Ngaba unentlungu engapheliyo emqolo? Funda ngeethumba zomqolo!

Ngamanye amaxesha ufumana neentlungu zomqolo, akunjalo? Mhlawumbi kuyinto eqhelekileyo, isenokuba yinto ebangelwa kukuxinezeleka kancinci okanye ukuma kakubi. Nangona kunjalo, kukho ezinye iintlungu zomqolo eziya ziba mandundu, zibe nzima kangangokuba awukwazi nokulala ebusuku, kwaye zingabi ngcono nangona usebenzisa amayeza. Ngamaxesha anje, kufuneka silumke ngakumbi. Kuba, isenokuba luphawu lwethumba elikhula emgogodleni.

Yintoni ithumba lomqolo?

Ngamafutshane, ithumba lomqolo sisiqwenga okanye inqwaba yeeseli ezingaqhelekanga ezikhula ngaphakathi kwintambo yomqolo wakho, kwizicubu ezijikelezileyo, okanye kwikholamu yakho yomqolo .

Cinga ngayo, umqolo wakho, okanye into esiyibiza ngokuba 'yithambo lakho lomqolo,' ifana nekholamu ende neguquguqukayo yethambo ekhusela umqolo wakho. Iqala ezantsi kwekhakayi lakho ize ifikelele emathanjeni akho omsila. Umqolo wakho umile okwesilinda. Uhamba embindini womqolo wakho, ukusuka kwinxalenye esezantsi yobuchopho bakho (i-brainstem) ukuya kwinxalenye esezantsi yomqolo wakho. Kulapho kukho khona imicu yemithambo-luvo kunye neeseli. Ezi zezona zithwala imiyalezo esuka kwingqondo yakho iye kuwo wonke umzimba wakho ize ibuyele kwingqondo yakho.

Ngoku, kukho iindawo ezininzi apho ezi zifo zomqolo zingafumaneka khona:

• Ngaphakathi kwintambo yakho yomqolo (intramedullary).
• Kwizicwili ezigubungela umqolo wakho (i-meninges) (intradural-extramedullary).
• Esi sicwili esigqumayo siphakathi kwamathambo omqolo (i-vertebrae) (ngaphandle kwethambo).
• Emathanjeni (ii-vertebrae) zomqolo.

Ezi thumba zinokuba zingezizo ezomhlaza (ezingenobungozi) okanye ezomhlaza (eziyingozi) . Nangona kunjalo, ukuba le thumba iyaqhubeka nokukhula, inokonakalisa izicubu ezahlukeneyo emgogodleni wakho.

Iithumba eziqala ukuvela emgogodleni okanye kwintambo yomqolo zibizwa ngokuba zii-primary spinal tumors . Ngamanye amaxesha, umhlaza ovela kwenye indawo emzimbeni unokusasazeka uye emgogodleni. Ezi zibizwa ngokuba zii-metastatic okanye ii-secondary spinal tumors . Enyanisweni, ezi thumba zesibini zixhaphake kakhulu kunee-primary tumors.

Ii-tumor zomgogodla zihlelwa njani?

Oogqirha bahlula la mathumba omqolo abe ziintlobo ezahlukeneyo, kuxhomekeke kwizinto ezininzi:

• Apho kumqolo kukho ithumba: entanyeni (esibelekweni), kumqolo ophezulu nophakathi (esifubeni), kumqolo ongezantsi (esinqeni), okanye kwindawo ephantsi yomqolo (esinqeni).
• Apho ithumba likhoyo ngaphakathi kwintambo yomqolo: Oko kukuthi, ngaphakathi kwi-membrane egqume intambo yomqolo (i-dura), kodwa ngaphandle kwentambo yomqolo (intradural-extramedullary), ngaphakathi kwintambo yomqolo (intramedullary), okanye ngaphandle kwesi sigqubuthelo, phakathi kwamathambo (extradural).
• Nokuba ithumba laqala ukwenzeka emgogodleni, okanye ingaba umhlaza usasazeke kwenye indawo: oko kukuthi, nokuba lelona lokuqala okanye lesibini.
• Nokuba ithumba linomhlaza okanye alinawo: oko kukuthi, nokuba ``libi`` okanye ``liyingozi``.

Iindawo ezahlukeneyo zomqolo

Makhe sibone ukuba zeziphi ezi ndawo zomqolo:

• Umlomo wesibeleko: Kulapho intamo yakho ikhona khona.
• Isifuba: Ukusuka phezulu komqolo wakho ukuya embindini.
• Ummandla weLumbar: Inxalenye esezantsi yomqolo.
• I-Sacrum: Eyona ndawo isezantsi yomqolo.

Nangona ithumba lomqolo lingakhula naphi na, lidla ngokubonakala kwiindawo zesifuba nezesinqe .

Iindawo zeethumba ngaphakathi komqolo

Oogqirha bachaza neethumba ngokusekelwe apho zakheka khona ngaphakathi komqolo:

• I-intradural-extramedullary tumor: Olu hlobo lwe-tumor lufumaneka ngaphakathi kwe-dura ebhityileyo (dura) ejikeleze i-spinal cord, kodwa ngaphandle kwe-spinal cord. Malunga ne-40% yee-spinal tumors zezo hlobo.
• I-Intramedullary tumor: Ezi tumors zikhula ngaphakathi kwi-spinal cord. Malunga ne-5% yeetumors zezo hlobo.
• Ithumba elingaphandle kwesikhumba: La mathumba afumaneka ngaphandle kwesigqubuthelo (`(dura)`) esijikeleze umqolo. Oko kukuthi, kufutshane namathambo (`(vertebrae)`) enza umqolo. Malunga ne-55% yamathumba akhula ngale ndlela.

Ezinye iintlobo ezithile zeethumba zomgogodla

Umqolo wakho lulwakhiwo oluntsonkothileyo olwenziwe ziintlobo ezahlukeneyo zeeseli kunye nezicubu. Ke ngoko, kukho iintlobo ezininzi zeethumba ezinokukhula emgogodleni. Makhe sijonge ezimbalwa zazo:

• I-Astrocytoma: Eli lithumba elikhula kwiiseli ezixhasayo ngaphakathi kwintambo yomqolo. Kukho iintlobo zethumba ezingenabungozi (ezingengomhlaza) kunye neentlobo ezinobungozi (ezinomhlaza).
• I-Chordoma: Ezi ziimvumba ezingaqhelekanga, ezinomhlaza ezikhula emgogodleni nasekhayeni. Zifumaneka rhoqo ezantsi komqolo (sacrum) nakwithambo lomsila (coccyx).
• I-Ependymoma: Le yithumba elakheka kwiiseli ezijikeleze iindlela apho ulwelo lwe-cerebrospinal luhamba khona ebuchotsheni nakwi-spinal cord.
• I-Glioblastoma: Le yithumba elinomhlaza kakhulu. Livela kwiiseli ezibizwa ngokuba yi-"astrocytes" ezixhasa iiseli zemithambo-luvo kwintambo yomqolo nasebuchotsheni.
• I-Hemangioblastoma: Le yithumba elivela kwimithambo yegazi edibana nenkqubo yakho yemithambo-luvo (`(inkqubo yemithambo-luvo ephakathi)`). Oko kukuthi, imithambo yegazi ebuchotsheni nakwintambo yomqolo.
• I-Meningioma: Le yithumba elikhula kwizicubu ezigubungela umqolo kunye nobuchopho ("i-meninges"). Uninzi lwexesha alinawo umhlaza ("benign"), kodwa ngamanye amaxesha linokuba likhulu ngokwaneleyo ukuba libe yingozi kubomi.
• I-Neurofibroma: Le yithumba elingengomhlaza (elingenobungozi) elikhula kwimithambo-luvo yomzimba. Linokuvela nakwimithambo-luvo yomqolo. Ezi zidla ngokunxulunyaniswa neemeko zemfuza.
• I-Osteosarcoma: Olu luhlobo lomhlaza wamathambo. Nangona lunokuqala emgogodleni, lufumaneka kakhulu emathanjeni esinqeni nasedolweni.
• ISchwannoma: Eli lithumba elikhula kwiiseli ezijikeleze imicu yomqolo, inkqubo yemithambo-luvo ejikeleze umqolo, kunye nemithambo-luvo yentloko. Ezi zihlala zingenawo umhlaza ('zingenobungozi') kwaye azifane zibe ngumhlaza.
• I-Spinal hemangioma: Le yi-tumor ephuma kwizicubu zemithambo yegazi ngaphakathi kwi-spinal cord. Le yeyona hlobo ixhaphakileyo ye-primary spinal tumor. Uninzi lwexesha, ayisiyomhlaza ('inobungozi').

Zeziphi iintlobo zomhlaza ezinokusasazeka ziye emgogodleni?

Nazi ezinye iintlobo zomhlaza eziqhelekileyo ezinokuqala kwenye indawo emzimbeni kwaye zisasazeke (zisasazeke) emgogodleni:

• Umhlaza wemiphunga: Ukuba umhlaza usasazeka uye emqolo kumadoda, ngokuqhelekileyo ngumhlaza wemiphunga.
• Umhlaza webele: Ukuba umhlaza usasazeka uye emgogodleni kubasetyhini, umhlaza webele ngowona uxhaphakileyo.
• Umhlaza weprostate.
• I-Leukemia (umhlaza wegazi).
• I-Lymphoma (umhlaza wenkqubo ye-lymphatic).
• I-multiple myeloma (umhlaza wohlobo lweseli emhlophe yegazi).
• I-Melanoma (umhlaza wolusu).
• I-Sarcoma (umhlaza wezicubu ezidityanisiweyo).
• Umhlaza wezintso.
• Umhlaza we-thyroid.
• Umhlaza womgudu wakho wesisu.

Olu hlobo lomhlaza ludla ngokusasazeka emathanjeni omqolo.

Ngubani ofumana iithumba zomqolo?

Nabani na unokuba nethumba lomqolo. Nangona kunjalo, abantu abanomhlaza, ingakumbi umhlaza wemiphunga, webele, kunye noweprostate, banamathuba amaninzi okuba nalo. Ezi zizinto esizibiza ngokuba zi-secondary okanye i-metastatic spinal tumors.

Iithumba zomqolo eziphambili (ezo ziqala ukwenzeka emgogodleni) azixhaphakanga kakhulu. Nangona kunjalo, zinokwenzeka kakhulu ukuba zivele kubantu abadala abaneminyaka ephakathi kwama-65 nama-74 ubudala nakubantwana abaneminyaka ephakathi kwe-10 ne-16 ubudala.

Zixhaphake kangakanani iithumba zomqolo?

Iithumba zomqolo zesibini (ezisasazekayo) zixhaphake kakhulu . Zibandakanya i-97% yazo zonke iithumba zomqolo. Izifundo zibonise ukuba phakathi kwe-30% kunye ne-70% yabantu abanomhlaza baya kusasazeka umhlaza wabo uye emgogodleni.

Iithumba zomqolo eziphambili (ezo ziqala emgogodleni) aziqhelekanga. Iithumba zomqolo eziphambili ezingezizo ezomhlaza (`(ezingenobungozi)`) zimalunga ne-0.5% yazo zonke iithumba ezisandula ukufunyanwa. Iithumba zomqolo eziphambili ezibangela umhlaza (`(ezimbi)`) zinqabile nangakumbi.

Zithini iimpawu zeethumba zomqolo?

Iimpawu zesifo somqala zixhomekeke kwizinto ezininzi:

• Iphi kwaye njani ithumba emqolo.
• Ingakanani ithumba.
• Luhlobo luni lwesiqhamo eso?

Ezinye iithumba zomqolo azibangeli zimpawu kuba azinkulu ngokwaneleyo ukuba zibeke uxinzelelo kwizicubu ezingqongileyo. Nangona kunjalo, njengoko ithumba likhula, iimpawu, ingakumbi iintlungu, ziqala ukubonakala.

Intlungu ebangelwa zizihlunu zomqolo

Uphawu oluqhelekileyo lwee-tumor zomqolo ezingalunganga nezinobungozi ziintlungu zomqolo. Iintlungu zihlala zivakala phakathi okanye ezantsi komqolo, njengoko ii-tumor zihlala zikhula kwezo ndawo zomqolo.

Intlungu ebangelwa sisimila somqolo idla ngokubonakala ngolu hlobo:

• Akukho nxulunyaniswa luthile nokulimala, uxinzelelo, okanye umsebenzi womzimba. Nangona kunjalo, iintlungu zinganda ngexesha lokuzilolonga, ukuquleka, okanye ukukhohlela.
• Kufana nentlungu ebuhlungu evakala ngaphakathi .
• Iqala kancinci kancinci kwaye iyanda kancinci kancinci.
• Ihlala ihleli ebusuku, ngamanye amaxesha ide iphazamise ubuthongo.
• Ekuhambeni kwexesha, kuba nzima ukunyamezela nokuba awukwenzi nto.
• Ayiphenduli kwiintlungu okanye kunyango oluqhelekileyo.

Khawuthelekelele ukuba uneentlungu zomqolo, zivela ngaphandle kwesizathu esithile, azipheli nokuba ulele ebusuku, kwaye zivakala ngathi ziya zisiba mandundu, musa ukuzithatha njengentlungu yomqolo eqhelekileyo. Kubaluleke kakhulu ukubona ugqirha uze ufumane ingcebiso.

Iithumba zomqolo nazo zinokubangela iintlungu ezingaqhelekanga , ezisuka emqolo ziye ezinqeni, emilenzeni, ezinyaweni, okanye ezingalweni. Le yintlungu ebukhali nehlabayo.

Ezinye iimpawu zeethumba zomqolo

Ngokuxhomekeke kwindawo kunye nohlobo lwethumba, ezinye iimpawu zinokuvela ukongeza kwintlungu. Oku kwenzeka xa ithumba likhula kwaye libeka uxinzelelo kumqolo, iingcambu zemithambo-luvo, imithambo yegazi, okanye amathambo omqolo.

Ezinye iimpawu zingabandakanya:

• Ukuba ndindisholo, ukurhawuzelela, okanye ukuphelelwa yimvakalelo emilenzeni, ezingalweni, okanye esifubeni.
• Ubuthathaka bemisipha emilenzeni, ezingalweni, okanye esifubeni.
• Ukushukuma okanye ukutsala izihlunu.
• Ukuziva ukuqina emqolo okanye entanyeni.
• Ukungakwazi ukulawula amathumbu nomchamo (`(ukungakwazi ukuzibamba)` kunye `(ukungakwazi ukuzibamba)`).
• Ubunzima bokuhamba, nto leyo enokubangela ukuba uwe.
• I-Scoliosis okanye ezinye iingxaki zomqolo ezibangelwa sisimila esikhulu okanye esinobungozi.
• Ukukhubazeka . Oku kunokwenzeka kwiindawo ezahlukeneyo zomzimba, kumanqanaba ahlukeneyo, kuxhomekeke kwimithambo-luvo ecinezelwe sisimila.

Yintoni ebangela iithumba zomqolo?

Isizathu sethumba lomqolo sixhomekeke ekubeni sisifo esiphambili okanye sesibini (i-metastatic).

Izizathu zeethumba zomqolo eziphambili

Izazinzulu azikayazi eyona nto ibangela uninzi lwee-tumor zokuqala zomqolo. Ezinye zisenokubangelwa kukuvezwa kwiikhemikhali ezibangela umhlaza. Abantu abaneenkqubo zokuzikhusela zomzimba ezibuthathaka banamathuba amaninzi okufumana ii-lymphomas (umhlaza wohlobo lweseli yokuzikhusela yomzimba) yomqolo. Ngamanye amaxesha ii-tumor zomqolo zinokuhamba kwiintsapho. Ngoko ke kucingelwa ukuba kunokubakho unxibelelwano lwemfuza.

Izizathu zesifo sesibini somqolo

Iithumba zomqolo zesibini (ezisasazekayo), njengoko igama lisitsho, zezo ziqala xa umhlaza oqale kwenye indawo emzimbeni usasazeka (osasazekileyo) uye emgogodleni.

Oku kwenzeka rhoqo xa iiseli zomhlaza ziphuma kwithumba eliphambili zize zingene kwinkqubo yegazi okanye ye-lymphatic. Ngenxa yokuba ezi nkqubo zithwala ulwelo emzimbeni wonke, iiseli zomhlaza zinokuthwalwa ukusuka kwelinye icala lomzimba ukuya kwelinye.

Kwakhona, iiseli zomhlaza zinokuqhekeka kwithumba eliphambili, ingakumbi ithumba elikwisisu, zize zikhule kwiindawo ezikufutshane, ezifana nesibindi, imiphunga, okanye amathambo.

Ngenxa yokuba umqolo wakho unegazi elineleyo kwaye ukufutshane neenkqubo ze-lymphatic kunye ne-venous, umhlaza unokwenzeka ukuba usasazeke.

Zifunyaniswa njani izimila zomqolo?

Ngenxa yokuba iithumba zomqolo ezisisiseko zihlala zingabangeli zimpawu (`(ezingenazimpawu)`), oogqirha bazifumana ngengozi xa besenza `(uvavanyo lomfanekiso)` ngesinye isizathu.

Abantu abaneempawu ze-spinal tumors badla ngokucinga ukuba iintlungu zabo zomqolo zibangelwa kukwenzakala okusandul’ ukwenzeka. Kubalulekile ukubona ugqirha ukuba uneentlungu zomqolo, ingakumbi ukuba unomhlaza.

Ugqirha wakho uza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Baza kwenza uvavanyo lwemithambo-luvo ukujonga ezi mpawu:

• Intlungu emgogodleni (xa uxinezelekile).
• Ukuncipha kwemvakalelo yentlungu kunye/okanye ubushushu.
• Ukusabela okungaqhelekanga.
• Ubuthathaka bemisipha.

Ugqirha wakho uza kuyalela iimvavanyo ezithile ukuqinisekisa ukuba kukho ithumba okanye akunjalo.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe isifo somqala?

Ukongeza kuvavanyo lomzimba nolwemithambo-luvo, ugqirha unokwenza ezinye iimvavanyo ezininzi ukuqinisekisa ukuba kukho ithumba lomqolo:

• Uvavanyo lomfanekiso:Ukuba umntu onomhlaza ngequbuliso uqalisa ukuba neentlungu emqolo, into yokuqala aza kuyenza kukuthathwa i-X-ray yomqolo. Oku kungenxa yokuba iithumba zomqolo ezisasazekayo zihlala zikhula emathanjeni omqolo. I-MRI kunye/okanye i-CT scan nazo zinokwenziwa ukujonga intambo yomqolo, imithambo-luvo, kunye nomqolo ojikelezileyo (amathambo kunye nezicubu ezithambileyo). Ukuba ithumba lisasazekayo, uvavanyo lomfanekiso lunokwenziwa kwezinye iindawo zomzimba ukuze kufunyaniswe ukuba liqale phi.
• I-Biopsy: Ukuze uqiniseke ukuba iqhuma linomhlaza (elingenabungozi okanye elibi), ugqirha wakho unokuyalela ukuba kwenziwe i-biopsy. Oku kuquka ukuthatha isampuli encinci yezicubu kwiqhuma aze alihlole. Ingcali yezifo iza kuhlola isampuli ukuze ibone ukuba iyakhula, isasazeka, kwaye ukuba kunjalo, ikhawuleza kangakanani. Ukuba iqhuma linomhlaza, i-biopsy inokubonisa nokuba loluphi uhlobo lomhlaza. Oku kubalulekile ekugqibeni ngonyango.
• Ukuskena amathambo: Oku kuquka ukufaka inani elincinci kakhulu lezinto ezine-radioactive emthanjeni wakho uze usebenzise iteknoloji yokufota ukuhlola amathambo akho. Ngokujonga indlela izinto ezine-radioactive ezihamba ngayo, kunokufumanisa iingxaki emgogodleni wakho.
• Uvavanyo lwegazi: Ugqirha wakho unokuyalela uvavanyo lwegazi ukujonga amanqanaba angaqhelekanga ezinto ezifana ne-calcium kunye ne-alkaline phosphatase egazini lakho. Xa izicubu zethambo ziqhekeka ngenxa yomhlaza, umzimba ukhupha ezi zinto egazini.

Inyangwa njani i-spinal tumor?

Unyango lwee-tumor zomgogodla luyahluka kumntu nomntu. Kuxhomekeke ekubeni i-tumor iphi, inkulu kangakanani, kwaye iluhlobo luni. Iinjongo zonyango lwee-tumor zomgogodla ezisasazekayo zezi:

• Ukunciphisa iintlungu zakho.
• Gcina okanye uphucule ukusebenza komqolo wakho kunye nemithambo-luvo yomqolo.
• Phucula umgangatho wobomi bakho kunye nobomi bakho.

Injongo yokunyanga iithumba zomqolo ezisisiseko kukususa ngokupheleleyo ithumba elibangela iimpawu, ukuba kunokwenzeka.

Iqela leengcali ezahlukeneyo lidla ngokubandakanyeka ekuphuhliseni isicwangciso sonyango lwezimila zomqolo. Aba bangabandakanya iingcali zemithambo-luvo, oogqirha bomthambo, oogqirha bomhlaza, oogqirha bomhlaza wemitha, oogqirha bamathambo, oogqirha bomchamo, kunye noogqirha bemithambo yegazi.

Ngawaphi amayeza kunye nonyango olusetyenziswa kwiithumba zomqolo?

Iindlela zonyango lwezimila zomqolo ziyahluka ngokuxhomekeke kuhlobo lwethumba.

Unyango lwee-metastatic (secondary) spinal tumors

Iqela lakho lezonyango lingasebenzisa indibaniselwano yeendlela ezahlukeneyo zonyango ukunyanga i-metastatic spinal tumor:

• Unyango lweKhemotherapy: Amayeza eKhemotherapy anokubulala iiseli zomhlaza emgogodleni nakuwo wonke umzimba. Olu nyango lunokunikwa ngemithambo yegazi okanye njengepilisi. Ngamanye amaxesha ikhemotherapy ikwasetyenziselwa ukunciphisa ithumba ngaphambi kotyando.
• Unyango ngemitha: Oku kubandakanya ukusebenzisa ii-X-rays ezinedosi ephezulu ukutshabalalisa iiseli zethumba okanye ukunciphisa ithumba. Ukunciphisa ithumba kunokunciphisa iintlungu okanye ezinye iimpawu.
• Utyando lwe-Stereotactic radiosurgery: Olu lutyando olungasebenzisi utyando, olungangenisi ntsholongwane olusebenzisa umqadi wemitha ochanekileyo nomncinci ukujolisa ithumba, ukunciphisa ukuvezwa kwemitha kwizicubu ezingqongileyo.
• Utyando: Ngokwesiqhelo, abantu abanee-metastatic spinal tumors bacingelwa utyando kuphela ukuba kulindeleke ukuba baphile ixesha elingaphezu kweenyanga ezintathu ukuya kwezine kwaye i-tumor ayiphenduli kwi-radiation okanye kwi-chemotherapy. Utyando lunokunceda ekunciphiseni iintlungu kunye nezinye iimpawu, lugcine ukusebenza kwemithambo-luvo, kwaye luzinzise umqolo. Ugqirha wakho angacebisa utyando oluvulekileyo lwendabuko okanye inkqubo engenamdla kangako. Emva kokuba i-tumor isusiwe, inkqubo ebizwa ngokuba yi-vertebroplasty okanye i-kyphoplasty, apho i-bone cement ifakwe khona kumqolo, inokwenziwa. Ezi nkqubo zibonelela ngenkxaso kunye nokuzinza kumqolo, ziphucula intshukumo, kwaye zinciphise iintlungu. Malunga ne-10% yabantu abane-metastases yomqolo eneempawu banokunyangwa ngotyando.
• Ukubeka iliso: Iqela lakho lezonyango lisenokuwujonga ngokusondeleyo umhlaza ngovavanyo oluqhelekileyo ukuze kubonwe ukuba uyakhula okanye usasazeka.

Unyango lwee-tumor zokuqala zomqolo

Ukuba unethumba eliyintsusa elingengomhlaza (elingenobungozi), ukuba alibangeli zimpawu okanye libange iimpawu ezingephi, kwaye ukuba alitshintshi umbala okanye alikhuli, ugqirha wakho unokucebisa ukuba uhlolwe rhoqo nge-MRI ukuze ulijonge.

Ezinye iithumba zomqolo eziphambili zinokunyangwa ngokususwa ngokupheleleyo kwe-en bloc resection. Nangona kunjalo, ezinye iintlobo zeethumba, ingakumbi iithumba zangaphakathi kwe-medullary, kunzima ukuzisusa ngokupheleleyo ngaphandle komonakalo omkhulu kwimithambo-luvo.

Ukuba ithumba lakho lomqolo linesifo somhlaza (esiyingozi), uya kufuna unyango lomhlaza olukhankanyiweyo apha ngasentla.

Ungazithintela njani iithumba zomqolo?

Iindlela zokuthintela iithumba zomqolo zixhomekeke ekubeni zezokuqala okanye zezesibini (i-metastatic).

Ukuthintela iithumba zomqolo eziphambili

Ngelishwa, izimila zomqolo eziqalayo azinakuthintelwa.

Kwiimeko ezingaqhelekanga kakhulu, iithumba zomqolo ezisisiseko zinokubangelwa ziimeko ezithile zemfuza. Umzekelo:

• Uhlobo lwe-Neurofibromatosis 2 (NF2): Abantu abanesi sifo sofuzo (semfuza) banokuba neethumba ezingezizo umhlaza kumaleko we-arachnoid okanye iiseli ze-glial ezixhasayo zomthambo womqolo.
• Isifo sikaVon Hippel-Lindau (VHL): Esi sifo singaqhelekanga semfuza sinxulunyaniswa neethumba zemithambo yegazi ezingezizo umhlaza (i-hemangioblastomas) ebuchotsheni, kwi-retina, nakwi-spinal cord, kunye nezinye iintlobo zeethumba ezintso okanye kwi-adrenal glands.

Ukuba kukho umntu okwintsapho yakho esondeleyo (umntakwenu okanye umzali) onesi sifo, kubalulekile ukufumana ingcebiso okanye uvavanyo lwemfuza ukuze kubonwe ukuba nawe unayo na le meko. Ukufunyanwa kwangethuba kweethumba zomqolo yeyona ndlela ilungileyo yokufumana iziphumo ezilungileyo.

Ukuthintela iithumba zomqolo zesibini (ezisasazekayo)

Ngelishwa, ayizizo zonke iithumba zomqolo zesibini (ezisasazekayo) ezinokuthintelwa. Abantu abaninzi baqala ukufunyanwa benomhlaza osasazekayo.

Eyona ndlela ilungileyo yokuzama ukuthintela ii-tumor zesibini zomqolo kukufumana unyango oluncedisayo okanye unyango lwe-neoadjuvant ukuba ufunyaniswe unomhlaza ohlala kwindawo ethile. Injongo yonyango oluncedisayo kukunciphisa i-tumor eyintloko kunye nokuthintela iiseli zomhlaza eziqhekekileyo kwi-tumor yokuqala ekubeni zenze ii-tumor ezisasazekayo.

Oogqirha basebenzisa iintlobo ezahlukeneyo zokhathalelo oluxhasayo kwaye baphanda nangonyango olutsha.

Ithini ingxelo yomhlaza womqolo?

Imbonakalo yethumba lomqolo ixhomekeke kakhulu kwiminyaka yakho, impilo iyonke, nokuba ithumba linomhlaza okanye akunjalo, nokuba liqala okanye liqala ukusasazeka. Ukuba unethumba lomqolo, iqela lakho lezonyango lingakunika umbono olungileyo wento omawuyilindele. Musa ukoyika ukubabuza imibuzo.

Ngokubanzi, ukufunyanwa kwangethuba kunye nonyango lwe-spinal tumor kukhokelela kwiziphumo ezilungileyo. Ukuba uneempawu ze-spinal tumor, ezifana nentlungu yomqolo eba mandundu ebusuku, kubaluleke kakhulu ukubona ugqirha.

Ndingazinyamekela njani ukuba ndine-spinal tumor?

Ukuba une-tumor yomqolo, kubaluleke kakhulu ukulandela isicwangciso sakho sonyango ngokuchanekileyo. Le yindlela onokuzuza ngayo ngokupheleleyo kuyo. Uya kufuna nenkxaso ukuze ukwazi ukumelana nemiphumo yomzimba, yengqondo, neyentlalo yokuphila neentlungu zomqolo kunye/okanye umhlaza.

Ufanele uye nini kugqirha malunga nomhlaza womqolo?

Ukuba ngequbuliso uqalwa ziintlungu eziqatha zomqolo, okanye ukuba iintlungu ziyanda, kubalulekile ukubona ugqirha, ingakumbi ukuba unembali yomhlaza.

Ukuba ufumanisa iimpawu ezintsha okanye ukuba iimpawu zakho ezikhoyo ziya zisiba mandundu ngelixa ufumana unyango lwe-spinal tumor, yiya kwigumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko, okanye utsalele umnxeba ku-1990.

Kuqhelekile ukuba uzive usoyika xa ufumanisa ukuba unesimila somqolo. Kodwa khumbula, iqela lakho lezonyango liza kudala isicwangciso sonyango esineenkcukacha ezenzelwe wena, esiza kunceda ukunciphisa iintlungu zakho nokuphucula umgangatho wobomi bakho. Ukuhlolwa rhoqo emva konyango lomhlaza kunokunceda ekufumaneni i-metastases yomqolo kwangethuba. Ukuba ubonakalisa iimpawu zesimila somqolo, tsalela umnxeba ugqirha wakho ngoko nangoko.

Okokugqibela, khumbula oku.

Iithumba zomqolo zizinto ekufuneka woyike, kodwa kubaluleke kakhulu ukuba uzazi.

• Musa ukuyityeshela: Ukuba unentlungu yomqolo engapheliyo neyandayo ekwenza ungalali ebusuku, musa ukuyithatha njengento eqhelekileyo. Funa ingcebiso kagqirha.
• Fumana unobangela: Iithumba zomqolo zinokuba zezokuqala okanye ezesibini (zisasazeka zivela kwenye indawo). Ukuxilongwa ngokuchanekileyo kubalulekile ukuze kunyangwe.
• Kukho unyango: Kukho unyango olwahlukeneyo oluxhomekeke kuhlobo, indawo, kunye nobukhulu bethumba. Unyango lunokufumaneka ngezinto ezifana notyando, unyango lwemitha, kunye ne-chemotherapy.
• Ukufunyanwa kwangoko kubalulekile: Njengakwesiphi na isifo, okukhona umhlaza womqolo ufunyanwa ngokukhawuleza, kokukhona unyango luya kuphumelela.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho. Hlala usempilweni!

Iithumba zomqolo , iithumba zomqolo, umhlaza womqolo, iintlungu zomqolo, intambo yomqolo, i-Neurology, iimpawu zomhlaza