Umdlavuza we-Urethral

Umdlavuza we-Urethral

Uhlobo olungavamile kakhulu lomdlavuza we-urological umdlavuza we-urethral. Lolu hlobo luthinta kuphela umuntu oyedwa noma ababili kuzo zonke iziguli zomdlavuza eziyikhulu. Kuthinta amadoda amaningi kunabesifazane. Abanye abantu abanomdlavuza womchamo abanazo izimpawu, kodwa iningi labo linazo. Lesi sihloko sizokunikeza ulwazi olwengeziwe mayelana nomdlavuza we-urethra, okuhlanganisa ukuthi uhlonzwa kanjani nokukhetha ukwelashwa.

Umdlavuza ubangelwa amangqamuzana aguquguqukayo anda ngokungalawuleki. Amaseli aguquguqukayo (ashintshile) avamise ukukhula ukuze akhe isigaxa noma inqwaba eyaziwa ngokuthi ithumba. Amaseli omdlavuza nawo angangena (akhule) ezindaweni ezingomakhelwane. Futhi zinamandla okusakazeka kwezinye izindawo zomzimba. Lokhu kubizwa ngokuthi i-metastasis.

I-Urethral carcinoma iwuhlobo lomdlavuza oluqala emthonjeni womchamo futhi oluyivelakancane kakhulu. Leli shubhu linesibopho sokususa ukuchama emzimbeni wakho. I-urethra kwabesifazane icishe ibe ngamasentimitha angu-1.5 ubude. Isuka esinyeni iye endaweni engaphezu komnyango wesitho sangasese sowesifazane. I-urethra emadodeni ingama-intshi angu-8 ubude. Isuka ku-prostate iye esihlokweni sepipi, idlule ku-prostate kanye nepipi (glans).

Izici eziyingozi zomdlavuza we-urethral

Isici esiyingozi yinoma yini engandisa amathuba okuba nesifo. Imbangela eqondile yomdlavuza womuntu kungenzeka ingaziwa. Kodwa izici eziyingozi zingenza kube lula ukuthi umuntu abe nomdlavuza. Ezinye izici zobungozi zingase zingabikho kulawulo lwakho. Kodwa ezinye zingase zibe yizinto ongazishintsha.

Ngenxa yokuthi umdlavuza we-urethra uyivelakancane, kube nzima kubahlinzeki bezokunakekelwa kwezempilo ukuthola izici eziyingozi zalesi sifo. Lezi izinto ezingaba yingozi kulo mdlavuza:

• Iminyaka yobudala
• Ukucasuka okuhlala isikhathi eside (okungapheli) noma ukuvuvukala komgudu womchamo ngenxa yezifo eziphindaphindayo ze-urinary tract (UTIs) noma izifo ezithathelwana ngocansi (STIs)
• Izifo ezithile, ezifana ne-urethral diverticulum, polyps, noma i-urethral caruncle kwabesifazane kanye ne-urethral strictures emadodeni.
• Umlando we umdlavuza wesinye
• Ukutheleleka nge-HPV (human papillomavirus) noma umlando wezinye izifo ezithathelwana ngocansi

Izimpawu zomdlavuza we-urethral

Umdlavuza we-Urethral kungaba nzima ukuwuthola ezigabeni zawo zokuqala. Lokhu kungenxa yokuthi abanye abantu ngeke babe nazimpawu kuze kube yilapho umdlavuza usuthuthuke kakhulu.

Izimpawu eziyinhloko

Njengoba umdlavuza ukhula, kokubili abesilisa nabesifazane bangase baqale ukuqaphela lezi zimpawu zomdlavuza we-urethral:

ukukhula noma iqhubu eduze noma ku-urethra
ubuhlungu noma ukopha lapho uchama
ubunzima bokuthulula esinyeni

Izimpawu ezengeziwe

Izimpawu ezengeziwe zihlanganisa:

• ukuchama njalo noma ukuzwa isidingo sokuchama ngaphandle kokuphuma umchamo
• ukugeleza okuphansi noma ukudonsa amanzi lapho uzama ukuchama
• ukuphuma noma ukopha ku-urethra
• inkinga yokuphuma umchamo
• ukungakwazi ukulawula umchamo (noma ukungakwazi ukulawula umchamo)
• enlarged lymph nodes in the groin, near the isisu

Ukuxilongwa komdlavuza we-urethral

Ngokuvamile abantu baphathwa kuqala ngezinye izinkinga. Kungaba ukutheleleka komgudu womchamo noma i-BPH emadodeni (benign prostate hyperplasia). Uma izindlela zokwelapha ezijwayelekile zingaphumeleli, udokotela wakho angase asole umdlavuza we-urethra. Ungathunyelwa kudokotela oyi-urologist. Lona uchwepheshe wezokunakekelwa kwempilo onguchwepheshe ekwelapheni izinkinga zesistimu yomchamo.

Udokotela wakho uzobuza ngomlando wakho wezokwelapha, izimpawu, izici eziyingozi, nomlando wezifo emndenini wakho. Bazohlola umzimba. Ukuhlolwa kwe-digital rectal kungase kwenziwe kwabesilisa. Ukuhlolwa kwe-pelvic kuzokwenziwa kwabesifazane. Lezi zivivinyo zisetshenziselwa ukuhlola izimila endaweni ye-urethra.

Ungase futhi ube nokuhlola oku-1 noma ngaphezulu kwalokhu:

• Ukuhlolwa komchamo
• Ukuhlolwa kwegazi
• ultrasound
• Ukuhlolwa kwe-Endoscopy (cystoscopy noma ureteroscopy)
• CT scan
• Biopsy

I-biopsy yiyona ndlela kuphela yokuqinisekisa umdlavuza. Izicucu ezincane zezicubu ziyakhishwa futhi zihlolwe amangqamuzana omdlavuza.

Ngemuva kokuxilongwa komdlavuza we-urethral, ​​cishe uzodinga ezinye izivivinyo. Lokhu kusiza abahlinzeki bakho bezempilo ukuthi bafunde kabanzi ngomdlavuza. Bangasiza ekunqumeni isigaba somdlavuza. Isigaba ukuthi umdlavuza ususakazeke kangakanani futhi ungakanani (metastasized) emzimbeni wakho. Kungenye yezinto ezibaluleke kakhulu okufanele uzazi uma uthatha isinqumo sokuthi uzowelapha kanjani umdlavuza.

Uma umdlavuza wakho usuhleliwe, umhlinzeki wakho wokunakekelwa kwezempilo uzokhuluma nawe ngokuthi lesi siteji sisho ukuthini ekwelashweni kwakho. Qiniseka ukuthi ucela umhlinzeki wakho wokunakekelwa kwezempilo ukuthi akuchazele isigaba somdlavuza wakho ngendlela ongayiqonda.

Ukwelashwa komdlavuza we-urethra

Uhlobo lomdlavuza we-urethra onalo, lapho ukurethra, ubulili bakho, imiphumela yokuhlolwa, kanye nesigaba sesifo konke kuthonya izinketho zakho zokwelapha. Inhloso yokwelashwa kungase kube ukukwelapha, ukulawula umdlavuza, noma ukunciphisa ubunzima obuhlobene nomdlavuza. Xoxa ngezinketho zakho zokwelapha, imigomo yokwelashwa, kanye nezingozi ezingaba khona kanye nemiphumela engemihle nethimba lakho lezempilo.

Kunezinhlobo ezimbili zokwelapha umdlavuza: wendawo kanye nesistimu. Ukwelashwa kwasendaweni kuqondise endaweni eyodwa ukuze kuqedwe, kucekelwe phansi, noma kulawule amaseli omdlavuza. Imithi yokwelapha yasendaweni ihlanganisa ukuhlinzwa kanye nemisebe. I-Systemic therapy isetshenziselwa ukubulala noma ukulawula amangqamuzana omdlavuza asabalele emzimbeni wakho wonke. I-Chemotherapy yindlela yokwelapha ehlelekile enikezwa njengethebhulethi noma umjovo. Ungathola ukwelashwa okukodwa noma uchungechunge lwemithi.

Umdlavuza we-Urethral ungelashwa ngokuthi:

• Ukuhlinzwa
• Ukwelashwa kwamafutha
• Ukwelashwa ngamakhemikhali

Ukuhlinzwa

Ukuhlinzwa kuwukwelashwa okuvame kakhulu umdlavuza we-urethra. Ngesikhathi sokuhlinzwa, udokotela angasikhipha isimila ku-urethra noma ngaphandle. Angase futhi asuse ama-lymph nodes aseduze uma ethintwa umdlavuza.

Ukwelashwa kwamafutha

Lokhu kwelashwa kuqondise futhi kubhubhise amangqamuzana omdlavuza ngemisebe yamandla amakhulu avela ngaphandle komzimba wakho. Ukwelashwa ngemisebe kungasetshenziswa yodwa, kodwa kuvame ukusetshenziswa ngokuhlinzwa noma nge-chemotherapy.

Ukwelashwa ngamakhemikhali

Le mithi elwa nomdlavuza ingasetshenziswa ngaphambi kokuhlinzwa ukuze kuncishiswe isimila kanye nokunciphisa izinga lokuhlinzwa elidingekayo ukwelapha umdlavuza. I-Chemotherapy ingasetshenziswa ngemva kokuhlinzwa ukuvimbela isifo ukuthi singabuyeli noma uma umdlavuza ususabalele ngale kwesizinda sesimila sokuqala.