Ngaba ngamanye amaxesha ufumana ukopha okungaqhelekanga kwilungu lobufazi ngamanye amaxesha, kungekhona ngexesha lokuya exesheni? Okanye ngaba uhlala uziva izinto ezifana nesisu esipheleleyo okanye iintlungu ezisezantsi kwesisu? Kulula ukuzithatha njengeziqhelekileyo. Nangona kunjalo, ngamanye amaxesha ezi zinokuba ziimpawu ze-'Uterine Sarcoma', uhlobo lomhlaza olungaqhelekanga kodwa olubi kakhulu oluvela esibelekweni. Musa ukoyika xa usiva eli gama. Eyona nto ibalulekileyo kukwazi. Masithethe ngale nto ngokucacileyo nangokulula.
Ngamafutshane, yintoni i-Uterine Sarcoma?
I-Uterine Sarcoma luhlobo lomhlaza oluvela esibelekweni. Nangona kunjalo, oku kwahlukile kancinci kuhlobo lomhlaza wesibeleko esihlala siwuva. Ngokwesiqhelo, uninzi lomhlaza wesibeleko luvela kulwelo lwangaphakathi lwesibeleko (i-endometrium). Ezi sizibiza ngokuba ziiCarcinomas .
Kodwa iSarcoma luhlobo lomhlaza oluvela kumaleko wemisipha yesibeleko (i-myometrium) okanye kwizicubu ezidityanisiweyo eludongeni lwesibeleko. Cinga ngayo ngokungathi umzimba wethu wenziwe ngamacandelo ahlukeneyo. ISarcoma luhlobo lomhlaza oluqala kwizicubu ezidityanisiweyo ezifana nemisipha, amathambo, kunye namafutha.
Olu hlobo lwe-uterine sarcoma aluqhelekanga kakhulu. Luyi-2% ukuya kwi-5% kuphela yazo zonke iintlobo zomhlaza wesibeleko. Nangona zingaqhelekanga, ezinye zazo zinokukhula kwaye zisasazeke ngokukhawuleza, ngoko ke kubalulekile ukuba uzazi.
Ziziphi iintlobo eziphambili ze-uterine sarcoma?
Kukho iintlobo ezininzi eziphambili zalo mhlaza. Nganye kuzo iziphatha ngendlela eyahlukileyo, oko kuthetha isantya okhula ngaso nosasazeka ngaso. Makhe sijonge iintlobo eziphambili.
| Uhlobo lomhlaza | Ingcaciso elula |
|---|---|
| I-Leiomyosarcoma yesibeleko (i-LMS) | Olu lolona hlobo luqhelekileyo lwe-uterine sarcoma. Luvela kumaleko wemisipha yesibeleko. Olu hlobo lunoburhalarhume ngakumbi, nto leyo ethetha ukuba lunokukhula kwaye lusasazeke ngokukhawuleza. |
| I-Endometrial Stromal Sarcoma (ESS) | Iqala kwizicubu ezidityanisiweyo ezikwi-internal lining ye-uterus (endometrium). Kukho iintlobo ezimbini zale nto, eyodidi oluphantsi neyodidi oluphezulu. Uhlobo olulodidi oluphantsi kulula ukulunyanga. |
| I-Unidifferentiated Uterine Sarcoma (UUS) | Oku kunokuqala kumaleko wemisipha yesibeleko okanye kwi-lining. Olu luhlobo olunobundlongondlongo kakhulu olukhula kwaye lusasazeka ngokukhawuleza. |
| I-Adenosarcoma yesibeleko | Olu hlobo lunomxube weeseli ze-glandular eziqhelekileyo kunye neeseli zomhlaza. Olu lolona hlobo lungaqhelekanga lwe-uterine sarcoma. Ngokwesiqhelo ngumhlaza okumgangatho ophantsi. |
Indlela yokuchonga amanqanaba omhlaza?
Njengakweminye imhlaza, inqanaba limiselwa kukuba umhlaza usasazeke kangakanani emzimbeni. Oku kubaluleke kakhulu ekucwangciseni unyango. Ngamafutshane, nazi izigaba ezine eziphambili.
| Iqonga | Intsingiselo |
|---|---|
| Inqanaba loku-1 | Umhlaza ungaphakathi kwesibeleko kuphela. |
| Isigaba II | Umhlaza usasazeke ngaphandle kwesibeleko, kodwa uye nakwezinye iindawo ngaphakathi kwesinqe. |
| Inqanaba lesi-3 | Umhlaza usasazeke kwiindawo ezingaphandle kwesisu kunye ne-pelvis. |
| Inqanaba lesi-4 | Umhlaza usasazeke kwiindawo ezikude ngaphandle kwesisu, okanye kwisinyi okanye kwi-rectum. |
Nangona oku kuvakala kulula, ukufumanisa amanqanaba omhlaza kunokuba nzima kancinci. Ugqirha wakho uza kukuchazela inqanaba elithile, njengenqanaba le-IB okanye le-IIIA . Ngoko ke kubalulekile ukumamela ngononophelo nokuliqonda.
Zithini iimpawu zesi sifo?
Iimpawu zesi sifo zihlala zifana nezinye izifo zabasetyhini, ngoko ke kubaluleke kakhulu ukuba uzazi ezi.
- Ukopha okungaqhelekanga kwilungu lobufazi: Ukopha okwenzeka emva kokuya exesheni, ukopha okwenzeka phakathi kwexesha lokuya exesheni, okanye ukopha okungaphezulu kunoko kuqhelekileyo kwilungu lokuya exesheni.
- Ukukhupha okungaqhelekanga kwilungu lobufazi: Ukukhupha okunevumba elibi okanye okuxutywe negazi.
- Ukuziva iintlungu kwisisu esisezantsi okanye kwindawo ye-pelvic .
- Ukuziva ugcwele okanye ubunzima esiswini.
- Ukubamba into efana nethumba kwindawo ye-pelvic .
- Ukufuna ukuchama rhoqo .
- Ukuqhinwa kwesisu .
Eyona ngxaki inkulu apha kukuba ezi mpawu zidla ngokufana nezinye ii-cancer zesibeleko kunye nee-tumor ezingezizo ii-cancer ezifana ne -fibroids . Yiyo loo nto sisithi ukuba unezinye zezi mpawu, akufuneki uzityeshele kwaye ubone ugqirha ngoko nangoko.
Ngamanye amaxesha, esi sifo sisenokungabonakalisi zimpawu de sibe sihambele phambili kancinci. Leyo yeyona nto yoyikisayo.
Kutheni olu hlobo lomhlaza luvela? Zithini izinto ezibangela umngcipheko?
Ngamafutshane, lo mhlaza ubangelwa lutshintsho oluthile (utshintsho lwemfuza) kwi -DNA yeeseli kwimisipha okanye kwizicubu ezidityanisiweyo zesibeleko. Olu tshintsho lubangela ukuba iiseli zikhule ngendlela engalawulekiyo.
Izazinzulu azikayazi kakuhle into ebangela olu tshintsho lwe-DNA, kodwa zichonge izinto ezininzi ezibangela umngcipheko wokufumana esi sifo.
Izinto ezonyusa umngcipheko
- I-Genetics: Ukuba ne-gene ebangela i-retinoblastoma , umhlaza weliso, kwandisa umngcipheko wokufumana olu hlobo lwe-sarcoma. Ikwanxulunyaniswa nesifo esingaqhelekanga esidluliselwa kwilifa esibizwa ngokuba yi-Hereditary Leiomyomatosis kunye ne-Renal Cell Cancer (HLRCC) .
- Emva kokufumana unyango lwemitha ye-pelvic:Ukuba ukhe wafumana unyango lwe-radiation kwindawo ye-pelvic njengonyango lomnye umhlaza, i-sarcoma ayinakwenzeka rhoqo. Nangona kunjalo, oku kwenzeka phakathi kweminyaka emi-5 ukuya kwengama-25 emva konyango.
- I-Tamoxifen: Ukusetyenziswa ixesha elide kwesiyobisi i- Tamoxifen somhlaza webele kunokunyusa kancinci le ngozi.
Uphando lufumanise ukuba abafazi abamnyama banamathuba aphindwe kabini okufumana lo mhlaza kunabafazi abamhlophe, kodwa unobangela ochanekileyo awukafunyanwa.
Ugqirha uluchonga njani ngokuchanekileyo olu sifo?
Xa usiya kugqirha oneempawu ezikhankanyiweyo apha ngasentla, uza kuqala akubuze ngeempawu zakho kunye nembali yezonyango. Emva koko, baza kwenza uvavanyo lomzimba kunye novavanyo lwe-pelvic.
Ukongeza, kunokwenziwa iimvavanyo ezininzi ukuqinisekisa isifo:
- I-Ultrasound edluliselwa kwisini: Kule nto, kufakwa isixhobo esincinci esikhethekileyo sokuskena (i-transducer) nge-vaginal ukuze kuhlolwe isibeleko kunye nama-ovari.
- I-MRI yePelvic: Olu luvavanyo olusebenzisa imagnethi enamandla kunye namaza erediyo ukuvelisa imifanekiso ecacileyo neneenkcukacha zommandla wepelvic.
- I-Endometrial Biopsy: Kule meko, kuthathwa iqhekeza elincinci lesicubu kulwelo lwesibeleko lize lihlolwe.
Ingcali yezifo , ingcali ekuhlolweni kwezicubu, ihlola isampuli yezicubu ezithathwe ngolu hlobo phantsi kwe-microscope ukuqinisekisa ngokupheleleyo ukuba ngumhlaza kwaye loluphi uhlobo lwawo.
Xa umhlaza uqinisekisiwe, uvavanyo olongezelelweyo, olufana nokuhlolwa kwenqanaba lomhlaza, lunokufuneka ukuze kubonwe ukuba usasazeke kangakanani. Kusenokwenzeka ukuba uthunyelwe kwingcali yomhlaza yabasetyhini.
Ziziphi iindlela zonyango?
Unyango oluphambili noluqhelekileyo lwesi sifo lutyando . Nokuba loluphi uhlobo kunye nenqanaba lomhlaza, into yokuqala ekufuneka uyiqwalasele kukususa umhlaza ngotyando.
| Uhlobo lotyando | Kwenziwe ntoni? |
|---|---|
| Utyando lwe-Hysterectomy | Ukususwa kwesibeleko kunye nomlomo wesibeleko. |
| Ukususwa kotyando ngokupheleleyo nge-salpingo-oophorectomy | Ukususwa kwesibeleko, i-ovaries enye okanye zombini, kunye ne-fallopian tube enye okanye zombini. |
| Ukususwa kwesibeleko ngokugqithisileyo | Ukususwa kwesibeleko, umlomo wesibeleko, zombini iityhubhu ze-fallopian, kunye nezinye izicwili ezingqongileyo (kuquka nenxalenye yelungu lobufazi). |
| Utyando lwe-lymphadenectomy | Ukususwa kwee-lymph nodes apho umhlaza usasazeke khona. |
Ukongeza kotyando...
Emva kotyando, okanye kwezinye iimeko ukongeza kotyando, ezinye iindlela zonyango zinokucetyiswa.
- Unyango lweKhemotherapy: Ukunika amayeza okubulala iiseli zomhlaza.
- Unyango lweeHormone: Ngenxa yokuba ezinye iintlobo zeSarcoma zinovelwano kwiiHormone, amayeza anikwa ukulawula ukukhula kwazo.
- Unyango ngemitha: Ukusetyenziswa kwemitha enamandla aphezulu ukutshabalalisa iiseli zomhlaza.
- Unyango olujoliswe kuko: Ukunika amayeza ajolise kubuthathaka obuthile kwiiseli zomhlaza.
Zonke ezi ndlela zonyango zinokuba nemiphumo emibi. Kodwa ungakhathazeki. Iqela lakho lezonyango liza kukuchazela isicwangciso sonyango esifanelekileyo kuwe, kunye nazo zonke izinto ezilungileyo nezingalunganga.
Ngaba esi sifo sinokunyangeka ngokupheleleyo?
Ewe, esi sifo sinokunyangeka ngokupheleleyo . Ingakumbi ukuba umhlaza awukafiki kwinqanaba eliphantsi kwaye awukasasazeka ngaphandle kwesibeleko (ukuba ufunyenwe kwangethuba), amathuba okuphiliswa aphezulu kakhulu.
Ukuqikelela kwangaphambili kwesi sifo kuxhomekeke kwizinto ezininzi:
- Uhlobo lomhlaza (umz., i-LMS okanye i-ESS).
- Inqanaba lomhlaza - Oku kubhekisa kwindlela iiseli zomhlaza ezibonakala zimbi ngayo xa zijongwa ngemakroskopu.
- Ukuba umhlaza usasazeke kangakanani emzimbeni (Isigaba).
- Impilo yakho iyonke.
Eyona nto ibalulekileyo kukuba ngugqirha wakho kuphela onokukunika ulwazi oluchanekileyo malunga nemeko yakho. Ngoko ke ungothuswa zizinga lokusinda elifumaneka kwi-intanethi. Ezi zibalo zingumyinge nje weqela elikhulu labantu, kwaye zisenokusebenza kuwe okanye zingabi njalo.
Uloyiko oluvayo xa ufumanisa ukuba unomhlaza...
Kuqhelekile ukuziva usoyika, wothukile, kwaye uxinezelekile xa ufunda ngomhlaza ongaqhelekanga onje. Kunokuba nzima xa ngequbuliso unamabinzana amaninzi amatsha nolwazi olufika engqondweni yakho.
Kodwa khumbula, izibalo azilobali lakho. Iqela lakho lezonyango likunye nawe kuyo yonke inyathelo. Thetha nabo ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Baza kusebenza nawe ukuphuhlisa isicwangciso sonyango esisebenza kakuhle kuwe. Thetha nosapho lwakho kunye nabahlobo bakho ngale nto. Inkxaso yabo iya kuba ngumthombo omkhulu wamandla ngeli xesha.
Umyalezo Wokuya Ekhaya
- I-Uterine Sarcoma luhlobo lomhlaza olungaqhelekanga kodwa olunzima oluvela esibelekweni.
- Ungaze ungazihoyi iimpawu ezinje ngokopha okungaqhelekanga kwilungu lobufazi, iintlungu zesisu esisezantsi, okanye iqhuma. Bonana nogqirha ngokukhawuleza.
- Esi sifo siqinisekiswa ngokuqinisekileyo ngokuhlola isiqwenga sesicwili (i-biopsy).
- Iindlela zonyango ziyahluka ngokwesigulana ngasinye, utyando lulolona nyango luphambili. Ukuba lufunyenwe kwangethuba, lunokunyangeka ngokupheleleyo.
- Musa ukoyika ulwazi oluvela kuluntu kunye nezibalo kwi-intanethi, kwaye thetha ngokukhululekileyo nogqirha wakho ngemeko yakho.
- Inkxaso yeqela lezonyango kunye nabantu obathandayo ibaluleke kakhulu ngeli xesha lohambo.
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