Loaʻa iā ʻoe ke kanesa o ka urethra? E aʻo kākou e pili ana i ia mea.

Ke manaʻo nei hoʻi ʻoe i kahi mea ʻē a ʻeha paha i kou mimi ʻana ? A i ʻole ua ʻike ʻoe i ke koko i loko o kou mimi? Hiki i kēia mau mea ke lilo i mau hōʻailona o ka maʻi kanesa ma ke ala mimi. Mai hopohopo, ʻaʻole loaʻa i nā kānaka a pau kēia, akā he mea nui e makaʻala i kēia. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i kapa ʻia ʻo Urethral Cancer .

He aha ke Kanesa Urethral?

I ka ʻōlelo maʻalahi, ʻo ke kanesa urethral ka wā e ulu ai nā hunaola ʻino i loko o nā ʻiʻo o kou urethra (urethra). Maopopo iā ʻoe ke ʻano o ka urethra ? ʻO ia ka ʻōmole e lawe ana i ka mimi mai kou ʻōpū mimi a i waho o kou kino.

E noʻonoʻo, i loko o ke kāne, ʻo ka urethra ma kahi o 8 ʻīniha ka lōʻihi. Puka ia i waho o ke kino ma o ka prostate gland a me ka penis . ʻAʻole wale ka mimi e hele ma kēia, akā puka pū ka semen a me ka sperm (ejaculate) ma kēia ala like.

I ka wahine, he ʻelua ʻīniha ka lōʻihi o ka urethra. Aia ia ma luna pono o ka vagina, ma loko pono o ka labia.

Hiki i ke kanesa ke ulu i loko o kekahi mau ʻano cell e hoʻopili ana i loko o ka urethra. Kāhea pinepine mākou iā lākou he "Urethral Cancer." Aia kekahi mau ʻano nui:

• ʻO ka maʻi kanesa cell transitional (urothelial): ʻO kēia ke ʻano maʻamau. Hoʻomohala ia ma ka ʻāpana o ke ala mimi kokoke loa i ka ʻōpū mimi. He ʻano maʻi kanesa ia e like me ke kanesa ʻōpū mimi.
• ʻO ka maʻi kanesa cell squamous: Hoʻomohala pinepine kēia ʻano i loko o ka urethra (kokoke i ka piko o ka penis) i nā kāne a i loko o ka vagina i nā wahine. ʻO ia ka lua o ke ʻano maʻamau.
• Adenocarcinoma: Hoʻomohala kēia ʻano maʻi kanesa i loko o nā kelepa kokoke i ka urethra. He mea maʻamau ia i loko o nā ʻeke liʻiliʻi i loko o ka urethra, e like me ka urethral diverticulum.

Hiki i kēia maʻi ʻaʻai ke make?

ʻAe, i kekahi mau hihia, hiki i ka maʻi kanesa urethral ke make.Inā ulu kēia maʻi kanesa a laha i nā ʻāpana ʻē aʻe o ke kino, hiki ke paʻakikī ke mālama a hiki ke hoʻoweliweli i ke ola. No laila he mea nui e ʻike i nā hōʻailona a ʻimi koke i ka lāʻau lapaʻau.

He aha koʻu kūlana ola inā loaʻa iaʻu ka maʻi ʻaʻai urethral?

He kumuhana koʻikoʻi kēia e kamaʻilio ai. ʻOiai he ʻano maʻi kanesa kakaʻikahi loa ka maʻi kanesa Urethral, ​​he paʻakikī ke hāʻawi i kahi helu ola maopopo no ia. Wahi a nā noiʻi hou, ʻo ka awelika o ka manawa ola no kekahi me kēia maʻi kanesa ma kahi o ʻehā mau makahiki. ʻO ka helu ola ʻelima mau makahiki ma hope o ka ʻike ʻia ʻana ma kahi o 46%, a ʻo ka helu ola he ʻumi makahiki ma kahi o 31%.

Akā, hiki ke ʻokoʻa kēia mau mea mai kēlā kanaka a kēia kanaka. Aia kekahi mau kumu e hiki ke hoʻopilikia i kou kūlana o ka ho'ōla ʻana:

• Kou olakino holoʻokoʻa.
• Ka nui o ka puʻupuʻu.
• Ke kahua o ka maʻi ʻaʻai.
• Inā ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino.

No laila, he mea nui e ʻole e hopohopo, akā e kamaʻilio me kāu kauka a e ʻimi i ka lāʻau lapaʻau kūpono no kou kūlana.

ʻO wai ka mea e loaʻa ana i ka maʻi ʻaʻai urethral?

Hiki i kekahi ke loaʻa i kēia maʻi kanesa, akā ʻoi aku ka nui o ka pilikia o kekahi poʻe:

• Nā kānaka i piha i 60 makahiki a ʻoi paha.
• Nā kānaka ʻeleʻele (ua hoʻokumu ʻia kēia ma nā haʻawina haole, ʻokoʻa paha ke kūlana ma Sri Lanka).
• Nā kāne. (ʻOi aku ka nui o ka loaʻa ʻana o kēia i nā kāne ma mua o nā wahine.)
• Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka maʻi ʻōpū ma mua.
• ʻO nā kānaka me nā kūlana e hoʻoulu ai i ka mumū o ka urethra, e like me nā maʻi urinary tract pinepine (UTIs) a i ʻole nā ​​​​maʻi i hoʻouna ʻia ma ke ʻano moekolohe (STIs).
• ʻO nā kānaka i loaʻa i ka Human Papillomavirus (HPV).

Pehea ka maʻamau o kēia maʻi kanesa?

He ʻano maʻi kanesa kakaʻikahi loa ka maʻi kanesa urethral. ʻOiai ma ʻAmelika Hui Pū ʻIa, he 1,615 wale nō hihia o kēia maʻi kanesa i hōʻike ʻia mai ka makahiki 1973 a i ka makahiki 2002. ʻO kēia ʻano maʻi kanesa ka emi ma mua o 1% o nā maʻi kanesa āpau i hōʻoia ʻia.

I ka makahiki hea e ulu pinepine ai kēia maʻi kanesa?

ʻIke pinepine ʻia kēia maʻi kanesa ma hope o 60 mau makahiki. Eia nō naʻe, ʻaʻole hiki ʻole i ka poʻe ʻōpio ma mua o kēlā ke loaʻa iā ia.

He aha nā hōʻailona o ke kanesa urethral?

I ka manawa pinepine, ʻaʻohe hōʻailona i nā pae mua o kēia maʻi kanesa. ʻO ia kekahi o nā ʻano weliweli loa o ia mea. Akā inā ʻike ʻia nā hōʻailona, ​​​​hiki iā lākou ke like me kēia:

• Koko i loko o ka mimi (hematuria). ʻO kēia ka hōʻailona nui a maʻamau.
• Ka holo ʻana o ka mimi lohi a i ʻole i pau.
• Ke ʻeha nei i ka wā e mimi ai.
• Pono e mimi pinepine ma mua o ka maʻamau.
• Ke manaʻo nei i kahi puʻupuʻu a paʻa paha ma kahi ma waena o ka penis a me ka rectum (perineum).
• He wai moakaka, keʻokeʻo, a kala ʻole paha e puka mai ana mai loko mai o ka urethra (urethral discharge).
• ʻO ka pehu ʻana o nā lymph nodes ma ka ʻāpana groin.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻoluʻolu e ʻike koke i ke kauka. ʻAʻole kēia he mau hōʻailona o ka maʻi kanesa, akā he mea nui e nānā ʻia.

He aha nā kumu o ke kanesa urethral?

ʻAʻole maopopo i nā kauka a me nā mea noiʻi ke kumu maoli o kēia maʻi kanesa. Eia nō naʻe, ua manaʻo ʻia e pili ana ia i ka mumū lōʻihi a me ka maʻi o ka urethra. Hiki i nā kūlana ma lalo nei ke hoʻonui i ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa:

• Nā maʻi i laha ma ke moekolohe (STIs).
• ʻO ka maʻi papillomavirus kanaka `(HPV)`.
• Puhi paka.
• Ka paʻa ʻana o ka urethral.
• He ulu ʻiʻo i loko o ka urethra (Urethral caruncle).
• ʻO ke kūkulu ʻia ʻana o nā ʻāpana e like me ka ʻeke o ka urethra (Urethral diverticulum).
• ʻO ka catheterization noho ʻana ka hana o ke waiho ʻana i nā catheters ma kahi no ka manawa lōʻihi.

Ma hea e laha mua ai kēia maʻi kanesa?

ʻO ka maʻamau, hoʻolaha mua ka maʻi ʻaʻai urethral i nā ʻiʻo a puni ka urethra. A laila hiki iā ia ke hoʻolaha i nā lymph node ma ka ʻāpana groin. ʻO ka hopena, i kekahi manawa e ʻike paha ʻoe i ka pehu ʻana ma kou mau wāwae.

Pehea e ʻike ʻia ai ke Kanesa Urethral? (Diagnosis)

Inā loaʻa iā ʻoe nā hōʻailona o ke kanesa urethral, ​​e hāʻawi mua kāu kauka iā ʻoe i kahi hoʻokolokolo kino piha. E nīnau pū lākou iā ʻoe inā ua loaʻa i kekahi o kou ʻohana ke kanesa mimi a i ʻole ke kanesa urethra.

Eia kekahi, hiki ke hana ʻia kekahi mau hoʻokolohua ʻē aʻe e hōʻoia i kēia maʻi kanesa. ʻO lākou kēia:

• Hoʻokolokolo Pelvic: (No nā wahine) E nānā ke kauka i kou uterus, cervix, vagina, fallopian tubes, ovaries, bladder, a me ka rectum e nānā i nā puʻupuʻu a i ʻole nā ​​​​​​mea ʻē aʻe. Hiki iā lākou ke lawe i nā hāpana cell e nānā ma lalo o kahi microscope.
• Hoʻokolohua rectal kikohoʻe:E nānā ke kauka i kou rectum a me kou anus no kekahi mau mea ʻē. Inā he kāne ʻoe, e nānā pū lākou i kou prostate gland.
• Nā hoʻāʻo koko: Lawe ʻia kahi koko liʻiliʻi mai kahi aʻa koko i loko o kou lima e nānā i nā mea like ʻole , e like me ka hana o nā puʻupaʻa a me nā pae o nā sela koko.
• Urinalysis: Mimi ʻoe i loko o kahi kīʻaha kūikawā, kahi e hoʻouna ʻia ai i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Nānā kēia hoʻāʻo i nā mea e like me ke kala o kou mimi, ke kō, ka protein, a me nā pae o ke koko.
• ʻImi ʻikepili urine: Lawe ʻia kahi laʻana o kāu mimi e nānā i nā hunaola kanesa i loko o ka ʻōpū o ka ʻōpū mimi a me ka ʻāpana o ka urethra e kokoke loa ana i ka ʻōpū mimi.
• Cystoscopy: Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi ʻōmole lahilahi, hoʻomālamalama ʻia, a me kahi pahupaʻikiʻi (cystoscope) ma o kou urethra a i loko o kou ʻōpū mimi. Hiki iā ia ke nānā i loko o kou urethra a me ka ʻōpū mimi. Inā pono, hiki ke lawe ʻia kahi hāpana ʻiʻo a nānā ʻia ma lalo o kahi microscope.
• Ureteroscopy: Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi, hoʻomālamalama ʻia, a me ka aniani (ureteroscope) ma o ka urethra e nānā i nā puʻupaʻa a me nā ureters (nā ʻōmole lōʻihi a lahilahi ʻelua e lawe ana i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi). Hiki ke lawe ʻia nā laʻana ʻiʻo ma aneʻi.
• CT scan: Lawe kēia i nā kiʻi kikoʻī o kou lua pelvic a me ka ʻōpū, e hana ana i kahi kiʻi ʻekolu-dimensional (3D) o nā ʻiʻo ma ia wahi.
• Biopsy: ʻO kēia ka hoʻāʻo e hoʻohana ʻia e hōʻoia inā loaʻa ka maʻi kanesa. Lawe ke kauka i kahi laʻana o nā pūnaewele a i ʻole nā ​​​​ʻiʻo mai ka urethra, ka ʻōpū mimi, a i ʻole ka prostate a hoʻouna iā ia i kahi lab e nānā i nā pūnaewele kanesa.

Pehea e mālama ʻia ai ke Kanesa Urethral?

Hoʻoholo ʻia ke ʻano hana e kekahi mau kumu:

• ʻO ka wahi i hoʻopilikia ʻia o ka urethra.
• Inā ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino .
• Kou wahine maoli (kāne a wahine paha)
• Kou olakino laulā.
• He mea hou anei kēia maʻi kanesa a ua hoʻi hou mai paha ?

ʻO nā ʻano lapaʻau nui i hoʻohana ʻia:

• ʻO ke ʻoki kino:Hana kēia ʻoki kino i kahi urologist (he kauka loea i nā maʻi o ka ʻōnaehana mimi). Wehe ʻo ia i ka puʻupuʻu. I kekahi manawa pono e wehe ʻia ka ʻōpū mimi, urethra, prostate, lymph nodes, vagina, a i ʻole ka penis. ʻO ke ʻoki kino ka lāʻau maʻamau no ka maʻi ʻaʻai urethral.
• Lapaʻau Radiation: ʻO kahi radiation oncologist, he kauka i loea i ka ʻike ʻana a me ka mālama ʻana i ka maʻi kanesa, hoʻohana i ka radiation e luku i nā hunaola kanesa.
• Chemotherapy: Hoʻohana kekahi kauka lapaʻau oncologist i nā lāʻau lapaʻau kūikawā e hakakā ana i ka maʻi kanesa e pepehi i nā hunaola kanesa a kāohi iā lākou mai ka hoʻonui ʻana.

I kekahi manawa, e ʻōlelo paha kāu kauka i kahi hoʻolālā lapaʻau e hoʻohui pū i hoʻokahi a ʻoi aku paha o kēia mau lāʻau lapaʻau. E kamaʻilio me ia e pili ana i nā lāʻau lapaʻau kūpono loa iā ʻoe.

Pehea e mālama ai i nā hopena ʻaoʻao o nā lāʻau lapaʻau?

ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i nā hopena ʻaoʻao o kāu lāʻau lapaʻau. Hiki iā ia ke paipai i nā mea e like me:

• ʻAi i ka ʻai kaulike maikaʻi (ʻai i ka nui o nā huaʻai a me nā mea kanu hou).
• Hoʻoikaika kino mau.
• E mālama i kahi kaumaha olakino e kūpono iā ʻoe.
• Ke kaupalena nei i ka inu ʻana i ka waiʻona.

Akā e hoʻomanaʻo, pono ʻoe e kamaʻilio me ke kauka ma mua o ka hana ʻana i kekahi hoʻololi i kāu meaʻai a i ʻole ke ʻano o ka nohona.

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

ʻOkoʻa nā lāʻau lapaʻau no ke kanesa urethral, ​​a he ʻokoʻa kou kino. No laila, ʻokoʻa paha kāu pane ʻana i ka lāʻau lapaʻau ma mua o nā mea ʻē aʻe. Hiki i kāu hui lapaʻau ke wehewehe i ka mea e manaʻo ai i kou hoʻōla ʻana.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka maʻi ʻaʻai urethral?

He mea maʻamau ke kaumaha, huhū, hoʻonāukiuki, a makaʻu hoʻi ke ʻike ʻoe he maʻi ʻaʻai urethral kou. Hiki ke loli koke kēia mau manaʻo i kou ʻae ʻana i kāu hōʻailona a hoʻomaka i ka mālama ʻana. Hiki i kāu kauka ke kōkua iā ʻoe e ʻimi i nā hui kākoʻo no ka poʻe me kēia ʻano maʻi ʻaʻai. Hiki i kēia ke kōkua iā ʻoe e emi iho ka noho mehameha. Hiki iā lākou ke hāʻawi iā ʻoe i ke alakaʻi i ka mea e manaʻo ai i kou ʻimi ʻana i nā koho lapaʻau.

Hiki ke ho'ōla ʻia ke kanesa Urethral?

Hiki ke pane ʻia kēia ma ke ʻano ʻae a me ka ʻole. ʻO ke ʻano o ka "ho'ōla" ʻaʻole ʻoe e loaʻa hou i ka maʻi kanesa urethral, ​​ʻaʻohe pono hou o ka lāʻau lapaʻau, a ʻaʻole manaʻo nā kauka e hoʻi hou mai ia. Eia nō naʻe, lōʻihi ka manawa no nā kauka e hōʻoia ʻaʻole e hoʻi hou mai ka maʻi kanesa urethral. Pono ʻoe e hoʻomau i nā hoʻokolohua lapaʻau a me ka mālama ʻana e ʻike inā ua hoʻi mai ka maʻi kanesa.

Ma hope o ka mālama pono ʻana, pono nā kauka e hana i nā hoʻokolohua e like me ka CT scan a i ʻole MRI imaging a me ka cystoscopy e hōʻoia ʻaʻohe ou hōʻailona o ke kanesa urethral. ʻO ka lōʻihi o kou noho ʻana me ka ʻole o ke kanesa, ʻo ka haʻahaʻa o kou pilikia o ka hoʻi hou ʻana mai o ke kanesa.

Pehea e pale ai i ke kanesa o ka urethra?

No ka mea, he maʻi kanesa laha ʻole ka maʻi ʻaʻai urethral, ​​ke aʻo nei nā kauka a me nā mea noiʻi e pili ana i nā ala maikaʻi loa e pale aku ai. Eia naʻe, hiki i kēia mau mea ke kōkua iā ʻoe:

• E hoʻomaʻamaʻa i ka moekolohe palekana. ʻO ka hoʻohana ʻana i nā condom e kōkua i ka pale ʻana i nā maʻi i laha ma ke moekolohe (STIs).
• E mālama i ka hoʻomaʻemaʻe pilikino maikaʻi. He mea nui i nā wahine ke holoi mai mua a i hope ma hope o ka mimi ʻana a i ʻole ka ʻōpala ʻana i mea e pale ai i nā maʻi ʻōpū mimi (UTI). I ka wā o ka menstruation, he mea nui e hoʻololi pinepine i nā pads a me nā tampons. He manaʻo maikaʻi nō hoʻi e holoi pinepine i ka wahi a puni ka vagina a me ka rectum me ka wai maʻemaʻe a, inā pono, i kahi kopa palupalu a ʻala ʻole.
• E pale i ka puhipaka a me nā huahana paka ʻē aʻe. E ʻike i ke kauka inā makemake ʻoe i ke kōkua no ka haʻalele ʻana i ka puhipaka.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi mau hōʻailona o ke kanesa urethral, ​​e like me ka loli ʻana o nā ʻano mimi, ka puka ʻana mai ka urethra, ke koko i loko o ka mimi, a i ʻole kahi puʻupuʻu ma ka penis a i ʻole ka perineum, e ʻike koke i ke kauka.

ʻOiai ʻoe e mālama ʻia nei no ke kanesa urethral, ​​e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• He kuni ma luna o 101 Fahrenheit (38 Celsius).
• ʻEha poʻo nui.
• ʻO ke anu ka manaʻo o ke anu i loko o ke kino.
• ʻŪhū mau.
• Paʻakikī ka hanu ʻana.
• Ka pohō kaumaha koke ma mua o ʻelima paona.
• Ka luaʻi nui ʻana.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Ke ʻike ʻoe i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• Pehea ʻoe e ʻike ai inā loaʻa iaʻu ka maʻi ʻaʻai urethral?
• Ua laha anei kēia maʻi ʻaʻai i nā ʻāpana ʻē aʻe o koʻu kino?
• He aha koʻu mau manawa e ola ai?
• He aha nā lāʻau lapaʻau āu e paipai nei?
• He aha nā pilikia a me nā pono holoʻokoʻa o nā lāʻau lapaʻau āu e ʻōlelo nei?
• Aia kekahi mau hoʻokolohua lapaʻau i kūpono iaʻu?
• Hiki iā ʻoe ke paipai i kekahi mau hui kākoʻo?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He ʻano maʻi ʻaʻai laha ʻole ka maʻi ʻaʻai urethral e hoʻopilikia ana i kou urethra. Loaʻa paha iā ʻoe nā manaʻo like ʻole e pili ana i kēia hōʻailona, ​​a he mea maʻamau kēlā. E kamaʻilio pololei me kāu kauka e pili ana i kou mau manaʻo. Hiki iā lākou ke pane i kāu mau nīnau a hana pū me ʻoe e hana i ka hoʻolālā lapaʻau maikaʻi loa nāu.

ʻO ka mea nui loa, ʻaʻole e hoʻowahāwahā i nā hōʻailona a e ʻimi koke i ke kōkua lapaʻau. ʻO ka wikiwiki o ka ʻike ʻana, ʻo ka nui o ka kūleʻa o ka lāʻau. Mai hopohopo, ʻaʻole ʻoe hoʻokahi.

ʻO ke Kanesa Urethral, ​​Kanesa ʻAla Mimi, Koko i loko o ka Mimi, ʻEha Mimi, Nā Hōʻailona Kanesa, Lāʻau Kanesa, Maʻi ʻAla Mimi