Mene ne bayyanar cututtuka na mafitsara ciwon daji a cikin mata? Mafitsara ciwon daji a cikin mata: cututtuka, ganewar asali

Modern magani ne rayayye aiki zuwa ga gano wani maganin cutar daji. Duk da haka, wannan ran da mutane da yawa maganin marasa lafiya ba tukuna. A wannan labarin na so in yi magana game da wannan cuta, kamar ciwon daji na mafitsara a mata.

wasu statistics

Wannan cuta - ciwon daji na mafitsara - aka karin a Rasha a kan talakawan 10-15 dubu mutane a kowace shekara. Kamar wancan ne maza da wahala daga wannan cuta suna hudu sau mafi kusantar fiye da mata (mafi m, a cewar likitoci, a cikin hanyar ne daga ilimin Halittar Jiki Tsarin namiji urogenital tsarin). Duk da haka, a wannan labarin, Ina so in yi la'akari ne da bayyanar cututtuka da ciwon daji na mafitsara a mata, kamar yadda ãyõyin da ya faru na da cuta a cikin mutane na daban-daban jinsosin bambanta dan kadan.

dalilai

Saboda haka, da ciwon daji na mafitsara. A Sanadin cutar ne mafi sau da yawa da wadannan:

1. mutum aiki a sosai kusa lamba tare da aromatic Amine (cewa aluminum, rini, roba yi). A hadarin cuta a cikin wannan harka har zuwa 30 sau.
2. Game da goma sau mafi girma hadarin kamuwa da ciwon daji na mafitsara su ne waɗanda suka hayaki.
3. Masana kimiyya ce cewa cutar sau biyu kamar yadda sau da yawa yakan faru a cikin mutanen da suka sha magni ruwa.
4. Radiation effects a kan mutum da kuma ƙãra hadarin cutar har zuwa sau uku.
5. Kuma, ba shakka, likita mafitsara matsaloli iya kai ga ci gaban da wannan mummunan cuta. Saboda haka, sau biyu mafi girma hadarin samun mutanen da suka wahala daga matsananciyar cystitis. A sau biyar hadarin daga waɗanda ake bincikar lafiya tare da "shistosomotoz mafitsara" (a parasitic cuta).

A farko alamun

Mene ne farko alamun mafitsara ciwon daji a cikin mata? Saboda haka, wannan shi ne hematuria. Don yin shi bayarda, mafi sauki hanyar ce "jini a cikin fitsari." Wannan alama ya auku a game da 85% da marasa lafiya. Duk da haka, ya kamata a ce cewa yayin da zafi bazai idan yana yin fitsari. Har ila yau a cikin fitsari iya zama ba kawai jini, amma kuma kananan jini clots. Faɗakar da haƙuri ya zama da aukuwar wannan alama. Saboda haka, idan akwai jini a cikin fitsari daga lokaci zuwa lokaci, shi ne wani dalilin ganin likita nan da nan. Dindindin hematuria iya zama ba fãce a cikin marasa lafiya da ci-gaba cutar mataki. Lalle ne, a cikin wannan yanayin, da ƙari za jinni ci gaba. Features:

1. A tsanani daga launi da jini iya bambanta daga ruwan hoda zuwa haske ja. A wannan yanayin, da mace jini a cikin fitsari ba za a iya rikita batun tare da wata-wata sallama - sananniya.
2. Clots iya zama daban-daban masu girma dabam da kuma siffofi. Shi ne ma daraja tuna cewa ilimi data iya cika dukan mafitsara, wanda sau da yawa take kaiwa zuwa ta tamponade. watau mafitsara haka gidan ya toshe tare da jini clots cewa fitsari ba zai iya kawai je da na halitta hanya. A wannan yanayin, za ka bukatar tiyata.
3. Yana da daraja yana cewa mafi karami ƙari iya jinni profusely, kuma mafi ba za a iya tare da m zub da jini. Wannan shi ne na farko da matsala na daidai ganewar asali.

Muhimmi: Blood a cikin fitsari iya zama alama ba kawai na mafitsara ciwon daji, amma kuma talakawa cystitis. Saboda haka, don daidai ganewar asali shi wajibi ne, ka nemi wani likita ta taimako.

Alama 1. dysuria

Abin da kuma masu bayyanar cututtuka na mafitsara ciwon daji a cikin mata? Saboda haka, wannan shi ne dysuria. Ko da matsaloli tare da urination, a lokacin da ta je yau da kullum da harshen. A irin wannan hali da ƙari iya damfara mafitsara, da manyan zuwa zafi. A farkon, da zafi za a sarrafa a cikin pubic yankin. Duk da haka, a lokacin da ci gaban da cuta shi zai iya "ba" a cikin crotch, kuma ko da a cikin farji. Pain a lokacin urination iya zama da karfi.

2. Urinary alama

Wadannan cututtuka na mafitsara ciwon daji a cikin mata - incontinence kuma m urination. Alal misali, a haƙuri iya samun m ƙarya Bukaci zuwa urinate. Yana kuma iya zama wani involuntary sallama na fitsari. Duk da haka, wadannan cututtuka faruwa ne kawai idan m cancerous ƙari za a located a yankin na mafitsara wuyansa.

Alama 3. kamshi

Mun la'akari da kara bayyanar cututtuka na ciwon daji na mafitsara a mata. Saboda haka, ga wani ba ciwo ta sallami ruwa iya jin warin m. Wannan shi ne saboda ciwon daji fadada, da matsaloli tare da urination. A wannan yanayin, da fitsari wari ammonia, a precipitate iya a yi la'akari (fitsari iya zama surkin jini) a kasa na crockery.

sauran cututtuka

Saboda haka, mafitsara ciwon daji a cikin mata. Abin da sauran cututtuka ka iya samun?

1. Fistulas. Iya bayyana a fannin cikin mafitsara zuwa cikin farji ko daga cikin mafitsara zuwa wajen dubura. A wasu lokuta, na iya faruwa, kuma suprapubic fitsari.
2. kumburi da kafafu. Idan haƙuri ɓullo da metastasis a inguinal da retroperitoneal Lymph nodes, shi zai iya sa lymphoedema na kafafu.

bincikowa da

Very muhimmanci kuma shine ganewar asali mafitsara ciwon daji. Wace irin hanyoyi za ka iya gane asali da ya faru na da cuta a cikin mutane?

1. Cystoscopy. Don kwanan shi ne kawai m hanya don gane asali da wannan cuta. A irin wannan yanayi za a yi karatu mafitsara mucosa da musamman kayan aiki - da endoscope. The kawai hasara wannan hanya - invasiveness. A binciken da aka tare da m majiyai da kuma rashin jin daɗi. A babbar: wata dama ba kawai "gani" da kuma nazarin da ƙari, amma kuma ya dauki wani yanki na shi domin gudanar da bincike.
2. Modern magani ba tsaya har yanzu. Kuma masana kimiyya sun ƙirƙira musamman gwajin tsiri ga eksperess ganewar asali mafitsara ciwon daji. Yana aiki a kan manufa da wani ciki gwajin da ake kira NMP22. Duk da haka tartsatsi wannan hanya na ganewar asali bai riga ya sami.
3. Babban muhimmanci ne kuma nazarin kamar MRI, CT da kuma duban dan tayi. Shi ke duka neizvazivnye bincike hanyoyin. Gano ciwon daji za a iya shirya a lokacin al'ada jiki jarrabawa (duban dan tayi bincikowa), kazalika da a post-dau lokaci na gudanar da bincike da kuma tracking da sakamakon magani (CT da Magnetic rawa bincikowa).
4. Laboratory da hanyoyin taimakawa wajen binciken cutar. A wannan yanayin, likita zai iya rubũta urinalysis. Shi ne kuma dacewa cytological nazarin urinary laka.

mataki

Akwai matakai huɗu na mafitsara ciwon daji, dangane da yadda cutar "toho" a cikin jiki.

1. Epithelium. A wannan yanayin, da ciwon daji ne cikin mucosal jiki - epithelium. Magani ne mafi saukin za'ayi da kuma ba shi da bayyane sakamakon.
2. Submucosal Layer, wanda hidima a matsayin tushen ga epithelium da tsoka nama. A wannan mataki, da ciwon daji ke tsiro ƙara a wata tsoka nama.
3. Adipose nama da kuma mafitsara bango. A cikin uku mataki da ƙari tsiro ƙara a cikin nama data.
4. A karshe mataki na ƙari iya girma a kusa da gabobin - mahaifa, farji, pelvic ƙasũsuwa da kogon ciki. Yana da daraja yana mai cewa a cikin wannan harka da magani ne kusan ba kaiwa zuwa da maida na haƙuri, kamar yadda metastases shafi mutane da yawa muhimmanci gabobin.

rarrabuwa

Bugu da ari histological rarrabuwa na mafitsara ciwon daji ne da za a gani. Saboda haka, marurai a cikin wannan yanayin ne kamar haka:

Epithelial siffofin maruran. Yana faruwa a mafi sau da yawa - game da 97% na lokuta.

1. Perehodnokletochnaya papilloma.
2. Ploskoletochnaya papilloma.
3. Perehodnokletochny ciwon daji.
4. Squamous cell sankara.
5. Adenocarcinoma.
6. Cancer da cewa ba za a iya bambanta.

Yana da daraja yana cewa perehodnokletochny mafitsara ciwon daji subdivided cikin da dama subspecies:

1. Tare da glandular metaplasia.
2. Tare da squamous metaplasia.
3. Karfafa Tsarki - tare da glandular da squamous metaplasia.

Non-epithelial marurai:

1. M (msl rhabdomyosarcoma).
2. Yãfẽwa.

Mixed kungiyar marurai:

1. Lymphoma.
2. Carcinosarcoma.
3. M melanoma da sauransu.

Non-tumorous canji:

1. Polypoid ko papillary "cystitis".
2. Cystic "cystitis".
3. Fibrous polyp.
4. Von Brunn sheƙarsu, da sauransu.

Ƙari halaka:

1. Gemartomy.
2. Cysts.
3. Amyloidosis.
4. Da dai sauransu Endometriosis.
5. A iya zama neklasifitsiruemye da metastatic siffofin maruran.

magani

Hanyar magani zai dogara ne a kan daidai da abin da irin ciwon daji aka lura a cikin haƙuri. A cikin wani hali, dole ne a ce cewa, a cikin taron na farko bayyanar cututtuka da cutar bukatar ka nemi taimakon likita. Bayan duk, magani mafitsara ciwon daji a farkon matakai na iya har yanzu zama. Duk da yake a guje da cutar ba za a iya warke.

Na waje ciwon daji: magani

Ta yaya zan iya gano abin da ya kama a waje mafitsara ciwon daji? Photos a cikin wannan harka - na farko mataimaki. Idan sha'awar, za ka iya tambayi likita gaya muku mafi game da cutar da kuma samar da dama hotunan. Duk da haka, da likitocin da kansu ba su yin addini shi, saboda irin ayyuka da suka iya kawai da tsoro da mãsu haƙuri. A waje ciwon daji ƙari samuwar ne a cikin epithelium, kuma iya shiga cikin tsoka nama. A wannan yanayin, cutar ne har yanzu quite da kyau a lura, da kuma haƙuri iya rabu da matsalar.

1. Yawon shakatawa, watau transurethral resection. Wannan dabara ne ba kawai bincike (biopsy), amma kuma warkar Properties. A wannan yanayin, da amfani da wannan hanya, da mãsu haƙuri zai cire ƙari. Duk da haka, dole ne in ce cewa bayan da cutar zai sake komowa a 50% da marasa lafiya.
2. Iya rage komawa kudi ta amfani da duk aka sani intravesical BCG maganin ko wasu likita shirye-shirye ( "Doxorubicin", "Mitomycin" et al.).
3. Bayan hanya yawon shakatawa haƙuri dole sha yau da kullum rajistan shiga-rubucen. A wannan yanayin, shi zai yiwu domin sanin lokacin da za a dawo da cutar.
4. Idan wani m ƙari bayan kau sake "sama", sau da yawa likitoci shawara marasa lafiya ƙarasa da mafi m tiyata - cystectomy. A wannan yanayin, da mãsu haƙuri za a cire gaba daya cikin mafitsara (da sashin jiki za a kafa daga Gut kashi), wanda muhimmanci kara hadarin rayuwa.

Masu cin zali ciwon daji: magani

A wannan yanayin, da ciwon daji na iya shiga ba kawai a cikin tsoka nama na mafitsara, amma kuma a waje na jiki. Yana da daraja a bayyana cewa a lokacin da wannan nau'i na cutar muhimmanci ƙara hadarin Lymph kumburi metastasis. Abin da, sa'an nan, za a iya amfani da hanyoyin da yin kawar da matsalar?

1. Mafi tasiri a cikin wannan yanayin ne cystectomy da lymphadenectomy, Ina nufin kau na mafitsara da yankin Lymph nodes.
2. A wasu lokuta, zai iya yiwuwa a yi amfani da sama hanya yawon shakatawa, kazalika da bude m mochevika.
3. Kuma, ba shakka, kuma tasiri shi ne jiyyar cutar sankara.

Jimlace ciwon daji: magani

Wannan cuta ya shafi gaban metastases. Mafi sau da yawa da suka faru, kamar yadda riga aka ambata a sama, a cikin makwabciyar Lymph nodes kazalika da huhu, hanta, da kuma kasusuwa. Duk da cewa a cikin irin wannan yanayin, likita zai iya bayar da shawarar - shi ne mai iko jiyyar cutar sankara, wadda ya kamata a da za'ayi tare da yin amfani da dama kwayoyi a lokaci daya. Yana iya zama kwayoyi "Vinblastine", "Methotrexate", "Doxorubicin", da sauransu. Duk da haka, dole ne in ce cewa duk wadannan kwayoyi ba su aminta ba. Saboda haka, wajibi ne a yi amfani da su ne kawai tare da izni na halartar likita.

rayuwa

Na waje ciwon daji. Biyar-shekara rayuwa kudi na marasa lafiya ne musamman high kuma shi ne 80%.

Masu cin zali mafitsara ciwon daji. Biyar-shekara rayuwa kudi na 50-55% a kan talakawan.

Metastatic (ko jimlace) mafitsara ciwon daji. Biyar-shekara rayuwa ne a kusa da 20% (a cikin ingantaccen magani).

abinci

Rage cin abinci da muhimmanci sosai ga mafitsara da ciwon daji. Saboda sau da yawa, marasa lafiya da suke samu a kashi na radiation ko jiyyar cutar sankara, kawai "rasa" jiki yana bukatar gina jiki da kuma bitamin. Suna iya cika up ba kawai magani, amma kuma da " 'yancin" abinci.

1. Abinci na haƙuri ya zama kamar gina jiki. A gaskiya ma, marasa lafiya sau da yawa rashin nauyi, kuma suka bukata domin sake gina kasar.
2. Yana da muhimmanci ga ciwon daji marasa lafiya samu wani isasshen adadin furotin. Yana da daraja yana cewa a cikin wuce kima amfani da furotin da ci gaban da hanta marurai mafitsara slows.
3. Ga nama amfani ya kamata a bi tare da taka tsantsan. Masana kimiyya sun nuna cewa ja nama take kaiwa zuwa ruri na ci gaba da ciwon daji. Saboda haka, ake son ya kamata a ba low-mai kaza nono da kuma zomo.
4. Har ila yau, da mãsu haƙuri kamata ci kifi.