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Šī mājas lapa ir veidota ar Latvijas un Šveices sadarbības programmas finansiālu atbalstu. Par mājas lapas saturu atbild Invalīdu un viņu draugu apvienība „Apeirons”

Urīnpūšļa vēzim agrīnajās stadijās nav īpašu simptomu

publicēts: 03.07.2017
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| autors: Gunārs Grabinskis
Ziņot par neatbilstošu saturu

Urīnpūšļa vēzis ir liela problēma gan pasaulē, gan Latvijā – trīs procenti no visiem nāves gadījumiem ir saistīti ar urīnpūšļa vēzi.

Visbiežāk urīnpūšļa vēzi ārstē ķirurģiski. Zelta standarts urīnpūšļa ārstēšanā ir transuretrālā rezekcija jeb, tautas valodā runājot, audzēja izgriešana caur urīna kanālu. Ja vēzis jau ir izplatījies, t.i., ieaudzis urīnpūšļa sienā, to caur šo kanālu nav iespējams izgriezt un tad ir jāgriež ārā viss urīnpūslis.
Urīnpūšļa vēzim agrīnajās stadijās nav īpašu simptomu. Visbiežāk pacients pie ārsta pēc palīdzības vēršas, kad ievēro urīnā asinis. “Diemžēl lielā skaitā gadījumu pacienti vienreizējai asiņošanai vai izmaiņām urīna analīzēs, kad ir nedaudz palielināts eritrocītu skaits, nepievērš uzmanību, cerot, ka tas pāries. Pie daktera parasti tikai tad, kad jau ir bieža čurāšana un regulāri asinis urīnā, un tie jau ir ielaista urīnpūšļa vēža simptomi”.
Kad pacientam ir iepriekš minētie simptomi, tiek veiktas urīna analīzes, pēc tam jāizmanto datortomogrāfiju, kā arī cistoskopiju jeb urīnpūšļa apskati, kas tiek veikta ļoti saudzīgi ar lunkaniem instrumentiem un ir pacientam saudzīga.
“Jāatceras, ka mūsdienās nav tādas medikamentozās terapijas, ar kuru varētu izārstēt vēzi, ar to var tikai uz laiku samazināt simptomus un audzēja apjomu. Citas diagnostikas metodes, piemēram, ultraskaņa, ļoti reti kad dod ieguldījumu agrīnā diagnostikā, jo mazu audzēju var nepamanīt. Pēdējā laikā Latvijā izmanto PET/CT jeb pozitronu emisijas tomogrāfiju, kas precīzi parāda, vai un kur audzējs ir izplatījies ārpus urīnpūšļa robežām,” atklāj urologs Māris Jakubovskis
Latvijā pieejams viss urīnpūšļa vēža ārstēšanas metožu klāsts, sākot ar audzēja izņemšanu caur urīna kanālu un beidzot ar regulāru novērošanu atkarībā no slimības stadijas un agresivitātes, izmantojot endoskopiju un datortomogrāfiju. Kad ir urīnpūšļa ļaundabīgā audzēja vēlīnās stadijas, veic cistektomiju jeb urīnpūšļa izņemšanu.
Galvenie faktori, kas ietekmē urīnpūšļa vēža veidošanos, ir smēķēšana, apkārtējā vide un ar profesiju saistītās kaitīgās vielas – smērvielas, benzoli u.c. Urīnpūšļa vēzis visbiežāk ir pacientiem vecumā no 50 līdz 73 gadiem, bet tas nenozīmē, ka šis vēzis var nebūt jaunākiem pacientiem, tāpēc vispareizāk būtu iepriekš minētos veselības problēmas simptomus neignorēt un vērsties pie ārsta, lai veiktu izmeklējumus.

Portāls "Apollo"


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#TimeMemoryFunctionLocation
10.0000119684{main}( )../index.php:0
20.0001124892require( '/home/sniedzroku/public_html/index.php' )../index.php:4
30.0021238456Sitecontroller->show( )../index.php:43
40.02642638152require( '/home/sniedzroku/public_html/templates/public.php' )../CSitecontroller.php:62
50.03292858192Sitecontroller->sitecontent( )../public.php:105
60.03292858228Controller->show( )../CSitecontroller.php:67
70.03292877032require( '/home/sniedzroku/public_html/modules/writings/views/newsItem.php' )../CController.php:59
80.08004419000Sitecontroller->sitemenu( )../newsItem.php:101
90.08014435232modSitemenusCommentsSmall->load( )../CSitecontroller.php:77
100.08394553092modSitemenusCommentsSmall->getComments( )../commentsSmall.php:124
110.08404553372S( )../commentsSmall.php:147
120.08404553400mysql_escape_string ( )../functions.php:12
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( ! ) Warning: file_get_contents(http://twitter.com/statuses/user_timeline/apeirons.rss): failed to open stream: HTTP request failed! HTTP/1.0 404 Not Found in /home/sniedzroku/public_html/kernel/functions.php on line 625
Call Stack
#TimeMemoryFunctionLocation
10.0000119684{main}( )../index.php:0
20.0001124892require( '/home/sniedzroku/public_html/index.php' )../index.php:4
30.0021238456Sitecontroller->show( )../index.php:43
40.02642638152require( '/home/sniedzroku/public_html/templates/public.php' )../CSitecontroller.php:62
50.03292858192Sitecontroller->sitecontent( )../public.php:105
60.03292858228Controller->show( )../CSitecontroller.php:67
70.03292877032require( '/home/sniedzroku/public_html/modules/writings/views/newsItem.php' )../CController.php:59
80.08534582612Sitecontroller->sitemenu( )../newsItem.php:108
90.08544587400modSitemenusTwitter->load( )../CSitecontroller.php:77
100.08544587904fetch_tweets( )../twitter.php:5
110.08554588492file_get_contents ( )../functions.php:625