Ngaba ubukhe wanentlungu emqolo okwethutyana? Ngaba le ntlungu ngamanye amaxesha iba mandundu ebusuku? Sihlala sicinga ukuba olu hlobo lwentlungu luqhelekile ngenxa yokudinwa kunye nokuma kakubi. Kodwa ngamanye amaxesha, kunokubakho isizathu esinzulu ngakumbi emva kwayo. Namhlanje siza kuthetha ngesihloko esinzulu kancinci, kodwa sonke kufuneka siqaphele. Oko kukuthi, iithumba ezikhula emgogodleni, okanye emgogodleni, okanye 'kwii-Spinal Tumors'.
Ngamafutshane, yintoni ithumba lomqolo?
Ithumba lomqolo kukukhula okungaqhelekanga kweeseli ezikhula ngaphakathi okanye zijikeleze umqolo wakho okanye intambo yomqolo. Njengokuba iithumba zinokwakheka kwezinye iindawo zomzimba wethu.
Ukuze sikuqonde ngakumbi oku, makhe sijonge umqolo wethu.
- Umqolo/Umqolo: Olu lulwakhiwo olufana nenqaba olwenziwe ngamathambo adibeneyo (ii-vertebrae) aqala kwikhakayi lethu ukuya ezinqeni zethu. Yiyo enika imizimba yethu amandla okuma nkqo.
- Intambo Yomthambo: Le yinxalenye yengqondo yethu efana nentambo ehla isuka engqondweni yethu kwaye yenziwe ngenani elikhulu lee-nerve fibers. Ikhuselwe yintambo yomqolo esiyikhankanyileyo ngaphambili. Kungale ntambo yomqolo apho imiyalezo ithwalwa khona isuka engqondweni iye kuwo wonke umzimba, kwaye imiyalezo ithwalwa isuka emzimbeni iye engqondweni.
Ngoku uyaqonda ukuba ezi nxalenye zimbini zibaluleke kangakanani, akunjalo? Ngoko ke ukuba ithumba likhula kwindawo ebaluleke kangaka, yinto ekufuneka uyixhalabele.
Ezi thumba zinokuba zingenabungozi okanye zibe yingozi . Nangona kunjalo, akulunganga ukucinga nje ukuba azingomhlaza. Kuba, nezinye iithumba ezingezizo ezomhlaza zinokukhula zibe nkulu kwaye zicinezele umqolo okanye imithambo-luvo, nto leyo ebangela iingxaki ezinkulu.
Zimbini iindlela ezi zifo ezakha ngazo.
Zimbini iindlela eziphambili ezenzeka ngazo iithumba zomqolo. Ukuqonda oku kubaluleke kakhulu kunyango.
1. Ii-Primary Spinal Tumors: Ezi zii-tumor eziqala ukukhula emgogodleni. Oku kuthetha ukuba i-tumor iqala emgogodleni. Ezi aziqhelekanga kangako.
2. IiMetastatic okanye iiSecondary Spinal Tumors: Olu lolona hlobo luxhaphakileyo. Okwenzekayo apha kukuba iiseli zomhlaza eziqale kwenye indawo emzimbeni (umzekelo, imiphunga, ibele, iprostate) zihamba ngegazi zize zihlale kwi-spinal cord, apho zikhula zibe yi-tumor.
Ngamafutshane, iithumba ezininzi ezifumaneka emgogodleni azizizo ezaqala emgogodleni, kodwa ngumhlaza oye wasasazeka kwenye indawo emzimbeni.
Uzihlula njani ii-tumor zomqolo?
Oogqirha bahlula la mathumba abe ziintlobo ezahlukeneyo. Oku kwenza kube lula ukuqonda isifo ngokuchanekileyo nokuchonga unyango olungcono.
Kuxhomekeke kwindawo ekuyo umqolo
Umqolo wethu wahlulwe waba ngamacandelo aliqela. Ahlulwe ngokwendawo ekuyo ithumba.
| Indawo yomqolo | Kalula nje, |
|---|---|
| Ithambo lomqolo lomlomo wesibeleko | Indawo yentamo |
| Isifuba | Kwinqanaba lesifuba, umqolo ophakathi |
| Umqolo weLumbar (Lumbar) | Umqolo osezantsi |
| I-Sacrum | Inxalenye esezantsi yomqolo, phakathi kwamathambo esinqe |
Ezi thumba zibonakala kakhulu kwiindawo zesifuba nezesinqe.
Kuxhomekeke kwindawo ekuyo ecaleni komqolo
Oku kunzulu kancinci, kodwa kubalulekile ukukuqonda.
- Intramedullary: Ezi thumba zikhula ngaphakathi kwintambo yomqolo ngokwazo. Ezi zinqabile kancinci.
- Intradural-extramedullary: Kukho isigqubuthelo esincinci esifana ne-membrane (dura) esijikeleze i-spinal cord . Ezi thumba zikhula ngaphakathi kweso sigqubuthelo, kodwa ngaphandle kwe-spinal cord.
- I-Extradural: Ezi zivela ngaphandle komqolo . Oko kukuthi, emathanjeni omqolo (i-vertebrae). Uninzi lwee-tumor zomqolo zezolu hlobo.
Intlungu yomqolo luphawu oluphambili!
Iimpawu zeethumba zomqolo zixhomekeke kwizinto ezininzi. Indawo, ubungakanani, kunye nohlobo lwethumba zinokuchaphazela oku. Ezinye iithumba ezincinci zisenokungabonakalisi zimpawu kwaphela. Nangona kunjalo, iimpawu zinokuvela xa ithumba likhula lize liqale ukucinezela imithambo-luvo ekufutshane.
Nika ingqalelo ekhethekileyo kwezi mpawu:
| Uphawu | Inkcazo ngayo |
|---|---|
| Umqolo obuhlungu | Olu lolona phawu luqhelekileyo . Le ntlungu yahlukile kwintlungu eqhelekileyo yomqolo. Ukuba intlungu iyanda, ingakumbi ebusuku , yinto ekufuneka ixhalatyelwe. Intlungu inokwanda xa uthimla, ukhohlela, okanye uzilolonga. Le ntlungu isenokungancitshiswa ziipilisi zentlungu eziqhelekileyo. |
| Intlungu engapheliyo | Usenokuva intlungu ebukhali ehamba ukusuka emqolo ukuya esinqeni, emilenzeni nasezingalweni. Usenokuvakalelwa ngathi kukho umntu okuhlaba ngemela. |
| Ubungqindilili kunye nokulahlekelwa yimvakalelo | Ukuba ndindisholo kwiindawo ezifana nezandla, iinyawo, nesifuba, okanye ukuphelelwa yimvakalelo yokuchukumisa, ubushushu, okanye ukubanda kwezo ndawo. |
| Ubuthathaka bemisipha | Uphelelwa ngamandla emilenzeni yakho. Unengxaki yokuhamba, awukwazi ukuphakamisa izinto, kwaye ungawa rhoqo xa uhamba. |
| Ukulahlekelwa kulawulo lwamathumbu kunye nesinyi | Usenokuba nokungakwazi ukuzibamba, nto leyo ebonakalisa ukuba kukho uphawu olubi kakhulu. |
| Utshintsho kwimo yomqolo | Ezinye iithumba ezinkulu zinokubangela izifo ezifana ne-scoliosis. |
Eyona nto ibalulekileyo kukuba ukuba unentlungu engapheliyo emqolo engaphucukiyo ngonyango oluqhelekileyo, ingakumbi ebusuku, ngokuqinisekileyo kufuneka ubone ugqirha . Oku kubaluleke kakhulu ukuba ukhe waba nomhlaza ngaphambili.
Ungasixilonga njani esi sifo? (Ukuxilongwa)
Xa usiya kugqirha, uza kumamela ngononophelo iimpawu zakho. Emva koko uza kukuxilonga. Uza kwenza uvavanyo lwemithambo-luvo, oluza kujonga amandla emisipha yakho, imvakalelo, kunye nokusabela komzimba.
Ukongeza, kunokwenziwa ezi mvavanyo zilandelayo ukuqinisekisa ukuxilongwa:
- Uvavanyo lokuFanekisa (ukuskena):
- I-MRI scan: Le yeyona ndlela ilungileyo nechanekileyo yokufumana ithumba lomqolo. I-MRI inokuvelisa imifanekiso ecacileyo yomqolo, imithambo-luvo, kunye nezicubu ezingqongileyo.
- I-CT scan: Oku kunokubonelela ngokuqonda ngcono imeko yamathambo omqolo.
- I-X-reyi: Ngamanye amaxesha i-X-reyi inokwenziwa njengovavanyo lokuqala.
- I-Biopsy: Oku kuquka ukuthatha iqhekeza elincinci kakhulu lesicubu sethumba size silihlolisise phantsi kwe-microscope. Yiyo le nto ichaza ukuba ithumba linomhlaza okanye akunjalo, kwaye loluphi uhlobo lwalo.
- I-Bone Scan: Olu vavanyo lungenziwa ukuba kukho ukurhanelwa kokuba umhlaza usasazeke emathanjeni usuka kwenye indawo emzimbeni.
- Uvavanyo lweGazi: Ezinye iintlobo zomhlaza zinokubangela utshintsho kumanqanaba ezinto ezithile egazini (umz. i-calcium). Uvavanyo lwegazi lunokunceda ekujongeni oku.
Zithini iindlela zonyango?
Isicwangciso sonyango siya kwahluka kumntu nomntu. Kuxhomekeke kuhlobo, ubungakanani, indawo yethumba, kunye nempilo yakho iyonke. Iinjongo eziphambili zonyango zezi:
- Ukunciphisa iintlungu.
- Ukukhusela okanye ukuphucula ukusebenza komqolo kunye nemithambo-luvo.
- Ukwandisa umgangatho wobomi kunye nobomi.
Iqela loogqirha abavela kwiingcali ezahlukeneyo lidla ngokudibana ukuze lifumane unyango.
Kukho iindlela ezininzi eziphambili zonyango:
1. Utyando: Nanini na xa kunokwenzeka, ingakumbi ukuba ithumba licinezela imithambo-luvo, kwenziwa utyando lokususa yonke okanye inxalenye yethumba. Ezinye iithumba ezingezizo umhlaza zinokunyangwa ukuba zisuswe ngokupheleleyo. Nangona kunjalo, ezinye iithumba ezikwi-spinal cord kunzima ukuzisusa ngokupheleleyo ngaphandle kokonakalisa imithambo-luvo.
2. Unyango lweMisebe:Oku kubandakanya ukusebenzisa imitha enamandla aphezulu (njengee-X-ray) ukutshabalalisa iiseli zomhlaza okanye ukunciphisa ithumba. Xa ithumba lincipha, iintlungu kunye nezinye iimpawu ziyancipha.
3. Unyango lweKhemotherapy: Oku kuquka ukunika umzimba amayeza abulala iiseli zomhlaza. La mayeza anokunikwa njengeepilisi okanye inaliti.
4. Utyando lwe-Stereotactic Radiosurgery: Olu asilotyando. Luyindlela enika umsebe wemitha ochanekileyo, ojoliswe ngqo, nonamandla aphezulu kuphela kwithumba. Oku kubangela umonakalo omncinci kakhulu kwizicubu eziphilileyo ezijikelezileyo.
5. Ukubeka esweni: Ukuba unezinye iithumba ezincinci ezingenamhlaza, ezingenazimpawu, ugqirha wakho unokugqiba ekubeni angazinyangi kwaphela, kodwa ajonge nje ukukhula kwethumba nge-MRI scans rhoqo.
Iimeko apho kufuneka uye esibhedlele ngokukhawuleza
Ukuba unyangwa ithumba lomqolo kwaye ubonakalisa iimpawu ezintsha okanye ukuba iimpawu ezikhoyo ziya zisiba mandundu, yiya kwiSebe leNgxamiseko elikufutshane (ETU) ngoko nangoko.
Nokuba yeyiphi na indlela yonyango, iya kugqitywa ngugqirha wakho kunye neqela lakho lezonyango. Ngoko ke, musa ukuzenzela isigqibo ngonyango lwakho ngokusekelwe koko ukufundileyo kwi-intanethi okanye oko kuthethwa ngabanye. Xoxa ngayo yonke imibuzo yakho nogqirha wakho.
Umyalezo Wokuya Ekhaya
- Ukuba uneentlungu zomqolo ezahlukileyo kunezo ziqhelekileyo zomqolo, ingakumbi ebusuku , kwaye aziphenduli kwiipilisi zentlungu eziqhelekileyo, musa ukuzibetha ngoyaba.
- Ukuba intlungu yomqolo ihamba nokungaziva mnandi, ubuthathaka, okanye ubunzima bokulawula umchamo/indle , yingxamiseko leyo. Funa uncedo lwezonyango ngokukhawuleza.
- Ayizizo zonke iithumba ezikhula emgogodleni ezibangela umhlaza. Kukwakho neethumba ezingenobungozi. Kodwa zinokubangela umonakalo ngokucinezela imithambo-luvo.
- Ukuba umntu okhe waba nomhlaza kwenye indawo emzimbeni uqalisa ukuba neentlungu ezintsha emqolo, kubaluleke kakhulu ukwazisa ugqirha wakhe ngoko nangoko , kuba oko kunokuba luphawu lokusasazeka komhlaza.
- Ukufunyanwa kwangoko kunye nonyango olufanelekileyo kunokubangela iziphumo ezilungileyo. Ngoko ke musa ukoyika iimpawu, kwaye ukuba unamathandabuzo, bona ugqirha ukuze akuhlole.
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