Ingaba uneqhubu elingaqhelekanga emzimbeni wakho? Lisenokuba yi-(Hamartoma)! Makhe sithethe ngale nto.

Ngaba wakha weva iqhuma elincinci okanye ithumba emzimbeni wakho waza wazibuza, "Yintoni le?" Okanye wakha wazibuza ukuba yintoni xa ugqirha ekubiza ngokuba yi-"Hamartoma"? Yintoni kanye kanye le "Hamartoma"? Makhe sithethe ngayo ngokulula, ngendlela onokuyiqonda.

Yintoni `(Hamartoma)`? Masiyiqonde ngokulula!

Kulungile, ngoku masibone ukuba yintoni le `(Hamartoma)`. Ngamafutshane, sisisu esincinci nesingenabungozi. Senziwe kwiintlobo ezifanayo zeeseli ezifumaneka emzimbeni wethu. Kodwa kukho umahluko omncinci. Oko kukuthi, ezi seli ziyadibana ngendlela engaqhelekanga, engacwangciswanga ukuze zenze esi sisu. Kufana nokubeka ezinye zezinto zokudlala ezifanayo kwinqwaba endaweni yokuzibeka ngendlela ehlelekileyo. Igama elithi `(Hamartoma)` livela kumagama amabini esiGrike. ``Hamartia`` lithetha ``impazamo`` okanye ``ukusilela``. ``Oma`` lithetha ``ithumba``. Ngoko ke, oku kuthetha isisu esikhula ngenxa yohlobo oluthile lwesiphene.

Eyona nto ibalulekileyo kukuba ezi "Hamartomas" azingomhlaza . Azisasazeki emzimbeni wonke njengeeseli zomhlaza . Ngoko ke akukho nto ixhalabisayo. Nangona kunjalo, kuxhomekeke kwindawo ezikuyo, ngamanye amaxesha zinokubangela iingxaki ezincinci.

Le `(Hamartoma)` ingaphuhliswa phi emzimbeni?

Ezi "Hamartomas" zinokwakheka naphi na emzimbeni wethu. Kodwa kukho iindawo ezimbalwa apho zibonakala khona kakhulu.

• Imiphunga : Ngokuqhelekileyo, ezi "Hamartomas" zikhula emiphungeni. Kuphela yi-10% yeethumba ezingengobungozi ezifumaneka emiphungeni ekuthiwa zezohlobo olunjalo. Ngamanye amaxesha, zifunyanwa ngengozi xa kuthathwa i-" X-ray" yesifuba ngesizathu esithile.
• Ulusu: IiHamartomas zihlala zifumaneka entloko nasentanyeni, ingakumbi ebusweni, emilonyeni, ngasemva nangaphantsi kweendlebe. Ngamanye amaxesha zinokubonakala ngathi ziimpawu zokuzalwa.
• Intliziyo : Ezi zinokukhula nasentliziyweni. I-rhabdomyoma yentliziyo luhlobo olungaqhelekanga lwe-hamartoma olukhula entliziyweni. Ezi zihlala zifumaneka esibelekweni sikamama (ngexesha lokukhulelwa ) okanye njengosana oluncinci. Nangona zinqabile, ezi zezona zihluma zixhaphakileyo ezikhula entliziyweni yabantwana abancinci.
• Ingqondo:Uhlobo lwethumba olubizwa ngokuba yi-hamartoma ye-hypothalamic lukhula kwi-hypothalamus, inxalenye yengqondo enceda ekulawuleni iinkqubo ezininzi ezibalulekileyo emzimbeni. Ezi thumba zinokubakho xa umntu ezalwa, kodwa zihlala zibonisa iimpawu ebuntwaneni okanye ebusheni. Zinokubangela iimpawu ezifana nokuxhuzula , iingxaki zokubona , kunye nokufikisa ngaphambi kwexesha .
• Amabele: Malunga ne-5% yamaqhuma angenabungozi emabeleni abafazi asenokuba yi-hamartomas. Axhaphake kakhulu kubafazi abangaphezu kweminyaka engama-35 ubudala.

Ukongeza, ii-hamartomas zinokukhula kwiindawo ezifana nezintso, i-spleen, i-thyroid gland, kunye namathambo, ngokunxulumene neemeko ezithile zemfuza ezifana ne-PTEN hamartoma tumor syndrome (PHTS).

Ingaba le `(Hamartoma)` isasazeka emzimbeni wonke?

Le yingxaki enkulu kubantu abaninzi. Hayi, "iHamartoma" ayisasazeki emzimbeni wonke njengomhlaza. Oko kukuthi, ihlala apho yadalwa khona. Nangona kunjalo, ngamanye amaxesha ukuba le tumor ikhula kancinci, inokutyhala izicubu okanye amalungu omzimba asempilweni akufutshane kwaye ibangele umonakalo othile. Kodwa oko kwenzeka rhoqo.

Ngaba kukho ezinye iimeko ezinxulumene ne-`(Hamartoma)`?

Ewe, iHamartoma inokunxulunyaniswa nezinye iimeko ezingaqhelekanga zemfuza. Kwezi meko, iHamartoma ibangelwa kukuguquka kwemfuza.

• (Isifo sikaPallister-Hall - PHS): Le meko inxulunyaniswa nokuguquka kwezakhi zofuzo `GLI3`. Malunga ne-5% yabantu abane`(Hypothalamic hamartomas)` engqondweni nabo banokuba nale meko `PHS`.
• I-Tuberous sclerosis: Le meko inokubangela ukuba i-"Hamartoma" yakheke kwizitho ezahlukeneyo ezifana nengqondo, intliziyo, izintso, ulusu, namehlo.
• ( I-Neurofibromatosis Uhlobo 1 - NF1): Le yimeko engaqhelekanga yemfuza. Kule meko, i-``Hamartoma`` inokukhula kwimithambo-luvo emzimbeni wonke.
• (PTEN hamartoma tumor syndrome - PHTS): Eli liqela lezifo ezinxulumene nokuguquka kwezakhi zofuzo kwi-'PTEN' gene. `(Cowden syndrome)` kunye ne`(Bannayan-Riley-Ruvalcaba syndrome - BRRS)` zezona ntlobo ziphambili zale nto. `(Hamartoma)` inokukhula kwiindawo ezifana nebele, isibeleko, indlala yegilo, inkqubo yesisu (`indlela yegilo`), kunye nolusu.
• I-Peutz-Jeghers syndrome (PJS): Oku kunxulunyaniswa nokuguquka kwe-gene STK11/LKB1. Abantu abane-PJS basengozini enkulu yokufumana i-hamartomas yemiphunga, isisu, isinyi, amathumbu amancinci, ikholoni, kunye ne-rectum.

Ukuba unesifo sofuzo esifana nesi, ugqirha wakho unokucebisa uvavanyo lofuzo okanye iingcebiso.

Zithini iimpawu ze-`(Hamartoma)`?

Ixesha elininzi, ezi `(Hamartomas)` azibonisi zimpawu (`ezingenazimpawu`). Oko kukuthi, ungazifumana emzimbeni wakho ngaphandle kokungakhululeki. Nangona kunjalo, ngamanye amaxesha, iimpawu zivela kuphela xa eli tumor likhula kancinci kwaye licinezela izicwili ezingezantsi. Ukuba oko kuyenzeka, iimpawu zixhomekeke ekubeni ikuphi i`(Hamartoma)`. Umzekelo, ukuba i`(Hamartoma)` emiphungeni iba nkulu, unokufumana izinto ezifana nokukhohlela kunye nobunzima bokuphefumla. Ukuba umntu usebuchotsheni, njengoko bekutshiwo ngaphambili, ukuxhuzula kunye neengxaki zokubona zinokwenzeka.

Zithini izizathu zeHamartoma?

Izazinzulu azikayazi eyona nto ibangela iHamartoma. Nangona kunjalo, njengoko bekutshiwo ngaphambili, inxulunyaniswa neemeko ezithile zemfuza. Ezi meko zemfuza zihlala zizuzwa njengelifa. Oko kukuthi, zinokubangelwa kukuguquka kwemfuza okuzuzwe ngomnye wabazali.

Ngaba iHamartoma ingabangela iingxaki?

Uninzi lwee-hamartoma azikho nzulu. Nangona kunjalo, zinokubangela iingxaki ukuba zikhula ngokwaneleyo ukuba zonakalise isitho okanye isakhiwo somzimba. Umzekelo, i-rhabdomyoma yentliziyo entliziyweni inokubangela ukungasebenzi kakuhle kwentliziyo ukuba iphazamisana nokusebenza kwentliziyo. Ngokufanayo, i-hamortoma ye-hypothalamic engqondweni inokubangela ukungalingani kwamahomoni kunye nokuphazamiseka kwengqondo ukuba iphazamisana nokusebenza kwe-hypothalamus. Kodwa ungakhathazeki, ugqirha wakho unokulijonga i-hamartoma aze ayisuse ukuba kuyimfuneko.

Ifunyaniswa njani i-`(Hamartoma)`?

IiHamartoma zihlala zingabangeli zimpawu, ngoko ke zifunyanwa ngengozi ngexesha lokuskena esinye isifo. Ngamanye amaxesha kunokuba nzima ukufumanisa ukuba iHamartoma sisimila okanye akunjalo, ingakumbi kuxhomekeke ekubeni ikuphi. Ugqirha wakho uza kukuxilonga aze akubuze ngembali yakho yezonyango. Kwiimeko ezininzi, kuya kufuneka uvavanyo olongezelelweyo ukuqinisekisa ukuba yiHamartoma.

Zithini iimvavanyo zokuxilonga?

• I-X-reyi: Uvavanyo lwemitha olusebenzisa idosi ephantsi oluthatha imifanekiso yamathambo kunye nezicubu ezithambileyo. I-Hamartomas emaphaphu ngamanye amaxesha ibonakala ngathi "yi-popcorn" kwi-X-reyi. Oku kunokunceda ukwahlula kwiithumba ezinomhlaza.
• I-Ultrasound: Isebenzisa amaza esandi ukuthatha imifanekiso yezicubu ezithambileyo emzimbeni.
• I-CT scan (i-computed tomography): I -scan esebenzisa ii-X-ray ezininzi ukuthatha imifanekiso yezicubu ezithambileyo kunye namathambo emzimbeni. I-CT scan iluncedo kakhulu ekufumaneni ii-lung hamartomas.
• I-MRI (Umfanekiso we-Magnetic resonance):Imagnethi enkulu kunye namaza erediyo asetyenziswa ukuthatha imifanekiso eneenkcukacha zezicubu ezithambileyo ngaphakathi emzimbeni.
• I-Mammogram: Uvavanyo oluphantsi oluhlola izicwili zebele. Uninzi lwee-hamartoma zebele zifunyanwa ngexesha le-mammogram, ezisetyenziselwa ukuvavanya umhlaza.
• I-Biopsy: Kule meko, ugqirha uthatha iqhekeza elincinci lethumba alithumele kwilebhu. Apho, "Ingcali yezifo" ijonga iiseli phantsi kwe-microscope. Le "Biopsy" yeyona ndlela yokwazi ngokuqinisekileyo ukuba ingaba yithumba elingeyongozi, njenge "Hamarthoma", okanye ithumba elinomhlaza. Le yeyona ndlela icacileyo yokuxilonga isifo.

Iphathwa njani iHamartoma?

Unyango luxhomekeke kwizinto ezifana nokuba i-hamartoma ikuphi na kunye nokuba unayo na iimpawu.

• Ukuba akukho ngxaki: Ukuba ithumba alibangeli ngxaki okanye alibangeli zimpawu, ugqirha unokugqiba ekubeni alijonge ngaphandle konyango. Oku kuthetha ukuba baya kulihlola rhoqo ukuze babone ukuba liyakhula okanye liyatshintsha.
• Ukuba kukho iimpawu okanye kukho ukurhanelwa komhlaza: Kwimeko enjalo, utyando lokususa ithumba ludla ngokuba lolona nyango luphambili.

Ziziphi iindlela zotyando ezithile ezisetyenziswayo ukususa i-hamartoma?

Oku kuyahluka ngokuxhomekeke ekubeni iphi i-hamartoma. Kwi-hemartoma yemiphunga:

• Ukususwa kwe-Wedge: Kule ndawo, isiqwenga esincinci somphunga esimile okwe-wedge apho kukho i-tumor siyasikwa size sisuswe. Kunye ne-tumor, nezinye izicwili eziphilileyo ezijikeleze yona ziyasuswa.
• Ukususwa kwesisu: Isisu somphunga sisuswa ngokupheleleyo, ukuba i-hamartoma ikwisisisu eso. Umphunga wethu wasekunene unezihlunu ezintathu kwaye umphunga wethu wasekhohlo unezihlunu ezimbini.
• Utyando lwePneumonectomy: Umphunga wonke uyasuswa. Nangona kunjalo, kunqabile kakhulu ukuba i-hamartoma ifune utyando olukhulu kangaka.

Kuba `(Hypothalamic hamartomas)` kwingqondo:

• Utyando lokususa ithumba: Ugqirha ohlinzayo usika aze asuse ithumba.
• Ukususwa kwethumba: Ithumba liyatshatyalaliswa kusetyenziswa ubushushu obuphezulu okanye imitha yelaser.
• (GammaKnife® radiosurgery): Olu asilotyando lwendabuko. Imitha iyayitshabalalisa ithumba ngokuliqondisa ngamandla amakhulu. Isusa izicwili eziyingozi ngokuchanekileyo, njengotyando.

Kuza kwenzeka ntoni ukuba ndine `(Hamartoma)`?

Uninzi lwee-hamartoma azikho mbi kangako, ngoko ke ungoyiki. Ukuba i-hamartoma ichaphazela ilungu okanye inkulu ngokwaneleyo ukuba ibangele umonakalo, utyando lunokusombulula ingxaki. Ngamanye amaxesha i-hamartoma inokuba nzima ukuyisusa. Umzekelo, ezinye ii-hamartoma ze-hypothalamic zikhula kufutshane ne-optic nerve, enokuthi yonakale ngotyando.

Kungoko ke, kubaluleke kakhulu ukuthetha nogqirha wakho ngononophelo uze ufumane ukuba i-hamartoma yakho kufuneka isuswe na, kwaye ukuba kunjalo, zeziphi iingxaki okanye iingozi ezinokubangela oko.

Ngaba i-"Hamartoma" ingaba ngumhlaza?

Olu lolunye uloyiko abantu abaninzi abanalo. Amathuba okuba i-hamartoma ibe ngumhlaza aphantsi kakhulu. Oko kukuthi, akwenzeki rhoqo. Kodwa nantsi into. Ezinye iimeko zemfuza ezinxulumene ne-hamartoma (umzekelo, i-Cowden syndrome, uhlobo lwe-PHTS) zinokunyusa umngcipheko wokuba nomhlaza. Kwimeko enjalo, asiyo-hamartoma enyusa umngcipheko wokuba nomhlaza, kodwa yimeko yemfuza. Ke ngoko, ukuba unesifo semfuza esinjalo, kubalulekile ukuba uhlolwe rhoqo umhlaza.

Ndimele ndibuze ntoni kugqirha wam?

Wakuba ufumanise ukuba une-"Hamartoma", kukho izinto ezimbalwa ekufuneka uzibuze ugqirha wakho ngayo. Musa ukoyika ukubuza le mibuzo:

• Kutheni ndiphuhlise le `(Hamartoma)`?
• Ngaba kufuneka ndiyisuse le `(Hamartoma)`?
• Ziziphi iimpawu ezibonisa ukuba oku kufuna unyango?
• Ngaba le "Hamartoma" ingaba luphawu lwesinye isifo esinzima?
• Ngaba iingcebiso okanye uvavanyo lwemfuza lunokuba luncedo kum okanye nakubani na kusapho lwam?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke ngokwento esithethe ngayo, ndicinga ukuba unoluvo oluhle malunga ne-`(Hamartoma)`. Into ebalulekileyo kukuba, i-`(Hamartoma)` ayisiyongozi kwiimeko ezininzi. Ayingomhlaza, kwaye ayisasazeki emzimbeni wonke. Uninzi lwexesha, ayidingi kunyangwa. Nangona kunjalo, ukuba kukho iimpawu, okanye ukuba ugqirha unamathandabuzo, zinokususwa ngotyando kwaye ingxaki ingasonjululwa.

Ukuba ugqirha ukuxelela ukuba une-"Hamartoma", musa ukuyoyika ngokungeyomfuneko, thetha nogqirha wakho ngononophelo uze wenze isigqibo sokuba leliphi inyathelo elilandelayo elifanelekileyo kuwe. Ukunyamekela impilo yakho yeyona nto ibalulekileyo!

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