Ngaba unethumba elikhula kancinci kufutshane nelinye lamalungu akho? Masifunde ngeTenosynovial Giant Cell Tumor!

Ngaba wakha waziva ngathi uneqhuma elincinci elikhulayo emzimbeni wakho, ingakumbi kufutshane nelungu? Lisenokuba buhlungu kancinci xa ulicinezela. Kuqhelekile ukuba noloyiko xa ubona into efana nale. Kodwa ayizizo zonke iziqhuma ezingumhlaza. Namhlanje siza kuthetha ngeqhuma elinye elinjalo, elingengomhlaza, kodwa elifuna inkxalabo ethile. Leyo yimeko ebizwa ngokuba yi-`(Tenosynovial Giant Cell Tumor)`.

Loluphi uhlobo lwethumba olu? `(Tenosynovial Giant Cell Tumor)` ngokulula

Ngamafutshane, i-Tenosynovial Giant Cell Tumor sisimila esingengomhlaza esikhula kwizicubu ezithambileyo ezijikeleze amalungu akho. Ezi zihlala zibizwa ngokuba zii-benign tumors. Oku kuthetha ukuba azingomhlaza kwaye azibangeli umhlaza.

Ezi zezohlobo olungaqhelekanga lwethumba elibizwa ngokuba yi-"Giant Cell Tumor." Ezi thumba azihlali zisasazeka ukusuka kwenye indawo ukuya kwenye emzimbeni. Nangona kunjalo, zinokukhula kwaye zikhule ngokukhawuleza kwindawo ezikhule kuyo.

Ngokuxhomekeke ekubeni ithumba likuphi, kunokwenza kube nzima ukuhambisa ilungu kuloo ndawo kwaye kubangele iintlungu. Ngamanye amaxesha la mathumba anokukhula aze acinezele amathambo, ade abangele ukwaphuka kwamathambo.

Amaxesha amaninzi, kufuneka utyando ukuze kususwe le "Tenosynovial Giant Cell Tumor." Abanye abantu banokufuna unyango lwemitha.

Oku kuyichaphazela njani umzimba?

Kukho iintlobo ezintathu ze-"Tenosynovial Giant Cell Tumor", kuxhomekeke kwindlela ezikhula ngayo kwizicubu ezahlukeneyo zomzimba:

1. Ii-cysts ezikwi-linux yamalungu akho: Ezi ziqulunqwa kwi-membrane encinci ejikeleze ingaphakathi lamalungu akho (i-synovium). Njengamalungu angaphakathi afana namadolo akho kunye neengqiniba.

2. Ii-Tendon Sheath Cysts: Ii-Tendons zizakhiwo ezifana ne-band ezidibanisa izihlunu zethu namathambo ethu. Ezi cysts zinokwakheka kwi-sheath ekhuselayo ejikeleze ezi tendons, ebizwa ngokuba yi-Tendon Sheath.

3. Ii-bursal cysts: Ii-Bursae ziingxowa ezincinci, ezizaliswe lulwelo ezikufutshane namalungu, apho izihlunu, imisipha, kunye namathambo kudibana khona. Zibonelela ngokukhusela amalungu. Ii-Bursae nazo zinokukhula.

Nangona ezi "Tenosynovial Giant Cell Tumors" zinokuvela naphi na emzimbeni, zibonakala kakhulu kwezi:

• Iminwe okanye oobhontsi
• Amaqatha okanye iinyawo
• Amadolo
• Izandla
• Iingqiniba

Kuthiwa nokuba ithumba elifana neli liyaphola, abanye abantu banamathuba amancinci okuba nesifo samathambo okanye isifo samathambo kuloo joint kamva.

Ngubani ofumana ezi zinto rhoqo? Zixhaphake kangakanani?

Nabani na angahlakulela le "Tenosynovial Giant Cell Tumor". Nangona kunjalo, ixhaphake kakhulu kumaqela athile:

• Ixhaphake kakhulu phakathi kwabasetyhini kunamadoda.
• Uneminyaka engama-30 ukuya kwengama-50 ubudalaKuqhelekile kubantu abadala.

Kodwa ungakhathazeki, le `(Tenosynovial Giant Cell Tumors)` yimeko engaqhelekanga kakhulu. Ehlabathini lonke, abantu abangaphantsi kwama-50 kwisigidi bahlakulela ezi meko minyaka le. Ngoko ke esi ayisosifo sichaphazela wonke umntu.

Zithini iimpawu?

Iimpawu eziqhelekileyo zale tumor zezi:

• Iqhuma okanye ithumba eliphuma kwilungu.
• Intlungu iyanda xa ushukumisa loo ndawo.
• Ukudumba.

Ukongeza, ilungu elikufutshane nethumba linokuba neempawu ezilandelayo:

• Ukuziva uxinene, ukutshixa, okanye isandi "sokunqakraza" xa ushukumisa ilungu.
• Ukuziva ufudumele kulusu olujikeleze ilungu.
• Ukuqina kwelungu.
• Ilungu libonakala libuthathaka kwaye lingenabomi .

Ukuba zeziphi iimpawu ozifumanayo kunye nokuba zinzima kangakanani kuxhomekeke kwizinto ezininzi:

• Loluphi uhlobo lwezicubu ezenziwe ngazo ithumba.
• Iphi na emzimbeni?
• Ingakanani ithumba.

Abantu abaninzi bafumanisa ukuba bane-Tenosynovial Giant Cell Tumor emva kweminyaka emininzi yeempawu. Ngoko ke kungcono ukuxelela ugqirha ukuba ubona naluphi na utshintsho olutsha okanye amaqhuma emzimbeni wakho.

Kutheni iithumba zifana nolu hlobo?

Iingcali azikafumani sizathu sithile sokuphuhliswa kwezi "Tenosynovial Giant Cell Tumors." Nangona kunjalo, ezinye izifundo zifumanise ukuba kukho utshintsho oluthile kwiichromosomes zabantu abaphuhlisa ezi tumors.

Iichromosomes ziindawo zeeseli zethu eziqulethe ulwazi lwethu lwemfuza (i-DNA). Ukuba ezi chromosomes zonakele, zinokubangela utshintsho olwahlukeneyo emzimbeni. Ngokukodwa, okwangoku kukholelwa ukuba ezi zicubu zikhula ngenxa yenkqubo ebizwa ngokuba yi-``Translocation``, apho iindawo zeechromosomes ziqhekeka khona zize zihlangane kwakhona ngeendlela ezintsha.

Uyibona njani le nto?

Ugqirha uza kuyixilonga le "Tenosynovial Giant Cell Tumor" ngokuyixilonga, ngokwenza "uVavanyo lomzimba", aze enze "iiMvavanyo zoMfanekiso".

Ngokuxhomekeke ekubeni ithumba likuphi, unokukwazi ukuliva phantsi kolusu lwakho. Ugqirha uza kulihlola ngononophelo ithumba kunye nendawo ejikelezileyo. Ukongeza, baza kwenza olunye okanye ngaphezulu kwezi vavanyo zilandelayo ukuze bathathe imifanekiso yethumba:

• Ii-X-reyi
• Iskeni se-MRI (Magnetic Resonance Imaging)
• Iskeni ye-ultrasound

Ugqirha usenokuthatha isampuli encinci yethumba okanye izicubu ezingqongileyo aze ayithumele kwilebhu ukuze ivavanywe. Oku kubizwa ngokuba yi-"biopsy." Oku kunokunceda ekuqinisekiseni ukuba loluphi uhlobo lwethumba.

Iphathwa njani?

Ii-tumor ze-Tenosynovial Giant Cell zihlala zisuswa ngotyando. Ugqirha wakho uza kususa i-tumor nokuba ngotyando oluvulekileyo okanye ngenkqubo ebizwa ngokuba yi-arthroscopy. Ngamanye amaxesha i-tumor inokususwa kunye nezicubu ezichaphazelekayo ezijikelezileyo.

I-Arthroscopy yinkqubo apho kufakwa khona ityhubhu ende, ebhityileyo enekhamera kunye nokukhanya (okubizwa ngokuba yi-arthroscope) ngokusebenzisa imingxunya emininzi emincinci eluswini kufutshane nelungu. Xa ujonga ngaphakathi kwelungu, kusetyenziswa izixhobo ezincinci ukususa ithumba kunye nezinye izicwili ezonakeleyo. Le nkqubo ayibandakanyi umngxunya omkhulu, ngoko ke ukuphiliswa kunokukhawuleza.

Ugqirha wakho uza kukuchazela ukuba loluphi uhlobo lotyando oza kulwenza kunye nento oza kuyilindela emva koko. Ixesha lokuchacha lixhomekeke koku:

• Kwakuxhomekeka ekubeni ithumba likuphi emzimbeni.
• Kuxhomekeke ekubeni inkulu kangakanani.
• Kuxhomekeke ekubeni zingakanani izicwili ekwakufuneka zisuswe ngexesha lotyando.

Ezinye ii-Tenosynovial Giant Cell Tumors zinokunyangwa ngeendlela ezithile ze-chemotherapy, unyango lomhlaza. Nangona i-chemotherapy idla ngokusetyenziswa ukubulala iiseli zomhlaza, ezinye iintlobo ze-chemotherapy zinokujolisa kwaye zibulale ezi tumors zingengozi.

Enye yezinto eziphambili ngezi `(Tenosynovial Giant Cell Tumors)` kukuba zine`(Recurrence Rate)` ephezulu. Oku kuthetha ukuba nokuba zisuswe ngempumelelo ngotyando okanye zitshatyalaliswe nge`(Chemotherapy),` kukho ithuba elikhulu lokuba ithumba elinjalo liphinde livele.

Amaxesha ambalwa kakhulu, ukuba ithumba lonakalise kakhulu ilungu, kusenokufuneka kususwe inxalenye yelungu, njengengalo okanye umlenze, enelungu. Nangona kunjalo, oku kwenzeka rhoqo.

Ngaba oku kungathintelwa ukuba kwenzeke?

Ngelishwa, akukho ndlela yokuthintela ukuphuhliswa kwesi sifo (i-Tenosynovial Giant Cell Tumor)` emzimbeni wakho. Ngenxa yokuba isizathu esichanekileyo sale mizimba asikaziwa, akunakwenzeka ukuqikelela ukuba iza kuvela nini, kubani, okanye kutheni.

Kuthekani ukuba unethumba elinje?

Emva kokuba i-Tenosynovial Giant Cell Tumor isusiwe, ungalindela ukuba uphile ngokupheleleyo. Emva kokuba i-tumor isusiwe, kuya kufuneka uhlale unxibelelana nogqirha wakho kwaye uye rhoqo kwi-aphoyintimenti yokulandelela. Ugqirha wakho uya kujonga indlela ophila ngayo aze ajonge ii-tumor ezintsha. Ukuba i-tumor entsha iyavela, inokuchongwa kwaye inyangwe ngokukhawuleza.

Nangona ezi zingengomhlaza kwaye zingabangeli umhlaza, kukho ithuba elihle lokuba uza kuba neeTumors ezininzi zeTenosynovial Giant Cell. Abantu abangaphezu kwesiqingatha abaye baba nale meko baza kuphinda babe nezi tumors. Mhlawumbi kwindawo enye apho zaqala khona ukubonakala, okanye kwezinye izicwili zomzimba. Ugqirha usenokubiza oku ngokuthi kukuphinda-phinda.

Ngaba andizukukwazi ukuya emsebenzini/esikolweni de ndibe ndiphilile?

Emva kokususwa kweTenosynovial Giant Cell Tumor, usenokungakwazi ukuya emsebenzini okanye esikolweni ide iphole. Umzekelo, ukuba kufuneka ume emsebenzini, ukuba ithumba beliseqatheni lakho, okanye ukuba uchitha ixesha elininzi uchwetheza kwikhompyutha, ukuba utyando lomnwe, unokufuna ukuthatha ikhefu emsebenzini okanye kwiiklasi ukuze umzimba wakho uphile. Ixesha eliza kuthatha wena liya kuxhomekeka kwindawo otyando lwenziwe kuyo kunye nobungakanani bethumba. Ugqirha wakho uza kukuxelela oku.

Ungalibali ukubuza ugqirha wakho okanye ugqirha ngaphambi kokuba uqalise imisebenzi eqhelekileyo okanye umthambo emva kotyando.

Ndifanele ndimbone nini ugqirha?

Ukuba ubona iqhuma elitsha okanye ukukhula naphi na emzimbeni wakho, ingakumbi kufutshane nelungu, kwaye ingakumbi ukuba libuhlungu, qiniseka ukuba ubona ugqirha. Nokuba ayisiyo "Tenosynovial Giant Cell Tumor", okukhona ubona ugqirha ngokukhawuleza malunga neqhuma, kokukhona inokuchongwa kwaye inyangwe ngokukhawuleza.

Ukuba ngequbuliso awukwazi ukushukumisa ilungu, yingxamiseko leyo. Ukuba oko kuyenzeka, yiya esibhedlele ngoko nangoko.

Imibuzo ebalulekileyo yokubuza ugqirha wakho

Wakuba wazi ukuba unale meko, kukho imibuzo ebalulekileyo ekufuneka uyibuze ugqirha wakho:

• Luhlobo luni lwe-Tenosynovial Giant Cell Tumor endinayo?
• Zeziphi iimvavanyo ekufuneka ndizenze?
• Ngaba ndiyaludinga ngokwenene utyando?
• Zithini amathuba okuba eli thumba liphinde likhule?

Ingaba ezi thumba zahlukile kwi-`(Ganglion Cysts)`?

Zombini "ii-Tenosynovial Giant Cell Tumors" kunye "nee-Ganglion Cysts" ziintlobo zee-tumors ezithi zibekho emalungeni.

Umahluko omkhulu phakathi kwezi zimbini kukuba zenzeka phi. Ii-Tenosynovial Giant Cell Tumors zenzeka ngaphakathi okanye kufutshane nelungu. Ii-Ganglion Cysts zii-cysts ezizaliswe lulwelo ezizenzeka phantsi kolusu lwakho.

Zombini ezi ntlobo zeethumba azize zibe yingozi, oko kuthetha ukuba azingomhlaza.

Ukuba ubona amaqhuma okanye amaqhuma amatsha eluswini lwakho, ingakumbi ukuba abuhlungu okanye enza kube nzima ukuhambisa ilungu, bona ugqirha.

Okokugqibela, izinto ekufuneka uzikhumbule

Yinyani leyo, xa usiva igama elithi "ithumba" uyoyika. Kodwa "i-tenosynovial giant cell tumors" ayize ibe ngumhlaza, kwaye ayibangeli umhlaza. Kwiimeko ezininzi, kufuneka utyando ukuze kususwe la mathumba. Ukuba kukho "ithumba le-tenosynovial giant cell tumor" elivele, kukho ithuba lokuba liza kuvela elingakumbi kwixesha elizayo.

Ngoko ke, thetha nogqirha wakho malunga nento ekufuneka uyiqaphele. Ukuba ubona iqhuma elitsha okanye ukukhula, bonana nogqirha ngoko nangoko. Eyona nto ibalulekileyo kukuphepha, ufumane ulwazi olufanelekileyo, kwaye ufumane unyango olufanelekileyo.

Iingxaki zeeseli ezinkulu ze - tenosynovial, iithumba ezidibeneyo, iithumba zamathambo, iithumba ezithambileyo, iintlungu ezidibeneyo, utyando, iithumba ezingezizo ezomhlaza