Ngaba unethumba eludongeni lwesifuba sakho? (Ithumba eludongeni lwesifuba) – Masithethe ngale nto ngokweenkcukacha!

Usenokuba ukhe waziva into engaqhelekanga, njengeqhubu elincinci esifubeni sakho, waza wazibuza, "Yintoni le?" Okanye mhlawumbi uzive usoyika kwaye unomdla wokwazi. Kunokubakho amaxesha apho ugqirha ejonga i-X-ray yesifuba sakho aze athi, "Kukho utshintsho oluncinci eludongeni lwesifuba sakho, into efana nethumba." Yintoni kanye kanye "ithumba eludongeni lwesifuba" okanye njengoko oogqirha beyibiza, "ithumba eludongeni lwesifuba," ingaba lihlala liyingozi, kwaye kufuneka kwenziwe ntoni ngalo? Abantu abaninzi banemibuzo emikhulu kwaye bade bothuke kancinci ngalo. Ke namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni kanye kanye ithumba eludongeni lwesifuba?

Ngamafutshane, ithumba eludongeni lwesifuba kukukhula okungaqhelekanga kwiindawo ezenza umngxuma wesifuba sakho. Cinga ngalo njengeqokobhe eliqinileyo elikhusela amalungu abalulekileyo, abuthathaka njengentliziyo yakho, imiphunga, nesibindi. Olu donga lwesifuba lwenziwe zizinto ezininzi eziphambili:

• Izicubu ezithambileyo: Oku kuthetha izinto ezifana nezihlunu, imithambo-luvo, kunye ne-membrane encinci (`(Fascia)`) ejikeleze izihlunu.
• Amathambo: Izinto ezifana neembambo zakho kunye ne-sternum (ithambo elithe tyaba eliphakathi kwesifuba sakho ).
• I-Cartilage: Ezi ziindawo ezigudileyo, ezifana nerabha apho amathambo adibana khona.

Ngoko ke, ithumba linokuvela nakweyiphi na kwezi ndawo. Nangona kunjalo, libonakala kakhulu emathanjeni (ingakumbi iimbambo) kunye ne-cartilage .

Ngaba la mandongomane ayafana? Okanye kukho iintlobo ezahlukeneyo?

Ewe, iithumba ezikhula eludongeni lwesifuba zinokwahlulwa zibe ziindidi ezimbini eziphambili:

1. Ii-Primary Chest Wall Tumors: Ezi zii -tumors eziqala ukwakheka eludongeni lwesifuba. Zinokuba nomhlaza ( ezinobungozi ) okanye ezingezizo zomhlaza (ezingenobungozi).

2. Iithumba zeSifuba zeSibini: Ezi ziithumba ezikhula eludongeni lwesifuba emva kokuba umhlaza usasazeke kwenye indawo yomzimba (njengemiphunga okanye ibele). Ezi thumba zesibini zihlala zinobungozi .

Kubalulekile ukwazi ukuba malunga ne-60% yazo zonke iithumba eziseludongeni lwesifuba ziyingozi . Kodwa oko akuthethi ukuba zonke iithumba zinomhlaza. Ngoko ke ungakhathazeki.

Ngaba ezi thumba zodonga lwesifuba ziqhelekile? Ngubani onokuba nazo ngakumbi?

Enyanisweni, iithumba eziqala eludongeni lwesifuba azixhaphakanga kangako. Ngokomyinge, ngaphantsi komntu omnye kwabangama-50 ochaphazeleka yile meko. Iithumba eziqala eludongeni lwesifuba zimalunga ne-5% yazo zonke iithumba ezikhula kwindawo yesifuba.

Ezi thumba zinokuvela nakweyiphi na iminyaka. Zingavela nakubani na, ukususela kusana oluncinci ukuya kumntu omdala. Nangona kunjalo, ezinye iintlobo zixhaphake kakhulu ebantwaneni, ngelixa ezinye zixhaphake kakhulu kubantu abadala.

Ngokubanzi, iithumba ezikhula xa usemncinci (ingakumbi ngexesha lobuntwana) zinokuba zincinci okanye zingabi nomhlaza (zingabi yingozi). Nangona kunjalo , njengoko ukhula, ingakumbi emva kweminyaka engama-40, amathuba okuba iithumba zibe zikhulu kwaye zibe nomhlaza (ziyingozi) aphezulu.

Ziziphi iintlobo ezahlukeneyo zeethumba ezenzeka eludongeni lwesifuba?

Ngoku makhe sijonge iintlobo zeethumba ezinokuvela eludongeni lwesifuba. Okokuqala, masithethe ngeentlobo ezingezizo ezomhlaza ( ezingenabungozi ).

Iintlobo zeethumba zodonga lwesifuba ezingezizo ezomhlaza (ezingenobungozi)

Ezi ziithumba ezingezizo ezomhlaza ezinokunyangwa ngonyango olulula.

• I-Cavernous hemangioma: Ezi zenzeka kwizicubu ezithambileyo kwaye zibonakala kakhulu ebantwaneni.
• I-Chondroma: Olu luhlobo lwethumba elenzeka kwi-cartilage.
• I-Desmoid tumor: Ezi tumors, ezikhula kwizicubu ezithambileyo, ngamanye amaxesha zinokuphinda zibuye nasemva konyango .
• I-Eosinophilic granuloma: Ezi zinokwakheka emathanjeni, ingakumbi i-collarbone (clavicle) okanye i-shoulder blade (scapula).
• I-Fibrous dysplasia: Olu luhlobo lwesifo samathambo, esibonakala kakhulu kwiimbambo.
• I-Lipoma: Ezi ziithumba ezingenabungozi ezenziwe ngamanqatha, zihlala zivakala ngathi liqhuma.
• I-Lymphangioma: Ezi thumba, ezikhula kwizicubu ezithambileyo, zikwabonakala kakhulu ebantwaneni.
• I-Myxochondroma: Ezi zenzeka kwi-cartilage.
• I-Osteochondroma: Ezi zikwaluhlobo lwethumba elenzeka kwi-cartilage.

Iintlobo zeethumba zodonga lwesifuba ezinobungozi

Ezi ziintlobo zeethumba ezineempawu zomhlaza kwaye zifuna ingqalelo nonyango olungakumbi.

• I-Chondrosarcoma: Lo mhlaza, owenzeka kwi-cartilage, ungasasazeka uye emathanjeni, ingakumbi iimbambo okanye i-sternum (ithambo eliphakathi lesifuba).
• I-Ewing's sarcoma: Oku kwenzeka emathanjeni okanye kwizicubu ezithambileyo ezijikeleze amathambo. Ngokuqhelekileyo kuqala kwimbambo enye. Ixhaphake kakhulu ebantwaneni nakubantu abadala abancinci.
• I-Fibrosarcoma:Le thumba yezicubu ezithambileyo ibonakala kubantu abadala abancinci.
• I-Liposarcoma: Uhlobo lomhlaza olukhula kwizicubu ezinamafutha.
• I-Malignant fibrous histiocytoma: Le yenzeka kwizicubu ezithambileyo kwaye ixhaphake kakhulu kubantu abaneminyaka engama-50-60 ubudala.
• I-Myeloma: Lo ngumhlaza okhula kwithambo lomongo. Udla ngokubonakala kubantu abangaphezu kweminyaka engama-40 ubudala.
• I-Osteosarcoma: Lo ngumhlaza ohlaselayo nosasazeka ngokukhawuleza owenzeka emathanjeni kuneChondrosarcoma.
• I-Rhabdomyosarcoma: Le yenzeka kwizicubu zemisipha kwaye ixhaphake kakhulu ebantwaneni nakubantu abadala abancinci.

Umhlaza osasazeka kwezinye iindawo (iiTumors zeSekondari zeSifuba)

Njengoko besitshilo ngaphambili, umhlaza ungakhula kwenye indawo emzimbeni uze usasazeke uye eludongeni lwesifuba. Oku kubizwa ngokuba yi-secondary chest wall tumor. Iindawo eziphambili apho oku kunokusasazeka khona zezi:

• Isifuba
• Amathumbu amakhulu (`(Ikholoni)`)
• Izintso
• Imiphunga
• I-Prostate (`(I-Prostate)`)
• Isisu
• Indlala yegilo
• Isibeleko

Ziziphi iithumba ezixhaphakileyo eludongeni lwesifuba?

Uhlobo oluqhelekileyo lwethumba elinomhlaza eludongeni lwesifuba kubantu abadala yiChondrosarcoma . Kubantwana abancinci, i-Ewing's sarcoma lolona hlobo luqhelekileyo.

Iintlobo eziqhelekileyo zeethumba ezingezizo ezomhlaza (ezingenobungozi) zezi:

• `(I-Chondroma)`
• `(I-Fibrous dysplasia)`
• `(I-Osteochondroma)`

Zithini iimpawu zethumba eludongeni lwesifuba?

Oku kubaluleke kakhulu. Iimpawu zethumba eludongeni lwesifuba zingahluka kumntu nomntu. Ngamanye amaxesha , usenokungaziboni naziphi na iimpawu de ithumba libe likhulu kakhulu. Nokuba unazo na iimpawu kuxhomekeke kuhlobo lwethumba onalo, ubungakanani balo, kunye nendawo elikuyo. Yiba nexhala ukuba ufumana naziphi na kwezi mpawu:

• Iqhuma okanye ukudumba esandleni: Olu luphawu lokuqala olubonwayo.
• Umkhuhlane kunye nokungaziva kakuhle: Kukuziva nje "ungaziva kakuhle", umkhuhlane ngaphandle kwesizathu.
• Ukuwohloka kwemisipha: Oku kuthetha ukuba izihlunu ezikwindawo yesifuba zivakala ngathi ziyaphela.
• Intlungu, ukuqaqanjelwa, okanye ukudumba: Nika ingqalelo ukuba kukho intlungu engapheliyo nakweyiphi na indawo esifubeni okanye ukuba kubuhlungu ukuyichukumisa.
• Ubunzima bokushukuma: Ukuziva iintlungu okanye ukungakhululeki esifubeni xa usenza izinto ezinje ngokuphakamisa ingalo okanye ukujika umzimba.
• Ukunciphisa umzimba ngaphandle kwesizathu.

Kubalulekile: Ukuba nenye okanye ngaphezulu kwezi mpawu akuthethi ukuba unesimila eludongeni lwesifuba. Nangona kunjalo, ukuba ezi mpawu ziyaqhubeka, kulungile ukufuna ingcebiso kagqirha.

Kutheni ezi thumba zodonga lwesifuba zenzeka? Zithini izizathu?

Ukuba ndithetha inyani, izazinzulu zisenayoAkwaziwa ukuba yintoni kanye kanye ebangela la mathumba aseludongeni lwesifuba. Nangona kunjalo, kwezinye iimeko, kucingelwa ukuba i-genetics iyabandakanyeka. Oku kuthetha ukuba ukuba kukho umntu kusapho lwakho oye waba nezi meko, nawe usenokuba sengozini.

Kwakhona, ezinye izinto zendlela yokuphila zinokunyusa umngcipheko, ingakumbi kwiithumba zesibini zodonga lwesifuba. Umzekelo, umhlaza wemiphunga unokusasazeka uye eludongeni lwesifuba. Ngoko ke, umntu otshayayo unobungozi obukhulu bokufumana umhlaza wemiphunga, nto leyo enyusa ngokungathanga ngqo umngcipheko wokufumana ithumba lodonga lwesifuba.

Uzixilonga njani ezi thumba zodonga lwesifuba? (Ukuxilongwa)

Oogqirha basebenzisa kakhulu iimvavanyo zokujonga imifanekiso kunye ne-biopsy ukuxilonga amathumba eludongeni lwesifuba. Nje ukuba uxelele ugqirha wakho ngeempawu ozikhankanyileyo ngaphambili, uya kugqiba ekubeni enze ezi vavanyo.

Ngamanye amaxesha, ithumba linokufunyanwa ngengozi ngexesha lovavanyo lomfanekiso (i-X-ray, i-CT scan, i-MRI) olwenziwe ngesinye isizathu. Oku kubizwa ngokuba "luxilongo olungalindelekanga." Oku kuthetha ukuba ugqirha uyalifumana ngelixa ekhangela enye into.

Uvavanyo lokuchonga iithumba zodonga lwesifuba:

• I-X-ray yesifuba: Oku kunokubonelela ngokuqonda okusisiseko.
• I-CT scan (i-computed tomography - i-CT scan): Oku kunokubona ngokucacileyo ubungakanani, indawo, kunye nolwalamano lwethumba kunye nezicubu ezingqongileyo.
• I-MRI scan (iMagnetic resonance imaging - i-MRI): Oku kungasetyenziselwa ukufunda ngcono imeko yezicubu ezithambileyo kunye nemithambo-luvo.
• I-Positron emission tomography (i-PET scan) nge-CT scan: Oku kunceda ekuqinisekiseni ukuba ithumba linomhlaza na nokuba lisasazeke na kwamanye amalungu omzimba.

Ngamanye amaxesha olu vavanyo lokujonga imifanekiso lunokuqinisekisa ukuxilongwa. Kodwa ukuba akunjalo, kufuneka i-biopsy . Oku kuquka ukuthatha iqhekeza elincinci lesicubu esiphuma kwithumba size silihlole phantsi kwe-microscope. Ugqirha wakho uza kukuchazela ukuba le yi-biopsy yenaliti okanye enye indlela.

Zithini iindlela zonyango zezi thumba zodonga lwesifuba?

Unyango lwee-tumor zodonga lwesifuba ludla ngokuquka:

• Utyando - Ukususwa kwesilonda: Le yindlela ephambili yonyango. Ithumba kunye nenani elincinci lezicubu ezingqongileyo ezinokuchaphazeleka zisuswa ngokupheleleyo kangangoko kunokwenzeka.
• Utyando lokulungisa umngxuma okanye umonakalo eludongeni lwesifuba emva kokuba ithumba lisusiwe. Oku kunokusebenzisa izicubu ezivela kwenye indawo emzimbeni.

Ukuba ithumba liyingozi, unyango olongezelelweyo lunokufuneka:

• Unyango lwemitha: Ukutshabalalisa iiseli zomhlaza kusetyenziswa imitha enamandla aphezulu.
• Unyango lweKhemotherapy: Ukunika amayeza abulala iiseli zomhlaza.

Ugqirha wakho uza kukuxelela isicwangciso sonyango esifanelekileyo kwimeko yakho. Umzekelo, ngamanye amaxesha i-chemotherapy inokunikwa ngaphambi kotyando ukuze kuncitshiswe ithumba, elinokususwa ngotyando.

Kwenzeka ntoni emva konyango? Linjani ixesha lokuchacha?

Emva konyango, ugqirha wakho uza kukunika iingcebiso malunga nokuphumla okudingayo, nini kwaye njani ukuze uqalise imisebenzi yakho yesiqhelo, kunye nendlela yokukugcina usesikhathini ngonyango lwakho. Uza kukuxelela nokuba uze ekliniki ukuze uhlolwe ('ii-aphoyintimenti zokulandelela') ngamaxesha athile.

Ngexesha lokuchacha kwakho, nyamekela ezi zinto zilandelayo njengoko ugqirha wakho ekucebisile:

• Imida yemisebenzi: Buza ukuba kufuneka uziphephe ixesha elingakanani imisebenzi efana nokuphakamisa iintsimbi okanye ukwenza umsebenzi onzima.
• Unyango lwesifuba: Ugqirha wakho unokucebisa imithambo yokunceda imiphunga yakho isebenze kakuhle emva kotyando, efana nokuzilolonga ukuphefumla kunye nokuzilolonga ukukunceda ufumane amandla kwakhona.
• Indlela yokunyamekela inxeba elityandwayo: Mamela ngononophelo imiyalelo yokugcina inxeba licocekile, indlela yokusebenzisa amayeza, kunye nexesha onokuhlamba ngalo.

Ngaba ikho indlela yokuthintela ukwakheka kwezi ntlobo zeethumba?

Akunakwenzeka ukuthintela zonke iintlobo zomhlaza wamabele , njengoko ezinye zixhomekeke kwizakhi zofuzo. Nangona kunjalo, kukho utshintsho oluthile kwindlela esiphila ngayo esinokulwenza ukunciphisa umngcipheko weentlobo ezininzi zomhlaza. Oku kunokunceda ekunciphiseni umngcipheko wokuba nomhlaza wesibini.

• Kuphephe ngokupheleleyo ukutshaya kunye neemveliso zecuba.
• Fumana imigonyo ecetyiswa ngugqirha wakho, efana neyokugonya ye-HPV.
• Fumana uvavanyo lomhlaza olucetyiswayo oluhambelana neminyaka yakho kunye nomngcipheko wakho.
• Zilolonge rhoqo.
• Gcina ubunzima bomzimba busempilweni.
• Nciphisa okanye uyeke ngokupheleleyo ukusebenzisa utywala.

Thetha nogqirha wakho wosapho malunga nomngcipheko wakho womhlaza kunye notshintsho ekufuneka ulwenze kwindlela ophila ngayo.

Zithini amathuba okuchacha kule meko? (Imbono)

Amathuba okuchacha emva konyango lwethumba eludongeni lwesifuba anokwahluka kakhulu kumntu nomntu. Kuxhomekeke kwizinto ezininzi:

• Inani lethumba elisuswe ngokupheleleyo.
• Ukuba ithumba lisasazeke kangakanani (ingakumbi ukuba linesifo somhlaza).
• Uhlobo lwethumba (`(Uhlobo lwethumba)`).
• Ubungakanani bethumba kunye nobukhulu balo.

Ngoko ke, ekubeni imeko yomntu ngamnye yahlukile, kubalulekile ukuthetha ngokukhululekileyo nogqirha wakho malunga noqikelelo lwakho.

Ndifanele ndimbone nini ugqirha?

Ukuba unenye okanye ngaphezulu kwezi mpawu zethumba eludongeni lwesifuba ezikhankanyiweyo apha ngasentla, bona ugqirha. Uza kuxoxa ngeempawu zakho, imbali yezonyango zosapho, aze akuthumelele uvavanyo olongezelelweyo ukuba kuyimfuneko.

Ukuba ugqirha wakho ukuxilonga ukuba unethumba eludongeni lwesifuba, landela isicwangciso sonyango kanye njengoko ecebisa. Kwanasemva konyango, qiniseka ukuba uya rhoqo kwiiklinikhi zovavanyo kunye neeklinikhi. Iithumba eludongeni lwesifuba, ingakumbi ezo zinomhlaza, ngamanye amaxesha zinokuphinda zibuye, nokuba zisuswe ngempumelelo. Ngoko ke, ukufumanisa nokunyanga ukuphinda kubuye kwasekuqaleni kwandisa amathuba akho okuchacha ixesha elide.

Yeyiphi imibuzo ebalulekileyo omele uyibuze ugqirha wakho?

Ukuba ufunyaniswa ukuba une-tumor eludongeni lwesifuba, qiniseka ukuba ubuza ugqirha wakho le mibuzo:

• Luhlobo luni lwethumba endinalo?
• Ingaba le thumba inomhlaza?
• Ingakanani inqanaba lokusinda eliphakathi kolu hlobo lwethumba endinalo? (Musa ukoyika ukubuza oku, kubalulekile ukuba uqaphele.)
• Loluphi unyango endiludingayo?
• Zithini iingozi kunye nemiphumo emibi yale mithi?
• Luza kuphumelela kangakanani olu nyango?
• Liza kuba njani ixesha lam lokuchacha? Ndimele ndilindele ntoni?

` ## Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuthatha Uhambe Nawe Ekhaya) Isiganeko somntu onesifo sethumba eludongeni lwesifuba (`Ithumba Eliludongeni Lwesifuba`) sixhomekeke kwizinto ezininzi, ezinje ngohlobo lwethumba, ukusasazeka kwalo, njl. Ke ngoko, kubalulekile ukuba nengxoxo entle nogqirha wakho malunga nemeko yakho **ethile kunye noko unokukulindela.** > Khumbula, **ukuba iithumba eludongeni lwesifuba zifunyenwe kwangethuba, amathuba onyango oluphumelelayo kunye nobomi obude obusempilweni aphezulu kakhulu.** Ke ngoko, musa ukungazinaki naziphi na iimpawu. Ukuba unamathandabuzo, funa ingcebiso kagqirha. Ndikunqwenelela impilo entle! --- Ithumba Eliludongeni Lwesifuba, Ithumba Eliludongeni Lwesifuba, Umhlaza, Iithumba Ezingengomhlaza, Iintlungu Zesifuba, Iimpawu, Unyango