Oko kufuneka ukwazi nge-Adenoid Cystic Carcinoma (ACC)!

Ukuba ubona into engaqhelekanga njengeqhuma endaweni ethile emzimbeni wakho, nokuba ayibuhlungu, kuyinto eqhelekileyo ukuziva usoyika okanye unomdla, akunjalo? Okanye ukuba into efana notshintsho kwilizwi lakho okanye ubunzima bokuginya buyaqhubeka, siyaxhalaba kancinci. Ngamaxesha anjalo, kubaluleke kakhulu ukuqaphela olu hlobo lungaqhelekanga lomhlaza esithetha ngalo namhlanje olubizwa ngokuba yi-adenoid cystic carcinoma, okanye ``ACC'' ngamafutshane.

Yintoni i-adenoid cystic carcinoma (ACC)? Masiyiqonde ngokulula!

Ngamafutshane, i-Adenoid Cystic Carcinoma luhlobo lomhlaza olungaqhelekanga kakhulu, oko kukuthi, olungaqhelekanga. Ihlala ikhula kumadlala ethu amathe okanye kwiindawo ezifana nentloko nentamo. Nangona kunjalo, ngamanye amaxesha inokukhula kwezinye iindawo zomzimba, umzekelo, kulusu, kwizicubu zamabele, emlonyeni wesibeleko, okanye kwi-prostate gland.

Kukho la mathumba ``(ACC)``, anokuba qinile, angqukuva, angenanto. Anokuba nembonakalo enemingxunya, njenge ``Swiss cheese`` . Khawuthelekelele, la maseli omhlaza aziphatha ngendlela eyahlukileyo kancinci.

Ezi thumba ze-ACC zihlala zikhula kancinci . Oko kukuthi, azikhuli zikhulu ngaxeshanye. Nangona kunjalo, ngokuhamba kwexesha, zinokuba nolaka kakhulu kwaye ziziphatha ngendlela engalindelekanga . Oko kuthetha ukuba nokuba umhlaza ususiwe ngotyando, kunokwenzeka ukuba ubuye kamva. Enyanisweni, abantu abaninzi abane-adenoid cystic carcinoma baphinda babuye kwiminyaka emihlanu ukuya kwelishumi. Yiyo loo nto, ukuba ufunyaniswe unale sifo, kubalulekile ukuqhubeka nokuskena nokuhlolwa ukuze kujongwe imeko yakho.

Ixhaphake kangakanani le meko? Ngaba kufuneka ndixhalabe?

Enyanisweni, i-adenoid cystic carcinoma luhlobo lomhlaza olungaqhelekanga kakhulu . Imalunga ne-1% yazo zonke iintlobo zomhlaza wentloko nentamo. Ichaphazela malunga ne-4.5 kubantu abayi-100,000 kuluntu ngokubanzi. Umzekelo, eMelika, malunga ne-1,200 abantu bafunyanwa benale sifo minyaka le.

I-ACC idla ngokukhula kubantu abaphakathi kweminyaka engama-40 ukuya kwengama-60. Le meko ixhaphake kancinci kwabasetyhini. Ngoko ke, njengoko ubona, ayixhaphakanga kangako.

Zithini iimpawu zoku? Ngaba nam ndinazo ezi?

Iimpawu ze-adenoid cystic carcinoma ziyahluka ngokuxhomekeke kubukhulu bethumba kunye nendawo elikuyo . Ungahlangabezana nezi zinto zilandelayo:

• Iqhuma elingenabuhlungu ndaweni ithile emzimbeni.
• Ubunzima bokuphefumla.
• Ubunzima bokuginya.
• Ukurhawuzela.
• Ubuthathaka bemisipha.
• Ukuxinana kweempumlo.
• Ukopha kwempumlo.
• Intlungu (kwezinye iimeko).
• Utshintsho lombono.

Kodwa khumbula, kuba i-ACC ngumhlaza okhula kancinci, ayisoloko ibonisa iimpawu . Inokuba khona ngaphandle kweempawu. Yiyo loo nto kubalulekile ukufuna ingcebiso kagqirha ukuba ubona nantoni na engaqhelekanga.

Kutheni oku kusenzeka? Zithini izizathu?

Inyaniso kukuba, iingcali azikaqiniseki ukuba yintoni ebangela i-adenoid cystic carcinoma . Zicinga ukuba isenokubangelwa ziinguqu ezithile zemfuza ezenzeka ngokuhamba kwexesha. Into ebalulekileyo kukuba i-ACC ayilofuzo , kwaye akukho zinto zibalulekileyo ezibangela loo nto. Oko kuthetha ukuba akufuneki ukhathazeke ngokuba "Ngaba yile nto ndiyenzileyo ebangele oku?"

Ziziphi iingxaki ezinokubakho ze-ACC?

I-Adenoid cystic carcinoma inokusasazeka (i-metastasize) emzimbeni wonke ngeendlela ezimbini eziphambili. Le yinto ekufuneka ixhalatyelwe.

1. Ukuhlaselwa yi-perineural: Kwiimeko ezininzi ze-ACC, iiseli zomhlaza zihlasela imicu yemithambo-luvo ejikeleze ithumba. Oku kwenzeka ngendlela engacacanga kangangokuba kunokuba nzima koogqirha ukulibona, nokuba kusetyenziswe iiskeni okanye ngexesha lotyando.

2. Ukusasazeka kwegazi: Iiseli zomhlaza eziphuma kwithumba zinokuhamba ziye kwezinye iindawo zomzimba wakho ngegazi lakho.

Olu hlobo lwe-adenoid cystic carcinoma, olukwinqanaba lesi-4 , ludla ngokusasazeka ukuya emiphungeni nasesibindini . Ngokungafaniyo nezinye iintlobo zomhlaza, i-ACC ayisasazeki rhoqo ukuya kwiindawo ze-lymph nodes. Nangona kunjalo, inokwenzeka kwi-5% ukuya kwi-10% yamatyala.

Sifunyaniswa njani esi sifo? (Ukuxilongwa)

Ukuba ugqirha wakho ukrokrela ukuba usenokuba ne-adenoid cystic carcinoma, kusenokwenzeka ukuba akwenze i-biopsy . Oku kuthetha ukuthatha isampuli encinci yezicubu zakho uze uyithumele kwilebhu ukuze ivavanywe. Ugqirha angenza novavanyo olunye okanye ngaphezulu lwemifanekiso, olufana nolu:

• Iiskeni ze-CT (iiskeni ze-computed tomography)
• I-MRI (umfanekiso we-magnetic resonance)
• Iiskeni zePET (iiskeni zepositron-emission tomography)
• I-ultrasound

Ngenxa yokuba i-ACC yimeko engaqhelekanga, kungathatha ixesha ukuyixilonga . Kungathatha amaxesha amaninzi ovavanyo ngaphambi kokuba ufumane uxilongo kwaye uqale unyango. Ke ngoko, kubalulekile ukuba nomonde kwaye ungoyiki.

Ziziphi iindlela zonyango ze-ACC?

Unyango lwe-adenoid cystic carcinoma luxhomekeke ekubeni umhlaza uphi na kwaye usasazeke na . Kukho iindlela ezininzi zonyango eziphambili:

• Utyando:Unyango oluphambili lwe-adenoid cystic carcinoma lutyando. Injongo kukususa ithumba elininzi kangangoko kunokwenzeka. Kwezinye iimeko, ugqirha wakho unokufuna ukususa ii-lymph nodes okanye inxalenye yomthambo.
• Unyango ngemitha: Oku kunceda ukubulala naziphi na iiseli zomhlaza eziseleyo emva kotyando. Okanye, unyango ngemitha lunokunikwa njengonyango olunye.
• Unyango lweKhemotherapy: Amayeza anjenge -cisplatin, i-vinorelbine, i-paclitaxel, kunye ne-carboplatin asetyenziselwa ukunyanga iimeko eziqhubekekayo okanye eziguqukileyo (ACC).
• Unyango olujoliswe kuko: Amayeza afana ne-lenvatinib kunye ne-sunitinib athintela ukusebenza kweeproteni ezinceda ukukhula komhlaza. Oogqirha basebenzisa olu nyango olujoliswe kuko kwiimeko ze-ACC eziphucukileyo okanye ezisasazekileyo.

Ngaba ikho indlela yokuthintela oku?

Ngenxa yokuba akukho zinto zibalulekileyo ezibangela umngcipheko (ACC), okwangoku akukho ndlela yokunciphisa umngcipheko wakho . Kwakhona, akukho ndlela yokuthintela (ACC) ukuba ingaphindi ivele. Oku kubuhlungu kancinci, kodwa kunjalo ngoku.

Iyintoni imbono ye-ACC? (Imbono)

I-Adenoid cystic carcinoma ngumhlaza okhula kancinci . Ngenxa yesi sizathu, oogqirha badla ngokuyifumanisa kwangethuba baze bayinyange ngempumelelo. Nangona kunjalo, njengoko besitshilo ngaphambili, kuqhelekile ukuba i-ACC ibuye emva kweminyaka emininzi - inokuba kwindawo efanayo naleyo yayikuyo ngaphambili, okanye inokuba kwindawo eyahlukileyo yomzimba. Xa isenzeka, kunokuba nzima ukuyinyanga.

Masifunde ngamanqanaba okusinda.

Izinga lokusinda leminyaka emihlanu kubantu abane-adenoid cystic carcinoma liyi-80.4% . Oku kuthetha ukuba i-80.4% yabantu abanale meko basaphila emva kweminyaka emihlanu. Izinga lokusinda kweminyaka eli-10 liyi-61.3% .

Khumbula, la mazinga okusinda aqikelelwa nje . Awakuxeleli ngokuthe ngqo ukuba uza kuphila ixesha elingakanani okanye uza kusabela njani kunyango. Kungcono ukuthetha nogqirha wakho ukuze ufumane ulwazi oluthe kratya.

Ndingazinyamekela njani? Impilo-ntle yengqondo ibaluleke kakhulu!

Ngenxa yokuba i-ACC yimeko engaqhelekanga, kungathatha ixesha ukufumana uxilongo. Ingayichaphazela kakhulu impilo yakho yengqondo neyeemvakalelo . Ngoko ke, ukuthetha nomcebisi okanye ingcali yezonyango kunokukunceda uhlangabezane neemvakalelo ezinzima onazo. Abantu abaninzi bafumana amaqela enkxaso eluncedo.Unokufumana isiqabu kuxinzelelo ngokufunda umculo okanye izifundo zonyango lobugcisa. Zama ukunciphisa uxinzelelo ngokwenza umthambo wokuzilolonga, njengokucamngca .

Ufanele uye nini kugqirha?

Ukuba une-adenoid cystic carcinoma, xelela ugqirha wakho ngoko nangoko ukuba uneempawu ezintsha okanye ukuba iimpawu zakho ziya zisiba mandundu . Utshintsho kwiimpawu lunokuthetha ukuba umhlaza wakho ukhulile. Ngoko ke, musa ukuyityeshela nantoni na, nokuba yinto encinci.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Nantsi eminye imibuzo onokuyibuza ugqirha wakho malunga ne-ACC:

• Iphi ithumba elinomhlaza?
• Zeziphi iimpawu endinokuzibona?
• Ingaba umhlaza usasazeke nakwamanye amalungu omzimba wam?
• Ngaba ithumba lingasuswa ngotyando?
• Ngaba ndiza kuyidinga unyango lwe-radiation?
• Ndingaya emsebenzini ngelixa ndifumana unyango lomhlaza?
• Unyango luthatha ixesha elingakanani?

Ungaze woyike ukubuza imibuzo efana nale. Kubaluleke kakhulu ukuthetha nogqirha wakho ngayo yonke into esengqondweni yakho.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukufumana uxilongo lwe-adenoid cystic carcinoma sisiganeko esitshintsha ubomi. Unyango lwasekuqaleni ludla ngokuba yimpumelelo . Nangona kunjalo, ukungaqiniseki okuza nayo kunokuba nzima ukujongana nako. Ukufunda ukuphila ne-adenoid cystic carcinoma kuthatha ixesha.

Eyona nto ibalulekileyo kukwazi ukuba awuwedwa. Cinga ngokujoyina iqela lenkxaso apho unokuthetha nabantu abaye badlula kwiimeko ezifanayo nezakho. Ugqirha wakho uhlala ekho ukuze akuncede. Bathembe kwaye ucele izibonelelo kunye noncedo olufunayo. Ngokufumana uhlolo rhoqo kunye nokulandela iingcebiso zabo, ungaphumelela ekuqhubekeni nale meko.

I- Adenoid cystic carcinoma, i-ACC, umhlaza, umhlaza wentloko nentamo, umhlaza we-salivary gland, iimpawu zomhlaza, unyango lomhlaza