Umdlavuza We-bladder

Ukwelashwa Okuphambili Komdlavuza Wesinye e-Hyderabad

Umdlavuza wesinye usho umdlavuza ovela kumaseli esinyeni. Isinye siyisitho esinemisipha esingenalutho esingaphansi kwesisu futhi sigcina umchamo. Umdlavuza wesinye ungolunye lwezinhlobo zomdlavuza ezivame ukubonakala emadodeni.

Umdlavuza wesinye ngokuvamile uqala kumaseli urothelial. Lawa maseli akleliswe phakathi esinyeni. Amangqamuzana e-Urothelial angatholakala naseZinsoni nase-Ureters (ishubhu elixhuma esinyeni nezinso). Maningi amathuba okuthi umdlavuza we-urothelial ube khona ezinsweni nasemithanjeni yomchamo, nokho-ke, lolu hlobo lomdlavuza luvame kakhulu esinyeni. 

Iningi lomdlavuza wesinye litholwa ngesikhathi umdlavuza ususelapheka ngokuphelele. Kodwa-ke, kuye kwaba nezimo ezithile lapho umdlavuza wesinye wesigaba sokuqala ubuya khona ngisho nangemva kokwelashwa ngempumelelo. Ngakho-ke, abantu badinga ukuyohlolwa njalo njalo iminyaka ngemva kokwelashwa kwabo ukuze bagweme ukuphinde bagule. Izibhedlela ze-CARE ziyahlinzeka ukwelashwa komdlavuza wesinye e-Hyderabad nochwepheshe bezokwelapha abaphezulu.   

Izimpawu Zomdlavuza Wesinye

Abantu abatholakala benomdlavuza wesinye ngokuvamile babhekana nanoma yikuphi ukungakhululeki noma ukungavamile okuhambisana nokuchama. Kodwa-ke, ezinye iziguli zingase zingabi nalezi zimpawu kanti ezinye zingase zibe nalezi zimpawu ezingase ziholele esimweni sezempilo esihlukile esingewona umdlavuza. 

Izimpawu ezijwayelekile kanye nezimpawu zomdlavuza wesinye yizi: 

• Igazi Emchameni (Hematuria) noma ihlule legazi emchameni 

• Ukushiswa noma ukuzwa okubuhlungu ngesikhathi sokuchama

• Ukuba nesidingo esiqhubekayo sokuchama njalo

• Ukuba nesifiso sokuchama kodwa engakwazi ukukwenza lokho 

• Ubuhlungu obungemuva ohlangothini lwe-1 lomzimba ophansi 

Ezinye izimpawu ezimbalwa zomdlavuza wesinye osethuthukile zingabandakanya ubuhlungu esifundeni se-pelvic, ukulahlekelwa ukudla, nokuncipha kwesisindo. Ngezinye izikhathi, lapho kuqala izimpawu zomdlavuza wesinye ziyabonakala, lokhu kungasho ukuthi umdlavuza ususabalele kwezinye izingxenye zomzimba. Kulokhu, izimpawu zomdlavuza zincike ekutheni usakazeke kuphi.

Izinhlobo Zomdlavuza Wesinye

Kunezinhlobo eziningi ezahlukene zamaseli atholakala esinyeni angaba nomdlavuza. Ngakho-ke, uhlobo lomdlavuza wesinye luncike ekutheni amaseli esimila abukeka kanjani. Kunezinhlobo ezintathu kakhulu zomdlavuza wesinye:

• I-Urothelial Carcinoma:

Ngaphambilini eyayaziwa ngokuthi i-transitional cell carcinoma, i-Urothelial Carcinoma (UCC) iqala emangqamuzaneni angaphakathi kwesinye. I-UCC ingenye yomdlavuza wesinye ovame ukutholakala. Ize ibangele u-10-15% womdlavuza wezinso owenzeka kubantu abadala. 

• I-squamous Cell Carcinoma

I-Squamous Cell Carcinoma ngokuvamile ihlotshaniswa nokucasuka okungapheli esinyeni. Lokhu kungaba umphumela wokutheleleka noma i-catheter yomchamo esetshenziswe isikhathi eside. Lolu hlobo lomdlavuza aluvamile futhi lubalelwa ku-4% kuphela abantu okutholakala ukuthi banawo. Kuvame kakhulu ezindaweni lapho isifo esithile se-parasitic (schistosomiasis) sidala umdlavuza wesinye.

• I-Adenocarcinoma 

I-Adenocarcinoma wuhlobo lomdlavuza wesinye oluyivelakancane kakhulu futhi lubalelwa ku-2% kuphela wabantu okutholakala ukuthi banawo. Lolu hlobo lomdlavuza luqala emangqamuzaneni akha indlala ekhipha amafinyila esinyeni. 

Izingozi Zomdlavuza Wesinye

Ezinye zezinto eziyingozi zomdlavuza wesinye zihlanganisa:

Ukubhema: Ukubhema kuyaziwa ukuthi kulimaza impilo. Abantu ababhema njalo basengozini enkulu yokuthola umdlavuza wesinye okuphindwe ka-4-6 kunomuntu ongabhemi. 

Ubudala: Abantu abaneminyaka engaphezu kuka-65-70 bavame ukutholakala benomdlavuza wesinye uma kuqhathaniswa nenani labantu abasha. 

Ubulili: Ngokocwaningo, amadoda maningi amathuba okuba abe nomdlavuza wesinye uma kuqhathaniswa nabesifazane. 

Ukuchayeka Kwamakhemikhali: Abantu abachayeka kumakhemikhali athile asetshenziswa ezimbonini zikadayi, izindwangu, irabha, upende, isikhumba, nezimboni zokunyathelisa basengozini enkulu yokutholakala nomdlavuza wesinye. Lawa makhemikhali ahlanganisa ama-amine anephunga elimnandi angaba yingozi. 

I-Chemotherapy noma Imisebe: Labo abavezwa imiphumela emibi yokwelashwa ngamakhemikhali noma imisebe ngaphambili isengozini yesikhathi eside yokutholakala nomdlavuza wesinye. 

Umlando womndeni: Labo abanomlando emndenini womdlavuza wesinye banamathuba aphindwe kabili okutholakala ukuthi banomdlavuza wesinye. Lokhu kungenzeka ngenxa yezici ezithile zofuzo ezingaholela ekungakwazini ukususa amakhemikhali ayingozi ngemva kokuchayeka. Ngaphandle kwalokhu, isifo esitholakala ngofuzo, esaziwa nge-Lynch Syndrome sixhumene nomdlavuza we-colorectal, futhi singanyusa ngisho nobungozi bomdlavuza wesinye. 

Izinkinga Zesinye Ezingamahlalakhona kanye Nezifo Ezihlobene Nepheshana Lomchamo: Abantu abanokuvuvukala kwesinye isikhathi eside kanye nokucasuka maningi amathuba okuba babe nomdlavuza wesinye. 

Umuthi Wesifo Sikashukela: Labo abasebenzisa i-Pioglitazone, okuyisidakamizwa esiphuzwa isifo sikashukela sohlobo 2 ukunciphisa ushukela, basengozini enkulu yokuba nomdlavuza wesinye. 

Ukuxilongwa Komdlavuza Wesinye

Odokotela bangasebenzisa izivivinyo ezihlukahlukene, izikena, nezinqubo ukuze bathole ukuhlonzwa okufanele komdlavuza wesinye. Ezinye zezifo zingabandakanya:

• Ukuhlolwa Komchamo

Uma kukhona igazi elitholakala emchameni, udokotela angakucela ukuthi wenze ukuhlola umchamo. 

• I-cystoscopy

I-Cystoscopy iyindlela yokuhlola eyinhloko esetshenziselwa ukuhlonza umdlavuza wesinye. 

• Biopsy 

I-Biopsy noma i-Transurethral resection of bladder tumor (TURBT) izokwenziwa uma kunezicubu ezingavamile ezitholakala ngesikhathi se-cystoscopy. I-TURBT ingasetshenziswa ngisho ukuthola uhlobo lwesimila, nokuthi sijule kangakanani ezingxenyeni zesinye. 

• I-CT Scan

I-CT scan ingasetshenziswa ukukala usayizi wesimila. 

• I-MRI

I-Magnetic Resonance Imaging (MRI) isebenzisa amandla kazibuthe ukuze iveze isithombe esinemininingwane yomzimba. I-MRI ingasetshenziswa ngisho nokukala ubukhulu besimila. 

• Skena Scan

I-Positron Emission Tomography (PET) noma i-PET-CT Scan isiza ukuthola umdlavuza wesinye okungenzeka ususabalele kwezinye izingxenye zomzimba. 

• ultrasound

I-Ultrasound isebenzisa amaza omsindo ukuthola isithombe esingcono sezitho zangaphakathi. Lokhu kungasiza odokotela ukuthi bathole ukuthi i-ureter yesiguli nezinso kuvaliwe yini. 

Ukwelashwa Komdlavuza Wesinye

Esikhathini sokuqala somdlavuza, lapho isimila somdlavuza sikhona kuphela esinyeni, ukuhlinzwa komdlavuza wesinye kwenziwa lapho odokotela bekhipha sonke isinye emzimbeni. Nokho, le nqubo izokwenziwa kuphela njengesinyathelo sokugcina. Ezibhedlela ze-CARE, okuyisibhedlela esingcono kakhulu sokwelapha umdlavuza wesinye, odokotela bethu abanolwazi olunzulu bazokusiza ekwelapheni umdlavuza wesinye. Ezinye izindlela zokwelapha umdlavuza wesinye ziyatholakala ezibhedlela ze-CARE odokotela bethu abakhetha ukuzisebenzisa. 

Ukwelashwa komdlavuza wesinye kuncike esigabeni somdlavuza. Zimbili izinhlobo zokuhlinzwa odokotela bethu abazenzayo ukwelapha umdlavuza wesinye. Lokhu kubandakanya:

Ukususwa kwe-Transurethral

I-Transurethral Resection inqubo eyenziwa ngesikhathi sokuqala komdlavuza wesinye. Le nqubo ihlanganisa ukudlulisa ithuluzi ngombhobho osetshenziswa ukukhipha isimila nezinye izicubu ezingajwayelekile. 

I-cystectomy 

I-cystectomy kuyinqubo lapho ingxenye yesinye noma isinye sonke ikhishwa ngokuphelele. Ukukhipha ingxenye yesinye noma sonke isinye, ingafinyelelwa ngokusikwa esiswini. 

Ngakho-ke, ukuhlinzwa kanye nezinye izindlela zokwelapha kungasetshenziswa ukwelapha umdlavuza wesinye. Ochwepheshe bethu bomdlavuza ngodokotela abahlinzayo abanolwazi abazoqinisekisa ukuthi zonke iziguli ngeke zibekezelele imiphumela yokuhlinzwa yomdlavuza wesinye.

Izibhedlela ze-CARE zingasiza kanjani?

Ukunakekelwa komdlavuza esikhungweni somdlavuza wesinye kungaba nzima, kube nzima, futhi kuthathe isikhathi eside kudokotela nesiguli. Kudinga ukuhlela okudidiyelwe, okuhlangene, nokunembayo ukuze kuqinisekiswe ukuthi inqubo ihamba kahle futhi kutholwa kuphela imiphumela engcono kakhulu. Ezibhedlela ze-CARE, sihlinzeka ngezinsizakalo zokuxilonga ezingcono kakhulu emkhakheni we I-oncology. Sisebenzisa amathuluzi asezingeni eliphezulu kanye nobuchwepheshe. Sinikeza ukunakekelwa komtholampilo okusezingeni lomhlaba futhi okungabizi kakhulu. Ukwesekwa kwethu kwabasebenzi abaqeqeshwe kahle kuzonikeza usizo nokunakekelwa okufanele ngesikhathi sokululama. Abasebenzi bethu bahlale betholakala ukuze bakusekele futhi baphendule yonke imibuzo yakho. Izibhedlela ze-CARE yizibhedlela ezihamba phambili zokwelapha umdlavuza wesinye e-Hyderabad ngezinqubo zokuhlinza zesimanje nezithuthukisiwe ezizokusiza uthuthukise izinga lakho lempilo.