Ngaba wakha waphawula into engaqhelekanga okanye enamaqhuqhuva emzimbeni wakho? Kuqhelekile ukuba uzive usoyika okanye ukhathazekile xa oko kusenzeka. Namhlanje siza kuthetha ngeqhuqhuva elingaqhelekanga, kodwa elingaqhelekanga. Ngokwezonyango, eli libizwa ngokuba yiSolitary Fibrous Tumor (SFT) . Nangona igama lisenokuvakala liyinkimbinkimbi, masiligcine lilula kwaye licacile.
Ngamafutshane, yintoni iSolitary Fibrous Tumor (SFT)?
Oku kubhekisa kwithumba eliqala kwizicubu ezithambileyo zomzimba wethu. Cinga ngezinto ezifana nezihlunu, izicubu ezinamafutha, kunye nemithambo-luvo emzimbeni wethu. Ezi zibizwa ngokuba zizicubu ezithambileyo. Ngoko ke, ezi zicubu ze-SFT zinokukhula naphi na emzimbeni. Nangona kunjalo, zihlala zibonakala kwisigqubuthelo sokukhusela esijikeleze imiphunga (pleura) .
Uhlobo lwala maqhuqhuva lunokuba ziintlobo ezimbini:
- Ezinye zikhula kancinci kwaye azisasazeki kwezinye iindawo zomzimba (ezingenamhlaza - ezingenabungozi) .
- Ezinye zikhula ngokukhawuleza kwaye zinokusasazeka kwezinye iindawo (ezinomhlaza) .
Nangona ezi zihlala zingamaqhuqhuva angengomhlaza, oogqirha badla ngokucebisa ukuba kususwe iqhuqhuva ngokupheleleyo, nokuba kungotyando okanye olunye unyango, ukuthintela ukuba lingabangeli iingxaki kwixesha elizayo.
Ngaba kukho amanye amagama ala maqhuqhuva?
Ewe, ngaphambili, bekukho igama elahlukileyo loku. Ngelo xesha, oogqirha babecinga ukuba la mathumba akheka kuphela ngaphakathi kwesifuba, oko kukuthi, kwi-membrane ejikeleze imiphunga. Le membrane siyibiza ngokuba yi-pleura . Yiyo le nto inceda imiphunga isebenze kakuhle ngaphakathi kwesifuba xa siphefumla. Ngoko ke, ngelo xesha, la mathumba ayebizwa ngokuba "zii-benign fibrous tumors ze-pleura."
Nangona kunjalo, uphando lwamva nje lufumanise ukuba la mathumba anokwakheka naphi na emzimbeni, kungekuphela nje kwimiphunga, njengesibindi, ingqondo, intamo, nentloko. Ngoko ke elo gama lidala nelide alisetyenziswa kakhulu.
Okubalulekileyo kukuba, la maqhuqhuva e-SFT awabangelwa kukuvezwa yi-asbestos nangayiphi na indlela. Abangelwa sisifo esahlukileyo, `i-Pleural Mesothelioma`.
Yintoni umahluko phakathi kwe-SFT kunye ne-Pleural Mesothelioma?
Abanye abantu banokudideka kuba zombini zinokwenzeka emiphungeni. Nangona kunjalo, ezi zimbini zahlukile ngokupheleleyo. Masiwuqonde kakuhle lo mahluko ngoncedo lwetafile.
| Uphawu | I-Solitary Fibrous Tumor (SFT) | I-Pleural Mesothelioma |
|---|---|---|
| Isizathu esiphambili | Akukho sizathu sithile sichongiweyo. | Ukuvezwa kwi-asbestos. |
| Indalo enomhlaza | Idla ngokuba ayisiyomhlaza (ingabi yingozi), kodwa kukho ithuba lokuba ibe ngumhlaza. | Ihlala ingumhlaza. |
| Iindawo apho kwenzeka khona | Inokwenzeka naphi na emzimbeni, kodwa ixhaphake kakhulu kwimiphunga. | Ihlala isenzeka kwimiphunga (pleura) nakwimiphunga yesisu. |
Ngubani osengozini enkulu yokuhlaselwa zezi qhuma?
Nangona la maqhuqhuva anokuvela nakweyiphi na iminyaka, abonakala kakhulu kubantu abaneminyaka ephakathi kwama-50 nama-60. Le meko ayiqhelekanga kakhulu kubantwana abancinci.
Oku kunqabile kangangokuba olu hlobo lwe-SFT lubonwa kwizicubu ezithambileyo ezingaphantsi kwe-2 kwi-100 nganye.
Iindawo zomzimba apho kunokubakho khona amaqhuma e-SFT
- Kwizicwili ezinxibelelanayo ezijikeleze ingqondo kunye nomqolo
- Esibindini
- Imiphunga kunye ne-pleura
- Kwimingxuma engaphakathi kwempumlo (iiParanasal sinuses)
- Kwizicubu ezithambileyo ngaphakathi kwisokethi yamathambo (i-orbit) apho amehlo akhoyo
- Kwi-thyroid gland
Kutheni la maqhuma esenzeka? Yintoni imbangela?
Enyanisweni, oogqirha abakafumani sizathu sicacileyo sale nto. Nangona kunjalo, uphando lwakutshanje lusinike izikhokelo ezithile. Kukuba kukho ii-genes ezimbini emzimbeni wethu, ezizezi `NAB2` kunye ne `STAT6`Ezi thumba zinokubangelwa kukudibana okungacwangciswanga kweejini ezimbini (i-gene fusion). Olu tshintsho lwejini lunokubangela ukuba iiseli ziqale ukukhula ngendlela engalawulekiyo.
Zithini iimpawu ze-SFT?
Ezi thumba zihlala zikhula kancinci kakhulu . Ngenxa yoko, malunga nesiqingatha sabantu abane-SFT abanazo naziphi na iimpawu . Iimpawu zihlala ziqala xa ithumba likhula ngokwaneleyo ukuba lityhale amalungu akufutshane, amathambo, okanye ezinye izicwili. Ngoko ke, iimpawu zixhomekeke ekubeni ithumba likuphi.
Makhe sibone ukuba zeziphi iimpawu ezibonakaliswa ngala maqhuqhuva xa ebonakala kwiindawo ezahlukeneyo zomzimba.
| Indawo yeqhubu | Iimpawu ezinokwenzeka |
|---|---|
| Umqolo wesifuba (imiphunga, ipleura) |
|
| I-Orbit | |
| Ingqondo | |
| Umqolo | |
| Isibindi |
Ugqirha usifumanisa njani esi sifo?
Ngokuxhomekeke kwiimpawu zakho kunye nendawo ekucingelwa ukuba iqhuma likhona, ugqirha wakho uza kukuthumela kwiimvavanyo ezahlukeneyo.
- Uvavanyo lwezonyango: Into yokuqala ekufuneka uyenze kukumamela ngenyameko iimpawu zakho uze emva koko wenze uvavanyo lomzimba.
- Ii-Impression Scans: Ezi zinceda ekuboneni indawo, ubungakanani, kunye nohlobo lweqhubu. Ezi zinokubandakanya ii-X-ray, ii-CT scans, ii-MRI scans, ii-ultrasound scans , kunye nee-PET scans .
- Ukuhlolwa kwamehlo: Ukuba iqhuma likufutshane neliso, kwenziwa uvavanyo lwamehlo olukhethekileyo (i-Optical Coherence Tomography - OCT) ukuze kuchongwe unobangela ochanekileyo weengxaki zokubona.
- I-Biopsy: Olu lolona vavanyo lubalulekileyo . Oku kuquka ukuthatha iqhekeza elincinci kakhulu lesicubu kwiqhubu uze ulihlolisise nge-microscope. Oku kuya kukuxelela ngokuqinisekileyo nge-100% ukuba loluphi uhlobo lweqhubu kwaye nokuba lunomhlaza okanye akunjalo.
Ulwahlulo lobunzima bee-nodules ze-SFT
I-World Health Organisation (WHO) yahlule la mathumba e-SFT abe ngamanqanaba ahlukeneyo ngokusekwe kubunzima bawo kunye nesantya sokukhula kwawo. Oku kubizwa ngokuba kukubeka amanqaku.
- Udidi I (Udidi oluphantsi): Ezi zezona ntlobo zingenabundlongondlongo kangako. Iiseli zazo uninzi lwazo ziiseli eziqhelekileyo. Zikhula kancinci kakhulu.
- Ibanga lesiBini (Ibanga eliPhakathi): Ezi seli zibonakala zingaqhelekanga kancinci. Zinokukhula ngokukhawuleza kuneBanga lokuQala. Zikwanamathuba amancinci okuba nomhlaza.
- Ibanga lesi-3 (Ibanga eliphezulu): Ezi zezona ntlobo zinobundlongondlongo kakhulu. Iiseli aziqhelekanga. Zikhula ngokukhawuleza. Zinomngcipheko omkhulu wokubuya, zibe ngumhlaza, kwaye zisasazeke kwezinye iindawo zomzimba.
Zithini iindlela zonyango?
Unyango oluphambili nolungcono kakhulu lwe-SFT tumor kukuyisusa ngokupheleleyo ngotyando .
Kwezinye iimeko, utyando lunokuba nzima ukwenziwa ngokuxhomekeke kwindawo elikuyo iqhuma. Okanye iqhuma lisenokuba likhulu ngobukhulu. Kwiimeko ezinjalo,
- Unyango ngemitha:Unyango lwemitha lunikezelwa ukutshabalalisa okanye ukunciphisa ithumba. Ngamanye amaxesha, olu nyango lunikwa nangaphambi kotyando ukunciphisa ithumba ukuze lisuswe lula.
Zeziphi iingxaki ezinokubangela oku?
Uloyiko olukhulu xa ufumanisa ukuba uneqhuma kukuba ingaba liza kuba ngumhlaza okanye lisasazeke kwezinye iindawo (umhlaza osasazekayo). Xa utyando lokususa elo qhuma, loo mngcipheko uyancipha kakhulu.
Kodwa eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba nangona unyango lukhona, la maqhuqhuva anokuphinda avele ngamanye amaxesha. Iqhuqhuva eliphinda livele linokuba ngumhlaza.
Ngaphandle koko, ezinye iingxaki zinokwenzeka ngokuxhomekeke kwindawo apho iqhuma likhona.
- Ukukhubazeka: Ukuba kukho ithumba elijikeleze umqolo.
- Ukuphuma kwegazi kwi-Pleural: ukuqokelelwa kolwelo ngaphakathi kwimiphunga.
- Ukuwohloka kwamehlo: Ukonakala kwemithambo-luvo ethwala imiyalezo esuka elisweni ukuya engqondweni.
Ingakanani izinga lokuchacha emva konyango?
Abantu abaninzi bayaphila kakuhle emva kokususwa kweqhuma ngotyando. Nangona kunjalo, njengoko besitshilo ngaphambili, akulula ukuba iqhuma libuye, ngoko ugqirha wakho uya kuqhubeka ekujonga. Oku kuthetha ukwenza izinto ezifana nokuskena rhoqo ukujonga ukuba iqhuma libuya na. Le yinto ebaluleke kakhulu ekufuneka uyenze ukukhusela impilo yakho.
Umyalezo Wokuya Ekhaya
- I-Solitary Fibrous Tumor (SFT) luhlobo olungaqhelekanga lwethumba oluvela kwizicubu ezithambileyo.
- Ezi zinokuba ngumhlaza okanye zingabi ngumhlaza. Ixesha elininzi, ezi azizozifo zomhlaza.
- Uninzi lwabantu alubonakalisi zimpawu. Ukuba iimpawu ziyenzeka, ziyahluka ngokuxhomekeke kwindawo elikuyo iqhuma.
- Unyango oluphambili kukususa ngokupheleleyo ithumba ngotyando.
- Kwanasemva konyango, kukho umngcipheko omncinci wokuba iqhuma libuye, ngoko ke kubaluleke kakhulu ukuhlala unxibelelana nogqirha wakho kwaye uhlolwe rhoqo.
- Ukuba ufumana naziphi na iziqwenga ezingaqhelekanga, iintlungu, okanye ezinye iimpawu emzimbeni wakho, musa ukoyika kwaye ngoko nangoko qhagamshelana nogqirha ukuze akunike icebiso.
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