Ngaba umntwana wakho unazo ezi mpawu? Masifunde nge-germinoma engqondweni!

Ngaba wakha waphawula ukuba umntwana wakho uhlala ekhalaza ngentloko ebuhlungu, ngamanye amaxesha uyahlanza, unengxaki yokubona, okanye udiniwe ngaphezu kwesiqhelo? Ngamanye amaxesha ezi zinto zinokuba ziimpawu zesifo esiqhelekileyo. Nangona kunjalo, azifane zibe luphawu lwemeko embi kakhulu, njenge -germinoma . Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha namhlanje.

Yintoni iGerminoma? Masiyiqonde ngokulula!

Ngamafutshane, i-germinoma luhlobo lwethumba elikhula ngaphakathi kwengqondo yakho. Oogqirha bakwabiza ezi "germinomas zangaphakathi kwentloko." Zihlala zikhula kwiindawo ezimbini zobuchopho. Enye yindawo yepineal , apho ikhoyo i-pineal gland yakho. Enye yindawo yesuprasellar , apho ikhoyo i-pituitary gland yakho.

Ngoku usenokuba uzibuza ukuba zeziphi ii-germ cell tumors (GCTs). Zivela kwiiseli zokuzala emizimbeni yethu. Oko kukuthi, kwiiseli ezivelisa isidoda endodeni kunye namaqanda kumfazi. Ngokwesiqhelo, ezi germ cell tumors (GCTs) zivela kwii-ovari okanye kuma-testicles. Kodwa ii-germinomas zahlukile kancinci. Okwenzekayo kweli tyala kukuba ezo germ cells ziyahamba ziye ebuchotsheni okanye emgogodleni kwaye zikhule apho njenge-tumor. Nangona ezinye zezi zinokuba zingengomhlaza (ezingenabungozi), uninzi lwee-germinomas zinomhlaza (ezinobungozi).

Kodwa nantsi into, ezi germinomas zinonyango oluhle, kwaye i-prognosis ilungile kakhulu. Zikhula kancinci, ngoko ke kukho ithuba elihle lokuba zinganyangeka ngokupheleleyo ngonyango.

Ixhaphake kangakanani le germinoma?

Enyanisweni, iithumba zeeseli zentsholongwane ezikhula engqondweni azixhaphakanga kakhulu. Nangona kunjalo, phakathi kwezo thumba zingaqhelekanga , ii-germinomas zezona zixhaphakileyo. Zixhaphake kakhulu ebantwaneni nakubantu abadala abancinci, abaphakathi kweminyaka eli-10 nengama-20 ubudala. Kukwafunyaniswe ukuba abafana banamathuba amaninzi okuzivelisa kunamantombazana.

Zithini iimpawu ze-germinoma?

Xa i-germinoma isenzeka engqondweni, inokubangela uxinzelelo kwi-cerebrospinal fluid (CSF) ngaphakathi kwengqondo. Oku kubizwa ngokuba yi-hydrocephalus . Uxinzelelo olubangelwa yile tumor okanye uxinzelelo olubangelwa kukuqokelelana kolo lwelo lunokubangela iimpawu ezahlukeneyo . Masibone ukuba zeziphi:

• Intloko ebuhlungu rhoqo: Oku kungaba yintloko eyahlukileyo, ebuhlungu ngakumbi kunentloko eqhelekileyo.
• Isicaphucaphu nokuhlanza: Le meko inokuba mandundu ngakumbi, ingakumbi kusasa.
• Iingxaki zokulungelelanisa izihlunu (i-ataxia):Izinto ezifana nokukhubeka xa uhamba, njengokungakwazi ukugcina ibhalansi yakho.
• Iingxaki zokubona: Ukubona okufipheleyo, ukubona kabini, ubunzima bokujonga phezulu, njl.
• Ukutshintsha kwemo yengqondo: Uziva unomsindo, ulusizi, okanye uxhalabile ngequbuliso.
• Ubunzima bokugxila: Kunzima ukugcina ingqondo yakho igxile ngelixa ufunda okanye usebenza.
• Ukudinwa: Ukuziva udiniwe nokuba ulala kangakanani na.

Ukongeza kwezi mpawu, iimpawu ezinxulumene namahomoni zinokuvela ngokuxhomekeke kwindawo ekuyo ithumba. Umzekelo, ukuba ithumba likhula kufutshane ne-pituitary gland, oku kulandelayo kunokwenzeka:

• Ukuva unxaniwe kakhulu kwaye uchama rhoqo: Olu luphawu lwesifo esibizwa ngokuba yi-diabetes insipidus .
• Ukufikisa kwangethuba okanye ukulibaziseka.
• Ukukhula okungahambi kakuhle ebantwaneni.
• Ukulala kakhulu okanye ukucotha.

Kubalulekile: Musa ukoyika ukuba yi-germinoma kuba nje unenye okanye ezimbini zezi mpawu. Nangona kunjalo, ukuba ezi mpawu ziyaqhubeka, ingakumbi kumntwana, kungcono ukubona ugqirha ukuze akunike ingcebiso.

Kutheni le nto le germinoma isenzeka?

Eli libali elintsonkothileyo. Ngexesha lokukhula komntwana, oko kukuthi, xa umntwana esesibelekweni sikanina, ezo seli zentsholongwane esithethe ngazo ngaphambili zihlala zihamba ziye kwii-ovari okanye kumasende. Kulapho ziba ziiseli zeqanda okanye iiseli zesidoda.

Nangona kunjalo, kwi-germinoma, ezinye zezi seli aziqondi kakuhle kwaye ziya kwinkqubo yemithambo-luvo ephakathi , oko kukuthi, ingqondo okanye umqolo. Xa zisenzeka, endaweni yokuba ziiseli zamaqanda okanye iiseli zesidoda, zikhula kunye ngendlela engaqhelekanga kwaye zenze inqwaba kwindawo enye okanye ezingaphezulu zobuchopho. Ukuba azinyangwa, ezi seli zinokusasazeka kwezinye iindawo zomzimba.

Iingcali zonyango azikayazi kakuhle ukuba kutheni oku kusenzeka kwasekuqaleni. Kusesekwinqanaba lophando.

Ungayiqaphela njani i-germinoma?

Ukuba ugqirha urhanela ukuba kukho i-germinoma, uza kwenza uvavanyo oluninzi.

• Uvavanyo lokujonga imifanekiso: Oku kudla ngokubandakanya iskeni ye-MRI (Magnetic Resonance Imaging) . Oku kungabonisa ngokucacileyo ukuba kukho naziphi na iithumba ebuchotsheni okanye emgogodleni.
• Uvavanyo lwe-tumor marker: i-alpha-fetoprotein (AFP) kunye ne -human chorionic gonadotropin (hCG) egazini lakho nakwi-cerebrospinal fluid (CSF)Amanqanaba eekhemikhali ezibizwayo ayavavanywa. La manqanaba anceda ekwahlukaniseni nasekuchongeni ukuba ingaba yi-germinoma okanye lolunye uhlobo lwethumba le-germ cell.
• I-Biopsy: Ukuba ezinye iimvavanyo azinasiphelo, ugqirha unokuthatha isampuli encinci yeqhuma alivavanye kwilebhu ukuze abone ukuba linazo na iiseli zomhlaza. Nangona kunjalo, uninzi lwexesha, i-biopsy ayifuneki kuba ezinye iimvavanyo zinokunceda ekuxilongeni.

Ngamanye amaxesha kungathatha ixesha ukuqaphela ukuba abantwana bane-germinoma, kuba iimpawu ezifana nokuphazamiseka kwengqwalasela kunye nokucotha zinokunxulunyaniswa neengxaki zempilo yengqondo. Nokuba yintoni na imbangela, okukhona umntwana wakho efunyaniswa ngokukhawuleza, kokukhona eqala unyango aludingayo ngokukhawuleza.

Ukuchonga inqanaba lomhlaza (ukubeka izigaba)

Emva kokuxilongwa, ugqirha uza kufumanisa inqanaba le-germinoma ngokujonga ukuba isasazeke kangakanani. Ihlelwa njenge-localized (M0) , oko kuthetha ukuba ayikasasazeki, okanye isasazeke/isasazeka (M+) , oko kuthetha ukuba isasazekile.

Olu hlobo lolwahlulo luluncedo kakhulu koogqirha ekucwangciseni unyango.

Iphathwa njani iGerminoma?

Uninzi lwee-germinomas lunokunyangeka ngokupheleleyo ngonyango lwemitha . Olu nyango lubandakanya ukusebenzisa imitha enamandla aphezulu, njengee-X-ray, ukutshabalalisa ithumba. Nangona kunjalo, unyango lwemitha lunokubangela iziphumo ebezingalindelekanga zexesha elifutshane nezexesha elide. Lunokunyusa kancinci umngcipheko wokufumana omnye umhlaza kwixesha elizayo.

Ngenxa yesi sizathu, iingcali zomhlaza wemitha ziceba unyango ngononophelo olukhulu. Injongo yazo kukunika idosi ephezulu efunekayo ukubulala ithumba ngelixa zinciphisa umngcipheko weziphumo ebezingalindelekanga. Kwezinye iimeko, i-chemotherapy inikwa ngaphambi konyango lwemitha ukunciphisa ithumba. Oku kuvumela i-germinoma ukuba inyangwe ngedosi ephantsi yemitha.

Ndingalindela ntoni ukuba ndine-germinoma?

Enyanisweni, ingqikelelo ye-germinomas ilungile kakhulu. Abantu abangaphezu kwama-90% abafumana unyango lwe-radiation banokuphila iminyaka eli-10. Amathuba okuba iithumba zibuye aphantsi kakhulu. Nokuba ziyabuya, zihlala zitshatyalaliswa ngokupheleleyo ngolunye ujikelezo lonyango lwe-radiation.

Nangona kunjalo, amava omntu ngamnye anokwahluka. Kubalulekile ukubuza ugqirha wakho ukuba ukuxilongwa kwakho kunye nesicwangciso sonyango ziya kuyichaphazela njani amathuba akho okuchacha.

Ndingazinyamekela njani mna okanye umntwana wam?

Enye yezona zinto zilungileyo onokuzenza xa une-germinoma kuku:Sebenzisana ngokusondeleyo neqela lakho lezonyango ukulawula iziphumo ebezingalindelekanga zonyango. Unyango lwemitha kunye ne-chemotherapy ziindlela ezisebenzayo zonyango lwe-germinoma. Nangona kunjalo, azinazo iingxaki zomzimba nezeemvakalelo.

Akukho mntu unokuxela kwangaphambili indlela oza kusabela ngayo kunyango. Nangona kunjalo, ugqirha wakho unokukufundisa ngemiphumo emibi eqhelekileyo. Ukuqonda okunokwenzeka kunokukunceda ulungele.

Ukuba ungumnakekeli womntwana ofumana unyango lomhlaza, thetha nomntwana wakho malunga nokwenzekayo ngendlela efanelekileyo ngokweminyaka yakhe. Hlala nomntwana wakho. Bandakanya abantu abakuxhasayo. Sebenzisa zonke izixhobo ozidingayo ukuze unakekele umntwana wakho ngendlela eyomeleleyo.

Ndifanele ndimbone nini ugqirha?

Bona ugqirha ukuba usoloko uneentloko ezibuhlungu, iingxaki zokubona, okanye ezinye iimpawu ezinokuba ziimpawu zomhlaza wobuchopho. Ukuba ubona naziphi na kwezi mpawu kumntwana wakho, qiniseka ukuba ucela ingcebiso kugqirha.

Ndingayibuza yiphi imibuzo ugqirha wam?

Nantsi eminye imibuzo onokuyibuza ugqirha wakho:

• Le germinoma ikwinqanaba elingakanani? Ikwindawoni?
• Loluphi unyango olucebisayo?
• Ungayilawula njani imiphumo emibi yonyango yexesha elifutshane?
• Zeziphi iziphumo ebezingalindelekanga zexesha elide ekufuneka ndiziqaphele?
• Kuza kufuneka ndize kangaphi ukuze ndifumane amatyelelo okulandelela?

Ekugqibeleni, kukho into ekufuneka ndicinge ngayo!

Abantu abaninzi bayaxhalaba baze boyike xa besiva igama elithi "umhlaza." Olu loyiko lukhula ngakumbi xa ithumba lisebuchotsheni, elifana nekhompyutha emzimbeni wethu. Nangona kunjalo, khumbula ukuba le meko, ebizwa ngokuba yi-germinoma, idla ngokunyangwa ngonyango lwemitha. Oku akuthethi ukuba unyango luza kuba lula okanye akukho mngcipheko weziphumo ebezingalindelekanga. Kubalulekile kwakhona ukuya kuvavanyo olulandelayo ukuze kubonwe ukuba ithumba libuyile na. Nangona kunjalo, ngonyango, uninzi lwabantu luyaphila ngokupheleleyo kwi-germinoma. Kubalulekile kakhulu ukubuza ugqirha wakho ukuba ukuxilongwa kwakho kuchaphazela njani amathemba akho ekamva. Musa ukuyeka!

I- germinoma, iithumba zobuchopho, umhlaza, umhlaza wobuntwana, unyango lwemitha, i-chemotherapy, iimpawu zobuchopho