Ua haʻi ʻia anei ʻoe e ke kauka he puʻupuʻu liʻiliʻi kou ma kou puʻupaʻa? A i ʻole ua haʻi ʻia paha iā ʻoe he pilikia kou me kou puʻupaʻa ma muli o kekahi mea ʻokoʻa i loko o kou kino, a i ʻole i ka wā o kahi hoʻāʻo scan no kekahi mea ʻē aʻe? He mea maʻamau ka manaʻo makaʻu iki a me ka hopohopo ke lohe ʻoe i kekahi mea e like me kēia. Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kēia mau puʻupuʻu puʻupaʻa, a i ʻole e like me kā nā kauka e kapa nei iā lākou he (Kidney Tumors) a i ʻole (Renal Tumors), ma ke ʻano maʻalahi.

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He aha maoli ka puʻupuʻu puʻupaʻa?

I ka ʻōlelo maʻalahi, he hui o nā ʻōpū puʻupaʻa kahi puʻupuʻu o nā pūnaewele ʻē, a i ʻole ka mea a mākou e kapa nei he puʻupuʻu o nā pūnaewele, e hana ʻia ma luna a i loko paha o kou puʻupaʻa. I kekahi manawa hiki i kēia mau mea ke lilo i mea ʻaʻole maʻi kanesa (benign) , a i ʻole hiki iā lākou ke lilo i mea maʻi kanesa (malignant) , ʻo ia hoʻi hiki iā lākou ke lilo i mea maʻi kanesa.

Pehea ke koʻikoʻi o kēia? He mea anei e hopohopo ai?

ʻO ke koʻikoʻi o kēia ma muli maoli nō ia o ke ʻano o ka puʻupuʻu. E hoʻomanaʻo, ʻaʻole kekahi mau puʻupuʻu puʻupaʻa he maʻi kanesa. ʻOi aku ka liʻiliʻi o lākou ma mua o nā puʻupuʻu kanesa (ʻoi aku ka liʻiliʻi ma mua o 4 kenimika, a i ʻole ma kahi o 1.6 ʻīniha, e like me ka nui o ka walnut). ʻAʻole laha kēia mau puʻupuʻu ʻaʻole kanesa i nā ʻāpana ʻē aʻe o ke kino. Eia nō naʻe, ʻoi aku ka nui o nā puʻupuʻu puʻupaʻa nui (ʻo nā mea nui aʻe ma mua o 4 kenimika) i ka maʻi kanesa. Ulu koke lākou a hiki ke laha i nā ʻāpana ʻē aʻe o ke kino.

ʻO ka mea nui loa, inā he maʻi kanesa kou puʻupaʻa a i ʻole, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau i ka wā hikiwawe loa . ʻO ka wā mua e ʻike ʻia ai, ʻoi aku ka maʻalahi o ka mālama ʻana.

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Pehea ka hiki ke lilo nā puʻupaʻa i maʻi kanesa?

Ma ke ʻano helu, ma kahi o 75% o nā puʻupaʻa he maʻi kanesa . Eia nō naʻe, ʻaʻole hana pinepine nā puʻupuʻu liʻiliʻi me ka huhū.

Pehea ka wikiwiki o ka ulu ʻana o kēia mau nati?

Ua hōʻike ʻia nā noiʻi hiki i nā puʻupaʻa ke ulu ma ka awelika o 0.3 kenimika i kēlā me kēia makahiki . ʻO ia hoʻi, ulu mālie lākou.

ʻO wai ka mea i ʻoi aku ka paʻakikī ke hoʻomohala i kēia mau mea?

Hiki i kekahi ke loaʻa i kahi puʻupuʻu puʻupaʻa. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe. Eia kekahi laʻana:

No nā poʻe ma luna o 65 mau makahiki.
No nā kāne .
No ka poʻe me kekahi mau predisposition genetic (pili pinepine kēia me ka mōʻaukala ʻohana o ka maʻi).

Pehea ka maʻamau o nā pōhaku puʻupaʻa?

ʻO nā puʻupaʻa puʻupaʻa maʻi kanesa kahi ʻano maʻamau o ke kanesa ma kekahi mau ʻāina. He mea nui e makaʻala i kēia ʻano ma Sri Lanka pū kekahi. No laila he mea maikaʻi ke makaʻala i kēia.

He aha nā hōʻailona o kahi puʻupuʻu puʻupaʻa?

I ka wā mua, ʻaʻohe ʻeha a i ʻole nā hōʻailona ʻē aʻe i ka nui o ka poʻe.ʻAʻole ʻike ʻia. ʻO ka maʻamau, loaʻa i ke kauka kēia puʻupaʻa ma ka ulia pōpilikia i ka wā e hoʻāʻo ai no kekahi maʻi ʻē aʻe. Eia nō naʻe, i kekahi manawa hiki ke ʻike ʻia nā hōʻailona. ʻO kēia mau mea:

Me he mea lā he koko i loko o kou mimi (kapa nā kauka i kēia he "hematuria"). Hiki ke ʻulaʻula, poni, a ʻeleʻele paha ka mimi .
Ke ʻeha nei ma ka ʻāpana ma waena o kou mau iwi ʻaoʻao a me ka ʻūhā (ka ʻāpana ʻūhā) , ʻoiai ke hoʻopā ʻia.
ʻEha ma ke kua lalo .
Ka nalowale o ka makemake .
Ka wīwī ʻana me ke kumu ʻole.
Kuni .
ʻO ka anemia kahi maʻi o ka nele o ke koko .

He aha nā kumu o ka puʻupuʻu puʻupaʻa?

ʻAʻole ʻike nā kauka a me nā mea noiʻi i ke kumu pololei o nā pōhaku puʻupaʻa. Eia nō naʻe, ua ʻike ʻia kekahi mau mea e hoʻonui ai i ka pilikia o nā pōhaku puʻupaʻa. ʻO kēia mau mea:

Ka hoʻohana ʻana i nā huahana paka ( nā cigarette , nā beedis, a pēlā aku).
Ka inu ʻana i ka nui o nā mea inu ʻona ma mua o ka maʻamau i kēlā me kēia pule.
ʻO ke ʻano momona , ʻoi aku ke kiʻekiʻe o ke kaumaha o ke kino ma mua o ka nui i ʻōlelo ʻia.
Inā he koko kiʻekiʻe ko kekahi o ka ʻohana.
Inā ua loaʻa i kekahi o ka ʻohana nā maʻi puʻupaʻa a i ʻole ke kanesa .
No ka poʻe i hoʻopili pinepine ʻia me nā kemika i loaʻa ka chlorine .

Inā he maʻi kanesa ia, pehea lā e laha ai i nā wahi ʻē aʻe o ke kino?

ʻAʻole laha nā puʻupuʻu puʻupaʻa maikaʻi i nā ʻāpana ʻē aʻe o ke kino. Noho lākou ma ko lākou wahi. Eia nō naʻe, hiki i nā puʻupuʻu puʻupaʻa ʻino ke laha i nā ʻiʻo momona a puni ka puʻupaʻa, nā kīʻaha koko, a i ʻole ke kelepa adrenal ma luna o ka puʻupaʻa. A laila hiki iā lākou ke hele ma o ke kahe koko a i ʻole ka ʻōnaehana lymphatic i nā ʻāpana ʻē aʻe o ke kino a hana i nā puʻupuʻu hou. Ua kapa nā kauka i kēia kaʻina hana he metastasis .

Pehea ʻoe e ʻike ai inā he puʻupuʻu kou a ʻaʻole paha?

No ka mea, ʻaʻole pinepine nā puʻupuʻu puʻupaʻa i hoʻoulu i nā hōʻailona, ʻike pinepine nā kauka iā lākou i ka wā e hoʻāʻo ʻia ai no nā kūlana ʻē aʻe. Inā loaʻa iā ʻoe nā hōʻailona, e hana mua kāu kauka i kahi hoʻokolokolo piha. E nīnau pū lākou iā ʻoe inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana nā puʻupuʻu puʻupaʻa a i ʻole ke kanesa ma mua. Eia kekahi, hiki ke hana ʻia kekahi mau hoʻokolohua e kōkua i ka hoʻoholo ʻana inā loaʻa iā ʻoe ke kanesa puʻupaʻa. ʻO kēia mau mea:

Nā hoʻāʻo scan like ʻole: He mau hoʻāʻo ʻeha ʻole kēia a ʻaʻole invasive e hiki ai ke hāʻawi iā ʻoe i kahi nānā pono i kou mau puʻupaʻa. No ka laʻana, hiki ke hana ʻia ka CT. Scan (CT - computed tomography scan), MRI. Scan (MRI - magnetic resonance imaging) scan a me ka ultrasound scan.
Urinalysis: Lawe ʻia kahi hāpana mimi mai ou aku a hoʻouna ʻia i kahi hale hana e nānā i nā koko liʻiliʻi i liʻiliʻi loa e ʻike ʻia me ka maka ʻōlohelohe.
Nā hoʻāʻo koko: Lawe ʻia kahi liʻiliʻi o kou koko me kahi nila a nānā ʻia i loko o kahi keʻena hoʻokolohua. Helu ʻia nā ʻano ʻano cell like ʻole i loko o ke koko, nānā ʻia nā pae o nā electrolytes like ʻole i loko o ke kino, a nānā ʻia ka pae o ka creatinine (kahi hopena o ka hana ʻiʻo) e ʻike inā e hana pono ana kou mau puʻupaʻa.
ʻO ka biopsy nui o ka puʻupaʻa: Hoʻohana ke kauka i kahi nila lahilahi e wehe i kahi hāpana liʻiliʻi o ka nui o ka puʻupaʻa . A laila e nānā ʻia ma lalo o kahi microscope i loko o kahi keʻena hoʻokolohua e ʻike inā he mau hunaola kanesa. Eia nō naʻe, ʻaʻole pololei mau kēia biopsy 100%, no laila ʻaʻole paha e ʻōlelo aku nā kauka.

ʻĀ, he aha nā lāʻau lapaʻau no kēia?

ʻO ka mālama ʻana no ka puʻupuʻu puʻupaʻa e pili ana i ka nui o ka puʻupuʻu, inā he maʻi kanesa, a inā ua pālahalaha i nā ʻāpana ʻē aʻe o ke kino. Aia kekahi mau koho lapaʻau:

1. Nānā ikaika

No nā puʻupaʻa liʻiliʻi loa i laha ʻole i nā ʻāpana ʻē aʻe o ke kino, hiki i kāu kauka ke ʻōlelo aku i ka mea i kapa ʻia ʻo ka nānā ʻana i ka hana . ʻO ke ʻano kēia, ʻaʻole ʻoe e mālama i ka puʻupaʻa, akā e nānā pono ʻoe iā ia me nā scan maʻamau. Hoʻomaka wale ʻia ka lāʻau lapaʻau inā loli nā hopena o ka hoʻāʻo. Hiki ke hana ʻia kēia i kēlā me kēia ʻekolu mahina, i kēlā me kēia ʻeono mahina, a i ʻole hoʻokahi manawa i ka makahiki.

2. ʻOki kino

Hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino e wehe i kahi hapa a i ʻole kou puʻupaʻa āpau. Aia kekahi mau ʻano ʻoki kino:

ʻO ka nephrectomy hapa: Hoʻopau wale ke kauka lapaʻau i ka ʻāpana o ka puʻupaʻa e loaʻa ana ka puʻupuʻu, e waiho ana i ka ʻāpana olakino. Hana pinepine ʻia kēia no nā puʻupuʻu liʻiliʻi i pālahalaha ʻole.
Ka wehe ʻana i ka puʻupaʻa holoʻokoʻa (Radical nephrectomy):E wehe ke kauka lapaʻau i kou puʻupaʻa holoʻokoʻa a me kekahi o nā ʻiʻo a puni ia. Hiki iā lākou ke wehe i nā lymph node a puni ka puʻupaʻa. Hana pinepine ʻia kēia no nā puʻupuʻu nui kokoke i nā kīʻaha koko nui.

3. Hoʻōla hoʻopau

No nā ʻōpū puʻupaʻa liʻiliʻi, hiki i kāu kauka ke ʻōlelo aku i ka lāʻau ablation , kahi e hoʻohana ai i ka wela nui a i ʻole ke anu nui e luku ai i nā hunaola ʻōpū.

Cryoablation: Hoʻokomo ke kauka i kahi nila ma o ka ʻili i loko o ka puʻupuʻu a laila hoʻohana i ka ea anuanu loa e hoʻopaʻa a luku i nā hunaola puʻupuʻu.
ʻO ka hoʻopau ʻana o ke alapine radio: Ma kēia kaʻina hana, hoʻokomo ʻia kahi nila i loko o ka puʻupuʻu a hoʻouna ʻia kahi au uila ma o ia mea e hoʻomehana a luku i nā hunaola puʻupuʻu.

4. Hoʻōla radiation

Inā hoʻokahi wale nō kou puʻupaʻa, a inā ʻaʻole hiki ke ʻoki ʻia, hiki i kāu kauka ke ʻōlelo aku i ka radiation therapy . Hoʻohana kēia i ka radiation e luku i nā hunaola puʻupaʻa.

5. Ka lāʻau lapaʻau i kuhikuhi ʻia

Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau ke hiki ʻole ke ʻoki kino. A i ʻole hiki ke hoʻohana ʻia e pale i ke kanesa mai ka hoʻi hou ʻana mai ma hope o ke ʻoki kino. Kōkua kēia mau lāʻau i ka hoʻōki ʻana i ka ulu ʻana a me ka laha ʻana o nā hunaola puʻupaʻa.

6. Hoʻōla lāʻau pale

Hoʻokomo kēia i ka hāʻawi ʻana i nā lāʻau lapaʻau o kou kino ponoʻī e kōkua iā ia e ʻike a luku i nā hunaola puʻupaʻa.

Aia kekahi mea e hiki ai iā mākou ke hana e pale aku i ke kūkulu ʻia ʻana o kahi puʻupaʻa?

Nui nā puʻupaʻa e ulu ana me ke kumu ʻole. Eia nō naʻe, hiki i ka hahai ʻana i kēia mau ʻōlelo aʻoaʻo ke kōkua i ka hōʻemi ʻana i kou pilikia o ka ulu ʻana o kahi puʻupaʻa:

E ho'ōki i ka puhi paka a me ka hoʻohana ʻana i nā huahana paka.
E kaupalena i ka nui o ka waiʻona āu e inu ai.
E hoʻoikaika kino i nā manawa a pau.
E mālama i ke kaumaha o ke kino olakino e kūpono iā ʻoe.

He aha ka mea e hana ʻia inā loaʻa iaʻu kahi puʻupuʻu puʻupaʻa? He aha kaʻu e manaʻo ai?

ʻO kāu hoʻolālā hoʻōla a me ka mālama ʻana e hilinaʻi ʻia i ka nui o kou puʻupaʻa, inā he maʻi kanesa, a inā ua pālahalaha i nā ʻāpana ʻē aʻe o kou kino. E hilinaʻi nō hoʻi kēia i kou makahiki a me kou olakino holoʻokoʻa.

Hiki ke ho'ōla loa ʻia nā pōhaku puʻupaʻa?

Hiki ke ho'ōla ʻia nā puʻupaʻa inā ʻike mua ʻia a mālama pono ʻia.

ʻAʻole maʻamau ka maʻi puʻupaʻa maikaʻi ʻole he mea hoʻoweliweli i ke ola. ʻOiai he maʻi puʻupaʻa ʻino, inā loaʻa ma mua o kona laha ʻana ma waho o ka uhi waho o ka puʻupaʻa, nui ka manawa e mālama ʻia ai a hoʻōla ʻia.

Āhea wau e ʻike ai i ke kauka?

Loaʻa iā ʻoe nā hōʻailona o kahi puʻupuʻu puʻupaʻa, e like me ke koko i loko o kou mimi, ka ʻeha ma kou ʻūhā a i ʻole ke kua i lalo, a i ʻole ka pohō kaumaha i wehewehe ʻole ʻia.Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka. Hiki i kāu kauka ke hana i nā hoʻokolohua e ʻike ai inā he puʻupuʻu puʻupaʻa ke kumu o kēia mau hōʻailona.

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Ke ʻike ʻoe he puʻupuʻu kou, mai poina e nīnau i kāu kauka i kēia mau nīnau:

ʻAuhea koʻu puʻupaʻa?
He maʻi ʻaʻai kēia a ʻaʻole paha?
Pehea ka nui o koʻu puʻupaʻa?
Ua laha anei kēia i nā ʻāpana ʻē aʻe o koʻu kino?
Manaʻo ke kauka e laha hou aku kēia?
He aha nā koho lapaʻau āu e paipai nei?
Hiki i kēia puʻupuʻu ke hoʻi hou mai ma hope o ka mālama ʻia ʻana?
He aha kaʻu e hana ai inā ʻaʻole holomua ka lāʻau lapaʻau?
Hiki iā ʻoe ke ʻōlelo aku i kahi Urologist a Oncologist maikaʻi?
Pehea e hana ai koʻu mau puʻupaʻa ma hope o ka mālama ʻana?

ʻO ka mea hope loa, e hoʻomanaʻo i kēia ...

He mea maʻamau ka makaʻu a me ka hopohopo ke ʻike ʻoe he puʻupuʻu kou, ʻoiai inā he maʻi kanesa. ʻOiai ʻaʻole hōʻike pinepine nā puʻupuʻu i nā hōʻailona, ʻaʻole paha ʻoe e ʻike he maʻi kou. Eia naʻe, ʻo ka mea nui loa, ʻo ia ka loaʻa ʻana o ka maʻi i ka wā mua. ʻOi aku ka holomua o ka mālama ʻana. Hiki i kāu kauka ke wehewehe i kāu mau koho lapaʻau āpau, a me ka haʻi ʻana iā ʻoe i kahi e loaʻa ai ke kōkua. Hiki iā ia ke pane i nā nīnau āu e loaʻa ai a kōkua iā ʻoe e noho maikaʻi i kou noʻonoʻo ʻana i ka lāʻau lapaʻau. No laila, mai hopohopo i kekahi mea a kamaʻilio me kāu kauka.

He puʻupuʻu kou i loko o kou puʻupaʻa? (Puʻupuʻu Puʻupaʻa) Mai makaʻu, e makaʻala kākou i kēia!