Umhlaza wesisu - iimpawu

Kubasetyhini, umhlaza wesisu unamaxesha angama-4 aqhelekileyo kunabantu. Akukacaciswanga ngokuzeleyo ngoku, ekhokelela ekuphuhlisweni kwesi sifo, kodwa idibene nezifo ezithile kunye nemiphumo eyandisa ingozi yesifo. Kwizifo ezingabangela umdlavuza, zibandakanya ukuvuvukala okungapheliyo kwesibindi kunye ne-papilloma ye-bladder. Iimpembelelo ezihamba kunye nokuphuhliswa kwesi sifo zibandakanya umsebenzi kunye neeil aniline, ukutshaya.

Impawu zokuqala zomhlaza wesisu

Iimpawu zesifo zixhomekeke kwisigaba senkqubo yokugula. Ngomhlobo ongenawo umonakalo womhlaza wesisu kunye nesigaba sokuqala senkqubo engenayo (umhlaza we-in situ), akukho mpawu kuzo zonke, ngoko kuyahlala kunzima ukufumanisa indlela okuqala ukuchaphazeleka ngayo umdlavuza, ngenxa yokuba iimpawu zingabonakala sele zihamba phambili.

Ngomhlobo onomdla wesifo somhlaza ongenamandla obunzulu obunxwemeni lwawo kunye nezicubu ezizungezile, kuxhomekeke ekuhlaleni kwenkqubo, kwaye iimpawu zokuqala zomhlaza wesibeleko ziya kubonakala ngokukhawuleza ukuba inkqubo ifuphi kwimizila engasetyenziswanga. Kule meko, umhlaza wesibindi ubonakalisa ukuphulwa kokuphuma komchamo ukusuka kwiintso okanye kwi-bladder.

Iimpawu zesifo somhlaza wesisu

Uphawu oluphambili lomhlaza wesibeletho luhlala lu-hematuria. Igazi emlanjeni onomhlaza kaninzi lukhuni, luhlaza mnyama, lukhunjulwe ngamanqatha enyama. Igazi kuqala libonakala ngexabiso elincinci, ngokungaphantsi kaninzi ngohlobo lokungcola, iingubo okanye igazi elibomvu elibomvu, kodwa umhlaza ubonakaliswe ubude be-hematuria, engenakho ukulungiswa kunyango.

Ezinye iimpawu ezenzeka rhoqo nge-hematuria zidla ngokuphindaphindiweyo, ngamanye amaxesha zihamba zibuhlungu, zifuna ukuhamba, kunye nokungena kweendonga, iimpawu zokunciphisa umthamo we-bladder kungenzeka. Ngamanye amaxesha, kunye negazi, kukho umbhobho okanye iifubhaka ezinamafu kumchamo. Ubuhlungu emdlalweni abugcini nje ngexesha lokucoca - ngokukhawuleza ukudweba, iintlungu ezibuhlungu kwi-pelvis encinci, ukunikela kwi-perineum, kwi-coccyx kunye nemilenze.

Xa umhlaza ukhula ngokugqithiseleyo kwodonga nakwezinye izitho, i-fistula inokuvela phakathi kwesikhumba kunye nesigxina, umxube okanye kwesikhumba ngaphezu kwe-pubis, ekhokelela kwiinkathazo ezinzulu ezibuhlungu, intlungu kunye neempawu kwizitho apho i-tumor ikhule khona.

I-Metastasis yomhlaza kwiimpawu ezikude iya kuhamba kunye neempawu kunye nakwicala lawo: kunye neemastastases kwiimitha zengingqi, i-lymphatic drainage ezisuka kwimilenze inokuphazamiseka, kunye ne-metastases kwisibindi ngamanye amaxesha kukho i-jaundice, ubunzima kwi-hypochondrium ekunene nokuxilisa kuqinisa, kunye ne-metastase kwi-bronchi kunye nemiphunga kukho ukukhwehlela, ukuphefumula kokuphefumula kunye ne-hemoptysis.

I-Cancer ihlala ihamba kunye neyonyuka kwiimpawu zokuxhatshazwa: okokuqala, inokuphazamisa ubuthakathaka obuninzi, ukudonsa intlungu kwiimisipha, ukushisa okubonakalayo, kufakwe kunye nokulahlekelwa ngokukhawuleza kokutya kunye nesisindo. Ngexesha lokubola kwe-tumor, iimpawu zokuxhatshazwa ngokunyuka kakhulu, kunokwenzeka ukuba i-thromboembolism yeempahla zamalungu ahlukeneyo omzimba kunye nemveliso ye-tumor ukungqubuzana kunye ne-symptomatology efanayo. Kwakhona, xa i-tumor iphuka, ukuphuma kwamanzi kungenzeka ngokubonakala kwegazi elikhulu kwi-urine, ukwanda kwe-anemia kunye nokutshatyalaliswa kwe-hypovolemic.

Ngenxa yokuphulwa kokuphuma kweentso, iimpawu ze-hydronephrosis (ukuxubusha intlungu kwingingqi yeengso) zingabonakala kuqala, kwaye njengoko i-parenchyma ehla, iimpawu zokwahluleka komzimba zikhula: ukuvumba nokunyuka kwesikhumba, ukuvuvukala komzimba, ukuhlanza, ukuncipha kwinani elipheleleyo lomchamo okhishwe ngosuku phambi kwe-anuria.