Ndezvipi zviratidzo kenza dundira vakadzi? kenza dundira vakadzi: zviratidzo, kuongorora chirwere

mushonga ano ari kushingaira kushanda akananga kuwana mushonga kenza. Zvisinei, ichi kutarisirwa varwere mushonga zhinji kuchigere. Munyaya ino ndinoda kutaura nezvechirwere ichi, akadai nekenza dundira vakadzi.

vamwe nhamba

Ichi chirwere - nekenza dundira - Zvinoshamisa mu Russia Paavhareji 10-15 zviuru vanhu gore negore. Saka varume achitambura nechirwere ichi vari mana nguva kazhinji pane vakadzi (zvichida, maererano vanachiremba, chikonzero muri anatomical hurongwa ngakuite urogenital hurongwa). Zvisinei, munyaya ino ndinoda kukurukura zviratidzo kenza yacho dundira vakadzi, sezvo zviratidzo panowanikwa chirwere muvanhu Vanhurume nevanhukadzi siyana anosiyana zvishoma.

zvikonzero

Saka, kenza yacho dundira. Zvinokonzera chirwere vanowanzobatwa zvinotevera:

1. basa dzevanhu pedyo chaizvo kuonana nevanhu anonhuhwirira amine (kuti aruminiyamu, värjäys, epurasitiki gadzira). Ngozi chirwere ichi nyaya kusvikira ka30.
2. About nekagumi mukana kuwana kenza dundira ndivo vanhu vanosvuta.
3. Masayendisiti vanoti chirwere kaviri sezvo rinowanzoberekera mune vanhu vanwe mvura chlorinated.
4. Radiation kukuvara kwevanhu uye mikana hosha kusvikira katatu.
5. Uye, chokwadi, zvokurapa dundira matambudziko zvinogona kutungamirira kukudziri- iri chirwere inotyisa. Saka, kaviri yakakwirira mukana wokusvika avo vanhu vanotambura nekuora cystitis. Dzimwe kashanu mukana vaya chirwere "shistosomotoz dundira" (a parasitic chirwere).

Zviratidzo zvokutanga

Ndezvipi zviratidzo kenza dundira vakadzi vokutanga? Saka, ichi ndicho hematuria. Kuti izvozvo zvakajeka, nyore nzira kutaura "ropa iri weti." chiratidzo ichi kunoitika munenge 85% wevarwere. Zvisinei, zvinofanira kutaurwa kuti kunyange marwadzo angasava kana vanhurume. Uyewo ari weti zvinogona ropa kwete chete, asiwo diki ropa. Uchiziva murwere inofanira kuva kakawanda panowanikwa chiratidzo ichi. Saka, kana paine ropa weti nguva nenguva, ndiko chikonzero kuona chiremba pakarepo. Permanent hematuria kungava chete varwere yemhando chirwere rwakazara. Zvechokwadi, muchiitiko ichi, bundu achaita ropa ichi-. Features:

1. Kuwanda ruvara ropa anogona anosiyana kubva Pink kuti piriviri. Panyaya iyi, mukadzi ropa iri weti haagoni kuvhiringidzwa pamwedzi zvinoyerera - varikutsika.
2. Clots anogona kuva akasiyana hukuru uye zvitarisiko. Uyewo zviripo kuyeuka kuti dzidzo Data anogona kuzadza dundira yose, izvo zvinowanzoita kuti ayo tamponade. kureva dundira saka tsinga pamwe clots ropa kuti weti haagoni kungoita kuenda yepanyama nzira. Muchiitiko chino, unofanira kuvhiyiwa.
3. Kuchitaura kuti zviduku bundu anogona ropa kwazvo, uye vakawanda haagoni pamwe rinorema kubuda ropa. Ndiro dambudziko zvakarurama nechirwere wokutanga.

Inokosha: Ropa iri weti kunogona kuva chiratidzo kwete kenza dundira, asi vanhuwo cystitis. Naizvozvo, nokuti zvakarurama chirwere zvakafanira kutsvaka chiremba kubatsirwa.

Chiratidzo 1. dysuria

Ndezvipi zvimwe zviri zviratidzo kenza dundira vakadzi? Saka, ichi ndicho dysuria. Kana matambudziko weti, kana totaura mutauro nezuva. Kana zvakadaro bundu anogona dzvinya urethra, zvichitungamirira marwadzo. Pakutanga, marwadzo achange vemunyika muna pubic munharaunda. Zvisinei, panguva kukura chirwere zvinogona "kupa" iri crotch, uye kunyange mukati nyinyo. Marwadzo panguva weti kunogona kuva kwakasimba zvikuru.

2. Urinary chiratidzo

Zvinotevera zviratidzo kenza dundira vakadzi - incontinence uye kuita weti kakawanda. Somuenzaniso, mumwe murwere vanogona kugara zvishuwo venhema kuti urinate. Rinogonawo kuva involuntary okuyerera weti. Zvisinei, Zviratidzo izvi zvichiitika chete kana akaipa bundu kenza vachange riri munzvimbo dundira mutsipa.

Chiratidzo 3. kunhuwirira

We funga zvimwe zviratidzo nekenza dundira vakadzi. Saka, nokuti chirwere pauri mvura wakapiwa unogona kunhuhwidza hachifadzi. Izvi imhaka bundu kuwedzera, nezvinetso weti. Panyaya iyi, kuti weti chinonhuwira amoniya, mumwe precipitate anogona kunzi (weti chingava purulent) pazasi crockery.

zvimwe zviratidzo

Saka, dundira kenza vakadzi. Ndezvipi zvimwe zviratidzo unogona kuwana?

1. Fistulas. Kuonekwe munzvimbo dundira kuna nyinyo kana kubva dundira kurutivi mugaranhoko. Mune zvimwe zviitiko, vangave kuitika uye suprapubic fistula.
2. kuzvimba makumbo. Kana murwere yakatanga metastasis mune inguinal uye retroperitoneal node nodes, zvinogona kukonzera lymphoedema makumbo.

Diagnostics

Zvikuru hazvina chirwere kenza dundira. Vorudzii nzira dzaunogona rokuongorora panowanikwa zvirwere muvanhu?

1. Cystoscopy. To musi ndiyo chete yakarurama nzira rokuongorora chirwere ichi. Pakadaro zvichabviswa kudzidzwa dundira mucosa chaiwo chishandiso - the endoscope. The chete zvakaipira nzira iyi - invasiveness. Kudzidza ari pamwe zvisingafadzi nezvekufadza uye kusanzwa. A rakakura ndinoiitawo: mukana kwete chete kuti 'ona "uye kudzidza bundu, asiwo kutora chimedu chacho yokutsvakurudza.
2. mushonga Modern hakuiti mira. Uye masayendisiti tega chaizvo bvunzo ubvise nokuda eksperess chirwere kenza dundira. It anoshanda panheyo ane nhumbu inonzi NMP22. Zvisinei kwakapararira nzira iyi nechirwere asati agamuchira.
3. Great kukosha tiri ongororo dzakadai MRI, CT uye Ultrasound. Chiri zvose neizvazivnye chirwere nzira. Ziva kenza inogona yakarongwa panguva dzose mumuviri kuongororwa (Ultrasound Diagnostics) uyewo post-kushanda nguva kutsvakurudza uye club migumisiro kwokurapa (CT uye rinobva resonance Diagnostics).
4. Laboratory nzira vanobatsirawo nokudzidza chirwere. Panyaya iyi, chiremba anogona mishonga urinalysis. Uyewo akakodzera cytological kudzidza Urinary emadhaka.

siteji

Pane zvikamu zvina kenza dundira, zvichienderana sei chirwere "watunga" mumuviri.

1. Epithelium. Panyaya iyi, kenza riri mukati mucosal muviri - epithelium. Treatment chinonyanya nyore kuitwa uye asingauyi nemigumisiro pachena.
2. Submucosal layer iyo inoshanda panobva epithelium uye tsandanyama tishu. Panguva iyi, kenza inokura refu mune mhasuru tishu.
3. Adipose zvinyama uye dundira rusvingo. In pachikuva rechitatu bundu inokura refu vari tishu Data.
4. Pakupedzisira pavaipfuura bundu anogona kukura kupinda pedyo nhengo - dumbu, nyinyo, mapfupa pelvic uye abdominal mhango. Kuchitaura kuti iyi nyaya mishonga iri rinenge hakumboodzi yavaipora murwere, sezvo metastases sei nhengo dzakawanda dzinokosha.

kupatsanura

Humwe histological kupatsanura kenza dundira ndiko kuonekwa. Saka, namamota muchiitiko ichi ndeinotevera:

Epithelial anomera. It kunoitika kakawanda - vanenge 97% nyaya.

1. Perehodnokletochnaya papilloma.
2. Ploskoletochnaya papilloma.
3. Perehodnokletochny kenza.
4. Squamous muchitokisi carcinoma.
5. Adenocarcinoma.
6. Kenza kuti zvisingagoni kusiyaniswa.

Kuchitaura kuti kenza perehodnokletochny dundira rakamuka-kamuka subspecies akawanda:

1. With glandular metaplasia.
2. With squamous metaplasia.
3. Consolidated Version - pamwe glandular uye squamous metaplasia.

Non-epithelial anomera:

1. Nyanyisa (semuenzaniso rhabdomyosarcoma).
2. Benign.

Mixed boka anomera:

1. Rwekenza yelymphoma.
2. Carcinosarcoma.
3. Akaipa melanoma uye nevamwe.

Non-tumorous change:

1. Polypoid kana papillary "cystitis".
2. Cystic "cystitis".
3. Fibrous polyp.
4. Von Brunn matendere, uye vamwe.

Mota kuparadzwa:

1. Gemartomy.
2. Cysts.
3. Amyloidosis.
4. Nezvimwewo Endometriosis.
5. A angavawo neklasifitsiruemye uye metastatic anomera.

mabatiro

Nzira kurapwa achavaponesa chaizvo hworudzii kenza iri kuchengetwa murwere. Chero zvazvingava, zvinofanira akati kuti chiitiko zvezvinoratidza chirwere rokutanga vanofanira kutsvaka rubatsiro. Pashure pezvose, kenza mushonga dundira pakutanga mumatanho vanogona kuva. Achimhanya chirwere haigoni akaporesa.

Zvachero kenza: kurapwa

Ndingaita sei kuziva kuti akaita nekenza dundira nhema? Photos iyi nyaya - wokutanga mubatsiri. Kana kuziva, unogona kukumbira chiremba kukuudza zvakawanda pamusoro chirwere uye anopa zvakasiyana siyana mapikicha. Zvisinei, vanachiremba pachavo havaiti izvozvo, nekuti zviito zvakadaro vanogona chete kutyisidzira murwere. A zvachero kenza bundu inotungamirwa mukati epithelium, unogonawo kupinda munzvimbo tsandanyama tishu. Panyaya iyi, chirwere achiri kwazvo kurapwa, uye murwere anogona kubvisa dambudziko.

1. Tour, kureva transurethral resection. Nzira iyi ndiyo chirwere kwete chete (biopsy), asi achiporesa ehupfumi. Muchiitiko chino, vachishandisa nzira iyi, murwere huchabvisa bundu. Zvisinei, ndinofanira kutaura kuti ukariitazve kunoitika muna 50% wevarwere.
2. Anogona kuderedza dzokororo mwero vachishandisa zvose anozivikanwa intravesical BCG mushonga kana zvimwe kugadzirira ezvokurapa ( "Doxorubicin", "Mitomycin" and said.).
3. Mushure nzira Tour murwere aifanira yokungoitawo kunoonekwa nachiremba. Muchiitiko chino, zvichiita kuti tizive nguva kudzoka kubva chirwere.
4. Kana akaipa nebundu pashure kubviswa zvakare "kudzoka", vanachiremba angarayira varwere kushandisa okunyanyisa kuvhiyiwa - cystectomy. Panyaya iyi, murwere vachatsakatiswa dundira (the nhengo chichagadzirirwa kubva dumbu chidimbu), izvo yekudyidzana kunowedzera ngozi yokupona.

Invasive kenza: kurapwa

Panyaya iyi, bundu anogona kupindira kwete chete munzvimbo tsandanyama rinenge riri dundira, asi kunze kwemuviri. Zvinokosha kujekesa kuti apo chimiro ichi chirwere yekudyidzana kunowedzera ngozi yokubatwa node raiva pedyo nebundu metastasis. Saka, unogona kushandiswa nzira ndichiva kubvisa dambudziko?

1. Most vabudirire hazvisi cystectomy pamwe lymphadenectomy, i.e. nokubviswa dundira pamwe remunharaunda node nodes.
2. Mune zvimwe zviitiko, zvingava kushandiswa pamusoro nzira rwokuparidza, uyewo rakazaruka kukwana mochevika.
3. Uye, chokwadi, uyewo zviri kunobudirira mishonga.

Generalized kenza: kurapwa

chirwere ichi zvinosanganisira kuvapo metastases. Kakawanda zvaitika, sezvo kare ambotaurwa, iri pedyo node nodes uyewo zvemapapu, chiropa, uye mapfupa. Zvose kuti akadaro, chiremba ringavakurudzira - iri mishonga simba, iyo yaifanira kushandiswa kwezvinodhaka akawanda panguva kamwe. Zvingava zvinodhaka "Vinblastine", "Methotrexate", "Doxorubicin", uye vamwe. Zvisinei, ndinofanira kutaura kuti zvose zvinodhaka izvi hazvisi njodzi. Naizvozvo, zvinokosha kuzvishandisa chete mvumo kupinda chiremba.

raramo

Zvachero kenza. -Gore mashanu wokurarama wevarwere zvakakwirira zvikuru uye ndiyo 80%.

Invasive kenza dundira. -Gore mashanu wokurarama kubva 50-55% paavhareji.

Metastatic (kana Generalized) kenza dundira. Kupona-gore mashanu rakakomberedza 20% (ari Qualitative kurapwa).

chikafu

Diet kunokosha chaizvo kuti kenza dundira. Nekuti kazhinji, varwere kuwana dose nemwaranzi kana mishonga, kungoti "kurasikirwa" muviri inoda zvinovaka muviri uye mavhitaminzi. Vanogona anozara kwete mishonga chete, asiwo "zvakanaka" zvokudya.

1. Meals murwere inofanira kuva zvinovaka. Kutaura zvazviri, varwere kazhinji uremu uye vanoda kuvaka mauto avo.
2. Zvinokoshawo kuti kenza varwere akapiwa zvakakwana uwandu mapuroteni. Kuchitaura kuti kunyanyisa kunwa mapuroteni kukura chiropa anomera uye dundira DZEMUNHU DZINODZORA.
3. Nokuti nyama kunwa inofanira kubatwa nokungwarira. Masayendisiti dzakaratidza kuti dzvuku nyama kunotungamirira kweiyi kukura kenza. Saka, zvinodiwa zvinofanira kupiwa pasi-mafuta huku zamu uye netsuro.
4. Uyewo, murwere vanofanira kudya hove.