He mea maʻamau ka makaʻu nui ke ʻike ʻoe i ke koko i loko o kou mimi. Eia kekahi, inā pilikia ʻoe i ka mimi ʻana a i ʻole e loaʻa pinepine ana i nā maʻi mimi, ʻaʻole pono ʻoe e hoʻowahāwahā wale i kēia mau hōʻailona. Hiki i kēia ke lilo i mau hōʻailona o ke kanesa ʻōpū, ʻoiai kona ʻano koʻikoʻi, ʻo ia hoʻi ke Kanesa ʻŌpū Muscle Invasive. ʻOiai he maʻi koʻikoʻi kēia, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kēia ma nā ʻōlelo maʻalahi, ʻo ia hoʻi, nā hōʻailona, nā kumu, a me nā lāʻau lapaʻau.
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He aha ke Kanesa ʻŌpū ʻIʻo (MIBC)?
I ka ʻōlelo maʻalahi, he hihia holomua iki kēia, a i ʻole ka laha ʻana, o ka maʻi ʻōpū mimi.
He ʻano ʻeke ko kākou ʻōpū mimi i hana ʻia me kekahi mau papa o nā paia. Hoʻomaka pinepine ka maʻi ʻaʻai ʻōpū mimi ma ka papa o loko o kēia paia. Ma kahi o 70 o 100 poʻe me ka maʻi ʻaʻai ʻōpū mimi i loaʻa i kēia maʻi ʻaʻai ma luna. ʻAʻole ia i hohonu loa.
Eia nō naʻe, i loko o ke Kanesa ʻŌpū ʻOʻoleʻa Muscle Invasive (MIBC) , hoʻouka nā hunaola kanesa i ka ʻili o loko o ka ʻōpū ʻōpū a komo i loko o ka papa ʻiʻo mānoanoa . I kekahi manawa, hiki iā lākou ke pālahalaha ma ʻō aku o kēlā papa. Ma kahi o 30 o 100 poʻe me ke kanesa ʻōpū ʻōpū e loaʻa i kēia ʻano koʻikoʻi.
No ke aha e ulu ai kēia ʻano maʻi kanesa? He aha nā kumu pilikia?
E like me nā maʻi kanesa āpau, hoʻomaka ia me nā loli (mutations) i ka ʻike genetic, a i ʻole DNA, i loko o nā cell o ko kākou kino. Māhelehele kēia mau cell ʻano ʻē me ke kāohi ʻole a hana i nā tumors. I loko o MIBC, pālahalaha kēia mau tumors i loko o ka paia o ka ʻōpū mimi.
ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi kanesa i kekahi poʻe. E nānā kākou i kēlā mau mea pilikia.
| Kumu pilikia | Wehewehena |
|---|---|
| Puhipaka | ʻO kēia ka mea pilikia nui loa a koʻikoʻi loa. Hōʻino nā kemika i loko o ka paka i ka ʻōpū mimi ke hoʻokuʻu ʻia lākou ma o ka mimi. |
| Makahiki a me ke kāne | ʻOi aku ka nui o ka loaʻa ʻana o ia ma mua o nā wahine a me nā kānaka ma luna o 55 mau makahiki. |
| Nā maʻi ʻōpū mimi pinepine | Hiki i ka mumū mau o ka ʻōpū mimi ke hoʻololi i nā pūnaewele. |
| Ka ʻike ʻia ʻana i nā kemika | ʻO ka poʻe e hana ana i nā ʻoihana e hana ana i ka laholio, nā pena, a me nā mea hoʻoluʻu ka poʻe i pilikia nui. Hiki i nā kemika e like me ka arsenic ke kumu. |
| Ka lāʻau lapaʻau ma mua no ka maʻi kanesa | Aia kahi pilikia inā ua loaʻa iā ʻoe ka radiation therapy ma ka ʻūhā a i ʻole ua loaʻa iā ʻoe nā lāʻau lapaʻau e like me cyclophosphamide. |
| Moʻolelo ʻohana | Inā ua loaʻa i kekahi o ka ʻohana ke kanesa ʻōpū a i ʻole kahi maʻi genetic e like me Lynch syndrome. |
He aha nā hōʻailona o kēia maʻi?
ʻO ka hōʻailona nui a me ka hōʻailona mua o ke kanesa ʻōpū, ʻo ia ke koko i loko o ka mimi . I kekahi manawa ʻulaʻula ke ʻano o ka mimi, i kekahi manawa he poni. Eia kekahi, hiki ke loaʻa nā mea e like me ke kuni a me ka ʻeha i loko o ka urethra me ka ʻole o ka maʻi.
I ka holomua ʻana o ke kanesa, ʻo ia hoʻi, hiki i ke kahua MIBC, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe.
- ʻAʻole hiki ke mimi iki.
- ʻEha ma ka ʻōpū lalo a i ʻole kekahi ʻaoʻao o ke kua.
- ʻO ka nalowale o ka makemake a me ka pohō kaumaha no ke kumu ʻole.
- Ka pehu ʻana o nā wāwae.
- ʻEha i nā iwi.
Hiki ke loaʻa kēia mau hōʻailona i nā maʻi ʻē aʻe. Eia nō naʻe, inā he koko kou i loko o kou mimi me kekahi a ʻoi aku paha o kēia mau mea, e ʻike koke i ke kauka.
Pehea e ʻike ai i ka maʻi?
No ka ʻike ʻana i ka MIBC, pono ʻoe e nānā pono inā loaʻa nā hunaola kanesa a me ka hohonu o ko lākou komo ʻana i loko o ka paia o ka ʻōpū mimi.
1. Hoʻāʻo mimi: ʻO ka hana mua he hoʻāʻo mimi maʻalahi. Nānā kēia i ke koko a i ʻole nā hunaola kanesa i loko o ka mimi.
2. Cystoscopy a me nā scans:ʻO ka mea aʻe, hoʻokomo ke kauka i kahi ʻōmole lahilahi me kahi kāmela ma o ka urethra e nānā i loko o ka ʻōpū mimi. Ua kapa ʻia kēia he cystoscopy. Hiki ke hana ʻia nā scan kūikawā e like me ka CT urogram a i ʻole retrograde pyelogram.
3. Biopsy: Inā loaʻa kahi puʻupuʻu i loko o ka ʻōpū mimi, hoʻomaʻemaʻe ʻia ka mea maʻi a lawe ʻia kahi ʻāpana liʻiliʻi o ka puʻupuʻu a hoʻouna ʻia i ka hale hana no ka hoʻāʻo ʻana. Ua kapa ʻia kēia he biopsy. I kekahi manawa, hiki ke wehe ʻia ka puʻupuʻu holoʻokoʻa me kēia ʻoki kino (TURBT - Transurethral Resection of Bladder Tumor). Hoʻohana ʻia kēia no ka ʻike ʻana a me ka mālama ʻana.
4. Nā scan e ʻike ai inā ua pālahalaha ke kanesa: Ke hōʻoia ʻia ka maʻi, hana ʻia kekahi mau ʻano scan ʻē aʻe e ʻike ai inā ua pālahalaha ke kanesa ma ʻō aku o ka ʻōpū mimi, i nā lymph node, ke akepaʻa, nā māmā, a i ʻole nā iwi.
- Nānā CT
- Nānā MRI
- Nānā PET
- Nānā iwi
- X-ray umauma
He aha ke 'Pae' a me ke 'Kēkelē' o ka maʻi kanesa?
He mea nui e ʻike pono i ke ʻano o kēia mau huaʻōlelo ʻelua.
- Papa: Pili kēia i ke ʻano ʻē a ʻano ʻē paha o nā hunaola kanesa ma lalo o kahi microscope. ʻO ke ʻano haʻahaʻa, ʻaʻole ikaika loa nā hunaola a laha mālie. ʻO ke ʻano kiʻekiʻe, ʻo ia hoʻi, he ikaika loa nā hunaola a laha koke. ʻO ka MIBC maʻamau he kanesa ʻano kiʻekiʻe.
- Pae: Pili kēia i ka mamao o ka laha ʻana o ke kanesa i loko o ke kino. Hoʻoholo ʻia kēia e ka nui o ka puʻupuʻu (T), inā ua laha i nā lymph nodes (N), a inā ua laha i nā ʻōpū ʻē aʻe (M).
Pae II: Ua pālahalaha ke kanesa i ka paia ʻiʻo o ka ʻōpū mimi. (ʻO kēia kahi e hoʻomaka ai ʻo MIBC.)
Pae III: Ua pālahalaha ke kanesa ma ʻō aku o ka paia o nā ʻiʻo i loko o nā ʻiʻo momona e hoʻopuni ana i ka ʻōpū mimi.
Pae IV: Ua pālahalaha ke kanesa ma ʻō aku o ka ʻōpū mimi, i nā lymph node, nā iwi, a i ʻole nā ʻōpū ʻē aʻe.
I mea e mālama pono ai i ka maʻi kanesa, he mea nui e ʻike i kona pae pololei.
He aha nā lāʻau lapaʻau?
No ka mea he maʻi koʻikoʻi ʻo MIBC, hiki ke ʻoi aku ka ikaika o ka mālama ʻana. ʻO ke ʻoki kino ka lāʻau nui.
ʻoki kino
- Cystectomy: He ʻoki kino kēia e wehe ai i ka ʻōpū mimi holoʻokoʻa. Wehe pū ia i nā lymph node kokoke a me nā ʻōpū kahi i laha ai ke kanesa. Pono paha e wehe ʻia ka prostate gland i nā kāne a me ka uterus a me nā ovaries i nā wahine.
- He ala hou e mimi ai:Ma hope o ka wehe ʻia ʻana o ka ʻōpū mimi, pono e hoʻomohala ʻia kahi ala hou e wehe ai i ka mimi mai nā puʻupaʻa.
- Urostomy: ʻO kēia ke kaʻina hana maʻamau. Hana ʻia kahi puka liʻiliʻi (stoma) i loko o ka ʻōpū a hoʻopili ʻia kahi ʻeke e hōʻiliʻili i ka mimi.
- He waihona wai: Hoʻohana ʻia kahi ʻāpana o ka ʻōpū e hana i kahi ʻeke i loko o ke kino e hōʻiliʻili i ka mimi. Hoʻokomo ʻia kahi paipu (catheter) ma o kahi lua liʻiliʻi i loko o ka ʻōpū e hoʻokahe i ka ʻeke.
- ʻŌpū mimi hou: Hana ʻia kahi ʻōpū mimi hou mai kahi ʻāpana o ka ʻōpū a pili i ka urethra. Ma kēia ʻano hana, hoʻokuʻu ʻia ka mimi ma o kahi ʻōmole.
Ka mālama ʻana i ka ʻōpū mimi
No kekahi mau maʻi, ʻaʻole hiki ke hana ʻoki kino a ʻaʻole makemake e wehe ʻia ko lākou ʻōpū mimi, aia kekahi mau lāʻau lapaʻau ʻē aʻe. ʻO TURBT kahi hana e wehe ʻia ai ka puʻupuʻu a hāʻawi ʻia ka chemotherapy a me ka radiation i ka manawa like.
Nā lāʻau lapaʻau ʻē aʻe
- Kemoterapi: Hāʻawi ʻia kēia lāʻau lapaʻau e hoʻēmi i ka puʻupuʻu ma mua o ke ʻoki ʻana a i ʻole i ka poʻe hiki ʻole ke hana ʻoki ʻia.
- Immunotherapy: Ke lawelawe ʻana i nā lāʻau lapaʻau hou e hoʻoulu ai i ka ʻōnaehana pale ponoʻī o ke kino e luku i nā hunaola kanesa.
- Lapaʻau i Hoʻolālā ʻia: Ke hāʻawi ʻana i nā lāʻau lapaʻau e hoʻolālā ana i nā protein kikoʻī e pono ai no ka ulu ʻana o nā hunaola kanesa a hoʻōki iā lākou.
E koho kāu kauka i ka lāʻau lapaʻau kūpono loa no kou kūlana. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i nā hoʻokolohua lapaʻau o nā lāʻau lapaʻau hou.
Leka Lawe-Home
- ʻO ke Kanesa ʻŌpū Mimi (MIBC) kahi ʻano maʻi ʻōpū mimi koʻikoʻi a holomua hoʻi.
- ʻO ke koko i loko o ka mimi ka hōʻailona nui a maʻamau. Mai hoʻowahāwahā i kēia.
- Hiki nō hoʻi ke ʻike ʻia nā hōʻailona e like me ka ʻeha o ka ʻōpū ma lalo, ka ʻeha o ke kua, a me ka pohō kaumaha.
- ʻO ka puhi paka ke kumu nui o kēia maʻi kanesa.
- He mea nui ka ʻike pololei ʻana i ka maʻi a me ka hoʻoholo ʻana i kona pae no ka holomua ʻana o ka mālama ʻana.
- Nui nā ʻano lapaʻau hou i loaʻa i kēia lā, me ke ʻoki kino, chemotherapy, radiation therapy, a me nā mea hou aku.
- ʻOiai he loli nui ke ola ma hope o ka mālama ʻana, hiki i ka hapa nui o ka poʻe ke hoʻomaʻamaʻa iā ia a ola i kahi ola maʻamau. E kōkua kāu kauka a me ka hui mālama ola iā ʻoe me kēlā.
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