Khawucinge ukuba uye kwi-scan ukuze ufumane enye ingxaki yesisu. Ugqirha ojonge ingxelo yakho ngequbuliso uthi, "Kukho into ebonakala ngathi sisimila esincinci esibindini sakho." Ngaloo mzuzu, umzimba wakho uyaphelelwa ngamandla, akunjalo? Xa sisiva igama elithi 'isimila sesibindi', uloyiko 'lomhlaza' lufika kwiingqondo zethu ezininzi. Kodwa ngaba zonke izimila ezikhula esibindini zingumhlaza ngokwenene? Okanye le ayisiyonto yokoyika? Namhlanje, siza kuthetha ngayo ngokweenkcukacha ukuze siphendule yonke imibuzo esengqondweni yakho.
Ngamafutshane, zithini ezi zilonda zesibindi?
Ithumba lesibindi, okanye njengoko oogqirha beyibiza, "iLiver Lesion," kukukhula okungaqhelekanga kweeseli ngaphakathi kwesibindi sakho. Lifana nophawu lokuzalwa okanye iqhuma elincinci eluswini lwethu. Ezi zikwabizwa ngokuba "yi-mass" okanye "i-tumor".
Into ebalulekileyo kukuba, ayizizo zonke ezi nati ezifanayo. Kukho iintlobo ezimbini kuphela:
1. Iithumba ezingenobungozi: Ezi zezona zixhaphakileyo. Azingomhlaza. Oku kuthetha ukuba azisasazeki kwezinye iindawo zomzimba. Uninzi lwexesha, azibangeli monakalo. Uninzi lwabantu luphila nezi thumba ubomi babo bonke ngaphandle kweengxaki.
2. Iithumba ezinobungozi: Ezi zezona ntlobo esifanele sizoyike. Ezi zibizwa ngokuba ngumhlaza wesibindi. Zinokukhula ngokungalawulekiyo zize zisasazeke kwezinye iindawo zomzimba. Esi sisifo esinzulu esifuna unyango ngokuqinisekileyo.
Rhoqo, umntu ufumanisa ukuba unethumba elinje ngengozi ngexesha lokuhlolwa ngesinye isizathu. Ngoko ke akukho mfuneko yokoyika ngoko nangoko. Into ebalulekileyo kukufumanisa kuqala ukuba loluphi uhlobo lwalo.
Izimila ezingenobungozi ezingenakusoyikwa
Njengoko besitshilo, la ngamathumba angenamhlaza, okanye angenabungozi, ahlala ebonakala. Kunokubakho izizathu ezahlukeneyo zokuba avele. Makhe sijonge iintlobo eziphambili.
| Uhlobo lweSilonda | Ingcaciso elula |
|---|---|
| I-Focal Nodular Hyperplasia | Eli lithumba elivela xa iiseli zesibindi zihlangana. Ngokuqhelekileyo kucingelwa ukuba libangelwa kukutshintsha komthambo wegazi ohambisa igazi esibindini. Oku akunabungozi. |
| I-Hemangioma | Oku kufana neqela lemithambo yegazi edityaniswe ngendlela engaqhelekanga. Isenokuba yinto ekhoyo ekuzalweni. Le idla ngokuba yingozi. Kodwa ngamanye amaxesha inokuba nkulu kancinci. |
| I-Adenomas yesibindi | Ezi zikwazizimila ezingezizo zomhlaza. Zihlala zenzeka kufutshane nomphezulu wesibindi. Zixhaphake kakhulu kubafazi abasebenzisa amayeza e-hormone, njengeepilisi zokulawula ukukhulelwa. |
| Iintsholongwane zesibindi | Ezi zifana namadyungudyungu azaliswe ngamanzi. Ezi ngxowa zizaliswe lulwelo ezithi zibe ngaphakathi esibindini azisoloko zibangela ngxaki. |
Eyona nto ibalulekileyo kukuba i-99% yezi thumba "zingenobungozi" zingasentla azibonisi zimpawu. Ngoko ke musa ukoyika nokuba ufumanisa ukuba unayo.
Iintlobo zeethumba ezinobungozi ekufuneka uziqaphele
Ngoku masithethe ngeethumba ezinomhlaza esizoyikayo sonke. Ezi zinokwenzeka ngeendlela ezimbini eziphambili.
1. Umhlaza weSibindi oPhambili: Ngamafutshane, lo mhlaza uqala esibindini ngokwaso. Iiseli zesibindi eziqhelekileyo zitshintsha ngendlela engaqhelekanga kwaye ziqala ukwahlukana ngendlela engalawulekiyo. Iintlobo ezimbini eziqhelekileyo zolu hlobo lomhlaza yi-"Hepatocellular carcinoma" kunye ne-"Cholangiocarcinoma" (umhlaza wemibhobho yenyongo).
2. Umhlaza wesibindi oqala kwenye indawo emzimbeni, njengamathumbu amakhulu, imiphunga, okanye amabele, usasazeka uye esibindini ngegazi uze wenze iithumba zesibindi. Le yimeko enzulu kakhulu.
Zingaba yintoni iimpawu zoku?
Iimpawu ziyahluka kakhulu kuxhomekeke ekubeni ithumba alinamhlaza okanye lingumhlaza.
Iimpawu zeethumba ezingezizo ezomhlaza (ezingenobungozi)
Ezi azisoloko zibangela naziphi na iimpawu.Kodwa kunqabile kakhulu, ukuba ithumba elifana neli likhankanywe apha ngasentla likhula libe malunga neesentimitha ezingama-30 (malunga nenyawo), linokucindezela amalungu akufutshane anjengesisu kunye nenyongo. Ukuba oko kuyenzeka,
- Ukungakhululeki kwesisu okanye intlungu
- Ukuziva ugcwele
Usenokuziva izinto ezinjalo. Kodwa oku kuyinto engaqhelekanga.
Iimpawu zeethumba ezinobungozi
Iimpawu zeethumba ezinomhlaza zicacile kwaye zicacile. Ukuba unenye okanye ngaphezulu kwezi, kufuneka ubone ugqirha ngokukhawuleza.
- Imvakalelo efana neqhubu phantsi kwembambo yasekunene.
- Intlungu kwicala lasekunene lesisu okanye phantsi kwegxalaba lasekunene.
- Ukutyheli kwamhlophe emehlweni naselusu (i-Jaundice).
- Ukunciphisa umzimba ngaphandle kwesizathu.
- Ukutya akunancasa.
- Ukudinwa rhoqo kunye nobuthathaka.
- Ukudumba kwesisu.
Kutheni le nto ezi zifo zesibindi zenzeka?
Isizathu esichanekileyo seethumba ezingezizo zomhlaza asikaziwa okwangoku, kodwa iingcali zikholelwa ukuba kukho izinto ezithile ezinokubangela oku.
- Iipilisi zokulawula ukuzala okanye unyango lweehomoni: Ihomoni ye-estrogen kwezi zinto inokuba nefuthe.
- I-Liver Fibrosis: Ukuvaleka kwesibindi ngenxa yesifo sesibindi esihlala ixesha elide.
- Ukutshaya: Ukutshaya kubeka uxinzelelo kwisibindi.
Iithumba ezinomhlaza zenzeka xa i-DNA yeeseli zesibindi yonakele kwaye iqala ukukhula ngendlela engaqhelekanga nangokungalawulekiyo. Kukho izinto ezininzi eziphambili ezonyusa le ngozi.
- I-Cirrhosis: Imeko apho isibindi sishwabana ngokupheleleyo size sizaliswe zizibazi ngenxa yezinto ezinje ngokusela utywala kakhulu nesibindi esinamafutha.
- Usulelo lweHepatitis B no-C olungapheliyo: Olu sulelo lubini lwentsholongwane lubangela umhlaza wesibindi.
Ugqirha uyifumana njani kanye kanye le nto?
Ukuba ukrokrela ukuba unethumba lesibindi, ugqirha wakho uza kwenza iimvavanyo ezininzi ukuqinisekisa ukuba loluphi uhlobo lwalo.
Awunakwazi ukubona ngoko nangoko ukuba ngumhlaza okanye akunjalo ngokujonga ingxelo. Kufuneka wenze uvavanyo oluthatha inyathelo ngenyathelo.
1. Ukubuza iinkcukacha: Okokuqala, ugqirha uza kukubuza ngononophelo malunga neempawu zakho, imbali yosapho lwakho, amayeza owasebenzisayo, kunye nokuba uyasela na utywala.
2. Uvavanyo lomzimba: Isisu siyaphathwa ngesandla ukuze kuhlolwe ukudumba kwesibindi kunye neqhuma.
3. Uvavanyo lweMifanekiso: Olu vavanyo lunceda ukubona ngokucacileyo ingaphakathi lesibindi.
- Iskena se-Ultrasound
- Iskena se-CT
- Iskeni yeMRI
4. Uvavanyo lweGazi: Olu vavanyo lwenziwa ukujonga ukusebenza kwesibindi kunye nokujonga izinto ezibizwa ngokuba yi-"Tumor Markers" eziphakanyisiweyo egazini kwezinye iintlobo zomhlaza.
5. I-Biopsy yesibindi: Le yeyona ngqinisiso icacileyo neyokugqibela. Apha, kuthathwa iqhekeza elincinci kakhulu lesicwili kwithumba lesibindi kusetyenziswa inaliti encinci kwaye ihlolwe phantsi kwemakroskopu ukuze kubonwe ukuba linazo na iiseli zomhlaza okanye iiseli eziqhelekileyo.
Zithini iindlela zonyango?
Iindlela zonyango zixhomekeke ekubeni unethumba elingelomhlaza okanye elinomhlaza.
- Kwizihlunu ezingezizo ezomhlaza (ezingenobungozi):
Ixesha elininzi , akukho nyango lufunekayo. Ugqirha wakho unokwenza nje iskeni ngamaxesha athile ukuze abone ukuba iyakhula na. Kodwa kuphela xa ithumba likhulu kakhulu kwaye libangela iimpawu ezifana neentlungu zesisu, apho utyando lunokwenziwa ukuze kususwe ithumba .
- Kwizimila ezinobungozi:
Kukho iindlela ezahlukeneyo zonyango zokunyanga oku. Ugqirha uza kugqiba ngolona nyango lungcono ngokusekwe kubukhulu bethumba, ukusasazeka kwalo, kunye nempilo yesigulana iyonke.
- I-Hepatectomy: Ukususwa kwenxalenye yesibindi equlathe ithumba ngotyando.
- Unyango lokuSusa: Lutshabalalisa iiseli zomhlaza ngokuthumela ubushushu obugqithisileyo, umkhuhlane ogqithisileyo, okanye iikhemikhali kwithumba.
- Unyango lweKhemotherapy: Ukunika amayeza anamandla okutshabalalisa iiseli zomhlaza.
- Ukufakelwa kwesibindi: Ukususwa ngokupheleleyo kwesibindi esinesifo kunye nokufakelwa kwesibindi esisempilweni.
Ngaba isibindi singaziphilisa ngokwaso ezi thumba?
Isibindi sesinye sezitho zomzimba ezimangalisayo emzimbeni wethu. Sinamandla amangalisayo okuzivuselela ngokwenza iiseli ezintsha. Umzekelo, nokuba isiqingatha sesibindi sisusiwe ngotyando, inxalenye eseleyo inokukhula ibuyele kubukhulu besibindi esipheleleyo.
Kwakhona, isibindi sinako ukulungisa umonakalo obangelwe zizifo zesibindi. Ngoko ke, kunokwenzeka ukuba umonakalo obangelwe zizifo ezingezizo zomhlaza nawo ungaphola.
Kodwa khumbula oku: Isibindi asinakuze sinyange ithumba elibi ngokwaso. Ngokuqinisekileyo sifuna unyango olufanelekileyo.
Ngaba ikho indlela yokuthintela ukuba ezi zinto zingabikho?
Akukho ndlela iqinisekileyo yokuthintela izimila ezingezizo ezomhlaza. Nangona kunjalo, zininzi izinto esinokuzenza ukunciphisa umngcipheko wokuba nezimila ezibangela umhlaza, ezizezona ngxaki zinkulu. Ngamafutshane, oko kuthetha ukugcina isibindi sethu sisempilweni.
- Kuphephe utywala nokutshaya: Ezi ziintshaba ezimbini eziphambili ezibeka uxinzelelo olugqithisileyo kunye nomonakalo kwisibindi.
- Zikhusele kwintsholongwane ye-hepatitis: Gonyelwa i-hepatitis B. Kuphephe ukwabelana ngesondo ngaphandle kokuzikhusela kunye neenaliti zokwabelana ngesondo.
- Yitya ukutya okunesondlo: Yitya imifuno, iziqhamo, kunye neeproteni ezingenamafutha amaninzi (intlanzi, inkukhu). Nciphisa ukutya okunamafutha amaninzi kunye neswekile.
- Gcina ubunzima obusempilweni: Ukulawula ubunzima bomzimba kunokuthintela umonakalo kwisibindi obangelwa kukuqokelelana kwamafutha (i-Fatty Liver).
Kuqhelekile ukuba uzive usoyika xa ufumanisa ukuba unesimila sesibindi. Kodwa eyona nto ibalulekileyo kukungabi noloyiko, kodwa kukufumana uvavanyo olufanelekileyo nokufumanisa ukuba loluphi uhlobo lwesimila. Thetha ngokukhululekileyo nogqirha wakho ngazo zonke izinto ozisoyikayo kunye nemibuzo yakho. Ukufumana ulwazi olufanelekileyo yeyona ndlela ilungileyo yokususa uloyiko olungeyomfuneko.
Umyalezo Wokuya Ekhaya
- Ayizizo zonke iithumba ezibonakala esibindini ezibangela umhlaza. Uninzi lwazo zizifo ezingenabungozi, ezingezizo umhlaza (ezingenobungozi).
- Ixesha elininzi, la mathumba afunyanwa ngengozi. Azibangeli zimpawu.
- Ukuba unentlungu yesisu ehlala iintsuku ezingaphezu kwezimbalwa, ingakumbi kwicala lasekunene, qiniseka ukuba ubona ugqirha.
- Eyona ndlela ilungileyo yokuzikhusela kwiithumba ezinomhlaza kukukhusela isibindi sakho ngokuphepha utywala nokutshaya, nokuhlala usempilweni.
- Ukuba unemibuzo malunga neziphumo zovavanyo lwakho okanye unyango, thetha nogqirha wakho ngokukhululekileyo ngazo. Musa ukoyika.
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