Ngaba ukhe wakhwehlela iintsuku ezimbalwa? Mhlawumbi ngokuthimla kancinci? Sidla ngokucinga ngezi mpawu njengeempawu zomkhuhlane. Kodwa ngamanye amaxesha emva kwezi mpawu zincinci kunokubakho enye into ekufuneka siyiqwalasele. Namhlanje siza kuthetha ngemeko yemiphunga abantu abaninzi abangazange bayive, kodwa kubalulekile ukuyazi. Leyo yiLung Carcinoid Tumors. Musa ukoyika xa usiva eli gama kunye negama elithi "tumor". Masiqonde oku ngqo.
Zithini iiLung Carcinoid Tumors?
Ngamafutshane, olu luhlobo lwethumba elinomhlaza elivela emiphungeni. Kodwa alikho bukhali okanye lisasazeka ngokukhawuleza njengoko sinokucinga xa sisiva igama elithi "umhlaza." La mathumba aphuhliswa kuhlobo oluthile lweseli emiphungeni yethu olubizwa ngokuba yi-"Neuroendocrine cells."
Cinga ngezi seli "zeNeuroendocrine" njengezithunywa ezincinci emizimbeni yethu. Zingafumana imiyalezo efana neeseli zemithambo-luvo, kwaye, njengeeseli ze-endocrine, zivelisa iihomoni ezisekelwe kuloo miyalezo ukulawula imisebenzi eyahlukeneyo emzimbeni. Ngaphakathi emiphungeni, ezi seli zinceda ukulawula izinto ezifana nobungakanani bomoya esiwuphefumlayo kunye nokuhamba kwegazi.
Ngoko ke, ngesizathu esithile, xa ezi seli ziqala ukwahlukana ngokungalawulekiyo, kuvela ithumba apho. Oku sikubiza ngokuba yi-`(Carcinoid Tumor)`. Ezi thumba zinokwakheka nakwezinye iindawo emzimbeni, ezifana nomgudu wokugaya ukutya kunye nezintso. Kodwa malunga nesithathu sazo zenzeka emiphungeni.
Kukho iintlobo ezimbini eziphambili zezi nati.
Oku kubaluleke kakhulu ukwazi, kuba unyango kunye nohlobo lwesifo luyahluka ngokuxhomekeke kuhlobo lwaso.
1. Iintsholongwane zeCarcinoid eziqhelekileyo
Olu lolona hlobo luxhaphakileyo . Lubangela i-90% yee-lung carcinoid tumors ezifunyenweyo. Eyona nto ingcono kukuba ezi tumors zikhula kancinci kakhulu kwaye azifane zitshintshe ziye kwezinye iindawo zomzimba. Ke ngoko, zinokunyangwa ngempumelelo.
2. Iithumba zeCarcinoid ezingaqhelekanga
Olu hlobo aluxhaphakanga kangako. Lunokukhula ngokukhawuleza kancinci kunohlobo oluqhelekileyo. Lukwanokwanda kakhulu nakwezinye iindawo zomzimba. Kukwafunyaniswe ukuba umngcipheko wokufumana olu hlobo ``(olungaqhelekanga)`` uphezulu phakathi kwabantu abatshayayo.
Into ebalulekileyo kukuba, nokuba loluphi na uhlobo, ezi zahlukile kakhulu kumhlaza wemiphunga oqhelekileyo kwaye zisabela kakuhle kunyango.
Zithini iimpawu zoku?
Uninzi lwexesha, ingakumbi abo bane-"Cysts" eqhelekileyo , abantu abaninzi abanazo iimpawu.Ezi zinto zihlala zifumaneka ngengozi ngexesha le-X-ray yesifuba ngesinye isizathu. Nangona kunjalo, abanye abantu banokufumana ezi mpawu zilandelayo:
Ndiza kuveza ezi mpawu kwitheyibhile ukuze kube lula ukuziqonda.
| Uhlobo oluneempawu | Ingcaciso |
|---|---|
| Iimpawu eziqhelekileyo ezinxulumene nemiphunga | |
| Ukukhwehlela | Ukukhwehlela rhoqo, ngamanye amaxesha kunye nencindi encinci okanye igazi. |
| Iintlungu zesifuba | Intlungu, ingakumbi xa uphefumla nzulu. |
| Ubunzima bokuphefumla (ukuphelelwa ngamandla) | Intlungu ivakala nokuba wenza umsebenzi oqhelekileyo. |
| Isandi somlozi xa uphefumla | Ukuphefumla sisandi esivakalayo xa uphefumla ngaphandle, esifana neso sabantu abane-asthma. |
| Iimpawu ezinxulumene neCarcinoid Syndrome | |
| Ukudumba okukhulu | Ingxaki ebangelwa zii-hormone ezifana ne-serotonin eveliswa yi-tumor. |
| Ububomvu bobuso nentamo | Ukubomvu ngequbuliso kunye nokutsha kobuso nentamo. |
| Ukunyuka kobunzima ngaphandle kwesizathu | Oku kusenokuba kungenxa yemiphumo yehomoni. |
Ezi mpawu, ezibizwa ngokuba yi-'Carcinoid Syndrome', zenzeka kuba ithumba livelisa iihomoni ezingaphezulu kunezo umzimba uzifunayo kwaye lizongeza egazini. Nangona kunjalo, oku kukwabonakala kancinci.
Kutheni ezi thumba zenzeka? Zithini izinto ezibangela umngcipheko?
Izazinzulu azikayazi kakuhle ukuba kutheni ezi "neuroendocrine" ziqala ukwahlukana ngequbuliso, kodwa zifumanise ukuba abanye abantu basengozini enkulu yokuba nale meko.
- Izizathu zofuzo: Kukho imeko yemfuza engaqhelekanga, ezuzwe njengelifa ebizwa ngokuba yi-``Multiple Endocrine Neoplasia type 1 (MEN1).`` Abantu abanale meko basengozini enkulu yokufumana iithumba ze-carcinoid.
- Ukutshaya: Ukutshaya kunokubangela ukukhula kweethumba, ingakumbi iithumba "ezingaqhelekanga".
- Isini: Abafazi basengozini enkulu kancinci yokuhlaselwa yile meko.
- Ubudala: Nangona ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-45 ukuya kwengama-55 ubudala, le meko inokwenzeka nakubani na wanoma yimuphi ubudala, kwanabantwana abancinci.
Indlela yokuxilonga esi sifo?
Kulungile, masithi unale mpawu. Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho, aze emva koko ahlole imiphunga yakho nge-stethoscope. Emva koko unokuyalela iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.
1. Ukuthatha imifanekiso: Inyathelo lokuqala yi -X-ray yesifuba . Oku kunokunceda ekuqinisekiseni ukuba kukho into engaqhelekanga emiphungeni. I-CT scan (i-Computed Tomography scan) inokwenziwa ukuze kuqinisekiswe ngokucacileyo ubungakanani kunye nendawo yethumba.
2. Uvavanyo lwegazi nomchamo: Olu vavanyo lunceda ekuboneni ukuba iihomoni ezithile eziveliswa zezi thumba zikhona na egazini okanye emchameni.
3. I-Biopsy: Olu lolona vavanyo lubalulekileyo lokuqinisekisa isifo nge-100%. Okwenziwayo apha kukuthatha iqhekeza elincinci kakhulu lesicubu kwithumba uze ulihlole phantsi kwe-microscope. Oku kunokubonisa ngokuchanekileyo ukuba ithumba "liqhelekile" okanye "lingaqhelekanga". Eyona ndlela isetyenziswa kakhulu yokufumana eli qhekeza lesicubu yi -bronchoscopy . Apha, ityhubhu encinci, eguquguqukayo enekhamera eqhotyoshelweyo idluliselwa emlonyeni okanye empumlweni iye kwimiphunga yemiphunga kwaye kufunyanwa inxalenye yesicubu.
Iphathwa njani?
Isicwangciso sakho sonyango siya kuxhomekeka kuhlobo, ubungakanani, indawo yethumba, kunye nempilo yakho iyonke. Kwiimeko ezininzi, ezi thumba zinokunyangwa ngokupheleleyo .
Utyando
Unyango oluphambili noluphumelele kakhulu koku kukususwa kwesi sifo ngotyando.
- Ukususwa kwe-Wedge Resection: Ukususwa kwethumba kunye nenxalenye encinci yomphunga elijikelezileyo kuphela.
- I-Lobectomy: Ukususwa kwe-lobe, okanye inxalenye enkulu, yomphunga.
- Ukususwa kwePneumonectomy: Kunqabile kakhulu, ukuba kuyimfuneko, ukususwa komphunga wonke.
Ngexesha lotyando, ii-lymph nodes ezininzi ezikufutshane nethumba nazo ziyasuswa kwaye zihlolwe ukuze kubonwe ukuba iiseli zomhlaza zisasazeke kuzo na.
Ezinye iindlela zonyango
Ukuba ithumba alinakususwa ngokupheleleyo, okanye ukuba lisasazeke kwezinye iindawo, kunokufuneka olunye unyango.
- Unyango lweMisebe: Ukutshabalalisa iiseli zomhlaza kusetyenziswa imisebe enamandla aphezulu.
- Unyango ngamayeza: Amayeza anjenge `(Octreotide)` asetyenziselwa ukulawula iimpawu ze `Carcinoid Syndrome`, kwaye amayeza anjenge `(mTOR inhibitors)` asetyenziselwa ukulawula ukukhula kwethumba.
- Unyango lweKhemotherapy: Ngenxa yokuba ezi thumba zihlala zikhula kancinci, ikhemotherapy, ebulala iiseli ezahlulahlula ngokukhawuleza, ayisetyenziswa rhoqo. Nangona kunjalo, ngamanye amaxesha inokuba yimfuneko kwiithumba ezikhula ngokukhawuleza zohlobo "olungaqhelekanga".
Ngaba esi sifo sinokunyangeka ngokupheleleyo?
Lo ngumbuzo abantu abaninzi abanawo. Oogqirha bayathandabuza ukusebenzisa igama elithi "uphile ngokupheleleyo" xa bethetha ngomhlaza, kuba kusoloko kukho ithuba elincinci lokuba ubuye.
Nangona kunjalo, iithumba eziqhelekileyo ze-carcinoid ziyanyangeka kwaye ziyanyangeka . Umngcipheko wokuphinda ubuye emva konyango ungaphantsi kwe-4%. Oko kuthetha ukuba abantu abangama-96 kwabayi-100 abayi kuphinda babuye.
Ukunyanga iithumba ezingaqhelekanga kunzima ngakumbi. Zisenokufuna indibaniselwano yonyango. Ngokubanzi, ama-89% abantu abafunyaniswe benale sifo (kuquka zombini iintlobo) basesempilweni entle emva kweminyaka emi-5. Esi sisiphumo esihle kakhulu kuhlobo lomhlaza.
Ufanele ufune nini ingcebiso yezonyango? Ufanele uye nini kwi-ETU?
Eyona nto ibalulekileyo kukunika ingqalelo emzimbeni wakho. Kubalulekile ukwenza ngokukhawuleza kwezi meko zilandelayo.
| Amathuba | Kwenziwe ntoni |
|---|---|
| Bona ugqirha wakho. | |
Ukuba uneempawu ezintsha okanye eziya ziba mandundu:
| |
| Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) ngoko nangoko. | |
Ukuba unezi mpawu ziqatha:
| |
Umyalezo Wokuya Ekhaya
- Ii-lung carcinoid tumors luhlobo olungaqhelekanga lomhlaza oluvela emiphungeni. Kodwa zahlukile kakhulu kumhlaza wemiphunga oqhelekileyo.
- Uhlobo oluqhelekileyo (oluqhelekileyo) lukhula kancinci kakhulu kwaye lunokunyangeka phantse ngokupheleleyo ngonyango .
- Abantu abaninzi abanazo iimpawu , ngoko ke musa ukuzityeshela izinto ezifana nokukhohlela okungapheliyo okanye ukuphefumla kancinci.
- Unyango oluphambili kukususwa kwesi sifo ngotyando .
- Ukuba uneenkxalabo okanye amathandabuzo ngesi sifo, eyona nto ilungileyo onokuyenza kukuthetha ngokukhululekileyo nogqirha wakho . Uza kukunika lonke ulwazi kunye nesikhokelo osidingayo.
- Ukuba uyatshaya, ukuyeka ukutshaya yeyona ndlela ilungileyo yokuzikhusela kwizifo ezininzi ezinxulumene nemiphunga.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho