Nabani na ofunyaniswe enomhlaza uziva enoloyiko olukhulu kwaye othukile. Nangona kunjalo, kunzima nangakumbi ukufumanisa ukuba umhlaza usasazeke kwamanye amalungu omzimba ngelixa efumana unyango. Namhlanje siza kuthetha ngemeko enjalo. Oko kukuthi, xa umhlaza okwinxalenye ethile yomzimba usasazeka uye kumqolo. Kwizonyango, oku sikubiza ngokuba yi-'Spinal Metastasis'.
Ngamafutshane, yintoni i-metastasis yomgogodla?
Khawucinge ngomntu onomhlaza webele, umhlaza wemiphunga, okanye nawuphi na umhlaza. Ngamanye amaxesha, ezinye iiseli ezivela kuloo mhlaza ziyaqhekeka, zihambe ngegazi lethu, zize zifikelele kumthambo womqolo (inxalenye esiyibiza ngokuba ngumqolo) zize ziqale ukukhula apho. Yiloo nto siyibiza ngokuba yi-'Spinal Metastasis' okanye umhlaza wesibini emgogodleni.
Into ebalulekileyo kukuba lo asingomhlaza omtsha ovele emgogodleni. Okwenzekayo kule meko kukuba iiseli ezivela kumhlaza wokuqala (umzekelo, umhlaza webele) nazo zisasazeke emgogodleni. Ke ngoko, xa kunyangwa, unyango lunxulumene nomhlaza wokuqala.
Le meko yingxaki eqhelekileyo phakathi kwezigulane ezinomhlaza. Ngokuqhelekileyo, ezi seli zomhlaza zisasazeka ziye kwi-vertebrae ephakathi komqolo (umqolo wesifuba) nakwinxalenye esezantsi yomqolo (umqolo we-lumbar). Ngamanye amaxesha, umhlaza ungasasazeka uye kumqolo womqolo ngale ndlela.
Uzibona njani iimpawu zoku?
Iimpawu zomhlaza ezisasazeka emgogodleni zingahluka ngokuxhomekeke kwindawo apho umhlaza ukhoyo (oko kukuthi, emgogodleni okanye emgogodleni). Makhe sijonge iimpawu eziphambili onokuzifumana.
| Uphawu | Ivakala njani kwaye ngoba? |
|---|---|
| Intlungu yomqolo okanye yentamo | Olu lolona phawu luqhelekileyo. Umhlaza wonakalisa amathambo omqolo. Oku kunokubangela iintlungu ezibuhlungu okanye iintlungu ezibukhali nezihlabayo. Le ntlungu inokuba mandundu ebusuku. |
| Utshintsho kwimo yomqolo | Umhlaza ungatshintsha imo yendalo yomqolo, nto leyo ebangela ukuba ugobe okanye ugobe. |
| Ubungqingili, ubuthathaka, okanye ukurhawuzelelwa | Xa umhlaza ucinezela umqolo, ucinezela imithambo-luvo ebaleka iye ezingalweni nasemilenzeni. Oku kunokubangela ukungaziva kakuhle kunye nokuziva ulahlekelwe zingqondo ezingalweni nasemilenzeni. Ngamanye amaxesha, usenokuva neenaliti esifubeni. |
| Ubunzima bokulawula umchamo kunye nendle | Umsebenzi wesinyi sethu kunye namathumbu ulawulwa yi-spinal cord. Ngoko ke ukuba ithumba licinezela i-spinal cord, unokufumana ukungakwazi ukuzibamba okanye ukungakwazi ukuzibamba ngaphandle kokuqaphela. |
| Ukukhubazeka komzimba | Le yimeko embi kakhulu. Ukuba imithambo-luvo ekwi-spinal cord yonakaliswe kakhulu ngumhlaza, imiyalezo evela engqondweni ayifikeleli kumzimba wonke. Oku kunokukhokelela ekulahlekelweni zimvakalelo kwimilenze kunye nokukhubazeka. |
Kutheni oku kusenzeka? Zeziphi iintlobo zomhlaza ezinokuthi zisasazeke emgogodleni?
Njengoko besitshilo ngaphambili, kulapho iiseli ezivela kumhlaza wokuqala zihamba khona ngegazi zize zifikelele kumqolo. Nangona nawuphi na umhlaza unokusasazeka ngale ndlela, uxhaphake kakhulu kwiintlobo ezithile zomhlaza. Nazi iintlobo zomhlaza ezixhaphakileyo:
- Umhlaza webele
- Umhlaza wemiphunga
- Umhlaza weprostate
- Umhlaza wezintso
- Umhlaza weColorectal kunye neminye imiphunga yesisu
- Umhlaza we-thyroid
Ugqirha uyifumanisa njani le nto? (Ukuxilongwa)
Ukuba unomhlaza kwaye uneempawu ezifana neentlungu zomqolo, into yokuqala ugqirha wakho aza kuyenza kukuxilonga ngononophelo. Baza kujonga ibhalansi yakho kunye nokuba ziqine kangakanani iingalo nemilenze yakho. Baza kubuza ngentlungu. Oko kukuthi, luhlobo luni lwentlungu, ivela nini, kwaye ingaba ihlala ihleli okanye ayihlali.
Emva koko, baya kubuza ngembali yakho yezonyango baze bacebise iimvavanyo ezininzi ukuqinisekisa le meko.
- Uvavanyo lwegazi: Xa amathambo ephuka ngenxa yomhlaza, iikhemikhali ezifana ne-calcium kunye ne-alkaline phosphatase ezivela kuloo mathambo zingena egazini. Ngoko ke uvavanyo lwenziwa ukuze kubonwe ukuba zininzi na ezi zinto egazini.
- Uvavanyo lwemifanekiso: I-MRI scan ingabonisa kakuhle umqolo, imithambo-luvo kunye nomqolo. I-CT scan ingafumanisa iingxaki ngamathambo omqolo (i-vertebrae). Kwane-X-ray eqhelekileyo ingabonisa ukukhula okungaqhelekanga kumqolo.
- Ukuhlolwa kwamathambo: Oku kungabona naziphi na iingxaki emgogodleni, ezinokuba yindawo apho umhlaza usasazeke khona.
- Ukufunxwa kwenaliti encinci / iBiopsy: Ngamanye amaxesha, kuthathwa isampulu encinci kakhulu yethumba okanye ithambo elisemgogodleni ukuze livavanywe. Oku kunokunceda ekuqinisekiseni ukuba loluphi uhlobo lomhlaza olusasazeke emgogodleni.
Zithini iindlela zonyango zoku?
Into yokuqala ekufuneka siyiqonde kukuba i-spinal metastasis linqanaba eliphambili lomhlaza. Oku kuthetha ukuba kunzima ukunyanga ngokupheleleyo. Nangona kunjalo, iinjongo eziphambili zonyango lwangoku kukulawula iintlungu, ukugcina ukusebenza komgogodla kangangoko kunokwenzeka, kunye nokucothisa ukukhula komhlaza.
Unyango olufumanayo luya kuxhomekeka kwizinto ezahlukeneyo.
- Uhlobo lomhlaza wokuqala: Umzekelo, ukuba umhlaza wemiphunga usasazeka uye emgogodleni, umqolo nawo uneeseli zomhlaza wemiphunga. Ke ngoko, unyangwa ngamayeza asebenzayo kakhulu kumhlaza wemiphunga.
- Impilo yakho iyonke: Umhlaza usenokuba awuzange usasazeke kuphela emgogodleni wakho, kodwa nakwamanye amalungu omzimba wakho (njengengqondo okanye isibindi sakho). Zonke ezi zinto ziya kuqwalaselwa xa kuthathwa isigqibo ngonyango.
- Apho umhlaza ukhoyo: Unyango lunokwahluka ngokuxhomekeke ekubeni umhlaza usemathanjeni omqolo okanye kumqolo.
Iindlela eziphambili zonyango ezisetyenziswayo zezi:
- Unyango lweKhemotherapy: Oku kuquka ukunika umzimba amayeza abulala iiseli zomhlaza. La mayeza angathathwa njengeepilisi okanye anikwe njengenaliti emthanjeni. Ngenxa yokuba la mayeza ahamba emzimbeni wonke, anokunceda ukubulala iiseli zomhlaza emgogodleni kunye neeseli zomhlaza kwezinye iindawo zomzimba.
- Unyango ngemitha: Oku kusebenzisa ii-X-reyi ezinamandla aphezulu ukutshabalalisa iiseli zomhlaza okanye ukunciphisa iithumba. Oku kunokubonelela ngesiqabu esikhulu kwiintlungu.
- Utyando lwe-radiosurgery olusebenzisa i-stereotactic:Olu asilotyando. Yindlela echanekileyo nejolise kakhulu yokuhambisa imisebe yemitha kwithumba lomhlaza kuphela. Oku akubangeli monakalo mkhulu kwizicwili eziphilileyo ezijikelezileyo.
- Utyando: Utyando ludla ngokwenziwa kuphela ukuba ezinye iindlela zonyango aziphumelelanga. Ngamanye amaxesha, ukuba kukho ukwaphuka koxinzelelo, utyando oluncinci olufana ne-'Vertebroplasty' okanye 'Kyphoplasty' lunokwenziwa ukuqinisa amathambo nokunciphisa iintlungu.
- Unyango oluthomalalisa iintlungu: Olu lunyango olubaluleke kakhulu. Injongo ephambili yoku asikuko ukunyanga esi sifo, kodwa kukuphucula umgangatho wobomi besigulana. Kubandakanya ukulawula iintlungu, ukulawula iziphumo ebezingalindelekanga zonyango, kunye nokubanceda bajongane nale meko.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga kwezi ndlela zonyango?
Ewe, njengalo naluphi na unyango, kunokubakho iziphumo ebezingalindelekanga.
- Ngexesha lonyango lwe-chemotherapy kunye ne-radiation, izinto ezinje ngokudinwa, ukulahleka kweenwele, isicaphucaphu, kunye nokuhlanza ziqhelekile.
- Ngexesha lotyando lwe-stereotactic radiosurgery: Usenokuziva udiniwe kakhulu.
- Ngexesha lotyando lweKyphoplasty okanye lweVertebroplasty: Usulelo, ukopha, iintlungu ezingakumbi, kunye nokungaziva mnandi zinokwenzeka rhoqo.
Ungaze woyike ukuthetha nogqirha wakho ngayo nayiphi na imiphumo emibi oyifumanayo. Zikhona neendlela zonyango zazo.
Ungazinyamekela njani?
Ngeli xesha linzima, kubaluleke kakhulu ukuzinyamekela kakuhle kunye nokufuna unyango.
- Yitya kakuhle: Umhlaza kunye nonyango lwawo lunokubangela ukuphelelwa ngumdla wokutya. Kodwa zama ukutya ukutya okunesondlo ukuze ufumane amandla afunekayo emzimbeni wakho. Ukuba unengxaki yokutya, cela ingcebiso kwingcali yesondlo.
- Cinga ngempilo yakho yengqondo: Kuqhelekile ukuba ube noxinzelelo okanye ixhala xa ujamelene nale meko. Ukuba unengxaki, ukuthetha nomcebisi wezempilo yengqondo kunokuba luncedo kakhulu.
- Lawula uxinzelelo: Izinto ezifana nokucamngca kunye nokuzilolonga ngokuphefumla zinokunceda ekunciphiseni uxinzelelo.
- Buza ugqirha wakho imibuzo: Thetha ngokukhululekileyo nogqirha wakho malunga nemeko yakho, unyango, iziphumo ebezingalindelekanga, kunye nolawulo lweentlungu. Babuze ngazo naziphi na izinto onokuba nazo ezoyikisayo okanye ezikuxhalabisayo.
Ziziphi iimeko ezifuna ingqwalasela ekhawulezileyo?
Kufuneka ulumke kakhulu ngezi mpawu. Ukuba kukho naziphi na kwezi mpawu , kufuneka uye kwiSebe leNgxamiseko (ETU) esibhedlele ngoko nangoko.
| Amathuba | Kwenziwe ntoni |
|---|---|
| Ukuba intlungu ayinakulawulwa ngamayeza okuthomalalisa iintlungu achazwe ngugqirha. | Fowunela ugqirha wakho. |
| Ukuba ufumana iintlungu zomqolo okanye zentamo ezingalindelekanga, ezibukhali, ezinganyamezelekiyo (oku kungaba luphawu lokuba waphukile). | Fowunela ugqirha wakho. |
| Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) ngoko nangoko! | |
| Ukuba imilenze yakho nesisu sakho zivakala ngathi azinamsebenzi. | Yiya esibhedlele ngoko nangoko. |
| Ukuba kunzima ukushukumisa imilenze yakho, ukuba iziva ngathi ayinabomi. | Yiya esibhedlele ngoko nangoko. |
| Ukuba awukwazi ukulawula umchamo okanye ilindle lakho. | Yiya esibhedlele ngoko nangoko. |
| Ukuba awukwazi ukuchama. | Yiya esibhedlele ngoko nangoko. |
Kuqhelekile ukuziva uxinezelekile, usoyika, unomsindo, kwaye ungaqinisekanga ngekamva xa ufumana isifo esifana nesi. Iqela lakho lezonyango liyayiqonda yonke le mvakalelo. Ngoko ke yabelana nabo ngeengcinga zakho kunye neenkxalabo zakho. Bahlala bekulungele ukukunceda.
Umyalezo Wokuya Ekhaya
- Ukusasazeka komhlaza emgogodleni akusiso isifo somhlaza esitsha, kodwa kukusasazeka komhlaza ukusuka kwenye indawo emzimbeni ukuya emgogodleni.
- Ukuba unomhlaza, ungaze uyityeshele intlungu engaqhelekanga neqatha emqolo okanye entanyeni yakho. Xelela ugqirha wakho ngoko nangoko.
- Nangona le meko ingenakunyangwa ngokupheleleyo, kukho unyango oluninzi olusebenzayo olunokukunceda ulawule iintlungu kwaye uphucule umgangatho wobomi bakho.
- Ukuba kuvela iimpawu ezinje ngokuba ndindisholo kwemilenze okanye ukulahlekelwa kulawulo lwesinyi/amathumbu, kufuneka kuthathwe njengengxamiseko kwaye kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Kubaluleke kakhulu ukuthetha ngokukhululekileyo nangokunyaniseka nogqirha wakho malunga nemeko yakho, iindlela zonyango, kunye noloyiko lwakho.
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