Kenza yeUreteral Cancer? Zviratidzo, Zvinokonzera, & Kurapa

Kenza yeUreteral inorwara kwazvo inoumbwa mune ureters, matumbo madiki anokonzera mvura kubva kuitsvo kuenda kubladder. Kunyange zvisingawanzoitika, zvichikurudzira vashoma kupfuura 1 mu 100,000 vanhu gore roga roga, kunzwisisa mamiriro ezvinhu uku kunogona kukubatsira kuziva zviratidzo pakutanga uye kutsvaga kurapwa kwakakodzera kana zvichidiwa.

Kenza yeUreteral Chii?

Kenza yeUreteral inoitika kana masero asingawanzoitika akakura zvisingadzoreki mukati meureter imwe kana maviri. Aya matumbo ane simba, imwe neimwe inenge 10-12 inches kureba, anoshanda senzira dzakakosha dzekufambisa mvura mumuviri wako wekutambira mvura.

Rudzi runowanzoitika ndiro urothelial carcinoma, rinonziwo transitional cell carcinoma, rinotanga mune masero ekunze e ureter. Rudzi urwu rwekenza runogonawo kuumbwa mubladder yako kana itsvo pelvis, ndosaka vanachiremba vachiwana nzvimbo idzi pedyo kana wakazivikanwa nekensa ye ureteral.

Zvisingawanzoitika, mamwe marudzi akadai se squamous cell carcinoma kana adenocarcinoma anogona kuumbwa mune ureters. Izvi zvinomiririra chikamu chidiki chekenza ye ureteral asi zvinoda nzira dzakafanana dzekuongorora uye zvekufunga nezve kurapa.

Ndeapi Zviratidzo zveKenza yeUreteral?

Zviratidzo zvepakutanga zvekenza ye ureteral zvinogona kuva zvisinganzwisisiki uye zvinogona kuvanduka zvishoma nezvishoma panguva. Ropa mumuviri wako, rinonzi hematuria, kazhinji ndiyo yekutanga chiratidzo chinonyatsocherechedzwa, kunyange zvazvo zvisingagoni kuoneka nemaziso.

Heano zviratidzo zvikuru zvekucherechedza:

• Ropa mumuviri rinogona kuoneka pink, tsvuku, kana cola-colored
• Kuenda kunzvimbo kazhinji kana kunzwa sekunge unoda kuenda kunzvimbo nekukurumidza
• Kurwadziwa kana kupisa panguva yekuenda kunzvimbo
• Kurwadziwa kwepamuviri kune rumwe rutivi rwemusana wako, pasi pemabvi
• Kurasikirwa nehuremu kusina tsananguro
• Kuneta kunovandudzwa nekuzorora
• Kuwedzera mumakumbo ako kana tsoka

Vamwe vanhu vanonzwa sekunge kurwadziwa kweitsvo, nekukwenya kwakasimba, kurwadziwa kunouya uye kunopera. Izvi zvinoitika kana tumor ichivhara kufamba kwemvura, ichigadzira kumanikidza mu ureter.

Zvakakosha kuyeuka kuti zviratidzo zvizhinji izvi zvinogonawo kuratidza mamwe mamiriro ezvinhu akajairika akadai se urinary tract infections kana itsvo matombo. Nekudaro, zviratidzo zvinoramba zvichiitika, kunyanya ropa mumuviri, zvinofanira kugara zvichitarisirwa nachiremba.

Chii Chinokonzera Kenza yeUreteral?

Chikonzero chaicho chekenza ye ureteral hachizivisike zvizere, asi vatsvakurudzi vakaziva zvinhu zvakati wandei zvinogona kuwedzera njodzi yako. Kazhinji zviitiko zvinoitika kana masero akajairika mukati me ureter lining achinja majeni anokonzera kukura kwavo zvisina kujairika.

Zvinhu zvakati wandei zvinogona kuita kuti kuchinja uku kwe masero kuitike:

• Kuonekwa kwenguva refu kune mamwe makemikari, kunyanya anoshandiswa muindasitiri yedye, rabha, uye textile
• Kusvuta kwenguva refu, kunounza makemikari anokonzera kenza mumuviri wako wekutambira mvura
• Kurapwa kwakapfuura kwe chemotherapy, kunyanya nemamwe mishonga
• Chirwere cheitsvo chekare kana kuzvimba kweitsvo kwakawanda
• Kuonekwa kune aristolochic acid, inowanikwa mune mamwe mishonga yezvinomera
• Nhoroondo yemhuri yekenza ye urinary tract
• Mamwe mamiriro ezvinhu ejeni anokanganisa kugadzirisa kweDNA

Zera rinowanzotambawo basa, nekenza yakawanda ye ureteral inoziviswa muvanhu vane makore anopfuura 65. Varume vanowanzova nekensa iyi kupfuura vakadzi, kunyange zvazvo musiyano wacho usingakurukuri.

Kuve nezvinhu izvi zvinokonzera njodzi hazvirevi kuti iwe uchava nekensa ye ureteral. Vanhu vakawanda vane zvinhu zvakawanda zvinokonzera njodzi havambovi nerwere, nepo vamwe vasina zvinhu zvakajeka zvinokonzera njodzi.

Rini Unoofanira Kuona Chiremba weKenza yeUreteral?

Unofanira kubata nachiremba wako kana ukaona ropa mumuviri wako, kunyange zvazvo iri huwandu hudiki kana kuitika kamwe chete. Kunyange zvazvo chiratidzo ichi kazhinji chine zvikonzero zvisina njodzi, chinogara chichifanira kuongororwa nachiremba kuti ubvise mamiriro ezvinhu akakomba.

Tsvaga kurapwa kwemishonga nekukurumidza kana iwe uine kurwadziwa kwenguva refu kwepamuviri pamwe nezviratidzo zvekutambira mvura senge kuenda kunzvimbo kazhinji kana kupisa. Aya zviratidzo pamwe chete anogona kuratidza kuvhara mumuviri wako wekutambira mvura unoda kuongororwa nekukurumidza.

Rongedza musangano mukati memazuva mashoma kana iwe uine zviratidzo zvekutambira mvura zvinoramba zvichiitika zvisina kuvandudzwa nekutarisira kwakapusa, kurasikirwa nehuremu kusina tsananguro, kana kuneta kunokanganisa mabasa ako ezuva nezuva. Kuongororwa pakutanga kunogona kubatsira kuziva matambudziko usati avava akakomba.

Tenda pfungwa dzako pamusoro pekuchinja mumuviri wako. Kana chimwe chinhu chichiita sekasiyana kana chinokonzera kunetseka pamusoro pemabasa ako ekutambira mvura, zviri nani kugara uchizviongorora pane kumirira uye kunetseka.

Ndeapi Zvinhu Zvinokonzera Njodzi yeKenza yeUreteral?

Kunzwisisa zvinhu zvinokonzera njodzi kunogona kukubatsira kuita sarudzo dzakachenjera pamusoro pehutano hwako, kunyange zvazvo zvakakosha kuyeuka kuti kuva nezvinhu zvinokonzera njodzi hazvirevi kuti uchave nekensa. Zvinhu zvakawanda zvinoita kuti njodzi ye ureteral cancer iwedzere zvine chekuita nekuonekwa kwenguva refu kune zvinhu zvinokuvadza.

Zvinhu zvikuru zvinokonzera njodzi zvinosanganisira:

• Zera rinopfuura 65, apo kazhinji zviitiko zvinoongororwa
• Nhoroondo yekusvuta, kunyanya kusvuta kwenguva refu kana kukuru
• Kuonekwa kwemabasa kune makemikari muindasitiri yedye, pendi, kana rabha
• Kurapwa kwakapfuura nemamwe mishonga ye chemotherapy
• Chirwere cheitsvo chekare kana matombo eitsvo anowanda
• Nhoroondo yemhuri yekenza yeitsvo, bladder, kana ureteral
• Lynch syndrome kana mamwe mamiriro ezvinhu ejeni anokanganisa kugadzirisa kweDNA

Mamwe zvinhu zvisingawanzoitika asi zvakakosha zvinokonzera njodzi zvinosanganisira kuonekwa kune aristolochic acid kuburikidza nemamwe mishonga yezvinomera, kuzvimba kwenguva refu kwe urinary tract, uye kurapwa kwakapfuura kwe radiation kune nzvimbo yepelvic.

Kana iwe uine zvinhu zvakawanda zvinokonzera njodzi, kukurukura nezve sarudzo dzekuongorora nachiremba wako kunogona kubatsira kugadzira chirongwa chekucherechedza chakagadzirirwa iwe. Kuongororwa kwenguva dzose kunova kukosha zvakanyanya kana iwe uine njodzi yakakwira.

Ndeapi Matambudziko Anogona Kuitika eKenza yeUreteral?

Kenza yeUreteral inogona kutungamirira kumatambudziko akawanda, kunyanya kana ikakura zvakakwana kuti ivhare kufamba kwemvura kana ikapararira kune dzimwe nzvimbo dzemuviri wako. Kunzwisisa mikana iyi kunogona kukubatsira kuziva kana uchifanira kutsvaga kurapwa kwemishonga nekukurumidza.

Matambudziko anowanzoitika kazhinji ane chekuita nekuvhara kwekutambira mvura:

• Kukuvadzwa kweitsvo kubva pamvura yakavharirwa (hydronephrosis)
• Kuzvimba kweitsvo kunogona kuva kukomba
• Kukundikana kwakakwana kweitsvo kana ureters ese ari maviri akabatwa
• Kurwadziwa kwakasimba kubva mukuunganidzwa kwemvura
• Zvidimbu zveropa mumuviri zvinogona kukonzera kuvhara kwakawanda

Sekuenderera mberi kwekensa, inogona kupararira kune zvikamu zviri pedyo zvakadai se bladder, itsvo, kana lymph nodes. Zviitiko zvakakomba zvinogona kukanganisa zvikamu zvakare kure zvinosanganisira itsvo, mapapu, kana mapfupa, kunyange zvazvo izvi zvisingawanzoitika nekuda kwekukura kwakanyanya kwakanyanya kwekensa.

Matambudziko ane chekuita nekurapa anogonawo kuitika, akadai senjodzi dzekuvhiya kana zvinokonzerwa ne chemotherapy. Nekudaro, timu yako yemishonga ichaita basa zvakanyatsonaka kuderedza njodzi idzi nepo ichirapa kenza yako zvinobudirira.

Kenza yeUreteral Inoziviswa Sei?

Kuziva kenza ye ureteral kazhinji kunotanga nachiremba wako achikubvunza nezvezviratidzo zvako nenhoroondo yemishonga, ichiteverwa nekuongororwa kwemuviri. Sezvo ureters iri mukati memuviri wako, bvunzo dzakasarudzika dzinodiwa kuti uzione zvakajeka.

Chiremba wako achaita bvunzo dzemvura kuti aone ropa, masero ekensa, kana zviratidzo zvekuzvimba. Kuverenga kwakakwana kweropa uye bvunzo dzeitsvo kunobatsira kuona hutano hwako hwese uye kushanda kweitsvo.

Kudzidza kwemafirimu kunopa mifananidzo yakadzama yemumuviri wako wekutambira mvura. CT scan ine contrast dye inogona kuratidza saizi nenzvimbo yezvimwe zvirwere, nepo intravenous pyelogram (IVP) ichitevera kuti mvura inoyerera sei mumuviri wako.

Kana mifananidzo ichiratidza kenza, chiremba wako anogona kukurudzira ureteroscopy, nzira iyo chubhu chakatetepa, chinopindika chine kamera chinopinda kuburikidza ne bladder yako kuti uone zvakananga ureter. Panguva yenzira iyi, zvikamu zve tishu zvinogona kutangwa kuti zvibvunzwe kuti zvibvumire kuongororwa.

Iyo yese nzira yekuongorora kazhinji inotora mavhiki mashoma, ichibvumira nguva yemigumisiro yebvunzo nedzimwe dzidzo dzinodiwa kuti dzizive nhanho yekenza uye nzira yakanakisa yekurapa.

Kurapa kweKenza yeUreteral Chii?

Kurapa kenza ye ureteral kunoenderana nezvinhu zvakati wandei, kusanganisira saizi yetumor, nzvimbo, nhanho, uye hutano hwako hwese. Timu yako yemishonga ichagadzira chirongwa chekurapa chakagadzirirwa iwe chinokupa mukana wakanakisa wekubudirira nepo ichichengeta basa rakawanda reitsvo sezvinobvira.

Kuita kuvhiya ndiko kurapa kukuru kwekenza yakawanda ye ureteral. Rudzi rwekuvhiya kunoenderana nenzvimbo iripo yetumor uye kuti chikamu chikuru che ureter chakabatwa sei.

Nzira dzekuvhiya dzakajairika dzinosanganisira:

• Ureterectomy - kubvisa chikamu chakabatwa che ureter
• Nephroureterectomy - kubvisa itsvo, ureter, uye chikamu che bladder
• Ureter reconstruction - kuvaka zvakare ureter uchishandisa tishu kubva kune imwe nzvimbo mumuviri wako
• Endoscopic removal - kushandisa scope kubvisa zviduku, zvirwere zvepakutanga

Kune kenza yakakomba kana zviitiko apo kuvhiya hakugoneki, chemotherapy inogona kukurudzirwa. Mishonga yakafanana inoshandiswa pakenza ye bladder kazhinji inoshanda zvakanaka pakenza ye ureteral sezvo iri marudzi akafanana e masero.

Radiation therapy haishandiswi kazhinji asi inogona kubatsira mumamiriro ezvinhu chaiwo, akadai kana kenza yakapararira kune zvikamu zviri pedyo kana kuvhiya kusiri sarudzo nekuda kwemamwe mamiriro ehutano.

Maitiro ekutarisira Kutarisira Kumba Panguva Yekurapa?

Kutarisira kutarisira kwako kumba panguva yekurapa kenza ye ureteral kunotarisa pakutsigira muviri wako wekuporesa uye kuchengetedza hupenyu hwako. Matanho madiki, anoramba achiitika anogona kuita musiyano mukuru mukunzwa kwako zuva nezuva.

Kuramba wakanyorova kunobatsira basa rako rakasara reitsvo kushanda zvakakwana uye kunogona kuderedza njodzi yematambudziko. Chinangwa chemvura yakajeka kana yakasviba yero sechiratidzo chekunyorova kwakanaka, kunze kwekunge chiremba wako akakupa zvipingamupinyi zvemura.

Cherechedza chero kuchinja mumaitiro ako ekutambira mvura, kusanganisira kurwadziwa, kupisa, kana kuchinja muvara wemvura. Chengetedza rekodhi yakapusa yezviratidzo izvi kuti ugovere netimu yako yekurapa panguva yekushanya kwekuongorora.

Kuita zvemitambo zvishoma, sezvakabvumidzwa nachiremba wako, kunogona kubatsira kuchengetedza simba rako uye simba. Kunyange kufamba kwenguva pfupi kana kutambanudza kwakapusa kunogona kuwedzera manzwiro ako uye kubatsira muviri wako kupora zvakanyanya.

Idya zvokudya zvine utano kutsigira sisitimu yako yekudzivirira uye kuporesa. Tarisa pamichero, miriwo, mapuroteni akapfava, uye zviyo zvizere, nepo uchideredza zvokudya zvakagadzirwa uye munyu wakawanda unogona kunetsa itsvo dzako.

Unofanira Kugadzirira Sei Musangano Wako Wemishonga?

Kugadzirira musangano wako kunogona kukubatsira kuita zvakanyanya panguva yako nemutapi wenyu wemishonga uye kuve nechokwadi chekuti zvinetso zvako zvese zvinogadziriswa. Tanga nekanyora zviratidzo zvako, kusanganisira pavakatanga uye maitiro avo akachinja sei panguva.

Uye uunze runyorwa rwakakwana remishonga yese yaunotora, kusanganisira mishonga inorayirwa, mishonga inotengeswa pasina kuraira, uye chero zvinowedzerwa kana mishonga yezvinomera. Zvimwe zvezvi zvinogona kukanganisa itsvo dzako kana kukanganisa kurapwa kwekensa.

Gadzira runyorwa remibvunzo yaunoda kubvunza chiremba wako. Funga kusanganisira mibvunzo pamusoro pekuongororwa kwako, sarudzo dzekurapa, zvinogona kuitika, uye zvaunofanira kutarisira panguva yekuvandudzika.

Kana zvichibvira, uunze shamwari yakavimbika kana nhengo yemhuri kumusangano wako. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro rwemanzwiro panguva inogona kuva hurukuro inotyisa.

Unganidza chero rekodhi dzemishonga yapfuura dzine chekuita nemuviri wako wekutambira mvura, kusanganisira migumisiro kubva kubvunzo dzeitsvo, kudzidza kwemafirimu, kana kurapwa kweitsvo matombo kana kuzvimba.

Chii Chinonyanya Kukosha Nezve Kenza yeUreteral?

Kenza yeUreteral, kunyange zvisingawanzoitika, mamiriro anorapika, kunyanya kana akabatwa pakutanga. Chinhu chakakosha chokuyeuka ndechekuti ropa mumuviri wako rinofanira kugara richiongororwa nachiremba, kunyange zvazvo richionekwa richiri diki kana richisiya pachawo.

Kurapa kwazvino uno kuno kupa migumisiro yakanaka kune vanhu vakawanda vane kenza ye ureteral. Timu yako yemishonga ichaita basa newe kugadzira chirongwa chekurapa chinogadzirisa mamiriro ako chaiwo nepo uchichengeta basa rakawanda reitsvo sezvinobvira.

Yeuka kuti kuva nezvinhu zvinokonzera njodzi hazvirevi kuti uchave nekensa ye ureteral, uye vanhu vakawanda vane chirwere ichi vanorarama upenyu hwakazara, hune hutano. Gara wakabatana netimu yako yekurapa, tevera chirongwa chako chekurapa, uye usambotya kubvunza mibvunzo kana kutaura zvinetso.

Kutora basa rakakosha mukutarisira kwako, kuchengetedza kutaurirana kwakavhurika netimu yako yemishonga, uye kufunga nezve hutano hwese kuburikidza nezvokudya zvakanaka uye kurovedza muviri kwakakodzera zvinogona zvose kuita kuti migumisiro yakanaka uye hupenyu hwakanaka.

Mibvunzo Inowanzo Bvunzwa Nezve Kenza yeUreteral

Kenza yeUreteral Inogona Kudzivirirwa Here?

Kunyangwe iwe usingakwanisi kudzivirira zvachose kenza ye ureteral, unogona kuderedza njodzi yako nekudzivirira kushandisa fodya, kuderedza kuonekwa kune makemikari eindasitiri kana zvichibvira, uye kuchengetedza hutano hwese hwakanaka. Kana iwe uchishanda nema kemikari kana dyes, tevera mirau yese yekuchengetedza uye shandisa michina yekudzivirira. Kuongororwa kwemishonga kwenguva dzose kunogona kubatsira kubata matambudziko pakutanga kana ari kurapika zvakanyanya.

Kenza yeUreteral Inopararira Nekukurumidza Sei?

Kenza yeUreteral kazhinji inokura zvishoma nezvishoma ichienzaniswa nemamwe marudzi ekensa, asi kumhanya kunogona kusiyana kubva kune munhu kune mumwe munhu. Kazhinji kenza ye ureteral inoramba iri munzvimbo imwe chete kwechinguva usati wapararira, ndosaka kuongororwa pakutanga nekurapa zvakakosha kwazvo. Chiremba wako anogona kukupa ruzivo rwakanyanya rwakanyanya rwe rudzi rwako rwakasarudzika nenhamba yekenza.

Ndichada Dialysis Here Kana Ndiri neKenza yeUreteral?

Vanhu vakawanda vane kenza ye ureteral havadi dialysis, kunyanya kana ureter imwe chete yakabatwa uye imwe itsvo inoshanda zvakanaka. Kunyange kana ureters ese ari maviri akabatwa, nzira dzakawanda dzekurapa dzinogona kuchengetedza basa reitsvo. Chiremba wako achaongorora basa reitsvo rako zvakanyatsonaka uye akurukure chero zvinetso pamusoro pe dialysis kana zvikave zvakakosha kune mamiriro ako.

Kenza yeUreteral Inogona Kudzoka Here Mushure meKurapa?

Sekunge kenza dzakawanda, kenza ye ureteral inogona kudzoka, ndosaka kutarisirwa kwenguva dzose kwakakosha kwazvo. Chiremba wako achaita kuongororwa kwenguva dzose, kusanganisira bvunzo dzemafirimu uye kudzidza kwemvura, kuti aone chero zviratidzo zvekudzoka. Vanhu vakawanda vanoramba vasina kenza mushure mekurapa, uye kunyangwe kenza ikadzoka, inogona kazhinji kurapwa zvinobudirira kana yakabatwa pakutanga.

Kurapa kweKenza yeUreteral Kuchashandura Sei Hupenyu Hwangu Hwezuva Nezuva?

Mhedzisiro pahupenyu hwako hwezuva nezuva kunoenderana nechirongwa chako chekurapa chakagadzirirwa iwe uye maitiro aunoita. Vanhu vakawanda vanokwanisa kudzoka kune zvakawanda zvemabasa avo akajairika mushure mekupora kubva kuvhiya. Timu yako yemishonga ichaita basa newe kutarisira chero zvinokonzerwa uye kukubatsira kuchengetedza hupenyu hwakanaka sezvinobvira panguva yekurapa kwako nekudzoreredzwa.