The urine bladder cancer make a diagnosis and give treatment detailed talk

Which symptoms does the cancer have?


Urine bladder cancer the most familiar symptom is an urine to take blood.(the medical science is up called blood in urine haematuria)This usually comes very suddenly, and generally has no painful.In the early years although may have blood today, will namely tell disappearance tomorrow, would stage a comeback sooner or later.The sometimes will become thrombus and make the muscle Jing of urine bladder a pain.The condition importance bled quantity and urine bladder a cancer is irrelevant.May feel bright to burn, and wet an idea while urinate multifarious.Urinate bright burn with urine idea is multifarious to mean that the urine bladder is subjected to incitement, usually the possibility of inflammation(infection) be stronger than cancer.Once discovering that the urine takes blood, proper as early as possible go for a doctor, accept a check.But in addition to urine bladder cancer, many other diseases will also have blood in urine.For example, kidney stone calculus(kidney stone) or stone in the bladder(bladder stone) usually urinate to take blood.



How diagnose an urine bladder cancer?


Usually being to go first to see a family doctor(family doctor) is also a general practitioner(generalpractitioner).The examination that need to be carry on includes from the check man's rectum(call backpassage again) inside the body, and the lady's rectum and vagina or call to produce a way(birth canal).In addition send urine liquid sample to analyze, watch under the microscope whether have cancer cell.The doctor probably also is other for your arrangement of the examination perhaps shines on X light.If there is demand, the doctor will introduce you to the hospital to accept these examinations, and recommend a specialty doctor for you, ask for their opinions and carry on a treatment.



Examine further?


The urology of the hospital the doctor(urologist) will suggest to make a further examination for you.A to judge whether you suffers from cancer or not;In case of discovered cancer cell, can also make sure to belong to which kind of cancer, and how condition is, in order to settled a plan for you, adopt the most valid therapy.These examinations may include the following any combination:


Conduct blood test(Blood tests)

Send to the blood sample analyze and check number(blood count) and kidney function of healthy condition, blood cell for you.


The Chest X-ray of the chest X light checks lung and heart.

The vein urine road builds shadow Shu(Intravenous urogram)(brief name IVU or IVP) and this examination also is called IVU or IVP, can test to find out kidney, urine bladder to wet the excrescent circumstance of the system other parts to the Bi.This demand carries on in the X light department of hospital and need hour about a hour.The method lets the pigment follow behind blood to flow kidney a kind of vein that the special pigment(dye) injects to commence arm.Doctor at X light screen up the observation pigment pass the situation of kidney and minute down any abnormality of circumstance.Because of the function of pigment, you may have a baking hot felling and the cheeks feels flush and the hair be very hot.This kind of circumstance will maintain for several minutes, but gradual will disappear.A completion examination can leave a hospital.


The urine bladder mirror(Cystoscopy) can let with living organization excision(Biopsy) this kind of examination the doctor is from the body inside observe you of urine bladder.Need to carry on part or general anaesthesia.May need to go to hospital for a day.While examine, doctor slightly a thin long pipe which is named an urine bladder mirror, the urethra which passes you stretches into the urine bladder.The pipe gets into a body of a carry fish-eye and small light and lens.The doctor can conveniently pare off with the urine bladder mirror

The tumor sample of the next crumb, in order to watch with the microscope.This kind of method is called to live organization excision and contribute to judging tumor to belong to positive still malignant.


CT's scan(the CAT scan) CT to scan(the CT be the brief name of computerized tomography, all of Chineses call "the calculator turn the X ray body layer to shine on fortune-telling") is the examination method of another X light and use to degree of check cancer proliferation.The method is the X light slice which takes several pelvises(pelvis) and input the image into the calculator to re-appear a meticulous circumstance inside the body.Accept an examination that very day, at least in the before the event in 4 hours, beard pause food.Accept an examination for ex- few hours, will drink a kind of liquid of specially made for you.Drink again once after getting into a X light department.This kind of liquid would the manifestation comes out on the X light and insure can acquire clear image.You at diagnose a Cha set(couch) up comfortably lie down after, can immediately carry on scan.Scan the process is painless.The demand lies quietly over there, 30-40 minutes while about needing.


Radioisotope bone's scan(Radioisotope bone scan) a radioisotope bone to scan to usually use to check cancer cell has already denied to spread urine bladder of the part perhaps seeps into bone Ge.Make the little radio inject the vein of commence the arm together while accepting an examination number pigment.Then scan a patient with the instrument, measure little radio inside the body together number.Because the skeleton part been spread to by the cancer cell will present a great deal of radio together number, doctor's canning judge cancer by this has already denied proliferation.Inject into the radio in the body together the number amount of be very tiny, will not make you take radiation after examine.


Super voice wave liver's scan(Liver ultrasound scan) a method is the image which makes use of a wave to synthesize belly inner part and liver.Need to be carry on at the scan of hospital department.Need to drink many liquids before accepting an examination, it rise the urine bladder full, in order to scan can acquire clear image.After lie down comfortablely, medical personnel would at you of the belly form thing of Tu2 Shang4 Jiao, then once swept the part of Tu2 Jiao Zhuang4's thing with the form,such as the small scaled instrument of rice high peak, , the echo receive becomes image through a calculator conversion.The whole procedure have no pain and sufferings, 15-20 minutes while about needing.



Which methods cure an urine bladder cancer?


Cure the urine bladder cancer can perform operation and carry on projecting treatment(radiotherapy) or chemistry treatment(chemotherapy).Three since can use alone, can also combine an usage.Doctor would according to you of type and size of age, whole and healthy condition, tumor, under the microscope of shape, and whether the scope of proliferation and proliferation, plan to use for you what method treatment.The doctor would be the most suitable with your mount of company to match you of therapy.You may discover, the inside of the hospital other urine bladder cancer patient and you's rapy dissimilarities.This is because of the dissimilarity of their urine bladders cancer type and you, is as a result have a different demand.But be also likely to be each doctor's viewpoint different.If have question to own rapy, the nurse don't fear to ask a doctor to perhaps look after you.While mighting as well write a problem on the paper, seeing a doctor from Zhi the good friend accompanies in person, in order to remind your those matters which want to know very much, but very easily forget to ask by that time.Some people feel and should ask one more doctor's opinion and in aid of oneself decides to adopt which therapy.As long as you feel this would helpful to you, most doctors all would like to give you the recommendation to have another a specialty doctor to ask for the second opinion(second opinion).



The urine bladder cuts off surgical operation


The urine bladder tumor mostly belongs to a nipple type and the form is like small mushroom.BE influence of Be just wall inside the urine bladder.Use an urine bladder mirror to very easily cut off.Lead wound with the little electric current Lao after connecting a root excision tumor, in order to prevent lose blood excessive.Use this kind of method can manage several tumors at a time.


After cutting off tumor, the beard periodically accepts an urine bladder mirror check(inception usually each 4 months once), because the tumor often relapses.Once discover to relapse, be within the reach of as early as examine along together use an urine bladder mirror excision.If the tumor spread to urine bladder wall, can cut off the part that tumor and urine bladder be influence together.The urine bladder of surplus part can be sew up in urethra top.This is called the urine bladder partial resection.After operation, you can such as often line up urine.But because the urine bladder diminished, storage urine the amount of of the liquid also reduces, urinate of the number of times will be more frequent.Sometimes the tumor is too big, or has already started cross urine bladder wall, can't cut off by urine bladder mirror.In these case, need to be all the urine bladder or the part cut off, this is called urine bladder resection(cystectomy), luckily seldom the person need to perform this kind of surgical operation.The urine bladder overall resection is to cut off the whole urine bladder and build another a place which keeps urine by artificial again.When the influence of the tumor upon the urine bladder wall has been too big, even when a small urine bladders all can't reserve, will move overall resection.The manufacturing lately keeps the most familiar method in urine machine, be open a person to build an urethra.The doctor will truncate a small intestines(small bowel) after you general anaesthesia, on carrying to link two urethras, another a carry to take out the outside of the body through the belly skin.This surgical operation is called small intestines pipe(ileal conduit), because that small intestines(ileum) like pipe, guide to the outside of the body from urethra from the kidney the urine liquid.If what to use be a large intestine(have already called colon colon), the surgical operation is called large intestine pipe(colonic conduit).After intercepting to used to that bowel son of artificial urethra, doctor would the both ends of bowel the connection gets up afresh.


The belly export that is in the bowel pipe will place a bag of watertightness, stick to fix on the body to receive urine liquid with the special gum quality and wet bag like urine bladder, use to store an urine liquid, need to be tidy up often.Using an artificial urethra also will not hinder you to live right living.However, probably influence you to oneself in sex and grow the felling of ability.The method of another storage urine liquid use a small intestines to make an all new urine bladder.This surgical operation is named caecocystoplasty or urine bladder to cut off posterity to substitute Shu(replacementcystectomy).The doctor will slice you of one section small intestines, refits its bag of glomeration, sew up at the top of urethra, be called new urine bladder, the urethra then is sew up in inside new urine bladder, for the purpose of urine liquid direct from kidney infusion urine bladder.You can such as often use urethra row urine, have never need to use urine bag.Want ～only your flexible belly muscle, can expel the urine liquid in the new urine bladder.But want to record when need to line up urine.Because notify at this time your urine bladder already the full nerve has already lost function.Sometimes even will cause a very slight incontinence.This circumstance more and easily takes place while fallen asleep and particularly want to notice.Excision's replacing surgical operation usually can reserve the nerve that the male's erection need.When you completely completely recovered from the surgical operation after, sex life should be uninfluenced.But cut off prostate gland in the meantime in the middle of the process because of beard, the fertility will be subjected to influence.If the cancer cell have already spread to urine bladder outside, doctor usually can through cut off the organ of urine bladder neighborhood to keep tumor from continue to spread.May cut off womb, ovary and fallopian tube to female, sometimes still need to cut off that part of vaginas of wrap the urethras.To male then want to cut off prostate gland urethra even.This further surgical operation may influence sex life.



Project therapy(radiotherapy)


The method which projects a therapy medical treatment cancer BE, make use of high energy radioactive ray to kill cancer cell, but as far as possible don't damage normal cell in the process.Surgical operation before with after can use emanation therapy probably can not cut off by curing the pelvis surgical operation of cancer cell.Also have a doctor the choice to use to project therapy to replace surgical operation, treat afterward the cancer has already relapsed an evidence just perform operation.The meeting of the doctor and you the amount of company be various above-mentioned choice.


The body outside projects therapy(External radiotherapy)

The emanation treatment department of hospital can provide this kind of treatment.Treat a distance usually from Monday till Friday, everyday once.The weekend take a rest.The length in time of treatment, see the category and size of the cancer.The doctor will measure the method of treatment with your company.Do a plan for the treatment for insuring emanation therapy to contain the biggest effect, the before the event has to carefully plan.While at the beginning several times going to a hospital to project a treatment department to accept a treatment, the medical personnel will invite you you even lie under a large instrument which is named to imitate a true machine(simulator), is taken the Ｘ light of infected part a slice by the instrument.The sometimes will also carry on this work with the CT scanner.Accept before projecting therapy, settle to plan very importance so.You may see an emanation treatment the teacher(radiotherapist) several times would acquire a satisfied result.Medical personnel would at you of skin up draw mark, in order to let the radioactive ray accurately aim at the part which needs to be cure in the treatment the process.Once the treatment complete, the mark immediately can put on.While starting cure, medical personnel will tell you, how does the after the event deal with a skin of accept the treatment part.Each time carry on before project treatment, projecting treatment teacher will invite you accurate part in diagnosing a Cha set(couch) lie like, and insure you to feel comfortable.The whole treatment needs several minutes.Only have your[one] person in room when the treatment carry on, but you can with observe you in the next room of project and cure teacher conversation.


Side effect

The side effect which projects therapy to probably produce includes weariness, skin ache.While curing the body some parts, return may cause some side effect, for example project treatment pelvis to probably stimulate a large intestine peristalsis, cause belly Xie.The beard takes a food the doctor open of the medicine can immediately cope with.The hair which once accepts to project to cure part will shed off.For example, if accept to project a treatment in the pelvis, perhaps will shed off some pubic hairs.Complete whole after treating a distance, hair namely instauration growth, usually wanting then can re- grow out for 6-12 months.Project an of treatment quantity and treat period too heavy or too long, the hair shed off behind uncertain ability entire number long return.Project the treatment will make the person feel tired, should as far as possible and much take a rest.If for accepting a treatment, have to make a long and difficult journey everyday, even need to take a rest.After treating distance be over, the above-mentioned side effect will disappear gradually.But if the side effect keep on, should tell a doctor.Do to the pass so important.The body outside projects therapy and can't make you take radiation.Whole treat a distance from start be over, you can include sons and daughters contact with other persons, absolute safety.


Project therapy inside body(Internal radiotherapy)

This kind of rapy needs to carry on general anaesthesia and put radio material into the inside of the urine bladder.At immediately after of in several days, this kind of material releases a big quantity radio a treatment a thing in the urine bladder, direct project light upon tumor, not outside exert the small radio for measure treatment thing from the body in longer time.While accepting to project therapy inside body, the single room which needs at the hospital stays for few day, until the doctor moves to walk the radio in your body treatment thing.Period inside, when the Zhi friends and relatives visits so, make brief stop over to absolutely without problem.But, accept to project a treatment inside body, the child and pregnant woman can not visit.The reason is to avoid radio material release, which afraid only have very small quantity radiation, may bring influence to they.The medical personnel who is responsible for looking after you gets into you each time of sickroom, also all can stop over a short moment.Because they may look after several patients who accept to project a treatment inside body in the meantime, have to as far as possible reduce contact radiation.Because these prevention measure with visit the sick restriction, you may feel solitary and lonesome.But only is in the radio material to stay to need to live alone a room just in that several dayses inside the body.Understand this will be of great use.As long as moved to walk radio material, you immediately can recover normally living.



Chemotherapy(Chemotherapy call "chemotherapy")


The chemotherapy makes use of anti-cancer(cytotoxic) medicine to kill cancer cell.This rightness of some urine bladders cancers patient, particularly the sufferer whom the cancer cell has already spread to the body other parts, will do good.The method that the anti-cancer medicine produce result is to disturb breed of cancer cell.The anti-cancer medicine can directly put into the inside of the urine bladder, or make use of an intravenous injection(inject the medicine for injection into vein) treatment.Can put through the urethra after cutting off the tumor of the urine bladder inside mushroom form anti-cancer medicine directly into urine bladder with reduce the opportunity that the tumor relapse.In the urine bladder the usage chemistry cure the thing seldom produce side effect, because the medicine gets into a hemal quantity seldom and unlikely bring influence to body.If the cancer cell has already spread urine bladder of the body other parts, carry on chemotherapy to need to adopt the way of intravenous injection at this time, for the purpose of anti-cancer medicine can arrive whole body any place which have cancer cell along with the blood circulation.This kind of chemotherapy needs to divide several days carry on and inject quite a few to grow medicine.Then again treat a distance every a few weeks each time.A few months when the whole process need.Sometimes, doctor for will suggest to do one first before you carry on project treatment or surgical operation short treat the vein chemistry of distance a treatment.The purpose which does so is reduce the cancer cell relapse of possibility.


Side effect

In the chemistry of intravenous injection treat the distance, when the anti-cancer medicine rises a function to the cancer cell in the body, will also temporarily lower the number of normal cell in the blood.The blood cell decrease will make you easy inflammation, and feel tired.In the chemotherapy process, the doctor will periodically conduct blood test for you.There are the words of demand, will also give you the blood transfusion to perhaps use antibiotics to resist a burning disease.The possible side effect of the intravenous injection other includes sickness, vomit, diarrhea with take off hair.Some anti-cancer medicines will also feel the mouth cavity painful, make the mouth cavity have to fester slightly of evidence.Periodically gargle at this time very important.The nurse will teach you how to with accuracy sweep mouth cavity.If feel to have no appetite, can change to the nourishment to the positive meal abundant, calories Gao of beverage.There is all this beverage in most pharmacies sell.The doctor can also give you go together with some vomit a medicine(anti-emetics), make you unlikely disgusted.The side effect in the chemotherapy process sometimes really is hard to bear with.But want to remember, these side effects are just palliation of, will disappear after treating distance completion.The hair head quarter of shed off is quickly long back, sometimes grow it, it make you feel surprised, not a few people wear to wear false hair, hat perhaps scarf to cover part of take off the hair.Not all anti-cancer medicines all will cause same side effect.Doctor will tell you, you accept of the treatment will have which side effects.The chemotherapy also doesn't exert a homology to different personage's function.Accept the process of treatment in, some people can lead right living and also some people feel tired, have to put the footstep of slow life.Proper measure dint but for, run its course, possibly don't surfeit.