Ngaba ukhe weva ngalo mhlaza ungaqhelekanga okhula ngaphakathi kweliso? (Intraocular Melanoma) Masithethe!

Ngaba wakha weva ukuba umhlaza ungakhula ngaphakathi kweliso? Mhlawumbi uqaphele utshintsho oluncinci ekuboneni kwakho, okanye into efana nebala elimnyama ngaphakathi kweliso lakho. Namhlanje siza kuthetha ngomhlaza onokunxulunyaniswa nento efana naleyo, kodwa inqabile kakhulu, oko kukuthi, ayifumaneki rhoqo. Oku kubizwa ngokuba yi-Intraocular Melanoma . Ungakhathazeki, masichaze yonke into ngale nto ngokulula.

Yintoni le melanoma yangaphakathi kweliso?

Ngamafutshane, i-Intraocular Melanoma ngumhlaza okhula ngaphakathi kwamehlo ethu. Kukho uhlobo lweseli olunika amehlo ethu umbala, olubizwa ngokuba yi -melanocytes . Lo mhlaza ukhula xa ezi seli ziqala ukukhula ngokungalawulekiyo nangokugqithisileyo. Oku ngamanye amaxesha kunokubangela utshintsho ekuboneni, ukulahleka kombono, okanye nokulahlekelwa ngokupheleleyo kombono .

Oku kwenzeka phi esweni? (Funda nge-Uvea)

I-Intraocular Melanoma idla ngokukhula kumaleko ophakathi kweliso. Oku kubizwa ngokuba yi-uvea . Khawuthelekelele ukuba iliso lifana nebhola encinci. Inxalenye emhlophe engaphandle ibizwa ngokuba yi-sclera . Inxalenye engaphakathi kweliso ebona ukukhanya kwaye ilawula umbono yi -retina . Phakathi kwezo zimbini kukho i-uvea .

I-uvea ineenxalenye ezintathu eziphambili:

• I-Iris: Le yinxalenye yeliso elinika umbala walo, umbala oluhlaza okwesibhakabhaka nomdaka owubonileyo kwabanye abantu.
• Umzimba we-ciliary: Le yindandatho yemisipha engasemva kwe-iris. Inceda ukulawula ilensi engaphakathi kweliso.
• I-Choroid: Le yi-membrane equlethe imithambo yegazi emininzi enika iliso ioksijini kunye nezondlo.

Amaxesha amaninzi, i-melanoma iqala kwi -choroid . Ngamanye amaxesha, lo mhlaza unokusasazeka (usasazeka) ukusuka ngaphakathi kweliso ukuya kwezinye iindawo zomzimba. Indawo eqhelekileyo yokusasazeka sisibindi .

Kubalulekile ukuqaphela ukuba i-intraocular melanoma kunye ne-skin melanoma ziimeko ezimbini ezahlukeneyo. Nangona uhlobo lweseli lufana, ezi zizifo ezimbini ezahlukeneyo.

Ngaba oku kunokubangela ukulahleka kombono?

Ewe, abanye abantu abane-melanoma yangaphakathi kweliso banokuba neengxaki zokubona. Ubungakanani bokulahleka kokubona buxhomekeke kubukhulu bethumba kunye nokuba lihlale ixesha elide kangakanani elisweni. Ngamanye amaxesha, i-melanoma ebikho ixesha elide inokubangela ukulahleka kokubona ngokupheleleyo. Yiyo loo nto kubalulekile ukuyiqaphela kwangethuba.

Ngubani onokuthi abe nesi sifo? (Izinto ezibangela umngcipheko)

Kukho izinto ezithile ezinobungozi ezinokuchaphazela uphuhliso lwe-melanoma emehlweni. Oku kuthetha ukuba abantu abanezi zinto banamathuba amancinci okufumana esi sifo kunabanye.

• Kwabo banesikhumba esikhanyayo: Oko kukuthi, abo banesikhumba esikhanyayo, amehlo, kunye nombala weenwele.
• Amehlo anombala okhanyayo okanye ulusu olukhanyayo.
• Ukuba phakathi kweminyaka engama-70 ukuya kwengama-80 ubudala: Lo mngcipheko uyanda kancinci njengoko ukhula.
• Ukuba kukho umntu kusapho lwakho okhe waba ne-Uveal Melanoma ngaphambili: Nangona kunjalo, oku kunqabile kakhulu.

Kuqheleke kangakanani oku ngokwenene?

I-intraocular melanoma lolona hlobo luqhelekileyo lomhlaza oluvela ngaphakathi kweliso kubantu abadala, kodwa ngokubanzi ngumhlaza ongaqhelekanga . Umzekelo, kwilizwe elifana ne-United States, kuphela malunga namatyala amatsha angama-2,500 esi sifo afunyanwa minyaka le. Oku kuthetha ukuba asisosifo esichaphazela wonke umntu.

Kutheni i-melanoma ikhula ngaphakathi kweliso? (Izizathu)

Iijini zethu zixelela iiseli emzimbeni wethu indlela yokwahlukana kunye nendlela yokusebenza. Ezi jini zenziwe yi -DNA . Khawucinge nje, ukuba kukho utshintsho , oko kukuthi, utshintsho, kule jini, lunokuthumela imiyalelo engalunganga kwiiseli. Kulapho iiseli zahlukana ngokungalawulekiyo, nto leyo ekhokelela kumhlaza.

Kwenzeka into efanayo kwi-melanoma engaphakathi kweliso. Ii-melanocytes, esithethe ngazo ngaphambili, ezingaphakathi kweliso, zifumana imiyalelo engachanekanga kwiijini zazo. Emva koko ezo seli ziphindaphindeka kakhulu kwaye zenze iithumba ezinomhlaza .

Zithini iimpawu zoku? (Izinto ekufuneka ziqwalaselwe)

Ngamanye amaxesha, nokuba une-melanoma yangaphakathi kweliso, isenokungabonakalisi zimpawu . Okanye, kuba umhlaza ungaphakathi kweliso, apho singenakuwubona ngaphandle, kunokuba nzima ukuqaphela iimpawu.

Nangona kunjalo, xa kuvela iimpawu, unokubona izinto ezifana nezi:

• Amabala angaboniyo okanye indawo engaboni kakuhle: Kufana nokuba awukwazi ukubona iindawo ezithile xa ujonge.
• Umbono ofipheleyo okanye ophantsi.
• Utshintsho kwindawo elikuyo iliso: iliso libonakala ngathi litshonile okanye liphumile.
• Utshintsho kubungakanani okanye kwimo yebala elimnyama embindini weliso (umfundi).
• Indawo emnyama kwi-iris.
• Ukususwa kwelensi ngaphakathi kweliso: Oku kunokwenzeka ngakumbi ukuba kukho i-melanoma emzimbeni we-ciliary .
• Umbono ophindwe kabini.
• Intlungu yamehlo.
• Iifloaters okanye ukukhanya okukhanyayo. Khawucinge nje, ngamanye amaxesha ngequbuliso ubona ichaphaza elimnyama okanye into efana nebhola yomsonto idada phambi kwamehlo akho, akunjalo? Ngolo hlobo.
• Ukuqhekeka kwe-retina: Oku kunokwenzeka, ingakumbi ukuba kukho i-melanoma kwi -choroid .

Ugqirha uyixilonga njani le nto? (Uxilongo)

Ukuba unale mpawu, ugqirha wakho uza kuqala akubuze ngemeko yakho aze athathe imbali yezonyango. Emva koko uza kwenza uvavanyo lwamehlo . Oku kuza kujonga umbono wakho aze asebenzise izixhobo ezikhethekileyo ukujonga ngaphakathi kweliso lakho. Ngamanye amaxesha, amaconsi akhethekileyo angasetyenziswa ukwandisa umbungu ophakathi kweliso lakho. Oku kuya kuvumela ugqirha ukuba abone izakhiwo ezingasemva kweliso lakho ngokucacileyo.

Ezinye iimvavanyo zingenziwa:

• I-Angiography: Oku kujonga ukuba akukho zithintelo okanye ukuvuza kwimithambo yegazi kwi -choroid .
• I-Ultrasound: Oku kunokulinganisa ubungakanani bezakhiwo ezingaphakathi kweliso kwaye kujonge iithumba. Kufana neskeni ejonga umntwana osesibelekweni.

Ukuba ugqirha wakho ufumanisa ukuba oku yi-intraocular melanoma, unokuyalela iimvavanyo ezongezelelweyo zemifanekiso okanye uvavanyo lwegazi. Ezi zisetyenziselwa ukufumanisa inqanaba lomhlaza. Oko kukuthi, ukufumanisa ukuba umhlaza usasazeke ngaphandle kweliso na kwamanye amalungu omzimba.

Zithini iindlela zonyango zoku?

Ukuba awunazo iimpawu zethumba elingaphakathi kweliso lakho, umbono wakho awuchaphazeleki, kwaye ithumba lincinci (lingaphantsi kwe-2.5 millimeters ubukhulu), usenokungadingi ukuqala unyango kwangoko . Ugqirha wakho unokucebisa into ebizwa ngokuba yi " watchig waiting ." Oku kuthetha ukulinda ixesha elithile ngaphambi kokuba uqale unyango, ngelixa usoloko ujonga ithumba ukuze ubone ukuba liyakhula na.

Nangona kunjalo, ukuba udinga unyango, unyango oluqhelekileyo lunyango lwemitha okanye utyando . Unyango olulungele wena luya kuxhomekeka kwizinto ezifana nezi:

• Apho kukho ithumba.
• Ubungakanani kunye nobukhulu bethumba.
• Ingaba umhlaza usasazeke na kwezinye iindawo zomzimba.
• Ubudala bakho kunye nempilo yakho ngokubanzi.

Utyando lwenziwa njani?

Kukho iintlobo ezahlukeneyo zotyando lwe-melanoma yangaphakathi kweso:

• Ukususwa kwangaphandle: Kule nto, ithumba elinomhlaza kunye nenani elincinci lezicubu eziphilileyo ezijikeleze lona zisuswa ngaphandle kweliso ngaphakathi.
• Ukususwa ngokupheleleyo kweliso (i-Enucleation):Kule nto, iliso kunye nenxalenye yomthambo wokubona ziyasuswa.

Zonke ezi nkqubo zotyando zinomngcipheko wokulahlekelwa kukubona. Nangona iliso lokufakelwa linokufakwa emva kokukhutshwa kwe-enucleation, iliso aliyi kubonelela ngombono.

Ziziphi iindlela zonyango lwe-radiation?

Unyango ngemitha yindlela yokutshabalalisa iithumba ezinomhlaza kusetyenziswa iidosi eziphezulu zemitha. Ngokuxhomekeke kubukhulu nendawo yethumba lakho, ugqirha wakho unokucebisa oku kulandelayo:

• Unyango lwemitha yangaphandle: Kule meko, imisebe yemitha ijoliswe kwithumba elingaphandle komzimba. Iindlela ezikhethekileyo, ezifana nemitha yemitha yeproton, zinokujolisa ngokuchanekileyo kwithumba, zinciphise umonakalo kwizicubu ezingqongileyo zamehlo nezobuchopho.
• Unyango lwemitha yangaphakathi: Oku kuquka ukubeka "imbewu" ezinemitha ye-radioactive ngaphakathi kweliso, kufutshane nethumba. Oogqirha babiza le ndlela ngokuba yi-radioactive plaque therapy . Ezi "mbewu" zingaphakathi kwidiski yesinyithi (iPlaque/Disk). Oku kuthintela imitha ye-radiation ukuba ingonakalisi ezinye iindawo zeliso.

Zeziphi ezinye iindlela zonyango ezikhoyo?

Kukho ezinye iindlela zonyango ezininzi:

• Unyango lobushushu lwe-Transpupillary (TTT): Olu nyango lusebenzisa ubushushu obuvela kwimitha yelaser ukutshabalalisa ithumba.
• Ukususwa kwesisu: Oku kuquka ukususwa kwesi sifo ngaphakathi kweliso ngotyando.

Zithini amathuba okuchacha ukuba unesifo esi? (Outlook)

Uphando lubonisa ukuba phakathi kwama-40% nama-50% abantu abane-melanoma yangaphakathi kweliso baya kusasazeka baye kwezinye iindawo zomzimba. Kwezo meko, malunga nama-90% baya kusasazeka esibindini . Ii-melanomas ezikhula kwi -choroid nakwi -ciliary body zinokwanda ngakumbi kunee-melanomas ezikhula kwi -iris .

Kodwa khumbula, njengayo yonke imihlaza, okukhona oku kubonwa ngokukhawuleza kwaye unyango luqala, kokukhona amathuba okunyangwa esanda.

Ngaba singakuthintela oku ukuba kungenzeki?

Enyanisweni, asinakulawula uninzi lwezinto ezinokubangela umhlaza obangelwa yi-intraocular melanoma, njengobudala nombala wolusu. Nangona kunjalo, eyona nto ibalulekileyo onokuyenza kukubona ugqirha wamehlo rhoqo kwaye uhlole amehlo akho. Ngale ndlela, ukuba kukho ingxaki, inokubonwa kwangethuba.

Ndingenza ntoni ukuba ndinayo le meko?

Ukuba ugqirha uthi unale meko,Eyona nto ibalulekileyo kukuhlala unxibelelana naye kwaye ubeke iliso kwimeko ngokusondeleyo. Kusenokufuneka ukuba uhlolwe imifanekiso yesibindi ngamaxesha athile ukuze ubone ukuba umhlaza usasazekile na. Ungakhathazeki, ugqirha wakho uza kukunika lonke icebiso olifunayo.

Ndingayibuza ntoni ugqirha?

Ukuba une-melanoma yangaphakathi kweliso, ungabuza ugqirha wakho imibuzo efana nale:

• Ingakanani isiqhamo?
• Zeziphi iindlela zonyango ezifanelekileyo kum?
• Ngaba unyango luza kuyichaphazela indlela endibona ngayo?
• Ngaba kukho naziphi na iimvavanyo zeklinikhi endinokuthi ndithathe inxaxheba kuzo?
• Ngaba umhlaza ungabuya emva konyango?

Umyalezo Wokuya Ekhaya

I-Intraocular Melanoma luhlobo lomhlaza oluchaphazela iiseli ezingaphakathi kweliso, ingakumbi i-uvea . Iimpawu zingabandakanya ukulahleka kokubona kunye notshintsho kwindlela elibonakala ngayo iliso. Ingasasazeka nakwezinye iindawo zomzimba, njengesibindi. Unyango lwemitha kunye notyando zezona ndlela ziphambili zonyango. Nangona le yimeko engaqhelekanga, ukubonwa kwangoko kunye nonyango olufanelekileyo kubaluleke kakhulu. Ke ngoko, nyamekela amehlo akho kwaye ungalibali ukwenza uhlolo lwamehlo rhoqo.

I- Intraocular Melanoma, Umhlaza Wamehlo, I-Uveal Melanoma, Iimpawu Zomhlaza Wamehlo, Unyango Lomhlaza Wamehlo, Ukulahlekelwa Yimbono