Masifunde ngomhlaza ongaqhelekanga onxulunyaniswa nokukhulelwa? (Choriocarcinoma)

Ngaba wakha weva ngegama elithi Choriocarcinoma? Eli lisenokuba ligama elitsha kuwe. Eneneni lo ngumhlaza ongaqhelekanga kwaye unzima kancinci. Kodwa ungakhathazeki, masithethe ngawo ngokweenkcukacha. Le meko idla ngokunxulunyaniswa nokukhulelwa. Ke ngoko, kubaluleke kakhulu ukukwazi oku.

Yintoni iChoriocarcinoma?

Ngamafutshane, i-choriocarcinoma luhlobo lomhlaza oluvela kwisibeleko sakho okanye kuma-ovari kwaye lunokusasazeka ngokukhawuleza. Kukho iintlobo ezimbini eziphambili zalo mhlaza.

Uhlobo oluqhelekileyo lwe -choriocarcinoma oluvela ngexesha lokukhulelwa lubizwa ngokuba yi-Gestational Choriocarcinoma . Olu luhlobo lweqela elibizwa ngokuba yi-Gestational Trophoblastic Disease (GTD). I-GTD yimeko yomhlaza ekhula kwiiseli ezivela kwi-placenta ngexesha lokukhulelwa. Njengoko usazi, i-placenta yeyona nxalenye ibalulekileyo yomzimba enika umntwana ioksijini kunye nesondlo ngentambo yesisu.

I-Choriocarcinoma ixhaphake kakhulu kubafazi abakhulelwe i-molar . Ukukhulelwa i-molar yimeko apho i-hydatidiform mole ikhula esibelekweni endaweni ye-fetus ngenxa yesiphene ekukhuleni kweqanda kunye nesidoda. Inokwenzeka nasemva kokukhulelwa okungaphandle kwesisu , ukuphuphuma kwesisu, okanye nokuba kubelekwe ngendlela eqhelekileyo.

Eyona nto iyingozi ngalo mhlaza kukuba ungasasazeka ngokukhawuleza kwezinye iindawo zomzimba. Umzekelo:

• Imiphunga
• Umaleko wemisipha yesibeleko
• Ithumba
• Isibindi okanye izintso
• Ingqondo
• Ivazi yegazi

Kodwa iindaba ezimnandi zezokuba kwiimeko ezininzi, le meko ye-choriocarcinoma inokunyangeka ngokupheleleyo nge-chemotherapy .

Ziziphi iintlobo ze-choriocarcinoma?

Njengoko besitshilo ngaphambili, kukho iintlobo ezimbini ze-choriocarcinoma:

1. I-Gestational Choriocarcinoma: Olu lolona hlobo luxhaphakileyo. Ingakhula ngexesha lokukhulelwa okanye emva nje kokukhulelwa.

2. I-Choriocarcinoma engeyiyo i-gestational: Oku kunokuchaphazela amadoda nabafazi. Luhlobo lwe-germ cell tumor. Kwabasetyhini, inokuvela kuma-ovari okanye kwi-uterine lining, kodwa ayinxulumananga ne-placenta. Kwabesilisa, inokuvela kumasende.

Ixhaphake kangakanani le sifo?

I-Gestational Choriocarcinoma (GCT) ibandakanya malunga ne-5% yamatyala e-GTD. Kwanakwilizwe elifana ne-United States, amatyala e-GTD ayenzeka malunga ne-0.1% yazo zonke iintlungu zokukhulelwa. Ngoko ke, cinga ngoku: I-GCT inqabile nangakumbi. Iyenzeka ngaphantsi kwe-7 kwi-100,000 yokukhulelwa e-United States. Oku kuthetha ukuba yimeko engaqhelekanga kakhulu eSri Lanka.

Zithini iimpawu zeChoriocarcinoma?

Umntu one-choriocarcinoma, ingakumbi lowo usandul’ ukukhulelwa, unokufumana iimpawu ezifana nezi:

• Ukopha okungaqhelekanga kwilungu lobufazi
• Intlungu yesinqe

Ukuba umhlaza usasazeka kwezinye iindawo zomzimba, ezinye iimpawu zinokuvela, ezinje:

• Ukuba isasazeka iye emiphungeni: ukukhwehlela, ubunzima bokuphefumla.
• Ukuba isasazeka iye kwilungu lobufazi: ukopha kakhulu, ukukhupha okungaqhelekanga, kunye namaqhuma angaphantsi kolwelo.
• Ukuba isasazeka iye engqondweni: Ukuxhuzula, iintloko ezibuhlungu.
• Ukuba isasazeka kwizintso okanye esibindini: iintlungu zesisu.

Zithini izizathu zoku?

I-Choriocarcinoma yenzeka xa iiseli ezenza i-placenta (ezibizwa ngokuba yi-trophoblasts) zisiba nomhlaza. Ingakhula kwangethuba ekukhulelweni okanye kamva. Malunga nama-50% abantu abafumana i-choriocarcinoma bakha bakhulelwa i-molar ngaphambili. Ukukhulelwa kwe-molar kuxa ingxowa egcwele ulwelo ikhula ngaphakathi kwesibeleko endaweni ye-fetus.

Kwi-choriocarcinoma engeyiyo i-gestational, iiseli ezikwii-ovari, amasende, okanye isibeleko ziqala ukuvelisa i-hormone ebizwa ngokuba yi -human chorionic gonadotropin (hCG) . Xa zijongwa nge-microscope, ezi seli zifana neeseli ze-trophoblast.

Ikhula ngokukhawuleza kangakanani i-Gestational Choriocarcinoma?

Akukho xesha limiselweyo lokuba oku kwenzeke. Kungabonakala kwiinyanga okanye kwiminyaka emva kokukhulelwa. Nangona kunjalo, kuthathwa njengohlobo lomhlaza olusasazeka ngokukhawuleza nolunobundlongondlongo.

Ziziphi izinto ezibangela umngcipheko wale meko?

Nabani na okhulelweyo (nokuba kukuphuma kwesisu, ukukhulelwa okuphuma ngaphandle kwesisu, ukukhulelwa okuphuma ngaphandle kwesisu, okanye ukuzala okuqhelekileyo) unokufumana i-choriocarcinoma. Nangona kunjalo, usemngciphekweni omkhulu ukuba ukhulelwe i-molar.

Ezinye izinto ezinobungozi zezi:

• Ukuba ungaphantsi kweminyaka engama-20 okanye ngaphezulu kweminyaka engama-40 ubudala ngexesha lokukhulelwa.

Zithini iingxaki zale meko?

I-Choriocarcinoma inokubulala ukuba ayinyangwa, njengoko olu hlobo lomhlaza lusasazeka ngokukhawuleza.Kodwa ngonyango, abantu abaninzi banokufumana ukuphumla okanye ukuphiliswa ngokupheleleyo. Njengakweminye imihlaza, iziphumo ezilungileyo zifumaneka xa zifunyaniswa kwaye zinyangwa kwangethuba.

Ifunyanwa njani iChoriocarcinoma?

Ugqirha usebenzisa ezi mvavanyo ukuxilonga i-choriocarcinoma:

• Uvavanyo lwe-pelvic okanye uvavanyo lomzimba lwenziwa ukujonga ukuba akukho maqhuqhuva.
• Uvavanyo lwegazi lwenziwa ukujonga inqanaba le-hCG (i-human chorionic gonadotropin). Abantu abane-choriocarcinoma banezinga eliphezulu kakhulu le-hCG.
• Uvavanyo lwegazi ukujonga ukusebenza kwesibindi kunye nezintso.
• Ubalo lwegazi olupheleleyo (CBC).
• I-ultrasound yesinqe.
• I-CT scan (i-Computed Tomography - i-CT scan).
• Iskeni se-MRI (Umfanekiso weMagnetic Resonance - i-MRI).
• I-X-ray yesifuba.

Olu vavanyo lunokunceda ugqirha ukuba afumanise ukuba umhlaza usasazekile na.

Inyangwa njani iChoriocarcinoma?

Oogqirha banyanga i-choriocarcinoma ngokwenqanaba layo. Inqanaba lomhlaza yindlela ugqirha ahlulahlula ngayo umhlaza, ngokusekelwe kwizinto ezifana nobukhulu bethumba kunye nokuba lisasazeke ngaphandle kwesibeleko. Impilo yakho iyonke kunye nezinto ozikhethayo nazo ziyaqwalaselwa xa kusenziwa isicwangciso sonyango.

Unyango oluphambili lwe-choriocarcinoma yi-chemotherapy. I-Chemotherapy luhlobo lonyango olubulala iiseli zomhlaza.

Abanye abantu banokufuna ukususwa kwesibeleko, unyango lwemitha, okanye indibaniselwano yezi ndlela zonyango.

Emva konyango, ugqirha wakho uya kuqhubeka ekujonga ukuba akukho nakuphi na ukuphinda kwenzeke kwakhona (iimviwo zokulandelela).

Ngaba umhlaza we-choriocarcinoma unganyangeka?

Ewe, i-choriocarcinoma inokunyangeka. Ihlala inyangwa nge-chemotherapy. Ukuba ifunyenwe kwangethuba, ngaphambi kokuba isasazeke kwezinye iindawo zomzimba, amathuba okuba inyangeke aphezulu kakhulu.

Ukuphilisa kunokuba nzima ngakumbi kwezi meko zilandelayo:

• Ukuba ukhe watya i-chemotherapy ngaphambili waza akaphumelela.
• Ukuba esi sifo sivela emva kokukhulelwa okanye ukuzala ixesha elizeleyo.
• Ukuba inqanaba le-hCG lingaphezulu kwe-40,000 mIU/ml (iiyunithi ze-milli-international nge-milliliter) ngaphambi kokuba uqale unyango. (i-hCG yihomoni eveliswa yi-placenta ngexesha lokukhulelwa).
• Ukuba ubuneempawu kangangeenyanga ezingaphezu kwezine ngaphambi kokuba uqale unyango okanye ukuba ubukhulelwe.

Ngaba i-choriocarcinoma ingathintelwa?

Hayi, i-choriocarcinoma ayinakuthintelwa. Nangona kunjalo , ukuba ukhe wakhulelwa i-molar, kubaluleke kakhulu ukuthetha nogqirha wakho malunga nomngcipheko wakho we-choriocarcinoma.

Ungaphila ixesha elingakanani neChoriocarcinoma?

I-Choriocarcinoma xa isaqala inombono olungileyo. Izinga lokusinda kwabantu abane-choriocarcinoma yokukhulelwa enobungozi obuphantsi liphantse libe yi-100%. Izinga lokusinda kwabantu abane-choriocarcinoma yokukhulelwa enobungozi obuphezulu liyi-94%.

I-choriocarcinoma engeyiyo yokukhulelwa (uhlobo olungahambelani nokukhulelwa okungaqhelekanga/izicubu ze-placental zangaphambili) ine-prognosis embi kancinci. Ikwayi-chemotherapy encinci, oko kuthetha ukuba i-chemotherapy isenokungasebenzi kakuhle ekubulaleni iiseli zomhlaza.

Ngaba i-Choriocarcinoma yeSigaba sesi-4 inokunyangeka?

Isigaba sesi-4 se-choriocarcinoma sithetha ukuba umhlaza usasazeke nakwamanye amalungu omzimba wakho, njengobuchopho okanye isibindi sakho. Oogqirha bakho baza kuthetha nawe ngale nto. Nangona kunjalo , kusekho ithuba lokuba isifo siya kubuyela esiphelweni.

Ndingaba nomnye umntwana ukuba bendine-choriocarcinoma?

Mhlawumbi. Abantu abaninzi baye bakwazi ukufumana abantwana kwakhona emva konyango lwe-choriocarcinoma. Kuxhomekeke ekubeni uxilongiwe na. Ukuba ufuna ukuba nabantwana, thetha nogqirha wakho ngaloo nto. Banokukunika unyango olungcono emva koko.

Ndifanele ndimbone nini ugqirha?

Ukuba uneentlungu ezingaqhelekanga zesisu okanye isisu esisezantsi, ingakumbi ukuba ukhe wakhulelwa i-molar ngaphambili, qiniseka ukuba ubona ugqirha.

I-Choriocarcinoma ngumhlaza ongaqhelekanga kodwa onzima. Kuqhelekile ukuba uzive uxinezelekile xa ufumana isifo esifana nesi. Nangona kunjalo, ingqikelelo ye-choriocarcinoma idla ngokuba ntle kakhulu. Thetha nogqirha wakho ngayo nayiphi na inkxalabo okanye imibuzo onokuba nayo. Bakhona ukuphendula imibuzo yakho kwaye bakunike unyango olungcono kakhulu.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-Choriocarcinoma ngumhlaza ongaqhelekanga nosasazeka ngokukhawuleza onokunxulunyaniswa nokukhulelwa.
• Abo bakhulelweyo i-molar basengozini enkulu.
• Lumka ngeempawu ezinje ngokopha okungaqhelekanga kwilungu lobufazi kunye nentlungu esezantsi kwesisu.
• Le mekoInganyangwa kakhulu nge-chemotherapy.
• Ukufunyanwa kwangoko kunye nonyango kubaluleke kakhulu.
• Ukuba unamathandabuzo okanye iimpawu, funa ingcebiso kagqirha ngokukhawuleza. Ungakhathazeki, oogqirha bakulungele ukukunceda.

I- Choriocarcinoma, umhlaza, ukukhulelwa, i-placenta, i-chemotherapy, ukukhulelwa kwe-molar, i-hCG