Ingaba kukho ingxaki ngamasende? Masithethe nge-Embryonal Carcinoma

Ngaba kutshanje uqaphele utshintsho oluncinci kwi-testicle yakho, okanye iqhuma okanye ukudumba okungaqhelekanga? Usenokuba ukhe waziva ubunzima okanye ukungakhululeki kancinci. Akulunganga ukungazinaki ezi zinto, akunjalo? Kuba ezi zinokuba ziimpawu zesifo esingathethi kakhulu ngaso ngamanye amaxesha, kodwa kubaluleke kakhulu ukuba siqaphele. Siza kuthetha ngemeko enjalo namhlanje.

Yintoni i-Embryonal Carcinoma?

Ngamafutshane, i-Embryonal Carcinoma luhlobo lomhlaza olukhula kumasende, olunobundlongondlongo ngakumbi kwaye lusasazeka ngokukhawuleza. Lubizwa ngokuba yi-germ cell tumor. Ngoku usenokuba uzibuza ukuba zeziphi ezi germ cells. Ii-germ cells, ngokwesiqhelo, zii-cells zokuqala ezimele ukuba zii-sperm cells ezivuthiweyo ngokupheleleyo. Nangona kunjalo, kule meko ye-Embryonal Carcinoma, ezi germ cells ziqala ukwahlukana kwaye zande ngokukhawuleza ngaphandle kokulawula. Kule meko, i-tumor enobungozi iyenzeka ngaphakathi kwi-testicle yakho.

Oogqirha bahlukanisa ezi carcinomas ze-embryonal njengee -non-seminomatous germ cell tumors. Ngoku usenokuba uzibuza ukuba zeziphi ii-non-seminomas . Ngamafutshane, kukho olunye uhlobo lomhlaza we-germ cell olubizwa ngokuba yi-seminomas. Nangona kunjalo, ezi non-seminomas (embryonal carcinomas ngumzekelo woku) zikhula ngokukhawuleza kwaye zisasazeka ngokukhawuleza kwamanye amalungu omzimba.

Ixhaphake kangakanani le meko?

Ixhaphake kangakanani i-Embryonal Carcinoma? Enyanisweni, xa ucinga ngayo yonke imingxunya eyenzeka kumasende, le ayixhaphakanga kangako. Oko kukuthi, esi asisosifo esichaphazela wonke umntu. Kwiimeko zomhlaza wamasende ofunyenweyo, ii-germ cell tumors, ii-pure embryonal carcinomas, eziyi-Embryonal Carcinoma kuphela, zibonwa kwinani elincinci kakhulu, malunga neepesenti ezimbini (%2).

Nangona kunjalo, kubalulekile ukwazi oku. Malunga nama-85 ekhulwini (85%) ee-tumor ze-germ cell ezixutyiweyo ezenzeka kumasende zinokuba ne-embryonal carcinoma. Ii-tumor ze-germ cell ezixutyiweyo zii-tumor ezikhula ngokudityaniswa kweentlobo ezahlukeneyo zee-non-seminoma tumors.

Kunqabile kakhulu, le meko, ebizwa ngokuba yi-Embryonal Carcinoma, inokuqala nakwamanye amalungu omzimba kubasetyhini, njengee-ovari. I-Embryonal carcinoma, ekhula kwii-ovari, luhlobo olungaqhelekanga kakhulu lwe-ovarian germ cell tumor. Kungakhathaliseki ukuba iqala phi, olu hlobo lomhlaza lunokukhula kwaye lusasazeke ngokukhawuleza.

Zithini iimpawu ze-Embryonal Carcinoma?

Kulungile, ngoku masibone ukuba zeziphi iimpawu ezikhoyo kule meko ye-Embryonal Carcinoma. Ukuba unayo nayiphi na kwezi, kungcono ukufuna ingcebiso kagqirha ngokukhawuleza.

• Ukuziva ngathi elinye lamasende akho lidumbile.
• Iqhuma okanye iqhuma elivakala linzima xa lichukunyiswa kwi-testicle, nokuba libuhlungu okanye alinantlungu.
• Ukuziva ubunzima kunye nokungonwabi kwindawo yesinqe.

Ukongeza kwezi mpawu, ukuba umhlaza usasazeke ngaphaya kwe-testicle, oko kukuthi, nakwamanye amalungu omzimba, ezinye iimpawu zinokuvela. Nazi:

• Intlungu esezantsi emqolo.
• Intlungu emqolo.
• Ubunzima bokuphefumla (ukuphelelwa ngamandla).
• Ukukhohlela, ngamanye amaxesha ukukhohlela igazi (i-hemoptysis).

Ukuba ubona into efana nale, akufanele udibane nogqirha ngokukhawuleza?

Kutheni i-Embryonal Carcinoma ikhula?

I-embryonal carcinoma ikhula xa iiseli zentsholongwane ezikhankanyiweyo ngaphambili ziqala ukwahlukana ngokukhawuleza kwaye zande ngokungalawulekiyo. Ekuhambeni kwexesha, ezi seli ziyadibana ukuze zenze ithumba. Ezi cancer zihlala zikhula ngokukhawuleza kwaye zisasazeke ngaphaya kwe-testicle.

Nangona kunjalo, oogqirha abakayazi kakuhle ukuba kutheni ezi seli zentsholongwane ziqala ukuziphatha ngendlela engaqhelekanga kwasekuqaleni. Nangona kunjalo, bakholelwa ukuba ezi seli zentsholongwane ezingaqhelekanga zenzeka xa sisesesibelekweni, oko kukuthi, ngexesha lokukhula komntwana ongekazalwa.

Ngubani osengozini enkulu yokuba nale meko? (Izinto Ezinobungozi)

Kulungile, zeziphi izinto ezinokubangela ukuba kubekho le meko ibizwa ngokuba yi-Embryonal Carcinoma? Makhe sijonge.

• Ubudala: Esi sifo sidla ngokufunyaniswa kubantu abancinci abaphakathi kweminyaka engama-25 ukuya kwengama-35 ubudala .
• Uhlanga: Iithumba zeeseli zentsholongwane zamasende zixhaphake kakhulu kumadoda amhlophe angengobemi baseHispanic abahlala eMelika naseYurophu.
• Imbali yosapho: Ukuba umntu okwintsapho yakho esondeleyo, njengotata okanye umnakwenu, ukhe waba nolu hlobo lomhlaza weeseli zentsholongwane, nawe usenokuba sengozini engakumbi.
• Iimeko ezithile zempilo: Umzekelo, abantu abaneengxaki ezifana ne-undescended testicles (cryptorchidism) kunye ne-Klinefelter syndrome banokuba semngciphekweni omkhulu.

Ifunyanwa njani i-Embryonal Carcinoma?

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho nokuba kukho umntu kusapho lwakho okhe waba nesi sifo na. Emva koko, baza kukuhlola ukuze babone ukuba kukho na amaqhuma okanye ukudumba emasendeni akho. Baza kujonga nokuba kukho na amaqhuma e-lymph avuvukileyo esiswini sakho. Oku kungenxa yokuba amaqhuma e-lymph avuvukileyo angaba luphawu lokuba umhlaza usasazekile.

Ukongeza, kwenziwa ezi mvavanyo zilandelayo ukuze kufunyaniswe ngokuchanekileyo esi sifo:

• Uvavanyo lokufota: Uvavanyo lwe-ultrasound lwamathambo omabini ludla ngokuba luvavanyo lokuqala. Ukuba oku kubonisa iimpawu zomhlaza, kunokwenziwa i-CT scan (i-computed tomography scan), i-X-ray, okanye i-MRI (magnetic resonance imaging) ukuze kubonwe ukuba umhlaza usasazeke kangakanani emzimbeni.
• Uvavanyo lwe-serum tumor marker: Oku kubandakanya ukuthatha isampuli yegazi lakho nokukhangela iimpawu ezithile ze-tumor ezinxulumene nomhlaza wamasende. Imizekelo ibandakanya i-alpha-fetoprotein (AFP) kunye ne-human chorionic gonadotropin (HCG). Ezi ngamanye amaxesha zinokubonakala egazini kunye ne-embryonal carcinoma, kodwa akunjalo rhoqo.
• Utyando lwe-Inguinal orchiectomy kunye ne-biopsy: Oku kuquka ukususa lonke i-testicle elinomhlaza ngotyando kunye nokuhlola iiseli zalo phantsi kwe-microscope. Kulapho kunokwenzeka khona ukuqinisekisa ukuba yi-embryonal carcinoma. Ngokwesiqhelo, i-biopsy ithatha kuphela iqhekeza elincinci lezicubu. Nangona kunjalo, kwimeko yomhlaza we-testicle, ukuba iqhekeza elincinci elinjalo lithathwa, lonke i-testicle liyasuswa kuba iiseli zomhlaza zinokwanda kakhulu.

Amanqanaba e-Embryonal Carcinoma

Xa uxilongiwe, ugqirha wakho uya kugqiba nenqanaba lomhlaza wakho. Le yindlela umhlaza osasazeke ngayo kwaye unzulu kangakanani. Inqanaba lomhlaza wakho lelona libonisa ukuba uza kunyangwa okanye awuyi kunyangwa. I-embryonal carcinoma kwisigaba sayo sokuqala inokuhlala inyangwa ngokupheleleyo. Nangona kunjalo, ngenxa yokuba isasazeka ngokukhawuleza, malunga nama-40 ekhulwini (40%) omhlaza sele usasazekile (ususele kwi-metastasized) kwiindawo ezikude zomzimba ngexesha oogqirha bewuxilonga.

Amanqanaba aphambili e-Embryonal Carcinoma ngala:

• Inqanaba lokuQala: Umhlaza ukwisende lakho kuphela.
• Inqanaba lesiBini: Umhlaza usasazeke kwi-lymph nodes ezingasemva kwesisu sakho (i-retroperitoneum).
• Inqanaba lesiThathu:Umhlaza usasazeke ngaphaya kwee-lymph nodes kwi-retroperitoneum, okanye kwizitho ezikude emzimbeni. I-embryonal carcinoma idla ngokusasazeka iye emiphungeni. Nangona kunjalo, inokusasazeka nakwisibindi, ingqondo, okanye amathambo.

Zithini iindlela zonyango zoku?

Unyango oluphambili lwe-embryonal carcinoma lutyando lokususa umhlaza kunye ne-chemotherapy. Unyango olufumanayo luya kuxhomekeka kwizinto ezininzi, ezifana nenqanaba lomhlaza wakho, impilo yakho ngokubanzi, kunye nohlobo lonyango olukhethayo.

Kukho iindlela ezininzi eziphambili zonyango:

• Utyando lwe-Radical inguinal orchiectomy: Kule nkqubo, ugqirha wakho uyalisusa ngokupheleleyo i-testicle yakho enomhlaza. Imithambo yegazi ejikelezileyo kunye nezicubu ze-lymph zivalwe ukuze uthintele ukusasazeka komhlaza.
• Ukuqhaqha i-lymph node ebuyela emva kwesisu (RPLND): Ukuba i-embryonal carcinoma isasazeke kwi-lymph nodes ngasemva kwesisu sakho, okanye ukuba kukho umngcipheko wokusasazeka, ugqirha wakho unokususa ezo lymph nodes ngotyando.
• Unyango lweKhemotherapy: I-embryonal carcinoma idla ngokuphendula kakuhle kwi-chemotherapy. Oku kuquka ukunika umzimba wakho amayeza anokubulala iiseli zomhlaza. Emva kotyando, unganikwa i-chemotherapy yokubulala naziphi na iiseli zomhlaza eziseleyo. Ngamanye amaxesha, kwiimeko eziphambili apho umhlaza usasazeke kakhulu, oogqirha bagqiba ekubeni bakunike i-chemotherapy ngaphambi kotyando.

Buza kuba njani ubomi kule meko? (Imbono)

Inqanaba lomhlaza linempembelelo enkulu kwindlela oza kukwazi ngayo ukuchacha (ukuxela kwangaphambili/umbono). Uphononongo lwakutshanje lubonise ukuba ngaphezulu kwama-98% (98%) abantu abanyangelwe umhlaza weSigaba soku-1 basaphila emva kweminyaka emihlanu. Malunga nama-80% (80%) abantu abaneSigaba sesi-3 se-Embryonal Carcinoma basaphila emva kweminyaka emihlanu.

Khumbula, nokuba usabela kakuhle kunyango, oogqirha baya kuqhubeka bekujonga kuba umhlaza usenokubuya.

Kwimeko ye-embryonal carcinoma, ukuba umhlaza uphelele kwi-testicle, kukho ithuba lokuphinda ubuye ngama-20% (20%). Nangona kunjalo, ukuba umhlaza usasazeke kwi-scrotum okanye kwi-lymph nodes, ithuba lokuphinda ubuye linokuba ngaphezulu kwama-50% (50%).

Ngaba i-Embryonal Carcinoma ingathintelwa?

ukunyaniseka,Akukho ndlela yokuthintela umhlaza wesisu ukuba ungakhuli. Nangona kunjalo, eyona nto ingcono onokuyenza kukubona ugqirha kwangoko xa ubona naluphi na utshintsho kumasende akho. Ayizizo zonke iinguqu eziba ngumhlaza, kodwa kubalulekile ukwazi ngokuqinisekileyo.

Ndingazinyamekela njani?

Ukuba unemibuzo okanye iinkxalabo malunga nolu nyango, thetha nogqirha wakho ngalo. Umzekelo, abantu abaninzi bayoyika ukususwa kwe-testicle, becinga ukuba kuya kuchaphazela ubomi babo besondo kunye nokukwazi kwabo ukuba nabantwana. Kodwa eneneni, i-testicle eseleyo ivelisa i-testosterone eyaneleyo, ebalulekileyo emzimbeni wakho. Ngoko ke awuyi kuba nangxaki yokwenza isondo okanye ukukhupha i-ejaculate. Mhlawumbi uya kukwazi ukuba nabantwana.

Ukuba ukhathazekile ngenkangeleko yakho, ungafumana nesende lokufakelwa. Kwakhona, ukuba ufuna ukugcina ukuzala kwakho, ungathetha nogqirha wakho malunga nokugcinwa kwesidoda .

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa ubona ugqirha wakho, ungalibali ukubuza imibuzo efana nale:

• Umhlaza wam ukuliphi inqanaba?
• Ziziphi iindlela zonyango endinazo?
• Zeziphi iziphumo endinokuzilindela emva konyango?
• Zithini amathuba okuba lo mhlaza unyangeke ngokupheleleyo ngonyango?
• Ngaba kufuneka ndibeke isidoda sam ebhankini ngaphambi kokuba ndiqale unyango?

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

I-embryonal carcinoma luhlobo lomhlaza wamasende olukhula ngokukhawuleza nolunamandla ngakumbi, kodwa luhlala lusabela kakuhle kunyango olufana notyando kunye ne-chemotherapy. Inyangeka ngakumbi ukuba ifunyenwe kwangethuba. Ugqirha wakho uya kukucebisa ngonyango olufanelekileyo kuwe, kuxhomekeke kwinqanaba lomhlaza wakho.

Ngoko ke, ukuba ubona into engaqhelekanga okanye eyahlukileyo emasendeni akho, musa ukulibazisa kwaye ubone ugqirha ngokukhawuleza ukuze ayihlolwe. Lelo lolona ncedo lukhulu onokulwenza. Ungakhathazeki, kukho izisombululo kuyo yonke into.

I - carcinoma yombungu, umhlaza wamasende, ithumba leeseli zentsholongwane, umhlaza wamasende, iimpawu zomhlaza, unyango lomhlaza, impilo yamadoda