hapa i pilikia o ka ureter
• Nephroureterectomy - ke kāpae ʻana i ka puʻupaʻa, ureter, a me ka hapa o ka ʻeke mimi
• Ureter reconstruction - ke kūkulu hou ʻana i ka ureter me ka hoʻohana ʻana i ka pūnaewele mai nā wahi ʻē aʻe o kou kino
• Endoscopic removal - ke hoʻohana ʻana i kahi scope e kāpae i nā tumors liʻiliʻi, mua

No nā maʻi kanesa holomua a i ʻole nā hihia kahi ʻaʻole hiki ke hana ʻia ka ʻoki kino, hiki ke ʻōlelo ʻia ka chemotherapy. ʻO nā lāʻau lapaʻau like i hoʻohana ʻia no ka maʻi kanesa ʻeke mimi e hana maikaʻi pinepine no ka maʻi kanesa ureteral ʻoiai he mau ʻano cell like lākou.

ʻAʻole pinepine ka hoʻohana ʻana i ka radiation therapy akā hiki ke kōkua i nā kūlana kikoʻī, e like me ka wā i pālahalaha ai ka maʻi kanesa i nā pūnaewele kokoke a i ʻole ka wā ʻaʻole he koho ka ʻoki kino ma muli o nā kūlana olakino ʻē aʻe.

Pehea e hoʻokele ai i ka mālama ma ka home i ka wā o ka mālama ʻana?

ʻO ka hoʻokele ʻana i kāu mālama ma ka home i ka wā o ka mālama ʻana i ka maʻi kanesa ureteral e kau nui ana i ke kākoʻo ʻana i ke kaʻina hoʻōla o kou kino a me ka mālama ʻana i kou maikaʻi o ke ola. Hiki i nā hana liʻiliʻi, mau ke hana i kahi ʻokoʻa nui i kāu manaʻo i kēlā me kēia lā.

ʻO ka noho wai maikaʻi e kōkua i kāu hana puʻupaʻa i koe e hana maikaʻi a hiki ke hoʻemi i ka pilikia o nā pilikia. E pahuhopu no ka mimi maopopo a i ʻole pale melemele ma ke ʻano he hōʻailona o ka hydration maikaʻi, ke ʻole kāu kauka i hāʻawi iā ʻoe i nā palena wai kikoʻī.

E makaʻala i nā loli i kāu mau ʻano mimi, e komo pū ana i ka ʻeha, ka puhi ʻana, a i ʻole nā loli i ke kala mimi. E mālama i kahi moʻolelo maʻalahi o kēia mau hōʻailona e kaʻana like me kāu hui mālama ola i ka wā o nā kipa hahai.

Hiki i ka hoʻoikaika māmā, e like me ka ʻae ʻana o kāu kauka, ke kōkua i ka mālama ʻana i kou ikaika a me nā pae ikehu. Hiki i nā hele wāwae pōkole a i ʻole ka hoʻonui ʻana i ka māmā ke hoʻonui i kou manaʻo a kōkua i kou kino e hoʻōla hou aku.

E ʻai i nā meaʻai momona e kākoʻo i kou ʻōnaehana pale a me ke kaʻina hoʻōla. E kau nui i nā hua, nā mea kanu, nā protein liʻiliʻi, a me nā huaola holoʻokoʻa, ʻoiai e kaupalena ana i nā meaʻai i hana ʻia a me ka paʻakai nui e hiki ke hoʻoikaika i kou mau puʻupaʻa.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai ke kōkua iā ʻoe e hana i ka nui o kāu manawa me kāu mea mālama ola a hōʻoia i ka pane ʻia o kāu mau hopohopo a pau. E hoʻomaka ma ka kākau ʻana i kāu mau hōʻailona, ​​e komo pū ana i ka wā i hoʻomaka ai lākou a pehea lākou i loli ai i ka manawa.

E lawe mai i kahi papa inoa piha o nā lāʻau a pau āu e lawe nei, e komo pū ana i nā lāʻau lapaʻau, nā lāʻau lapaʻau ma luna o ka pākaukau, a me nā mea hoʻohui a i ʻole nā lāʻau lapaʻau. Hiki i kekahi o kēia mau mea ke hoʻopilikia i kou mau puʻupaʻa a i ʻole ke launa pū me nā mālama kanesa.

E hoʻomākaukau i kahi papa inoa o nā nīnau āu e makemake ai e nīnau i kāu kauka. E noʻonoʻo e komo i nā nīnau e pili ana i kāu ʻike, nā koho mālama, nā hopena hiki ke loaʻa, a me ka mea e manaʻo ai i ka wā hoʻōla.

Inā hiki, e lawe mai i kahi hoa aloha a i ʻole ʻohana hilinaʻi i kāu hālāwai. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a hāʻawi i ke kākoʻo manaʻo i ka wā e hiki ai ke lilo i kamaʻilio nui.

E hōʻiliʻili i nā moʻolelo lapaʻau ma mua e pili ana i kou ʻōnaehana mimi, e komo pū ana i nā hopena mai nā hoʻokolohua hana puʻupaʻa, nā haʻawina kiʻi, a i ʻole nā mālama no nā pōhaku kidney a i ʻole nā maʻi.

He aha ka lawe nui e pili ana i ka Kānā Ureteral?

ʻO ka maʻi kanesa ureteral, ʻoiai he mea maʻamau ʻole, he kūlana mālama ʻia, ʻoi aku ka maikaʻi i ka wā e hopu koke ʻia ai. ʻO ka mea nui loa e hoʻomanaʻo ai ʻo ke koko i loko o kou mimi pono e loiloi ʻia e kahi mea mālama ola, ʻoiai inā me he mea liʻiliʻi a hele aku ma luna o kona iho.

Hāʻawi nā mālama hou i nā hopena maikaʻi no nā kānaka he nui me ka maʻi kanesa ureteral. E hana pū kāu hui mālama ola me ʻoe e hana i kahi papahana mālama e pane ana i kāu kūlana kikoʻī ʻoiai e mālama ana i ka nui o ka hana puʻupaʻa.

E hoʻomanaʻo i ka loaʻa ʻana o nā pilikia ʻaʻole ia he manaʻo e loaʻa iā ʻoe ka maʻi kanesa ureteral, a nui nā kānaka me kēia ʻike e ola ana i nā ola piha, olakino. E noho pili me kāu hui mālama ola, e hahai i kāu papahana mālama, a mai kānalua e nīnau i nā nīnau a i ʻole nā ​​hopohopo.

ʻO ka lawe ʻana i kahi kuleana hana i kāu mālama, ka mālama ʻana i ka kamaʻilio ākea me kāu hui lapaʻau, a me ka kau ʻana i ka olakino holoʻokoʻa ma o ka ʻai maikaʻi a me ka hoʻoikaika kūpono hiki ke kōkua a pau i nā hopena maikaʻi a me ka maikaʻi o ke ola.

Nā Nīnau Pinepine e pili ana i ka Kānā Ureteral

Hiki ke pale ʻia ka maʻi kanesa ureteral?

ʻOiai ʻaʻole hiki iā ʻoe ke pale loa i ka maʻi kanesa ureteral, hiki iā ʻoe ke hoʻemi i kou pilikia ma ka pale ʻana i ka hoʻohana ʻana i ka paka, ka palena ʻana i ka hōʻike ʻana i nā kemika ʻoihana i ka wā hiki, a me ka mālama ʻana i ka olakino holoʻokoʻa maikaʻi. Inā hana ʻoe me nā kemika a i ʻole nā ​​kala, e hahai i nā protocol palekana a pau a hoʻohana i nā lako pale. Hiki i nā nānā lapaʻau maʻamau ke kōkua i ka hopu ʻana i nā pilikia i ka wā mua i ka wā e mālama ʻia ai.

Pehea ka wikiwiki o ka pālahalaha ʻana o ka maʻi kanesa ureteral?

ʻO ka maʻi kanesa ureteral e ulu mālie pinepine ana i ka hoʻohālikelike ʻana i kekahi mau maʻi kanesa ʻē aʻe, akā hiki ke ʻokoʻa ke wikiwiki mai ke kanaka a i ke kanaka. Noho ka hapa nui o nā maʻi kanesa ureteral i kahi wahi no kekahi manawa ma mua o ka pālahalaha ʻana, ʻo ia ke kumu e nui ai ka ʻike mua a me ka mālama ʻana. Hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻike kikoʻī hou aku ma muli o kāu ʻano a me ke kahua o ka maʻi kanesa.

E pono anei iaʻu ka dialysis inā loaʻa iaʻu ka maʻi kanesa ureteral?

ʻAʻole pono ka hapa nui o nā kānaka me ka maʻi kanesa ureteral i ka dialysis, ʻoi aku inā hoʻokahi wale nō ureter i pilikia a hana maʻamau ka puʻupaʻa ʻē aʻe. ʻOiai inā pili nā ureter ʻelua, nui nā koho mālama e hiki ke mālama i ka hana puʻupaʻa. E nānā pono kāu kauka i kāu hana puʻupaʻa a e kūkākūkā i nā hopohopo e pili ana i ka dialysis inā lilo ia i mea pili i kāu kūlana.

Hiki i ka maʻi kanesa ureteral ke hoʻi mai ma hope o ka mālama ʻana?

E like me nā maʻi kanesa he nui, hiki i ka maʻi kanesa ureteral ke hoʻi hou mai, ʻo ia ke kumu e nui ai ka mālama hahai mau. E hoʻonohonoho kāu kauka i nā nānā mau, e komo pū ana i nā hoʻokolohua kiʻi a me nā haʻawina mimi, e nānā i nā hōʻailona o ka hoʻi hou ʻana. Nui nā kānaka e noho ʻole i ka maʻi kanesa ma hope o ka mālama ʻana, a ʻoiai inā hoʻi hou mai ka maʻi kanesa, hiki pinepine ke mālama ʻia me ka holomua i ka wā e hopu koke ʻia ai.

Pehea ka hopena o ka mālama ʻana i ka maʻi kanesa ureteral i koʻu ola i kēlā me kēia lā?

Aia ka hopena i kou ola i kēlā me kēia lā ma kāu papahana mālama kikoʻī a pehea ʻoe e pane ai iā ia. Nui nā kānaka e hiki ke hoʻi i ka hapa nui o kā lākou mau hana maʻamau ma hope o ka hoʻōla ʻana mai ka ʻoki kino. E hana pū kāu hui mālama ola me ʻoe e hoʻokele i nā hopena a kōkua iā ʻoe e mālama i ka maikaʻi o ke ola i ka wā o kāu mālama a me ka hoʻōla ʻana.