Fshik\u00ebza \u00ebsht\u00eb organi i cili e ruan urin\u00ebn nga veshkat deri n\u00eb eliminimin e saj nga trupi. Sip\u00ebrfaqja e brendshme e fshik\u00ebz\u00ebs s\u00eb urin\u00ebs \u00ebsht\u00eb e veshur me epitelin e njohur si epiteli\u00a0 kalimtar, I cili ka p\u00ebr q\u00ebllim t\u00eb mbroj\u00eb fshik\u00ebz\u00ebn nga efektet e urin\u00ebs. Tek kanceri I fshik\u00ebz\u00ebs s\u00eb urin\u00ebs k\u00ebto qeliza fillojn\u00eb t\u00eb shumohen n\u00eb m\u00ebnyr\u00eb t\u00eb pakontrolluar dhe prekin edhe qelizat e sh\u00ebndetshme. Sipas Dr. Aleksandar Mickovski\u00a0 kirurg specialist n\u00eb urologji n\u00eb Spitalin klinik \u2018Acibadem Sistina\u2019kanceri n\u00eb fshik\u00ebz\u00ebn e urin\u00ebs zakonisht shfaqet tek personat mbi mosh\u00ebn 55 vje\u00e7are,dhe\u00a0 i njohur si faktor rreziku \u00ebsht\u00eb pirja e duhanit.<\/p>\n

Cilat jan\u00eb simptomat?<\/span><\/p>\n

Kanceri i fshik\u00ebz\u00ebs s\u00eb urin\u00ebs zakonisht shfaqet me gjakderdhje pa dhimbje n\u00eb urin\u00eb. Kjo gjakderdhje mund t\u00eb jet\u00eb e dukshme apo e detektueshme vet\u00ebm me mikroskop. Ndonj\u00ebher\u00eb mund t\u00eb zbulohet n\u00eb urin\u00eb me an\u00eb t\u00eb disa ekzaminimeve te tjera. Shum\u00eb rrall\u00eb, megjithat\u00eb djegia gjat\u00eb urinimit mund t\u00eb ket\u00eb t\u00eb b\u00ebj\u00eb pik\u00ebrisht me k\u00ebt\u00eb s\u00ebmundje. Gjith\u00ebsesi, nuk ekzistojn\u00eb teste t\u00eb cilat p\u00ebrdoren p\u00ebr skriningun e kancerit n\u00eb fshik\u00ebz\u00ebn e urin\u00ebs.<\/p>\n

Cil\u00ebt jan\u00eb faktor\u00ebt e rrezikut?<\/h2>\n

Pirja e duhanit: \u00a0Konsiderohet si faktori m\u00eb i madh i rrezikut p\u00ebr zhvillimin e kancerit n\u00eb fshik\u00ebz\u00ebn e urin\u00ebs. \u00a0P\u00ebr duhanpir\u00ebsit rreziku \u00ebsht\u00eb dy her\u00eb m\u00eb i madh se ata t\u00eb cil\u00ebt nuk konsumojn\u00eb duhan. Substancat kimike t\u00eb cilat shkaktojn\u00eb kancer, gjenden n\u00eb tymin e duhanit, absorbohen n\u00ebp\u00ebrmjet mushk\u00ebrive n\u00eb gjak, nga k\u00ebtu, filtrohen dhe arrijn\u00eb n\u00eb fshik\u00ebz\u00ebn e urin\u00ebs. K\u00ebto kimikate p\u00ebrmbajn\u00eb efekte kancerogjene n\u00eb fshik\u00ebz\u00ebn e urin\u00ebs.<\/p>\n

Profesione t\u00eb caktuara:Kanceri i fshik\u00ebz\u00ebs s\u00eb urin\u00ebs zakonisht shfaqet tek personat t\u00eb cil\u00ebt punojn\u00eb n\u00eb industri p\u00ebr boj\u00ebra, personat t\u00eb cil\u00ebt punojn\u00eb me kimikate si benzidin\u00eb dhe betanaftilamin si goma, l\u00ebkura, prodhuesit e tekstilit, punonj\u00ebsit makanik, parukier, shofer\u00ebt e kamion\u00ebve.Faktor\u00ebt e rrezikut, s\u00ebbashku me rrezikun e pirjes s\u00eb duhanit, tek disa profesione po rritet n\u00eb m\u00ebnyr\u00eb drastike.<\/p>\n

Faktor\u00eb t\u00eb tjer\u00eb t\u00eb rrezikut: Zakonisht shfaqet n\u00eb mosh\u00ebn mbi 65 vje\u00e7are. 4 her\u00eb m\u00eb shpesh tek meshujt sesa tek femrat.\u00a0 Rreziqe t\u00eb tjera jan\u00eb infeksionet kronike t\u00eb traktit urinar, gur\u00ebt n\u00eb veshka dhe n\u00eb fshik\u00ebz\u00ebn e urin\u00ebs, mungesa e pirjes s\u00eb l\u00ebngjeve, histori familjare me kancer n\u00eb fshik\u00ebz\u00ebn e urin\u00ebs, pirja e ujit me arsenik.<\/p>\n

Si diagnostikohet?<\/h2>\n

Kur ekziston gjakderdhje n\u00eb urin\u00eb kryhen procedura bashk\u00ebkohore p\u00ebr diagnostikimin e fshik\u00ebz\u00ebs s\u00eb urin\u00ebs. Gjithashtu p\u00ebr gjetjen e diagnoz\u00ebs mund t\u00eb ndihmoj\u00eb citopatologjia urinare. Megjithat\u00eb vlera diagnostikuese e k\u00ebtyre studimeve n\u00eb diagnostikimin e tumoreve t\u00eb fshik\u00ebz\u00ebs s\u00eb urin\u00ebs \u00ebsht\u00eb m\u00eb e ul\u00ebt. Metoda m\u00eb e mir\u00eb p\u00ebr k\u00ebt\u00eb diagnoz\u00eb \u00ebsht\u00eb citoskopia. Citoskopi futet p\u00ebrmes kanalit t\u00eb jasht\u00ebm t\u00eb urin\u00ebs drejt\u00eb fshik\u00ebz\u00ebs s\u00eb urin\u00ebs. Ai \u00ebsht\u00eb nj\u00eb instrument n\u00eb form\u00eb tubi me \u2018drita t\u00eb ftohta\u2019 dhe lente optike t\u00eb montuara , n\u00ebse v\u00ebrehen ndryshime abnormale, mjeku mund t\u00eb mar\u00eb nj\u00eb pjes\u00eb t\u00eb indeve. Me an\u00eb t\u00eb citoskopis\u00eb mund\u00ebsohet diagnoza patologjike.<\/p>\n

Si trajtohet?<\/h2>\n

Sipas rezultateve t\u00eb patologjis\u00eb dhe ekzaminimeve radiologjike (tomografia kompjuterike n\u00eb bark dhe pelvisit t\u00eb vog\u00ebl). Rezonanca magnetike p\u00ebrcakton faz\u00ebn e s\u00ebmundjes, n\u00eb baz\u00eb t\u00eb s\u00eb cil\u00ebs p\u00ebrcaktohet metoda e trajtimit. Pa p\u00ebrparimin e indit muskulor t\u00eb fshik\u00ebz\u00ebs s\u00eb urin\u00ebs, \u00ebsht\u00eb e mjaftueshme t\u00eb kryhet m\u00ebnjanimi i tumorit me metod\u00ebn endoskopike. M\u00eb tej, pacient\u00ebt kontrollohen me citoskopi n\u00eb intervale t\u00eb rregullta. Monitorimi i rregullt \u00ebsht\u00eb i r\u00ebnd\u00ebsish\u00ebm pasi kanceri i fshik\u00ebz\u00ebs s\u00eb urin\u00ebs p\u00ebrs\u00ebritet me 75% n\u00eb dy vitet epara pas intervenimit. Tek tumoret me rrezik t\u00eb lart\u00eb duhet t\u00eb aplikohet ila\u00e7 n\u00eb fshik\u00ebz\u00ebn e urin\u00ebs. Tumoret t\u00eb cil\u00ebt jan\u00eb t\u00eb p\u00ebrparuar n\u00eb indet e muskujve, por q\u00eb nuk jan\u00eb t\u00eb p\u00ebrhapur tek nyjet limfatike dhe organet e tjera, m\u00ebnjanohen me cistektomi radikale. Gjat\u00eb trajtimit t\u00eb fshik\u00ebz\u00ebs s\u00eb urin\u00ebs, m\u00ebnjanohet prostata dhe nyjet limfatike p\u00ebrreth.\u00a0 M\u00eb pas krijohet fshik\u00ebz e re urine, n\u00eb t\u00eb cil\u00ebn do t\u00eb mbahet urina e pacientit ose p\u00ebrdoret tub i cili do t\u00eb lidhet me qese dhe do t\u00eb vendoset direkt n\u00eb l\u00ebkur\u00eb. Tek disa pacient\u00eb, trajtimi p\u00ebrb\u00ebhet nga: intervenimi kirurgjik, terapia me rrezatim dhe kimioterapia. P\u00ebrsa i p\u00ebrket metastazave (n\u00ebse jan\u00eb p\u00ebrhapur n\u00eb organe t\u00eb tjera) trajtimi i s\u00ebmudjes b\u00ebhet me kimioterapi.<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"

Fshik\u00ebza \u00ebsht\u00eb organi i cili e ruan urin\u00ebn nga veshkat deri n\u00eb eliminimin e saj nga trupi. Sip\u00ebrfaqja e brendshme e fshik\u00ebz\u00ebs s\u00eb urin\u00ebs \u00ebsht\u00eb e veshur me epitelin e njohur si epiteli\u00a0 kalimtar, I cili ka p\u00ebr q\u00ebllim t\u00eb mbroj\u00eb fshik\u00ebz\u00ebn nga efektet e urin\u00ebs. Tek kanceri I fshik\u00ebz\u00ebs s\u00eb urin\u00ebs k\u00ebto qeliza fillojn\u00eb t\u00eb shumohen n\u00eb m\u00ebnyr\u00eb t\u00eb pakontrolluar dhe prekin edhe qelizat e sh\u00ebndetshme. Sipas Dr. Aleksandar Mickovski\u00a0 kirurg specialist n\u00eb urologji n\u00eb Spitalin klinik \u2018Acibadem Sistina\u2019kanceri n\u00eb fshik\u00ebz\u00ebn e urin\u00ebs zakonisht shfaqet tek personat mbi mosh\u00ebn 55 vje\u00e7are,dhe\u00a0 i njohur si faktor rreziku \u00ebsht\u00eb pirja e duhanit.<\/p>\n","protected":false},"author":2,"featured_media":3324,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[367],"tags":[],"doktori":[],"class_list":["post-3325","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kancer-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/3325","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/comments?post=3325"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/3325\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/3324"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=3325"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=3325"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=3325"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=3325"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}