Umphumela Womdlavuza We-Ureter? Izimpawu, Izimbangela, Nokwelashwa

Umphumela womdlavuza we-ureter uhlobo lwemdlavuza oluyimbi olukhula e-ureters, izikhwephu ezincinyane ezithwala umchamo ezinso zakho e-bladder. Nakuba kungavamile, uthinta abantu abangaphansi kuka-1 ku-100,000 ngonyaka, ukuqonda lesi simo kungakusiza ukuthi uqaphele izimpawu ekuqaleni bese ufuna ukunakekelwa okufanele uma kudingeka.

Umphumela Womdlavuza We-Ureter Ungubani?

Umdlavuza we-ureter uqala lapho amaseli angavamile ekhula ngokungaphatheki ekuqaleni kwelinye noma womabili ama-ureters. Lezi zikhwephu zezinsimbi, ngayinye icishe ibe yiyintshi eyi-10-12 ubude, isebenza njengezindlela ezibalulekile zokuthutha umchamo ohlelweni lwakho lomchamo.

Uhlobo oluvamile kakhulu yi-urothelial carcinoma, ebizwa nangokuthi i-transitional cell carcinoma, eqala kumaseli angaphakathi e-ureter. Lolu hlobo olufanayo lwemdlavuza lungakhula futhi e-bladder yakho noma ezinso, kungakho odokotela bavame ukulandela lezi zindawo eduze uma uthola ukuxilongwa komdlavuza we-ureter.

Ngokungavamile, ezinye izinhlobo ezifana ne-squamous cell carcinoma noma i-adenocarcinoma zingakhula e-ureters. Lezi zimelela ingxenye encane yomdlavuza we-ureter kodwa zidinga izindlela ezifanayo zokuxilonga nokuphathwa kwezinto.

Ziyini Izimpawu Zomdlavuza We-Ureter?

Izimpawu zokuqala zomdlavuza we-ureter zingaba zimbi futhi zingase zikhule kancane kancane ngokuhamba kwesikhathi. Igazi lomchamo, elibizwa ngokuthi yi-hematuria, ngokuvamile iyisigxobo sokuqala esibonakalayo, nakuba kungase kungabonakali njalo ngeso lenyama.

Nawa ama-symptom aphambili okumelwe uwabukele:

• Igazi lomchamo elingase libonakale lipinki, libomvu, noma li-cola-colored
• Ukuphuma komchamo njalo noma ukuzizwa sengathi udinga ukuphuma komchamo ngokushesha
• Ubuhlungu noma ukuvutha ngesikhathi sokuphuma komchamo
• Ubuhlungu ehlangothini olulodwa lomhlane wakho, ngaphansi kwamaphaphu
• Ukwehla kwesisindo okungachazeki
• Ukukhathala okungaphuli ngokuphumula
• Ukukhula ezinyaweni zakho noma ezinyaweni

Abanye abantu bazwa okuzwakala njengobhlungu lwesibindi, ngobhlungu obukhulu, obukhulu obuza futhi buye. Lokhu kwenzeka lapho i-tumor ivala ukugeleza komchamo, idala ukucindezela e-ureter.

Kubalulekile ukukhumbula ukuthi eziningi zalezi zimpawu zingase zibonise ezinye izimo ezivamile ezifana nokutheleleka kwe-urinary tract noma amatshe esibindi. Noma kunjalo, izimpawu eziqhubekayo, ikakhulukazi igazi lomchamo, kufanele zihlale zihlolwe yisikhungo sokunakekelwa kwezempilo.

Yini Ebanga Umdlavuza We-Ureter?

Imbangela eqondile yomdlavuza we-ureter ayiqondakali ngokuphelele, kodwa abacwaningi baye baqaphela izinto eziningi ezingandisa ingozi yakho. Izimo eziningi ziqala lapho amaseli avamile ekuqaleni kwe-ureter enza izinguquko ze-genetic ezibangela ukukhula kwabo ngokungavamile.

Izinto eziningi zingase zifake isandla kulezi zinguquko zamaseli:

• Ukuvezwa isikhathi eside ezintweni ezithile zekhemikhali, ikakhulukazi ezisetshenziswa embonini yokudweba, irabha, nembonini yokuncelisa
• Ukubhema isikhathi eside, okufaka izinto zekhemikhali ezibangela umdlavuza ohlelweni lwakho lomchamo
• Ukuphathwa ngaphambili kwe-chemotherapy, ikakhulukazi ngemithi ethile
• Isifo sesibindi esiqhubekayo noma ukutheleleka kwezinso okuphindaphindayo
• Ukuvezwa ku-aristolochic acid, etholakala kweminye imithi yemithi
• Umlando womndeni womdlavuza we-urinary tract
• Izimo ezithile ze-genetic ezithinta ukulungiswa kwe-DNA

Ubudala buphinde bube nomthelela, ngomdlavuza we-ureter owuningi uxilongwe kubantu abadala kuno-65. Amadoda athola lo mdlavuza kancane kunabesifazane, nakuba umehluko ungakhulu.

Ukuba nalezi zinto ezingozi akusho ukuthi uzokuthola umdlavuza we-ureter. Abantu abaningi abanazo izinto eziningi ezingozi abazutholi lesi sifo, kanti abanye abangenazo izinto ezingozi ezicacile bayazithola.

Nini Okufanele Ubone Udokotela Ngokomdlavuza We-Ureter?

Kufanele uxhumane nodokotela wakho uma uqaphela igazi lomchamo, ngisho noma lingakanani noma kwenzeka kanye kuphela. Nakuba lesi simpawu sivame ukuba nezimbangela ezilula, sihlale sidinga ukuhlolwa kwezokwelapha ukuze kuvinjwe izimo ezingathi sína.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlushwa ubuhlungu obungapheli ehlangothini olulodwa lomhlane wakho kanye nezimpawu zokuphazamiseka komchamo ezifana nokuphuma komchamo njalo noma ukuvutha. Lezi zimpawu ndawonye zingase zibonise ukuvalwa ohlelweni lwakho lomchamo oludinga ukuhlolwa ngokushesha.

Hlela i-appointment phakathi nezinsuku ezimbalwa uma unezimpawu zokuphazamiseka komchamo eziqhubekayo ezingaphuli ngokunakekelwa okuyisisekelo, ukwehla kwesisindo okungachazeki, noma ukukhathala okuhlupha imisebenzi yakho yansuku zonke. Ukuhlolwa ekuqaleni kungasiza ukuthola izinkinga ngaphambi kokuba zibe nzima kakhulu.

Thembani izinzwa zakho mayelana nokuthinta emzimbeni wakho. Uma kukhona okuzwakala okuhlukile noma okukukhathazayo mayelana nemikhuba yakho yokuphazamiseka komchamo, kuhlale kungcono ukukuhlola kunokulinda nokukhathazeka.

Ziyini Izinto Ezingozi Zomdlavuza We-Ureter?

Ukuqonda izinto ezingozi kungakusiza ukuthi wenze izinqumo ezinolwazi mayelana nempilo yakho, nakuba kubalulekile ukukhumbula ukuthi ukuba nezinto ezingozi akusho ukuthi uzokuthola umdlavuza. Izinto eziningi ezandisa ingozi yomdlavuza we-ureter zihambisana nokuvezwa isikhathi eside ezintweni eziyingozi.

Izinto ezingozi ezibaluleke kakhulu zihlanganisa:

• Ubudala obungaphezu kuka-65, lapho izimo eziningi zixilongwa khona
• Umlando wokubhema, ikakhulukazi ukubhema isikhathi eside noma okukhulu
• Ukuvezwa emsebenzini ezintweni zekhemikhali embonini yokudweba, upeintshi, noma irabha
• Ukuphathwa ngaphambili ngemithi ethile ye-chemotherapy
• Isifo sesibindi esiqhubekayo noma amatshe esibindi aphindaphindayo
• Umlando womndeni womdlavuza wesibindi, i-bladder, noma i-ureter
• I-Lynch syndrome noma ezinye izimo ze-genetic ezithinta ukulungiswa kwe-DNA

Ezinye izinto ezingavamile kodwa eziyisihluthulelo zihlanganisa ukuvezwa ku-aristolochic acid ngemithi ethile yemithi, ukutheleleka kwe-urinary tract okuqhubekayo, nokuphathwa ngaphambili kwe-radiation therapy endaweni ye-pelvic.

Uma unezinto eziningi ezingozi, ukuxoxa ngezinketho zokuhlola nodokotela wakho kungasiza ukudala uhlelo lokuqapha oluqondene nawe. Ukuhlola okuvamile kuba kubaluleke kakhulu uma unezingozi eziphezulu.

Ziyini Izingozi Ezingase Zivele Ngokomdlavuza We-Ureter?

Umdlavuza we-ureter ungabangela izinkinga eziningi, ikakhulukazi uma ukhula ukhulu ngokwanele ukuvala ukugeleza komchamo noma usakazeka kwezinye izingxenye zomzimba wakho. Ukuqonda lezi zinto ezingase zenzeke kungakusiza ukuthi uqaphele nini okufanele ufuna ukunakekelwa kwezokwelapha ngokushesha.

Izingozi eziqondile kakhulu zivame ukuphathelene nokuvalwa komchamo:

• Ukonakala kwesibindi okuvela emchameni obuyele emuva (hydronephrosis)
• Ukutheleleka kwesibindi okungaba nzima
• Ukwehluleka kwesibindi okuphelele uma womabili ama-ureters ethinteka
• Ubuhlungu obukhulu obuvela ekuqongeleleni komchamo
• Ama-blood clots emchameni angabangela ukuvalwa okwengeziwe

Njengoba umdlavuza uqhubeka, ungase usakazeke ezihlokweni eziseduze ezifana ne-bladder, isibindi, noma ama-lymph nodes. Izimo eziphambili zingathinta izitho ezikude ezifana ne-liver, amaphaphu, noma amathambo, nakuba lokhu kungavamile ngenxa yesakhiwo esivamile sokukhula komdlavuza.

Izingozi ezihlobene nokwelashwa zingase zenzeke, njengengozi yokucutshungulwa noma imiphumela emibi ye-chemotherapy. Noma kunjalo, iqembu lakho lezokwelapha lizozama ngokucophelela ukunciphisa lezi zingozi ngenkathi liwelapha ngempumelelo umdlavuza wakho.

Umdlavuza We-Ureter Uxhunywa Kanjani?

Ukuthola umdlavuza we-ureter ngokuvamile kuqala ngodokotela wakho ebuza ngezimpawu zakho nomlando wakho wezokwelapha, okulandelelwa yi-physical examination. Njengoba ama-ureters ejulile emzimbeni wakho, kudingeka ukuhlolwa okukhethekile ukuze ubabone ngokucacile.

Udokotela wakho uzokuqala ngokuvivinya umchamo ukuze ahlole igazi, amaseli omdlavuza, noma izimpawu zokutheleleka. Ukubalwa kwamagazi okuphelele kanye nokuhlolwa komsebenzi wesibindi kusiza ukuhlola impilo yakho yonke kanye nokusebenza kwesibindi.

Izifundo zokuthola izithombe zinikeza izithombe eziningi zohlelo lwakho lomchamo. I-CT scan ene-contrast dye ingabonisa usayizi nendawo yanoma yiziphi i-tumors, kuyilapho i-intravenous pyelogram (IVP) ilulamisa ukuthi umchamo ugeleza kangcono kanjani ohlelweni lwakho.

Uma izithombe zikhomba umdlavuza, udokotela wakho angase akukhuthaze i-ureteroscopy, inqubo lapho i-tube encane, egubekile enenkamera ifakwa nge-bladder yakho ukuze ubone ngokuqondile i-ureter. Phakathi nalesi senzo, amasampula e-tissue angathathwa ukuze kuqinisekiswe ukuxilongwa.

Inqubo yonke yokuxilonga ngokuvamile ithatha amasonto ambalwa, ivumela isikhathi semiphumela yokuhlola nanoma yiziphi izifundo ezengeziwe ezidingekayo ukuze kunqunywe isigaba somdlavuza kanye nendlela engcono yokwelapha.

Yini Ukwelashwa Kwe-Ureter Cancer?

Ukuphathwa komdlavuza we-ureter kuncike ezintweni eziningi, kufaka phakathi usayizi we-tumor, indawo, isigaba, kanye nempilo yakho yonke. Iqembu lakho lezokwelapha lizokwenza uhlelo lokwelapha oluqondene nawe olunikeza ithuba elihle lokuphila okuphumelelayo ngenkathi ligcina umsebenzi wesibindi ngangokunokwenzeka.

Ukuhlinzwa kuyindlela yokuqala yokwelapha imidlavuza eminingi ye-ureter. Uhlobo lokuhlinzwa kuncike lapho i-tumor ikhona nokuthi yingakanani i-ureter ethintekile.

Izindlela zokucutshungulwa ezivamile zihlanganisa:

• Ureterectomy - ukususa ingxenye ethintekile ye-ureter
• Nephroureterectomy - ukususa isibindi, i-ureter, nengxenye ye-bladder
• Ukuvuselelwa kwe-ureter - ukwakha kabusha i-ureter usebenzisa i-tissue evela kwenye indawo emzimbeni wakho
• Ukususwa kwe-endoscopic - ukusebenzisa i-scope ukususa i-tumors encane, ekuqaleni

Ngokomdlavuza ophambili noma izimo lapho ukuhlinzwa kungenakwenzeka, i-chemotherapy ingase ikhuthazwe. Imithi efanayo esetshenziswa emdlavuzweni we-bladder ngokuvamile isebenza kahle emdlavuzweni we-ureter njengoba kuyizinhlobo zamaseli ezifanayo.

I-Radiation therapy ayisetshenziswa njalo kodwa ingase ibe usizo ezimweni ezithile, njengoba umdlavuza usakazeke ezicutshungulweni eziseduze noma lapho ukuhlinzwa kungeyona inketho ngenxa yezinye izimo zezempilo.

Ungayiphatha Kanjani Inkonzo Yasekhaya Ngesikhathi Sokwelashwa?

Ukuphatha ukunakekelwa kwakho ekhaya ngesikhathi sokwelashwa komdlavuza we-ureter kugxile ekusekeleni inqubo yokululama yomzimba wakho nokugcina ikhwalithi yempilo yakho. Izinyathelo ezincane, eziqhubekayo zingenza umehluko omkhulu endleleni ozizwa ngayo usuku nosuku.

Ukugcina umzimba uqinisile kusiza umsebenzi wesibindi esisele ukusebenza kahle futhi kunganciphisa ingozi yezingozi. Hlose umchamo ocacile noma obomvu njengesibonakaliso sokuqina kahle, ngaphandle uma udokotela wakho enikeze imingcele ethile yamanzi.

Qaphela noma yiziphi izinguquko ezimisweni yakho yokuphazamiseka komchamo, kufaka phakathi ubuhlungu, ukuvutha, noma izinguquko emibalabala yomchamo. Gcina i-log elula yalezi zimpawu ukuze uyabelane neqembu lakho lezokwelapha ngesikhathi sokuvakasha okulandelayo.

Ukuzivocavoca okuthambile, njengoba kuvunyelwe udokotela wakho, kungasiza ukugcina amandla akho kanye namazinga amandla. Ngisho nokuhamba okufushane noma ukwelula okulula kungakhuthaza isimo sakho sengqondo futhi kusize umzimba wakho ukuba ululame ngokuphumelelayo.

Dlani ukudla okunomsoco ukuze usekele uhlelo lwakho lokulwa nezifo nenqubo yokululama. Gxila ezithelo, imifino, amaprotheni ahlanzekile, nama-grains aphelele, ngenkathi ugcine ukudla okucutshunguliwe nosawoti olukhulu olubangela ukucindezela ezinso zakho.

Kufanele Uzilungiselele Kanjani I-Appointment Yakho Yodokotela?

Ukulungiselela i-appointment yakho kungakusiza ukuba wenze kakhulu isikhathi sakho nodokotela wakho futhi kuqinisekise ukuthi zonke izinkathazo zakho zixazululwe. Qala ngokubhala izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi ziguquke kanjani ngokuhamba kwesikhathi.

Letha uhlu oluphelele lwemithi yonke oyithathayo, kufaka phakathi imithi yokwelapha, imithi yokuthengwa ngaphandle kokubhalwa komthombo, nanoma yiziphi izithasiselo noma imithi yemithi. Ezinye zalezi zingase zithinte isibindi sakho noma zisebenzisane nokwelashwa komdlavuza.

Lungiselela uhlu lwemibuzo ofuna ukuyibuza udokotela wakho. Cabanga ukufaka imibuzo mayelana nokuxilongwa kwakho, izinketho zokwelapha, imiphumela emibi engenzeka, nokuthi yini okulindelekile ngesikhathi sokululama.

Uma kungenzeka, letha umngani othembekile noma ilungu lomndeni e-appointment yakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo ngesikhathi esingase sibe yingxoxo ehluphekayo.

Bula noma yiziphi izirekhodi zezokwelapha ezedlule ezihlobene nohlelo lwakho lomchamo, kufaka phakathi imiphumela yokuhlolwa komsebenzi wesibindi, izifundo zokuthola izithombe, noma ukwelashwa kwamatshe esibindi noma ukutheleleka.

Yini I-Key Takeaway Mayelana NoMdlavuza We-Ureter?

Umdlavuza we-ureter, nakuba ungavamile, yisimo esingelashwa, ikakhulukazi uma utholakala ekuqaleni. Into ebaluleke kakhulu okumelwe uyikhumbule ukuthi igazi lomchamo kufanele lihlale lihlolwe yisikhungo sokunakekelwa kwezempilo, ngisho noma libonakala lincane noma liyaphela ngokwalo.

Ukuphathwa kwamanje kunikeza imiphumela emihle kubantu abaningi abane-ureter cancer. Iqembu lakho lezokwelapha lizozama nawe ukwenza uhlelo lokwelapha oluqondene nesimo sakho esithile ngenkathi ligcina umsebenzi wesibindi ngangokunokwenzeka.

Khumbula ukuthi ukuba nezinto ezingozi akusho ukuthi uzokuthola umdlavuza we-ureter, nabantu abaningi abanesixwayiso bayaphila impilo egcwele, enempilo. Hlala uxhumene neqembu lakho lezokwelapha, landela uhlelo lwakho lokwelapha, futhi ungangabazi ukubuza imibuzo noma ukukhuluma ngezinkathazo.

Ukuthatha indima ephambili ekunakekelweni kwakho, ukugcina ukuxhumana okuvulekile neqembu lakho lezokwelapha, nokugxila empilweni yonke ngokudla okuhle nokuzivocavoca okufanele konke kungase kube nomthelela emiphumeleni engcono kanye nekhwalithi yempilo.

Imibuzo Evamile Ebuzwayo Mayelana NoMdlavuza We-Ureter

Umdlavuza We-Ureter Ungavikeleka Yini?

Nakuba ungakwazi ukumvimbela ngokuphelele umdlavuza we-ureter, unganciphisa ingozi yakho ngokugwema ukusetshenziswa kwe-tobacco, ukulinganisela ukuvezwa ezintweni zekhemikhali zemboni uma kungenzeka, nokugcina impilo yonke enhle. Uma usebenza ngezinto zekhemikhali noma izidweba, landela yonke imigomo yokuphepha futhi usebenzise imishini yokukhuselwa. Ukuhlola okuvamile kwezokwelapha kungasiza ukuthola izinkinga ekuqaleni lapho zilungiswa khona.

Umdlavuza We-Ureter Usakazeka Kanjani?

Umdlavuza we-ureter ngokuvamile ukhula kancane uma kuqhathaniswa nezinye izinhlobo ze-cancers, kodwa izinga lingase lihluke komunye umuntu komunye. Imidlavuza eminingi ye-ureter ihlala indawo isikhathi esithile ngaphambi kokusakazeka, kungakho ukutholakala ekuqaleni nokuphathwa kubaluleke kakhulu. Udokotela wakho angakunikeza ulwazi oluqondile olusekela uhlobo lwakho oluthile nesigaba somdlavuza.

Ingabe Ngizodinga I-Dialysis Uma Ngine-Ureter Cancer?

Abantu abaningi abane-ureter cancer abadingi i-dialysis, ikakhulukazi uma kukhona i-ureter eyodwa ethintekile kanti enye isibindi isebenza kahle. Ngisho noma womabili ama-ureters ethintekile, izinketho eziningi zokwelapha zingagcina umsebenzi wesibindi. Udokotela wakho uzolandela umsebenzi wesibindi sakho eduze futhi axoxe nganoma yiziphi izinkathazo mayelana ne-dialysis uma kuqondana nesimo sakho.

Umdlavuza We-Ureter Ungabuya Yini Ngemva Kokwelashwa?

Njengomdlavuza eminingi, umdlavuza we-ureter ungabuya, kungakho ukunakekelwa okulandelayo okuvamile kubalulekile. Udokotela wakho uzohlela ukuhlola okuqhubekayo, kufaka phakathi ukuhlolwa kwezithombe kanye nezifundo zomchamo, ukuze alandele noma yiziphi izimpawu zokubuya. Abantu abaningi bahlala bengenasifo semdlavuza ngemva kokwelashwa, futhi ngisho noma umdlavuza ubuyela, ngokuvamile ungelashwa ngempumelelo uma utholakala ekuqaleni.

Ukuphathwa Kwe-Ureter Cancer Kuzokuthinta Kanjani Impilo Yami Yansuku Zonke?

Umphumela empilweni yakho yansuku zonke kuncike kuhlelo lwakho oluthile lokwelapha nendlela obuyisayo kulo. Abantu abaningi bakwazi ukubuyela ezintweni eziningi zemisebenzi yabo evamile ngemva kokululama ekuhlinzweni. Iqembu lakho lezokwelapha lizozama nawe ukuphatha noma yimiphi imiphumela emibi futhi likusize ukugcina ikhwalithi yempilo engcono kakhulu kulo lonke ukwelashwa kwakho nokululama.