Ngaba wakha waba nethumba elinje? Masithethe ngeeDesmoid Tumors!

Ngaba wakha waphawula iqhuma okanye ukudumba okungaqhelekanga kwindawo ethile emzimbeni wakho waza wakhathazeka? Ngamanye amaxesha ezi zinto zisenokungabi yingozi kangako. Nangona kunjalo, namhlanje siza kuthetha ngohlobo lwethumba olukhethekileyo kwaye lufanele ingqalelo ekhethekileyo. Ezi zibizwa ngokuba zii-desmoid tumors. Makhe sijonge ukuba ziyintoni na, kutheni zenzeka, indlela yokuzibona, kunye nendlela yokuzinyanga.

Zithini iiDesmoid Tumors? Masifumanise ngokulula!

Ngamafutshane, ii-Desmoid tumors azingomhlaza . Kodwa zikwabizwa ngokuba yi-aggressive fibromatosis. Oko kuthetha ukuba ngamanye amaxesha zinokukhula ngokukhawuleza nangokurhabaxa. Zenzeka kwizicubu ezidityanisiweyo emzimbeni wethu. Cinga ngazo njengeglu ebamba iindawo ezahlukeneyo zomzimba wethu kunye.

Nangona ezi thumba zinokuvela naphi na emzimbeni, zihlala zibonakala esiswini, ezingalweni, emilenzeni, kwaye ngamanye amaxesha entloko nasentanyeni .

Eyona nto ibalulekileyo kukuba la mathumba awasasazeki ukusuka kwenye indawo emzimbeni ukuya kwenye (awatshintshi) njengomhlaza.

Nangona kunjalo, kukho ingxaki enye. Ezi thumba zihlala zikhula kancinci . Nangona kunjalo, ezinye zinokukhula ngokukhawuleza kwaye zisasazeke kwizicubu ezikufutshane (ezingena ngaphakathi). Kwimeko enjalo, kunzima kakhulu ukuzisusa ngotyando. Enye into kukuba zinokuthi zibuye (ziphinde zibuye) nasemva konyango. Kodwa ayingomntu wonke ofanayo, kwaye kubalulekile ukukhumbula oko.

Ngaba kukho naziphi na iintlobo zezi nati?

Ewe, ii-Desmoid tumors zinokwahlulwa zibe ziintlobo ezininzi eziphambili, kuxhomekeke apho zenzeka khona:

• Iithumba ezibangelwa yi-desmoid eludongeni lwesisu: Ezi zikhula eludongeni lwezicubu (udonga lwesisu) olujikeleze amalungu angaphakathi esiswini sethu (njengesisu).
• Ii-tumor ezingaphakathi kwesisu: Ezi zikhula kwi-tissue wraps ezijikeleze amathumbu (i-mesentery).
• Ii-tumor ze-desmoid ezingaphandle kwesisu: Ezi zikhula ngaphandle kwesisu nodonga lwesisu. Zihlala ziqala emagxeni, ezingalweni eziphezulu, eludongeni lwesifuba, nasemilenzeni ephezulu. Zingakhula nasentloko nasentanyeni.

Zithini iimpawu? Singazi njani ukuba sinayo?

Ii-Desmoid tumors azisoloko zibangela iimpawu ezinkulu. Nangona kunjalo, iimpawu zivela kuphela xa i-tumor ikhula ngokwaneleyo ukuba icinezele imithambo-luvo okanye amalungu omzimba akufutshane. Ezi zinokubandakanya:

• Iqhuma okanye ukudumba: Oku kubonakala kakhulu ezingalweni, emilenzeni, okanye esiswini.
• Isicaphucaphu nokuhlanza: Ezi mpawu zinokwenzeka ukuba kukho ithumba esiswini.
• Intlungu okanye ukungaziva: Oku kunokuvakala xa ithumba licinezela imithambo-luvo, amalungu omzimba, okanye imithambo yegazi kufutshane nethumba.
• Kunzima ukushukumisa ingalo okanye umlenze.

Kubalulekile: Ayizizo zonke iindunduma ezikhula emzimbeni ezibizwa ngokuba yi-desmoid tumor. Nangona kunjalo, ukuba unedunduma elikhulu kunee-intshi ezimbini (malunga neesentimitha ezi-5), liyaqhubeka nokukhula, okanye libuhlungu , kungcono ukubona ugqirha ukuze akunike ingcebiso.

Kutheni ezi zifo zibangelwa yi-desmoid tumors? Zithini izizathu?

Ezi zicubu zenzeka xa iiseli kwizicubu ezidityanisiweyo zitshintsha utshintsho kwaye ziqala ukwahlukana ngokukhawuleza nangokungalawulekiyo. Ekuhambeni kwexesha, ezi seli zigqithisileyo ziyaqokelelana kwaye zenze ithumba.

Oogqirha abakayazi kakuhle ukuba kutheni ezi seli zitshintsha kwasekuqaleni. Nangona kunjalo, uphando luchonge utshintsho oluninzi lwezakhi zofuzo olunxulumene neethumba ezibangelwa yi-desmoid. Olu lwazi lunokunceda ekuphuhliseni unyango olujolise kwezo nguqu kwaye lulawule ukukhula kweethumba.

Ngubani onokuba nethuba elikhulu lokuphuhlisa ezi zinto? (Izinto Ezinobungozi)

Abanye abantu banamathuba amaninzi okuba neethumba ezibangelwa yi-desmoid. Makhe sijonge ukuba bangoobani:

• Ubuntwana: Esi sifo sidla ngokufunyaniswa kubantu abaphakathi kweminyaka engama-30 ukuya kwengama-40 ubudala.
• Ukuba ngumfazi: Abafazi banamathuba amaninzi okufumana ezi thumba, ingakumbi ngexesha lokukhulelwa okanye emva nje kokubeleka. Zihlala zivela eludongeni lwesisu. Ngenxa yokuba amanqanaba e-estrogen enyuka ngexesha lokukhulelwa, ezinye iingcali zikholelwa ukuba kukho unxibelelwano phakathi kwe-estrogen kunye neethumba ze-desmoid.
• Ukuba nesifo esibizwa ngokuba yiFamilial Adenomatous Polyposis (FAP): Esi sisifo esizuzwe njengelifa. Phakathi kwe-5% kunye ne-10% yabantu abane-FAP bahlakulela iithumba ezibangelwa yi-desmoid. Ngokuqhelekileyo, ezi thumba zikhula apho utyando lwalusenziwa ngaphambili ukususa ukukhula okuncinci (i-colon polyp) kwi-colon.
• Ukonzakala: Uphando lubonise ukuba ukwenzakala okukhulu, okanye ukwenzakala okuphindaphindiweyo kwindawo enye (umzekelo, ukubetheka kwindawo enye ngokuphindaphindiweyo ngelixa udlala imidlalo), kwandisa umngcipheko wokuba nethumba elibangelwa yi-desmoid.

Oogqirha bayixilonga njani le nto? (Ukuxilongwa)

Ukuba unale mpawu, ugqirha wakho uya kuqala akuhlole aze akubuze ngeempawu zakho. Emva koko, angenza olu vavanyo lulandelayo:

• Uvavanyo lwemifanekiso: Ezona zixhaphakileyo zii-CT scans kunye nee-MRIs. Ezi zinokubona ngokucacileyo ithumba emzimbeni.
• I-Biopsy: Olu lolona vavanyo lubalulekileyo ekufuneka lwenziwe . Oku kuquka ukuthatha iqhekeza elincinci lesicubu sethumba kunye nokuhlola iiseli phantsi kwe-microscope. Le yindlela ekuphela kwayo yokufumanisa ukuba loluphi uhlobo lwethumba.

Ukuba ugqirha wakho ukrokrela ukuba une-FAP, banokwenza olunye uvavanyo. Ayinguye wonke umntu one-desmoid cysts one-FAP. Nangona kunjalo, kubalulekile ukwazi ukuba unayo na, kuba abantu abane-FAP basengozini enkulu yokuba nomhlaza wamathumbu amakhulu.

Indlela yokunyanga? (Unyango)

Ii-Desmoid tumors zihlala zinyangwa ngendlela efanayo nee-cancer tumors. Oku kuthetha ukuba uza kusebenza neqela loogqirha abavela kwiingcali ezahlukeneyo, kuquka nogqirha we-oncologist.

Ngaphambili, utyando yayilolona nyango luphambili lwala mathumba. Nangona kunjalo, ekubeni kufunyaniswe ukuba la mathumba anethuba eliphezulu lokubuyela emva kotyando, unyango lwangoku lusekelwe kakhulu kumayeza. Ezinye iindlela zonyango ziquka:

• Ukujongwa okusebenzayo (okanye ukulinda ngononophelo): Ukuba ithumba lakho likhula kancinci kwaye alibangeli zimpawu zibalulekileyo, ugqirha wakho uza kukujonga rhoqo. Baza kwenza iiskeni rhoqo. Ukuba imeko yakho iyatshintsha, unyango lunokuqaliswa ngokukhawuleza.
• Utyando: Utyando lunokufuneka ukuba ithumba likhula ngokukhawuleza okanye libangela iimpawu eziqatha. Okanye, ukuba ithumba lisemngciphekweni wokubangela ingxaki enkulu, njengokuvaleka kwamathumbu, utyando lunokwenziwa.
• Unyango olujoliswe kulo: La mayeza asebenza ngokujolisa kwiijini ezithile okanye iiproteni ezinceda ukukhula kweethumba ezibangelwa yi-desmoid. Ugqirha wakho unokucebisa uhlobo lonyango olubizwa ngokuba yiTyrosine Kinase Inhibitor (TKI).
• Ukufakelwa kweCryoablation: Le yenye indlela engasetyenziswa endaweni yotyando. Isebenzisa ukubanda kakhulu ukutshabalalisa ithumba. Olu nyango lungasetyenziselwa iithumba ezincinci ezingaphandle kwesisu (umzekelo, ezingalweni nasemilenzeni).
• I-Chemotherapy: La mayeza asetyenziselwa ukunciphisa okanye ukuphelisa ngokupheleleyo ii-ovaries ezibangelwa yi-desmoid. Nangona kunjalo, kukho izimvo ezahlukeneyo malunga nempumelelo yolu nyango.
• Unyango lweHormonal: Amayeza eHormonal afana neTamoxifen anokunceda ekumiseni ukukhula kweethumba ezibangelwa yiDesmoid.
• Unyango ngemisebe: Imisebe ingasetyenziselwa ukunciphisa okanye ukutshabalalisa ithumba. Isetyenziswa yodwa okanye xa idityaniswe nezinye iindlela zonyango.

Ngaba kufuneka ndibone ugqirha rhoqo? (Ukulandelelana)

Ewe, ngokuqinisekileyo. Kwanasemva konyango, kuya kufuneka ubone ugqirha wakho rhoqo kuba kukho ithuba elikhulu lokuba iithumba ezibangelwa yi-desmoid zibuye.Ngokwesiqhelo, kuya kufuneka wenze uvavanyo kunye ne-scan rhoqo kwiinyanga ezintandathu kwiminyaka emithathu yokuqala. Emva koko, ukuba akukho ngxaki, kuya kufuneka uye kuhlolwa rhoqo ngonyaka okanye rhoqo emva kweminyaka emibini. Ugqirha wakho uya kugqiba ukuba kufuneka uye kangaphi, kuxhomekeke kwimeko yakho.

Yintoni endinokuyilindela ngale meko? (Ingqikelelo)

Ii-Desmoid tumors azifani kubo bonke abantu. Abanye abantu banazo kodwa ababonisi zimpawu. Malunga nabantu ababini kwabalishumi banazo kwaye ziyaphela ngaphandle konyango. Nangona kunjalo, kwabanye, zinokukhula zibe yingozi empilweni.

Ngokuxhomekeke kuhlobo lotshintsho lwemfuza kwithumba, oogqirha banokwenza uqikelelo malunga nokuba ithumba liza kuba nolaka kangakanani na kwaye liza kuphinda libuye emva konyango. Kodwa akukho nto inokuthethwa ngokuqinisekileyo.

Nangona ingengumhlaza, oko akuthethi ukuba ufanele ulinde nje ukuba uphele. Ithumba elibuhlungu limele lijongwe ngugqirha wakho.

Injani izinga lokusinda? (Amanqanaba okusinda)

Iithumba ezibangelwa yiDesmoid azisoloko zibeka ubomi esichengeni, kodwa zinokuba yingxaki kuwe ukuba uqhubeke nokuzilawula.

Eyona nto ibalulekileyo apha lizinga lokusinda elingenakuphinda-phinda (`izinga lokusinda elingenakuphinda-phinda`) . Emva kweminyaka emihlanu, eli zinga linokusukela kwi-23% ukuya kwi-65%. Oku kuxhomekeke kakhulu kuhlobo lotshintsho lwemfuza kwithumba.

Ugqirha wakho uza kukuchazela into onokuyilindela ngokusekelwe kwisifo sakho.

Okubaluleke kakhulu: inkxaso yeengcali

Iithumba ezibangelwa yiDesmoid zisenokungaqikeleleki. Zinokubangela iintlungu, zithintele intshukumo, okanye zichaphazele amalungu akufutshane. Oku kungaqiniseki kunokuba nzima kakhulu. Ezinye iithumba zikhula kancinci kwaye zisenokungafuni unyango ngokukhawuleza, kodwa ezinye zifuna ukuphathwa ngononophelo olukhulu.

Ngenxa yokuba i-desmoid cysts yimeko engaqhelekanga kwaye ichaphazela umntu ngamnye ngokwahlukileyo, kubalulekile ukufuna unyango kwiqela leengcali ezinamava ekulawuleni ezi meko zinzima. Indlela yokusebenzisa izifundo ezahlukeneyo inika ithuba elihle lokulawula iimpawu kunye nokuphucula umgangatho wobomi.

Oko kufuneka sikufunde koku (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke, ngokwezinto esizithethileyo, kukho izinto ezimbalwa ezibalulekileyo ekufuneka uzikhumbule:

• Nangona ithumba elibuhlungu lingengomhlaza, asinto ifanele ithathwe lula.
• Ukuba uneqhubu okanye ukudumba okungaqhelekanga emzimbeni wakho, ingakumbi ukuba liyaqhubeka nokukhula okanye libuhlungu, musa ukuchitha ixesha kwaye ubone ugqirha ngokukhawuleza.
• Le meko inokuba nzima kancinci, ngoko ke ukufumana uxilongo oluchanekileyo kunye nenkxaso yeqela lezonyango elinamava kuya kukunceda kakhulu ukuba uphile ngempumelelo nale meko.
• Musa ukoyika, kodwa lumka. Eyona nto ibalulekileyo kukulandela iingcebiso zonyango ezifanelekileyo.

Ukuba unemibuzo engaphezulu malunga noku, qiniseka ukuba uthetha nogqirha wakho. Hlala usempilweni!

Iithumba ezibuthathaka , i-fibromatosis ebukhali, iithumba zezicubu ezidityanisiweyo, iithumba ezingezizo zomhlaza, iimpawu zethumba, unyango lwethumba, iMpilo yaseSri Lanka