Ingaba lo mhlaza "ugcwele ijeli" ungaphakathi esiswini sakho? Masifunde ngePseudomyxoma Peritonei (PMP)!

Ngaba wakha waziva ungonwabanga esiswini, uzive ugcwele, okanye ukuqhinwa okungapheliyo? Ngamanye amaxesha sicinga ukuba ezi zizinto eziqhelekileyo, kodwa kwiimeko ezingaqhelekanga, kunokubakho esinye isizathu esibangela ezi mpawu. Namhlanje siza kuthetha ngesimo somhlaza esingaqhelekanga, kodwa esibaluleke kakhulu. Esi sisifo esibizwa ngokuba yi-'Pseudomyxoma Peritonei', esikwasibiza ngokuba yi-'(PMP)' ngamafutshane.

Yintoni iPseudomyxoma Peritonei (PMP)?

Ngamafutshane, i-`Pseudomyxoma Peritonei` luhlobo lomhlaza olungaqhelekanga kakhulu. Okwenzekayo koku kukuba ingaphakathi lesisu sakho, oko kukuthi, isisu kunye nendawo esijikelezileyo (`(i-peritoneal cavity)`) lizaliswe ziiseli zomhlaza. Ezi seli zomhlaza zivelisa inani elikhulu lento efana nejeli, etyibilikayo ebizwa ngokuba yi-`mucin`` . Khawuthelekelele, kufana nokuba ingaphakathi lesisu sakho lizaliswe yijeli! Yingakho abanye abantu bebiza esi sifo ngokuthi "isisu sejeli."

Igama elithi "Pseudomyxoma Peritonei" lithetha into efana "ne-false mucinous tumor ye-peritoneal cavity." Oogqirha bakubiza oku ngokuthi "yi-false tumor" kuba akufani neminye imidlaza eqala kwindawo enye ize isasazeke. Enyanisweni iqala ngeqhuma elincinci elibizwa ngokuba yi-"polyp" elenzeka kwi-appendix yakho, i-appendix .

Xa le polyp iphuma kwi-appendix, iiseli zomhlaza ezenza loo nto ifana nejeli endikhankanyileyo ziqala ukusasazeka esiswini sonke. Ekuhambeni kwexesha, oku kunokuchaphazela inkqubo yakho yokugaya ukutya.

Ziziphi iimpawu esizifumanayo xa sifumana i-PMP?

Iimpawu ze-PMP zihlala zivela ngequbuliso. Usenokungaziboni ekuqaleni, okanye unokucinga ukuba ziyinto eqhelekileyo, njengokuqunjelwa okanye ukungagayi kakuhle kokutya. Kodwa ukuba ezi mpawu ziyaqhubeka okanye ziyanda, kufuneka uxhalabe.

Nazi ezinye zeempawu eziphambili:

• Ukudumba kwesisu: Isisu sibonakala sidumbile kwaye sikhulu.
• Intlungu yesisu: Le nto ifana nejeli esiswini ingavakala ngathi yintlungu okanye intlungu eqhelekileyo.
• Ukuqhinwa: Ukuqhinwa kunokuvalela amathumbu amakhulu kwaye kwenze kube nzima ukuphuma kwendle.
• Ubunzima bokukhulelwa: Kubafazi ngokukodwa, kunokuba nzima ukukhulelwa umntwana ngenxa yoxinzelelo olubangelwa sesi sibeleko sizaliswe yijeli okanye ukudumba kwamalungu okuzala.
• I-Hernias: Uxinzelelo oluphezulu esiswini lunokubangela ukuba elinye lamalungu akho liphume ngemisipha. Kumadoda, i-hernia ye-inguinal luphawu oluqhelekileyo lwe-PMP.
• Ukutya akunancasa.
• Isicaphucaphu.

Ngamanye amaxesha, ugqirha unokuyifumana le meko 'ye-PMP' kwangethuba ngexesha lokuhlolwa kwakho konyaka okanye xa ekuvavanya enye imeko. Kodwa uninzi lwabantu lufumanisa ngayo kuphela xa iingxaki zabo zesisu ziqhubeka kwaye ziba mandundu.

Kutheni le PMP isenzeka? Yintoni isizathu?

Enyanisweni, iingcali azikayazi kakuhle ukuba loluphi uthotho lweziganeko olukhokelela kwi-PMP. Kodwa ziyazi ukuba iqala ngokukhula okuncinci okubizwa ngokuba yi-polyp kwi-appendix. Ukusuka apho, iiseli zomhlaza ezenza i-mucin zihambe ziye esiswini.

Khumbula, i-'PMP' sisifo esingaqhelekanga kakhulu . Sichaphazela malunga nomntu omnye ukuya kwabane kwisigidi ngonyaka. Ngoko ke musa ukoyika ngokungeyomfuneko xa usiva ngale nto.

Oogqirha bafumanisa njani ukuba bane-PMP?

Xa usiya kugqirha, baza kukubuza ngeempawu zakho. Unexesha elingakanani unazo, kwaye ingaba ziya zisiba mandundu na? Emva koko baza kwenza uvavanyo lomzimba. Baza kuyalela novavanyo lwegazi kunye novavanyo lwemifanekiso.

Uvavanyo lwegazi

Ugqirha wakho unokuyalela ukubala igazi ngokupheleleyo (i-CBC). Banokuyalela novavanyo lwegazi ukukhangela iimpawu zesifo somhlaza. Ezi zizinto ezinokubonisa ukuba unomhlaza emzimbeni wakho.

Uvavanyo lokufota

Uvavanyo lungenziwa ukuze kubonwe ukuba amalungu akho esiswini akhulu, azaliswe lulwelo (i-ascites), okanye anokwakheka kwe-mucin, njenge-"jelly belly":

• I-ultrasound yesisu.
• Iskeni ye-CT.
• Iskeni ye-MRI.

Ukongeza, ugqirha angenza i-biopsy yenaliti, equka ukuthatha isampuli encinci yolwelo okanye izicubu ngaphakathi esiswini sakho. Ingcali yezonyango iya kuhlola isampuli phantsi kwe-microscope (cytology). Ngamanye amaxesha i-laparoscopy inokwenziwa ukujonga ngaphakathi esiswini sakho kunye nokuthatha iisampulu zezicubu.

Ziziphi iindlela zonyango lwe-PMP? Ngaba inganyangeka?

Unyango luxhomekeke kwizinto ezininzi, kuquka imeko yakho kunye nempilo yakho iyonke. Kwezinye iimeko, oogqirha banokunyanga baze banyange nePseudomyxoma Peritonei.

Amaxesha amaninzi, olu nyango lubandakanya utyando. Oku kuquka ukususa zonke izitho zomzimba ezineeseli zomhlaza. Unganikwa ne -chemotherapy (intraperitoneal chemotherapy) ngexesha lotyando. Kodwa ugqirha otyandayo uya kwenza oku kuphela ukuba utyando lunokususa wonke okanye uninzi lomhlaza okanye i-mucin. Eso sigqibo senziwa ngexesha lotyando.

Kukho iintlobo ezahlukeneyo zotyando zokunyanga i-PMP.

Umzekelo, ukuba une-mucin emathunjini akho amancinci okanye emathunjini amakhulu, ugqirha wakho uya kwenza utyando lokususa amathumbu . Kukwakho nezinye iintlobo zotyando ezisusa amalungu athile:

• I-Cholecystectomy: Ukususwa kwenyongo yakho.
• Ukususwa kwesisu nge-bilateral salpingo-oophorectomy : Ukususwa kweetyhubhu zakho ze-fallopian, ii-ovari, kunye nesibeleko.
• I-capsulectomy yesibindi: Ukususa inxalenye yomphezulu wesibindi sakho.
• Ukususwa kwe-omenectomy: Ukususwa kwengqimba yamafutha phambi kwesisu .
• Ukususwa kwe-peritonectomy : Ukususwa kwe-membrane ejikeleze isisu sakho kunye ne-pelvis (i-peritoneum).
• Ukususwa kweplenectomy : Ukususwa kweplenectomy yakho.

Ziziphi iingxaki ezinokwenzeka ngexesha lotyando?

Xa utyando lokususa amalungu omzimba, kusoloko kukho amathuba okuba kubekho iingxaki ezinje ngokopha kakhulu , usulelo, okanye ukuvuza kwe-anastomotic . Utyando olukhulu lunokubangela iingxaki ezisongela ubomi. Kuthiwa malunga ne-1 ukuya kwi-2% (1-2%) yezigulana ziyafa emva kotyando olukhulu. Ke ngoko, kubalulekile ukuxoxa ngazo zonke ezi zinto nogqirha wakho.

Ngaba kukho ezinye iindlela zonyango ezingabandakanyi utyando?

Ngamanye amaxesha ugqirha wakho unokucebisa ezinye iindlela zonyango ezingezizo ezotyando, ezifana nezi:

• Ukuhlolwa okusebenzayo : Ukuba une-PMP kwisigaba sokuqala, okanye ukuba luhlobo olubi kakhulu, kwaye umngcipheko wotyando mkhulu kunomngcipheko wesifo, ugqirha wakho unokucebisa ukubekwa kweliso okusebenzayo. Oku kubandakanya ugqirha wakho ukuba ajonge impilo yakho rhoqo. Banokwenza uvavanyo lwemifanekiso kunye novavanyo lwegazi ukuze babone ukuba i-PMP iyasasazeka na.
• Unyango lokudambisa iintlungu : Ukuba awukwazi ukwenza utyando, ugqirha wakho unokucebisa unyango olufana ne-chemotherapy okanye unyango lwe-radiation olunokulawula imeko ye-PMP kwaye lunciphise iimpawu.

Okwangoku, oogqirha baphanda ngokufakelwa kwamathumbu amancinci njengonyango lwabantu abane-PMP emathunjini amancinci.

Luhlobo luni lwekamva umntu one-PMP anokulilindela?

Kwezinye iimeko, utyando lokususa zonke iiseli zomhlaza esiswini lunokunceda ukulawula isifo ixesha elide . Ezinye iindlela zonyango zinokukunceda uphile nesi sifo ixesha elide.

Xa kuthethwa "ngezinga lokusinda"`, eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba esi sisifo esingaqhelekanga. Oku kuthetha ukuba bambalwa kakhulu abantu abasifumanayo. Abaphandi bafunda oko bakwaziyo ngaso kumaqela amancinci abantu. Ukuba unesi sifo, kungcono ubuze ugqirha wakho malunga nolu phando "lwezinga lokusinda"` kunye nendlela oluchaphazela ngayo imeko yakho.

Ndingazinyamekela njani? (Ukuzinyamekela)

Ukuba ukhe wenziwa utyando lokususa iiseli zomhlaza okanye ukususa amalungu athile omzimba, kubalulekile ukukhumbula ukuba umzimba wakho udinga ixesha nokuphumla ukuze uphile. Umzekelo, ukuba utyando lokususa i-spleen yakho, ugqirha wakho uya kukuchazela indlela oku okuya kukuchaphazela ngayo.

Ukuba ukhetha unyango lokudambisa iintlungu, kunokufuneka ufumane unyango lomhlaza olufana ne-chemotherapy kunye nonyango lwe-radiation ubomi bakho bonke. Kubalulekile ukuhlala uqinile kwaye ulandele imiyalelo kagqirha wakho ngononophelo.

Ndifanele ndibonane nogqirha nini?

Ukuba une-'PMP', ngokuqinisekileyo kufuneka wazise ugqirha wakho kwezi meko zilandelayo:

• Ukuba kuvela iingxaki emva konyango. Umzekelo, ukuba kukho ukopha kakhulu emva kotyando, okanye ukuba kukho iimpawu zosulelo kwinxeba lotyando.
• Ukuba iziphumo ebezingalindelekanga zonyango zimbi kakhulu kunokuba ubulindele.
• Ukuba kukho iimpawu ze-`Pseudomyxoma Peritonei` eziphinda zivele emva kotyando.

Okokugqibela, umyalezo obaluleke kakhulu (Umyalezo Wokuya Ekhaya)

I-Pseudomyxoma Peritonei (PMP) sisifo esingaqhelekanga nesinzima kakhulu. Iingcali azikayazi kakuhle ukuba kutheni sikhula. Usenokuba naso ixesha elide kodwa ungaluboni utshintsho olukhulu emzimbeni wakho. Xa kuvela iimpawu, zinokuba lula njengokuqunjelwa okanye ukudumba.

Ngoko ke, kunokuba yinto eyoyikisayo ukwazi ukuba iimpawu zakho zibangelwa sisifo esingaqhelekanga. Kunokuba nzima ukuxelelwa ukuba unyango luza kubandakanya utyando lokususa ilungu elinye okanye ngaphezulu esiswini sakho. Kunokuba nzima ukukuqonda konke oku ngaxeshanye.

Kodwa ungakhathazeki. Oogqirha bakho bayaqonda ukuba unokuba nemibuzo emininzi - mhlawumbi nemibuzo efanayo amaxesha amaninzi. Njengoko ufunda ngeendlela zakho zonyango kwaye ucinga ngamanyathelo akho alandelayo, bafuna ukuva yonke into esengqondweni yakho. Lilungelo lakho elo. Ukuba kwimeko yengqondo elungileyo kunceda kakhulu kunyango.

I- Pseudomyxoma Peritonei, i-PMP, umhlaza, isisu, i-mucin, isisu se-jelly, i-appendix, utyando