Ngaba wakha weva 'ngemisipha egudileyo'? Ezi azifani nezihlunu ezingalweni nasemilenzeni yethu esizilawulayo ngobulumko. Ziluhlobo olukhethekileyo lwemisipha esebenza ngokuzenzekelayo kwizitho zomzimba ezingaphakathi emizimbeni yethu, njengamathumbu ethu, imithambo yegazi, kunye nesibeleko. Khawucinge nje, umhlaza ongaqhelekanga nosasazeka ngokukhawuleza unokukhula kwindawo enjalo. Loo mhlaza ubizwa ngokuba yiLeiomyosarcoma, okanye i-LMS. Nangona eli gama linzima kancinci, ukuliqonda kunokuba yinto ebaluleke kakhulu kuwe nakubantu obathandayo.
Yintoni kanye kanye i-leiomyosarcoma (LMS)?
Ngamafutshane, i-leiomyosarcoma (LMS) luhlobo lomhlaza olungaqhelekanga nolunobundlongondlongo oluqala kwimisipha ethambileyo emizimbeni yethu. Ezi zihlunu zithambileyo zifumaneka kwiindawo ezininzi emizimbeni yethu. Umzekelo:
- Isinyi
- Ivazi yegazi
- Amathumbu amakhulu namancinci
- Isisu
- Isibeleko
Lo mhlaza, obizwa ngokuba yi-LMS, ungoweqela elikhulu lee-cancer ezibizwa ngokuba zii-soft tissue sarcomas . Enye yezinto eziyingozi ngalo mhlaza kukuba ezi seli zomhlaza zikhula ngokukhawuleza. Ngamanye amaxesha, i-tumor inokuphinda kabini ngobukhulu kwinyanga nje enye. Kwakhona, ezi seli zomhlaza zinokuhamba ngegazi zize zisasazeke nakweyiphi na i-tissue ethambileyo emzimbeni.
Abanye abantu ababi nazimpawu kwasekuqaleni. Ngexesha lokuvela kweempawu, esi sifo sisenokuba sibi kakhulu. Ngenxa yoko, sinokuba yingozi ebomini. Nangona kunjalo, ukuba sifunyenwe kwangethuba kwaye sinyangwa ngokufanelekileyo , kukho ithuba elikhulu lokuchacha ngokupheleleyo.
Kuqhelekile ukuziva uxinezelekile kwaye wothukile xa ufunyaniswa ukuba unomhlaza. Khumbula ukuba awuwedwa. Iqela lakho lezonyango likho ukuze likuncede. Banokukunika naluphi na ulwazi okanye inkxaso oyifunayo.
Ziziphi iintlobo eziphambili zomhlaza we-LMS?
Umhlaza we-LMS unokwahlulwa ube ziintlobo ezintathu eziphambili, ngokusekwe kwindawo okhula kuyo.
| Uhlobo lomhlaza | Imvelaphi kunye nenkcazo |
|---|---|
| Izicubu ezithambileyo zeSomatic LMS | Olu lolona hlobo luqhelekileyo lwe-LMS. Lukhula kwizicubu zomzimba ezidityanisiweyo. I-leiomyosarcoma yesibeleko, ekhula kwisibeleko, ngumzekelo omhle woku. |
| I-LMS enesikhumba okanye engaphantsi komzimba | Olu hlobo lwenzeka kwimisipha emincinci ebizwa ngokuba yi-piloector muscle eluswini nasemahlweni. Le misipha inoxanduva lokwandisa nokwandisa umfundi weliso lethu. |
| I-LMS yemvelaphi yemithambo yegazi | Olu lolona hlobo lungaqhelekanga lwe-LMS. Umhlaza ukhula kwimithambo yegazi emikhulu, njengemithambo yemiphunga kunye ne-inferior vena cava, nto leyo ekhokelela emiphungeni. |
Zithini iimpawu zalo mhlaza?
Iimpawu zomhlaza we-LMS zahluka kakhulu ngokuxhomekeke kubukhulu bethumba kunye nendawo elikuyo. Abanye abantu basenokungabi nazo iimpawu ekuqaleni. Nangona kunjalo, njengoko ithumba likhula, ezinye iimpawu zisenokuqala ukubonakala.
| Uhlobo oluneempawu | Izinto onokuzibona |
|---|---|
| Iimpawu eziqhelekileyo | |
| Iqhubu | Iqhuma okanye ukudumba okungenabuhlungu, okuqinileyo. |
| Ezinye iimpawu | Ukudumba, umkhuhlane, isicaphucaphu nokuhlanza, iintlungu, ukudinwa kakhulu, ukwehla kobunzima ngaphandle kwesizathu esicacileyo. |
| Ukuba ngumhlaza wenkqubo yokugaya ukutya (amathumbu, isisu)... | |
| Intlungu yesisu | Intlungu yesisu rhoqo. |
| Utshintsho kwisihlalo | Indle emnyama ngenxa yegazi elidlula kuyo. |
| Ezinye iimpawu | Ukulahlekelwa ngumdla wokutya, isicaphucaphu, kunye nokuhlanza. |
| Ukuba ngumhlaza wesibeleko... | |
| Ukopha okungaqhelekanga | Ukopha okungaqhelekanga phakathi kokuya exesheni okanye emva kokuya exesheni. |
| Ezinye iimpawu | Ukusoloko ufuna ukuchama, ukukhupha ulwelo olungaqhelekanga kwilungu lobufazi. |
Yintoni isizathu sokwenziwa kwe-LMS?
Oogqirha abakafumani unobangela ochanekileyo woku. Nangona kunjalo, kukholelwa ukuba zimbini izinto eziphambili ezinokudlala indima. Enye kukutshintsha kwemfuza okuzuzwa njengelifa. Enye kukuba ngexesha lobomi, utshintsho olungalindelekanga kwimfuza yomntu lubangela ukuba iiseli eziqhelekileyo zikhule ngokungalawulekiyo kwaye zibe ziiseli zomhlaza.
Abaphandi bafumanise unxibelelwano phakathi komhlaza we-LMS kunye neemeko ezithile zemfuza. Ezinye zezi meko ziquka:
- Isifo sikaGardner
- Isifo sikaGorlin
- I-retinoblastoma yelifa
- Isifo seLi-Fraumeni
- Uhlobo lwe-Neurofibromatosis 1 (NF1)
- I-Tuberous sclerosis
Indlela yokuxilonga esi sifo?
Ukuba ufumanisa naziphi na iimpawu, ugqirha wakho uya kuqala akuhlole ngokwasemzimbeni aze akubuze ngeempawu zakho. Emva koko, baya kuyalela uvavanyo oluthile lwemifanekiso ukuze babone ubungakanani obuchanekileyo kunye nendawo yomhlaza.
- I-Angiography - ukuvavanya imithambo yegazi
- I-CT scan (i-computed tomography - i-CT scan)
- Iskeni se-MRI (Umfanekiso we-Magnetic resonance - i-MRI)
- Iskeni yePET
Nangona kunjalo, ukuqinisekisa esi sifo nge-100%, kufuneka i-biopsy ngokuqinisekileyo.
I-biopsy ibandakanya ukuthatha iqhekeza elincinci kakhulu lesicubu esisuka kwithumba lomhlaza size silithumele kwilebhu ukuze lihlolwe phantsi kwe-microscope. Ingcali yezifo ihlola isicubu ukuze ifumanise ukuba ngumhlaza we-LMS okanye akunjalo.
Ziziphi iindlela zonyango ze-LMS?
Unyango luxhomekeke kubukhulu, uhlobo, indawo yomhlaza, nokuba usasazeke na. Kukho iindlela ezahlukeneyo zonyango eziphambili.
- Utyando: Nanini na xa kunokwenzeka, unyango oluphambili lwe-LMS lutyando lokususa ngokupheleleyo ithumba. Injongo kukuthintela umhlaza ukuba ungabuyi.
- Unyango lweKhemotherapy: Ukuba ithumba likhulu, okanye ukuba iiseli zomhlaza zisasazeke kwezinye iindawo zomzimba, ugqirha unokucebisa unyango lwekhemotherapy.
- Unyango ngemitha: Ngamanye amaxesha unyango ngemitha lunikwa ngaphambi kotyando ukuze kuncitshiswe ithumba (unyango lwe-neoadjuvant). Lukwasetyenziswa emva kotyando ukubulala naziphi na iiseli zomhlaza eziseleyo (unyango oluncedisayo).
- Unyango olujoliswe kulo: Le yindlela entsha yonyango. Isebenzisa amayeza ajolise kwaye onakalise iiseli zomhlaza kuphela. Olu nyango lunokunikwa lodwa okanye ludityaniswe nezinye iindlela zonyango.
Iyintoni imbonakalo yesi sifo?
Ingqikelelo ye-LMS yahluka kakhulu kumntu nomntu. Ichatshazelwa kakhulu linqanaba, ubungakanani, kunye nendawo yomhlaza. Eyona nto ibalulekileyo kukuba ukuba isifo sifunyenwe kwaye sinyangwa kwangethuba, sinokunyangwa ngokupheleleyo.
Nangona kunjalo, ukuba isifo sifunyenwe emva kwexesha, oko kukuthi, kwinqanaba eliphezulu njengeSigaba sesi-4, unyango lunzima ngakumbi. Kwimeko enjalo, nangona isifo singenakunyangwa ngokupheleleyo, unyango lunokusilawula kwaye lwandise ubomi besigulana.
Amanani okusinda asekelwe kwidatha yabantu ababenale sifo ngaphambili. Ngoko ke, musa ukwenza izigqibo ngekamva lakho okanye ukhathazeke ngalo ngokusekelwe kuloo manani. Umntu ongcono ukwazi kakuhle imeko yakho ngugqirha okunyangayo. Thetha naye ngale nto ngokukhululekileyo.
Imibuzo ebalulekileyo yokubuza ugqirha wakho
Xa ufumanisa ukuba unomhlaza we-LMS, kuyinto eqhelekileyo ukuba nemibuzo emininzi engqondweni yakho. Kubalulekile ukubuza ugqirha wakho le mibuzo uze ufumane ukuqonda okucacileyo ngemeko yakho.
- Umhlaza wam uphi emzimbeni wam?
- Ingaba umhlaza usasazeke nakwezinye iindawo?
- Umhlaza wam ukuliphi inqanaba?
- Ziziphi iindlela zonyango endinazo?
- Zithini iingozi kunye nemiphumo emibi yezo ndlela zonyango?
- Lithini ithuba lokuba umhlaza uphinde ubuye emva konyango?
- Ungandixelela ntoni ngekamva lesi sifo sam?
Xa unesifo esingaqhelekanga esifana nesi, kuyinto eqhelekileyo ukuziva uwedwa. Ukuba unako, joyina iqela lenkxaso labantu abanale meko. Inokuba ngumthombo omkhulu wamandla engqondo. Khumbula, iqela lakho lezonyango lihlala likhona ukukunceda.
Umyalezo Wokuya Ekhaya
- I-Leiomyosarcoma (LMS) luhlobo lomhlaza olungaqhelekanga nolukhula ngokukhawuleza olukhula kwizihlunu ezithambileyo.
- Iimpawu zixhomekeke kwindawo okhoyo umhlaza. Ngamanye amaxesha kusenokungabikho zimpawu kwaphela kwizigaba zokuqala.
- Ukuba ufumana iimpawu ezifana neqhuma elingaqhelekanga emzimbeni wakho, iintlungu ezingachazekiyo, okanye ukwehla kobunzima bomzimba, bona ugqirha ngokukhawuleza.
- Esi sifo sinokunyangwa ngokupheleleyo ngokusibona kwangethuba kunye nonyango olufanelekileyo.
- Kubalulekile ukuthetha ngokukhululekileyo nangokunyaniseka nogqirha wakho malunga nemeko yakho, unyango, kunye nekamva lakho. Awuwedwa.
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