Aia ke koko i loko o ka mimi? Eia nā mea e pono ai ʻoe e ʻike e pili ana i ka maʻi ʻaʻai mimi!

Ua makaʻu paha ʻoe i ka wā e loli koke ai ke kala o kou mimi, lilo i poni, a i ʻole he koko i loko? A i ʻole ke manaʻo nei ʻoe e pono ʻoe e mimi pinepine? He mea maʻamau i kekahi ke hopohopo iki i ka wā e ʻike ai lākou i kahi hōʻailona e like me kēia. Akā inā maopopo pololei mākou i kēia mau mea a pau, hiki iā mākou ke hoʻoponopono pono i kēia kūlana. I kēia lā e kamaʻilio mākou e pili ana i kahi kumuhana a ka poʻe he nui e kānalua nei e kamaʻilio e pili ana, akā pono mākou a pau e makaʻala, ʻo ia hoʻi, ke kanesa o ka ʻōpū.

He aha maoli ke kanesa o ka ʻōpū mimi?

I ka ʻōlelo maʻalahi, ʻo ke kanesa ʻōpū ka wā e hoʻomaka ai nā pūnaewele i loko o kā mākou ʻōpū e ulu ma ke ʻano ʻē a me ke kaohi ʻole. Ua ʻike anei ʻoe he ʻano liʻiliʻi ko mākou ʻōpū e like me ka ʻeke. ʻO ka mimi i hana ʻia e ko mākou mau puʻupaʻa e mālama ʻia no kekahi manawa i loko o kēia ʻōpū ma mua o kona haʻalele ʻana i ke kino.

No laila, loli ʻē nā pūnaewele i loko o ka paia o loko o kēia ʻōpū mimi, a māhelehele lākou me ke kāohi ʻole a hana i kahi puʻupuʻu. ʻO kēia ka mea a mākou e kapa nei he maʻi ʻaʻai ʻōpū mimi. I ka hala ʻana o ka manawa, hiki i kēia mau pūnaewele maʻi ʻaʻai ke laha i nā lymph node kokoke a me nā ʻōpū ʻē aʻe. I kekahi mau hihia koʻikoʻi, aia kahi pilikia o ka laha ʻana i nā ʻōpū mamao e like me nā iwi, nā māmā, a i ʻole ke akepaʻa.

He aha nā ʻano nui o ke kanesa ʻōpū?

Aia kekahi mau ʻano nui o ke kanesa ʻōpū. Na kāu kauka e hoʻoholo i kāu lāʻau lapaʻau ma muli o ke ʻano o ka maʻi kanesa āu e loaʻa nei.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka maʻi ʻōpū?

ʻOiai he paʻakikī ke kuhikuhi i kahi kumu kikoʻī o ka maʻi kanesa, ua ʻike nā kauka i kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i kēia maʻi.

ʻO nā kumu pilikia ʻē aʻe:

• Makahiki a me ke kāne: ʻOi aku ka nui o ka pilikia o nā kāne ma luna o 55 mau makahiki i ka hoʻomohala ʻana i kēia maʻi.
• Moʻolelo ʻohana: Inā ua loaʻa i kekahi mea kokoke iā ʻoe, e like me kou mau mākua a i ʻole kou mau kaikaina, ke kanesa o ka ʻōpū mimi a i ʻole ke kanesa o ka ʻōnaehana mimi, ua ʻoi aku kou pilikia.
• Ka ʻike ʻia ʻana i nā kemika ʻino: Pono nā kānaka ma kekahi mau ʻoihana, e like me ka ʻoihana pena, ka ʻoihana paʻi, nā mea hoʻonani, a me nā mea hoʻokele kalaka, e ʻike ʻia i nā kemika ʻino no ka manawa lōʻihi. He pilikia nō hoʻi kēia.
• Nā maʻi ʻōpū mimi pinepine: ʻO ka loaʻa ʻana o nā maʻi ʻōpū mimi a i ʻole nā ​​​​maʻi mumū ʻē aʻe no ka manawa lōʻihi e hoʻonui pū i ka pilikia.
• ʻO kekahi mau lāʻau lapaʻau maʻi diabetes: Aia kekahi mau hōʻike e hiki i ka hoʻohana lōʻihi ʻana o kekahi mau lāʻau lapaʻau maʻi diabetes, e like me Pioglitazone, ke hoʻonui iki i ka pilikia.
• Ka mālama ʻana i ka maʻi kanesa ma mua: Inā ua loaʻa iā ʻoe ka radiation therapy i ka ʻāpana pelvic a i ʻole nā ​​​​lāʻau lapaʻau chemotherapy e like me cyclophosphamide, hiki ke hoʻonui ʻia kou pilikia.

He aha nā hōʻailona? Pehea e hiki ai iā ʻoe ke ʻike mua?

Hiki ke ʻokoʻa nā hōʻailona o ke kanesa ʻōpū ma muli o ke kahua o ka maʻi. ʻO ka mea nui loa, ʻo ia ke ʻike koke i ke kauka ke ʻike ʻoe i kēia mau hōʻailona.

Pehea e ʻike ʻia ai ke kanesa?

Inā loaʻa iā ʻoe nā hōʻailona, ​​​​e kauoha kāu kauka i kekahi mau hoʻokolohua e hōʻoia inā he maʻi ʻaʻai ʻōpū kou.

• Urinalysis: E nānā inā he koko i loko o ka mimi a i ʻole ka maʻi.
• Cytology: Ua nānā ʻia kahi hāpana mimi ma lalo o kahi microscope e nānā i nā hunaola kanesa.
• Cystoscopy: ʻO kēia ka hoʻāʻo koʻikoʻi a pololei loa. Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia ma o ka urethra a pololei i loko o ka ʻōpū mimi. Inā he puʻupuʻu, hiki ke ʻike maopopo ʻia.
• Biopsy: I ka wā o ka cystoscopy, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo kānalua e hōʻoia inā he maʻi kanesa.

Inā ua hōʻoia ʻia ka maʻi kanesa, pono paha nā hoʻokolohua e like me ka CT scan , MRI scan , a i ʻole X-ray umauma e hoʻoholo ai i ka mamao o kona laha ʻana (staging).

He aha nā lāʻau lapaʻau?

Mai hopohopo, he maʻi hiki ke mālama ʻia ka maʻi ʻōpū mimi, ʻoiai inā ʻike mua ʻia. Aia ka lāʻau lapaʻau i ke ʻano o ka maʻi ʻaʻai, kona pae, a me kou olakino holoʻokoʻa.

ʻoki kino

ʻO kēia ka lāʻau lapaʻau i hoʻohana pinepine ʻia.

• TURBT (Transurethral Resection of Bladder Tumor): E like me ka cystoscopy, hoʻokomo ʻia kahi hāmeʻa ma o ka urethra e ʻoki wale i ka puʻupuʻu kanesa mai ka paia o ka ʻōpū mimi. Hana ʻia kēia no ke kanesa mua.
• ʻĀpana Cystectomy: Inā ua kaupalena ʻia ke kanesa i hoʻokahi ʻāpana o ka ʻōpū mimi, ʻo ia wale nō ka ʻāpana o ka ʻōpū mimi e wehe ʻia.
• ʻO ka Cystectomy Radical: Inā ua pālahalaha ke kanesa i ka papa ʻiʻo o ka ʻōpū mimi, pono paha e wehe ʻia ka ʻōpū mimi holoʻokoʻa. I kēia hihia, hana ʻia kahi hoʻohuli mimi e ʻae i ka mimi e kahe mai ke kino.

Nā lāʻau lapaʻau ʻē aʻe

• Kemoterapi: Ke hāʻawi ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa. I kekahi manawa, ma hope o ka TURBT, hāʻawi pololei ʻia nā lāʻau lapaʻau i loko o ka ʻōpū mimi ma o kahi paipu (intravesical chemotherapy) e pepehi i nā hunaola kanesa i koe.
• Lapaʻau Radiation: Ke luku ʻana i nā hunaola kanesa me ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe.
• Immunotherapy: Hoʻoulu i ka ʻōnaehana pale ponoʻī o ko mākou kino e hakakā i nā hunaola kanesa.
• Lapaʻau i hoʻolālā ʻia: Ke hoʻohana nei i nā lāʻau lapaʻau e hoʻouka i nā pahuhopu kikoʻī e pono ai no ka ulu ʻana o nā hunaola kanesa.