Ngaba unethumba elinje entanyeni yakho? Masifunde ngqo ngeCarotid Body Tumor!

Ngaba wakha waziva iqhuma entanyeni yakho? Okanye ngaba kukho umntu omaziyo owakha waliva waza wathetha ngalo? Ngamanye amaxesha kuyinto eqhelekileyo ukuziva usoyika okanye unomdla xa ubona into efana nale. Namhlanje siza kuthetha ngohlobo olungaqhelekanga lweqhuma olunokwenzeka entanyeni, kodwa abantu abaninzi abazi ngalo. Oogqirha babiza oku ngokuthi 'yiCarotid Body Tumor' . Nangona igama lisenokuvakala liyinkimbinkimbi kancinci, masithethe ngalo ngokulula.

Yintoni le 'Carotid Body Tumor'?

Ngamafutshane, ithumba lomzimba elibizwa ngokuba yi-carotid lithumba elikhula lijikeleze imithambo yegazi emibini ephambili (imithambo yegazi) kumacala omabini entamo yakho. Le mithambo yegazi siyibiza ngokuba yimithambo yegazi ebizwa ngokuba yi-carotid. Le yileyo ithwala igazi lisuka entliziyweni yakho liye entlokweni nasebuchotsheni bakho. Ifana nemibhobho emibini ephambili ethwala amanzi esuka kwimpompo yamanzi ukuya etankini.

Ngoku, apho le 'carotid artery' yahlukana khona, kukho iqela elincinci leeseli, elibizwa ngokuba 'yi-carotid body'. Le yinxalenye ebaluleke kakhulu. Kuba, yile nto iva ubungakanani beoksijini kunye ne-carbon dioxide egazini lethu kwaye yazisa ingqondo. Ngoko ke, xa iiseli eziku 'carotid body' ziqala ukukhula ngendlela engaqhelekanga, kulapho kuvela khona ithumba elibizwa ngokuba 'yi-carotid body tumor'.

Oku kubizwa ngamanye amagama, umzekelo, 'iCarotid Body Paraganglioma' okanye 'iCarotid Body Chemodectoma' . Nangona kunjalo, igama elisetyenziswa kakhulu yi'Carotid Body Tumor'.

Ingaba le thumba luhlobo lomhlaza?

Lo ngumbuzo othusa abantu abaninzi xa bewuva. Nangona kunjalo, iindaba ezimnandi zezokuba uninzi lwezi 'Carotid Body Tumors' azinawo umhlaza. Oko kukuthi, 'zii-Benign' , okanye ii-tumor ezingenabungozi. Ezinye izifundo zithi ngaphantsi kwe-10% yazo ziba ngumhlaza, oko kukuthi, 'zii-Malignant' . Ke ngoko, ungoyiki ukucinga ukuba ngumhlaza xa ubona iqhuma entanyeni yakho. Nangona kunjalo, ngokuqinisekileyo kufanelekile ukulibonisa ugqirha ukuze afumanise ukuba yintoni kanye kanye.

Ngubani onokuvelisa le 'Carotid Body Tumor'?

Enyanisweni, le meko inokuvela nakubani na. Nangona kunjalo, amathuba okuba ivele angaphezulu kancinci ngenxa yezizathu ezithile.

• Uphando lubonise ukuba abafazi banamathuba amancinci okufumana ezi thumba kunamadoda .
• Kwakhona, le meko idla ngokubonakala emva kweminyaka engama-20. Nangona kunjalo, ngamanye amaxesha inokubonwa nakubantu abancinci.

Ixhaphake kangakanani le meko?

Ii-Carotid Body Tumors zizinto ezingaqhelekanga kakhulu. Ngokweengxelo ezithile, malungaIchaphazela umntu omnye kwabangama-30,000. Ngoko ke akumangalisi ukuba bambalwa abantu abaye beva ngayo, okanye abaziyo ngayo.

Olu hlobo lwesiphumo esinokuba naso kuwe?

Uninzi lwexesha, ezi 'Carotid Body Tumors' azibangeli ntlungu kwasekuqaleni. Ngenxa yoko, abanye abantu basenokungazi nokuba bane-tumor enjalo. Nangona kunjalo, ukuba ugqirha ubona i-tumor enjalo, unokucebisa ukuba isuswe. Oku kungenxa yokuba le tumor inokukhula kancinci kancinci. Njengoko ikhula, ingafaka uxinzelelo kwezinye imithambo yegazi kunye nemithambo-luvo entanyeni, nto leyo ebangela iimpawu ezahlukeneyo.

Zithini iimpawu zoku?

Nangona kusenokungabikho zimpawu ekuqaleni, njengoko ithumba likhula, liqala ukubeka uxinzelelo kwimithambo-luvo ejikelezileyo kunye nemithambo yegazi. Usenokuba neempawu ezifana nezi:

• Iqhuma elincinci okanye ukudumba kunokuvakala kwelinye icala lentamo . Olu luphawu lokuqala olubonwa ngabantu abaninzi.
• Utshintsho lwelizwi okanye ukurhawuzelela kunokubakho.
• Usenokuziva ngathi ulwimi lwakho alunangqondo .
• Usenokuba nomphimbo obuhlungu .
• Iingxaki zokuginya (iDysphagia) zinokubakho.

Khawucinge nje, mhlobo wakho, masithi Sunil. Okwethutyana ngoku, uSunil uphawule utshintsho oluncinci kwilizwi lakhe xa ethetha, libonakala ngathi lirhawuzelelwe kancinci. Nomqala wakhe uvakala ngathi uyakrweleka. Xa echukumisa intamo yakhe, uva iqhuma elincinci kwelinye icala. Ekuqaleni, wayecinga ukuba liqhuma elidumbileyo elibangelwa ngumkhuhlane, kodwa alizange liphele emva kweentsuku ezimbalwa. Kuphela xa waya kugqirha apho wakrokrela ukuba eli lisenokuba 'yiCarotid Body Tumor' waza wathunyelwa ukuba ahlolwe ngakumbi.

Kubalulekile: Ukuba nezi mpawu akuthethi ukuba unesimila emzimbeni esibizwa ngokuba yi-carotid. Zinokubangelwa nazezinye iingxaki zempilo. Ke ngoko, kungcono ukubona ugqirha ngaphandle kokukhathazeka.

Kutheni le nto la mathumba omzimba e-carotid enziwa?

Enyanisweni, abaphandi abakafumani ukuba yintoni kanye kanye ebangela ukuba la mathumba enzeke. Nangona kunjalo, bakholelwa ukuba kukho izinto ezithile ezinokubangela oku.

• I-Hypoxia: Abantu abaswele ioksijini ixesha elide emizimbeni yabo banamathuba amaninzi okufumana ezi thumba. Umzekelo, abantu abahlala kwiindawo eziphakamileyo (ngaphezulu kakhulu kolwandle) okanye abo banezifo ezithile zemiphunga banokuba semngciphekweni omkhulu.
• Amatyala angacwangciswanga: Kwi-90% yamatyala, la mathumba akhula ngokungacwangciswanga, ngaphandle kwembali yosapho. Oku kuthetha ukuba umntu unokuwafumana nokuba akukho mntu kusapho lwakhe owakha wawafumana ngaphambili.
• Amatyala eentsapho:Kwiimeko ezimalunga ne-10%, inekhonkco lemfuza. Oku kuthetha ukuba ukuba kukho umntu kusapho onale meko, nabanye banokuba nayo. Oku kubizwa ngokuba 'yimfuza enokuthambekela' .

Oogqirha bayibona njani le nto?

Xa ubona ugqirha oneqhubu entanyeni, into yokuqala abayenzayo kukuhlola intloko nentamo yakho ngokupheleleyo. Ukuba bacinga ukuba uneempawu zeqhubu lomzimba elibizwa ngokuba yi-carotid, banokuyalela ukuba kwenziwe ezinye iimvavanyo ukuqinisekisa ukuba unesifo.

Zeziphi iimvavanyo ezisetyenziselwa oku?

Uvavanyo lwemifanekiso lusetyenziswa kakhulu ukuchonga la mathumba. Oko kukuthi, uvavanyo olukwazi ukubona okungaphakathi emzimbeni ngaphandle.

• I-CT scan: Oku kusebenzisa i-X-reyi ukuthatha imifanekiso eneenkcukacha zeendawo ezinqamlezileyo zomzimba. Kungabonisa ubungakanani, indawo, kunye nolwalamano lwethumba nezicubu ezingqongileyo.
• I-MRA (i-Magnetic Resonance Angiography - i-MRA): Le yinkqubo esebenzisa amasimi emagnethi kunye namaza erediyo ukuthatha imifanekiso eneenkcukacha zemithambo yegazi. Oku kuluncedo kakhulu ekuboneni indlela ithumba lomzimba we-carotid eliqhagamshelwe ngayo kwimithambo yegazi.
• I-MRI (Magnetic Resonance Imaging): Oku kusebenzisa amasimi emagnethi kunye namaza erediyo afana ne-MRA. Nangona kunjalo, kunokuvelisa imifanekiso ecacileyo yezicubu ezithambileyo. Oku kunokunceda ukufumana ulwazi oluthe kratya malunga nohlobo lwethumba.
• I-Ultrasound: Oku kusebenzisa amaza esandi asebenzisa isandi esiphezulu ukwenza imifanekiso yangaphakathi lomzimba. Oku kunokunceda ekuqinisekiseni ukuba ithumba liqinile okanye lizele lulwelo.

Ngokusekelwe kulwazi olufunyenwe kwezi mvavanyo ugqirha angaqinisekisa ukuba le yi-'Carotid Body Tumor'.

Zithini iindlela zonyango zoku?

Ugqirha wakho uza kugqiba ngonyango olungcono kuwe ngokusekelwe kwizinto ezininzi, kuquka iimpawu zakho, ubungakanani bethumba, kunye nempilo yakho iyonke. Kukho iindlela ezininzi zonyango eziphambili:

1. Utyando lokususa ithumba: Kwiimeko ezininzi, unyango olungcono lwala mathumba lutyando lokususa ithumba ngokupheleleyo.

2. Unyango ngemitha: Kwimeko apho utyando lungenakwenzeka okanye kwabo bangafuni utyando, olu nyango ngemitha lungasetyenziswa. Lusebenzisa imitha enamandla aphezulu ukutshabalalisa iiseli zethumba okanye ukuzithintela ekukhuleni kwazo.

3. Ukufakelwa kwe-transcatheter:Oku kusenokuvakala ngathi ligama elintsonkothileyo, kodwa ngokulula, kubandakanya ukuvala imithambo yegazi enika igazi kwithumba. Kufana nokuvala umbhobho wamanzi. Ityhubhu encinci (i-catheter) ifakwa kwimithambo yegazi, iye kwindawo apho igazi lihamba khona liye kwithumba, kwaye kufakwa into encinci apho ukuze kunqunyulwe ukuhanjiswa kwegazi. Oku kubangela ukuba ithumba lilahlekelwe kukuhamba kwegazi kwaye liqale ukuncipha. Le ndlela ngamanye amaxesha isetyenziselwa ukunciphisa ithumba ngaphambi kotyando.

Kuza kwenzeka ntoni ukuba ndityandwa?

Ukuba ithumba lomzimba we-carotid likhulu, linokushiya umngxuma omncinci kumthambo we-carotid xa lisuswa. Ukuba oku kuyenzeka, ugqirha uza kufaka i-patch okanye i-graft ngexesha lotyando ukuze avale umngxuma aze abuyisele umthambo kwisimo esiqhelekileyo. Oku kwenzelwa ukuthintela naluphi na ukuphazamiseka kokuhamba kwegazi.

Ngaba unyango lungabangela iingxaki?

Uninzi lwabantu abafumana unyango lwe-carotid body tumor abafumani ngxaki. Nangona kunjalo, kuba olu nyango, ingakumbi utyando, lubandakanya imithambo yegazi emininzi ebalulekileyo kunye nemithambo-luvo entanyeni, kukho ithuba lokuba kubekho iingxaki ezincinci. Ezinye zezi ziquka:

• Ubunzima bokuginya (i-Dysphagia)
• Ukonakala kwemithambo-luvo yentloko: Oku kunokubangela utshintsho lwelizwi olwexeshana okanye ngamanye amaxesha olude kunye nokungaziva kolwimi.
• Iingxaki zokuphiliswa kwindawo yokuhlinzwa
• Istroke: Oku kunqabile kakhulu, kodwa kukho umngcipheko.

Ugqirha uza kuxoxa nawe ngazo zonke ezi ngozi ngaphambi kokuba uqale unyango. Buza ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo ngelo xesha.

Ndingaphila ngokukhawuleza kangakanani emva konyango?

Emva kotyando lokususa ithumba lomzimba elisecarotid, kudla ngokuthatha iiveki ezintathu ukuya kwezine ukuze uphile ngokupheleleyo . Ngeli xesha, kubaluleke kakhulu ukunyamekela inxeba lotyando njengoko ugqirha wakho ekuxelela. Kwakhona, phumla ngokwaneleyo, utye ukutya okunesondlo, kwaye ulandele imiyalelo kagqirha wakho. Buza ugqirha wakho ukuba ufanele uzinyamekele njani ngexesha lokuchacha kwakho.

Ngaba ikho indlela yokunciphisa oku kwenzekayo?

Ngelishwa, akukho ndlela icacileyo yokuthintela okanye yokunciphisa umngcipheko wokuba nethumba lomzimba elibizwa ngokuba yi-carotid. Nangona kunjalo, ukuba kukho umntu kusapho lwakho okhe waba nalo (oko kukuthi, imbali yosapho), kulungile ukuthetha nogqirha wakho malunga nomngcipheko wakho kunye novavanyo onokulwenza ukuba kuyimfuneko.

Yintoni endimele ndiyilindele ukuba ndine-carotid body tumor?

Ukuba ugqirha wakho uthi unethumba lomzimba elinomhlaza, uza kujonga iimpawu zakho kunye nobukhulu bethumba ukuze amisele isicwangciso sonyango esifanelekileyo kuwe. Ngamanye amaxesha, ukuba ithumba lincinci kakhulu kwaye awunazo iimpawu, ugqirha wakho unokucebisa "ukulinda ngononophelo." Oku kuthetha ukuba awuyi kunyangwa kwangoko, kodwa uza kuvavanywa rhoqo ukuze kubonwe ukuba ithumba liyakhula okanye ukuba ubonakalisa iimpawu ezintsha. Ngeli xesha "lokulinda ngononophelo", ukuba ubonakalisa naziphi na iimpawu ezintsha, kufuneka uxelele ugqirha wakho ngoko nangoko.

Ngaba oku kunganyangwa ngokupheleleyo?

Ewe, inokunyangwa kwiimeko ezininzi. Ingakumbi emva kokuba ithumba lomzimba elibizwa ngokuba yi-carotid lisusiwe ngokupheleleyo ngotyando, akukho nyango lufunekayo rhoqo. Nangona kunjalo, kubalulekile ukuqhubeka nokulandela ugqirha wakho njengoko ezi thumba zinokuphinda zibuye ngamanye amaxesha.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu ezifana nezi, ingakumbi:

• Ukuba kufunyenwe iqhuma elitsha entanyeni
• Ukuba kukho utshintsho olungachazwanga kwilizwi
• Ukuba unengxaki yokuginya
• Ukuba ulwimi lwakho lunamahlwili angapheliyo

Yiya kugqirha ngoko nangoko uze uhlolwe. Njengoko bekutshiwo ngaphambili, ayizizo zonke ezi mpawu ezibangelwa sisimila somzimba esine-carotid. Nangona kunjalo, kububulumko ukwazi ngqo ukuba yintoni unobangela kwaye uqale unyango ngokukhawuleza, ukuba kuyimfuneko.

Umyalezo Wokuya Ekhaya

Ithumba lomzimba elibizwa ngokuba yi-carotid luhlobo lwethumba elikhula lijikeleze imithambo yegazi ephambili entanyeni, kwaye lidla ngokuba lingelilo umhlaza (elingenabungozi). Ezi azinakwenzeka kwaye zisenokungabangeli zimpawu ekuqaleni. Nangona kunjalo, njengoko ithumba likhula, linokuchaphazela imithambo-luvo kunye nemithambo yegazi ejikelezileyo.

Khumbula: Ukuba ubona iqhuma okanye iqhuma elingaqhelekanga entanyeni yakho, okanye ukuba utshintshile ilizwi lakho okanye kunzima ukuginya, musa ukulityeshela kwaye ubone ugqirha ukuze akunike icebiso. Ukuba lifunyenwe kwangethuba, eli ngxaki linokunyangeka ngempumelelo. Musa ukoyika, eyona nto ibalulekileyo kukuhlala unolwazi!

Ukuba unemibuzo engaphezulu malunga noku, zive ukhululekile ukuthetha nogqirha wakho. Uza kukunika lonke ulwazi oludingayo.

Ithumba lomzimba weCarotid , Ithumba lomzimba weCarotid, Ithumba lentamo, iParaganglioma, iChemodectoma, umhlaza wentamo, Ithumba lemithambo yegazi